Farm Fatalities Research Articles

Rollover Protective Structures, Worker Safety, and Cost-Effectiveness: New York, 2011-2017.

To measure cost-effectiveness of an intervention to increase retrofitting of rollover protective structures (ROPS) on tractors. Tractor overturns are the leading cause of farm fatalities. ROPS prevent these deaths. This study updates a 2011 cost-effectiveness assessment of a New York State intervention to increase use of ROPS. We subtracted intervention cost from the cost of injuries averted, then divided this figure by the number of averted injuries. We used related probabilities and costs of fatalities and injuries from published literature to calculate the program's cost-effectiveness. The total cost of the injuries averted from 2007 to 2017 was $6 018 742 versus a total program cost of $1 776 608. The one-time retrofit costs will continue to prevent injuries as long as the tractors are used, generating additional (projected) future savings of $12 136 512, $15 781 027, and $18 924 818 if retrofitted tractors remain in operation 15, 20, or 25 years after their retrofit. Social marketing was cost-effective for reducing injuries from tractor overturns. Public Health Implications. These results indicate that the intervention model is effective from both a public health and economic standpoint and should be expanded into other states.

Forensic Engineering Investigation of a Fatal Farm Tractor Incident

A farm owner was found unresponsive with crushing head injuries on his property in rural Ontario. His small farm tractor was found 60 meters away down a small incline with the engine running and transmission in neutral. The owner’s son alleged that when the parking brake was engaged (with the engine running and transmission in neutral), this tractor’s parking brake would “pop out,” allowing the tractor to move. Field tests were conducted on the tractor to attempt to duplicate the scenario and to determine if the alleged sequence of events was plausible. Components of the parking brake and one exemplar were assessed with specialized metrology to determine whether they were within the manufacturing specifications on the blueprint. A 3-D CAD model of fit was created, and several variances were identified between the parts and the factory drawing. The results of the analysis concurred with the scenario that these variances led to the disengagement of the parking brake and operator fatality.

Trends and Patterns in Unintentional Injury Fatalities in Australian Agriculture.

Agriculture is recognized internationally as a hazardous industry. This article describes the trends and patterns of unintentional farm fatalities in Australia. Data from the National Coronial Information System were analyzed to assess all unintentional farm fatalities for the 2001-2015 period. A secondary comparison with earlier coronial system data from 1989-1992 was also completed to ascertain historical changes. There was no statistically significant change in the rate of work-related fatalities per 100,000 workers in the 2001-2015 period. However, there was a significant curvilinear reduction in all cases of fatality (work and non-work related) per 10,000 agricultural establishments, which decreased from 2001 to 2009-2011 and then increased to 2015. The longer-term data from 1989-2015 revealed a reduction of 30% in work-related cases per 100,000 workers and a reduction of 35% in all cases (work and non-work) per 10,000 agricultural establishments. For both work-related and all cases, there was a statistically significant reduction from 1989 to 2005 and then no change thereafter. The longer-term reduction in farm fatalities ceased in the mid-2000s, and the rate has remained stable since. Fatal injuries continue to impose a significant burden on Australian farming communities, with the rate remaining relatively static for the past ten years. New evidence-based interventions targeting priority areas are required to reduce the incidence of fatalities in Australia agriculture.

A Multi-Year Analysis of Fatal Farm and Agricultural Injuries in Pennsylvania.

Agriculture, forestry, fishing, and hunting comprise the most hazardous industry in the U.S., and production agriculture accounts for the majority of fatalities in the industry. Using Penn State's farm and agricultural injury database, data were coded according to ASABE's Farm and Agricultural Injury Classification (FAIC) code and the U.S. Bureau of Labor Statistics' Occupational Injury and Illness Classification System (OIICS) for source and event or exposure types. Occupational and non-occupational incidents were compared based on age groups, religious sect, source of injury, and the injury event or exposure. There were 355 farm and agricultural fatalities in Pennsylvania from 2000 through 2012, and 56% of these fatalities were occupational. The fatality rate was 33.4 per 100,000 farm household residents per year. Youth under 15 years old, seniors age 65 and older, Anabaptist youth, and young females were at high risk of fatal farm injury. Vehicles and transportation incidents were the most common injury source and event/exposure type, respectively. This research illustrates how state-level or national-level data can be collected, coded, and analyzed based on the FAIC and OIICS classification systems to better understand fatal injury causes and connections among important variables. This process can also help to target intervention programs and efforts.

