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Occupational Injury and Illness in Farmworkers in the Eastern United States

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Latino Farmworkers in the Eastern United States

Abstract

Farmworkers experience high rates of occupational injury and illness in an industry with fatality rates seven times higher than the national average. This chapter addresses key occupational health challenges encountered by farmworkers in the eastern United States. Some are common problems likely to be encountered by those working any commodity, while others are unique to the particular mix of crops produced in this region. This chapter reviews common occupational health problems of farmworkers, including heat stress, musculoskeletal injuries, skin disease, hearing loss, eye injury, and transportation-related injuries. Because some knowledge of geographic, commodity-specific, and other patterns of illness and injury occurrence can be of considerable assistance to the clinician, examples of prominent occupational challenges associated with selected commodities are also presented. These include orchard work, tobacco production, dairy farming, and vegetable and berry production. Recommendations for more effective protections for farmworkers and for further research are presented.

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References

  • Abraham NF, Feldman SR, Vallejos QM et al. (2007) Contact dermatitis in tobacco farmworkers. Contact Dermat 57:40–43

    Article  Google Scholar 

  • American College of Occupational and Environmental Medicine Board of Directors (1993) ACOEM Code of Ethical Conduct. http://www.acoem.org/codeofconduct.aspx. Cited 26 May 2008

  • Arcury TA, Quandt SA (2007) Health and social impacts of tobacco production. J Agromed 11:71–81

    Article  Google Scholar 

  • Arcury TA, Quandt SA, Preisser JS et al. (2001) The incidence of green tobacco sickness among Latino farmworkers. J Occup Environ Med 43(7):601–609

    Article  PubMed  CAS  Google Scholar 

  • Arcury TA, Quandt SA, Garcia DI et al. (2002) A clinic based, case–control comparison of green tobacco sickness among minority farmworkers: clues for prevention. South Med J 95(9):1008–1011

    PubMed  Google Scholar 

  • Arcury TA, Quandt SA, Mellen BG (2003a) An exploratory analysis of occupational skin disease among Latino migrant and seasonal farmworkers in North Carolina. J Agric Saf Health 9(3):221–232

    CAS  Google Scholar 

  • Arcury TA, Quandt SA, Preisser JS et al.(2003b) High levels of transdermal nicotine exposure produce green tobacco sickness in Latino farmworkers. Nicotine Tob Res 5(3):315–321

    Article  CAS  Google Scholar 

  • Arcury TA, Vallejos QM, Schulz MR et al. (2008) Green tobacco sickness and skin integrity among migrant Latino farmworkers. Am J Indust Med 51:195–203

    Article  Google Scholar 

  • Azaroff LS, Levenstein C, Wegman DH (2002) Occupational injury and illness surveillance: conceptual filters explain underreporting. Am J Public Health 92:1421–1429

    Article  PubMed  Google Scholar 

  • Baron S, Estill CF, Steege A et al. (eds) (2001) Simple Solutions: ergonomics for Farmworkers. National Institute for Occupational Safety and Health, Washington, DC

    Google Scholar 

  • Borjan M, Constantino P, Robson MG (2008) New Jersey migrant and seasonal farm workers: enumeration and access to healthcare study. New Solut 18(1):77–86

    PubMed  Google Scholar 

  • Bouchama A, Knochel JP (2002) Heat Stroke. N Engl J Med 346(25):1978–1988

    Article  PubMed  CAS  Google Scholar 

  • Boyes WK, Tandon P, Barone S, Jr et al. (1994) Effects of organophosphates on the visual system of rats. J Appl Toxicol 14:135–143

    Article  PubMed  CAS  Google Scholar 

  • Boyle D, Gerberich SG, Gibson RW et al. (1997) Injury from diary cattle activities. Epidemiology 8(1):37–41

    Article  PubMed  CAS  Google Scholar 

  • Bureau of Labor Statistics (2007a) Fatal occupational injuries, employment, and rates of fatal occupational injuries by selected worker characteristics, occupations, and industries, 2006. http://www.bls.gov/iif/oshwc/cfoi/CFOI_Rates_2006.pdf. Cited 30 Mar 2006

