Diabetes

Diabetes is one of the most common chronic conditions in Australia. It is estimated that around 1.7 million Australians have diabetes and includes all types of diagnosed diabetes (1.2 million known and registered) as well as silent, undiagnosed Type 2 diabetes where it is estimated there are another additional 500,000.

Diabetes is associated with earlier death and other chronic illnesses such as cardiovascular disease (heart disease, kidney disease and eye disease such as visual loss and blindness..

There are two main types of diabetes. Type 1 diabetes develops when your pancreas is no longer producing insulin so you are unable to process sugar/glucose in your body. Type 1 diabetics must be supplemented with insulin through injections or a pump. Type 2 diabetes develops when your body is no longer able to efficiently produce and release insulin from the pancreas to maintain healthy blood glucose levels.

Surprisingly farming men, women and agricultural workers who live rurally are at increased risk of developing diabetes, due to rural and remote communities experiencing higher rates of diabetes compared to major cities. Hospitalisation and death rates in remote and very remote areas due to diabetes are two times as high as in major cities. A possible contributing factor to this increased risk is the use of modernised farm equipment, vehicles and farm technology. These sedentary changes result in reduced physical activity from sitting in machinery and excess energy from food not being utilised. When excess energy is not used by the body, it is converted to body fat which can potentially sit around the waist as abdominal fat or toxic waste. Large waist measurements or excess abdominal fat is one of the greatest risk factors in the development of Type 2 diabetes. Other factors which increase the risk of developing Type 2 diabetes include: family history of diabetes, being overweight or obese, inactivity and an unhealthy diet.

To see if you might be at risk of diabetes, take the Diabetes Ausdrisk test. It only takes a few minutes and is free. The good news is that in most cases Type 2 diabetes can be prevented through diet and exercise. A few lifestyle choices or changes can help protect you against developing Type 2 diabetes.

  1. Maintain a healthy weight – this can be done through exercise and healthy eating (outlined below)
  2. Exercise regularly – try to build some activity into your daily routine. For example, walk instead of taking the ute or quad bike.
  3. Make healthy food choices – concentrate on getting the recommended servings of fruit, vegetables, lean meats and grains each day. See the Australian Guide to Healthy Eating for more information. Also, visit our Fact Sheet on Healthy Lunchbox ideas.
  4. Manage your blood pressure – talk to your GP about how they can help you with this.
  5. Manage cholesterol – while cholesterol can be influenced by your genetics, diet is really important in keeping cholesterol levels within a healthy range. For more information, see the Heart Foundation for healthy eating and cholesterol. Also, talk to your GP about how they can help you with this.

Often farmers are very busy and put off taking care of their health.  Living in rural and remote communities may involve long distance travel to access health services such as a doctor, diabetes educator or dietitian. There are online and phone services that are confidential and will help support you to manage your health and reduce your risk of diabetes. Read more about preventing diabetes at Diabetes Australia.

Fast facts:

References used for this topic

More information:

Australian Institute of Health and Welfare
Diabetes (2020)

Australian Institute of Health and Welfare
Rural and remote health (Australia’s health 2016)

Diabetes Australia
Life! Helping you prevent diabetes, heart disease and stroke

Department of Health, Australian Government
Australian Guide to Healthy Eating

Diabetes Australia
Are you at risk? (Type 2)

Diabetes Australia
Prevention

Diabetes Australia
Data snapshot

Clinical care:

Diabetes Australia
Best practice guidelines for health professionals

Research & reviews:

Australia Journal of Rural Health
Diabetes risk factors, diabetes and diabetes care in a rural Australian community

BMC Public Health
The association of levels of physical activity with metabolic syndrome in rural Australian adults

Wound care

Skin wounds need to be cleaned and dressed.  Contrary to many myths, wounds that are kept moist heal better and faster than those exposed to the air. Protecting the wound with a dressing provides a moist environment that encourages the surface skin cells to migrate across the gap and join up. Put simply a ‘dry wound’ is a ‘dead wound’ and you don’t want a dead wound!

Letting a wound ‘breathe’ is a common cause of wounds failing to heal. This issue has been investigated scientifically, and it is conclusively demonstrated that a covered wound heals faster than an uncovered wound! This is because the dry scab actually slows the growth of new skin cells.

