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Author Thomas, K.E.; Annest, J.L.; Gilchrist, J.; Bixby-Hammett, D.M.
Title Non-fatal horse related injuries treated in emergency departments in the United States, 2001-2003 Type
Year 2006 Publication British Journal of Sports Medicine Abbreviated Journal Br J Sports Med
Volume 40 Issue 7 Pages 619-626
Keywords Accident Prevention/methods; Accidental Falls/prevention & control; Adolescent; Adult; Aged; Animals; Athletic Injuries/*epidemiology/prevention & control; Child; Child, Preschool; Emergency Service, Hospital/*statistics & numerical data; Female; Head Protective Devices/utilization; Health Promotion; *Horses; Humans; Infant; Male; Middle Aged; Patient Education; Sex Distribution; United States/epidemiology
Abstract OBJECTIVE: To characterise and provide nationally representative estimates of persons with non-fatal horse related injuries treated in American emergency departments. METHODS: The National Electronic Injury Surveillance System All Injury Program (NEISS-AIP) is a stratified probability sample comprising 66 hospitals. Data on injuries treated in these emergency departments are collected and reported. NEISS-AIP data on all types (horseback riding and otherwise) of non-fatal horse related injuries from 2001 to 2003 were analysed. RESULTS: An estimated 102,904 persons with non-fatal horse related injuries (35.7 per 100,000 population) were treated in American emergency departments each year from 2001 to 2003 inclusive. Non-fatal injury rates were higher for females (41.5 per 100,000) than for males (29.8 per 100,000). Most patients were injured while mounted on a horse (66.1%), commonly from falling or being thrown by the horse; while not mounted, injuries most often resulted from being kicked by the horse. The body parts most often injured were the head/neck region (23.2%), lower extremity (22.2%), and upper extremity (21.5%). The most common principal diagnoses were contusions/abrasions (31.4%) and fractures (25.2%). For each year that was studied, an estimated 11 502 people sustained traumatic brain injuries from horse related incidents. Overall, more than 11% of those injured were admitted to hospital. CONCLUSIONS: Horse related injuries are a public health concern not just for riders but for anyone in close contact with horses. Prevention programmes should target horseback riders and horse caregivers to promote helmet use and educate participants about horse behaviour, proper handling of horses, and safe riding practices.
Address (up) Office of Statistics and Programming, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia 30341, USA. KEThomas@cdc.gov
Corporate Author Thesis
Publisher Place of Publication Editor
Language English Summary Language Original Title
Series Editor Series Title Abbreviated Series Title
Series Volume Series Issue Edition
ISSN 1473-0480 ISBN Medium
Area Expedition Conference
Notes PMID:16611723 Approved no
Call Number Serial 1866
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Author Candura, S.M.; Verni, P.; Minelli, C.M.; Rosso, G.L.; Cappelli, M.I.; Strambi, S.; Martellosio, V.
Title [Occupational risks among public safety and security forces] Type Journal Article
Year 2006 Publication Giornale Italiano di Medicina del Lavoro ed Ergonomia Abbreviated Journal G Ital Med Lav Ergon
Volume 28 Issue 1 Pages 53-62
Keywords Burnout, Professional/etiology; Climate; Health Education; Humans; *Law Enforcement; Noise/adverse effects; *Occupational Diseases/chemically induced/etiology/prevention & control; *Occupational Health; *Police; Risk Assessment; Risk Factors; Stress Disorders, Post-Traumatic/etiology; Stress, Psychological/etiology; Vibration/adverse effects
Abstract The present paper tries to identify the occupational risk factors (physical, chemical, biological, psychological), variable depending on jobs and tasks, to which the heterogeneous public safety/security workers are exposed. The fight against criminality and public order maintenance imply (sometimes fatal) traumatic risks, and expose to psychophysical and sensorial tiring, unfavourable macro- and microclimatic conditions, the risk of baropathy (air navigation, underwater activities), noise (generated by firearms and several other sources), vibrations and shakings (automatic weapons, transport vehicles), the risk of electric injury, ionizing (X and gamma rays) and non-inonizing (ultraviolet rays, microwaves and radiofrequencies, electromagnetic fields) radiations. Chemical hazards include carbon monoxide and other combustion products (fires, urban traffic), substances released in chemical accidents, tear gases, lead (firing grounds, metal works, environmental pollution), solvents, lubrificants and cutting oils (mechanic repair and maintenance), laboratory materials and reagents, irritant and/or sensitizing agents contained in gloves. The main biological risks are tetanus, blood-borne diseases (viral hepatitis, AIDS), aerogenous diseases (e.g., tuberculosis, Legionnaire's disease, epidemic cerebrospinal meningitis), dog- or horse-transmitted zoonosis. Finally, emotional, psychosomatic and behavioural stress-related disorders (e.g., burn-out syndrome, post-traumatic stress disorder) are typically frequent. The presence of numerous and diversified hazards among public safety/security forces imposes the adoption of occupational medicine measures, including risk assessment, health education, technical and environmental prevention, personal protective devices, sanitary surveillance and biological monitoring, clinical interventions (diagnosis, therapy and rehabilitation of occupational accidents and illnesses), prompt medico-legal evaluation of occupational-related compensation claims.
Address (up) Scuola di Specializzazione in Medicina del Lavoro, Universita degli Studi di Pavia, Italy
Corporate Author Thesis
Publisher Place of Publication Editor
Language Italian Summary Language Original Title Rischi professionali nelle Forze dell'Ordine
Series Editor Series Title Abbreviated Series Title
Series Volume Series Issue Edition
ISSN 1592-7830 ISBN Medium
Area Expedition Conference
Notes PMID:16705889 Approved no
Call Number Serial 1871
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