  • Bureau of Labor Statistics (2007b) Illness rates by type of illness – detailed industry, 2006. http://www.bls.gov/iif/oshwc/osh/os/ostb1760.txt. Cited 30 Mar 2008

  • Bureau of Labor Statistics (2007c) OSHA work-related injuries and illness involving days away from work, 2006. Table R1: Number of nonfatal occupational injuries and illnesses involving days away from work. http://stats.bls.gov/iif/oshwc/osh/case/ostb1793.txt. Cited 27 Mar 2008

  • Capehart T (2006) US tobacco sector regroups. Amber Waves, United States Department of Agriculture, Economic Research Service. http://www.ers.usda.gov/AmberWaves/February06/Findings/findings_mt1.htm. Cited 13 Mar 2008

  • Chapman LJ, Newenhouse AC, Meyer RH et al. (2004) Evaluation of an intervention to reduce musculoskeletal hazards among fresh market vegetable growers. Appl Ergon 35(1):57–66

    Article  PubMed  Google Scholar 

  • Colt J, Stallones L, Cameron LL et al. (2001) Proportionate mortality among US migrant and seasonal farmworkers in twenty-four states. Am J Indust Med 40:604–611

    Article  CAS  Google Scholar 

  • Dementi B (1994) Ocular effects of organophosphates: a historical perspective of Saku disease. J Appl Toxicol 14:119–129

    Article  PubMed  CAS  Google Scholar 

  • Dennis JW, May JJ (1995) Occupational noise exposure in dairy farming. In: McDuffie HH et al. (eds) Agricultural Health and Safety: Workplace, Environment, Sustainability. Lewis, Boca Raton

    Google Scholar 

  • Earle-Richardson G, May JJ, Ivory JF (1998) Planning study of migrant and seasonal farmworkers in New York State: understanding the occupational safety environment using focus groups. J Agric Saf Health, Special Issue (1):111–119

    Google Scholar 

  • Earle-Richardson G, Jenkins PL, Slingerland DT et al. (2003) Occupational injury and illness among migrant and seasonal farmworkers in New York State and Pennsylvania, 1997–1999: pilot study of a new surveillance method. Am J Indust Med 44:37–45

    Article  Google Scholar 

  • Earle-Richardson G, Fulmer S, Jenkins P et al. (2004) Ergonomic analysis of New York apple harvest work using a Posture-Activities-Tools-Handling (PATH) work sampling approach. J Agric Saf Health 10:163–176

    PubMed  CAS  Google Scholar 

  • Earle-Richardson G, Jenkins PL, Stack S et al. (2005a) Estimating farmworker population size in New York State using a minimum labor demand method. J Agric Saf Health 11(3):335–345

    CAS  Google Scholar 

  • Earle-Richardson G, Jenkins P, Fulmer S et al. (2005b) An ergonomic intervention to reduce back strain among apple harvest workers in New York State. Appl Ergon 36:327–334

    Article  Google Scholar 

  • Earle-Richardson GB, Brower MA, Jones AM et al. (2008) Estimating the occupational morbidity for migrant and seasonal farmworkers in New York State: a comparison of two methods. Ann Epidemiol 18(1):1–7

    Article  PubMed  Google Scholar 

  • Early J, Davis SW, Quandt SA et al. (2006) Housing characteristics of farmworker families in North Carolina. J Immigr Minor Health 8(2):173–184

    Article  PubMed  Google Scholar 

  • Estill CF, Tanaka S (1998) Ergonomic considerations of manually harvesting Maine wild blueberries. J Agric Saf Health 4(1):43–57

    Google Scholar 

  • Faucett J, Meyers J, Miles J et al. (2007) Rest break interventions in stoop labor tasks. Appl Ergon 38(2):219–226

    Article  PubMed  Google Scholar 

  • Flores G (2000) Culture and the patient–physician relationship: achieving cultural competency in health care. J Pediatr 136:14–23

    Article  PubMed  CAS  Google Scholar 

  • Forst L, Lacey S, Chen HY et al. (2004) Effectiveness of community health workers for promoting use of safety eyewear by Latino farm workers. Am J Indust Med 46:607–613

