Agriculture and Injuries: A System for Injury Surveillance in Swedish Emergency Care as a Basis of Injury Control

  • Jansson, Bjarne R.;
  • Svanstrom, Leif


There are several problems associated with registries; the expense of operating, organizing and staffing a registry and the quality of data. Injury control in agriculture is limited by a lack of comprehensive data on all categories of injuries.

The objectives of this study were to evaluate registry completeness, measurement errors, trend analysis and calculation of risk, to describe the yield of farm injury surveillance and to test the applicability of a model for safety education and training. The study comprised all patients treated by the outpatient medical services for injuries on 2,454 Swedish farms during a one-year period.

The registration system permitted the analysis of system coverage and could be used as a basis for periodic surveys and trend analysis, but further development is needed concerning the organization and staffing problems. Because of the major taxonomic deficiencies of the E-code, a specific questionnaire was developed for collection of data on the circumstances during the accident. Limitations applied to calculation of accident frequency rates per million hours of work. The study showed that farm-work-related accidents in the study area were greatly under-represented in official occupational injury statistics. The importance of registry inclusion criteria when one is comparing different injury surveillance systems was noted.

Collection and analysis of data showed that the methods used could yield information on medical consequences, sequence of events and contributing and background factors. The evaluation of the safety education and training programme demonstrated that the most important factors were the location of the courses, the recruitment procedure and realistic exercises with demonstration of major risks and safe methods of working.

The results may serve as a basis for increased information on the nature and scope of farm injuries. They also provide a basis for planning measures aimed at changing farmers' safety attitudes, e.g. increasing the use of personal protective equipment. A third potential use is selection of priority groups for safety education, training and supervision. It is recommended that an active safety programme should comprise five headings; mass-communication, education, job safety analysis, training and supervision. The health services can provide a basis for health planning for farm injury control.


SOURCE: Studies on epidemiology of injuries in agriculture. Sundyberg, Sweden: Karolinska Institute; 1988. n.p. ISBN: 91-7044-108- 1.


This document was extracted from the CDC-NIOSH Epidemiology of Farm Related Injuries: Bibliography With Abstracts, U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control, National Institute for Occupational Safety and Health.

We are unable to supply copies of the full report cited in this entry. Readers are advised to use the following sources:

  • Author or publisher: articles are frequently available from the author or publisher.
  • Medical or other research libraries: these facilities often have the material on hand or know where it can be obtained. If available, each journal entry includes the appropriate National Library of Medicine unique identification number to aid in interlibrary loan requests.
  • Government: some U.S. Government-sponsored research reports, including ones out-of print, are available from the National Technical Information Service, U.S. Department of Commerce.

Disclaimer and Reproduction Information: Information in NASD does not represent NIOSH policy. Information included in NASD appears by permission of the author and/or copyright holder. More