Global Patterns of Agricultural Machine and Equipment Injuries- A Systematic Literature Review.

OBJECTIVES: Agriculture is the one of the hazardous industries in the world. Though there is significant investment in agricultural safety, machine injuries continue to be the leading cause of agriculture injuries worldwide. The objective of this study was to provide a comprehensive literature review on global patterns in agricultural machine injuries and establish a framework for future research aimed at addressing safety concerns in the agriculture sector. METHODS: The existing scholarship on farm machine injuries can be categorized into three main areas: a) farming machine/equipment injuries, b) factors associated with these injuries, and c) injury patterns. RESULTS: Overall, the findings highlight that farm tractors are the primary source of injuries for both fatal and non-fatal incidents regardless of region. Other common sources of injuries were harvesting machinery and hand/power tools in Asia, ATVs in North America and woodworking machinery in Europe. Inadequate training in operating farm equipment was reported as the most likely factor contributing to machine-related injuries. Lastly, the patterns of injuries vary based on the interaction between humans and machinery. For instance, rollovers often result in severe head and fracture injuries, while thresher incidents can lead to amputation of hands, arms, and other body parts. CONCLUSION: Addressing these injuries by implementing safety protocols will not only enhance the well-being of farm workers but potentially attract more workers to the sector, which is currently experiencing labor shortages due to machine-related injuries.

Agricultural Injury Surveillance in the United States and Canada: A Systematic Literature Review.

INTRODUCTION: Agricultural injuries remain a major concern in North America, with a fatal injury rate of 19.5 deaths per 100,000 workers in the United States. Numerous research efforts have sought to compile and analyze records of agricultural-related injuries and fatalities at a national level, utilizing resources, ranging from newspaper clippings and hospital records to Emergency Medical System (EMS) data, death certifications, surveys, and other multiple sources. Despite these extensive efforts, a comprehensive understanding of injury trends over extended time periods and across diverse types of data sources remains elusive, primarily due to the duration of data collection and the focus on specific subsets. METHODS: This systematic review, following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, consolidates and analyzes agricultural injury surveillance data from 48 eligible papers published between 1985 and 2022 to offer a holistic understanding of trends and challenges. RESULTS: These papers, reporting an average of 25,000 injuries each, were analyzed by database source type, injury severity, nature of injury, body part, source of injury, event/exposure, and age. One key finding is that the top source of injury or event/exposure depends on the chosen surveillance system and injury severity, underscoring the need of diverse data sources for a nuanced understanding of agricultural injuries. CONCLUSION: This study provides policymakers, researchers, and practitioners with crucial insights to bolster the development and analysis of surveillance systems in agricultural safety. The overarching aim is to address the pressing issue of agricultural injuries, contributing to a safer work environment and ultimately enhancing the overall well-being of individuals engaged in agriculture.

REDECA: A Novel Framework to Review Artificial Intelligence and Its Applications in Occupational Safety and Health.

INTRODUCTION: The field of artificial intelligence (AI) is rapidly expanding, with many applications seen routinely in health care, industry, and education, and increasingly in workplaces. Although there is growing evidence of applications of AI in workplaces across all industries to simplify and/or automate tasks there is a limited understanding of the role that AI contributes in addressing occupational safety and health (OSH) concerns. METHODS: This paper introduces a new framework called Risk Evolution, Detection, Evaluation, and Control of Accidents (REDECA) that highlights the role that AI plays in the anticipation and control of exposure risks in a worker's immediate environment. Two hundred and sixty AI papers across five sectors (oil and gas, mining, transportation, construction, and agriculture) were reviewed using the REDECA framework to highlight current applications and gaps in OSH and AI fields. RESULTS: The REDECA framework highlighted the unique attributes and research focus of each of the five industrial sectors. The majority of evidence of AI in OSH research within the oil/gas and transportation sectors focused on the development of sensors to detect hazardous situations. In construction the focus was on the use of sensors to detect incidents. The research in the agriculture sector focused on sensors and actuators that removed workers from hazardous conditions. Application of the REDECA framework highlighted AI/OSH strengths and opportunities in various industries and potential areas for collaboration. CONCLUSIONS: As AI applications across industries continue to increase, further exploration of the benefits and challenges of AI applications in OSH is needed to optimally protect worker health, safety and well-being.

