history of agriculture at risk: a report to the nation
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History of History of Agriculture at Risk:Agriculture at Risk:
A Report to the Nation A Report to the Nation
1988 – 20001988 – 2000
Where Do We Stand?Where Do We Stand?
Kelley J. Donham, University of IowaKelley J. Donham, University of Iowa
Julia F. Storm, NC State UniversityJulia F. Storm, NC State University
Agriculture at Risk: 1988-2000, Donham and Storm 2
History of Ag at RiskHistory of Ag at Risk
• Magnitude of the ProblemMagnitude of the Problem• Few Resources RelativeFew Resources Relative
to Needto Need• No Public Health PolicyNo Public Health Policy
Prior to 1990Prior to 1990
Agriculture at Risk: 1988-2000, Donham and Storm 3
History of Ag at RiskHistory of Ag at Risk
• Pioneer’s InvolvementPioneer’s Involvement• Concept of a “Living” Concept of a “Living”
ConferenceConference• Focus on Family FarmsFocus on Family Farms
Agriculture at Risk: 1988-2000, Donham and Storm 4
Objectives of Ag at RiskObjectives of Ag at Risk
1.1. Summarize State-of-the-Art Summarize State-of-the-Art KnowledgeKnowledge
2.2. Integrate Viewpoints of Integrate Viewpoints of Farmers & Farm-workersFarmers & Farm-workersInto Public Policy Into Public Policy
Agriculture at Risk: 1988-2000, Donham and Storm 5
Objectives of Ag at RiskObjectives of Ag at Risk
3.3. Identify Research, Education & Identify Research, Education & Service NeedsService Needs
– Occupational HealthOccupational Health& Safety Hazards& Safety Hazards
– Delivery of OccupationalDelivery of OccupationalHealth & Safety ServicesHealth & Safety Services
– Environmental Health IssuesEnvironmental Health Issues
Agriculture at Risk: 1988-2000, Donham and Storm 6
Objectives of Ag at RiskObjectives of Ag at Risk
4.4. Formulate a Public Health Formulate a Public Health Policy for AgriculturePolicy for Agriculture
• Conduct Broad-BasedConduct Broad-BasedPolicy EducationPolicy Education
Agriculture at Risk: 1988-2000, Donham and Storm 7
Process of Ag at RiskProcess of Ag at Risk
• Steering CommitteeSteering Committee– Designed Conference StructureDesigned Conference Structure– Selected Program TopicsSelected Program Topics– Chose Conference ParticipantsChose Conference Participants
Agriculture at Risk: 1988-2000, Donham and Storm 8
Cooperating OrganizationsCooperating Organizations
• NIFSNIFS• N.I. Rural N.I. Rural
Health PolicyHealth Policy• N. Rural Health N. Rural Health
AssociationAssociation• NSCNSC
• SOEHSOEH• AACVTAACVT• ACVPMACVPM• ACGIHACGIH• ALAALA
Agriculture at Risk: 1988-2000, Donham and Storm 9
Outcomes of Ag at RiskOutcomes of Ag at Risk
– N-CASHN-CASH– Ag at Risk ReportAg at Risk Report– Scientific Conference ProceedingsScientific Conference Proceedings– Agricultural H & S Public PolicyAgricultural H & S Public Policy– Policy EducationPolicy Education– Ag Health “Movement”Ag Health “Movement”
Agriculture at Risk: 1988-2000, Donham and Storm 10
Outcomes of Ag at RiskOutcomes of Ag at Risk
– Kellogg Ag H&S Kellogg Ag H&S ProgramProgram
– Surgeon Surgeon General’s General’s ConferenceConference
– Agricultural Agricultural Health StudyHealth Study
– FS4JKFS4JK– NIOSH Ag NIOSH Ag
ProgramProgram– ERC Ag TrainingERC Ag Training– AgrabilityAgrability– State Programs State Programs
(e.g. I-CASH)(e.g. I-CASH)
Agriculture at Risk: 1988-2000, Donham and Storm 11
Indirect OutcomesIndirect Outcomes
– Enhanced Agromedicine andEnhanced Agromedicine andASH-NET ActivitiesASH-NET Activities
– Cooperative ExtensionCooperative ExtensionNational Health InitiativeNational Health Initiative
– EPA Task Force on Pesticides and EPA Task Force on Pesticides and Health Care ProvidersHealth Care Providers
– SHAUN, Ag mental healthSHAUN, Ag mental health– ROPS at CostROPS at Cost
Agriculture at Risk: 1988-2000, Donham and Storm 12
Limitations of Ag at RiskLimitations of Ag at Risk
• Forestry & Fisheries not Forestry & Fisheries not IncludedIncluded
• Emphasis on Family Farm, not Emphasis on Family Farm, not Ag WorkersAg Workers
• Geographic/commodity Under- Geographic/commodity Under- Representation of Representation of the U.S.the U.S.
