Farming deaths – an ongoing problem

Medicolegal Implications of Deaths due to Agricultural Accidents

ABSTRACT

Agriculture encompasses a variety of activities that carry with them a variety of different risks. The unsafe use of vehicles, machinery, and tools as well as animal husbandry, working at heights, and exposure to chemical, biological, and weather events may result in the deaths of agricultural workers. Inexperienced operators and/or their inappropriate conduct may lead to avoidable fatalities. Forensic pathologists operating with the support of agricultural engineers or other professionals must evaluate the death scene, the case background and circumstances, the autopsy findings, and the toxicological data to establish the factors and dynamics responsible for such accidents and deaths.The aim of this review is to focus on the diagnostic approach required, by means of an interdisciplinary approach, to identify the cause of some typical agricultural fatalities, to confirm that death was accidental, and to help exclude the possibility of homicide or suicide.

Homicidal burial - Forensic issues

A young woman was buried in a sitting position in sandy soil in a shallow grave. PMCT showed filling of the upper airways with radio-opaque material consistent with soil, with autopsy dissection confirming the presence of soil in the mouth, pharynx, upper oesophagus, larynx, trachea and main bronchi. Death was due to upper airway occlusion by soil. Live burial as a type of homicide is extremely rare. Issues that need to be clarified include whether the victim was alive at the time of burial, the level of consciousness/awareness of the process, whether restraints or drugs were used and the speed with which death occurred. Possible mechanisms of death include smothering, choking and positional/compression asphyxia.

Beyond Age and Cause: A Multidimensional Characterization of Fatal Farm Injuries in Ireland

The study seeks to enhance understanding of the complex nature of fatal farm injuries and thereby support the development of targeted safety messages or interventions. The research analyses fatal farm injuries surveillance data collected by the Health and Safety Authority (Ireland) for the period 2004-2018. Utilizing Non-Linear Canonical Correlation Analysis (NLCCA) to identify similarities and differences between 274 fatal injuries, multiple interactions and correlations between two sets of variables were identified. The analysis identified two major patterns of injury. The first relates to older farmers (60+) who were killed due to being struck by an object in motion, i.e. a tractor or machine. These injuries occurred mainly during the summer or winter between 13:00 and 18:00 in the Southern-Eastern regions. The second pattern also relates to older farmers, however these fatalities are associated with beef production and the primary cause of injury was being kicked or crushed by livestock. These injuries commonly occur in the Border, Midland, and Western regions where fatalities are prevalent during spring and outside of normal working hours. Assessing interactions between variables demonstrates to whom, how, when, and where fatal injuries affect different groups within the farm population. These findings provide regulators and farm safety stakeholders with key insights into background characteristics of fatal injuries including type of enterprise, time of day, season, and regional location that should be used to develop safety awareness, training, and targeted interventions to at-risk populations.

Trends in Work-Related Fatal Farm Injuries, Saskatchewan, Canada: 2005-2019

OBJECTIVES

This study was conducted to estimate farm fatality rates and to describe patterns of fatal agricultural injuries on Saskatchewan farms from 2005-2019.

METHODS

Data on work-related farm fatalities was collected from January 2005 to December 2019 in the Province of Saskatchewan as a part of the injury and mortality surveillance for the Canadian Agricultural Injury Reporting (CAIR) program. Data were abstracted from records made available by the Provincial Coroner's Office.

RESULTS

There were 166 farm work-related fatalities recorded between 2005 and 2019 in Saskatchewan. The majority (93.4%) of work-related fatalities were in males. The overall work-related fatality rate was 10.5 (95% CI: 8.9-12.1) per 100,000 farm population. The overall age-adjusted work-related fatality rate was 18.1 (95% CI: 15.2-20.9) per 100,000 farm population among males and 1.4 (95% CI: 0.6- 2.3) per 100,000 farm population among females. Age-adjusted rate decreased from 91.2 (95% CI: 69.4 - 117.66) per 100,000 farm population in 2005-2009 to 89.7 (95% CI: 64.9 - 120.2) per 100,000 farm population in 2015-2019 in males. Trend analysis of the work-related fatality rate in all cases showed a non-significant average annual decline of 2.6% (p=0.156). Rollover injuries contributed to a high proportion of fatalities in children (30.0%) and the elderly population (14.9%). The most common causative agent was a tractor, and the most common location of injury was the farmyard or field.

CONCLUSION

The burden of mortality in this industry is still substantial. There was a non-significant decreasing trend in the injury rate over the 15 years period. Elderly farmers continue to be at high risk for fatality while the rates for children have declined. Application of the hierarchy of control to this workplace could reduce the risk of fatal injury, and in particular the high proportion of rollover injuries in children and the elderly population.