Occupational and Nonoccupational Farm Fatalities Among Youth for 2000 Through 2012 in Pennsylvania

ABSTRACTAgriculture is one of the most hazardous industries in the United States. It is crucial to analyze the previously collected farm fatality data in Pennsylvania involving youth to identify fatality sources and to delineate prevention strategies to mitigate future occurrences. The Penn State Farm and Agricultural Injury Database was updated to include the Occupational Injury and Illness Classification System (OIICS) for source and event or exposure. Occupational and nonoccupational incidents were compared based on age groups, religious sect, source of injury, and the injury event or exposure. A total of 82 fatalities to youth under 20 years were identified. Youth under 5 years old had the highest fatality rate of 87.1 fatalities per 100,000 farm household youth per year. The percentages of occupational and nonoccupational fatalities were 30.5% and 62.2%, respectively. Three primary sources accounted for 76% of the 82 farm fatalities: vehicles, machinery, and structures and surfaces. The majority of fatally injured youth (78%) were Anabaptist. The Anabaptist youth were 7 times more likely to be involved in occupational incidents than the non-Anabaptist youth. Youth <10 years of age who were not alone at the time of the fatal incident accounted for about half of the deaths, indicating the peril of adults attempting to supervise youth in the workplace. This fatal injury analysis to youth has identified common fatality injury patterns and risk factors to youth. The data can be used to identify intervention strategies for youth and underserved populations (Anabaptists) and can be used to help motivate adults and parents to adopt safety practices to prevent future injury occurrences. This paper also helps to illustrate the value of state-based monitoring of farm injury to youth using methods available to many states and territories.

Farm-related trauma in the west of Ireland: an occupational hazard

Farm fatalities in Ireland remain at their highest recorded levels despite the introduction and implementation of several farm safety initiatives during recent years. The aim of this study was to examine all farm-related morbidity and mortality presenting to a general hospital in the west of Ireland. A consecutive series of all farm-related fatal and non-fatal injuries presenting to our institution over a 7-year period (2005-2011) was compiled by examining the hospital inpatient enquiry system and mortuary records. One hundred and thirty patients were admitted to Mayo General Hospital with non-fatal farm-related injuries during the study period. This cohort was comprised 104 males and 26 females with an average age at presentation of 46 (range 19-75) years. The most common mechanism of non-fatal injury was animal attack. The mean length of hospital stay, mean length of ICU stay and total number of bed days used were 5.2, 5.3 and 677 days, respectively. There were seven farm-related fatalities during the same study period. Four were livestock-related, two due to machinery accident and one due to fall of a heavy object. The post-mortem findings were analysed in each case. This analysis outlines the incidence and severity of fatal and non-fatal injuries sustained in the farming workplace and presenting to a general hospital serving a rural catchment population. Greater awareness of our results may help reduce the longterm incidence and magnitude of such injuries.

Using species distribution modelling to predict bat fatality risk at wind farms

Bats are often killed in large numbers at wind farms over a wide geographical range. We aimed to predict which areas conferred higher fatality risks to bats at wind farms. In an innovative approach, we combined species distribution modelling with mortality data and the ecological conditions at wind farms located in Portugal. We then generated predictive models to determine areas of probable mortality and which environmental factors were promoting it. Mortality data for four bat species, Hypsugo savii, Nyctalus leisleri, Pipistrellus kuhlii and Pipistrellus pipistrellus, were used. These experienced the highest levels of fatalities at wind farms in Portugal, comprising 290 of the 466 fatalities recorded from 2003 to 2011.The mortality risk models showed robust performances. Wind farms sited at humid areas with mild temperatures, closer than 5km to forested areas and within 600m of steep slopes showed higher probabilities of mortality. High mortality risk areas also overlapped highly with the potential distribution of N. leisleri in Portugal, suggesting that populations of this species may be at high risk due to wind farm fatalities. Moreover, a large extent of the area predicted to be a hotspot for mortality (i.e. areas likely to confer high mortality risk for four species) overlaps with sites highly suitable for wind farm construction.In summary, the approach used in this study could be paradigmatic for the development of important pre-emptive conservation measures for bat populations by identifying mortality risk in areas prior to wind farm installation and determining which conditions promote mortality.