Agriculture at Risk: 1988-2000, Donham and Storm 13
Reasons to RevisitReasons to RevisitAg at RiskAg at Risk
• Changing DemographicsChanging Demographics• Industrialization of Ag and New Industrialization of Ag and New
TechnologiesTechnologies• GlobalizationGlobalization• Changing Health Care SystemChanging Health Care System• Changing RegulationsChanging Regulations
Agriculture at Risk: 1988-2000, Donham and Storm 14
1988 – 20001988 – 2000Where Do We Stand?Where Do We Stand?
RECOMMENDATIONSRECOMMENDATIONS No No ActionAction
Minimal Minimal ActionAction
Moderate Moderate ActionAction
Substantial Substantial ActionAction
TOTAL (86)TOTAL (86) 1313 3535 2424 1414
TOTALTOTAL 15%15% 41%41% 28%28% 16%16%
Agriculture at Risk: 1988-2000, Donham and Storm 15
1988 – 20001988 – 2000Where Do We Stand?Where Do We Stand?
RECOMMENDATIONSRECOMMENDATIONS No No ActionAction
Minimal Minimal ActionAction
Moderate Moderate ActionAction
Substantial Substantial ActionAction
Legislative- Legislative- Federal Federal (19)(19)
21%21% 32%32% 37%37% 10%10%
Legislative- Legislative- State State (2)(2)
00 100%100% 00 00
Research Research (28)(28) 14%14% 32%32% 18%18% 36%36%
Agriculture at Risk: 1988-2000, Donham and Storm 16
1988 – 20001988 – 2000Where Do We Stand?Where Do We Stand?
RECOMMENDATIONSRECOMMENDATIONS No No ActionAction
Minimal Minimal ActionAction
Moderate Moderate ActionAction
Substantial Substantial ActionAction
Occupational Occupational H&S DeliveryH&S Delivery(9)(9)
22%22% 67%67% 11%11% 00
Education Education (20)(20) 10%10% 45%45% 45%45% 00
Coalition Coalition (8)(8) 12%12% 38%38% 25%25% 25%25%
Agriculture at Risk: 1988-2000, Donham and Storm 17
1988 – 20001988 – 2000Federal LegislationFederal Legislation
• AccomplishmentsAccomplishments– Appropriation or Appropriation or
Leadership forLeadership for• NIOSH Ag ProgramNIOSH Ag Program• NASDNASD• Ag Health StudyAg Health Study• Pesticides & Health Pesticides & Health
Care Providers Care Providers StrategyStrategy
• Areas for ActionAreas for Action– National and National and
Interagency Interagency CoordinationCoordination
– Comprehensive Comprehensive Goals and Goals and ObjectivesObjectives
– ROPS LegislationROPS Legislation
Agriculture at Risk: 1988-2000, Donham and Storm 18
1988 – 20001988 – 2000State LegislationState Legislation
• AccomplishmentAccomplishmentss– Injury/illness Injury/illness
Reporting LawsReporting Laws– State Ag H&S State Ag H&S
Center Center Development Development
• Areas for ActionAreas for Action– Greater Greater
Geo/commodity Geo/commodity CoverageCoverage
– Support for Support for State CentersState Centers
Agriculture at Risk: 1988-2000, Donham and Storm 19
1988 – 20001988 – 2000ResearchResearch
• AccomplishmentsAccomplishments– NIOSH Ag NIOSH Ag
ProgramProgram– Ag Health StudyAg Health Study– Best Safety Best Safety
PracticesPractices
• Areas for ActionAreas for Action– National National
DatabaseDatabase– Ag and Rural Ag and Rural
Health ServicesHealth Services– Health Health
