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UC Agricultural Health & Safety Center at Davis

On-Line News

Issue Number 1995-03
August 1995

Published by the UC Agricultural Health & Safety Center at Davis, University of California, Davis, Marc Schenker, M.D., M.P.H., Director, Marti Childs, Editor


1995-03-01 TABLE OF CONTENTS
 
1995-03-01 Table of Contents
1995-03-02 Welcome and Introduction
1995-03-03 Ag Center Will Benefit From Organizational Restructuring
1995-03-04 Source of Injury Mortality Studied
1995-03-05 Economics of Ag Injuries
1995-03-06 Bilingual Book on Cholinesterase
1995-03-07 Farm Safety For Children
1995-03-08 Farm Bureau Safety Programs
1995-03-09 Dutch Interns Ag Center First


1995-03-02 WELCOME AND INTRODUCTION
Welcome to the UC Agricultural Health & Safety Center at Davis On-Line News.

On-Line News is a synopsis of news items covered by the Center's quarterly newsletter along with additional information related to agricultural health and safety issues. The Center has two electronic list servers that allow automatic forwarding of e-mail to a list of subscribers. One server is a forum for announcements and discussion of agricultural health and safety issues and the other is a vehicle for the automatic distribution of mini-newsletters.

The e-mail addresses for the forum is: aghealth@oem.ucdavis.edu (message forwarding address) and aghealth-request@oem.ucdavis.edu (subscriber request address). The addresses for the mini newsletter are: aghealthnews@oem.ucdavis.edu (message forwarding address) and aghealthnews-request@oem.ucdavis.edu (subscriber request address).

To subscribe to a list, send an e-mail message to the request address with no subject and a one line message giving the option subscribe and your name. For example, to subscribe to the forum for announcements and general agricultural health and safety issues, you would send the following:
To: aghealth-request@oem.ucdavis.edu
Subject:
Message:
subscribe (your name here)
By return e-mail you will receive confirmation of your request and more information about using the listserver request functions.
To subscribe to the On-line News, your request would look like:

To: aghealthnews-request@oem.ucdavis.edu
Subject:
Message:
subscribe (your name here)


1995-03-03 AG CENTER WILL BENEFIT FROM ORGANIZATIONAL RESTRUCTURING
By Marc Schenker, M.D., M.P.H.
An organizational change in the reporting structure of the Division of Occupational/Environmental Health & Epidemiology has significantly strengthened the resources and capabilities of the Agricultural Health & Safety Center at Davis.

In July the Division in which the Ag Center operates, was moved from the Department of Internal Medicine to the Department of Community and International Health in the School of Medicine. This move was coincident with my appointment as chair of Community and International Health. It's quite exciting that the programs and activities of the new department more closely relate to the goals and objectives of the Ag Center.

The major focus of Community and International Health is recognition and prevention of illness and injury through population-based approaches, including epidemiologic research, education and outreach. Departmental programs encompass occupational and environmental health, rural health, cancer prevention, reproductive and women's health, the health of aging populations, injury and violence prevention, and health among minority populations.

The new department offers many new opportunities and resources for the Center. First, the department brings together expertise in outreach and community intervention, which will benefit the Center's outreach efforts. Second, underdeveloped areas in the Center such as industrial hygiene can be developed with the help of departmental resources.

Third, some of the department's programs can be applied to problems in the agricultural workplace. For example, the department's outreach services for the aged can be applied to the elderly farming population of California. Other existing programs in the department address issues in rural health care delivery and injury prevention-two important topics for agricultural health and safety.

Finally, a department focusing on injury and illness prevention in the population is more likely to earn support from the university, the Legislature and the public.

The administrative office of the UC Agricultural Health & Safety Center at Davis, the industrial hygiene laboratory and many of the research and outreach projects will remain in the Institute of Toxicology and Environmental Health (ITEH) Building, which is south of campus on Old Davis Road. This location is appropriate and convenient for the Center because many of the Center's activities involve programs and investigators affiliated with ITEH.

As I assume the position of chair of the Department of Community and International Health, I look forward to advancing the awareness of health hazards in agriculture, and applying the multidisciplinary expertise of the department and the university. The Center has made a major difference in cultivating awareness of these issues. We have significantly contributed to improvements in the lives of California farmers and farm workers, but we have a long way to go. I look forward to continuing our efforts to promote safety and good health in the agriculture community.


