Skip to main content
American Journal of Public Health logoLink to American Journal of Public Health
. 1991 Jul;81(7):921–923. doi: 10.2105/ajph.81.7.921

Farm tractors and mandatory roll-over protection retrofits: potential costs of the policy in New York.

T W Kelsey 1, P L Jenkins 1
PMCID: PMC1405192  PMID: 1905112

Abstract

Tractor roll-overs are the leading cause of fatal farm accidents, accounting for more than one-fourth of all agriculturally related deaths. Most of these deaths could be prevented if the tractors were equipped with roll-over protective structures (ROPS). This study estimates the number of tractors in New York without ROPS, projects their retirement, and then estimates the number of lives which would be saved if ROPS were retrofitted on old tractors. The basic costs associated with mandating ROPS are calculated from these estimates. The minimum economic cost of mandating ROPS is $511,136 per life saved for the retrofits, and an additional $253,254 per life saved for every $1 million spent annually on enforcement. It is concluded that a policy mandating ROPS on all tractors would be expensive, but should be considered with particular attention to the need for and cost effectiveness of enforcement.

Full text

PDF
921

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Cummings S. R., Rubin S. M., Oster G. The cost-effectiveness of counseling smokers to quit. JAMA. 1989 Jan 6;261(1):75–79. [PubMed] [Google Scholar]
  2. Goldman L. Cost-effectiveness perspectives in coronary heart disease. Am Heart J. 1990 Mar;119(3 Pt 2):733–740. doi: 10.1016/s0002-8703(05)80054-7. [DOI] [PubMed] [Google Scholar]
  3. Goodman R. A., Smith J. D., Sikes R. K., Rogers D. L., Mickey J. L. Fatalities associated with farm tractor injuries: an epidemiologic study. Public Health Rep. 1985 May-Jun;100(3):329–333. [PMC free article] [PubMed] [Google Scholar]
  4. Javitt J. C., Canner J. K., Sommer A. Cost effectiveness of current approaches to the control of retinopathy in type I diabetics. Ophthalmology. 1989 Feb;96(2):255–264. doi: 10.1016/s0161-6420(89)32923-x. [DOI] [PubMed] [Google Scholar]
  5. Karlson T., Noren J. Farm tractor fatalities: the failure of voluntary safety standards. Am J Public Health. 1979 Feb;69(2):146–149. doi: 10.2105/ajph.69.2.146. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Martens L. L., Rutten F. F., Erkelens D. W., Ascoop C. A. Clinical benefits and cost-effectiveness of lowering serum cholesterol levels: the case of simvastatin and cholestyramine in The Netherlands. Am J Cardiol. 1990 Mar 20;65(12):27F–32F. doi: 10.1016/0002-9149(90)91252-2. [DOI] [PubMed] [Google Scholar]
  7. Simel D. L., Matchar D. B., Piscitelli J. T. Routine intravenous pyelograms before hysterectomy in cases of benign disease: possibly effective, definitely expensive. Am J Obstet Gynecol. 1988 Nov;159(5):1049–1053. doi: 10.1016/0002-9378(88)90409-7. [DOI] [PubMed] [Google Scholar]
  8. Thelin A. Epilogue: agricultural occupational and environmental health policy strategies for the future. Am J Ind Med. 1990;18(4):523–526. doi: 10.1002/ajim.4700180428. [DOI] [PubMed] [Google Scholar]
  9. Warner K. E. Issues in cost effectiveness in health care. J Public Health Dent. 1989;49(5 Spec No):272–278. doi: 10.1111/j.1752-7325.1989.tb02085.x. [DOI] [PubMed] [Google Scholar]

Articles from American Journal of Public Health are provided here courtesy of American Public Health Association

RESOURCES