Review of Health Effects Research - Agriculture Forestry and Fishing Research at NIOSH - page 82

Inputs Activities Outputs Intermediate Outcomes End Outcomes

Planning inputs:
1.

1 . Publications in scientific journals from NIOSH-
funded work in the following areas with
reference to AFF
v Respiratory
v Cancer
v Neurological
o Vibration-induced injury
o Parkinson's disease
v Reproductive
v Chronic musculoskeletal conditions
v Hearing
v Dermatological
v Traumatic injuries
v Poisonings
o Pesticide
o Carbon monoxide
o Tilmicosin
v Infectious diseases
v Gene-environmental interaction studies
v Psychological effects
o Depression and suicide
v Workplace violence
v Sleep deprivation
2. NIOSH publications
v NIOSH Alerts
v NIOSH monographs
v NIOSH FACE reports
v Web-based information and newsletters
3. MMWR reports
4. NAGCAT
5. Symposia and workshops
v Surge on General Conference on Agricultural
Safety and Health (1991)
v National and international fishing industry
safety and health workshops (1992, 1997, 2000,
2003, 2006)
v Summit on Childhood Agricultural Injury
Prevention (2001)
v Helicopter Logging Safety Workshop (2005)

1. Training and education outputs
v ERCs
o Educational curriculum
v Extramural Ag Center initiatives
o Symposia and other professional
career development opportunities
o Agroterrorism
v OHNAC outreach (currently active only
in Ohio)
2. Interventions
v Certified Safe Farms
v Public policy for ROPS implementation
v Farmer cancer control initiatives (6
projects)
v Ergonomic innovations for safer harvest
v Injury prevention through safe play areas
v Confined space entry interventions
v Development of respiratory PPE
v Development of methods for dust
reduction in CAFOs
v Work organization interventions
3. Unique staff and laboratory capability
v Ag Center labs
o Biomechanics lab
o Basic science labs
v Epidemiology projects
4. Partnerships with stakeholders
v National Institute for Farm Safety
v Farm Safety 4 Just Kids
v Farm health safety projects funded by
W.K. Kellogg Foundation (such as the
Agricultural Safety and Health Network
(Petrea, 2003), which is no longer
active)
v Workers' compensation insurance
company partnerships
v American Thoracic Society
(Environmental and Occupational
Health)

1. Decrease in helicopter logging fatalities.
2. Decrease in fishing vessel sinkings.
3. In general, morbidity and mortality due
to agricultural, forestry, and fishing
exposures have been extremely difficult
to quantify. Death from cancer and
trauma have been easier to quantify than
other outcomes. It has not always been
possible to make clear- cut associations
between AFF exposures and cancer
death in specific cases. Thus, it has not
been possible to describe specific end
outcomes associated with many health
effects research projects.
4. Morbidity and mortality statistics from
respiratory diseases have recently been
described in documents published by
NIOSH (2002, 2007). These documents
do not contain information from all
states, including a group of states that
produce the majority of agricultural
products. The published results indicate
that rates of respiratory illness and
injury in agricultural workers have not
changed greatly between 1995-2001.
However, these documents may not
offer a complete picture.
5. See sublogic model in Chapter 7 for
specific injury prevention end outcomes.
6. Relatively little is known about illnesses
associated with work in forestry and
fishing.

1. National Traumatic Occupational Fatalities
(NTOF)
2. Industry specific programs:
v Agriculture
oCommunity partners for healthy farming
intervention research
o Childhood Agricultural Injury Prevention
Initiative
oErgonomic interventions for youth
working in agriculture
oFarm Family Health and Hazard
Surveillance
o OHNAC
oHHEs
oFACE reports
o SENSOR-Pesticides
oAg Safety Promotion System
oAg Centers
o Agricultural Health Study (in
collaboration with NCI)
oRegional Rural Injury Study II
o Laboratory-based intramural initiatives on
biomonitoring and exposure assessment
v Forestry
o Alaska interagency working group
o State-based FACE investigation reports
o Evaluation of mechanical harvesting
techniques
v Fishing
oAlaska Trauma Registry and Alaska
Occupational Injury Surveillance System
o Interagency working group (including
USCG, AMSEA, and NPFVOA)

Surveillance data

2. Stakeholder needs

3. Other partners interested in safety and

health

4. Symposia and conferences

5. Program evaluations

6. Program goals

Production inputs:
1. Budget
2. Staff
3. Facilities
4. Management structure
5. Extramural entities
6. Partners

v Time needed to build relationships with partners and constituents v Current political climate v Farms becoming larger with less reliance on child labor

v Lack of resources and interest in funding surveillance v Seasonality of industries, weather, climate change v Funding periods limit ability to evaluate long-term effects of intervention

v Negative effect of economic downturn v Uncertainty regarding immigration issues v Poor national/political understanding of scope and cost of occupational

disease and public health

External Factors

FIGURE 6-1 Health effects research logic submodel.
AMSEA = Alaska Marine Safety Education Association, CAFO = concentrated animal feeding operation, CES = Cooperative Extension Service,
ERC = Education and Research Centers, FACE = Fatality Assessment and Control Evaluation , FOPS = falling object protective structure, HHE =
Health Hazard Evaluation, MMWR = Morbidity and Mortality Weekly Report, NCI = National Cancer Institute, NPFVOA = North Paciic Fishing
Vessel Owner's Association, NTOF = National Traumatic Occupational Fatality, OHNAC = Occupational Health Nurses in Agricultural Com-
munities, PPE = personal protective equipment, ROPS = rollover protective structure, SENSOR = Sentinel Event Notiication of Occupational
Risk , USCG = U.S. Coast Guard.