Because farmers often keep knocking their wounds on their hands and limbs they can take a long time to heal. Using a dressing will help the wound heal.  Other causes of wounds failing to heal are ongoing trauma, infection, deep burns, skin cancers or underlying medical conditions such as diabetes.

If you have a blister don’t pop the blister. Wounds covered by blisters heal better and more quickly when the blister remains intact, rather than broken. This is because the skin cover provides protection and a warm moist environment to allow for healing.

For more information on wound care visit Better Health Channel

Fast facts:

References used for this topic page

More information:

Better Health Channel
Skin cuts and abrasions

Australian Broadcasting Corporation (ABC)
Wound care: What you need to know for your cuts, scrapes, grazes and burns
Wound healing and air

North East Valley Division of General Practice
Wound assessment and dressing selection

Research & reviews:

Department of Veterans’ Affairs
Wound identification and dressing selection chart

Snake bite

Australia has some of the world’s deadliest snakes, and snake bites in Australia most commonly happen in the warmer months when snakes are more active. They mainly live in rural and remote areas and are found out and about on farms looking for water or food.

Snake bites often occur if a snake needs to be defensive. Common sites to be bitten are hands, arms, feet and ankles. Medical assistance is required urgently after a snake bite.

Do not attempt to catch the snake. The snake may bite again if an attempt is made to catch it. Identification of the snake species can be obtained in the hospital through patient samples of blood and urine.

Symptoms of snake bite may include:

First aid for snake bite aims to stop the venom moving around the body. Depending on the volume of venom injected, research indicates very little venom reaches the circulation if pressure is applied over the site and the limb is immobilised. If the snake is angry and stirred up, it may release more venom when it strikes.

What you should do:

Fast facts:

References used for this topic

More information:

Department of Environment and Heritage Protection (Qld)
Snake bites

Flying Doctors Service
Outback Survival: Snakes and snake bites

St John Ambulance Australia (Vic)
Snake bite first aid tips

Clinical care:

Safer Care Victoria
Management of snake bite

Research & reviews:

The Medical Journal of Australia
The Australian Snakebite Project, 2005–2015

World Health Organization (WHO)
Snake antivenoms

Shock – physical

Medical shock is caused by not having enough blood circulating around your body. Reduced blood pressure decreases the flow of oxygen to vital organs and, unless attended to, is a life-threatening medical emergency.

Some of the many causes of medical shock include uncontrolled bleeding, severe burns, dehydration, being crushed under heavy objects, and spinal injury. A range of factors influences the impact of shock, such as your health, age, personality, where on the body the injury occurs and the environment. Signs of medical shock may include clammy skin, shallow or difficult breathing, rapid or irregular heartbeat, anxiety, thirst, dizziness, nausea and confusion.

Shock can be particularly life threatening on farms where you may be a long way from help or emergency medical facilities. It is very important that everyone on the farm knows where you are going to be and when you will return. If you are working on your own on a farm, arrange a system of notifying a family member, colleague or neighbour about where you will be and commit to checking in by a certain time each day. It is also important for everyone on the farm to have some first aid training. If someone suffers a major injury, you must send for help and then try to stop any bleeding or treat wounds and burns.

Emotional distress or sudden fright in response to a traumatic event is also often called ‘shock’ but this is different from physical shock. More information about emotional shock can be found here: Better Health Channel – Trauma reaction and recovery.

Fast facts:

References used for this topic

More information:

Better Health Channel
Shock

Cinahl Information Systems
Sepsis and Septic Shock

St John Ambulance NSW
Shock – managing shock

Clinical care:

Emergency Medicine and Trauma
Resuscitation in Hypovolaemic Shock

Emergency Medicine Practice
Diagnosis and management of shock in the emergency department

Queensland Ambulance
Clinical Practice Guidelines: Trauma/Hypovolaemic shock

Poisoning

Poisoning can occur when a person ingests, inhales or has skin contact with household, agricultural and industrial chemicals or gas. Not only are farmers and agricultural workers at risk but also children or children visiting farms. Poisoning to stock, (sheep, cattle) and domestic pets, can also occur when exposed to waste such as broken vehicle batteries, chemical containers, snail and other vermin baits and general rubbish.

Reduce the risk of accidental poisoning by:

If you think someone has been poisoned, or has an unexplained illness, do not wait for further symptoms to develop.

Ring the National Poisons Information Centre on 13 11 26 immediately.

This is a 24 hour, 7 days a week service.

