1. History of Agriculture at Risk: A Report to the Nation 1988 – 2000 Where Do We Stand? Kelley J. Donham, University of Iowa Julia F. Storm, NC State University

2. Agriculture at Risk: 1988-2000, Donham and Storm2 History of Ag at Risk History of Ag at Risk Magnitude of the ProblemMagnitude of the Problem Few Resources Relative to NeedFew Resources Relative to Need No Public Health Policy Prior to 1990No Public Health Policy Prior to 1990

3. Agriculture at Risk: 1988-2000, Donham and Storm3 History of Ag at Risk Pioneer’s InvolvementPioneer’s Involvement Concept of a “Living” ConferenceConcept of a “Living” Conference Focus on Family FarmsFocus on Family Farms

4. Agriculture at Risk: 1988-2000, Donham and Storm4 Objectives of Ag at Risk 1.Summarize State-of-the-Art Knowledge 2.Integrate Viewpoints of Farmers & Farm-workers Into Public Policy

5. Agriculture at Risk: 1988-2000, Donham and Storm5 Objectives of Ag at Risk 3.Identify Research, Education & Service Needs –Occupational Health & Safety Hazards –Delivery of Occupational Health & Safety Services –Environmental Health Issues

6. Agriculture at Risk: 1988-2000, Donham and Storm6 Objectives of Ag at Risk 4.Formulate a Public Health Policy for Agriculture Conduct Broad-Based Policy EducationConduct Broad-Based Policy Education

7. Agriculture at Risk: 1988-2000, Donham and Storm7 Process of Ag at Risk Process of Ag at Risk Steering CommitteeSteering Committee –Designed Conference Structure –Selected Program Topics –Chose Conference Participants

8. Agriculture at Risk: 1988-2000, Donham and Storm8 Cooperating Organizations NIFSNIFS N.I. Rural Health PolicyN.I. Rural Health Policy N. Rural Health AssociationN. Rural Health Association NSCNSC SOEHSOEH AACVTAACVT ACVPMACVPM ACGIHACGIH ALAALA

9. Agriculture at Risk: 1988-2000, Donham and Storm9 Outcomes of Ag at Risk –N-CASH –Ag at Risk Report –Scientific Conference Proceedings –Agricultural H & S Public Policy –Policy Education –Ag Health “Movement”

10. Agriculture at Risk: 1988-2000, Donham and Storm10 Outcomes of Ag at Risk –Kellogg Ag H&S Program –Surgeon General’s Conference –Agricultural Health Study –FS4JK –NIOSH Ag Program –ERC Ag Training –Agrability –State Programs (e.g. I-CASH)

11. Agriculture at Risk: 1988-2000, Donham and Storm11 Indirect Outcomes Indirect Outcomes –Enhanced Agromedicine and ASH-NET Activities –Cooperative Extension National Health Initiative –EPA Task Force on Pesticides and Health Care Providers –SHAUN, Ag mental health –ROPS at Cost

12. Agriculture at Risk: 1988-2000, Donham and Storm12 Limitations of Ag at Risk Forestry & Fisheries not IncludedForestry & Fisheries not Included Emphasis on Family Farm, not Ag WorkersEmphasis on Family Farm, not Ag Workers Geographic/commodity Under- Representation of the U.S.Geographic/commodity Under- Representation of the U.S.

13. Agriculture at Risk: 1988-2000, Donham and Storm13 Reasons to Revisit Ag at Risk Changing DemographicsChanging Demographics Industrialization of Ag and New TechnologiesIndustrialization of Ag and New Technologies GlobalizationGlobalization Changing Health Care SystemChanging Health Care System Changing RegulationsChanging Regulations

14. Agriculture at Risk: 1988-2000, Donham and Storm14 1988 – 2000 Where Do We Stand? RECOMMENDATIONS No Action Minimal Action Moderate Action Substantial Action TOTAL (86) 13352414 TOTAL15%41%28%16%