1995-03-04 SOURCE OF INJURY MORTALITY STUDIED
In the 1950s agricultural engineers and safety specialists reported information that began to paint a very disturbing picture of the hazards on farms contributing to work-related fatalities. Today those initial concerns are reinforced by the limited epidemiologic data that are available. Knowing the type of accident is one of the first steps in generating useful injury data and in allowing for risk factor identification and subsequent avoidance of risk activities. Center investigators James J. Beaumont, Helen T. Romain and Lynne Morrin have completed a study involving analysis of a database derived from the California Occupational Mortality Study (COMS) from 1979 to 1981. The first COMS report, which was published in 1987, included only two broad categories of external cause of injury: "falls and machinery accidents" and "other accidents."

Both studies examined occupational and industrial mortality in California by using data reported from 180,000 California state death certificates from 1979 to 1981 for male and female persons aged 16 to 64. In addition, data was drawn from the United States census estimates of the California population by occupation.

Center investigators looked at the data in much finer detail, noting the type of injuries occurring in agriculture. They divided the external causes of injury into 17 categories, which included only those causes that could be related to agricultural work. They further subdivided three of the new categories for greater specificity. Using nonagricultural occupations for comparison, the investigators calculated standardized mortality ratios (SMRs) for farm operators/managers, farm workers, forestry/logging workers, groundskeepers/gardeners and all agricultural occupations combined. Over a three-year period there were 76 machinery deaths (SMR 10.21, p<0.05) in the agricultural occupations. Thirty six (47 percent) of the machinery deaths were associated with tractors, and 21 of those were due to overturn. Machinery fatalities were found to be significantly high for farm operator/managers, farm workers, and forestry/logging workers (SMRs of 7.48, 12.95, and 21.29 respectively). SMRs for drowning were significantly elevated for farm operators/managers, farm workers, and forestry/logging workers (SMRs of 4.04, 4.10, and 10.19 respectively) and for all agricultural occupations combined (SMR=3.68). However, only 8 of the 57 drownings were work related. Farm workers additionally had an elevated risk for injuries by animals (SMR=35.79). Center investigators determined that the risk of machinery-related death in California agricultural occupations is approximately 10 times that for other occupations.

"Our study shows that the use of roll over protection systems (ROPS) and seat belts on tractors would save approximately 10 lives each year in California," said Beaumont, principal investigator of the study. The study also confirmed that California shares the high rate of agricultural machinery-related fatalities previously shown in the Midwestern and Eastern sections of the United States.

"In addition, our study identified what may be a unique problem for the agricultural work force in California-a high rate of drowning associated with irrigation canals and aqueducts," said Beaumont. Beaumont, Morrin, and Romain's study offers statistical evidence of excess fatal injury hazard in California that will be useful for employers, employees, policy makers, and health and safety professionals. It documents a strong need for further improvement of health and safety conditions in the agricultural work place in California.


1995-03-05 ECONOMICS OF AG INJURIES
The agricultural work environment is characterized by numerous potential health hazards, including farm machinery, livestock, chemicals and respirable dusts. Unintentional injuries represent one of the most important occupational health problems among agricultural workers. For California's Latino and Latina population, which provides the majority of production labor in the industry, implications of these characteristics are magnified. In spite of its importance, little work focusing on patterns of violations for occupational health and safety laws has been performed.

Center investigators Stephen A. McCurdy and Donald Villarejo received a one-year, $28,000 grant from the California Policy Seminar to examine patterns of violations of health and safety laws in California. Their research involves obtaining public records of notices of violations for health safety and labor laws during 1993 and 1994 identified by the Targeted Industry Partnership Program (TIPP), an interagency collaborative effort focusing on agriculture. They will then compare the agricultural operations (farms and farm labor contractors) that have received notices of violation for health, safety and labor regulations with those that have not received notices to identify patterns and risk factors or markers for violations.

In this era of increasing focus on government efficiency, the information obtained from this study will be useful in informing agencies with jurisdiction for occupational health and safety in agriculture about the epidemiologic aspects of their efforts and potentially improving educational, preventive and enforcement activities.


1995-03-06 BILINGUAL BOOK ON CHOLINESTERASE
A bilingual publication that explains cholinesterase testing is now available through the University of California. This booklet, titled Jorge's New Job, was developed by the Statewide UC Integrated Pest Management (UCIPM) project. It uses a photo-illustrated format known in Spanish-speaking cultures as a "fotonovela" to discuss the reasons for and the importance of cholinesterase monitoring.

