Option A: If accident victims do not die as a result of a head injury, they often suffer from permanent brain damage.
Analysis: Incorrect. This points to a severe negative outcome for survivors. Instead of supporting the "success" of the law, it suggests that the decrease in deaths has led to an increase in long-term disability, which could actually be used to argue against the law’s success.
Option B: While only 15% of all bicycle accidents resulting in injury occur as a result of a collision with a motor vehicle, those accidents represent 90% of fatal accidents.
Analysis: Incorrect. This provides data on the causes of accidents but does not address the effectiveness of helmets. It fails to explain why the injury rate rose while the fatality rate dropped.
Option C: In bicycle accidents, injuries to hands, knees, and elbows are far more common than head injuries.
Analysis: Incorrect. This is a distraction. The argument is specifically concerned with head injuries and fatalities; the frequency of limb injuries is irrelevant to whether the helmet law is working.
Option D: Typically, fatality rates for bicycle accidents victims who sustain serious head injuries are twice as high when the victims are not wearing helmets as opposed to when they are.
Analysis: Correct. This explains the "success." If a head injury is twice as likely to be fatal without a helmet, then wearing a helmet allows a person to survive a crash that would have otherwise killed them. This explains why we see more "injured" people (survivors) and fewer "fatalities."
Option E: The effect of the helmet law in Middletown is typical; other towns also experienced a higher incidence of head injuries but a lower fatality rate.
Analysis: Incorrect. This merely states that the trend is a common one. It doesn't provide the logical reason why the law is successful or how the helmets are causing the change in statistics.