Osweiler G
Department of Environmental Health, University of Iowa, Iowa City 52242.
Am J Ind Med. 1990;18(4):511-5. doi: 10.1002/ajim.4700180426.
This work group felt that there is compelling evidence that effective occupational health services are essential to improve the serious occupational safety and health problems in agriculture. Program initiatives may be stimulated by federal and state governments, but development and implementation must involve the grassroots farm community and local resources. Other countries (Sweden, Finland, Canada) are far ahead of the United States in this area and serve as examples. Developing services should be comprehensive and should include clinical, technical, and educational efforts. Marketing programs to the public must include grassroots involvement. Surveillance and program evaluation are essential in any new program efforts. Funding such programs must be shared by federal, state, local, and private resources. Regulatory options should be a minimal part of such a program, but mandatory rollover protective devices and mandatory reporting seems to be one feasible regulatory option.
该工作小组认为，有令人信服的证据表明，有效的职业健康服务对于改善农业中严重的职业安全与健康问题至关重要。联邦和州政府可能会推动项目倡议，但项目的开发和实施必须让基层农场社区和当地资源参与进来。其他国家（瑞典、芬兰、加拿大）在这一领域比美国领先很多，可以作为范例。所开发的服务应该是全面的，应包括临床、技术和教育方面的工作。面向公众的推广项目必须有基层的参与。监测和项目评估对于任何新的项目工作都至关重要。此类项目的资金必须由联邦、州、地方和私人资源共同承担。监管措施应是此类项目中最小的一部分，但强制使用翻车保护装置和强制报告似乎是一个可行的监管选项。