Guidelines for Children's Work in Agriculture: Implications for the Future

ABSTRACT The North American Guidelines for Children's Agricultural Tasks (NAGCAT) were developed to assist parents in assigning developmentally appropriate and safe farm work to their children aged 7–16 years. Since their release in 1999, a growing body of evidence has accumulated regarding the content and application of these guidelines to populations of working children on farms. The purpose of this paper is to review the scientific and programmatic evidence about the content, efficacy, application, and uptake of NAGCAT and propose key recommendations for the future. The methods for this review included a synthesis of the peer-reviewed literature and programmatic evidence gathered from safety professionals. From the review, it is clear that the NAGCAT tractor guidelines and the manual material handling guidelines need to be updated based upon the latest empirical evidence. While NAGCAT do have the potential to prevent serious injuries to working children in the correct age range (7–16 years), the highest incidence of farm related injuries and fatalities occur to children aged 1–6 years and NAGCAT are unlikely to have any direct effect on this leading injury problem. It is also clear that NAGCAT, as a voluntary educational strategy, is not sufficient by itself to protect children working on farms. Uptake of NAGCAT has been sporadic, despite being geographically widespread and has depended, almost solely, on a few interested and committed professionals. Key recommendations for the future are provided based upon this review.

A spatial cluster analysis of tractor overturns in Kentucky from 1960 to 2002.

BackgroundAgricultural tractor overturns without rollover protective structures are the leading cause of farm fatalities in the United States. To our knowledge, no studies have incorporated the spatial scan statistic in identifying high-risk areas for tractor overturns. The aim of this study was to determine whether tractor overturns cluster in certain parts of Kentucky and identify factors associated with tractor overturns.MethodsA spatial statistical analysis using Kulldorff's spatial scan statistic was performed to identify county clusters at greatest risk for tractor overturns. A regression analysis was then performed to identify factors associated with tractor overturns.ResultsThe spatial analysis revealed a cluster of higher than expected tractor overturns in four counties in northern Kentucky (RR = 2.55) and 10 counties in eastern Kentucky (RR = 1.97). Higher rates of tractor overturns were associated with steeper average percent slope of pasture land by county (p = 0.0002) and a greater percent of total tractors with less than 40 horsepower by county (p<0.0001).ConclusionsThis study reveals that geographic hotspots of tractor overturns exist in Kentucky and identifies factors associated with overturns. This study provides policymakers a guide to targeted county-level interventions (e.g., roll-over protective structures promotion interventions) with the intention of reducing tractor overturns in the highest risk counties in Kentucky.

Non-intentional farm injury fatalities in Australia, 2003 - 2006

To describe the pattern of non-intentional farm-related fatalities in Australia for 2003-2006 and examine trends. Data from the National Coroners Information System were analysed to define all non-intentional farm injury fatalities for the period. The incidence of farm fatalities has declined by 44% over the past 20 years from an average of 146 deaths per year to 82 deaths per year. For adults there are high numbers of fatalities related to tractors, quad bikes and farm utilities. Children aged under 15 years account for 17% of fatalities, with dams or other water bodies and quad bikes remaining the most common causes of non-intentional farm fatalities. Almost half of all on-farm non-intentional fatalities are non-work-related. Future interventions targeting these priority areas are required to reduce the incidence of non-intentional farm-related fatalities within Australia.

Prominent Barriers and Motivators to Installing ROPS: An Analysis of Survey Responses from Pennsylvania and Vermont

Tractor overturns contribute significantly to the number of work-related deaths that occur every year on U.S. farms. Although the agriculture, forestry, and fishing industries have the highest fatality rates of any industries, researchers predict that the elimination of tractor overturn fatalities could result in a noticeable reduction in the farm fatality rate. Rollover protection structures (ROPS) are 99% effective in preventing overturn fatalities. However, roughly 50% of U.S. tractors do not have a ROPS. In order to identify prominent barriers and motivators to installing ROPS, a phone survey was conducted with a random sample of farmers (n = 327) in Vermont and Pennsylvania, two states interested in developing ROPS installation programs. Results indicated that cost and perceived need were the most frequently highly rated barriers to ROPS installation in both states, while working near hills or ditches and concerns regarding liability were the most frequently highly rated motivators for installing ROPS. Additionally, older farmers identified limited use of a tractor as a highly rated barrier.

