Removing the HOOA Family Farm Exemption: Impact on Inju*

描述：（由申请人提供）：该提案解决了 RF A 中列出的首要任务：开发和评估新的或现有的增强控制技术，并特别关注公共政策形式的行政控制。 尽管各国加大力度，儿童农业死亡、受伤和残疾问题仍然存在。农业安全专业人员和儿童安全倡导者开始考虑公共政策方法。在美国，政策考虑因素之一是取消农业危险职业令 (HOOA) 中家庭农场的豁免。在投入资源启动此类政策变革之前，评估其对预防儿童农业伤害的潜在影响将有所帮助。 这项拟议研究“取消 HOOA 家庭农场豁免：对伤害的影响”的目的是系统地将 HOOA 应用于农场儿童经历的致命和非致命伤害的案例描述，以确定 HOOA（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 资助的基础上，其中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，收集了一系列关于创伤性儿童农场伤亡的大型案例系列（约 1000 例）。全国少数民族农民调查中的更多伤害案例将丰富该案例系列。使用“现实生活”儿童农场伤害案例将提供一些证据，证明取消 HOOA 家庭豁免可能在多大程度上减少这些伤害的发生。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.