Outcomes of patients with end stage kidney disease on dialysis with COVID-19 in Abu Dhabi, United Arab Emirates; from PCR to antibody.

BACKGROUND: Individuals with end-stage kidney disease (ESKD) on dialysis are vulnerable to contracting COVID-19 infection, with mortality as high as 31 % in this group. Population demographics in the UAE are dissimilar to many other countries and data on antibody responses to COVID-19 is also limited. The objective of this study was to describe the characteristics of patients who developed COVID-19, the impact of the screening strategy, and to assess the antibody response to a subset of dialysis patients. METHODS: We retrospectively examined the outcomes of COVID19 infection in all our haemodialysis patients, who were tested regularly for COVID 19, whether symptomatic or asymptomatic. In addition, IgG antibody serology was also performed to assess response to COVID-19 in a subset of patients. RESULTS: 152 (13 %) of 1180 dialysis patients developed COVID-19 during the study period from 1st of March to the 1st of July 2020. Of these 81 % were male, average age of 52​ years and 95 % were on in-centre haemodialysis. Family and community contact was most likely source of infection in most patients. Fever (49 %) and cough (48 %) were the most common presenting symptoms, when present. Comorbidities in infected individuals included hypertension (93 %), diabetes (49 %), ischaemic heart disease (30 %). The majority (68 %) developed mild disease, whilst 13 % required critical care. Combinations of drugs including hydroxychloroquine, favipiravir, lopinavir, ritonavir, camostat, tocilizumab and steroids were used based on local guidelines. The median time to viral clearance defined by two negative PCR tests was 15 days [IQR 6-25]. Overall mortality in our cohort was 9.2 %, but ICU mortality was 65 %. COVID-19 IgG antibody serology was performed in a subset (n = 87) but 26 % of PCR positive patients (n = 23) did not develop a significant antibody response. CONCLUSIONS: Our study reports a lower mortality in this patient group compared with many published series. Asymptomatic PCR positivity was present in 40 %. Rapid isolation of positive patients may have contributed to the relative lack of spread of COVID-19 within our dialysis units. The lack of antibody response in a few patients is concerning.

Estimating Passive Stress Acting on a Grain Entrapment Victim's Chest.

Grain entrapments remain a major concern in the grain industry, with 1,100 incidents documented since the 1970s. One particular concern is the ability of a victim to breathe while entrapped in grain. Anecdotal reports suggest that victims struggle to breathe when entrapped in grain to a depth that covers their chests, yet some evidence indicates that victims should be able to breathe normally as long as their airways are not blocked regardless of depth. The hypothesis for this discrepancy is that previously published experiments measured an active stress state in the grain, while a person breathing also experiences a passive stress state during inhalation. The passive stress is significantly larger than the active stress. The objective of this study was to measure the passive stress when pushing against grain, such as during inhalation, and compare it to active stress state measurements. An MTS Criterion testing machine, which is a force deformation testing device, was used to push a block horizontally against a column of grain and record the force and displacement during the movement. The measured passive stress was calculated from the force and displacement values and ranged from 9.4 to 11.0 kPa at a depth of 20 to 30 cm. These values are three to four times larger than previously published measurements of stresses at similar depths. This result indicates that the discrepancy between experimental results and anecdotal reports is most likely due to the type of stress state experienced in grain entrapment. Findings imply that the pressures on the victim's chest during entrapment are sufficient to cause breathing difficulties or crush/positional asphyxiation in some cases. A full-scale study is recommended.

Utilization and Effectiveness of Harnesses and Lifelines in Grain Entrapment Incidents: Preliminary Analysis.

