Are animal-related injuries in rural areas a social problem? A survey from Poland

Katarzyna Bogusiak 1  ,  
Department of Craniomaxillofacial and Oncological Surgery, Medical University in Lodz, Lodz, Poland
Plastic, Reconstructive and Aesthetic Surgery Clinic, Medical University in Lodz, Lodz, Poland
Ann Agric Environ Med 2017;24(3):392–395
The aim of this study was to analyze the mechanisms of animal-related injuries in Polish rural areas, and to evaluate the effects of such injuries on subjects’ health and social life

Material and Methods:
Data concerning animal-related injuries were collected from 102 patients (45 females and 57 males, mean age 45.01±11.4 years) on the basis of a questionnaire. The study was conducted in the rural area of central Poland. Moreover, to assess the severity of injuries to the head and neck region, the Facial Injury Severity Scale (FISS) was applied.

The most commonly affected body areas are the upper and lower limbs, which explains the fact that most subjects do not recognize the injury-related deformity as an aesthetic defect.Statistical correlations were observed in several aspects, amongst others: – women were significantly more likely than men to consider undergoing surgical procedures to eliminate/reduce post-traumatic deformities and scars (p<0.05); – injury-related deterioration in appearance resulted in limitations of patients’ social life (p<0.0001).

Katarzyna Bogusiak   
Department of Craniomaxillofacial and Oncological Surgery, Medical University in Lodz, Lodz, Poland
1. International Labour Organization. Agriculture: a hazardous work. www.ilo.org Accesse dat 25th of Dec 2014.
2. Adams A, Suton J, Elixhauser A. Emergency Department Visits and Hospitalization Associated with Animal Injuries. 2009. HCUP Statistical Brief #134. May 2012.
3. Reiling J. Agricultural injuries in Norway. J Agromedicine. 1997; 4: 285–294.
4. McCurdy SA, Carroll DJ. Agricultural injury. Am J Ind Med. 2000; 38: 463–480.
5. Solomon C. Accidental injuries in agriculture in the UK. Occup Med. 2002; 52: 461–466.
6. Browning SR, Truszczynska H, Reed D, McKnight RH. Agricultural injuries among older Kentucky farmers: the farm family health and Hazard Surveillance study. Am J Ind Med. 1998; 33: 341–353.
7. Nogalski A, Jankiewicz L, Ćwik G, Karski J, Matuszewski Ł. Animal related injuries treated at the Department of Trauma and Emergency Medicine, Medical University of Lublin. Ann Agric Environ Med. 2006; 13: 57–61.
8. Agricultural Social Insurance Fund. www.krus.gov.pl. Accesse dat 25th of Dec 2014.
9. Statement of accidents at work and occupational diseases of farmers in 2013.Kasa Rolniczego Ubezpieczenia Społecznego (KRUS), ang. Agricultural Social Insurance Fund (ASIF). Warsaw 2014.
10. The European Agency for Safety and Health at Work. https://osha.europa.eu Accesse dat 25th of Dec 2014.
11. Lindahl C, Lundqvist P, Norberg AL. Swedish dairy farmers’ perceptions of animal-related injuries. J Agromedicine. 2012; 17: 364–376.
12. Casey GM, Grant AM, Roerig DS, Boyd J, Hill M, London M, Gelberg KH, Hallman E., Pollock J. Farm worker injuries associated with cows. New York State 1991–1996. AAOHN J. 1997; 45: 446–450.
13. Salminen S, Saari J, Saarela KL, Rasanen T. Fatal and nonfatal occupational accidents – identical versus differential causation. Safety Sci. 1992; 15: 109–118.
14. Neskoromna-Jędrzejczak A, Bogusiak K, Kasielska-Trojan A, Antoszewski B. Questionnaire: “Animal-related injuries in rural areas”.
15. Bagheri SC, Dierks EJ, Kademani D, Holmgren E, Bell RB, Hommer L, Potter BE. Application of a facial injury severity scale in craniomaxillofacial trauma. J Oral Maxillofac Surg. 2006; 64(3): 408–14.
16. Björnstig U, Eriksson A, Ornehult L. Injuries caused by animals. Injury 1991; 22(4): 295–298.
17. Langley RL, Morrow WE. Deaths resulting from animal attacks in the United States. Wilderness Environ Med. 1997; 8(1): 8–16.
18. Morris JA Jr, MacKenzie EJ, Damiano AM, Bass SM. Mortality in trauma patients: the interaction between host factors and severity. J Trauma. 1990; 30(12): 1476–82.
