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CHILDHOOD AGRICULTURAL INJURY PREVENTION INITIATIVE

2012 Blueprint for Protecting Children in Agriculture: The 2012 National Action Plan

MMWR: Ten Great Public Health Achievements, United States, 2001-2010

The 2012 Blueprint takes an updated look at preventing childhood agricultural injury and death. The Blueprint endeavor builds upon the 1996 plan that launched a national initiative leading to a remarkable reduction in nonfatal injuries among children who live on, visit and work on farms. The 2012 Blueprint re-sets priorities to reflect changes in agricultural production and worker profiles.

The problem of children being injured while living, working, or visiting agricultural work environments (primarily farms), has been recognized for several decades. Although many individuals and groups have crusaded for the prevention of childhood agricultural injuries over the years, there was not a national, coordinated effort.

This changed in 1991, when the Surgeon General's Conference on Agricultural Safety and Health was held in Des Moines, Iowa. During this conference, a session entitled Intervention: Safe Behaviors Among Adults and Children highlighted the risks faced by people, both young and adult, involved with production agriculture.

This was followed in 1992 by a Childhood Agricultural Injury Prevention symposium held in Marshfield, Wisconsin. The symposium was sponsored by the National Farm Medicine Center, a component of the Marshfield Medical Research and Education Foundation, which sought to develop consensus on relevant research, education, policy, and other interventions aimed at the reduction of agricultural injuries among children.

From this meeting developed a core of 42 individuals which formed the National Committee for Childhood Agricultural Injury Prevention (NCCAIP). Over a 16-month period, members of the committee finalized a National Action Plan that was released in 1996 for addressing the childhood agricultural injury problem. The National Action Plan recommends leadership, surveillance, research, education, and public policy. The plan specifically recommended that NIOSH serve as the lead federal agency in preventing childhood agricultural injury.

Due in large part to the efforts by NCCAIP to raise awareness and concern about childhood agricultural injury issues, and with targeted funding from Congress, in October 1996, NIOSH began implementation of a National Childhood Agricultural Injury Prevention Initiative. NIOSH goals for the initiative are to fill critical data needs; establish an infrastructure which facilitates the use of data to develop and improve upon prevention efforts; and encourage the use of effective prevention strategies by the private and public sectors. To date, NIOSH has undertaken a number of activities to address the recommendations in the National Action Plan.

Background on the NIOSH Childhood Agricultural Injury Prevention Initiative

Information on the development of the NIOSH Childhood Agricultural Injury Prevention Initiative, important events leading to the Initiative, and current information on the assessment of the Initiative.

Information on the February 1997 meeting to obtain input from stakeholders for the NIOSH Childhood Agricultural Injury Prevention Initiative

HHS press release on Child Ag Initiatives
DHHS Press Release (April 21, 1997)

NIOSH Update: Announcing National Children's Center for Agricultural Injury Prevention
NIOSH Update (September 29, 1997)

NIOSH FACTS: Health and Safety for Kids on the Farm
NIOSH FACTS (April, 1997)

A National Childhood Agricultural Injury Prevention Iinitiative
Journal of Agricultural Safety and Health: May, 1998 / 4(Special Issue 1): 183-191

Midcourse review of background, important events, progress and proposed future efforts, 1999

Children and Agriculture: Opportunities for Safety and Health, A National Action Plan [PDF - 2840 KB]

2001 Child Agricultural Injury Summit
Background Information
Final Report [PDF - 793 KB]

Childhood Agricultural Injury Surveillance

Provides information on NIOSH activities to implement a Childhood Agricultural Injury Surveillance component as recommended by the National Action Plan.