Do not try to make the person vomit, unless instructed to do so it may cause more injuries. Always call triple zero (000) in an emergency and have your address and location ready.

Fast facts:

References used for this topic

More information:

Department of Agriculture and Food (WA)
Preventing lead poisoning in farm animals

Department of Agriculture (Vic)
Working with chemicals

Department of Primary Industries (NSW)
Lead poisoning to livestock

National Poisons Information Centre
Call 13 11 26 – 24 hours a day, 7 days a week

Research & reviews:

Australian Institute of Health and Welfare
Accidental Poisoning

First aid kits

First aid kits are essential on farms. Life on a farm comes with its own set of hazards and a first aid kit should be properly stocked and available at all times. It’s a good idea to keep a first aid kit in the home, car, ute, truck, shearing shed and workshop.

Well-stocked first aid kits should contain components to address: 

Thes items will enable emergency care to be given to an injured family member or employee until medical assistance arrives. The isolation of many Australian farms means medical assistance may take time to arrive. Consequently, preserving life, preventing a condition from worsening and the promotion of recovery is more likely to occur with a well-stocked first aid kit.

Everyone living and working on a farm should know the location of all first aid kits and be trained in first aid; once a course is completed, refreshers are required every three years. To remain effective, first aid kits need to be maintained through regular component checks and used or expired stock replaced as soon as possible. 

For more information on first aid kits visit Better Health Channel.

Fast facts:

References used for this topic

More information:

Australian Red Cross
First Aid and Mental Health training

Better Health Channel
First aid basics and DRSABCD

Safework Australia
First aid

St John Ambulance Australia
Visit website

Eye injury – something in your eye? Don’t ignore it!

Eye injuries on the farm: What you need to know

Working on the land means you’re often exposed to dust, dirt, chemicals, metal, grain and machinery. All of these can lead to serious eye injuries, especially when you’re welding, grinding, fencing, spraying or working with animals. 

Between 2010 and 2015, agriculture, forestry and fishing were the second highest industry for work-related eye injuries in Australia. That’s a lot of farmers, fishers and forestry workers getting hurt on the job (AIHW, 2017). 

What is a foreign body in the eye? 

A foreign body is anything that gets into your eye and doesn’t belong there – like: 

Even a tiny speck can cause big damage. Eyes are also highly vascular and will absorb chemicals into the bloodstream more rapidly than when splashed on the skin. 

Symptoms include pain, burning, irritation, a scratchy feeling, blurred vision, loss of vision, sensitivity to bright lights, bleeding into the white of the eye and a feeling that something’s still in it.  

What to do if you get something in your eye 

Do not try to remove the object yourself. You might make it worse. 

Complications with eye injuries

What causes eye injuries on farms? 

Farm kids and eye safety 

Children on farms are often around workshops, machinery, animals and even chemicals. They may be helping or copying adults, or be nearby when you’re using tools and equipment. 

Eye injuries in kids can happen when: 

When it comes to farm kids and eye safety, remember:

Prevention is better than a trip to emergency 

Find out more about this topic on Better Health Channel.

Fast facts:

References used for this topic page

More information:

Better Health Channel
Eye safety at work

Clinical care:

Australian Doctor
How to treat: minor farm issues [PDF]

Royal Children’s Hospital Melbourne
Acute eye injury

Lunz, R., Brumby, S., Clifforth, S., & Yoshimitsu, Y. (2019). Minor farm injuries: How to treat [How to treat]. Australian Doctor, (September 2019), 15-22.
Retrieved from https://ausdoc.com.au/how-treat/minor-farm-injuries

Research & reviews:

Australian Institute of Health and Welfare
Eye injuries in Australia 2010–11 to 2014–15

Bentham Open Access
Hospitalised eye injuries in New South Wales, Australia [PDF]

Safe Work Australia
Work related eye injuries in Australia [PDF]

Electrocution

Electrocution on farms is often due to overhead power lines. You do not have to touch a power line to be electrocuted with overhead power lines as the power arcs. Harvest time on farms is particularly risky. Producers using large machinery such as harvesters and augers underneath overhead powerlines should take particular care. Moving large objects such as Windmills and silos can also be hazardous when there are power lines nearby.

Aerial power lines, defective wiring and extension cords are also common causes of electrocution.

