Currently submitted to: JMIR Public Health and Surveillance
Date Submitted: Jul 12, 2019
Open Peer Review Period: Jul 15, 2019 - Aug 23, 2019
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Assessing the Emergent Public Health Concern of All-Terrain Vehicle Injuries in Rural and Agricultural Environments: An Initial Review of Available National Datasets in the U.S.
Injuries related to the operation of off-road vehicles (ORVs), including all-terrain vehicles (ATVs), continue to be a significant public health concern, especially in rural areas and agricultural production. In the United States alone, ATVs have played a role in thousands of fatalities and millions of injuries in recent decades. Yet, no known centralized federal surveillance system consistently captures these data. Traditional injury data sources include surveys, police reports, trauma registries, emergency department data, newspaper and on-line media reports, and state and federal agency databases. In this paper, we examine several national U.S.-based injury datasets including the web-based AgInjuryNews.org, the Fatality Analysis Reporting System, databases compiled by the U.S. Consumer Product Safety Commission, and the National Fatality Review Case Reporting System. Our review found that these data sources cannot provide a complete picture of the incidents or the circumstantial details needed to effectively inform ORV injury prevention efforts. This is particularly true with regards to ORV injuries related to production agriculture. We encourage the establishment of a federally funded national agricultural injury surveillance system. However, in lieu of this, use of multiple data sources will be necessary to piece together a more complete picture of ORV and other agricultural injuries and fatalities.
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