PEDIATRICS Vol. 83 No. 2 February 1989, pp. 267-271
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Fatal Farm Injuries Among Young Children

L. Rachid Salmi MD, MSc1, Harold B. Weiss MS, MPH1, Peggy L. Peterson BA1, Robert F. Spengler ScD1, Richard W. Sattin MD1, and Henry A. Anderson MD1

1 The Division of Injury Epidemiology and Control, Center for Environmental Health and Injury Control, Centers for Disease Control, Public Health Service, US Department of Health and Human Services, Atlanta; State of Wisconsin Department of Health and Human Services, Madison; and the State of Illinois Department of Health, Springfield

Death certificate data concerning farm-related injury deaths among children 0 to 9 years of age in Wisconsin and Illinois for the period of 1979 to 1985 were reviewed. Average annual farm-related injury death rates were 3.2 per 100,000 rural children in Wisconsin (62 deaths) and 1.5 per 100,000 in Illinois (32 deaths). Rates were three times higher among boys than girls. The occurrence of two harvest-related peaks and the absence of fatality in children less than 1 year of age suggest that presence of children on the farm when supervision is diminished is a key factor in farm-related fatalities. Moving machinery (tractors, wagons, and trucks) was the source of injury in approximately 55% of all deaths. Drowning accounted for 15% of all farm-related deaths. Two fatalities related to gravity box wagons could have easily been prevented with simple safety devices. These findings suggest a need for developing environmental interventions in farms. This will require the allocation of more resources to farm safety programs and a revision of current farm safety legislation.

Key Words: farm injury • injury prevention

Submitted on January 19, 1988
Accepted on March 17, 1988




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