Trends in Farm Fatalities, Saskatchewan, Canada: 1990–2004

Objectives: This study was conducted to estimate farm fatality rates and to describe patterns of fatal agricultural injury on Saskatchewan farms from 1990 to 2004. Methods: We used data available from the Canadian Agricultural Injury Surveillance Program (CAISP) for farm work-related fatalities in Saskatchewan, Canada from January 1990 to December 2004. Results: There were 251 farm work-related fatalities recorded between 1990 and 2004 in Saskatchewan. The majority (92%) of work-related fatalities were in males. The overall fatality rate was 11.9 (95% CI, 2.0-30.1) per 100,000. The overall age-adjusted work-related fatality rate was 32.1 (95% CI, 19.6-44.6) per 100,000 among males and 3.2 (95% CI, 1.3-5.1) per 100,000 among females. Age-adjusted rate increased from 29.3 (95% CI, 6.9-59.3) per 100,000 in 1990-1994 to 37.1 per 100,000 in 2000-2004 in males. Trend analysis of the fatality rate of all cases showed an average annual increase of 3.8% and it was statistically significant (p<0.05). Bystander and runover injuries contributed to a high proportion of fatalities in children (32.1%) and the elderly population (26.7%). Conclusion: The burden of injury mortality is substantial and there has been a statistically significant upward trend in injury rate over the 15-year study period. High vigilance is needed on the part of adults to prevent a high proportion of runover injuries in children and the elderly population. Key words: Injury; surveillance; farm fatality; agriculture; Saskatchewan

Trends in farm fatalities, Saskatchewan, Canada: 1990-2004.

This study was conducted to estimate farm fatality rates and to describe patterns of fatal agricultural injury on Saskatchewan farms from 1990 to 2004. We used data available from the Canadian Agricultural Injury Surveillance Program (CAISP) for farm work-related fatalities in Saskatchewan, Canada from January 1990 to December 2004. There were 251 farm work-related fatalities recorded between 1990 and 2004 in Saskatchewan. The majority (92%) of work-related fatalities were in males. The overall fatality rate was 11.9 (95% CI, 2.0-30.1) per 100,000. The overall age-adjusted work-related fatality rate was 32.1 (95% CI, 19.6-44.6) per 100,000 among males and 3.2 (95% CI, 1.3-5.1) per 100,000 among females. Age-adjusted rate increased from 29.3 (95% CI, 6.9-59.3) per 100,000 in 1990-1994 to 37.1 per 100,000 in 2000-2004 in males. Trend analysis of the fatality rate of all cases showed an average annual increase of 3.8% and it was statistically significant (p < 0.05). Bystander and runover injuries contributed to a high proportion of fatalities in children (32.1%) and the elderly population (26.7%). The burden of injury mortality is substantial and there has been a statistically significant upward trend in injury rate over the 15-year study period. High vigilance is needed on the part of adults to prevent a high proportion of runover injuries in children and the elderly population.

Injuries and fatalities to U.S. farmers and farm workers 55 years and older

Previous studies have shown that older farmers and farm workers have been identified at high risk for farm fatalities, most notably involving tractor overturns. Older farmers also incur more severe non-fatal injuries. Data from two national surveillance systems are presented to describe fatal and non-fatal injuries occurring to older farmers 55+ years of age. Tractor-related fatality investigations for older farmers are examined for characteristics of the tractors not available in the injury surveillance systems. Older farmers and farm workers averaged 26,573 lost-time injuries annually in 2001 and 2004, with an injury rate of 4.5 injuries/100 workers/year compared to an overall farming injury rate of 4.8 injuries/100 workers/year. Fatality data show that older farmers accounted for over half of all farming deaths between 1992 and 2004 (3,671 of 7,064 deaths), and had a fatality rate of 45.8 deaths/100,000 workers/year compared to the overall farming fatality rate of 25.4 deaths/100,000 workers/year. Most common mechanisms of fatal injury to older farmers were "tractors" (46%), "trucks" (7%), and "animals" (5%). Although older farmers and farm workers are at lower risk of overall injury compared to their younger counterparts, injuries to farmers 55 years and older tend to be much more severe. To effectively minimize the risk faced by older farmers, prevention programs must encourage safe work behaviors and practices and the implementation/installation of appropriate safety devices and equipment.

