Monday, 28 March 2011 19:36

Horses and Other Equines

Rate this item
(0 votes)

Horses belong to the equine family, which includes the domesticated African wild ass, also known as the donkey or burro. Historians believe that domestication of the horse began circa 6000 BC and the donkey at least as early as 2600 BC. The mule, bred for work, is a cross between a male donkey (jack or jackass) and a female horse (mare). A mule is unable to reproduce. When a male horse (stallion) is bred with a female donkey (jennet), the offspring, also sterile, is called a hinny. Horses and donkeys have also been crossed with another equine, the zebra, and the offspring are collectively called zebroids. Zebroids are also sterile and of little economic importance (Caras 1996).

Processes

Of the 10 million horses in the United States, about 75% are used for personal pleasure riding. Other uses include racing, ranching, breeding and commercial riding. The horse has become a performer in racing, jumping, rodeo and many more events.

The three main horse enterprises are breeding, training and boarding stables. Horse breeding farms breed mares and sell the offspring. Some farms specialize in training horses for show or racing. Boarding stables feed and care for horses for customers who have no facilities to house their horses. All three of these enterprises are labour intensive.

Horse breeding is an increasingly scientific process. Pasture breeding was typical, but now it is generally controlled within a breeding barn or corral. Although artificial insemination is used, it is more common that mares are brought to the stallion for breeding. The mare is checked by a veterinarian and, during breeding, trained workers handle the stallion and the mare.

After giving birth, the mare nurses the foal until it is from 4 to 7 months of age; after weaning, the foal is separated from the mare. Some colts not meant for breeding may be castrated (gelded) as early as 10 months of age.

When a racehorse becomes a two-year-old, professional trainers and riders start breaking it to ride. This involves a gradual process of getting the horse used to human touch, being saddled and bridled, and finally mounted. Horses that race with carts and heavy draught horses are broke to drive at about two years of age, and ranch horses are broke at closer to three years old, sometimes using the rougher method of bucking a horse out.

In horse racing, the groom leads the horse to the saddling paddock, a trainer and a valet saddle it, and a jockey mounts it. The horse is led by a pony horse and rider, warmed up and loaded into the starting gate. Racehorses can become excited, and the noise of a race can further excite and frighten the horse. The groom takes a winning horse to a drug test barn for blood and urine samples. The groom must then cool the horse down with a bath, walking and sipping water.

A groom cares for the performance horse and is responsible for brushing and bathing it, saddling it for the exercise rider, applying any protective bandages or boots to its legs, cleaning the stall and bedding down straw, shavings, peat moss, peanut skins, shredded newspaper or even rice hulls. The groom or a “hot” walker walks the horse; sometimes a mechanical walker is used. The groom feeds the horse hay, grain and water, rakes and sweeps, washes the horse’s laundry and carts manure away in a wheelbarrow. The groom holds the horse for others such as the veterinarian or farrier (farrier work is traditionally done by a blacksmith). All horses require parasite control, hoof care and teeth-filing.

Performance horses are typically stabled and given daily exercise. However, young stock and pleasure riding horses are generally stabled at night and released during the day, while others are kept outdoors in paddocks or pastures with sheds for shelter. Race horses in training are fed three or four times a day, while show horses, other performance horses, and breeding stock are fed twice a day. Range or ranch stock are fed once a day, depending on the forage present.

Horses travel for many reasons: shows, races, for breeding or to riding trails. Most are shipped by truck or trailer; however, some travel by rail or plane to major events.

Hazards and Precautions

Several hazards are associated with working around horses. A groom has a physically demanding job with a lot of forking of manure, moving 25 to 50 kg hay and straw bales and handling active horses. Startled or threatened horses may kick; thus, workers should avoid walking behind a horse. A frightened horse may jump and step on a worker’s foot; this can also occur accidentally. Various restraints are available to handle fractious horses, such as a chain over the nose or a lip chain. Stress on horses due to shipping may cause balking and injuries to the horses and handlers.

The groom is potentially exposed to hay and grain dust, dust from bedding, moulds, horse dander and ammonia from the urine. Wearing a respirator can provide protection. Grooms do a lot of leg work on the horses, sometimes using liniments containing hazardous chemicals. Gloves are recommended. Some leather-tack care products can contain hazardous solvents, requiring ventilation and skin protection. Cuts can lead to serious infections such as tetanus or septicaemia. Tetanus shots should be maintained current, especially because of exposure to manure.