The cholinesterase fotonovela is aimed at agricultural pesticide handlers who are required by their employers to have periodic blood tests because of their pesticide-related activities. The booklet explains to workers, in simple terms, how certain insecticides disrupt the nervous system. It tells them who needs cholinesterase monitoring. After reading the fotonovela, pesticide handlers will understand why cholinesterase monitoring is necessary. Aside from explaining the procedure, the fotonovela also dispels some of the common misconceptions about cholinesterase monitoring.

Copies of this publication can be ordered from DANR Agricultural Publications, 6701 San Pablo Blvd., Oakland, CA 94608-1239. To order by FAX call (510) 643-5470. Jorge's New Job should also be available from University of California, Agricultural Information and Publications, Davis, CA 95616, as well as through county Cooperative Extension offices. The price for single copies is $2; larger orders will probably be available at a discount.


1995-03-07 FARM SAFETY FOR CHILDREN
Children who grow up on the farm have a very exciting, yet dangerous backyard. This is why educating children and their families about safety on the farm is so important. Each year thousands of young people are severely injured and hundreds more are killed on farms and ranches across the United States. Senseless injuries to children on the farm do not have to be accepted as a cost of farming.

"Children of migrant farm workers in California have a different set of health and safety problems than the farmers' children in the Midwest. Often the homes of migrant farm workers are located near the fields and there are potential hazards for their children such as trucks going in and out, irrigation ditches and pesticide spraying nearby," said Martha Stiles, Center investigator, who discussed these and other hazards unique to western states agriculture with Farm Safety 4 Just Kids representative Burton Kross during his visit last spring.

Headquartered in Earlham, IA, Farm Safety 4 Just Kids is a non-profit organization with more than 2,000 members and 44 chapters whose mission is to prevent farm-related childhood injuries, health risks and fatalities. The program offers several educational programs each year and provides technical assistance to those who wish to conduct their own farm safety programs. What can be done to ensure a safe and healthy life for children on farms today? Below are a few tips offered by Farm Safety 4 Just Kids to help young people on the farm to be safe:

  • Age and ability appropriate tasks. Many 10-year-olds look big enough to handle an "adult job." However, children are not small adults. Watch the development of children and assign them duties that fit their physical, mental and emotional capabilities.
  • Training. Machinery today is much more powerful and easier to operate, even by the smallest child. Properly supervised training or operator certification programs are essential to youth just starting to work on the farm.
  • Safe play areas. Kids often see the farm as a huge playground. Set boundaries to make designated play areas away from farmyard traffic, livestock and other hazards.
  • No riders. Passengers on farm machinery and in the back-end of pickups are a great risk of injury. A large number of kids killed on tractors is due to being an extra rider. For example, tractors with cabs can become deadly when a child leans on the door, falls out and is run over, or isn't protected in a rollover situation. Extra riders should never be allowed on farm machinery, especially tractors, and in the back-ends of pickups.
  • Child care. Proper supervision is necessary to safeguard children on the farm. Many farm families do not have the finances for or the access to child care facilities. Local families working together to care for their children during the busy farming seasons can be a true life saver.
  • The Center endorses the efforts of programs such as Farm Safety 4 Just Kids. For more information about starting a chapter in your area to educate kids about dangers on the farm, contact Farm Safety 4 Just Kids, P.O. Box 458, Earlham, Iowa 50072, phone 1-800-423-KIDS.


    1995-03-08 FARM BUREAU SAFETY PROGRAMS
    Satellite communications equipment linking county Farm Bureau offices with conference and training sites may form the basis of a high-technology farm safety education network spanning the entire state. That's the vision of Dona Mast, president of Yolo County's Farm Bureau. Mast is working with AgSafe Director and Center affiliate Donald Bennett on a telecommunications education program that could provide critical information to agricultural safety and health care personnel in widely scattered rural areas.

    According to Mast, communications equipment would be especially valuable in remote areas in which doctors and nurses have a difficult time traveling to continuing education classes required to maintain their licenses. Mast joined Pene Wilson, director of CFBF's Rural Health and Safety Committee, in describing some of the agricultural health and safety programs implemented by CFBF at the Center's June 2 noon seminar titled "The Farm Bureau Approach to Agricultural Health and Safety.

    The California Farm Bureau Federation (CFBF) is California's largest farm organization, representing approximately 80,000 member families in 56 counties. Through its Rural Health and Safety Committee's work with farmers, UC Davis and other universities, and government, CFBF plays a key role in agricultural health and safety.

    Wilson and Mast help growers and workers maintain Injury and Illness Prevention Programs (IIP) by offering seminars as needed in English and Spanish to keep them up to date on their regulations and to teach them how to maintain safe farming practices.

