Melvin L. Myers

Frequency and Severity of Injuries to Operators During Overturns of Farm Tractors

Previous estimates of operator death from farm tractor overturn events range from 0.03 to 0.68. This study provided population-based estimates of the denominator of total farm tractor overturns and the frequency of six classes of overturn injury outcomes for tractors with and without rollover protective structures (ROPS). A 40-item telephone survey collected information from a random sample of 6,063 (8.0%) Kentucky farms about each farms most recent overturn. A total of 551 (9.1%) farms reported overturns, and 5,512 (90.1%) reported no overturns. Injury outcomes for 443 overturns of non-ROPS tractors and 89 ROPS tractors were distributed as follows: no or minor injury (non-ROPS: 70.43%; ROPS: 82.02%), outpatient treatment (non-ROPS: 21.90%; ROPS: 9.00%), hospital admission (non-ROPS: 15.35%; ROPS: 3.37%), temporary disability (non-ROPS: 13.54%; ROPS: 14.61%), permanent disability (non-ROPS: 3.16%; ROPS: 0.00%), and death (non-ROPS: 5.42%; ROPS: 1.12%). (Percents total to more than 100 because some operators treated as outpatients were subsequently hospitalized, disabled, or died.) The observed 0.054 probability of death from overturn of non-ROPS tractors in this sample was corrected for the proportion of farms that went out of business prior to the survey and thus were excluded from the sampling frame. The adjusted 0.08 probability of death from overturn of a non-ROPS tractor is five times smaller than the NIOSH estimate of 0.40. The discrepancy lies in the much larger denominator of all non-fatal and fatal overturns than assumed previously.

Cost effectiveness of wearing head protection on all-terrain vehicles

ABSTRACT The use of all-terrain vehicles (ATVs) has increased in the United States and elsewhere over the last three decades, along with an increased frequency of incidents resulting in serious injuries, among which have been head injuries. ATVs are designed for motorized off-highway work and recreation, can weigh up to 600 lbs (272 kg), and may reach speeds as high as 75 mph (120 km/h). ATV crashes, including collisions and overturns, were responsible for 8104 fatalities from 1982 to 2006. One third of those killed were youth under 16 years of age. Helmets may reduce risk of death by 42% and nonfatal injury by 64%. In this study, a decision analysis was applied to determine the potential reduction in the rate of fatal and nonfatal head injuries associated with crashes, based upon the universal wearing of head protection while riding on ATVs. In addition, based upon this reduction in injury rate, a cost-effectiveness analysis was conducted to determine the savings per injury averted among ATV riders with head protection. The authors found that 238 head injuries, including 2 fatalities per 100,000 ATV drivers with an average of 145 hours of annual operation, could be averted by the universal wearing of head protection while riding on ATVs. Taking into account the social direct and indirect costs of fatal and nonfatal head injuries at a 5% discount rate, US

Review of occupational hazards associated with aquaculture.

364,306 could be saved per injury averted over a 50-year period if there were universal wearing of head protection by ATV drivers. If the exposure is adjusted to 2000 hours per year for an equivalent work year, 3276 head injuries could be averted including 23 fatalities per 100,000 at a social cost savings of US

Injury severity related to overturn characteristics of tractors

509,172.

Tractor Risk Abatement and Control as a Coherent Strategy

ABSTRACT Aquaculture is an emerging sector that is associated with most of the same hazards that are present in agriculture generally, but many fish farming tasks entail added danger, including working around water and working at night. Comprehensive studies of these hazards have not been conducted, and substantial uncertainty exists as to the extent of these hazards. The question addressed in this investigation was, “What is known about potential hazardous occupational exposures to aquatic plant and animal farmers?” In this review, causes of death included drowning, electrocution, crushing-related injury, hydrogen sulfide poisoning, and fatal head injury. Nonfatal injuries were associated with slips, trips, and falls; machines; strains and sprains; chemicals; and fires. Risk factors included cranes (tip over and power line contact), tractors and sprayer-equipped all-terrain vehicles (overturn), heavy loads (lifting), high-pressure sprayers, slippery surfaces, rotting waste (hydrogen sulfide production), eroding levees (overturn hazard), storm-related rushing water, diving conditions (bends and drowning), nighttime conditions, working alone, lack of training, lack of or failure to use personal flotation devices, and all-terrain vehicle speeding. Other hazards included punctures or cuts from fish teeth or spines, needlesticks, exposure to low temperatures, and bacterial and parasitic infections .

Prevention effectiveness of rollover protective structures--Part I: Strategy evolution.

