Occupational injuries among North Carolina migrant farmworkers.

Ciesielski, S; Hall, Sabine; Sweeney, Matthew

doi:10.2105/ajph.81.7.926

Cited by 35 publications

(15 citation statements)

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“…It seems plausible that underreporting of deaths in the rural areas may also be high and therefore a high occupational injury rate may be present in the farming areas. As agriculture is a hazardous occupation with limited worker access to health services and compensation, a need exists for further descriptive research in this area [Myers, 1990;Ciesielski et al, 1991;Chisholm et al, 19921. Internationally, fishing is regarded as a dangerous occupation [Hopper and Dean, 19921. In the case of Cape Town, examination of inquest data for a 5-year period indicated that most fatalities occurred whilst vessels were in the harbor and were due to falls overboard, associated with high blood alchol levels [Lerer LB-unpublished data].…”

Section: Discussionmentioning

confidence: 99%

Application of two secondary documentary sources to identify the underreporting of fatal occupational injuries in cape town, south africa

Lerer

Myers

1994

American J Industrial Med

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We reviewed 8,502 deaths registered at the Salt River state mortuary, Cape Town (medical examiner records) for an 18-month period (1/1/90-6/30/91). When fatal occupational injuries located from this data source were matched with the records of the occupational safety inspectorate of the Department of Manpower, it was found that 28% had not been reported in terms of statutory regulations. Unreported deaths accounted for 25% of all fatal occupational injuries in the construction industry. None of the fatal occupational injuries in agriculture and fishing had been reported. Falls constituted 45% of the unreported fatalities. High levels of unreported fatal occupational injury indicate deficiencies in current occupational safety surveillance and enforcement in South Africa.

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Section: Discussionmentioning

confidence: 99%

Application of two secondary documentary sources to identify the underreporting of fatal occupational injuries in cape town, south africa

Lerer

Myers

1994

American J Industrial Med

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“…Lack of health insurance protection discourages many workers from utilizing the U.S. health care system. A study of occupational injuries among randomly selected hired farm workers in North Carolina found that among the more seriously hurt, many did not receive prompt care or never received care (14).…”

Section: Access To Health Care Servicesmentioning

confidence: 99%

The Health of U.S. Hired Farm Workers

Villarejo¹

2003

Annu. Rev. Public Health

272

271

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Key Words farm worker, migrant labor, occupational health and safety, Hispanic health, minority health s Abstract Despite a recent surge in knowledge about U.S. hired farm workers, little is known about the health of this population. No national data are available on the size of the population, mortality or morbidity data, or on chronic health indicators. Demographic data show that these workers are mostly Mexican immigrant or migrant males, and nearly two thirds live in poverty. At least half of all current hired farm workers are undocumented. Fewer than one in five have health insurance, either through their employer or through government programs. However, programs targeting women farm workers, such as WIC or, in California, emergency MediCal, are more effective in helping them obtain needed services. The federal Migrant Health Program serves about 13% of the total of workers plus dependent family members. This paper reviews what is known in the following topical areas: (a) mortality and morbidity; (b) access to health care services; (c) control of infectious diseases; (d ) maternal and child care; (e) occupational health; ( f ) violence; and (g) chronic health indicators. It is suggested that future research incorporate a minimal physical examination of all patients or subjects in order to establish baseline information for the population. Such information will be helpful in targeting interventions and measuring their effectiveness.

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“…Limited data also suggest that within agriculture, migrant, and seasonal farmworkers may be at particularly high risk for certain types of nonfatal injuries [Ciesielski et al, 1991;Isaacs and Bean, 1995;Villarejo and Baron, 1999].…”

Section: Introductionmentioning

confidence: 99%