Health in Agriculture:

1. Cultivating an Understanding of the Unique Challenges and Strengths within Farming and Ranching Health in Agriculture: Chelsea Hampton, MSW

2. Learning Objectives: I. Participants will gain a basic understanding of/and be able to identify some of the major health issues and conditions agricultural workers face. II. Participants will gain a basic understanding of/and be able to identify risk factors associated with health issues and conditions agricultural workers face. III. Participants will be able to identify preventative approaches and resources for promoting agricultural health and independence. • America’s Farmers. Webisode 14 – “A Year Round Job.” Why is this topic important?

3. Arthritis - Arthritis affects approximately one-third of adults in farming and ranching.1 • Brain and Spinal Cord Injuries – An estimated 1.7 million cases of traumatic brain injury (TBI) occur annually, and the rates are higher for males in every age group.2 • Hand and Eye Injuries - Approximately 2,000 cases of job-related eye injury requiring medical care occur each day in the U.S.3 1Agriculture and Arthritis. http://www.arthritis-ag.org/arthritis-and-you/agriculture-and-arthritis.aspx 2 Centers for Disease Control and Prevention: Injury Prevention & Control: Traumatic Brain Injury. http://www.cdc.gov/TraumaticBrainInjury/statistics.html 3 Centers for Disease Control and Prevention: Workplace Safety & Health Topics: Eye Safety. http://www.cdc.gov/niosh/topics/eye/ Common Injuries and Physical Health Conditions among Agricultural Workers

4. Hearing Loss- In the U.S., an estimated 17% of adults have some level of hearing loss, which increases to 1 in 3 people after the age of 65.4 Agriculture is one of several industries heavily impacted by noise-induced hearing loss.5 • Cardiovascular Disease – Heart disease is the leading cause of death for both men and women. • Skin Cancer – Agricultural workers are in a high-risk category, as skin cancer rates are higher in farmers than in the general population.6 4 Hearing Loss Association of America – Basic Facts about Hearing Loss. http://www.hearingloss.org/content/basic-facts-about-hearing-loss 5Centers for Disease Control and Prevention: NIOSH Publications and Products: Work Related Hearing Loss. http://www.cdc.gov/niosh/docs/2001-103/ 6 The Forum.(1997). http://ncsu.edu/ffci/publications/1997/v2-n3-1997-summer/skin-cancer.php. NC State University. Common Injuries and Physical Health Conditions (Continued…)

5. Nature of work in agricultural settings and physical stress • Lack of protective equipment and/or safety awareness • Lifestyle factors • Age • Pre-existing health conditions Risk factors

6. Pesticides and Other Chemicals • Operating Machinery • Heavy Lifting • Working with Livestock • Noise Exposure • Exposure to the Elements (more on this in the next section) • Tractor and Vehicle Accidents • Rough/Unstable Terrain Common health & safety hazards in farming and ranching

7. The big picture of Hazard, risk, injury & illness in agriculture Data from the National Safety Council® Injury Facts® 2008 and 2011 Editions

8. The big picture… (Continued) Cases by Gender Data from the National Safety Council® Injury Facts® 2011 Edition

9. The big picture… (Continued) Data from the National Safety Council® Injury Facts® 2011 Edition

10. The big picture… (Continued) • 1, 550 vehicle-related • cases • 1,090 cases due to • machinery • 300 cases due to chemicals • and chemical products • Of the data provided, • vehicle-related incidents • accounted for the most • fatalities with 323 Data from the National Safety Council® Injury Facts® 2011 Edition

11. Cold Weather Injury, Illness, and Prevention - Frostbite - Hypothermia - Trench Foot - Slips and Falls Weather-related injuries and prevention

12. Heat-related Injury, Illness, and Prevention - Heat Stroke - Heat Exhaustion - Heat Cramps Weather-related injuries and prevention

13. http://www.youtube.com/watch?v=f8ZhaIbEZN8&feature=relmfu America’s Farmers Webisode 11: “Challenges.” “Put you in a mood you can’t describe…” “That’s when you gotta pick yourself up…you’re pretty depressed and in the dumps when that happens.” “Your whole livelihood is out there.” Behavioral Health in Agriculture