    Article  Google Scholar 

  • Forst L, Noth IM, Lacey S et al. (2006) Barriers and benefits of protective eyewear use by Latino farm workers. J Agromed 11:11–17

    Article  Google Scholar 

  • Gehlbach S, Williams W, Perry L et al. (1975) Nicotine absorption by workers harvesting green tobacco. Lancet 305:478–480

    Article  Google Scholar 

  • Gomez MI, Hwang SA, Sobotova L, (2001) A comparison of self-reported hearing loss and audiometry in a cohort of New York farmers. J Speech Lang Hear Res 44:1201–1208

    Article  PubMed  CAS  Google Scholar 

  • Harris PM (2006) Nonfatal occupational injuries involving the eyes, 2004. http://www.bls.gov/opub/cwc/sh20060823ar01p1.htm. Cited 22 Mar 2008

  • Hawkes L, May J, Earle-Richardson G et al. (2007) Identifying the occupational health needs of migrant workers. J Comm Pract 15(3):57–76

    Article  Google Scholar 

  • Health Resources Services Administration (1990) An Atlas of State Profiles which Estimates the Number of Migrant and Seasonal Workers and Members of Their Families. Health Resources Services Administration, Washington, DC

    Google Scholar 

  • Health Resources Services Administration (2007) Uniform data system. Table 6: Selected diagnoses and services rendered. http://ftp.hrsa.gov/bphc/pdf/uds/2006Migrantuds.pdf. Cited 10 Apr 2008

  • Institute of Medicine (1988) Role of the Primary Care Physician in Occupational and Environmental Medicine (IOM Publication No 88–05). National Academy Press, Washington, DC

    Google Scholar 

  • Institute of Medicine (1993) Environmental Medicine in the Medical School Curriculum. National Academy Press, Washington, DC

    Google Scholar 

  • Janowitz I, Meyers JM, Tejeda DG et al. (1998) Reducing risk factors for the development of work-related musculoskeletal problems in nursery work. Appl Occup Environ Hyg 13(1):9–14

    Google Scholar 

  • Jenkins P, Stack S, Earle-Richardson G, May J (2009) Growth of the Spanish-speaking workforce in the northeast dairy industry. J Agromed 14(1) (accepted)

    Google Scholar 

  • Kirrane EF, Hoppin JA, Kamel F (2005) Retinal degeneration and other eye disorders in wives of farmer pesticide applicators enrolled in the agricultural health study. Am J Epidemiol 161:1020–1029

    Article  PubMed  Google Scholar 

  • Krejci-Manwaring J, Schulz MR, Feldman SR et al. (2006) Skin disease among Latino farm workers in North Carolina. J Agric Saf Health 12(2):155–163

    PubMed  CAS  Google Scholar 

  • Lacey S, Forst L, Petrea R et al. (2007) Eye injury in migrant farmworkers and suggested hazard controls. J Agric Saf Health 13(3):259–274

    PubMed  CAS  Google Scholar 

  • Larsen AC, Plascencia L (1993) Migrant enumeration project. Migrant Legal Services, Office of Migrant Health, Bureau of Primary Health Care, Health Resources and Services Administration, Washington, DC

    Google Scholar 

  • Larson AC (2000) Migrant and seasonal farmworkers enumeration profiles study. Migrant Health Program, Bureau of Primary Health Care, Health Resources and Services Administration. http://www.ncfh.org/00_ns_rc_enumeration.php. Cited 30 Mar 2008

  • Latko WA, Armstrong TJ, Franzblau A et al. (1999) Cross-sectional study of the relationship between repetitive work and the prevalence of upper limb musculoskeletal disorders. Am J Ind Med 36:248–259

    Article  PubMed  CAS  Google Scholar 

  • Liebman A, Harper S (2001) Environmental health perceptions among clinicians and administrators caring for migrants. MCN Streamline 7(2):1–4

    Google Scholar 

  • Luginbuhl RC, Jones VC, Langley RL (2003) Farmers’ perceptions and concerns: the risks of driving farm vehicles on rural roadways in North Carolina. J Agric Saf Health 9(4):327–348

