Citation

Kica J, Rosenman KD. J. Agromed. 2019; ePub(ePub): 1-10.

Affiliation

Michigan State University, College of Human Medicine, Department of Medicine , Division of Occupational and Environmental Medicine , East Lansing , MI , USA.

Copyright

(Copyright © 2019, Informa - Taylor and Francis Group)

DOI

10.1080/1059924X.2019.1606746

PMID

31044658

Abstract

OBJECTIVES: Development of a state-wide comprehensive surveillance system for non-fatal work-related farm injuries, since non-fatal injuries that occur to the self-employed (i.e., many farm owners/operators), family workers, federal government workers and small farms with fewer than 11 employees are not included in the Bureau of Labor Statistics employer-based survey used to produce the U.S. National statistics of work-related injuries.

METHODS: In 2015 and 2016, inpatient discharge summaries, emergency department, and hospital-based outpatient clinic records from all 134 of Michigan's hospitals with ICD-9 codes 989.0-.1, E827.0-.9, E849.1, E906.8, E919.0 or ICD-10 codesT65.0-.1, V80, Y92.7, W55.1-.4, W30 were reviewed to identify non-fatal work-related farm injuries.

RESULTS: We identified 1,559 non-fatal work-related farm injury incidents that occurred in 1,525 individuals, with 74% being among men. The most common parts of the body injured were an upper limb (38.2%) and a lower limb (23.7%). The most common types of injury were contusions (26.4%) and fractures (19.9%). Owners/operators accounted for 44.1% and hired hands for 42.9% of individuals injured. Injuries caused by cows were the predominant cause: 472 (31.5%) of all the injuries. Dairy farms accounted for 39.6% of all cases for which the farm type was recorded.

CONCLUSION: A comprehensive system to identify non-fatal work-related farm injuries among all individuals who work on a farm, including owner/operators, family members and migrant and seasonal farm laborers, was implemented using hospital, emergency department and hospital-based outpatient clinic medical records. Such a system is important to be able to identify hazards and target prevention.

Language: en

Keywords

Agriculture; dairy industry; non-fatal agricultural injury; surveillance; work-related farm injury