Occupational and nonoccupational farm fatalities among youth for 2000 through 2012 in Pennsylvania.

Agriculture is one of the most hazardous industries in the United States. It is crucial to analyze the previously collected farm fatality data in Pennsylvania involving youth to identify fatality sources and to delineate prevention strategies to mitigate future occurrences. The Penn State Farm and Agricultural Injury Database was updated to include the Occupational Injury and Illness Classification System (OIICS) for source and event or exposure. Occupational and nonoccupational incidents were compared based on age groups, religious sect, source of injury, and the injury event or exposure. A total of 82 fatalities to youth under 20 years were identified. Youth under 5 years old had the highest fatality rate of 87.1 fatalities per 100,000 farm household youth per year. The percentages of occupational and nonoccupational fatalities were 30.5% and 62.2%, respectively. Three primary sources accounted for 76% of the 82 farm fatalities: vehicles, machinery, and structures and surfaces. The majority of fatally injured youth (78%) were Anabaptist. The Anabaptist youth were 7 times more likely to be involved in occupational incidents than the non-Anabaptist youth. Youth <10 years of age who were not alone at the time of the fatal incident accounted for about half of the deaths, indicating the peril of adults attempting to supervise youth in the workplace. This fatal injury analysis to youth has identified common fatality injury patterns and risk factors to youth. The data can be used to identify intervention strategies for youth and underserved populations (Anabaptists) and can be used to help motivate adults and parents to adopt safety practices to prevent future injury occurrences. This paper also helps to illustrate the value of state-based monitoring of farm injury to youth using methods available to many states and territories.