Editors, Vineyard Gazette;

This summer, it has been distressing to observe the number of cyclists who ride without helmets. Any ER physician can tell you that in addition to the other bike riding injuries that are regularly triaged, head trauma can be the most devastating.

In Massachusetts, seat belts are mandatory for car passengers. Lack of compliance carries a $25 fine. While I am hesitant about more government regulations, I think fines for bike riding without a helmet are long overdue.

Kevin R. Loughlin, MD