{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T21:18:26Z","timestamp":1785014306954,"version":"3.55.0"},"reference-count":31,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2018,4,13]],"date-time":"2018-04-13T00:00:00Z","timestamp":1523577600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"DHHS Assistant Secretary for Preparedness and Response","award":["HITEP 1400016"],"award-info":[{"award-number":["HITEP 1400016"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Public Health Rep"],"published-print":{"date-parts":[[2018,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>Extreme weather events require extensive tree removal and disposal, tasks associated with severe injury risks among workers and residents. To help understand the risks of such activities, we evaluated the impact of a large and destructive storm (Hurricane Sandy in 2012) on the incidence of tree-related injuries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We searched chief-complaint text fields for patients aged 18-65 from 2011-2014 emergency department visit records submitted by New Jersey hospitals through the state-based syndromic surveillance system. Tree-related keywords (eg, saw, branch, wood chip, woodchip, tree) identified possible injuries that we then reviewed to exclude unrelated cases and classify mechanisms of tree-related injury. We used Poisson regression analysis to evaluate changes in the rates of probable tree-related injuries, adjusting for total emergency department visits and seasonal variation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>We identified 698 probable tree-related injuries from 2011-2014 among patients aged 18-65, including 104 (14.9%) falls, 241 (34.5%) machine-related injuries, 311 (44.6%) struck-by injuries, and 42 (6.0%) other tree-related injuries. Tree-related injuries increased significantly in the quarter immediately after Hurricane Sandy (November 2012\u2013January 2013) compared with the same quarter the year before (rate ratio [RR] = 1.67; 95% confidence interval [CI], 1.13-2.47) and the year after (RR = 2.47; 95% CI, 1.62-3.78) Hurricane Sandy, especially for struck-by injuries compared with the year before (RR = 2.74; 95% CI, 1.47-5.12) and the year after (RR = 4.17; 95% CI, 2.09-8.32) Hurricane Sandy. More than one-third of the injuries (33.4%) involved chainsaws.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>A major hurricane was associated with an increase in tree-related injuries in emergency departments, especially for mechanisms consistent with handling downed and damaged trees. Further research should confirm these findings and evaluate opportunities for preventing tree-related injuries.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0033354918766871","type":"journal-article","created":{"date-parts":[[2018,4,13]],"date-time":"2018-04-13T18:16:09Z","timestamp":1523643369000},"page":"266-273","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":21,"title":["Tree-Related Injuries Associated With Response and Recovery From Hurricane Sandy, New Jersey, 2011-2014"],"prefix":"10.1177","volume":"133","author":[{"given":"Elizabeth G.","family":"Marshall","sequence":"first","affiliation":[{"name":"Department of Epidemiology, Rutgers School of Public Health, Piscataway, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shou-En","family":"Lu","sequence":"additional","affiliation":[{"name":"Department of Biostatistics, Rutgers School of Public Health, Piscataway, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abimbola O.","family":"Williams","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Rutgers School of Public Health, Piscataway, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Lefkowitz","sequence":"additional","affiliation":[{"name":"Occupational Health Surveillance Unit, New Jersey Department of Health, Trenton, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marija","family":"Borjan","sequence":"additional","affiliation":[{"name":"Occupational Health Surveillance Unit, New Jersey Department of Health, Trenton, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2018,4,13]]},"reference":[{"issue":"15","key":"bibr1-0033354918766871","first-page":"389","volume":"58","author":"Centers for Disease Control and Prevention","year":"2009","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"bibr2-0033354918766871","volume-title":"Fatalities in the Ornamental Shrub and Tree Services Industry","author":"Wiatrowski WJ","year":"2005"},{"issue":"17","key":"bibr3-0033354918766871","first-page":"542","volume":"60","author":"Pegula S","year":"2011","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"bibr4-0033354918766871","unstructured":"Tree Care Industry Association. Tree care related incidents in 2016. 2017. http:\/\/www.tcia.org\/TCIA\/Blog_Items\/2017\/Tree_Care_Related_Incidents_in_2016. Accessed March 22, 2018."