A farrier is exposed to injury when shoeing a horse. The groom’s job is to hold the horse to keep it from kicking the farrier or pulling its foot in a way that could strain the farrier’s back or cut the farrier with the horseshoe and nails.

In the drug test barn, the test person is enclosed in a stall with a loose, excited and unfamiliar horse. He or she holds a stick (with a cup for urine) that may frighten the horse.

When riding horses, it is important to wear a good pair of boots and a helmet. Any mounted person needs a protective vest for racing, jumping, rodeo broncs, and ponying or exercising racehorses. There is always a danger of being bucked off or of a horse stumbling and falling.

Studs can be unpredictable, very strong and can bite or kick viciously. Brood mares are very defensive of their foals and can fight if threatened. Studs are kept individually in high-fenced paddocks, while other breeding stock are kept in groups with their own pecking order. Horses trying to move away from a boss horse or a group of yearlings at play can run over anyone who gets in the way. Foals, weanlings, yearlings and two-year-olds will bite and nip.

Some drugs (e.g., hormones) used in breeding are given orally and can be harmful to humans. Wearing gloves is recommended. Needle-stick injuries are another hazard. Good restraints, including stocks, can be used to control the animal during administration of medication. Topical sprays and automatic stable spray systems to control flies can easily be overused in horse rearing. These insecticides should be used in moderation, and warning labels should be read and recommendations followed.

There are a variety of zoonoses that can be passed from horses to humans, especially skin infections from contact with infected secretions. Horse bites can be a cause of some bacterial infections. See table 1 for a list of zoonoses associated with horses.

 


Table 1. Zoonoses associated with horses

 

Viral diseases

Rabies (very low occurrence)
Eastern, western and some subtypes of Venezuelan equine encephalomyelitis
Vesicular stomatitis
Equine influenza
Equine morbillvirus disease (first documented in Australia in 1994)

Fungus infections

Ringworm (dermatomycoses)

Parasitic zoonoses

Trichinosis (large outbreaks in France and Italy in the 1970s and 1980s)
Hydatid disease (echinoccosis) (very rare)

Bacterial diseases

Salmonellosis
Glanders (now very rare, restricted to Middle East and Asia)
Brucellosis (rare)
Anthrax
Leptospirosis (relatively rare, direct human contamination not definitively proven)
Melioidosis (outbreaks in France in the 1970s and 1980s; direct transmission not reported)
Tuberculosis (very rare)
Pasteurellosis
Actinobacillus lignieresii, A., A. suis (suspected in Lyme disease transmission, Belgium)


 

 

Back

Read 6222 times Last modified on Thursday, 27 October 2011 21:36

" DISCLAIMER: The ILO does not take responsibility for content presented on this web portal that is presented in any language other than English, which is the language used for the initial production and peer-review of original content. Certain statistics have not been updated since the production of the 4th edition of the Encyclopaedia (1998)."

Contents

Livestock Rearing References

Aldhous, P. 1996. Scrapie theory fed BSE complacency, now fears grow for unborn babies. New Scientist 150:4-5.

Ahlgren, GH. 1956. Forage Crops. New York: McGraw-Hill Book Co.

American Conference of Governmental Industrial Hygienists (ACGIH). 1994. Threshold Limit Values for Chemical Substances and Physical Agents and Biological Exposure Indices. Cincinnati, OH: ACGIH.

Auty, JH. 1983. Draught animal power in Australia. Asian Livestock VIII:83-84.

Banwart, WC and JM Brenner. 1975. Identification of sulfur gases evolved from animal manures. J Environ Qual 4:363-366.

Baxter, PJ. 1991. Toxic marine and freshwater algae: An occupational hazard? Br J Ind Med 48(8):505-506.

Bell, RG, DB Wilson, and EJ Dew. 1976. Feedlot manure top dressing for irrigated pasture: Good agricultural practice or a health hazard? B Environ Contam Tox 16:536-540.

Benenson, AS. 1990. Control of Communicable Diseases in Man. Washington, DC: American Public Health Association.

—. 1995. Control of Communicable Diseases Manual. Washington, DC: American Public Health Association.

Brown, LR. 1995. Meat production takes a leap. In Vital Signs 1995: The Trends that are Shaping our Future, edited by LR Brown, N Lenssen, and H Kane. New York: WW Norton & Company.