    PubMed  CAS  Google Scholar 

  • Luginbuhl RC, Jackson LL, Castillo DN et al. (2008) Heat-related deaths among crop workers – United States, 1992–2006. MMWR 57(24):649–653

    Google Scholar 

  • Luque JS, Monaghan P, Contreras RB et al. (2007) Implementation evaluation of a culturally competent eye injury prevention program for citrus workers in a Florida migrant community. Prog Community Health Partnerships 1(4):359–369

    Article  Google Scholar 

  • Marvel ME, Pratt DS, Marvel LH et al. (1991) Occupational hearing loss in New York dairy farmers. Am J Indust Med 20(4):517–531

    Article  CAS  Google Scholar 

  • May J, Hawkes L, Jones A et al. (2008) Evaluation of a community-based effort to reduce blueberry harvesting injury. Am J Indust Med 51(4):307–315

    Article  Google Scholar 

  • Millard PS, Shannon SC, Carvette B et al. (1996) Maine students’ musculoskeletal injuries attributed to harvesting blueberries. Am J Public Health 86(12):1821–1822

    Article  PubMed  CAS  Google Scholar 

  • MMWR (2004) Work-related roadway crashes – United States, 1992–2002. Morbidity and Mortality Weekly Report 53(12):260–264

    Google Scholar 

  • Mobed K, Gold EB, Schenker MB (1992) Occupational health problems among migrant and seasonal farm workers. West J Med 157(3):367–373

    PubMed  CAS  Google Scholar 

  • Morse T, Dillon C, Kenta-Bibi E et al. (2005) Trends in work-related musculoskeletal disorder reports by year, type and industrial sector: a capture–recapture analysis. Am J Ind Med 48(1):40–49

    Article  PubMed  Google Scholar 

  • Murphy D-J, Yoder AM (1998) Census of fatal occupational injury in the agriculture, forestry and fishing industry. J Agric Saf Health 1:55–66

    Google Scholar 

  • National Environmental Education and Training Foundation (2003) National pesticide practice skills guidelines for medical and nursing practice. National Environmental Education and Training Foundation, Washington, DC

    Google Scholar 

  • National Institute for Occupational Safety and Health (2003) Work-related roadway crashes – Challenges and opportunities for prevention, NIOSH Publication No. 2003–119. National Institute for Occupational Safety and Health, Cincinnati, OH

    Google Scholar 

  • National Institute for Occupational Safety and Health (2004) Worker Health Chartbook. National Institute for Occupational Safety and Health, Cincinnati, OH. NIOSH Publication No. 2004–146

    Google Scholar 

  • Pratt DS, Marvel LH, Darrow D et al. (1992) The dangers of dairy farming: the injury experience of 600 workers followed for two years. Am J Indust Med 21:637–650

    Article  CAS  Google Scholar 

  • Quandt SA, Arcury TA, Preisser JS et al. (2001a) Environmental and behavioral predictors of salivary cotinine in Latino tobacco workers. J Occup Environ Med 43(10):844–852

    Article  CAS  Google Scholar 

  • Quandt SA, Elmore RC, Arcury TA et al. (2001b) Eye symptoms and use of eye protection among seasonal and migrant farmworkers. South Med J 94:603–607

    CAS  Google Scholar 

  • Quandt SA, Feldman SR, Vallejos QM et al. (2008) Vision problems, eye care history, and ocular protective behaviors of migrant farmworkers. Arch Environ Occup Health 63:13–16

    Article  PubMed  Google Scholar 

  • Rabinowitz PM, Sircar KD, Tarabar S et al. (2005) Hearing loss in migrant agricultural workers. J Agromed 10(4):9–17

    Article  Google Scholar 

  • Reigart JR, Roberts JR (1999) Recognition and Management of Pesticide Poisonings, 5th edn. EPA No. 735-R-98–003. US Environmental Protection Agency, Washington, DC. http://www.epa.gov/oppfead1/safety/healthcare/handbook/handbook.htm. Cited 17 Jul 2008

  • Salazar MK, Keifer M, Negrete M et al. (2005) Occupational risk among orchard workers: a descriptive study. Fam Community Health 28(3):239–252

