"Agriculture at risk: A report to the nation"--a historical review,critical analysis,and implications for future planning

"Agricultural at Risk: A Report to the Nation" is a proceedings document of a three-year (1987-1990) policy development process entitled "Agricultural Occupational and Environmental Health: Policy Strategies for the Future." That process culminated in the emergence of occupational health and safety in agriculture as a public health policy issue in the U.S. Several agricultural health and safety programs evolved as direct or indirect consequences of this process, including, but not limited to, the NIOSH agricultural occupational health programs, The Kellogg Foundation agricultural health grants programs, and the prospective chronic health studies of pesticides (EPA-NlH funded). The Agriculture at Risk report resulted in 86 specific recommendations. The authors of this article reviewed each of these recommendations and rated them on a subjective scale as to their degree of attainment. They found that 44% of the recommendations had received moderate to substantial action. Most of the positive action was in the areas of research and coalition building. A noticeable lack of action was in the areas of standards and regulation, occupational health service delivery, and education categories. This article concludes with an analysis of the limitations of the AAR report, changes in exposed populations over the past decade, and specific recommendations on future actions to address the issues.     

Animal studies of potential chronic lung disease of workers in swine confinement buildings

The pathologic changes in laboratory animals housed in a swine confinement building were studied to predict potential chronic health effects on persons working in these buildings. Rabbits and guinea pigs were maintained for 12 months either in a confined nursery-grower unit (test animals) or in conventional laboratory animal housing (controls). Necropsies and histopathologic examinations were performed on animals that died prematurely or were killed at termination of the study. Blood serum from the animals was examined for antibodies to extracts from swine confinement house dust. The confinement atmosphere was monitored for environmental pollutants. Concentrations of gases and dust in the air of the confinement building were comparable to those found in a typical swine confinement building. Pulmonic lesions seen in the test rabbits and guinea pigs included diffuse interstitial histiocytic pneumonia. Tracheal and nasal turbinate lesions included epithelial hyperplasia and metaplasia, with submucosal infiltration of plasma cells and heterophils. Blood from the test animals contained serum precipitins to dust extract from confinement houses. The presence of precipitins combined with the microscopic appearance of the lungs indicated that an immunologic process, such as hypersensitivity pneumonitis, may be used to explain the basis of the observed lung lesions. The tracheal and turbinate lesions are best explained as a reaction to a chronic low-grade irritation.     

Inactivation of bovine leukemia virus-infected lymphocytes in milk

The survival of bovine leukemia virus (BLV)-infected lymphocytes in milk was studied to determine whether treatments similar to those on a dairy farm would inactivate BLV. Bovine leukemia virus was found in milk stored for 72 hours at 1.1 C (34 F); milk constituents, such as protein, total solids, minerals, fat, and somatic cell concentration did not affect the presence of BLV. Infectivity also was found in the cream layer of milk. Pasteurization at 63 C for 30 minutes did inactivate BLV-infected lymphocytes.     

Vegetable oil sprinkling as a dust reduction method in swine confinement

The aim of this project was evaluate the effectiveness of an oil sprinkling system as a dust-reduction method for swine production facilities. This article presents the results of the second-year experiment of a multi-year study. The first-year experiment demonstrated that a 5% oil-water emulsion automatically applied at the rate of 3 and 5 g/pig/day achieved a 23% to 34% reduction in total dust. The modifications for the second year experiment included: (1) increasing oil application rate to 7 and 8 g/pig/day, (2) replacing sprinkler heads to achieve a smaller droplet size and a more direct spray pattern on pen-floor surfaces, and (3) more closely matching the treatment and control rooms by stage in the pig production cycle. Four swine finishing rooms were used for this study; two were treatment rooms (soybean oil at 7 g/pig/day, and canola oil 8 g/pig/day) and two were control rooms. The treatment rooms had a low-pressure oil-sprinkling system, which sprinkled 5% oil-to-water mixture 12 times per day, 12 s each time. Concentrations of several environmental contaminants were measured. The average total dust concentration in the control rooms was 1.39 mg/m3. The average total dust concentration in the treatment rooms was 0.65 mg/m3. The treatment reduced dust by an average of 52%, (p = 0.0001). There was no difference in the degree of dust control between soybean oil and canola oil. The respirable dust concentrations were very low in all rooms, and there were no significant differences between rooms in ammonia, carbon dioxide, temperature, or humidity.     