USDA/NASS Agricultural Safety: 2008 Injuries to Youth on Hispanic-Operated Farms [PDF - 92 KB]
National Agricultural Statistics Service (NASS) (August 5, 2010)

USDA/NASS Agricultural Safety: 2008 Injuries to Youth on Racial Minority-Operated Farms [PDF - 105 KB]
National Agricultural Statistics Service (NASS) (August 5, 2010)

2001 Childhood Agricultural-Related Injuries [PDF - 37 KB]

2000 Childhood Agricultural Injuries on Minority-Operated Farms [PDF - 6 KB]

The NIOSH Childhood Agricultural Injury Surveillance Project

Fatal Unintentional Farm Injuries Among Persons Less than 20 Years of Age in the United States: Geographic Profiles
NIOSH Publication No. 2001-131 (July 2001)

Injuries Among Youth on Farms in the United States, 1998
NIOSH Publication No. 2001-154 (June 2001)

Injuries Among Farm Workers in the United States, 1995
NIOSH Publication No. 2001-153 (May 2001)

Fatal Work-related Injuries in the Agricultural Production and Services Sector Among Youth in the U.S. 1992-1996
Journal of Agromedicine: May 2000 / 6(3): 27-41

USDA/NASS 1998 Childhood Agricultural Injuries [PDF - 32 KB]
National Agricultural Statistics Service (NASS) (October 6, 1999)

Young Workers At Risk When Working in Agricultural Production
American Journal of Industrial Medicine: September 1999 / 36(S1): 31-33

Fatal On-Farm Injuries Among Youth 16 to 19 Years of Age: 1982-1994
Journal of Agricultural Safety and Health: May 2001 / 7(2): 101-112


MMWR Articles

Deaths Among Children Aged Less Than or Equal to 5 Years from Farm Machinery Runovers-Iowa, Kentucky, and Wisconsin, 1995-1998, and United States, 1990-1995
Morbidity and Mortality Weekly Report: July 1999 / 48(28): 605-608

Childhood Work-Related Agricultural Fatalities-Minnesota, 1994-1997
Morbidity and Mortality Weekly Report: April 1999 / 48(16): 332-335

Youth Agricultural Work-Related Injuries Treated in Emergency Departments-United States, October 1995-September 1997
Morbidity and Mortality Weekly Report: September 1998 / 47(35): 733-737

Publications

Injury Surveillance for Youth on Farms in the U.S., 2006
Journal of Agricultural Safety and Health: November 2010 / 15(4): 377-388

Changing Farm Injury Trends by Sex for Youth Living on U.S. Farms, 1998-2006
The Journal of Rural Health: March 2010 / 26(2): 182-188

Youth Living on Hispanic Operated Farms—Injuries and Population Estimates in the U.S. 2000
Journal of Agricultural Safety and Health: November 2009 / 16(4): 279-291

Injuries to Youth on Farms and Safety Recommendations, U.S. 2006
NIOSH Publication No. 2009-117 (February 2009)

Injuries to Youth on U.S. Farm Operations, 2004
NIOSH Publication No. 2007-161 (August 2007)

Injuries to Youth on Racial Minority Farm Operations, 2003
NIOSH Publication No. 2007-163 (August 2007)

Injuries to Youth on Hispanic Farm Operations, 2003
NIOSH Publication No. 2007-162 (August 2007)

Nonfatal Injuries to Household Youth on Native American Operated Farms in the U.S., 2000
Journal of Agromedicine: July 2007 / 11(3/4): 61-69

Fatal Work-Related Injuries in the Agriculture Production Sector Among Youth in the United States, 1992-2002 [PDF - 86 KB]
Journal of Agromedicine: April 2006 / 11(2): 57-65

Injuries to Youth Living on U.S. Farms in 2001 with Comparison to 1998
Journal of Agromedicine: May 2006 / 10(4):19-26

Injury and Asthma Among Youth Less Than 20 Years of Age on Minority Farm Operations in the United States, 2000 Volume II: Hispanic National Data
NIOSH Publication No. 2006-109 (October 2005)

Injury and Asthma Among Youth Less Than 20 Years of Age on Minority Farm Operations in the United States, 2000, Volume I: Racial Minority National Data
NIOSH Publication No. 2005-147 (July 2005)