Bursey, RG. 1992. New uses of dairy products. In New Crops, New Uses, New Markets: Industrial and Commercial Products from U.S. Agriculture: 1992 Yearbook of Agriculture. Washington, DC: USDA.

Calandruccio, RA and JH Powers. 1949. Farm accidents: A clinical and statistical study covering twenty years. Am Surg (November):652-660.

Cameron, D and C Bishop. 1992. Farm accidents in adults. Br Med J 305:25-26.

Caras, RA. 1996. A Perfect Harmony: The Intertwining Lives of Animals and Humans throughout History. New York: Simon & Schuster.

Carstensen, O, J Lauritsen, and K Rasmussen. 1995. The West-Justland study on prevention of farm accidens, Phase 1: A study of work specific factors in 257 hospital-treated agricultural injuries. Journal of Agricultural Safety and Health 1:231-239.

Chatterjee, A, D Chattopadhyay, D Bhattacharya, Ak Dutta, and DN Sen Gupta. 1980. Some epidemiologic aspects of zoophilic dermatophytosis. International Journal of Zoonoses 7(1):19-33.

Cherry, JP, SH Fearirheller, TA Foglis, GJ Piazza, G Maerker, JH Woychik, and M Komanowski. 1992. Innovative uses of animal byproducts. In New Crops, New Uses, New Markets: Industrial and Commercial Products from U.S. Agriculture: 1992 Yearbook of Agriculture. Washington, DC: USDA.

Crowley, M. 1995. Aquaculture trends and technology. National Fisherman 76:18-19.

Deere & Co. 1994. Farm and Ranch Safety Management. Moline, IL: Deere & Co.

DeFoliart, GR. 1992. Insects as human foods. Crop Protection 11:395-399.

Donham, KJ. 1985. Zoonotic diseases of occupational significance in agriculture: A review. International Journal of Zoonoses 12:163-191.

—. 1986. Hazardous agents in agricultural dusts and methods of evaluation. Am J Ind Med 10:205-220.

Donham, KJ and LW Knapp. 1982. Acute toxic exposure to gases from liquid manure. J Occup Med 24:142-145

Donham, KJ and SJ Reynolds. 1995. Respiratory dysfunction in swine production workers: Dose-response relationship of environmental exposures and pulmonary function. Am J Ind Med 27:405-418.

Donham, KJ and L Scallon. 1985. Characterization of dusts collected from swine confinement buildings. Am Ind Hyg Assoc J 46:658-661.

Donham, KJ and KM Thu. 1995. Agriculture medicine and enivronmental health: The missing component of the sustainable agricultural movement. In Agricultural health and safety: Workplace, Environment, Sustainability, edited by HH McDuffie, JA Dosman, KM Semchuk, SA Olenchock, and A Senthilselvan. Boca Raton, FL: CRC Press.

Donham, KJ, MJ Rubino, TD Thedell and J Kammenmeyer. 1977. Potential health hazards of workers in swine confinement buildings. J Occup Med 19:383-387.

Donham, KJ, J Yeggy, and RR Dauge. 1985. Chemical and physical parameters of liquid manure from swine confinement facilities: Health implications for workers, swine and the environment. Agricultural Wastes 14:97-113.

—. 1988. Production rates of toxic gases from liquid manure: Health implications for workers and animals in swine buildings. Bio Wastes 24:161-173.

Donham, KJ, DC Zavala, and JA Merchant. 1984. Acute effects of work environment on pulmonary functions of swine confinement workers. Am J Ind Med 5:367-375.

Dosman, JA, BL Graham, D Hall, P Pahwa, H McDuffie, M Lucewicz, and T To. 1988. Respiratory symptoms and alterations in pulmonary function tests in swine producers in Saskatchewan: Results of a survey of farmers. J Occ Med 30:715-720.

Douglas, JDM. 1995. Salmon farming: Occupational health in a new rural industry. Occup Med 45:89-92.

Douglas, JDM and AH Milne. 1991. Decompression sickness in fish farm workers: A new occupational hazard. Br Med J 302:1244-1245.

Durning, AT and HB Brough. 1992. Reforming the livestock economy. In State of the World, edited by LR Brown. London: WW Norton & Company.