    The Rural Health and Safety Committee has been involved in producing a number of publications, video tapes and programs to help educate farmers, ranchers, workers and health care providers. Mast and Wilson discussed the following CFBF health and safety promotion efforts:

  • "The Cost of Non-Compliance," a brochure that lists 15 of Cal/OSHA's most frequently cited violations in the agriculture industry-in which field sanitation ranks No. 1
  • "Field Sanitation Guide," a brochure describing the requirements of field sanitation, including a field sanitation checklist and telephone numbers for State Compensation Insurance Fund district offices.
  • A 20-minute agricultural motor vehicle safety video, available in English and Spanish.
  • A recognition plaque that CFBF and State Compensation Insurance Fund awards to farmers and ranchers "who are doing things right-they have their IIP in place and zero or very few injuries."
  • Operation Help, a hospital equipment liaison project in which urban hospitals throughout the state provide CFBF with a list of usable equipment they no longer need that a rural hospital or clinic can use. According to Wilson, CFBF has placed about $300,000 worth of equipment to date.
  • The "Farm Labor Manual for California Farmers," which contains all of the labor compliance codes. According to Mast, you can get updates two to three times a year a fee of $55 per year.
  • First on the Scene Safety Training program, offered in English and Spanish.
  • Through her involvement with AgSafe, Wilson is organizing a safety demonstration booth and first aid station at the Tulare Farm Show in February. "An estimated 100,000 people a day attend the show, including people from about 30 countries. This would be an excellent opportunity for us to promote agricultural health and safety to numerous individuals involved in all aspects of farming," she said. Mast is looking at a program called "Adopt a Doc" in which doctors live with farm families and work with them to get first hand knowledge of what they do on a farm. She believes that this type of program would be beneficial in Northern California.

    In closing, Mast said, "CFBF Rural Health and Safety is interested in the health and safety of California's farmers because we can't be productive if we're not healthy, and being productive is what our business is all about."


    1995-03-09 DUTCH INTERNS AG CENTER FIRST
    The arrival of Hanneke Kruize and Alka Keunen from the Agricultural University of Wageningen in the Netherlands could mark the beginning of an ongoing exchange of students and expertise between UC Davis and Wageningen. Both in their fifth year of a six-year combined bachelors and masters degree program, Hanneke and Alka contacted Center Director Marc Schenker last February in hopes of serving an internship with Center Industrial Hygienist Mark Nieuwenhuijsen, also from Wageningen.

    Hanneke and Alka began working with Mark on April 1. Alka analyzed exposure and peak flow diary data from the California Farm Operators study, and Hanneke examined determinants of dust exposure of agricultural workers working in the UC Davis experimental fields, considering task, wind direction and speed, and soil moisture and temperature.

    Hanneke spent her first 16 years in Groningen, Holland, and then moved with her parents to the southern town of Heerlen. Alka was born in India and grew up with her Dutch parents in Deurne, Holland. At Wageningen, Hanneke conducted an 8-month study of the effects of particulate matter 10 microns or smaller (PM-10) and iron particles in the air on the respiratory health of the people living near a steel plant. Alka conducted a 6-month study of the effects of control measures on the exposure to endotoxins and gram-negative bacteria in a Dutch potato processing plant. She found that the control measures were effective, but the levels were still too high.

    "I enjoy Davis because it's very much like Wageningen-both the city and the university. The projects here at the Center are similar to the projects we worked on in our department at Wageningen, so the kind of research we're doing here is not completely new to us," said Hanneke. "The main difference is that the researchers work more independently here. I feel that it's more important to collaborate."

    Alka agrees that the similarities between Davis and Wageningen is uncanny. In addition to many American friends they have made, they also made new Dutch friends in Davis. "A few times a week we [bi]cycle over to the campus coffeehouse to meet our Dutch friends and talk about our experiences," said Alka. She added, "I was surprised by the fact that people here are always so kind and helpful to us. While our supervisor was on holiday, he let us borrow his car to travel to the coast and to Yosemite."

    After receiving her Master's degree, Hanneke plans to work on her Ph.D. at a university or research institute either in Holland or in California. Alka will join AKZO, a fiber plant in Emmen, for which she will be working in the field of occupational hygiene.

    "I'm looking for a student from Wagenigen to finish my research project here, but no one has responded so far. I think one problem is that it's very expensive to serve an internship in the United States," said Hanneke. "I hope someone from Wageningen will be able to come and continue the relationship between UC Davis and Wageningen."


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