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Evaluation of the North American Guidelines for Children's Agricultural Tasks using a case series of injuries.

Authors

Marlenga-B; Brison-RJ; Berg-RL; Zentner-J; Linneman-J; Pickett-W

Source

Inj Prev 2004 Dec; 10(6):350-357

Link

http://injuryprevention.bmj.com/cgi/content/full/10/6/350 

NIOSHTIC No.

20029303 

Abstract

OBJECTIVE: To evaluate the potential for the North American Guidelines for Children's Agricultural Tasks (NAGCAT) to prevent the occurrence of pediatric farm injuries. This evaluation focuses upon farm injuries experienced when children were engaged in farm work. DESIGN: Novel outcome evaluation involving primary review of three retrospective case series. SETTING: Fatal, hospitalized, and restricted activity injuries from the United States and Canada. SUBJECTS: Nine hundred and thirty four pediatric farm injury cases. METHODS: The applicability of NAGCAT to each case was rated. For injuries where NAGCAT were applicable, recurrent injury patterns were described and the potential for NAGCAT to prevent their occurrence was assessed. RESULTS: A total of 283 (30.3%) cases involved children engaged in farm work. There was an applicable NAGCAT guideline in 64.9% of the work related cases. Leading individual guidelines applicable to the injury events were: (1) working with large animals; (2) driving a farm tractor; and (3) farm work with an all-terrain vehicle. In the judgment of the research team, 59.6% of these injuries were totally preventable if the principles espoused by NAGCAT had been applied. CONCLUSIONS: NAGCAT are a set of consensus guidelines aimed at the prevention of pediatric farm injuries. The findings suggest that NAGCAT, if applied, would be efficacious in preventing many of the most serious injuries experienced by children engaged in farm work. However, work related injuries represent only a modest portion of pediatric farm injuries. This new information assists in the refinement of NAGCAT as an injury control resource and puts its potential efficacy into context.

Keywords

Occupational-exposure; Children; Agricultural-industry; Agricultural-workers; Agriculture; Farmers; Accidents; Age-factors; Age-groups

Contact

National Children's Center for Rural and Agricultural Health and Safety, Marshfield Clinic Research Foundation, Marshfield, Wisconsin 54449

Publication Date

20041201

Document Type

Journal Article

Email Address

marlenga.barbara@mcrf.mfldclin.edu

Funding Type

Grant

Fiscal Year

2005

NTIS Accession No.

NTIS Price

Identifying No.

Grant-Number-R01-OH-004205

Issue of Publication

6

ISSN

1353-8047

Source Name

Injury Prevention

State

WI

Performing Organization

Marshfield Clinic Research Foundation