GuidelinesGuidelines– Greater Greater
Geo/commodity Geo/commodity CoverageCoverage
Agriculture at Risk: 1988-2000, Donham and Storm 20
1988 – 20001988 – 2000Occupational H&S DeliveryOccupational H&S Delivery
• AccomplishmentsAccomplishments– I-CASH and I-CASH and
Agromedicine Agromedicine ProgramsPrograms
– AgriSafe NetworkAgriSafe Network– Certified Safe Certified Safe
FarmFarm
• Areas for ActionAreas for Action– Support for Support for
Service Service Development & Development & DeliveryDelivery
– Greater Greater Geo/commodity Geo/commodity CoverageCoverage
Agriculture at Risk: 1988-2000, Donham and Storm 21
1988 – 20001988 – 2000EducationEducation
• AccomplishmentsAccomplishments– General AwarenessGeneral Awareness– NASDNASD– Resources for Resources for
Children & YouthChildren & Youth– Continuing Continuing
Education Education OpportunitiesOpportunities
• Areas for ActionAreas for Action– EvaluationEvaluation– Professional Professional
CurriculumCurriculum– Support for Support for
Students Students – Greater Greater
Geo/commodity Geo/commodity CoverageCoverage
Agriculture at Risk: 1988-2000, Donham and Storm 22
1988 – 20001988 – 2000CoalitionCoalition
• AccomplishmentsAccomplishments– Scientific Forums Scientific Forums
and Journalsand Journals– FS4JKFS4JK– ROPS at CostROPS at Cost– Farm Press EffortsFarm Press Efforts
• Areas for ActionAreas for Action– Support for Support for
Interdisciplinary Interdisciplinary State and State and National EffortsNational Efforts
– Greater Greater Grassroots Grassroots InvolvementInvolvement
– National National CoordinationCoordination
Agriculture at Risk: 1988-2000, Donham and Storm 23
SummarySummary
• Ag at Risk Required a Monumental Ag at Risk Required a Monumental Effort Effort
• Comprehensive Ag H&S Policy was Comprehensive Ag H&S Policy was DevelopedDeveloped
• Limitation: No Central Coordination Limitation: No Central Coordination to Assure Direction and Focus on the to Assure Direction and Focus on the RecommendationsRecommendations
Agriculture at Risk: 1988-2000, Donham and Storm 24
We MustWe Must
• Assess Fully What Has Assess Fully What Has and Has Not Been Doneand Has Not Been Done– Complete Undone Complete Undone – Build on What Has Been DoneBuild on What Has Been Done– Avoid Reinventing the WheelAvoid Reinventing the Wheel
• Assess NIOSH Ag Programs’ Assess NIOSH Ag Programs’ Outcomes and ImpactsOutcomes and Impacts
Agriculture at Risk: 1988-2000, Donham and Storm 25
We MustWe Must
• Update & Expand Ag Community Update & Expand Ag Community SurveySurvey
• Develop Measurable Goals and Develop Measurable Goals and ObjectivesObjectives
• Develop an Ag-Specific NORADevelop an Ag-Specific NORA• Build a National Build a National InterdisciplinaryInterdisciplinary
Coalition for Coordination & DirectionCoalition for Coordination & Direction
We MustWe Must
Make a DifferenceMake a Differencein the Agricultural in the Agricultural
Workplace and CommunityWorkplace and Community
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