No previous studies have been found that document the level of use or validate the effectiveness of safety harnesses and lifelines in the prevention of or extrication from grain entrapments or engulfments. This article addresses that void via analysis of the data contained in the Purdue Agricultural Confined Space Incident Database. A total of 1,147 cases involving entrapments or engulfments in grain masses were mined for terms that might indicate the use of a safety harness, lifeline, fall restraint system, rope, or outside observer. Case information ranged from brief news accounts to comprehensive investigation results. The review turned up 38 incidents (< 5%) in which these safety devices were identified as having been used by either workers or rescuers during access to a storage structure. In 26 of the 38 cases (68%) where safety devices were identified, the entrapment or engulfment resulted in a fatality. The two most common reasons cited for failure of these devices were (1) that the lifeline or rope was too long (17 incidents) and (2) that the worker had removed the harness with the attached lifeline while in the structure (6 incidents). It was also determined that these devices, if used improperly, can lead to secondary injuries of the victim. The preliminary evidence suggests that use of these devices alone does not ensure the user's safety and may even provide a false sense of security if used without proper training. It was further found that an approved body harness and safety line provided little or no protection from either entrapment or falls if used in the presence of vertically crusted grain surfaces, without proper anchors, or not in conjunction with outside observers. The presented results are important for safety professionals to consider as they endeavor to reduce the risk of grain entrapment and engulfment incidents through training, education, selection of personal protective equipment, etc., and should contribute to the development of new structural standards for grain bins. It is the intent of this article to elucidate the importance of training and proper use of these safety devices.

Summary of U.S. Injuries and Fatalities Involving Entrapment and Suffocation in Grain Transport Vehicles.

Since 1978, the Purdue University Agricultural Safety and Health Program has managed a surveillance effort and database to collect information on documented injuries and fatalities in all forms of U.S. agricultural confined spaces. The database currently contains 1,968 cases documented in the U.S. between 1964 and 2016. Of these cases, 174 (8.8%) involved entrapment or suffocation in grain transport vehicles (GTVs), including gravity-flow wagons, semi-truck trailers, and other agricultural transport vehicles that have limited access and are not considered normal work spaces or are classified as confined spaces. These GTV cases represent the overwhelming majority of documented cases involving all forms of agricultural transport vehicles, including forage and manure transport vehicles. Of the incidents documented, 64.3% resulted in fatalities and 71.8% involved children and youth age 20 years and under, when the age was determined. For the GTV cases, the typical victim was male (88.5%), and the average age of the victim was 19.9 (median 12), with over 63.5% of the cases involving children under the age of 15. In numerous incidents, more than one victim became entrapped, including one incident involving five victims. The number of documented cases decreased sharply from a peak of approximately 7 cases per year in the early 1990s to an average of 3.1 cases per year over the past two decades, with no cases documented in 1998 and 2013. However, there is a linear increase in the frequency of incidents since the first case was documented in 1964. This trend is partially due to peaks in 2011 and 2014, when 10 and 9 cases, respectively, were documented, along with more vigilant surveillance methods due to online search capabilities. The general decline, more recently, in the annual number of cases is attributed to increased awareness of the hazards to youth during transport in GTVs, increased use of warnings on GTVs, and the increased size of GTVs, which makes human access more difficult and less practical. Efforts over the past decade to bring attention to the risk of entrapment in GTVs should be recognized as a success of the educational and technological strategies initiated due to earlier high-profile incidents. However, with 6, 10, 9, and 4 cases documented in 2010, 2011, 2014, and 2016, respectively, continued efforts to address the problem are justified. Recommendations for future actions include development of a safety standard for GTVs that includes placement of safety messages on all new GTVs, use of windows above outlets, retrofitting older GTVs with appropriate warnings, and continuing to address the hazard with safety resources targeting all workers exposed to grain handling and transport.

