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Original Article
Surveillance of hospitalized farm injuries in Canada
  1. W Pickett1,
  2. L Hartling2,
  3. H Dimich-Ward3,
  4. J R Guernsey4,
  5. L Hagel5,
  6. D C Voaklander6,
  7. R J Brison1
  1. 1Department of Emergency Medicine, Queen's University, Canada and Department of Community Health and Epidemiology, Queen's University, Canada
  2. 2Department of Emergency Medicine, Queen's University, Canada
  3. 3Department of Medicine, University of British Columbia, Canada
  4. 4Department of Community Health and Epidemiology, Dalhousie University, Canada
  5. 5Centre for Agricultural Medicine, University of Saskatchewan, Canada
  6. 6Department of Public Health Sciences, University of Alberta, Canada and Department of Rural Health, University of Melbourne, Australia
  1. Correspondence and requests for reprints to:
 Dr William Pickett, Department of Emergency Medicine, Queen's University, Angada 3, Kingston General Hospital, 76 Stuart St, Kingston, Ontario, Canada K7L 2V7
 PickettW{at}post.queensu.ca

Abstract

Objective—To provide an overview of hospital admissions for the treatment of farm injuries.

Methods—Design: descriptive analysis of data from the Canadian Agricultural Injury Surveillance Program (CAISP). Population: persons experiencing a farm injury requiring hospitalization, April 1991 to March 1995. Access to hospital separation data was negotiated within Canadian provinces. Individual cases were verified by medical records personnel and supplemental data describing injury circumstances were obtained. Analysis: descriptive analyses characterizing farm injuries by: persons involved, mechanisms, primary diagnoses, and agents of injury.

Results—Data from 8/10 Canadian provinces representing 98% of the farm population were obtained. A total of 8263 farm injuries were verified. Adults aged 60 years and older were over-represented in these injuries. Leading external causes of agricultural machinery injury included entanglements, being pinned/struck by machinery, falls, and runovers. Non-machinery causes included falls from heights, animal related trauma, and being struck/by against objects. Leading diagnoses varied by age group, but included: limb fractures/open wounds, intracranial injuries, skull fractures, and spinal/truncal fractures.

Conclusions—CAISP is a new agricultural injury surveillance program in Canada. Data from this system are actively used to inform prevention initiatives, and to indicate priorities for etiological and experimental research in the Canadian agricultural setting.

  • agriculture
  • farm
  • occupational
  • surveillance

https://doi.org/10.1136/ip.7.2.123

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