2001 Childhood Agricultural-Related Injuries [PDF - 37 KB]

Injuries Among Youth on Farms, 2001
NIOSH Publication No. 2004-172 (December 2004)

Asthma Among Household Youth on Hispanic Farm Operations
NIOSH Publication No. 2004-158
en español

Injuries to Youth on Hispanic Farm Operations
NIOSH Publication No. 2004-157
en español

Conference Proceedings: Prevention of Musculoskeletal Disorders for Children and Adolescents Working in Agriculture
NIOSH Publication No. 2004-119 (June 2004)

Asthma Among Household Youth on Minority Farm Operations
NIOSH Publication No. 2004-118 (December 2003)

Injuries to Youth on Minority Farm Operations
NIOSH Publication No. 2004-117 (December 2003)

2000 Childhood Agricultural Injuries on Minority-Operated Farms [PDF - 56 KB] (December 2002)

Fatal Unintentional Farm Injuries Among Persons Less than 20 Years of Age in the United States: Geographic Profiles
NIOSH Publication No. 2001-131 (July 2001)

Injuries Among Youth on Farms in the United States, 1998 [PDF - 1,558 KB]
NIOSH Publication No. 2001-154 (June 2001)

Fatal On-Farm Injuries Among Youth 16 to 19 Years of Age: 1982-1994
Journal of Agricultural Safety and Health: May 2001 / 7(2): 101-112

Injuries Among Farm Workers in the United States, 1995
NIOSH Publication No. 2001-153 (May 2001)

Fatal Work-related Injuries in the Agricultural Production and Services Sector Among Youth in the U.S. 1992-1996
Journal of Agromedicine: May 2000 / 6(3): 27-41

USDA/NASS 1998 Childhood Agricultural Injuries [PDF - 32 KB]

Young Workers At Risk When Working in Agricultural Production
American Journal of Industrial Medicine: September 1999 / 36(S1): 31-33

The childhood agricultural injury prevention strategy workshop: A private sector perspective
Final Report to NIOSH: A summary of strategies and successes.


MMWR Articles

Deaths Among Children Aged Less Than or Equal to 5 Years from Farm Machinery Runovers-Iowa, Kentucky, and Wisconsin, 1995-1998, and United States, 1990-1995
Morbidity and Mortality Weekly Report: July 1999 / 48(28): 605-608

Childhood Work-Related Agricultural Fatalities-Minnesota, 1994-1997
Morbidity and Mortality Weekly Report: April 1999 / 48(16): 332-335

Youth Agricultural Work-Related Injuries Treated in Emergency Departments-United States, October 1995-September 1997
Morbidity and Mortality Weekly Report: September 1998 / 47(35): 733-737

Other Publications

All-Terrain Vehicle Injuries to Youth Living and Working on Farms in the U.S., 2001-2006
2008. M. Goldcamp. Research paper presented at the 2008 NIFS Annual Conference, Lancaster, PA.

Injuries Among Youth on Farms in the United States, 2006
2008. K.J. Hendricks.  Research paper presented at the 2008 NIFS Annual Conference, Lancaster, PA. 

Tractor Roll-Overs and Farm Safety Exposure Data on Farms and Ranches, U.S. 2006
2008.  L.A. Layne, D. Hard, K.J. Hendricks and J.R. Myers.  Research paper presented at the 2008 NIFS Annual Conference, Lancaster, PA. 

Fatal Work-Related Injuries in the Agricultural Production Sector Among Youth in the United States, 1992- 2002
2005. David L. Hard and John R. Myers. Technical paper presented at the 2005 NIFS Annual Conference, Wintergreen, VA.

Non-fatal All-Terrain Vehicle Injuries to Youth on Farms in the U.S., 2001 [PDF - 52 KB]
2004. Michael Goldcamp, John Myers, Kitty Hendricks, and Larry Layne. Research paper presented at the 2004 NIFS Annual Conference, Keystone, CO.