},{"key":"bibr5-0033354918766871","doi-asserted-by":"publisher","DOI":"10.1155\/2015\/459697"},{"key":"bibr6-0033354918766871","volume-title":"Tropical Cyclone Report Hurricane Sandy","author":"Blake ES","year":"2013"},{"key":"bibr7-0033354918766871","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2004.08.007"},{"key":"bibr8-0033354918766871","doi-asserted-by":"publisher","DOI":"10.1126\/science.aaf7271"},{"key":"bibr9-0033354918766871","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-016-3214-7"},{"key":"bibr10-0033354918766871","unstructured":"Keller J. Hurricane Sandy\u2019s deadly toll. New York Times. 11 17, 2012. http:\/\/www.nytimes.com\/2012\/11\/18\/nyregion\/hurricane-sandys-deadly-toll.html. Accessed March 22, 2018."},{"key":"bibr11-0033354918766871","unstructured":"Arkin D, Fieldstadt E. Hurricane Matthew leaves at least 11 dead, destruction in Southeast. NBC News. 10 8, 2016. http:\/\/www.nbcnews.com\/storyline\/hurricane-matthew\/hurricane-matthew-weakens-category-1-makes-landfall-n662431. Accessed March 22, 2018."},{"key":"bibr12-0033354918766871","unstructured":"Freeman K. Local tree trimmer killed in hurricane clean up helped \u201cwhenever anybody needed\u201d. Fox 8 News Cleveland. 10 11, 2016. http:\/\/fox8.com\/2016\/10\/11\/local-tree-trimmer-killed-in-hurricane-clean-up-helped-whenever-anybody-needed. Accessed March 22, 2018."},{"key":"bibr13-0033354918766871","doi-asserted-by":"publisher","DOI":"10.1017\/dmp.2016.47"},{"key":"bibr14-0033354918766871","doi-asserted-by":"publisher","DOI":"10.1177\/003335490712200203"},{"key":"bibr15-0033354918766871","doi-asserted-by":"publisher","DOI":"10.1017\/dmp.2016.99"},{"key":"bibr16-0033354918766871","doi-asserted-by":"publisher","DOI":"10.1017\/dmp.2016.74"},{"key":"bibr17-0033354918766871","doi-asserted-by":"publisher","DOI":"10.1002\/ajim.22734"},{"key":"bibr18-0033354918766871","unstructured":"Health Monitoring Systems Inc. EpiCenter. https:\/\/www.hmsinc.com\/service\/epicenter.html. Accessed March 22, 2018."},{"key":"bibr19-0033354918766871","unstructured":"Bureau of Labor Statistics, US Department of Labor. Handbook of methods. 2016. http:\/\/www.bls.gov\/opub\/hom. Accessed March 22, 2018."},{"key":"bibr20-0033354918766871","volume-title":"SAS Version 9.4","author":"SAS Institute Inc","year":"2013"},{"key":"bibr21-0033354918766871","unstructured":"Tree Care Industry Association. Cleaning up storm damaged trees. 2016. http:\/\/www.tcia.org\/TCIA\/Blog_Items\/2016\/Cleaning_up_Storm_Damaged_Trees.aspx?WebsiteKey=b9a41e1f-978d-4585-9172-c411c78c5c14. Accessed March 22, 2018."},{"key":"bibr22-0033354918766871","unstructured":"Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health. Fact sheet\u2014fatal injuries among landscape services workers. DHHS (NIOSH) Publication Number 2008-144. 2008. https:\/\/www.cdc.gov\/niosh\/docs\/2008-144\/pdfs\/2008-144.pdf. Accessed March 22, 2018."},{"key":"bibr23-0033354918766871","volume-title":"Poster presentation at the 2016 Annual Council of State and Territorial Epidemiologists Conference","author":"Lumia M"},{"issue":"20","key":"bibr24-0033354918766871","first-page":"393","volume":"62","author":"Casey-Lockyer M","year":"2013","journal-title":"MMWR Morb Mortal Wkly Rep"},{"issue":"42","key":"bibr25-0033354918766871","first-page":"950","volume":"63","author":"Brackbill RM","year":"2014","journal-title":"MMWR Morb Mortal Wkly Rep"},{"issue":"5","key":"bibr26-0033354918766871","doi-asserted-by":"crossref","first-page":"224","DOI":"10.48044\/jauf.2010.030","volume":"36","author":"Ball J","year":"2010","journal-title":"Arboric Urban For"},{"key":"bibr27-0033354918766871","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e318258437c"},{"key":"bibr28-0033354918766871","unstructured":"Occupational Safety and Health Administration, US Department of Labor. OSHA QuickCard: chain saw safety. 2007. https:\/\/www.osha.gov\/Publications\/3269-10N-05-english-06-27-2007.html. Accessed March 22, 2018."},{"key":"bibr29-0033354918766871","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsr.2014.09.010"},{"key":"bibr30-0033354918766871","doi-asserted-by":"publisher","DOI":"10.1890\/15-1176"},{"key":"bibr31-0033354918766871","unstructured":"Bureau of Labor Statistics, US Department of Labor. Hispanics and Latinos in industries and occupations. 10 9, 2015. https:\/\/www.bls.gov\/opub\/ted\/2015\/hispanics-and-latinos-in-industries-and-occupations.htm. Accessed March 22, 2018."}],"container-title":["Public Health Reports\u00ae"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0033354918766871","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0033354918766871","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0033354918766871","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T09:34:32Z","timestamp":1777628072000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0033354918766871"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,4,13]]},"references-count":31,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2018,5]]}},"alternative-id":["10.1177\/0033354918766871"],"URL":"https:\/\/doi.org\/10.1177\/0033354918766871","relation":{},"ISSN":["0033-3549","1468-2877"],"issn-type":[{"value":"0033-3549","type":"print"},{"value":"1468-2877","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,4,13]]}}}