Erlich, SM, TR Driscoll, JE Harrison, MS Frommer, and J Leight. 1993. Work-related agricultural fatalities in Australia, 1982-1984. Scand J Work Environ Health 19:162-167.

Feddes, JJR and EM Barber. 1994. Agricultural engineering solutions to problems of air contaminants in farm silos and animal buildings. In Agricultural Health and Safety: Workplace, Environment, Sustainability, edited by HH McDuffie, JA Dosman, KM Semchuk, SA Olenchock and A Senthilselvan. Boca Raton, FL: CRC Press.

Ferguson, IR and LRC Path. 1993. Rats, fish and Weil’s disease. Safety and Health Practitioner :12-16.

Food and Agriculture Organization (FAO) of the United Nations. 1965. Farm Implements for Arid and Tropical Regions. Rome: FAO.

—. 1995. The State of the World Fisheries and Aquaculture. Rome: FAO.

Fretz, P. 1989. Injuries from farm animals. In Principles of Health and Safety in Agriculture, edited by JA Dosman and DW Crockcroft. Boca Raton, FL: CRC Press.

Froehlich, PA. 1995. Engineering Control Observations and Recommendations for Insect Rearing Facilities. Cincinnati, OH: NIOSH.

Gillespie, JR. 1997. Modern Livestock and Poultry Production. New York: Delmar Publishers.

Gorhe, DS. 1983. Draught animal power vs mechanization. Asian Livestock VIII:90-91.

Haglind, M and R Rylander. 1987. Occupational exposure and lung function measurements among workers in swine confinement buildings. J Occup Med 29:904-907.

Harries, MG and O Cromwell. 1982.Occupational allergy caused by allergy to pig’s urine. Br Med J 284:867.

Heederick, D, R Brouwer, K Biersteker, and J. Boleij. Relationship of airborne endotoxin and bacteria levels in pig farms with lung function and respiratory symptoms of farmers. Intl Arch Occup Health 62:595-601.

Hogan, DJ and P Lane. 1986. Dermatologic disorders in agriculture. Occup Med: State Art Rev 1:285-300.

Holness, DL, EL O’Glenis, A Sass-Kortsak, C Pilger, and J Nethercott. 1987. Respiratory effects and dust exposures in hog confinement farming. Am J Ind Med 11:571-580.

Holness, DL and JR Nethercott. 1994. Acute and chronic trauma in hog farmers. In Agricultural Health and Safety: Workplace, Environment, Sustainability, edited by HH McDuffie, JA Dosman, KM Semchuk, SA Olenchock, and A Senthilselvan. Boca Raton, FL: CRC Press.

Iowa Department of Public Health. 1995. Sentinel Project Research Agricultural Injury Notification System. Des Moines, IA: Iowa Department of Public Health.

Iverson, M, R Dahl, J. Korsgaard, T Hallas, and EJ Jensen. 1988. Respiratory symptoms in Danish farmers: An epidemiological study of risk factors. Thorax 48:872-877.

Johnson, SA. 1982. Silkworms. Minneapolis, MN: Lerner Publications.

Jones, W, K Morring, SA Olenchock, T Williams, and J. Hickey. 1984. Environmental study of poultry confinement buildings. Am Ind Hyg Assoc J 45:760-766.

Joshi, DD. 1983. Draught animal power for food production in Nepal. Asian Livestock VIII:86-87.

Ker, A. 1995. Farming Systems in the African Savanna. Ottawa,Canada: IDRC Books.

Khan, MH. 1983. Animal as power source in Asian agriculture. Asian Livestock VIII:78-79.

Kiefer, M. 1996. Florida Department of Agriculture and Consumer Services Division of Plant Industry, Gainesville, Florida. Cincinnati, OH: NIOSH.

Knoblauch, A, B Steiner, S Bachmann, G Trachsler, R Burgheer, and J Osterwalder. 1996. Accidents related to manure in eastern Switzerland: An epidemiological study. Occup Environ Med 53:577-582.

Kok, R, K Lomaliza, and US Shivhare. 1988. The design and performance of an insect farm/chemical reactor for human food production. Canadian Agricultural Engineering 30:307-317.

Kuo, C and MCM Beveridge. 1990. Mariculture: Biological and management problems, and possible engineering solutions. In Engineering for Offshore Fish Farming. London: Thomas Telford.

