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July 17, 1967

Control of Accidents in Rural Areas

Author Affiliations

From the Bureau of Occupational Health, California Department of Public Health, Berkeley. Dr. Waller is now with the Bureau of Chronic Diseases.

JAMA. 1967;201(3):176-180. doi:10.1001/jama.1967.03130030046011

The original version of "Springfield Mountain,"1 an old New England folk ballad, tells how a young man was bitten by a rattlesnake while plowing his fields, and how he died because first aid was not available. The final verse states,

In the month of August, the twenty-first,

When this sad accident was done,

May this be a warning to you all

To be prepared when God shall call.

Although this song goes back to the year 1761, it has relevance to present rural America. The rural environment still is, in many ways, an overly hazardous environment. However, the occurrence of an "accident" need not inexorably lead to death as in the ballad. Man can intervene in many simple as well as sophisticated ways to prevent an "accident" from becoming an injury, and an injury from becoming a fatality.

Finally, although much excellent research is being done to arrive at

Lomax, A.:  The Folk Songs of North America , New York: Doubleday & Co., Inc., 1960, p 13.
National Safety Council:  Accident Facts , Chicago, 1965.
Waller, J.A.; Curran, R.; and Noyes, F.:  Traffic Deaths: A Preliminary Study of Urban and Rural Fatalities in California,  Calif Med 101:272-276 ( (Oct) ) 1964.
Garrison, F.H.:  Introduction to the History of Medicine , ed 4, Philadelphia: W.B. Saunders Co., 1929, pp 357-358.
Chapman, A.L., and Beasley, J.W.:  Fire Prevention Program ,  Public Health Rep 76:1119 ( (Dec) ) 1961.
 Dallas Leads the Way to a Successful Community Program for Gun Safety in the Home , Division of Accident Prevention, US Dept of Health, Education, and Welfare, US Public Health Service, (July 20) , 1962.
Frederick, G.A., and Powers, R.D.:  Comprehension of Insecticide Terminology—Final Report , Dept of Agricultural Journalism, University of Wisconsin, Madison, (Dec) 1965.
McCarroll, J.R., and Haddon, W., Jr.:  A Controlled Study of Fatal Automobile Accidents in New York City ,  J Chronic Dis 15: 811-826 ( (Aug) ) 1962.Crossref
Haddon, W., Jr., et al:  A Controlled Investigation of the Characteristics of Adult Pedestrians Fatally Injured by Motor Vehicles in Manhattan ,  J Chronic Dis 14:655-678 ( (Dec) ) 1961.Crossref
Campbell, H.E.:  The Role of Alcohol in Fatal Traffic `Accidents' and Measures Needed to Solve the Problem ,  Mich Med 63:699-703 ( (Oct) ) 1964.
Barmack, J.E., and Payne, D.E.:  Injury-Producing Private Motor Vehicle Accidents Among Airmen in Driver Personality and Behavior Characteristics , bulletin 285, Highway Research Board, 1961, pp 1-22.
Waller, J.A.:  Alcohol and Traffic Accidents: Can the Gordian Knot Be Broken?  Traffic Safety Res Rev 10:14-21 ( (March) ) 1966.
Selzer, M.L., et al:  Alcoholism, Mental Illness and the "Drunk Driver ,"  Amer J Psychiat 120:326-331 ( (Oct) ) 1963.
Waller, J.A.:  Implications of Shifting Emphases on Alcohol Use and Traffic Accidents , read before the  Fourth International Conference on Alcohol and Traffic Safety, Bloomington, Ind, Dec 6-10, 1965 .
Waller, J.A., and Turkel, H.W.:  Alcoholism and Traffic Deaths ,  New Eng J Med to be published.
Stapp, J.P.:  Effects of Mechanical Force on Living Tissues: Abrupt Deceleration and Windblast ,  J Aviation Med 26:268-288 ( (Aug) ) 1955.
Goddard, J.L., and Haddon, W., Jr.:  An Introduction to the Discussion of the Vehicle in Relation to Highway Safety in Passenger Car Design and Highway Safety , Mt. Vernon, NY: Association for the Aid of Crippled Children, and Consumers Union of US, 1962, pp 1-6.
Waller, J.A.; Garner, R.; and Lawrence, R.:  Utilization of Ambulance Services in a Rural Community ,  Amer J Public Health 56:513-520 ( (March) ) 1966.Crossref
Owens, C.: " Colorado Study of Emergency Treatment Facilities ," in  Bi-Regional Emergency Medical Services Seminar Report , University of Nevada, Reno, (Sept 29) -30, 1965, pp 5-18.
 California Public Health Statistical Report (pt (1) ), Berkeley: California Department of Public Health, 1962.