Agricultural Injury Surveillance in the United States and Canada: A Systematic Literature Review

Sihan Li, Mian Muhammad Sajid Raza, Salah Issa

Research output: Contribution to journalReview articlepeer-review


Introduction: Agricultural injuries remain a major concern in North America, with a fatal injury rate of 19.5 deaths per 100,000 workers in the United States. Numerous research efforts have sought to compile and analyze records of agricultural-related injuries and fatalities at a national level, utilizing resources, ranging from newspaper clippings and hospital records to Emergency Medical System (EMS) data, death certifications, surveys, and other multiple sources. Despite these extensive efforts, a comprehensive understanding of injury trends over extended time periods and across diverse types of data sources remains elusive, primarily due to the duration of data collection and the focus on specific subsets. Methods: This systematic review, following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, consolidates and analyzes agricultural injury surveillance data from 48 eligible papers published between 1985 and 2022 to offer a holistic understanding of trends and challenges. Results: These papers, reporting an average of 25,000 injuries each, were analyzed by database source type, injury severity, nature of injury, body part, source of injury, event/exposure, and age. One key finding is that the top source of injury or event/exposure depends on the chosen surveillance system and injury severity, underscoring the need of diverse data sources for a nuanced understanding of agricultural injuries. Conclusion: This study provides policymakers, researchers, and practitioners with crucial insights to bolster the development and analysis of surveillance systems in agricultural safety. The overarching aim is to address the pressing issue of agricultural injuries, contributing to a safer work environment and ultimately enhancing the overall well-being of individuals engaged in agriculture.

Original languageEnglish (US)
Pages (from-to)122-135
Number of pages14
JournalJournal of Agromedicine
Issue number2
StatePublished - 2024


  • Injury surveillance
  • agricultural safety
  • emergency medical records (EMS)
  • event/exposure of injury
  • farm injury
  • hospital records
  • nature of injuries
  • newspaper clippings
  • source of injuries
  • surveillance data analysis
  • survey

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


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