A Comparison of Injuries Among Youth Living on Farms in the US, 1998-2001 [PDF - 46 KB]
2004. Kitty J. Hendricks, Larry A. Layne, E. Michael Goldcamp and John R. Myers. Research paper presented at the 2004 NIFS Annual Conference, Keystone, CO.

Non-Fatal Injuries: An Overview of Injuries to Youth Living on Racial-Minority Operated Farms in the US, 2000 [PDF - 43 KB]
2003. Goldcamp Michael, Hendricks Kitty, Layne Larry and Myers John. Research paper presented at the 2003 NIFS Annual Conference, Windsor, Ontario, Canada.

Farm Hazards to Household Youth on Minority Operated Farms in the US, 2000: Exposure and Injury from Work, Horses, ATVs and Tractors [PDF - 66 KB]
2003. Hendricks Kitty, Myers John R., Goldcamp Michael and Layne Larry. Research paper presented at the 2003 NIFS Annual Conference, Windsor, Ontario, Canada.

Demographics and Non-fatal Injury Patterns of Youth Less than 20 Years Old on Hispanic Operated Farms in the US, 2000 [PDF - 60 KB]
2003. Layne LA, Myers JR, Hendricks KJ and Goldcamp EM. Research paper presented at the 2003 NIFS Annual Conference, Windsor, Ontario, Canada.

North American Guidelines for Children's Agricultural Tasks and Child Labor Regulations
2002, June. Cohen, A. Final Contract Report: Available from the NIOSH, Division of Safety Research, 1095 Willowdale Road, Morgantown, WV 26505-2888.

Fatal and Non-Fatal Falls in US Agricultural Production to Youth Less Than 20 Years Old [PDF - 60 KB]
2002. Hendricks KJ, Myers JR, Goldcamp EM. Presented at the 2002 NIFS Annual Conference, Ponte Vedra, FL.

Farm Fatalities to Youth 1995-1997: A Comparison by Age Groups [PDF - 222 KB]
2002. Goldcamp EM, Myers JR, Hendricks KJ. Presented at the 2002 NIFS Annual Conference, Ponte Vedra, FL.

Non-fatal Animal-Related Farm Injuries to Youth in the United States – 1998 [PDF - 50 KB]
2001. Hendricks KJ, Adekoya N. Presented at the 2001 NIFS Annual Conference, Pittsburgh, PA.

Fatal Agricultural Work Injuries from Harmful Substances or Environments in the United States. 1992-1996. 1999. Adekoya, Nelson and Myers, John R. Technical paper presented at the 1999 NIFS Annual Conference, Ocean City, Maryland.

Relevant Links

NIOSH Program Portfolio: Agriculture, Forestry and Fishing

Childhood Agricultural Safety Network

National Children's Center for Rural and Agricultural Health and Safety

Association of Maternal and Child Health Programs (AMCHP)

Maternal and Child Health Bureau (MCHB)

National Maternal and Child Health Clearinghouse

Other Links of Interest

Migrant and Seasonal Hired Adolescent Farm Workers: A Plan to Improve Working Conditions. Recommendations from the National Adolescent Farm Worker Occupational Health and Safety Advisory Committee [PDF - 44.73 MB]
National Children's Center for Rural and Agricultural Health and Safety, National Farm Medicine Center, Marshfield Clinic, Marshfield, WI.

Creating Safe Play Areas on Farms [PDF - 906 KB]
This guidance document has been developed as a resource for safety professionals, farm and rural community leaders, and farm owners who want to understand important features of safe play areas for children who live on or visit farms, ranches,
orchards or other agricultural settings. The focus is on children between the ages of 2 and 10 years old.

Children and Agriculture: Opportunities for Safety and Health, A National Action Plan [PDF - 2840 KB]

2001 Child Agricultural Injury Summit
Background Information Final Report [PDF - 793 KB]

 
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