Large Machinery-Related Agricultural Injuries Across a Five-State Region in the Midwest

Reiner, Anne M.; Gerberich, Susan Goodwin; Ryan, Andrew D.; Mandel, Jeffrey S.

doi:10.1097/jom.0000000000000584

Cited by 7 publications

(6 citation statements)

References 41 publications

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“…Increased risk of machine-related injuries included the following: male gender, increasing age, history of injury, and hours worked. 25 Male individuals, specifically those aged 60 to 89 years, are most likely to die from tractor injuries. 26 Our study demonstrated that those admitted to the ICU were twice as likely to die as those taken to the OR.…”

Section: Discussionmentioning

confidence: 99%

Farm Injuries: Animal Most Common, Machinery Most Lethal: An NTDB Study

Damroth

Chaudhary

et al. 2019

The American Surgeon

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To characterize both emergency room (ER) and hospital discharge dispositions of patients presenting with farm-related injuries. The 2012 National Trauma Data Bank was queried in August 2017 for injuries occurring on a farm. Patients were stratified by gender, age group, race, Injury Severity Score (ISS), and injury type. We performed logistic regression analysis to correlate parameters with likelihood of discharge home or death. P values < 0.05 were considered significant. Five thousand six hundred thirty-one patients were identified, the majority of whom were male (72%) and white (85%). The most common mechanisms of injury included animal-related (29%), followed by falls, vehicles, and other causes. The highest ISSs were seen in vehicular injuries (11% ISS of 251) and the greatest fatality rate was seen in machinery injuries (4%). Four thousand seven hundred fifty-three (84%) patients were admitted to the hospital, and 4056 (72%) were discharged home from the ER or after hospitalization. One hundred thirty patients (2%) died of their farm-related injury. Most patients presenting to the ER with farm-related injuries survive, are admitted to the hospital, and are ultimately discharged home. Few patients die of their injuries. Animal injury is most common and machinery injury most lethal of farm trauma patients presenting to the ER.

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Section: Discussionmentioning

confidence: 99%

Farm Injuries: Animal Most Common, Machinery Most Lethal: An NTDB Study

Damroth

Chaudhary

et al. 2019

The American Surgeon

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“…In agriculture, long hours and fatigue were thought to be risk factors for injury and illness 37,44,45,47–50,53,56–62 . Sleep disorders 63 and increased work hours, 64,65 were associated with depression.…”

Section: Resultsmentioning

confidence: 99%

“…55 In agriculture, long hours and fatigue were thought to be risk factors for injury and illness. 37,44,45,[47][48][49][50]53,[56][57][58][59][60][61][62] Sleep disorders 63 and increased work hours, 64,65 were associated with depression. A survey of farmers in the United Kingdom found they believed fatigue was the main factor in quad-bike (four-wheeler) loss-of-control incidents, 56 and a survey of farmers in the United States found "hurry, fatigue, and stress" to be the top reasons for a work-related injury.…”

Section: Evidence Of Injury and Illnessmentioning

confidence: 99%

“…The review did provide some quantitative evidence of long work hours, insufficient sleep, and sleep disorders contributing to increased injury and illness in the AgFF sector specifically, but not in all studies 43 (see Table 1). For work hours, studies generally indicated that with an increase in hours, injuries increased [44][45][46][47][48][49] ; however, some studies showed a decreased rate at higher hours. 50,51 Four studies captured reports of insufficient sleep (less than 8 h of sleep per night), and all found increased risk of injury 37,39,51,52 or back pain.…”

Section: Evidence Of Injury and Illnessmentioning

confidence: 99%

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Working hours, sleep, and fatigue in the agriculture, forestry, and fishing sector: A scoping review

Elliott

Lincoln

Flynn

et al. 2022

American J Industrial Med

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Introduction: Agriculture, forestry, and fishing industry (AgFF) workers often work extremely long hours during peak production seasons, resulting in sleep deprivation and fatigue. The National Occupational Research Agenda has classified fatigue as a "significant safety issue" and area of concern for many industry sectors, including AgFF. This review explores current research and practice in AgFF and proposes next steps. Methods: We conducted a scoping literature review to examine the extent and nature of research in this area. Article inclusion criteria included peer-reviewed journal articles written in English; published after 1989; covering AgFF workers in high-income countries; with data on working hours/schedules and sleep related to safety and health.Results: Limited research has addressed long hours and sleep deprivation among AgFF workers. We identified 8350 articles for title and abstract review. Among those, 407 underwent full-text review and 96 met all inclusion criteria (67% agriculture, 25% fishing/seafood processing, 8% forestry). The literature provided some evidence fatigue contributes to fatalities, injuries, and illnesses in AgFF. Older, new, young, foreign-born, and female workers, as well as those who work in small organizations or longer hours (40+) may be at higher risk for fatigue-related injury and illness. Few studies have developed or evaluated interventions to control risks.

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“…There is a bimodal distribution of risk for injuries. Young and inexperienced workers are more prone to injury [1], while older workers are more vulnerable to the impacts of injury from heavy equipment [35] and suffer more extensive and longer disability [36]. Many of the chemical, nuclear and DOE facilities are working with aging workforces partly because of an overall loss of graduate training in these areas.…”

Section: Resultsmentioning

confidence: 99%

Health Risks to Ecological Workers on Contaminated Sites - The Department of Energy as a Case Study

Burger

Gochfeld

2016

J Community Med Health Educ

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Background At most contaminated sites the risk to workers focuses on those ‘hazardous waste workers’ directly exposed to chemicals or radionuclides, and to the elaborate approaches implemented to protecting their health and safety. Ecological workers generally are not considered. Objectives To explore the risks to the health and safety of ecological workers on sites with potential chemical and radiological exposures before, during or after remediation of contamination. To use the U.S. Department of Energy as a case study, and to develop concepts that apply generally to sites contaminated with hazardous or nuclear wastes, Methods Develop categories of ecological workers, describe their usual jobs, and provide information on the kinds of risks they face. Ecological activities include continued surveillance and monitoring work on any sites with residual contamination, subject to institutional controls and engineered barriers following closure as well as the restoration. Results The categories of ecological workers and their tasks include 1) Ecological characterization, mapping and monitoring, 2) biodiversity studies, 2) Contaminant fate and transport, 3) On-going industrial activities 4) Remediation activities (environmental management), 5) Environmental restoration, 6) Post-cleanup surveillance and monitoring, and 7) Post-closure future site activities. There are a set of functional activities that can occur with different frequencies and intensities, including visual inspection, collecting biological samples, collecting media physical samples, collecting biological debris, restoration planting, and maintaining ecosystems. Conclusions Ecological workers face different exposures and risks than other environmental cleanup workers. Many of their tasks mimic shift work with long hours leading to fatigue, and they are exposed to biological as well as chemical/radiological hazards. DOE and other entities need to examine the risks to ecological workers on site with an eye to risk reduction.

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Large Machinery-Related Agricultural Injuries Across a Five-State Region in the Midwest

Abstract: Large machinery-related agricultural injuries can result in significant consequences. Associated increased injury risks require further investigation and targeting of relevant interventions.

Cited by 7 publications

References 41 publications

Farm Injuries: Animal Most Common, Machinery Most Lethal: An NTDB Study

Farm Injuries: Animal Most Common, Machinery Most Lethal: An NTDB Study

Working hours, sleep, and fatigue in the agriculture, forestry, and fishing sector: A scoping review

Health Risks to Ecological Workers on Contaminated Sites - The Department of Energy as a Case Study

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