Injuries and occupational diseases in agriculture - prevention priorities based on cost.
Rautiainen-R; Zwerling-C; Donham-K; Burmeister-L; Sprince-N; Reynolds-S; Saarimaki-P
North American Agromedicine Consortium 15th Annual Meeting , November 17-19, 2002, San Diego, California. North American Agromedicine Consortium, 2002 Nov; :1
Although agriculture is one of the most hazardous industries, the costs of agricultural injuries and illnesses are not well known. This study aims to characterize compensated agricultural injury and illness costs in Finnish agriculture and to identify risk factors for high claim costs. The annual costs to the workers' compensation insurance system were quantified from 1982 to 1999. Claims occurring in 1996 (n=10,922) were used for assessing cost characteristics and risk factors. The methods included t-test, chi-square test, General Linear Models and logistic regression. The total insurance cost in 1996 was 23.5 million Euros, which is 0.7% of the national gross farm income and 2.2% of the net farm income. The cost consisted of medical (16%), lost time per diem (37%), accident pension (23%), survivors' pension (3%), impairment allowance (7%), rehabilitation (6%) and other costs (9%). The mean cost of 1996 claims was 1340 Euros for injuries, 6636 Euros for occupational diseases, and 1743 Euros for both. Permanent pensions were among most costly cases representing 0.6% of the claims and 23% of the total costs. Women had a higher risk of permanent pension compared to men (RR=1.8, CI: 1.1-2.9), and occupational diseases had a higher risk of permanent pension compared to injuries (RR=6.9, CI: 4.2-11.4). The prevention priorities from the cost standpoint included asthma, hypersensitivity pneumonitis, brain and spinal cord injuries, amputations, dermatitis, and bone fractures. High-cost causes included biological and organic dusts, large animals, floors, walkways, slippery terrain, scaffoldings, ladders, stairs, wagons, saws, wood splitters and chippers, tractors, power take-offs, sudden motion, and repetitive motion.
Occupational-diseases; Injuries; Agricultural-workers; Agriculture; Agricultural-industry; Injury-prevention; Occupational-hazards; Risk-factors; Risk-analysis; Workers; Mathematical-models; Models; Farmers; Demographic-characteristics; Sex-factors; Bronchial-asthma; Hypersensitivity; Brain-damage; Spinal-cord-disorders; Dermatitis; Bone-disorders; Organic-dusts; Animals; Agricultural-machinery
Risto Rautiainen, PhD, The University of Iowa, Great Plains Center for Agricultural Health, 103 IREH, Oakdale Campus, Iowa City, IA 52242-5000
The 15th Annual North American Agromedicine Conference, November 17-19, 2002, San Diego, California
Department of Occupational and Environmental Health, The University of Iowa, Iowa City, IA 52242-5000