19. Raghavan M. Fatal dog attacks in Canada, 1990–2007. Can Vet J. 2008; 49(6): 577–581.
20. Svendsen K, Aas O, Hilt B3. Nonfatal occupational injuries in Norwegian farmers. Saf Health Work. 2014; 5(3): 147–51.
21. Lathrop SL. Animal-caused fatalities in New Mexico, 1993–2004. Wilderness Environ Med. 2007; 18(4): 288–92.
22. Borowska-Solonynko A, Dąbkowska A, Raczkowska Z, Kwietniewski W. The effect of alcohol consumption on the severity of injuries, prognosis and mortality – a review of literature. Arch Med Sad Kryminol. 2012; 62: 47–54.
23. Porter RS. Alcohol and injury in adolescents. Pediatr Emerg Care. 2000; 16(5): 316–320.
24. Yaghoubian A, Kaji A, Putnam B, de Virgilio N, de Virgilio C. Elevated Blood Alcohol Level May Be Protective of Trauma Patient Mortality. Am Surg. 2009; 75(10): 950–953.
25. Salim A, Ley EJ, Cryer HG, Margulies DR, Ramicone E, Tillou A. Positive Serum Ethanol Level and Mortality in Moderate to Severe Traumatic Brain Injury. Arch Surg. 2009; 144(9): 865–871.
26. Plurad D, Demetriades D, Gruzinski G, Preston C, Chan L, Gaspard D, et al. Motor vehicle crashes: the association of alcohol consumption with the type and severity of injuries and outcomes. J Emerg Med. 2010; 38(1): 12–17.
27. Choi Y, Jung K, Eo E, Lee D, Kim J, Shin D, et al. The relationship between alcohol consumption and injury in ED trauma patients. Am J Emerg Med. 2009; 27(8): 956–960.
28. Johnston JJE, McGovern SJ. Alcohol related falls: an interesting pattern of injuries. J Emerg Med. 2004; 21(2): 185–188.
29. Crocker P, Zad O, Milling T, Lawson KA. Alcohol, bicycling, and head and brain injury: a study of impaired cyclists’ riding patterns R1. Am J Emerg Med. 2010; 28(1): 68–72.
30. Ranzer MJ, Chen L, DiPietro LA. Fibroblast function and wound breaking strength is impaired by acute ethanol intoxication. Alcohol Clin Exp Res. 2010; 35(1): 83–90.
31. Brattstrom O, Granath F, Rossi P, Oldner A. Early predictors of morbidity and mortality in trauma patients treated in the intensive care unit. Acta Anaesthesiol Scand. 2010; 54(8): 1007–1117.
32. Swearingen A, Ghaemmaghami V, Loftus T, Swearingen CJ, Salisbury H, Gerkin RD, et al. Extreme blood alcohol level is associated with increased resource use in trauma patients. Am Surg. 2010; 76(1): 20–24.
33. Zhang QB, Zhang B, Zhang ZQ, Chen Q. The epidemiology of cranio-facial injuries caused by animals in southern-central China. J Craniomaxillofac Surg. 2012; 40(6): 506–9.
34. Caglayan K, Celik A, Ozkan OF, Celik AS, Koksal N, Altinli E. Large animal-related injuries in a rural population in northeastern Turkey. Indian J Surg. 2013; 75(3): 200–3.
35. Busch HM Jr, Cogbill TH, Landercasper J, Landercasper BO. Blunt bovine and equine trauma. J Trauma. 1986; 26(6): 559–60.
36. Conrad L. The maul of the wild. Animal attacks can produce significant trauma. Emerg Med Serv. 1994; 23(3): 71–2, 76.
37. 1999 Severe animal attack and bite surveillance Summary. Texas Department of Health – Zoonosis Control Division.
38. Clifton M. Dog attack and maiming, US & Canada September 1982 to November 13, 2006. http://www.dogsbite.org/ – accesed at the 5th of March 2015.
39. Garvey EM, Twitchell DK, Ragar R, Egan JC, Jamshidi R. Morbidity of pediatric dog bites: A case series at a level one pediatric trauma center. J Pediatr Surg. 2015; 50(2): 343–6.
40. Esposito S, Picciolli I, Semino M, Principi N. Dog and cat bite-associated infections in children. Eur J Clin Microbiol Infect Dis. 2013; 32(8): 971–6.
41. Gilyoma JM, Mabula JB, Chalya PL. Animal-related injuries in a resource-limited setting: experiences from a Tertiary health institution in northwestern Tanzania. World J Emerg Surg. 2013; 8(1): 7.
42. Chalya PL, Mchembe MD, Gilyoma JM, Mabula JB, Chandika AB, Mshana SE. Bite injuries at Bugando Medical Centre, Mwanza Tanzania: a five year experience. East Cent Afr J Surg. 2011; 16(1): 46–52.
43. Hagel L, Pahwa P, Dosman JA, Pickett W. Economic worry and the presence of safety hazards on farms. Accid Anal Prev. 2013; 53: 156–60.