Layde, PM, DL Nordstrom, D Stueland, LB Wittman, MA Follen, and KA Olsen. 1996. Animal-related occupational injuries in farm residents. Journal of Agricultural Safety and Health 2:27-37.

Leistikow, B Donham, JA Merchant, and S Leonard. 1989. Assessment of U.S. poultry worker respiratory risk. Am J Ind Med 17:73-74.

Lenhart, SW. 1984. Sources of respiratory insult in the poultry processing industry. Am J Ind Med 6:89-96.

Lincoln, JM and ML Klatt. 1994. Preventing Drownings of Commercial Fishermen. Anchorage, AK: NIOSH.

MacDiarmid, SC. 1993. Risk analysis and the importation of animals and animal products. Rev Sci Tech 12:1093-1107.

Marx, J, J Twiggs, B Ault, J Merchant, and E Fernandez-Caldas. 1993. Inhaled aeroallergen and storage mite reactivity in a Wisconsin farmer nested case-control study. Am Rev Respir Dis 147:354-358.

Mathias, CGT. 1989. Epidemiology of occupational skin disease in agriculture. In Principles of Health and Safety in Aagriculture, edited by JA Dosman and DW Cockroft. Boca Raton, FL: CRC Press.

Meadows, R. 1995. Livestock legacy. Environ Health Persp 103:1096-1100.

Meyers, JR. 1997. Injuries among Farm Workers in the United States, 1993. DHHS (NIOSH) Publication No. 97-115. Cincinnati, OH: NIOSH.

Mullan, RJ and LI Murthy. 1991. Occupational sentinel health events: An up-dated list for physician recognition and public health surveillance. Am J Ind Med 19:775-799.

National Institute for Occupational Safety and Health (NIOSH). 1993. Injuries among Farm Workers in the United states. Cincinnati, OH: NIOSH.

—. 1994. Request for Assistance in Preventing Organic Dust Toxic Syndrome. Washington, DC: GPO.

National Institutes of Health (NIH). 1988. Institutional Administrator’s Manual for Laboratory Animal Care and Use. Washington, DC: GPO.

National Research Council (NRC). 1989. Alternative Agriculture: Committee on the Role of Alternative Farming Methods in Modern Production Agriculture. Washington, DC: National Academy Press.

National Safety Council. 1982. Accident Facts. Chicago, IL: National Safety Council.

—. 1985. Electrofishing. NSC data sheet I-696-85. Chicago, IL: National Safety Council.

Nesheim, MC, RE Austic, and LE Card. 1979. Poultry Production. Philadelphia, PA: Lea and Febiger.

Olenchock, S, J May, D Pratt, L Piacitelli, and J Parker. 1990. Presence of endotoxins in different agricultural environments. Am J Ind Med 18:279-284.

O’Toole, C. 1995. Alien Empire. New York: Harper Collins Publishers.

Orlic, M and RA Leng. 1992. Prelimenary Proposal to Assist Bangladesh to Improve Ruminant Livestock Productivity and Reduce Methane Emissions. Washington, DC: US Environmental Protection Agency, Global Change Division.

Panti, NK and SP Clark. 1991. Transient hazardous conditions in animal building due to manure gas release during slurry mixing. Applied Engineering in Agriculture 7:478-484.

Platt, AE. 1995. Aquaculture boosts fish catch. In Vital Signs 1995: The Trends that Are Shaping our Future, edited by LR Brown, N Lenssen, and H Kane. New York: WW Norton & Company.

Pursel, VG, CE Rexroad, and RJ Wall. 1992. Barnyard biotchnology may soon produce new medical therapeutics. In New Crops, New Uses, New Markets: Industrial and Commercial Products from U.S. Agriculture: 1992 Yearbook of Agriculture Washington, DC: USDA.

Ramaswami, NS and GL Narasimhan. 1982. A case for building up draught animal power. Kurushetra (India’s Journal for Rural Development) 30:4.

Reynolds, SJ, KJ Donham, P Whitten, JA Merchant, LF Burmeister, and WJ Popendorf. 1996. A longitudinal evaluation of dose-response relationships for environmental exposures and pulmonary function in swine production workers. Am J Ind Med 29:33-40.

Robertson, MH, IR Clarke, JD Coghlan, and ON Gill. 1981. Leptospirosis in trout farmers. Lancet: 2(8247)626-627.

