Like all types of farming, raising tobacco has many hazards that may lead to injury, disability, or death. Burley tobacco farming is a multistep process that is not highly mechanized. An 8-year emergency department surveillance system in Kentucky identified 674 injury cases related to the production of burley tobacco. Most of the injuries were a result of a fall, cutting and piercing instruments, or sprains and strains. More than 90% of the injured patients were treated as outpatients, and the average charge for emergency room services was
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