Effectiveness of source documents for identifying fatal occupational injuries: a synthesis of studies.
(41/95)
BACKGROUND: The complete and accurate identification of fatal occupational injuries among the US work force is an important first step in developing work injury prevention efforts. Numerous sources of information, such as death certificates, Workers' Compensation files, Occupational Safety and Health Administration (OSHA) files, medical examiner records, state health and labor department reports, and various combinations of these, have been used to identify cases of work-related fatal injuries. Recent studies have questioned the effectiveness of these sources for identifying such cases. METHODS: At least 10 studies have used multiple sources to define the universe of fatal work injuries within a state and to determine the capture rates, or proportion of the universe identified, by each source. Results of these studies, which are not all available in published literature, are summarized here in a format that allows researchers to readily compare the ascertainment capabilities of the sources. RESULTS: The overall average capture rates of sources were as follows: death certificates, 81%; medical examiner records, 61%; Workers' Compensation reports, 57%; and OSHA reports 32%. Variations by state and value added through the use of multiple sources are presented and discussed. CONCLUSIONS: This meta-analysis of 10 state-based studies summarizes the effectiveness of various source documents for capturing cases of fatal occupational injuries to help researchers make informed decisions when designing occupational injury surveillance systems. (+info)
Representativeness of deaths identified through the injury-at-work item on the death certificate: implications for surveillance.
(42/95)
BACKGROUND: This research investigated the accuracy of the injury-at-work item on the death certificate for surveillance of occupational injury deaths in Oklahoma during 1985 and 1986. METHODS: Representativeness of occupational injury deaths identified by death certificates was assessed by comparing these deaths with all occupational injury deaths identified through death certificates, workers' compensation reports, medical examiner reports, and OSHA records for categories of occupation, industry, and external causes of death. RESULTS: Certain external causes of death (e.g., motor vehicle traffic deaths) and certain occupations (e.g., farming) and industries (agriculture and services) are more often underidentified through death certificates. CONCLUSIONS: The findings of this study support Baker's observation that no single data source contains all deaths or all the data elements necessary to describe occupational injury deaths. Data sources may be combined to improve representativeness through more complete case ascertainment. (+info)
Updating OSHA standards based on national consensus standards. final rule; confirmation of effective date.
(43/95)
OSHA is confirming the effective date of its direct final rule that revises a number of standards for general industry that refer to national consensus standards. The direct final rule states that it would become effective on March 13, 2008 unless OSHA receives significant adverse comment on these revisions by January 14, 2008. OSHA received no adverse comments by that date and, therefore, is confirming that the rule will become effective on March 13, 2008. (+info)
Heritage of army audiology and the road ahead: the Army Hearing Program.
(44/95)
Protecting poultry workers from exposure to avian influenza viruses.
(45/95)
Emerging zoonotic diseases are of increasing regional and global importance. Preventing occupational exposure to zoonotic diseases protects workers as well as their families, communities, and the public health. Workers can be protected from zoonotic diseases most effectively by preventing and controlling diseases in animals, reducing workplace exposures, and educating workers. Certain avian influenza viruses are potential zoonotic disease agents that may be transmitted from infected birds to humans. Poultry workers are at risk of becoming infected with these viruses if they are exposed to infected birds or virus-contaminated materials or environments. Critical components of worker protection include educating employers and training poultry workers about occupational exposure to avian influenza viruses. Other recommendations for protecting poultry workers include the use of good hygiene and work practices, personal protective clothing and equipment, vaccination for seasonal influenza viruses, antiviral medication, and medical surveillance. Current recommendations for protecting poultry workers from exposure to avian influenza viruses are summarized in this article. (+info)
The hearing conservation amendment: 25 years later.
(46/95)
It has been twenty-five years since the final version of the Hearing Conservation Amendment was issued by the Occupational Safety and Health Administration in the U.S. Department of Labor. Since that time, some things have changed and others have stayed exactly the same. Certainly the noise-exposed workforce is more knowledgeable about the hazards of noise, and the use of hearing protection devices (HPDs) has greatly increased. There have been significant strides in the technology for measuring noise and for protecting hearing through HPDs. But there is considerable room for improvement. Some of the noise regulation's provisions are embarrassingly outdated, some are in dire need of improvement, and others, such as the requirements for engineering noise control, are not being enforced. Sadly, there seems to be little progress in reducing overall noise exposure levels. What needs to be done at this point is a major overhaul of the noise regulation: recommitment to engineering noise control; reduction of the permissible exposure limit (PEL) to 85 dBA; a shift to the 3-dBA exchange rate; and a nationwide assessment of hearing loss in American workers to determine the effectiveness of current hearing conservation measures to identify and address the weaknesses in programs and regulations. (+info)
Assessment of noise exposure in a hospital kitchen.
(47/95)
Reporting of occupational injury and illness in the semiconductor manufacturing industry.
(48/95)
In the United States, occupational illness and injury cases meeting specific reporting criteria are recorded on company Occupational Safety and Health Administration (OSHA) 200 logs; case description data are submitted to participating state agencies for coding and entry in the national Supplementary Data System (SDS). We evaluated completeness of reporting (the percentage of reportable cases that were recorded in the company OSHA 200 log) in the semiconductor manufacturing industry by reviewing company health clinic records for 1984 of 10 manufacturing sites of member companies of a national semiconductor manufacturing industry trade association. Of 416 randomly selected work-related cases, 101 met OSHA reporting criteria. Reporting completeness was 60 percent and was lowest for occupational illnesses (44 percent). Case-description data from 150 reported cases were submitted twice to state coding personnel to evaluate coding reliability. Reliability was high (kappa 0.82-0.93) for "nature," "affected body part," "source," and "type" variables. Coding for the SDS appears reliable; reporting completeness may be improved by use of a stepwise approach by company personnel responsible for reporting decisions. (+info)