If someone is electrocuted, it is vital to disconnect the power supply before you try to help them. After you disconnect the power source, give first aid and seek medical help.

Injuries and death from an electric shock can include burns and disturbances to heart rhythm (heart failure) that could be fatal.

Fast facts:

References used for this topic

More information:

St John Ambulance Australia
Electrocution

Safework Australia
Electrical risks at the workplace fact sheet

Clinical care:

Queensland Health
Primary Clinical Care Manual

Research & reviews:

Kondinin Group – Western Australia
Prevention and first aid for electric shock

Australian Institute of Health and Welfare
Electrical Injuries: hospitalisations and deaths 2014-15 and 2015-16 [PDF]

Crush injuries

Crush injuries occur when a part of the body – such as a hand, arm, leg, foot or trunk is trapped, pinched or jammed under or between objects. The pressure can harm skin, muscles, nerves or bone, depending on the degree of force.  In some cases little damage is seen on the outside as the damage is hidden on the inside.

Crush incidents are often horrific events that result in death or life-long consequences for workers, their families and communities. Crush injuries range from hitting a finger or thumb with a hammer, to the deadly impact of unsafe use of modern machinery, falling hay bales, or quad bike rollovers. 

Crush injuries are common on farms, particularly those involving the hands. The most serious cases occur in agriculture where heavy machinery is used and people become trapped under them or in them. 

Crush injuries can happen: 

Crush injuries can cause compartment syndrome or crush injury syndrome which both have serious consequences. Both require urgent medical attention.

Compartment syndrome

Compartment syndrome can occur when muscles inside the ‘compartment’ of a limb swell so much that blood flow is blocked. The fascia, which covers the muscles, is not very elastic and does not stretch, forcing the pressure from the swelling inwards, compressing nerves and blood vessels. This compression can damage nerves and muscles, causing chronic pain and mobility issues. Compartment syndrome can be caused by many things including being crushed under a heavy object.

Crush injury syndrome

Crush injury syndrome occurs when a large area of muscle is compressed and starved of blood flow over several hours. This causes the muscle cells to break down, releasing acids and other chemicals. When the pressure is removed these chemicals are released and can cause serious damage as they travel to the heart and kidneys.

First aid

First aid for crush injuries requires careful assessment. If the area has been compressed for a long time it may be best to wait for emergency services to arrive or seek advice when you call triple zero (000), before removing the crushing weight, as a tourniquet or intravenous fluids may be needed before the weight is released.

However, if the weight on the head, chest, neck or abdomen is not removed the casualty may die from breathing failure, heart failure or blood loss. Even if not apparently badly injured internal damage or rapid deterioration can occur. Seek medical attention.

Visit Better Health Channel for more information and suggestions to prevent crush injuries involving tractors, quad bikes, machinery, grain augers and livestock.

Fast facts:

References used for this topic

More information:

Safe Work Australia
Key Work Health and Safety Statistics Australia 2024
Some steps to reduce risk of death from cattle crushing [PDF]

Clinical care:

Practical Plastic Surgery For Nonsurgeons (Chapter 35)
Hand crush injury and compartment syndrome [PDF]

ANZCOR Guidelines
Guideline 9.1.7 – First Aid Management of Crush Injury

Research & reviews:

Safe Work Australia
Work-related hand and wrist injuries in Australia [PDF]

Farming Ahead
Avoiding and treating Crush Injuries (2016) [PDF]

Burns

There are many causes of burns on farms. These include burns from friction, heat, sun, chemicals, equipment and fuels.

Some causes of burns include UV radiation (sunburn), flame, radiant heat, hot liquids or gases, electricity, fuels and certain chemicals. The cause of the burn will determine the category of the burn. Sometimes farmers use burning to  reduce pests in fields, get rid of stubble and snails. Carelessness is the most common cause and to avoid burns on the farm and in the home, proper safety precautions needs to be undertaken.

There are several categories of burns

All deep burns need emergency medical care and the management of the burn will vary depending on the category of the burn.

General management involves: Ensure you are no longer in contact with the source of the burn. Applying cool running water over the burn site for 20 minutes, or until the skin has cooled. Do not break blisters as these provide a sterile cover for the burn, do not apply ointments or oils. Cover the area with a sterile/ clean non fluffy dressing. Arrange urgent medical assistance.