Relationships of bovine leukemia virus prevalence in dairy herds and density of dairy cattle to human lymphocytic leukemia

A case-control study was conducted to examine possible relationships between human acute lymphoid leukemia and exposure to dairy cattle and drinking of raw milk. Two hundred twenty-three persons with acute lymphoid leukemia, diagnosed during the years 1969 to 1971 and 1973 to 1980 from the 87 most rural Iowa counties, were accessed from case records at the Iowa State Health Registry for participation in the present study. Each person and 2 matched controls were interviewed for history of residence, exposure to dairy cattle, and consumption of nonpasteurized dairy products. Two types of comparisons between affected persons and controls were done: the prevalence of bovine leukemia virus infection (as measured by serologic study) in dairy herds with which the affected persons and controls had either occupational contact or from which they had consumed raw milk and the density of dairy cattle in the townships where affected persons and controls lived. The bovine leukemia virus infection prevalence in dairy herds with which affected persons had contact was 20%, whereas the infection prevalence in the herds with which the controls had contact was 38%. The density of dairy cows in townships where affected persons resided was generally less than that in townships where controls resided. However, there was one exception; the density of dairy cows at 20 years before diagnosis was higher (589) in townships where affected adult female persons resided, compared with that in townships where controls resided (567).     

The concentration of swine production. Effects on swine health, productivity, human health, and the environment.

The concern about environmental issues centering around CAFOs is appropriate. The veterinary profession can be an important force in meeting these challenges by broadening its scope of knowledge and practice into the broader environmental field. Although animal agriculture's contribution to environmental concerns is the focus of this article, it is only one of several sectors that contributes to environmental degradation. Crop production, as well as livestock production industries, contribute to pollution. Manufacturing industries, municipalities, private individuals, our consumptive lifestyles, and agriculture all contribute to the degradation of our environment. One must keep in mind the huge importance of our agricultural industry and not single it out to the detriment of its progress. We have an abundance of high-quality foods at the lowest cost to the individual of any industrialized nation. We export over 40 billion dollars in agricultural products yearly. Agriculture sustains our rural economies and provides opportunities for over 2 million private enterprises scattered across the country; however, there is a goal that we have a sustainable agriculture. A big part of that depends on development and enhancement of an agriculture that does not pollute, that sustains its farm operators and workers, and that does not make the area residents ill or degrade their quality of life; however, the current situation is not promising. Much remains to be learned about the actual acute and long-term health consequences of animal agricultural pollution. Many health concerns are speculative, even though based on sound facts. We know that many surface waters have excess N and P that leads to eutrophication and possibly enhanced growth of undesirable organisms such as Pfiesteria piscicida. We know that other animal pathogens, such as cryptosporidia, have caused large community outbreaks. There are other potential pathogens, such as Salmonella sp, for which we do not know the hazard. We know that our soils may become excessively laden with P, Cu, and Zn, which retard plant growth and create toxic conditions for grazing animals. There are concerns about air pollution. Odors have negative sensory and physical health consequences. H2S and dust may cause toxic effects on neighbors. NH3 vaporizing from manure sources may be carried with precipitation to cause eutrophication in lakes or altered ecosystems in natural areas. CH4 escaping from degrading manure contributes to greenhouse gases. Workers in confined livestock structures have high risk for a variety of chronic respiratory conditions. They also are at risk for acute poisoning from H2S in operations where liquid manure is stored in confined spaces. There have been numerous health complaints in recent years from community neighbors of large-scale livestock operations. One study showed adverse altered mood states, and another showed evidence of respiratory illness similar to what workers experience. Although it has not been possible to objectively measure conditions and know toxic levels of substances causing these illnesses, there are so-called extratoxic mechanisms, such as inherent aversion to putrefactive odors and exacerbation of preexisting conditions that lower the tolerance threshold. Environmental concerns regarding livestock production are not new. In the early and mid-1970s, there were many conferences and publications regarding odors and water contamination from livestock operations. Although most of what is known in this area has been known for 20 years, relatively little effective efforts have been made to correct the concerns. In fact, trends over this past decade have increased the concerns. This past decade has seen a tremendous acceleration in the concentration and consolidation of agriculture, capping a slow trend over the past 50 years toward larger, fewer, and more-specialized farms. This trend has gone against the old saying that "dilution is the solution to pollution.     

