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Rural Health Information Hub

Rural Health
Resources by Topic: Occupational health and safety

The Climate of Working Alone in Agriculture
Summarizes research from 193 articles discussing safety issues for agricultural workers who work alone, U.S. regulations for lone worker safety including enforcement, and similarities with hazards in other industries.
Author(s): Aaron James Etienne, William E. Field, Shawn G. Ehlers, Roger Tormoehlen, Noah Joel Haslett
Citation: Journal of Agricultural Safety and Health, 31(2), 93-108
Date: 2025
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A Summary of Fatalities and Injuries Involving Horizontal Bunk or Open Pile Silos Used in Agricultural Production
Evaluates the frequency and severity of injuries of agricultural workers in horizontal bunk silos. Breaks down the different types of silo-related injuries and rates of fatalities.
Author(s): Noah Joel Haslett, William E. Field, Mahmoud Nour, James Carrabba, Martin Huseman
Citation: Journal of Agricultural Safety and Health, 31(3), 231-243
Date: 2025
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National Farm Medicine Center: 2024 Year in Review
Provides an overview of the 2024 activities of the National Farm Medicine Center and related partners, with a focus on research, policy, outreach and education, projects, and more. Discusses population health, well-being, and agricultural safety.
Date: 2025
Sponsoring organization: National Farm Medicine Center
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Preventing Violence Against Rural Health Care Workers
Policy brief discussing violence against healthcare workers and unique factors that may influence underreporting of such violence in rural areas. Offers policy recommendations to prevent healthcare worker violence in rural healthcare settings and communities and reduce barriers to reporting.
Author(s): Carrie Howard, Aaron Kramer, Devon Noonan
Date: 12/2024
Sponsoring organization: National Rural Health Association
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Bird Flu Exposure Prevention – Employer Checklist
Checklist for employers of farmworkers to decrease risk of H5N1 exposure. Covers California-specific regulations in addition to guidance on written procedures, sanitation, biosecurity, training, personal protective equipment, and medical care. Checklist available in both English and Spanish.
Author(s): Teresa Andrews, Elizabeth Georgian
Date: 12/2024
Sponsoring organization: Western Center for Agricultural Health and Safety
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Vaccine Message Testing Evaluation Summary Report
Reports on an evaluation of educational print and audio materials related to COVID-19 vaccinations for farmworkers. Discusses evaluation participants' health information gathering and evaluation practices, the importance of content in native languages, and the workplace conditions contributing to health and safety.
Date: 11/2024
Sponsoring organization: National Center for Farmworker Health
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H5N1 Focus Groups with Dairy Workers: June - September 2024
Offers findings from three listening sessions of dairy workers' attitudes, knowledge, and practices regarding H5N1 avian influenza and perceptions of barriers in healthcare access for infectious respiratory diseases. Includes recommendations to employers of dairy workers for sharing health information, personal protective equipment access, and reducing barriers to healthcare.
Date: 11/2024
Sponsoring organization: National Center for Farmworker Health
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Potential Research Priorities to Inform U.S. Readiness and Response to Avian Influenza A (H5N1): Proceedings of a Workshop - In Brief
Summarizes themes from a workshop discussing preparedness for H5N1 in the U.S. Includes topics such as response priorities and goals, understanding transmission, surveillance measures, reducing risks to animal and human health including farmworkers, gathering and sharing information, and potential research questions.
Additional links: Read Online
Author(s): Board on Agriculture and Natural Resources
Date: 11/2024
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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"The Source of All My Joy and All My Stress": Children and Childcare as Underappreciated Sources of Stress That Affect Farm Women
Identifies themes from focus groups and photovoice with 101 farm women showing the intersections of mental well-being, children and farm safety, farm work, and household responsibilities. Discusses the triple burden of farm women and how expectations of care work on a farm.
Author(s): Florence Becot, Shoshanah Inwood, Hannah Budge
Citation: Journal of Agromedicine, 30(1), 114-131
Date: 11/2024
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Serologic Evidence of Recent Infection with Highly Pathogenic Avian Influenza A(H5) Virus Among Dairy Workers — Michigan and Colorado, June–August 2024
Reports on recent highly pathogenic avian influenza (HPAI) A(H5) infection among dairy workers in Michigan and Colorado. Includes information on illness symptoms among those who had been infected, as well as job tasks with ill cows, personal protective equipment (PPE) use, and other animal exposures.
Author(s): Alexandra M. Mellis, Joseph Coyle, Kristen E. Marshall, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 73(44), 1004-1009
Date: 11/2024
Sponsoring organization: Centers for Disease Control and Prevention
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