These rates are an order of magnitude higher than injury rates for driving in Canada, by comparison (0.3 injuries or fatalities per million km in 2023). But I would argue that per distance is not the right comparison for cars vs. bikes, and something more like rate per trip would be better. Canadians drive something like 15,000 km per year on average. Bike commuters' average trip is 20 minutes, so even if you biked to work every weekday, you would still be under 4000 km biked for the year.