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原文传递 Great Plains Center for Agricultural Health.

题名：	Great Plains Center for Agricultural Health.
作者：	Anthony, T. R.; Gerr, F. E.; Ramirez, M.; Fethke, N.; Rohlman, D.; Peek-Asa, C.; Parker, E.
关键词：	Agricultural Centers, Occupational health programs, Public health, Building Capacity educational programs, Agricultural safety, Occupational safety programs, Safety education, Injury prevention, Farm workers, Farmers, Risk assessment, Traumatic injuries, Vehicle safety, Musculoskeletal system disorders (MSD), Intervention effectiveness, Animal husbandry, Livestock industry, Air quality control, Aerosols, Particulate dust, Translational research, Information dissemination, Preventive medicine
摘要：	The Great Plains Center for Agricultural Health (GPCAH) is a nationally recognized public health resource that develops and implements programs of research, intervention, translation, education, and outreach with the long-term goal of preventing occupational injury and illness among agricultural workers and their families. The Center serves a nine-state region: Illinois, Iowa, Kansas, Minnesota, Missouri, Nebraska, North Dakota, South Dakota, and Wisconsin. In the 2011-2016 project period, the Center enhanced the skills of safety and health advocates by providing 40-hour education to 470 trainees, improving the knowledge and skills of healthcare providers, veterinarians, medical students, and health and safety professionals as well as farmers throughout the region and country (Building Capacity). Research findings and best-practices were developed and disseminated, with input and guidance from regional advisors, using multiple outlets (Research to Practice) including web delivery, newsletters, educational posters, and monthly Safety Watch articles written for agricultural newspapers. Twenty-three investigators and community advocate organizations received pilot grant training funds, which increased the expertise and skills of both grant recipients and the agricultural workers with whom they engaged. Research projects identified important risk factors of hazards associated with traumatic injuries and chronic health effects important to the region. The frequency of farm crashes on GPCAH roadways can be reduced by improving lighting and marking and improving education, including emphasizing high-risk factors including proximity to town centers, roadway traffic volume, high speed limits, and straight road segments, all which increase the risk of farm vehicle crashes. Musculoskeletal symptoms of the low back are highly associated with whole body vibration, which is substantially lower in combines but significant in all other on-farm vehicles; outreach materials to explain this risk factor to farmers and advocates have been developed. An intervention project identified two methods to improve the air quality in swine production buildings: replace traditional heaters to reduce up to 1000 ppm carbon dioxide in farrowing rooms and deploy a recirculating ventilation system with air filtration to significantly reduce indoor dust concentrations in winter. Our surveillance team identified that standard news clipping services yields underestimates of on-farm fatalities. However, when on-farm status is included as a data field, state-wide trauma registries provide robust data to assess risk factors associated with severe injuries. The Iowa State Trauma Registry identified that only 51.7% of traumatic injuries on the farm were a result of farm work, indicating the need for a total health approach to protect rural populations from on-farm injuries. In addition, the time to receive care from an on-farm injury was substantially greater than that for other rural injuries, indicating a need for improved emergency action planning for farmers. New knowledge from all Center projects and pilot-grant projects have been incorporated into Building Capacity educational programs and Research to Practice translational materials to disseminate findings and best-practice recommendations for prevention. Relationships with new regional partners have been formed to maximize the impact of both new knowledge and the prevention of persistent hazards on the reduction of injury and illness among the region's farming population.
报告类型：	科技报告