County Board Unanimously Approves Regional e-Bike Injury Warning System

The San Diego County Board of Supervisors on Tuesday unanimously approved a plan to create a regional e-Bike Injury Warning System designed to quickly pinpoint where e-bike injuries are occurring, who is being hurt, and what types of devices are involved.

E-bike injuries — particularly among children and teenagers — have surged across the region. Rady Children's Hospital reported pediatric e-bike trauma cases increased from three in 2021 to 262 in 2025, according to the County News Center.

Local officials have been forced to wait as long as 14 months for statewide injury data to return to the region. The new system will collect, aggregate, and publicly report regional injury trends on an ongoing basis, tracking rider age, crash time and location, helmet use, device type, injury severity, and patient outcomes.

The County will use existing staff and resources to implement the program, resulting in no additional General Fund cost.

The system will bring together information from hospitals, trauma centers, emergency departments, Emergency Medical Services providers, law enforcement agencies, and other regional partners. The regional approach mirrors similar efforts in places where detailed monitoring revealed high-risk youth injury patterns and helped guide safety measures.

More timely data will help agencies identify dangerous locations and risk factors and respond faster, the County said.