Summary of Documented Fatalities in Livestock Manure Storage and Handling Facilities-1975-2004

Data were compiled and analyzed on the estimated frequency and characteristics of deaths related to on-farm manure storage and handling facilities for the period of 1975 through 2004. Sources included published government reports, national and local media, on-line searches, published farm fatality reports, and prior litigation. No prior research was identified that addressed the magnitude of the problem, nor documented evidence-based intervention strategies. Data from 77 fatalities along with 21 severe injuries and 14 international fatality cases were identified, documented and coded for analysis. Analysis of the 77 fatalities showed that victim characteristics and causative factors did not reflect previously reported patterns; i.e., over half of the fatalities involved dairy operations and 21% involved persons under the age of 16. The largest percentage (34%) of deaths occurred to persons conducting repair or maintenance activities on manure handling equipment, while the second largest group (22%) were attempting to perform a rescue of another person. The most frequently identified cause of death was asphyxiation with elevated levels of sulfide levels in the blood noted in some cases. The peak period of incidents were during the hottest part of the summer and often associated with transferring of manure for application to crop ground. Recommendations included the need to revise ASABE EP470 Manure Storage Safety Practice to include engineering controls that would reduce the need for farmers and farm workers to enter spaces containing toxic manure-related gases. In addition, the need to educate owner/operators and employees concerning the hazards associated with agricultural manure storage structures and equipment, especially those classified as permit-required confined spaces, should be considered, including the need for appropriate warnings and entry procedures. Incorporation of current OSHA confined spaceentry procedures into these facilities is also recommended.

Farm Injuries and Fatalities in British Columbia, 1990–2000

Farming is considered to be one of the most dangerous occupations in Canada and internationally, as it often involves work in a high-risk environment due to exposure to such hazards as machinery, large animals and noxious chemicals. The objective of this study was to describe the incidence and nature of farm-related deaths and injuries on British Columbian farms from 1990-2000, with reference to Canadian averages. British Columbian farm fatalities and farm injury hospitalizations data from Canadian Agricultural Injury Surveillance Program for 1990-2000 were analyzed in conjunction with the 1996 and 2001 Canada Census of Agriculture. The incidence and nature of farm injuries were quantified and described for age, gender, cause of injury, primary diagnosis and agent of injury. There were 82 fatal injuries from 1990-2000 and 1,407 hospitalizations from 1991/92 to 1999/2000. No significant overall incidence trends were found during the study period. The rate of machinery-related injuries requiring hospitalization is lower in BC than in Canada as a whole. The net effect of higher than expected hospitalization rates in younger BC adults (age 20-49) and lower than expected hospitalization rates in older BC adults (age 70+) was a much slower increase in hospitalization rates as farmers get older. The current data suggest that higher than expected non-machinery-related injuries result in higher hospitalization rates of young adult BC farmers. The potential impact of farm fatalities and injury in youth on loss of productivity and quality of life years emphasizes the need for education and prevention.

Fatal and non-fatal machine-related injuries suffered by children in Alberta, Canada, 1990-1997.

