fatality rate in Alaska. The NIOSH AFF Program involvement in various programs and projects has likely contributed, in part, to those declines. Its contribution includes offering assessments, analyzing injury data, identifying high-risk groups, estimating denominators and rates, offering support for interventions, and assessing the success of the interventions.


Changes in national leadership, including changes in DOL and ESA, have affected the NIOSH AFF Program. Federal agencies are required to evaluate the economic impact of proposals, and this may be difficult to estimate when the proposals are for exploratory or qualitative studies.

Child Labor

The absence of adequate child labor laws, as applied to youth on family farms, may increase the risk of injury and exposure to hazards to young workers.


A series of events are cited as external factors that affected the completion of surveys or programs. Among them are the hiring of contractors to conduct surveys, collaborations with other federal organizations, and DOL’s indecision regarding support of the NAWS. Continued support of this program is warranted.

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