Robertson, TD, SA Ribeiro, S Zodrow, and JV Breman. 1994. Assessment of Strategic Livestock Feed Supplementation as an Opportunity for Generating Income for Small Scale Dairy Producers and Reducing Methane Emissions in Bangladesh. Washington, DC: US Environmental Protection Agency.

Rylander, R. 1994. Symptoms and mechanisms: Inflammation of the lung. Am J Ind Med 25:19-24.

Rylander, R, KJ Donham, C Hjort, R Brouwer, and D Heederik. 1989. Effects of exposure to dust in swine confinement buildings: A working group report. Scand J Work Environ Health 15:309-312.

Rylander, R and N Essle. 1990. Bronchial hyperactivity among pig and dairy farmers. Am J Ind Med 17:66-69.

Rylander, R, Y Peterson, and KJ Donman. 1990. Questionnaire evaluating organic dust exposure. Am J Ind Med 17:121-128.

Rylander, R and R Jacobs. 1994. Organic Dusts: Exposure, Effects and Prevention. Chicago, IL: Lewis Publishing.
Safina, C. 1995. The world’s imperiled fish. Sci Am 272:46-53.

Scherf, BD. 1995. World Watch List for Domestic Animal Diversity. Rome: FAO.

Schmidt, MJ. 1997. Working elephants. Sci Am 279:82-87.

Schmidt, JO. 1992. Allergy to venomous insects. In The Hive and the Honey Bee, edited by JM Graham. Hamilton: DaDant & Sons.

Shumacher, MJ and NB Egen. 1995. Significance of Africanized bees on public health. Arch Int Med 155:2038-2043.

Sherson, D, I Hansen, and T Sigsgaard. 1989. Occupationally related respiratory symptoms in trout-processing workers. Allergy 44:336-341.

Stem, C, DD Joshi, and M Orlic. 1995. Reducing Methane Emissions from Ruminant Livestock: Nepal prefeasibility Study. Washington, DC: US Environmental Protection Agency, Global Change Division.

Sweeten, JM. 1995. Odor measurement technology and applications: A state-of-the-art review. In Seventh International Symposium on Agricultural and Food Processing Wastes: Proceedings of the 7th International Symposium, edited by CC Ross. American Society of Agricultural Engineering.

Tannahill, R. 1973. Food in History. New York: Stein and Day.

Thorne, PS, KJ Donham, J Dosman, P Jagielo, JA Merchant, and S Von Essen. 1996. Occupational health. In Understanding the Impacts of Large-scale Swine Production, edited by KM Thu, D Mcmillan, and J Venzke. Iowa City, IA: University of Iowa.

Turner, F and PJ Nichols. 1995. Role of the epithelium in the response of the airways. Abstract for the 19th Cotton and Other Organic Dust Research Conference, 6-7 January, San antonio, TX.

United Nations Development Programme (UNDP). 1996. Urban Agriculture: Food, Jobs, and Sustainable Cities. New York: UNDP.

US Department of Agriculture (USDA). 1992. Agricultural Waste Management Field Handbook. Washington, DC: USDA Soil Conservation Service.

—. 1996a. Livestock and Poultry: World Markets and Trade. Circular Series FL&P 1-96. Washington DC: USDA Foreign Agricultural Service.

—. 1996b. Dairy: World Markets and Trade. Circular Series FD 1-96. Washington DC: USDA Foreign Agricultural Service.

—. 1997. Poultry Production and Value, 1996 Summary. Washington, DC: National Agricultural Statistics Service.

van Hage-Hamsten, M, S Johansson, and S Hogland. 1985. Storage mite allergy is common in a farming population. Clin Allergy 15:555-564.

Vivian, J. 1986. Keeping Bees. Charlotte, VT: Williamson Publishing.

Waller, JA. 1992. Injuries to farmers and farm families in a dairy state. J Occup Med 34:414-421.

Yang, N. 1995. Research and development of buffalo draught power for farming in China. Asian Livestock XX:20-24.

Zhou, C and JM Roseman. 1995. Agriculture-related residual injuries: Prevalence, type, and associated factors among Alabama farm operators, 1990. Journal of Rural Health 11:251-258.

Zuehlke, RL, CF Mutel, and KJ Donham. 1980. Diseases of Agricultural Workers. Iowa City, IA: Department of Preventive Medicine and Environmental Health, University of Iowa.