Children raised on farms are exposed to many hazardous types of machinery. The objective of this study was to describe the magnitude of non-fatal and fatal farm machinery injuries in Alberta children and adolescents (0-17 years) for the years 1990-1997. To date, there have been no published studies of pediatric farm injuries in Western Canada. Data were collected through the Canadian Agricultural Injury Surveillance Program (CAISP). Death certificates and hospital charts were audited to provide enhanced information about the circumstances of injuries related to farm machinery for farm persons aged 17 years and younger. A total of 302 farm machinery injuries were recorded for the years 1990-1997. Of these, 14 resulted in death. All-terrain vehicles (ATVs) were the most common cause of injury (n = 76), followed by tractors (n = 72), and power take-offs (n = 15). The predominant injury mechanism was entanglement (n = 69), followed by falls from machines (n = 57), and being pinned/struck by a machine (n = 49). The median length of hospital stay for injuries was 2.0 days. Males (median = 2.0 days) had significantly longer hospital stays than females (median = 1.0 days). There were significantly more injuries reported during the summer and autumn than during the winter and spring. Those injured in the autumn were significantly older (median = 13.0 years) than children injured in the spring (median = 9.0 years). Injury rates dropped significantly during the study period from 119.9/100,000 per year in 1990 to 50.7/100,000 in 1997. While injury rates have dropped, the number of injuries occurring to children on Alberta farms is of concern. The large number of ATV related injuries suggests that preventative strategies need to be focused in this area. Am. J. Ind. Med. 45:177-185, 2004.

Farm fatalities to youth 1995–2000: A comparison by age groups

Problem: Although a myriad of research illustrates the safety issues related to farm fatalities in youth populations, very little empirical evidence exists that includes work and non-work related farm fatalities to all youths under 20 years of age at the national level. Methods: This research will use death certificate data for the six years from 1995 to 2000 that were collected by NIOSH from all 50 state vital statistics registries. Demographic data from the 1998 CAIS were used in rate calculations. In addition to providing annual fatality rates and descriptions of the general causes of death, this research will examine the variation between age groups. Results: Analysis of 695 total farm-related youth fatalities shows an average annual fatality rate of 9.3 fatalities per 100,000 youths. Males account for 80% of these fatalities. The most prevalent causes of death are: machinery (25%), motor vehicle (17%), drowning (16%), suicide (8%) and homicide (6%). Of all youth fatalities occurring while at work, 45% are to youths less than 16 years of age. This same age group accounts for 71% of all non-work related fatalities. Summary: This research will provide farm families and researchers more detailed information on farm hazards that contribute to the deaths of youths. As these youths may encounter hazards while working or playing in their daily environment, identification and elimination of these hazards will increase overall safety on the farm. This research also indicates the need to include youths under 16 years of age in future comprehensive farm safety research.

Children's agricultural health: traumatic injuries and hazardous inorganic exposures.

Farming is one of the most hazardous occupational industries in the USA, and farms pose numerous health risks for youth visiting, living in, or working in the farm environment. This review discusses both potential traumatic injuries and hazardous inorganic exposures that are common in agricultural settings. An estimated 2 million youth under the age of 20 currently live or work on US farms. Approximately 103 farm fatalities occur in this age group each year; over 32,000 nonfatal youth injuries occurred on farms in 1998. Children working in US agriculture make up only 8% of the population of working minors overall, yet they account for 40% of work-related fatalities among minors. Farm children and youth are also exposed to potentially harmful chemicals, such as pesticides and solvents, and many of these exposures go undetected. The long-term health effects of exposure to pesticides or solvents are not known, but the developmental vulnerabilities of children and youth are of particular concern. Clinical and epidemiologic research in pediatric populations is needed to expand the empirical data, particularly for inorganic and organic exposures, musculoskeletal trauma, skin disorders, occupation-induced hearing loss, and psychosocial stress. Rural health professionals can work to reduce these risks to farm youth by becoming more aware of the problem, by conducting clinical and epidemiologic research, and by engaging in advocacy at state and local levels.

Fatal injuries in Finnish agriculture, 1988-2000.

Agriculture is one of the most hazardous industries in Finland. The aim of this study was to describe and analyze fatal farm injuries in Finland in 1988 to 2000. The information regarding farm-related fatalities was collected by the Kuopio Regional Institute of Occupational Health. The material of this study consisted of all fatal injuries that occurred on a farm or away from a farm in the course of agricultural work. A total of 217 farm-related fatalities occurred in Finland between 1988 and 2000. Of these, 120 were tractor-related, and 97 were other fatal farm injuries. Most of the injuries involved middle-aged or older male farmers. The most typical fatalities with tractors were tractor overturns during driving on a road or working in a field. Other fatal farm incidents occurred mainly in construction work, animal husbandry, or forest work. Elderly farmers and children proved to be risk groups for fatal injuries.