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NORA Symposium 2008: Public Market for Ideas and Partnerships


Poster #006

The Use of Workers’ Compensation Data to Investigate Livestock-Handling Injuries in Agriculture

David I. Douphrate, PhD, PT, MBA; John C. Rosecrance, PhD, PT, CPE; Lorann Stallones, PhD; Stephen J. Reynolds, PhD, CIH; David P. Gilkey, PhD, DC, CPE

Colorado State University, Fort Collins, CO, USA

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Abstract

Background Livestock-handling injuries are among the most severe of agriculture injuries. This study identifies the costs, consequences and contributing factors associated with livestock-handling injuries among Colorado dairy farmers, cattle/livestock raisers, and cattle dealers. Methods A ten-year (1997-2006) claim history was used for analysis. Descriptive analyses of livestock-handling injury claims were conducted. Claim cost analysis was also conducted. The agent-host-environment epidemiological model was used to analyze injury event descriptions. Results A total of 1,114 livestock-handling claims were analyzed. Milking parlor tasks represented nearly 50% of injuries among dairy workers. Riding horseback, sorting/penning cattle and livestock-handling equipment represented higher proportions of livestock-handling injuries among cattle/livestock raisers and cattle dealers. Conclusions Livestock-handling injuries are a significant problem, more costly, and result in more time off work than other causes of agricultural injuries. Worker education involving livestock-handling and proper facility design are two injury prevention strategies that may lead to a reduction of livestock-handling injuries.

Background

Because of the increasing mechanization of farms over the past half century, and the high fatality rate associated with injuries due to farm machinery and tractors [Bernhart and Langley, 1999, Carlson et al., 2005, Cole et al., 2006, Lee et al., 1996], many studies of farm injuries have focused on injuries related to interactions with machinery or tractors. Animal-related injuries are also an important occupational hazard in farming. Studies have demonstrated that nonfatal injury rates are elevated on farms with animals, especially on beef and diary farms [Brison and Pickett, 1992, Nordstrom et al., 1995, Pratt et al., 1992, Zhou and Roseman, 1994]. Researchers have reported large proportions of injuries on the farm are caused by animals [Brison and Pickett, 1992, Gerberich et al., 1998, Layde et al., 1995, Lewis et al., 1998, Nordstrom et al., 1995, Pickett et al., 1995, Pratt et al., 1992, Sprince et al., 2003, Zhou and Roseman, 1994] and livestock-related injuries account for the highest rate of lost work days [Thu et al., 1997].

Researchers have described the difficulties in quantifying the magnitude of farm-work injuries specifically associated with livestock-handling [Ehlers et al., 1993, May, 1990]. Few studies have addressed specifically animal-related injuries on farms [Boyle et al., 1997, Hendricks and Adekoya, 2001, Sprince et al., 2003, VonEssen and Donham, 1999]. Because of the limited research specifically addressing farm-work injuries associated with livestock-handling, little is known of the injury risk factors that might lead to the development of safety interventions [Layde et al., 1996].

A previous study analyzing workers’ compensation injury claims of Colorado agriculture workers reported high claim rates among dairy farm workers, cattle/livestock raisers and cattle dealers [Douphrate et al., 2006]. Injuries livestock-handling represented a high percentage of injury causes in these sectors. This study specifically investigated livestock-handling injuries among agriculture workers. The objectives of this study were to analyze workers’ compensation data to determine the costs, consequences and contributing factors associated with livestock-handling injuries.

Approach

Workers’ compensation injury claims data from Colorado were used to analyze livestock-handling injuries. Descriptive analyses of the costs (medical and indemnity) and consequences (injury type, cause, and body location) of injuries were conducted. The epidemiological agent-host-environment model was used to analyze injury event descriptions to identify the contributing factors of these injuries.

Results

A total of 4,421 injury claims, representing 8,493 separate 12-month policies (from 1997 to 2006) were included in this study. The number of injury claims analyzed included 988 from dairy farms, 2,168 from cattle/livestock raisers, and 1,265 from cattle dealers. A total of 1,114 livestock-handling injury claims were identified (307 dairy farms; 471 cattle/livestock raisers; 336 cattle dealers). Injury (all injuries) claim rates (injury claims per 100 workers) were highest for cattle dealers (10.3), followed by dairy farms (9.39) and cattle/livestock raisers (8.4).

Livestock was responsible for the highest percentage of injury claims among all occupations. Among dairy farms, 31.1% were caused by livestock. Livestock was responsible for 21.7 % and 27% of claims among cattle/livestock raisers and cattle dealers respectively. Contusions represented the highest percentage of injury types among all three sectors, and injuries to the wrist, hand, and fingers represented the highest percentage of injured body parts in all sectors. Among all injury causes that were classified as high cost (=$5,000), livestock-handling injuries represented the highest proportion in all three sectors. Livestock-handling injuries also represented the highest percentage of high severity injury claims (=28 days of paid disability) in all three sectors.

Among dairy farms, 48% indicated the worker was performing a milking activity at the time of injury. More specifically, 21% involved the worker being kicked while performing a milking task and 10% involved the worker attaching a milking unit to a cow’s udder when he/she was kicked. In addition, 8% of claims indicated the worker was stepped on when performing a milking task. Among cattle/livestock raisers, approximately 38% of injuries involved horseback riding. More specifically, 6.4% of claims indicated that the worker was sorting cattle while on horseback. Nearly 20% of descriptions indicated the worker was injured when he/she was bucked or thrown off a horse, and nearly 15% of descriptions mentioned the worker was injured when the horse they were riding fell. Among all job tasks, branding, ear tagging, horse training, calf birthing, hoof trimming, and vaccinating were more frequently mentioned. Among cattle dealers, Approximately 27% of narrative descriptions mentioned that the worker was riding a horse at the time of injury. More specifically, 29% of claims indicated the worker was sorting/penning cattle while on horseback. Nearly 12% of descriptions indicated the worker was injured when he/she was bucked or thrown off a horse. Various other work tasks were identified at the time of injury. Pushing cattle while standing, vaccinating, loading cattle into a trailer, processing cattle, birthing, and trimming hooves were among the more frequently mentioned job tasks.

