“Agriculture at Risk: A Report to the Nation”. A Historical Review, Critical Analysis, and Implications for Future Planning
2002
“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–NIH 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.
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