MRSA in pork production shower facilities: an intervention to reduce occupational exposure

Methicillin-resistant Staphylococcus aureus (MRSA) nasal colonization has been documented in swine and swine workers. MRSA has also been found in the shower facilities of conventional swine farms. We previously conducted a review of the literature to identify measures used to reduce MRSA prevalence in athletic facilities. In this study, we evaluated those measures for adaptability to the pork production environment. A best practices protocol was developed to reduce MRSA levels in pork production shower facilities and implemented in two conventional swine production systems.     

Efficacy of ivermectin against Onchocerca cervicalis microfilarial dermatitis in horses

Forty horses having microfilariae of Onchocerca cervicalis in association with dermatitis, alopecia, and pruritus on the ventral midline were given a single IM injection of 0.2 mg of ivermectin/kg of body weight (June to August 1981). Microfilarial counts in the 40 horses ranged from 18 to 42,446 microfilariae/skin snip on the day of treatment, and histopathologic examination of these skin sections indicated a chronic eosinophilic dermatitis. Numerous microfilariae were in the dermis, but there was no consistent relationship between the presence of microfilariae and the severity of the inflammatory reaction. In all 40 horses, skin snips taken 4 to 33 days after treatment were negative for microfilariae, and a marked clinical improvement occurred 2 to 3 weeks after treatment, when the lesion was replaced by healthy skin and new hair. Twenty-four hours after treatment, an edematous reaction occurred on the lower portion of the abdomen of 4 (10%) horses and within the area of the lesion in 6 (15% horses). The reactions disappeared within 24 to 72 hours, irrespective of whether horses were treated with corticosteroids. When further skin samples were taken from 15 horses 4 to 9 months later, 9 of them were free of microfilariae and the 6 others had only low counts (17 to 97). An additional 7 infected horses, treated when there was little chance of reinfection (November to December 1981), were all free of microfilariae at 6 to 10 days and 4 to 5 months after treatment. The marked clinical improvement in all horses after disappearance of microfilariae from the dermis indicates that microfilariae are involved in the cause and pathogenesis of the dermatitis.     

Injuries in the Iowa Certified Safe Farm Study

The aims of this article are to assess injury characteristics and risk factors in the Iowa Certified Safe Farm (CSF) program and to evaluate the effectiveness of CSF for reducing injuries. This intervention program includes a health screening, on-farm safety review, education, and monetary incentives. Cohorts of farmers in an intervention group (n = 152) and control group (n = 164) in northwestern Iowa were followed for a three-year period. During the follow-up, there were 318 injuries (42/100 person-years), of which 112 (15/100 person-years) required professional medical care. The monetary cost of injuries was $51,764 ($68 per farm per year). There were no differences in the self-reported injury rates and costs between the intervention and control groups. Raising livestock, poor general health, and exposures to dust and gas, noise, chemicals and pesticides, and lifting were among risk factors for injury. Most injuries in this study were related to animals, falls from elevation, slips/trips/falls, being struck by or struck against objects, lifting, and overexertion. Machinery was less prominent than generally reported in the literature. Hurry, fatigue, or stress were mentioned as the primary contributing factor in most injuries. These findings illustrate the need for new interventions to address a multitude of hazards in the farm work environment as well as management and organization of farm work.