HEALTH IN AGRICULTURE: Cultivating an Understanding of the Unique Challenges and Strengths within Farming and Ranching Chelsea Hampton, MSW WHY IS THIS TOPIC IMPORTANT? Learning Objectives: I. Participants will gain a basic understanding of/and be able to identify some of the major health issues and conditions agricultural workers face. II. Participants will gain a basic understanding of/and be able to identify risk factors associated with health issues and conditions agricultural workers face. III. Participants will be able to identify preventative approaches and resources for promoting agricultural health and independence. America’s Farmers. Webisode 14 – “A Year Round Job.” COMMON INJURIES AND PHYSICAL HEALTH CONDITIONS AMONG AGRICULTURAL WORKERS Arthritis - Arthritis affects approximately one-third of adults in farming and ranching.1 Brain and Spinal Cord Injuries – An estimated 1.7 million cases of traumatic brain injury (TBI) occur annually, and the rates are higher for males in every age group.2 Hand and Eye Injuries - Approximately 2,000 cases of jobrelated eye injury requiring medical care occur each day in the U.S.3 1 Agriculture and Arthritis. http://www.arthritis-ag.org/arthritis-and-you/agriculture-and-arthritis.aspx Centers for Disease Control and Prevention: Injury Prevention & Control: Traumatic Brain Injury. http://www.cdc.gov/TraumaticBrainInjury/statistics.html 3 Centers for Disease Control and Prevention: Workplace Safety & Health Topics: Eye Safety. http://www.cdc.gov/niosh/topics/eye/ 2 COMMON INJURIES AND PHYSICAL HEALTH CONDITIONS (CONTINUED…) Hearing Loss - In the U.S., an estimated 17% of adults have some level of hearing loss, which increases to 1 in 3 people after the age of 65.4 Agriculture is one of several industries heavily impacted by noise-induced hearing loss.5 Cardiovascular Disease – Heart disease is the leading cause of death for both men and women. Skin Cancer – Agricultural workers are in a high-risk category, as skin cancer rates are higher in farmers than in the general population.6 4 Hearing 5 Centers 6 Loss Association of America – Basic Facts about Hearing Loss. http://www.hearingloss.org/content/basic-facts-about-hearing-loss for Disease Control and Prevention: NIOSH Publications and Products: Work Related Hearing Loss. http://www.cdc.gov/niosh/docs/2001-103/ The Forum.(1997). http://ncsu.edu/ffci/publications/1997/v2-n3-1997-summer/skin-cancer.php. NC State University. RISK FACTORS Nature of work in agricultural settings and physical stress Lack of protective equipment and/or safety awareness Lifestyle factors Age Pre-existing health conditions COMMON HEALTH & SAFETY HAZARDS IN FARMING AND RANCHING Pesticides and Other Chemicals Operating Machinery Heavy Lifting Working with Livestock Noise Exposure Exposure to the Elements (more on this in the next section) Tractor and Vehicle Accidents Rough/Unstable Terrain 35 30 25 20 Agriculture 15 Mining 10 Construction 5 0 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 Death Rate (Deaths Per 100,000 Workers) THE BIG PICTURE OF HAZARD, RISK, INJURY & ILLNESS IN AGRICULTURE Year Data from the National Safety Council® Injury Facts® 2008 and 2011 Editions THE BIG PICTURE… (CONTINUED) Cases by Gender Nonfatal Injuries and Illnesses (2008) Men Women Fatalities (2008) Men Women Data from the National Safety Council® Injury Facts® 2011 Edition THE BIG PICTURE… (CONTINUED) Fatalities and Nonfatal Cases by Age (2008) No. of Cases 4000 3500 3000 2500 2000 1500 1000 500 0 Nonfatal Cases Fatalities Under 16-19 20-24 16 25-34 35-44 Age 45-54 55-64 65+ Data from the National Safety Council® Injury Facts® 2011 Edition THE BIG PICTURE… (CONTINUED) Part of Body Affected in Nonfatal Cases (2008) •1, 550 vehicle-related cases •1,090 cases due to machinery •300 cases due to chemicals and chemical products Trunk • Of the data provided, vehicle-related incidents Neck accounted for the most Upper Extremities fatalities with 323 Lower Extremities Body Systems Multiple All Other Head Data from the National Safety Council® Injury Facts® 2011 Edition WEATHER-RELATED INJURIES AND PREVENTION Cold Weather Injury, Illness, and