Fatal Unintentional Farm Injuries Among Persons Less Than 20 Years of Age in the United States


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This document is a summary of fatal farm injuries to persons less than 20 years of age as reported in the National Center for Health Statistics (NCHS) Mortality Data from 1982 through 1996. Fatal farm injuries are defined in this report as those which occurred on farms, regardless of production agriculture involvement. These injuries include those sustained during chores, paid work, or recreational activities such as hunting and swimming




Fatal Accidents on Farms


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Injuries Among Youth on U.S. Farms Operations 2004


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"In 2004, 2.1 million farms were operated in the U.S. Nearly 1/3 (650,000) of these farms reported having youth less than 20 years old living on them. Over 1.25 million youth lived on these farms. 27,600 injuries (3.1 injuries every hour) occurred to youth who lived on, worked on, or visited these farms. Approximately 2/3 (18,800) of the injuries were to youth who lived on the farm. Between 1995 and 2002, 907 youth died on farms (43 deaths/100,000 youth). Of the 907 youth who died on farms in the U.S., most were between the ages of 16 and 19 years. The majority of deaths to youth on U.S. farms were due to machinery (23%), such as tractors; motor vehicles (19%), which include ATVs; and drowning (16%). The most common sources for the 18,800 non-fatal injuries to youth living on a U.S. farm were: Persons, animals, plants, minerals (23%); Floors, walkways, ground (21%); and, Vehicles (ATVs, tractors, automobiles, 16%). The most common types of injury were: Broken bone (26%); Cut (25%); and, Sprain, strain, torn ligament (11%). The body parts most commonly injured were: Arm (17%); Hand, wrist, finger (16%); and, Foot, ankle, toe (16%). Children do what they see...be a good role model for farm safety. Devote a day to FARM SAFETY with your children. Inspect your farm for hazards to children. Remove as many hazards as possible. Mark dangerous areas clearly with hazard signs. Provide an enclosed and supervised safe play area for children. Do not allow children to play around machinery, workshops, storage buildings, or where work is occurring on the farm. Assign farm chores to youth that are appropriate for their age such as those recommended in the North American Guidelines for Childhood Agricultural Tasks (NAGCAT). Teach youth how to handle and work with animals safely. Farm animals that are breeding, have newborns, or are sick can be aggressive, make sure children have no contact with these animals. Children should wear proper protective clothing when handling animals. For example, youth should always wear a helmet when riding horses. All household pets should have proper health checks and shots. Do not allow extra riders on tractors, all terrain vehicles (ATVs) and other farm equipment; follow the "ONE SEAT-ONE RIDER" rule. NEVER leave keys in the ignition of machinery or vehicles. Limit operation of ATVs, tractors, and machinery to older youth. ATV manufacturers recommend that riders be at least 16 years of age for ATVs 400cc or larger, and that they take an ATV safety training course. Youth should not operate any ATV without wearing a helmet. Child labor laws require that hired youth be at least 16 years old to operate tractors and machinery on farms, except for 14- and 15-year olds who have received operator certification. All youth should be properly trained before operating tractors or machinery. Child labor laws do not apply to youth on their family's farm. However, they are a good guide for when youth are old enough to do hazardous work safely. Youth, like adults, should not operate farm tractors without a Roll/Over Protective Structure (ROPS) and a seatbelt. Youth should not operate tractors or other vehicles on public roads without a driver's license. Always supervise children when playing in or near water. All entrances to ponds, lagoons, pools, and manure pits should be restricted. All farm ponds should have water safety and rescue equipment. Alcohol contributes to many teen drownings on farms. Talk to your teens about the dangers of drinking and swimming. Never leave containers with standing water in areas where toddlers are present." --NIOSTHTIC-2




World Report on Child Injury Prevention


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Child injuries are largely absent from child survival initiatives presently on the global agenda. Through this report, the World Health Organization, the United Nations Children's Fund and many partners have set out to elevate child injury to a priority for the global public health and development communities. It should be seen as a complement to the UN Secretary-General's study on violence against children released in late 2006 (that report addressed violence-related or intentional injuries). Both reports suggest that child injury and violence prevention programs need to be integrated into child survival and other broad strategies focused on improving the lives of children. Evidence demonstrates the dramatic successes in child injury prevention in countries which have made a concerted effort. These results make a case for increasing investments in human resources and institutional capacities. Implementing proven interventions could save more than a thousand children's lives a day.--p. vii.




Farm Accidents


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Surveillance of Non-fatal Agricultural Injuries Among Farm Operators in the Central States Region of the United States


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Agriculture is a major industry in the U.S. with high rates of fatal and non-fatal occupational injuries. The dynamic nature of the U.S. agriculture industry, regional variations in farming practices, and the diverse workforce make surveillance of injuries challenging. A recent National Academies (U.S.) evaluation reported that data for non-fatal agricultural injury are scarce, and mainly available through national surveys. Limited data are available for employees in the agriculture sector, especially farm owners and operators. The objectives of this study were to- 1) review and evaluate existing survey-based systems for surveillance of non-fatal agricultural injuries on U.S. farms, and 2) determine the incidence of non-fatal agricultural injuries, and risk factors of injuries among farm operators in seven Midwestern states (Iowa, Kansas, Minnesota, Missouri, Nebraska, North Dakota and South Dakota), aka Central States region. This study evaluated six national-level surveys for non-fatal agricultural injuries using the updated Center for Disease Control and Prevention guidelines for evaluating public health surveillance systems. The system evaluation used information from published reports, peer-reviewed articles, and surveillance system websites. The incidence of injuries and risk factors of injuries were evaluated using data from an annual Central States Farm and Ranch Injury Survey (CS-FRIS) linked with Census of Agriculture data. The CS-FRIS collected data from farm operators in the Central States region in 2011 (n=6953), 2012 (n=6912), and 2013 (n=7000). The evaluation of surveillance systems identified critical gaps- 1) under coverage of the farm population, 2) insufficient data quality and 3) lack of interoperability among systems reviewed, and with other data sources. The analysis of CS-FRIS data estimated an average 44,887 non-fatal agricultural injuries (6.8/100 operators) per year among farm operators in the Central States during 2011-13. About 88% of injuries were work-related, and 73% required professional medical care. Male gender, age between 35 and 64 years, farming occupation, and cattle and hog farming increased the risk of injury. In conclusion, the national-level survey-based systems in the U.S. have limited usability attributed to data limitations. The analyses of CS-FRIS data identified males, middle-aged groups (35-64), full-time farmers, and livestock farmers as high-risk groups for farm injuries, and injury prevention efforts for farm operators in the Central States region should consider these findings.




Addresses


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Public Health Reports


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