Farm Injury Surveillance in Two California Counties - General Findings
1998
Because of the known high risk for occupational injuries among agricultural
workers, and the unique composition of the California agricultural industry, a twocounty
surveillance system was developed for the detection of farm-related
occupational injuries. The goals of this project include the active surveillance of farmrelated
work injuries using multiple ascertainment sources, selective field investigations
of identified cases and associated health education and outreach. From October 1991
through September 1996, a network of medical care providers and local agencies in
Monterey and Fresno Counties provided case reports for the farm injury surveillance
system. During the five-year operation of the surveillance system, 5,164 cases were
identified. Of these injury cases, 85% were male and 85% were of Hispanic origin.
There were approximately twice as many cases in Fresno as in Monterey County which
is consistent with the different populations of each region. There were 134 (3%) fatal
injuries and 319 (6%) hospitalizations. The two leading causes of the fatalities were
motor-vehicle accidents involving tractors and agricultural machine/tractor episodes.
Overexertion (14%) and falls (11%) were the most prevalent type of injury event.
Despite the preliminary nature of this analysis, the current surveillance project has
provided important information about the nature of farmworker injuries in these two
counties which can be used in injury intervention activities.
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