The NIOSH Childhood Agricultural Injury Prevention Initiative (CAIPI) has funded many research grants over the quindecennial (2007-2011) which addressed priorities identified in the 1996 National Action Plan, a NIOSH 1997 stakeholder review of the CAIPI implementation plan, a NIOSH 1999 public/stakeholder review, a 2001 Childhood Agricultural Injury Prevention Summit and a 2009 NIOSH public/stakeholder comment period on past and future directions for the CAIPI. Priorities were identified through discussions by many different stakeholders representing the public and private sectors, individuals and organizations, and parents and professionals. Dramatic progress has been made in reducing the number and rate of childhood agricultural injuries since the implementation of the CAIPI. The NIOSH CAIPI was initiated in October 1996 (Fiscal Year 1997), with funds appropriated by Congress to implement a childhood agricultural injury prevention program. Goals for the CAIPI are to: (1) fill critical data needs, (2) establish an infrastructure that facilitates the use of data and research results to develop and improve prevention efforts, and (3) encourage the use of effective prevention strategies by the private and public sectors. The CAIPI uses a tripartite approach of surveillance, research, and information dissemination/research translation to accomplish these goals. The surveillance aspect is an intramural effort that uses the United States Department of Agriculture, National Agricultural Statistics Service (USDA/NASS) infrastructure to collect youth farm injury data that otherwise wouldn't be collected in order for NIOSH to analyze and use for surveillance of youth agricultural injuries. Information transfer/research translation is primarily accomplished through an extramurally funded National Children's Center for Rural and Agricultural Health and Safety (http://www.marshfieldclinic.org/nccrahs
) and a dedicated topic page on the NIOSH Web site for childhood agricultural injury prevention (http://www.cdc.gov/niosh/topics/childag
). The research effort is accomplished through the NIOSH extramural grants program and targeted extramural Requests for Assistance (RFA) announcements under the Childhood Agricultural Safety and Health Research title. Shortly after the start of the NIOSH CAIPI, a 1998 USDA/NIOSH survey found that an estimated 37,774 youths under age 20 were being injured on farms (youths who lived on, worked on or visited farms). In 2009, this had declined to 15,876, a 58% reduction in the number of injuries and the rate declined from 16.6 injuries/1000 farms to 7.2 injuries/1000 farms. For household youths (those living on farms), the rate of injuries declined by 60% (from 18.8 injuries/1000 household youths to 7.5/1000 household youth) [NCCRAHS 2012].