Conclusions

Despite the differences in study design and data analyzed, this analysis supports and complements previous studies specific to agricultural injury as it relates to livestock-handling. Our study found livestock-handling work injuries are a significant problem, more costly, and result in more time off work than other agriculture injury causes. This study demonstrates that workers’ compensation data can be used successfully to elucidate injury characteristics that may direct future injury prevention strategies.

Future Directions

Injury prevention efforts should be directed at livestock-hander education and livestock-handling facility design. Future research should investigate the effectiveness of new livestock-handling injury prevention strategies.

References

Bernhart J, Langley R. 1999. Analysis of tractor-related deaths in North Carolina from 1979 to 1988. The Journal of Rural Health 15: 285-295.

Boyle D, Gerberich SG, Gibson RW, Maldonado G, Robinson, Martin F. 1997. Injury from dairy cattle activities. Epidemiology 8: 37-41.

Brison RJ, Pickett CW. 1992. Non-fatal farm injuries on 117 Eastern Ontario beef and dairy farms: a one year study. American Journal of Industrial Medicine 21: 623-636.

Carlson K, Goodwin S, Gerberich S, Church T, Ryan A, Alexander B, Mongin S, Renier C, Zhang X,
French L, Masten A. 2005. Tractor-related injuries: a population-based study of a five-state region in the Midwest. American Journal of Industrial Medicine 47: 254-264.

Cole H, Myers M, Westneat S. 2006. Frequency and severity of injuries to operators during overturns of farm tractors. Journal of Agriculture Safety and Health 12: 127-138.

Douphrate D, Rosecrance J, Wahl G. 2006. Workers' compensation experience of Colorado agriculture workers, 2000-2004. American Journal of Industrial Medicine 49: 900-910.

Ehlers J, Connon C, Themann C, Myers R, Ballard T. 1993. Health and safety hazards associated with farming. American Association of Occupational Health Nursing 41: 414-421.

Gerberich S, Gibson R, French L, Lee T, Carr W, Kochevar L, Renier C, Shutske J. 1998. Machinery-related injuries: Regional Rural Injury Study-I (RRIS-I). Accident Analysis and Prevention 30: 793-804.

Hendricks K, Adekoya N. 2001. Non-fatal animal related injuries to youth occurring on farms in the United States, 1998. Injury Prevention 7: 307-311.

Layde P, Nordstrom D, Stueland D, Wittman L, Follen M, Olson K. 1996. Animal-related occupational injuries in farm residents. Journal of Agriculture Safety and Health 2: 27-37.

Layde P, Stueland D, Nordstrom D, Olson K, Follen M, Brand L. 1995. Machine-related occupational injuries in farm residents. Annals of Epidemiology 5: 419-426.

Lee T, Gerberich S, Gibson R, Carr W, Shutske J, Renier C. 1996. A population-based study of tractor-related injuries: Regional Rural Injury Study-I (RRIS-I). Journal of Occupational and Environmental Medicine 38: 782-793.

Lewis M, Sprince N, Burmeister L, Whitten P, Torner J, Zwerling C. 1998. Work-related injuries among Iowa farm operators: an analysis of the Iowa Farm Family Health and Hazard Surveillance Project. American Journal of Industrial Medicine 33: 510-517.
May J. 1990. Issues in agriculture health and safety. American Journal of Industrial Medicine 18: 121-131.

Nordstrom D, Layde P, Olson K, Stueland D, Brand L, Follen M. 1995. Incidence of farm-work-related acute injury in a defined population. American Journal of Industrial Medicine 28: 551-564.

Pickett W, Brison R, Niezgoda H, Chipman M. 1995. Nonfatal farm injuries in Ontario: a population-based study. Accident Analysis and Prevention 27: 425-433.

Pratt D, Marvel L, Darrow D, Stallones L, May J, Jenkins P. 1992. The dangers of dairy farming: the injury experience of 600 workers followed for two years. American Journal of Industrial Medicine 21: 637-650.

Sprince N, Hyesook P, Zwerling C, Lynch C, Whitten P, Thu K, Burmeister L, Gillette P, Alavanja M. 2003. Risk factors for animal-related injury among Iowa large-livestock farmers: A case-control study nested in the Agriculture Health Study. The Journal of Rural Health 19: 165-173.

Thu K, Zwerling C, Donham K. 1997. Health problems and disease patterns. Livestock rearing. In: International Labor Encyclopedia of Occupational Health and Safety. 4th ed. Geneva, Switzerland: International Labor Organization. p 70-77.

VonEssen S, Donham K. 1999. Illness and injury in animal confinement workers. Occupational Medicine 14: 337-350.

Zhou C, Roseman J. 1994. Agriculture injuries among a population-based sample of farm operators in Alabama. American Journal of Industrial Medicine 25: 385-402.


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The findings and conclusions in this poster are those of the author(s) and do not necessarily represent the views of the National Institute for Occupational Safety and Health. Citations to Web sites external to NIOSH do not constitute NIOSH endorsement of the sponsoring organizations or their programs or products. Furthermore, NIOSH is not responsible for the content of these Web sites.

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