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K.D.
Rosenman, P. Burns and H.
Doss
NIOSH Education and Information Division
Paid
health insurance claims were obtained for 1991-1993 for farmer
subscribers from a major insurance company in Michigan. 314,597
health insurance claims were paid in 1991, 428,848 claims
in 1992 and 386,359 claims in 1993. This included both in-patient
and out-patient claims. There were 27,752 subscribers and
their dependents insured as of January, 1994. This includes
9,798 adult males, 13,958 adult females and 3,996 children.
Repeated claims for the same medical condition were excluded.
Analysis of claims were performed for 37 conditions. The average
number of people treated each year over the three-year period
for each of 37 selected medical conditions was: lip cancer,
9; liver cancer, 15; stomach cancer, 32; bone cancer, 78;
malignant melanoma, 52; skin cancer, 592; prostate cancer,
572; brain cancer, 146; lymphoma, 39; Hodgkins disease, 20;
other lymphoid cancer, 147; multiple myeloma, 51; leukemia,
145; hearing loss, 316; bronchitis, 469; chronic bronchitis,
168; emphysema, 268; asthma, 671; farmer's lung, 6; bird-fancier's
lung, 1; other allergic alveolitis, 1; silo fillers' disease,
0; fractures, 3,379; dislocations, 4,089; sprains and strains,
1,538; intracranial injury, 272; internal injury, 97; open
wounds, 1,709; injury to blood vessels, 24; superficial injury,
379; contusion, 1,074; burns, 155; injury to nerves, 53; traumatic
complications, 1,520; toxic effects of chlorinated hydrocarbons,
1; and toxic effects of other pesticides, 2.
Frequencies
were calculated by age, gender and county. Rates by county
were also calculated. Comparisons between counties allow us
to identify areas in the state in which to prioritize educational
activity. Use of this data on an annual basis allows for on-going
surveillance that can he useful for both prioritizing and
evaluating the effectiveness of educational activity.
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and Reproduction Information: Information in NASD does not represent
NIOSH policy. Information included in NASD appears by permission
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NASD Review: 04/2002
This
research abstract was extracted from a portion of the proceedings
of "Agricultural Safety and Health: Detection, Prevention and
Intervention," a conference presented by the Ohio State University
and the Ohio Department of Health, sponsored by the Centers
for Disease Control/National Institute for Occupational Safety
and Health.
The
authors noted above are from: All at Michigan State University,
East Lansing, MI.
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