Farm accidents in children.
OBJECTIVE
To examine the problem of accidental injury to children on farms.


METHODS
Prospective county based study of children presenting to accident and emergency departments over 12 months with injuries sustained in a farm setting and nationwide review of fatal childhood farm accidents over the four years April 1986 to March 1990.


METHODS
Accident and emergency departments in Aberystwyth, Carmarthen, Haverfordwest, and Llanelli and fatal accidents in England, Scotland, and Wales notified to the Health and Safety Executive register.


METHODS
Children aged under 16.


METHODS
Death or injury after farm related accidents.


RESULTS
65 accidents were recorded, including 18 fractures. Nine accidents necessitated admission to hospital for a mean of two (range one to four) days. 13 incidents were related to tractors and other machinery; 24 were due to falls. None of these incidents were reported under the statutory notification scheme. 33 deaths were notified, eight related to tractors and allied machinery and 10 related to falling objects.


CONCLUSIONS
Although safety is improving, the farm remains a dangerous environment for children. Enforcement of existing safety legislation with significant penalties and targeting of safety education will help reduce accident rates further.
Cameron
D
D
Department of Child Health, University of Wales College of Medicine, Health Park, Cardiff.
Bishop
C
C
Sibert
J R
JR
D000059:Accidents / Q000401:mortality / Q000706:statistics & numerical data; D000293:Adolescent; D000383:Agriculture / Q000706:statistics & numerical data; D002648:Child; D002675:Child, Preschool; D006760:Hospitalization; D006801:Humans; D007223:Infant; D011446:Prospective Studies; D006113:United Kingdom / Q000453:epidemiology; D014852:Wales / Q000453:epidemiology; D014947:Wounds and Injuries / Q000453:epidemiology / Q000209:etiology* / Q000401:mortality