14. Depression • Stress – Multiple Related Factors • Suicide Risk • PTSD in Returning Veteran-Farmers Behavioral Health in agriculture: Common Health Issues

15. Isolation in Rural Areas • Reluctance to Seek Help • Compounding Factors, Stressors and Underlying Conditions Behavioral Health in agriculture: Risk factors

16. Increase awareness of health issues and hazards • Promote the use of protective equipment and utilizing proper safety measures • Increase access to health information and resources • Promote self-care, healthy life-style choices and preventative healthcare • Prevent secondary injuries A preventative approach: Reinforcing the framework for agricultural health

17. What is AgrAbility? http://www.youtube.com/watch?v=sI3vChVHdoc&feature=player_embedded AgrAbility: It’s About Hope. [Short Version]. Purdue University Extension. Farming and ranching with a disability…

18. Role of Wyoming AgrAbility • Assistive Technology • Partners in Wyoming Farming and ranching with a disability (Continued…)

19. Assistive Technology in Agriculture

20. Assistive Technology (Continued…)

21. http://www.youtube.com/watch?v=KRvUYVei4G8&NR=1&feature=endscreenhttp://www.youtube.com/watch?v=KRvUYVei4G8&NR=1&feature=endscreen What AgrAbility Means to Me – Don Trammel. National AgrAbility. Farming and ranching with a disability (Continued…)

22. What does PPE stand for? • What would some examples of PPE include? • What does ROPS stand for? • What are some of the resources in Wyoming for agricultural workers with disabilities? • Name three common health conditions/injuries… • Why are agricultural workers at risk? Agricultural Health & Safety Trivia…

23. http://www.youtube.com/watch?v=48H7zOQrX3U “I’m Farming and I Grow It.” The Peterson Farm Bros. As a Final Note…

24. -Australian Centre for Agricultural Health and Safety http://www.aghealth.org.au/index.php?id=5061 -Rural Assistance Center http://www.raconline.org/topics/agri_health/ - Australian Centre for Agricultural Health and Safety. (2009). Farm Health & Safety Tool Kit. - World Health Organization. Occupational health services in agriculture and rural areas: an urgent need for the healthy village campaign. http://www.who.int/occupational_health/publications/newsletter/newsletter_15_regions/en/index6.html - Centers for Disease Control and Prevention. Workplace Safety & Health Topics: Agriculture http://www.cdc.gov/niosh/topics/agriculture/ -Virginia Cooperative Extension. http://pubs.ext.vt.edu/442/442-085/442-085.html -CDC. Worker Safety on the Farm. http://www.cdc.gov/niosh/docs/2010-137/ -Map http://apps.nccd.cdc.gov/NCVDSS_DTM/ -The Skin Cancer Foundation - http://www.skincancer.org/ -Farm Stress One http://www.ces.ncsu.edu/disaster/drought/old/dro-31.html -Centers for Disease Control and Prevention. Workplace Safety & Health Topics: Heat Stress. http://www.cdc.gov/niosh/topics/heatstress/ -ERS/USDA http://www.ers.usda.gov/Briefing/WellBeing/demographics.htm -OSHA Fact Sheet: Farm Safety. (2005). http://www.osha.gov/OshDoc/data_General_Facts/FarmFactS2.pdf -Fetsch, R.J. (June, 2011). Farming, ranching: Health hazard or opportunity? Fact Sheet No. 10.201. Consumer Series: Family. Colorado State University Extension. -National Safety Council. (2011). Injury Facts®, 2011 Edition. Itasca, IL: Author. -National Safety Council. (2008). Injury Facts®, 2008 Edition. Itasca, IL: Author. -Preventing Cold-Related Illness in Agricultural Workers. Wyoming AgrAbility. References:

25. THANK YOU! Wyoming AgrAbility 1000 E. University Ave. Dept 3354Laramie, WY 82071Toll free: (866) 395-4986 Phone: (307) 766-3052 http://www.uwyo.edu/agrability/default.html Chelsea Hampton, MSW Randy Weigel, Ph.D. Former Project Coordinator Project Director (307)766-3052 (307) 766-4186 agrability@uwyo.edu