INTRODUCTION Early studies of injuries associated with overturns indicate that more fatalities occurred when a tractor overturned beyond 90 degrees (continuous roll) relative to the impact plane. Recently, the principle of preventing continuous rolls has re-emerged for the protection of riding lawnmower operators. METHOD Related to tractors, a population-based study was conducted that compared the severity of fatal and nonfatal injuries between a 90 degrees and continuous roll for tractors equipped with rollover protective structures (ROPS) and not equipped with a ROPS (non- ROPS). In 2002, the Kentucky Farm Tractor Overturn Survey was administered to an 8% random sample (6,063) of Kentucky farm operators. The farmers responded to questions that differentiated between the types of overturns and operator injury outcomes for ROPS-equipped and non-ROPS tractors during overturn events. Overturn characteristics were collected that included 90 degrees to the side, beyond 90 degrees to the side, and to the rear for both ROPS-equipped and non-ROPS tractors. RESULTS Of the 541 overturns reported in this study, 535 (99%) of the respondents reported the most recent overturn characteristics of the tractor: 92 (17%) were ROPS-equipped and 443 (83%) were non-ROPS. For side overturns, 67% of the rolls occurred with ROPS-equipped tractors, and 54% occurred with non-ROPS tractors. The percentages of deaths related to rolls to the side for ROPS-equipped and non-ROPS tractors were, respectively, 1.6% and 3.7%. There was one (2%) deaths related to 90 degrees rolls for ROPS-equipped tractors, whereas for continuous rolls there were 6.4% fatalities related to side overturns, 13% resulted in non-fatal injuries with an average of 1 day of hospitalization for ROPS-equipped tractors, and 39% resulted in non-fatal injuries with an average of 18 days of hospitalization for non-ROPS tractors. The results from this study indicated that a ROPS was more effective at stopping an overturn at 90 degrees than no ROPS, with an associated reduction in the severity of injury in the event of a tractor overturn.

Projected Incidence and Cost of Tractor Overturn-Related Injuries in the United States

The agricultural tractor was the principal source of fatal injury on American farms for the latter part of the 20th century, and they maintain that distinction today. Much has been learned about the toll of these fatalities and how to prevent them over the last ten years, yet public policy has generally been unsuccessful in reducing this toll. A policy conference entitled Tractor Risk Abatement and Control convened in 1997 to develop recommendations to reduce this death toll. Several stakeholders at the conference agreed on 25 action items, which if implemented would reduce the number of tractor-related deaths by more than 2,000 by the year 2015. These recommendations relate to tractor overturns, runovers, and traffic collisions as well as youth operators. This article addresses the completeness of a strategy for preventing tractor-related injuries for each of these four areas based upon an evaluation model derived from the Theory of Planned Behavior and an antecedent model. The ultimate result of this model is to influence an individuals intention to act to prevent injury. The set of recommendations was found to provide a coherent strategy. In addition, implementing the strategy at an organizational level is discussed.

Seatbelt use during tractor overturns.

This is the first of three articles that evaluate the health and economic consequences of the use of rollover protective structures (ROPS) on agricultural tractors. The effectiveness of ROPS delivered through alternative intervention strategies is the subject of the three-part study. This part of the study reviews and assesses the evolution of interventions that are known to prevent injuries incurred as a result of tractor overturns. The method used is historical analysis framed against a prevention effectiveness model used by the U.S. Centers for Disease Control and Prevention. Two intervention strategies were found to be potentially effective in preventing injuries from tractor overturns. These strategies are either to install a ROPS on tractors that lack a ROPS or to replace the tractor with one that has a ROPS already mounted. Other prevention factors include the effectiveness and use of seatbelts and the integrity of the ROPS system during an overturn.

Cost-Effectiveness of a ROPS Retrofit Education Campaign

In 2004, the Agricultural Safety and Health Centers, supported by the National Institute for Occupational Safety and Health, launched an initiative to conduct research on the consequences of and approaches to control of agricultural tractor-related injuries. The most significant cause of fatal injuries is associated with tractor overturns, and a recognized intervention to control these injuries is equipping the tractor with a rollover protective structure (ROPS). The purpose of this study was to determine the incidence of tractor-related fatal and nonfatal injuries and their social costs. Based upon the annual average incidence of 125 tractor-overturn-related fatalities in the U.S. for the period 1992 to 2002, an analysis was conducted of injuries over the 25-year period 1997 to 2021. Using the number of fatalities as an index value, the analysis found that in 1997, there were a total of 2,412 tractor overturns. These overturns were associated with 125 deaths and 573 nonfatal injuries requiring at least outpatient treatment. Compared to ROPS-equipped tractors, 123 (98.6%) deaths and 543 (95%) of nonfatal injuries were associated with non-ROPS tractor overturns. The undiscounted social cost of these injuries totaled

Simple Solutions for Reduced Fish Farm Hazards

1.5 billion in 2006 dollars for the 25-year period when using cost factors for the agricultural population. When discounted at 3%, this total was