Major burns are a medical emergency and require urgent medical attention. Do not remove burned clothing if it stuck to the burned area, rather cool it by continuously pouring water on it. In some cases, skin graft surgery is needed.

Always call triple zero Tel 000 for major burns. You will be given advice over the phone on how to manage the burn.

For more information on (Burns and Scalds) visit Better Health Channel

Immediate Burn Treatment – video

Fast facts:

References used for this topic

More information:

Victorian Adult Burns Service – First Aid,
First Aid
Patient information sheets

Better Health Channel
Burns and scalds in children

St John
Burns

Raising Children
Burns and scalds first aid

Better Health Channel
Eyes – Flash Burns

Clinical care:

Royal Children’s Hospital Melbourne
Burns

Research & reviews:

Journal of Multidisciplinary Healthcare
Occupational chemical burns: a 2 year experience in the ED

American Academy of Pediatrics
Preventing unintentional scalds and burns: moving beyond tap water [PDF 300kb]

Cochrane Collaboration
Dressings for superficial and partial thickness burns (Review) [PDF 540kb]

World Health Organization (WHO)
Burns

Bleeding

Farming men, women, children and agricultural workers are exposed to many hazards which can potentially cause trauma and injury, resulting in bleeding. Bleeding may present as minor bleeding from small cuts, abrasions and nosebleeds or severe external or internal bleeding caused by trauma. Bleeding always requires immediate attention and first aid.

To find out more on the different types of bleeding, treatment and management. Go to Better Health Channel

Severe bleeding, which doesn’t stop after 10 minutes of continuous pressure, requires urgent medical attention. Call triple zero (000).

Fast facts:

References used for this topic

More information:

Better Health Channel
Bleeding

St John Ambulance NSW
Managing severe bleeding

Worksafe Compliance code: First aid in the workplace

Clinical care:

National Blood Authority Australia
Patient Blood Management Guidelines

Bites and stings

Poisons Information Centre – 13 11 26

There are many Australian species that bite or sting, such as insects, bees, wasps, ants, mosquitos, ticks, scorpions, caterpillars, centipedes, spiders, snakes and sea creatures. Some bites and stings may be harmless and not require treatment, others may be venomous or cause a severe allergic reaction (anaphylaxis) and require medical treatment promptly.

Allergies to venoms from stinging insects (bees, wasps and ants) are one of the most common causes of severe allergic reactions (anaphylaxis) in Australia. Symptoms of anaphylaxis include:

Anaphylaxis from stinging insect allergy results in an average of three deaths per year in Australia. Those with a known allergy should be seen by a medical specialist (clinical immunology/allergy specialist) to develop a strategy for managing subsequent bites or stings and have two adrenaline auto-injectors (e.g. EpiPen®, AnaPen®) readily available to treat anaphylaxis.

People at greater risk of severe reactions to spider venom include babies, young children, the elderly and people with an existing heart condition.

In the event of a venomous bite or sting:

If the person collapses or stops breathing, you will need to apply CPR (cardiopulmonary resuscitation) until medical help arrives. Remember – CPR takes precedence over other first aid if the person is not breathing.

If you need more information call the Poisons Information Centre on 13 11 26 – seven days a week, 24 hours a day.

Important note: NEVER apply the pressure immobilisation technique to a red back spider bite; it will increase the severity of the pain and cause more damage to the tissue around the bite site. First aid is to wash the area and apply a cold pack for 20 minutes ensuring it doesn’t come into direct contact with the skin, and to seek medical help. 

For more information on bites and stings first aid, visit Better Health Channel.

Fast facts:

References used for this topic

More information:

Poisons Information Centre
Call 13 11 26 – 24 hours a day, 7 days a week
Poisons Information Centre

Victorian Poisons Information Centre
Call 13 11 26 – 24 hours a day, 7 days a week
More information from Austin Health

Australian Bites and Stings
Visit website

Australian Museum
Insect bites and stings

Royal Children’s Hospital Melbourne
Insect bites and stings in children

Better Health Channel
Applying CPR

University of Melbourne
Preventing venomous injuries with the new Australian Bites and Stings APP

Clinical care:

Austin Health
First aid for bites and stings (including Pressure Immobilisation Technique)

Safer Care Victoria
Management of snake bite

Research & reviews:

ASCIA – Australasian Society of Clinical Immunology and Allergy Limited
Allergic reaction to bites and stings

Photo by Sarah Damen on Unsplash