Fatal and hospitalized agricultural machinery injuries to children in Ontario, Canada.

OBJECTIVES: To assess rates and patterns of agricultural machinery injuries in farm children in order to both determine priorities and develop strategies for injury control in this population. METHODS: Coroners' files and hospital discharge data were examined for Ontario farm children aged 0-19 who had agricultural machinery injuries over a five year period ending 31 March 1990. Injury rates were described by age, sex, geographic region, type of machinery, and mechanism of injury. Common patterns of injury deserving of priority for prevention were then identified and described. RESULTS: 283 machinery injuries to children were identified. Injury rates were 116 and 25/100,000/year for boys and girls respectively. Boys were at increasing risk relative to girls as their ages increased. Young children were at greatest risk for fatal injury. There is a prominent summer peak in occurrence. The farm tractor was the machine most commonly associated with these injuries (33.2%), and entanglement, usually of clothing, was the mechanism cited most often (36.3%). The case fatality ratio (ratio of hospitalizations:deaths) was generally low whether assessed by machinery type or by mechanism of injury. This provides an indication of the lethality of these injuries. Common patterns associated with injury risk included: (1) inadequate supervision of small children; (2) permitting children to be in the area of moving or unguarded machinery; (3) allowing children to accompany workers using farm machinery; and (4) having children performing work related tasks inappropriate for their age. CONCLUSIONS: Machinery related injuries are not uncommon in farm children and have a high case fatality rate. These rates changed little over the five year study period. Feasible strategies for prevention of these injuries, four of which are presented here, need to be developed and implemented by public health professionals working in cooperation with members of the agricultural industry.

[1]  Lorann Stallones,et al.  Fatal Unintentional Injuries Among Kentucky Farm Children: 1979 to 1985* , 1989 .

[2]  R J Brison,et al.  Nonfatal farm injuries in Ontario: a population-based survey. , 1995, Accident; analysis and prevention.

[3]  D Cameron,et al.  Farm accidents in children. , 1992, BMJ.

[4]  J. Swanson,et al.  Accidental farm injuries in children. , 1987, American journal of diseases of children.

[5]  I. Pless.  Unintentional childhood injury--where the buck should stop. , 1994, American journal of public health.

[6]  J. Dosman,et al.  A need for population-based studies of health and safety risks in Canadian agriculture. , 1991, CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne.

[7]  R. Conroy,et al.  Childhood farm accidents: a continuing cause for concern. , 1989, The Journal of the Society of Occupational Medicine.

[8]  R J Brison,et al.  Non-fatal farm injuries on 117 eastern Ontario beef and dairy farms: a one-year study. , 1992, American journal of industrial medicine.

[9]  R J Brison,et al.  Fatal pedestrian injuries to young children: a different pattern of injury. , 1988, American journal of public health.

[10]  H B Weiss,et al.  Fatal farm injuries among young children. , 1989, Pediatrics.

[11]  F P Rivara,et al.  Fatal and nonfatal farm injuries to children and adolescents in the United States. , 1985, Pediatrics.

[12]  P M Layde,et al.  Beyond surveillance: methodologic considerations in analytic studies of agricultural injuries. , 1990, American journal of industrial medicine.

[13]  R. Letts,et al.  Auger injuries in children. , 1978, Canadian Medical Association journal.