Center for Global Health, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA.
J Agromedicine. 2011 Jul-Sep;16(3):226-32. doi: 10.1080/1059924X.2011.581561.
Childhood agricultural injuries have been a concern in the United States for many years. Much research has been performed on the cause and prevention of such injuries. The North American Guidelines for Children's Agricultural Tasks (NAGCAT) have been developed in the United States to address the common agricultural tasks and injuries sustained by children. Data are lacking concerning the common agricultural tasks and injuries of children working on Mexican farms. The goal of the study was to determine if the NAGCAT guidelines developed for the United States may be applicable to children in Jalisco, Mexico. Interviews of local physicians were performed regarding their perception of common childhood agricultural injuries. Interviews about common childhood agricultural tasks and injuries were performed at 27 farms through the help of a local cooperative. Work practices at these farms were also observed. Emergency department records were reviewed for childhood agricultural injuries. Surveys of local cattle farms revealed the most common childhood agricultural tasks were feeding animals, milking cows, and cleaning corrals. Through the same cattle farm interviews, the most common childhood agricultural injuries included being kicked by an animal, scorpion bites, cuts, and falls. Physician interviews revealed machinery, poisonings, cuts, and lacerations as the most common injuries. Due to the lack of adequate documentation, the emergency department medical record review was not useful. The NAGCAT guidelines address many of the common tasks and injuries in the Tepatitlán area, including animal care, operating machinery, and cleaning corrals. There are other common injuries in the Tepatitlán area such as scorpion bites for which no NAGCAT guidelines currently exist but for which guidelines could be developed. Once translated to Spanish and adjusted for cultural relevancy, the NAGCAT guidelines would address many of the common agricultural tasks and injuries of children in Jalisco, Mexico.
儿童农业伤害在美国已经存在多年。针对此类伤害的原因和预防措施,人们已经开展了大量研究。北美儿童农业任务指南(NAGCAT)在美国制定,旨在解决儿童常见的农业任务和受伤问题。有关在墨西哥农场工作的儿童的常见农业任务和受伤的数据尚缺乏。本研究旨在确定为美国制定的 NAGCAT 指南是否可能适用于墨西哥哈利斯科州的儿童。通过对当地医生进行访谈,了解他们对常见儿童农业伤害的看法。通过当地合作社的帮助,在 27 个农场进行了关于常见儿童农业任务和受伤的访谈。还观察了这些农场的工作实践。对儿童农业伤害的急诊室记录进行了审查。对当地奶牛场的调查显示,最常见的儿童农业任务是喂养动物、挤奶和清理畜栏。通过对同一奶牛场的访谈,最常见的儿童农业伤害包括被动物踢、蝎子咬伤、割伤和摔倒。医生访谈显示,机械、中毒、割伤和撕裂伤是最常见的伤害。由于缺乏足够的文件记录,急诊室医疗记录审查没有用处。NAGCAT 指南涉及 Tepatitlán 地区的许多常见任务和伤害,包括动物护理、操作机械和清理畜栏。在 Tepatitlán 地区还有其他常见的伤害,例如蝎子咬伤,目前没有 NAGCAT 指南,但可以为其制定指南。一旦翻译成西班牙语并调整为具有文化相关性,NAGCAT 指南将解决墨西哥哈利斯科州许多儿童的常见农业任务和受伤问题。