    PubMed  Google Scholar 

  • Scharf T, Kidd P, Cole H et al. (1998) Intervention tools for farmers – safe and productive work practices in a safer work environment. J Agric Saf Health, Special Issue (1):193–203

    Google Scholar 

  • Schuman SH, Dobson RL (1985) An outbreak of contact dermatitis in farm workers. J Am Acad Dermatol 13:220–223

    Article  PubMed  CAS  Google Scholar 

  • Seraj MA, Channa AB, al Harthi SS et al. (1991) Are heat stroke patients fluid depleted? Importance of monitoring central venous pressure as a simple guideline for fluid therapy. Resuscitation 21(1):33–39

    Article  PubMed  CAS  Google Scholar 

  • Smith FPE (1940) Eye injuries in agriculture. Trans Opthalmol Soc UK 60:252–257

    Google Scholar 

  • Sorensen JA, May J, Purschwitz M et al. (2008) Encouraging farmers to retrofit tractors: a qualitative analysis of risk perceptions among a group of high-risk farmers in New York. J Agric Saf Health 14(1):105–117

    PubMed  CAS  Google Scholar 

  • Spangler JG, Arcury TA, Quandt SA et al. (2003) Tobacco use among Mexican farmworkers working in tobacco: implications for agromedicine. J Agromed 9(1):83–91

    Article  Google Scholar 

  • Stack SG, Jenkins PL, Earle-Richardson G et al. (2006) Spanish-speaking dairy workers in New York, Pennsylvania and Vermont: results from a survey of farm owners. J Agromed 11(2):37–44

    Article  Google Scholar 

  • Steinhorst B, Dolezal JM, Jenkins N et al. (2006) Trauma in Hispanic farm workers in eastern North Carolina: 10-year experience at a level I trauma center. J Agromed 11:5–14

    Article  Google Scholar 

  • Stiles M, Grieshop J (1999) Impacts of culture on driver knowledge and safety device usage among Hispanic farm workers. Accid Anal Prev 31:235–241

    Article  PubMed  CAS  Google Scholar 

  • Stock SR (1991) Workplace ergonomic factors and the development of musculoskeletal disorders of the neck and upper limbs: a meta-analysis. Am J Indust Med 19(1):87–107

    Article  CAS  Google Scholar 

  • Tanaka S, Estill CF, Shannon SC (1994) Blueberry rakers’ tendinitis. N Engl J Med 331(8):552

    Article  PubMed  CAS  Google Scholar 

  • Taylor SL, Coates ML, Vallejos Q et al. (2006) Pterygium among Latino migrant farmworkers in North Carolina. Arch Environ Occup Health 61(1):27–32

    Article  PubMed  Google Scholar 

  • Tedders SH, Schafer E, Eveland AP et al. (1998) Some physician perceptions of migrant and seasonal farm worker health in 45 rural Georgia counties. J Agromed 5(3):61–77

    Article  Google Scholar 

  • Trape-Cardoso M, Bracker A, Dauser D et al. (2005) Cotinine levels and green tobacco sickness among shade tobacco workers. J Agromed 10(2):27–37

    Article  Google Scholar 

  • United States Department of Agriculture (2007) Quick Stats. http://www.nass.usda.gov/Data_and_Statistics/Quick_Stats. Cited 17 Jun 2008

  • Vallejos QM, Schulz MR, Quandt SA et al. (2008) Self report of skin problems among farmworkers in North Carolina. Am J Indust Med 51:204–212

    Article  Google Scholar 

  • Weinstein ND (1988) The precaution adoption process. Health Psychol 7(4):355–386

    Article  PubMed  CAS  Google Scholar 

  • Wilk VA (1988) The occupational health of migrant seasonal farmworkers in the U.S.: progress report. Farmworker Justice Fund, Washington, DC

    Google Scholar 

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May, J.J. (2009). Occupational Injury and Illness in Farmworkers in the Eastern United States. In: Quandt, ., Arcury, T. (eds) Latino Farmworkers in the Eastern United States. Springer, New York, NY. https://doi.org/10.1007/978-0-387-88347-2_4

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