15. Agriculture at Risk: 1988-2000, Donham and Storm15 1988 – 2000 Where Do We Stand? RECOMMENDATIONS No Action Minimal Action Moderate Action Substantial Action Legislative- Federal (19) 21%32%37%10% Legislative- State (2) 0100%00 Research (28) 14%32%18%36%

16. Agriculture at Risk: 1988-2000, Donham and Storm16 1988 – 2000 Where Do We Stand? RECOMMENDATIONS No Action Minimal Action Moderate Action Substantial Action Occupational H&S Delivery (9) 22%67%11%0 Education (20) 10%45%45%0 Coalition (8) 12%38%25%25%

17. Agriculture at Risk: 1988-2000, Donham and Storm17 1988 – 2000 Federal Legislation AccomplishmentsAccomplishments –Appropriation or Leadership for NIOSH Ag ProgramNIOSH Ag Program NASDNASD Ag Health StudyAg Health Study Pesticides & Health Care Providers StrategyPesticides & Health Care Providers Strategy Areas for ActionAreas for Action –National and Interagency Coordination –Comprehensive Goals and Objectives –ROPS Legislation

18. Agriculture at Risk: 1988-2000, Donham and Storm18 1988 – 2000 State Legislation AccomplishmentsAccomplishments –Injury/illness Reporting Laws –State Ag H&S Center Development Areas for ActionAreas for Action –Greater Geo/commodity Coverage –Support for State Centers

19. Agriculture at Risk: 1988-2000, Donham and Storm19 1988 – 2000 Research AccomplishmentsAccomplishments –NIOSH Ag Program –Ag Health Study –Best Safety Practices Areas for ActionAreas for Action –National Database –Ag and Rural Health Services –Health Guidelines –Greater Geo/commodity Coverage

20. Agriculture at Risk: 1988-2000, Donham and Storm20 1988 – 2000 Occupational H&S Delivery AccomplishmentsAccomplishments –I-CASH and Agromedicine Programs –AgriSafe Network –Certified Safe Farm Areas for ActionAreas for Action –Support for Service Development & Delivery –Greater Geo/commodity Coverage

21. Agriculture at Risk: 1988-2000, Donham and Storm21 1988 – 2000 Education AccomplishmentsAccomplishments –General Awareness –NASD –Resources for Children & Youth –Continuing Education Opportunities Areas for ActionAreas for Action –Evaluation –Professional Curriculum –Support for Students –Greater Geo/commodity Coverage

22. Agriculture at Risk: 1988-2000, Donham and Storm22 1988 – 2000 Coalition AccomplishmentsAccomplishments –Scientific Forums and Journals –FS4JK –ROPS at Cost –Farm Press Efforts Areas for ActionAreas for Action –Support for Interdisciplinary State and National Efforts –Greater Grassroots Involvement –National Coordination

23. Agriculture at Risk: 1988-2000, Donham and Storm23 Summary Ag at Risk Required a Monumental EffortAg at Risk Required a Monumental Effort Comprehensive Ag H&S Policy was DevelopedComprehensive Ag H&S Policy was Developed Limitation: No Central Coordination to Assure Direction and Focus on the RecommendationsLimitation: No Central Coordination to Assure Direction and Focus on the Recommendations

24. Agriculture at Risk: 1988-2000, Donham and Storm24 We Must Assess Fully What Has and Has Not Been DoneAssess Fully What Has and Has Not Been Done –Complete Undone –Build on What Has Been Done –Avoid Reinventing the Wheel Assess NIOSH Ag Programs’ Outcomes and ImpactsAssess NIOSH Ag Programs’ Outcomes and Impacts

25. Agriculture at Risk: 1988-2000, Donham and Storm25 We Must Update & Expand Ag Community SurveyUpdate & Expand Ag Community Survey Develop Measurable Goals and ObjectivesDevelop Measurable Goals and Objectives Develop an Ag-Specific NORADevelop an Ag-Specific NORA Build a National Interdisciplinary Coalition for Coordination & DirectionBuild a National Interdisciplinary Coalition for Coordination & Direction

26. We Must Make a Difference in the Agricultural Workplace and Community