Objectives To assess the demographic and causal factors, plus trends in rates of fatal farm incidents involving children (<15 years) in Australia over the 2001‐2019 period. Design A descriptive retrospective epidemiological study of the National Coronial Information System. Setting Australia. Participants Cases involving children (<15 years), where incidents have occurred on a farm (1 January 2001‐31 December 2019). Results There has been essentially no change in the fatality rate for farm‐related child injury deaths across Australia in the 2001‐2019 period (−0.009/year). Men and children aged 0‐4 years were significantly more likely to be involved in these incidents. Most cases were recreational in nature (81%), with seven agents (water bodies, quads [all‐terrain vehicles], tractors, utes, cars, motorbikes and horses), accounting for 75% of cases. Water bodies were responsible for over 31% of deaths. Conclusion The lack of progress addressing child farm injury mortality requires urgent attention. The overall rates and pattern of injury‐related deaths have stagnated, necessitating new and innovative approaches to address the issue. The emerging National Injury Prevention Plan might provide scope to improve the focus on and implementation of evidence‐based approaches.

Objectives To assess and compare rates of severe on‐farm injury for older (> 50 years) and younger (15‐49 years) cohorts, on NSW farms. Design Descriptive retrospective epidemiological study of the New South Wales Trauma Registry (Institute of Trauma and Injury Management ‐ ITIM) for persons injured on a farm. Setting New South Wales, Australia. Participants Cases involving persons (≥15 years), with data on the NSW Trauma Registry (2012‐16). Main outcome measures Comparison of injury rates and severity between younger (15‐49 years) and older (50+ years) cohorts over the 2012‐16 period based on Injury Severity Scores (ISS). Results Older males are injured at a rate that is roughly 18% higher than younger males and 13% higher than the overall injury rate. Older individuals also have significantly longer hospital stays post‐injury (P = 0.01), with this being most pronounced for older men (P < 0.01). There was no statistically significant difference in ISS demonstrated between the age cohorts (P = 0.64), except for younger women having higher median ISS than their older female counterparts (P = 0.02). Conclusion Overall, the general trends displayed support the contention that older males are more likely to incur a severe on‐farm injury than their younger counterparts. This provides support for a preventative focus targeting older farmers in NSW.

Objective: To describe the agents, pattern and trends of unintentional farm fatalities in Australia (2001Australia ( -2020.

No abstract

Internationally, there is a growing body of evidence relating to deaths and serious injury associated with the use of quads. [1][2][3] In Australia and New Zealand, these vehicles are widely used within the agriculture sector and for recreational purposes. Quads are fourwheeled vehicles (sometimes colloquially referred to as quad bikes or ATVs -All Terrain Vehicles), with a straddle seat and handlebars.As early as the 1980s, significant safety concerns for all-terrain vehicles (inclusive of three and four wheeled vehicles), were raised by the United States Consumer Product Safety Commission (CPSC). 4 Most recently, the CPSC identified that there were between 500-600 deaths annually on quads in the 2015-17 period, with more than 100,000 Emergency Department presentations each year. 3 Furthermore, the CPSC has maintained an ongoing register of deaths since 1982, which contains over 17,000 fatal cases, with over 20% being children. 3,5