Medicolegal Implications of Fatalities Because of Entanglement in the Augers of Feed Mixer Wagons

ABSTRACT

Feed mixer or total mixed ration mixer wagons are powerful agricultural machines used to shred and mix silage with other ingredients and deliver it direct to the feeding troughs on livestock farms. Fatalities involving these feed mixers may occur when operators become trapped in the augers or, less frequently, are crushed by moving wagons. Death can occur very rapidly because of dismemberment, multiple lesions, or crushing. The aim of this review is to focus on the diagnostic evaluations that need to be performed to confirm that the death was accidental and to exclude a hypothesis of murder or suicide. Forensic investigations in such cases must involve the detailed analysis of the death scene and the mechanical characteristics of the machinery with an accurate postmortem and toxicological examination.

Prevalence and potential consequences of child labour in India and the possible impact of COVID-19 - a contemporary overview

Child labour is a global phenomenon occurring predominantly in countries with lower socioeconomic status and resources. Societal and familial poverty, loss or incapacitation/illness of parents, lack of social security and protection, and ignorance about the value of, or limited access to, education are among the myriad reasons for the involvement of children in the workforce. Child labour is a barrier to the development of individual children and their society and economy. Global estimates indicate that 152 million children (64 million girls and 88 million boys) are working, accounting for almost one in 10 of all children worldwide. Currently the COVID-19 health pandemic and the resulting economic and labour market consequences are having a major impact on people's lives and livelihoods. Unfortunately, impoverished families and their children are often the first to suffer, which may push many more vulnerable children into child labour situations. Child labour in India is more prevalent than in many other countries, with approximately 10 million children actively engaged in, or seeking, work. This paper focuses on the issue of child labour, its causes and its ill effects. Further, it also reviews the international legal framework relating to child labour and legislative issues in India. There is clearly an urgent need for this issue to be effectively addressed and resolved.

Application of Bleeding Control Training in Occupational Settings

Background: Uncontrolled blood loss is a primary source of preventable death after injury. Workplace injuries and fatalities are common, with most occurring in the agricultural/fishing/forestry/hunting or transportation/warehousing industries. Stop the Bleed (STB) training provides instruction on application of bleeding control methods to injured persons and is available to the general public. Method: We provided an overview of high-risk injury industries that could benefit from STB training. We also provided a review of the application of STB training and bleeding control methods in occupational settings with an emphasis on the role of the occupational health nurse. Findings: Suggested guidelines for occupational health nurses and employees in occupational settings who may respond to injured colleagues are provided. Implications for occupational health nurses are reviewed, including implementing STB training in the workplace and obtaining/storing bleeding control supplies. Resources for STB training, purchasing and storing bleeding control supplies, and general emergency response information are provided. Conclusions/application to practice: Occupational health nurses play a crucial role in emergency response in the workplace and have the ability to drive the implementation of STB training in their institution. Occupational health nurses often work in isolation or in small teams and serve as a primary resource for treatment of injured employees. Implementation of STB training for all employees is highly recommended given the limited availability of occupational health nurses in large or rural settings. Such training may reduce the morbidity and mortality associated with workplace injuries.

Farm injury resulting in hospital admission: a review of farm work and non-farm work-related injury

ABSTRACT INTRODUCTIONOccupational health on farms is important because farms are not only workplaces where agriculture workers are vulnerable to high injury and fatality rates, they are also homes where families and visitors undertake a variety of activities that can result in injury. AIMTo profile and describe injuries requiring hospital admission that occurred on farms, both for injuries related to farming activities and injuries unrelated to farm work in the Midland region of New Zealand. METHODSA review of anonymised prospectively collected Midland trauma registry data from 1 July 2012 to 30 June 2018 was undertaken. Cases include unintentional injuries occurring on a farm. Non-major injuries are included to better quantify the trauma burden. RESULTSIn total, 2303 hospital admissions met the study criteria. Non-major injury accounted for 93.1% of events and 45.0% of injuries occurred during farming activities. Five people died in hospital; all injured while undertaking farm work. Males made up 84.8% of farm work and 70.9% of non-farm work injuries. Horse riding had the highest number of injuries, with off-road motorcycles, livestock, falls and quad bike injuries comprising the most common injury activities and mechanisms. Farming-related major injuries commonly involved quad bikes, non-traffic vehicles and motorcycles. Farmers in the Districts of Waitomo, Rotorua, Waipa and Taupō had the highest standardised hospitalisation rates. DISCUSSIONThe nature of farms and farming exposes people to different risks from the risks people in urban areas are exposed to. Injury prevention efforts should remain on work-related farming injuries, but also encompass the high number of injuries that are not related to farm work but happening on farms.