Hawkes Allison P, Roy Joyce, Stacey-Scott Norma, Joy Joanne E A, Bogdan Greg
Maine Agricultural Safety and Health Program (MASHP), Department of Human Services, Bureau of Health, Division of Disease Control, 157 Capitol Street, SHS 11, Augusta, ME 04333, USA.
J Agromedicine. 2004;9(2):241-7.
The Maine Agricultural Safety and Health Program performed a needs assessment to determine the health and safety concerns of Maine's fishing community. Information for the assessment was obtained from clinicians, focus groups of wives of fishers, and government agencies. Reports from the United States Coast Guard showed that during 1993-1994, sixty-five people were injured on commercial fishing vessels and eight people died. Decompression illness was the most frequently reported non-fatal injury (n = 15). Chronic injuries reported by clinicians included back pain, tendinitis, carpal tunnel syndrome, dysbaric osteonecrosis. Clinicians and family members were also concerned about hand and arm infections from the bait and sun exposure. Family health issues and access to care are addressed in the report. Recommendations include, in part, increasing surveillance, reducing barriers to access, increasing clinicians' knowledge about the fishing industry, and fostering collaboration between agencies providing health and safety information to fishers.
缅因州农业安全与健康项目开展了一项需求评估，以确定缅因州渔业社区的健康与安全问题。评估信息来自临床医生、渔民妻子焦点小组以及政府机构。美国海岸警卫队的报告显示，在1993年至1994年期间，有65人在商业渔船上受伤，8人死亡。减压病是报告最多的非致命伤（n = 15）。临床医生报告的慢性损伤包括背痛、肌腱炎、腕管综合征、减压性骨坏死。临床医生和家庭成员还担心因接触鱼饵和日晒导致的手部和手臂感染。报告中讨论了家庭健康问题和医疗服务可及性。建议部分包括加强监测、减少获取医疗服务的障碍、增加临床医生对渔业的了解，以及促进向渔民提供健康与安全信息的各机构之间的合作。