Prevention - Frostbite - Hypothermia - Trench Foot - Slips and Falls WEATHER-RELATED INJURIES AND PREVENTION Heat-related Injury, Illness, and Prevention - Heat Stroke - Heat Exhaustion - Heat Cramps BEHAVIORAL HEALTH IN AGRICULTURE http://www.youtube.com/watch?v=f8ZhaIbEZN8&feature=relmfu America’s Farmers Webisode 11: “Challenges.” “Put you in a mood you can’t describe…” “That’s when you gotta pick yourself up…you’re pretty depressed and in the dumps when that happens.” “Your whole livelihood is out there.” BEHAVIORAL HEALTH IN AGRICULTURE: COMMON HEALTH ISSUES Depression Stress – Multiple Related Factors Suicide Risk PTSD in Returning Veteran-Farmers BEHAVIORAL HEALTH IN AGRICULTURE: RISK FACTORS Isolation in Rural Areas Reluctance to Seek Help Compounding Factors, Stressors and Underlying Conditions A PREVENTATIVE APPROACH: REINFORCING THE FRAMEWORK FOR AGRICULTURAL HEALTH Increase awareness of health issues and hazards Promote the use of protective equipment and utilizing proper safety measures Increase access to health information and resources Promote self-care, healthy life-style choices and preventative healthcare Prevent secondary injuries FARMING AND RANCHING WITH A DISABILITY… What is AgrAbility? http://www.youtube.com/watch?v=sI3vChVHdoc&feature=player_embedded AgrAbility: It’s About Hope. [Short Version]. Purdue University Extension. FARMING AND RANCHING WITH A DISABILITY (CONTINUED…) Role of Wyoming AgrAbility Assistive Technology Partners in Wyoming Assistive Technology in Agriculture Assistive Technology (Continued…) FARMING AND RANCHING WITH A DISABILITY (CONTINUED…) http://www.youtube.com/watch?v=KRvUYVei4G8&NR=1&feature=endscreen What AgrAbility Means to Me – Don Trammel. National AgrAbility. AGRICULTURAL HEALTH & SAFETY TRIVIA… What does PPE stand for? What would some examples of PPE include? What does ROPS stand for? What are some of the resources in Wyoming for agricultural workers with disabilities? Name three common health conditions/injuries… Why are agricultural workers at risk? AS A FINAL NOTE… http://www.youtube.com/watch?v=48H7zOQrX3U “I’m Farming and I Grow It.” The Peterson Farm Bros. REFERENCES: -Australian Centre for Agricultural Health and Safety http://www.aghealth.org.au/index.php?id=5061 -Rural Assistance Center http://www.raconline.org/topics/agri_health/ - Australian Centre for Agricultural Health and Safety. (2009). Farm Health & Safety Tool Kit. - World Health Organization. Occupational health services in agriculture and rural areas: an urgent need for the healthy village campaign. http://www.who.int/occupational_health/publications/newsletter/newsletter_15_regions/en/index6.html - Centers for Disease Control and Prevention. Workplace Safety & Health Topics: Agriculture http://www.cdc.gov/niosh/topics/agriculture/ -Virginia Cooperative Extension. http://pubs.ext.vt.edu/442/442-085/442-085.html -CDC. Worker Safety on the Farm. http://www.cdc.gov/niosh/docs/2010-137/ -Map http://apps.nccd.cdc.gov/NCVDSS_DTM/ -The Skin Cancer Foundation - http://www.skincancer.org/ -Farm Stress One http://www.ces.ncsu.edu/disaster/drought/old/dro-31.html -Centers for Disease Control and Prevention. Workplace Safety & Health Topics: Heat Stress. http://www.cdc.gov/niosh/topics/heatstress/ -ERS/USDA http://www.ers.usda.gov/Briefing/WellBeing/demographics.htm -OSHA Fact Sheet: Farm Safety. (2005). http://www.osha.gov/OshDoc/data_General_Facts/FarmFactS2.pdf -Fetsch, R.J. (June, 2011). Farming, ranching: Health hazard or opportunity? Fact Sheet No. 10.201. Consumer Series: Family. Colorado State University Extension. -National Safety Council. (2011). Injury Facts®, 2011 Edition. Itasca, IL: Author. -National Safety Council. (2008). Injury Facts®, 2008 Edition. Itasca, IL: Author. -Preventing Cold-Related Illness in Agricultural Workers. Wyoming AgrAbility. THANK YOU! Wyoming AgrAbility 1000 E. University Ave. Dept 3354 Laramie, WY 82071 Toll free: (866) 395-4986 Phone: (307) 766-3052 http://www.uwyo.edu/agrability/default.html Chelsea Hampton, MSW Former Project Coordinator (307)766-3052 Randy Weigel, Ph.D. Project Director (307) 766-4186 agrability@uwyo.edu