Removing the HOOA Family Farm Exemption: Impact on Inju*

描述：(申请人提供)：本提案涉及RF A中列出的第一优先事项：开发和评估新的或现有的增强控制技术，并特别侧重于公共政策形式的行政控制。 尽管国家加大了努力，但儿童农业死亡、受伤和残疾问题依然存在。农业安全专业人士和儿童安全倡导者开始考虑公共政策方法。在美国，政策考虑之一是将家庭农场豁免从农业危险职业令(HOOA)中删除。在投入资源启动这一政策变化之前，评估其对预防儿童农业伤害的潜在影响将是有帮助的。 这项名为“取消家庭农场居留权豁免：对伤害的影响”的拟议研究的目的，是有系统地将居留权法案应用于农场儿童遭受的致命和非致命伤害的案例描述，以确定居留权法案(如果实施和执行)是否可以防止这些伤害的发生。这项拟议的研究将建立在我们之前的NIOSH赠款的基础上，当时我们利用现有的监测数据、验尸官/法医记录、病例调查报告和国家调查数据，收集了一系列儿童创伤农场伤亡的大型案例(约1000例)。来自少数民族农民调查的更多伤害病例将加强这一系列病例。使用“真实生活”的儿童期农场伤害案例将提供一些证据，证明取消HOA家庭m豁免可能在多大程度上减少了这些伤害的发生。它还将强调取消豁免不会涵盖的年龄、工作和情况。

DESCRIPTION: (provided by applicant): This proposal addresses the first priority listed in the RF A: Develop and evaluate new or existing enhanced control technologies and is specifically focused on administrative controls in the form of public policy. Despite increased national efforts, the problem of childhood agricultural fatalities, injuries, and disability persists. Agricultural safety professionals and child safety advocates are beginning to consider public policy approaches. In the United States, one of the policy considerations is removing the family farm exemption from the Hazardous Occupations Order for Agriculture (HOOA). Before investing resources to initiate such a policy change, it would be helpful to assess its potential impact on the prevention of childhood agricultural injuries. The purpose of this proposed study, "Removing the HOOA Family Farm Exemption: Impact on Injury," is to systematically apply the HOOA to case descriptions of fatal and non-fatal injuries experienced by farm children in order to determine if the HOOA (if implemented and enforced) might have prevented the occurrence of these injuries. This proposed study will build upon our previous NIOSH grant in which we assembled a large case series (approximately 1000 cases) of traumatic childhood farm fatalities and injuries using existing surveillance data, coroner/medical examiner records, case investigation reports, and national survey data. The case series will be enhanced by additional injury cases from a national minority farmer's survey. The use of "real life" childhood farm injury cases will provide some evidence of the extent to which removal of the HOOA family m exemption might have reduced the occurrence of these injuries. It will also highlight ages, jobs and situations that would not be covered by removing the exemption.