Contributing Causes of Injury or Death in Grain Entrapment, Engulfment, and Extrication.

OBJECTIVES: Grain entrapments and engulfments are one of most common hazards associated with grain storage facilities, with over 1,140 such entrapments/engulfments documented since the 1970s. The objective of the study was to determine the factors that contribute to injury or death in grain entrapment, engulfment, and extrication cases. METHODS: A literature review, including data contained in the Purdue Agricultural Confined Spaces Incident Database (PACSID), was conducted to determine the conditions that the body experiences during an entrapment or engulfment in grains and during extrication efforts. RESULTS: Based on the review, the conditions a human body faces during an entrapment, engulfment, or extraction can be split into two broad categories-environmental and physiological/psychological. The environmental factors depend on the grain's properties, depth of entrapment or engulfment, position of the victim's body, and characteristics of the storage unit, which include the grain's lateral pressure, vertical pressure, and weight, as well as friction, oxygen availability and diffusion rate, and grain temperature. The physiological and psychological factors are related to the individual's age and physical and psychological conditions, and manifest themselves in terms of oxygen consumption, asphyxiation (including aspiration, lack of oxygen, compression or splinting of the thorax), blood flow, and heart rate. CONCLUSION: Of all the above factors, a review of fatality data contained in the PACSID indicate that aspiration, asphyxiation, grain weight, and lateral pressure are most likely the primary cause of death for most entrapment victims. Research gaps found by this study include an understanding of the impact of lateral pressure on lung expansion and oxygen availability and consumption rate, and the need for more case studies to accurately determine cause of death.

Degradation of atrazine and isoproturon in surface and sub-surface soil materials undergoing different moisture and aeration conditions.

The influence of different moisture and aeration conditions on the degradation of atrazine and isoproturon was investigated in environmental samples aseptically collected from surface and sub-surface zones of agricultural land. The materials were maintained at two moisture contents corresponding to just above field capacity or 90% of field capacity. Another two groups of samples were adjusted with water to above field capacity, and, at zero time, exposed to drying-rewetting cycles. Atrazine was more persistent (t(1/2) = 22-35 days) than isoproturon (t(1/2) = 5-17 days) in samples maintained at constant moisture conditions. The rate of degradation for both herbicides was higher in samples maintained at a moisture content of 90% of field capacity than in samples with higher moisture contents. The reduction in moisture content in samples undergoing desiccation from above field capacity to much lower than field capacity enhanced the degradation of isoproturon (t(1/2) = 9-12 days) but reduced the rate of atrazine degradation (t(1/2) = 23-35 days). This demonstrates the variability between different micro-organisms in their susceptibility to desiccation. Under anaerobic conditions generated in anaerobic jars, atrazine degraded much more rapidly than isoproturon in materials taken from three soil profiles (0-250 cm depth). It is suggested that some specific micro-organisms are able to survive and degrade herbicide under severe conditions of desiccation.

Spatial variability in herbicide degradation in the subsurface environment of a groundwater protection zone.

The aim of this study was to investigate the spatial variability in degradation and mineralization of atrazine and isoproturon in subsurface samples taken from sandy loam soils overlying gravel terraces which form part of a groundwater protection zone. Percussion drilling was used to obtain samples from 11 boreholes (maximum depth 3 m). Unlabelled atrazine or isoproturon, and ring-14C-labelled atrazine or isoproturon were added to samples, incubated at 25 degrees C for up to 16 weeks, and analyzed for the residual herbicide or [14C]carbon dioxide. All samples showed the potential to degrade these herbicides, although the percentage degradation decreased by a factor of 2-3 from the surface soil to a depth of 3 m. This was associated with a decrease in organic matter content, but there was no change in the potential to mineralize acetate, indicating that specific changes in the catabolic ability of the microbial population occurred with depth. The capacity of samples to mineralize atrazine and isoproturon to carbon dioxide decreased markedly with depth, with no mineralization potential observed at a depth of 80 cm.