Inspired by Swedish legislation, Vision Zero policies are being adopted in the United States with increasing frequency. Although some view the goal of eliminating serious injury and death on the road system as impractical, Sweden’s lower rates of road-related injury and death provide compelling evidence that more can be done to improve US cycling safety. We examine existing Vision Zero and cycling-related literature to highlight the central components of the Swedish policy, with the goal of providing evidence-based recommendations for successful implementation of similar policies in the United States. Ultimately, infrastructure design should remain central in US Vision Zero plans, but supplemental initiatives promoting a cycling and safety culture also can be incorporated.
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