Review of Research on High-Priority Populations at Risk - Agriculture Forestry and Fishing Research at NIOSH - page 72

a comprehensive surveillance system for occupational fatalities, the Alaska Occu-
pational Injury Surveillance System (AOISS), were established. High-risk groups
and types of gear were identified as deserving of attention for interventions. An
interagency effort was created that included the participation of many organizations.
Many intervention programs have been implemented since then, and assistance has
been offered on prevention of vessel-related fatalities, nonfatal work-related inju-
ries, and fatalities due to loss of vessels. The program provides a model for build-
ing collaborative working relationships with other agencies to provide surveillance
data from which to design intervention programs. However, the work focused on
traumatic injuries and neglected other health hazards associated with fishing.
OUTPUTS
Child Labor
Numerous peer-reviewed publications were part of the Childhood Agricul-
tural Injury Survey (CAIS), as were presentations in scientific conferences and
professional meetings and NIOSH internal documents that were published and
disseminated through a variety of media outlets. The overall citation index of the
peer-reviewed papers is high. Although a vast number of publications are avail-
able through the NIOSH Web site, documents are not cataloged, and searches are
cumbersome and time consuming.
In 2004, the AFF Program provided testimony on child labor regulations to the
Employment Standards Administration (ESA). The DOL used NIOSH recommen-
dations regarding the HOs covering youths of all ages and farms of all types. The
AFF Program HO report was presented to the International Labour Organization
(ILO). No evidence was provided on the impact of the presentations. NCCRAHS
documents were used to design safe areas for children on farms. Although the
idea for safe play areas was well received, the impact of the program is unknown
because there is no information available on how many safe areas for children
have been built on the farms as a result of the study. Three prominent outcomes
are highlighted in the NIOSH evidence package (NIOSH, 2006a). One is a paper
showing that motor vehicles and intentional causes of death are major issues for
youths living on farms (Goldencamp et al., 2004). Another is a conference report
that influenced the AFF Program in 2002, in reference to childhood agricultural
injury prevention and modifications that were made in NORA priorities (Lee et al.,
2002). The third is a 1996 report on children in agriculture (National Committee
for Childhood Agricultural Injury Prevention, 1996). It is not clear why those items
were highlighted, inasmuch as no policy change or intervention program develop-
ment is cited or connected to them. No comparative study is offered to show that
motor vehicle issues, for example, are different for youths not living on farms.