Noise and neurotoxic chemical exposure relationship to workplace traumatic injuries: A review

IntroductionMore than 5,000 fatalities and eight million injuries occurred in the workplace in 2007 at a cost of $6 billion and $186 billion, respectively. Neurotoxic chemicals are known to affect central nervous system functions among workers, which include balance and hearing disorders. However, it is not known if there is an association between exposure to noise and solvents and acute injuries. Method: A thorough review was conducted of the literature on the relationship between noise or solvent exposures and hearing loss with various health outcomes. Results: The search resulted in 41 studies. Health outcomes included: hearing loss, workplace injuries, absence from work due to sickness, fatalities, hospital admissions due to workplace accidents, traffic accidents, hypertension, balance, slip, trips, or falls, cognitive measures, or disability retirement. Important covariates in these studies were age of employee, type of industry or occupation, or length of employment. Discussion: Most authors that evaluated noise exposure concluded that higher exposure to noise resulted in more of the chosen health effect but the relationship is not well understood. Studies that evaluated hearing loss found that hearing loss was related to occupational injury, disability retirement, or traffic accidents. Studies that assessed both noise exposure and hearing loss as risk factors for occupational injuries reported that hearing loss was related to occupational injuries as much or more than noise exposure. Evidence suggests that solvent exposure is likely to be related to accidents or other health consequences such balance disorders. Conclusions: Many authors reported that noise exposures and hearing loss, respectively, are likely to be related to occupational accidents. Practical applications: The potential significance of the study is that findings could be used by managers to reduce injuries and the costs associated with those injures.     

The relationship of race and gender to managers' ratings of promotion potential

The purpose of this paper was to examine the relationship of race and gender to managers' ratings of promotion potential for a sample of 1268 managerial and professional employees. Hierarchial regression analysis showed that controlling for age, education, tenure, salary grade, functional area, and satisfaction with career support, both race and gender were significantly related to promotion potential. Females were rated lower than males, and Blacks and Asians were rated lower than Whites. There were no interaction effects between race and gender.     

Occupational Cognitive Failures and Safety Performance in the Workplace

Introduction. The majority of industrial accidents occur because of human errors. Human error has different causes, however, in all cases cognitive abilities and limitations of human play an important role. Occupational cognitive failures are cognitively-based human errors that occur at work. The aim of this study was to examine the relationship between occupational cognitive failures and safety consequences. Method. Personnel of a large industrial company in Iran filled out an occupational cognitive failure questionnaire (OCFQ) and answered questions on accidents. Univariate and multiple logistic regression analysis were used to determine the relationship between cognitive failures and safety consequences. Results. According to developed regression models, personnel with a high rate of cognitive failure, in comparison to low rate, have a high risk of minor injury involvement (OR 5.1, 95% CI [2.62, 10.3]); similar results were for major injury and near miss. Discussion. The results of this study revealed usefulness of the OCFQ as a tool of predicting safety-related consequences and planning preventive actions.     

Epidemiology of occupational accidents among Iranian insured workers

Work-related accidents are considered as a major health problem worldwide. The aim of present study was to determine the epidemiological pattern of occupational accidents among workers insured by the Iranian Social Security Organization (ISSO) between 2001 and 2005.Subjects consisted of all workers and drivers who had a work-related accident during 2001–2005 and were registered in the Iranian Social Security Organization (ISSO) database according to the inspection reports. An ordinal logistic regression model (proportional odds regression model) was used to assess the concurrent effects of independent variables on accident outcomes.Overall, 86,437 work-related accidents were investigated. The accidents were more frequent in metal workplaces and electrical industries, respectively. More than half of the accidents were due to incautious activities. Workers’ age (age at the time of accident) (OR = 0.99, CI: 0.989–0.994), gender (OR = 1.3, CI: 1.191–1.683), marital status (OR = 1.25, CI: 1.143–1.675) as well as accident setting (OR = 1.88, CI: 1.728–1.975) had significant effect on accident outcomes. Pattern of occupational injuries in Iran was consistent with the global pattern for accident outcomes.     

Occupational injuries and health problems in the Egyptian Mediterranean fisheries

Marine fishing is one of the most dangerous occupations. So far, no studies addressing occupational safety and health in the Egyptian fisheries have been conducted. The objective of this study is to explore and identify the types and causes of, as well as some factors associated with, occupational accidents and illnesses in the Egyptian marine fisheries. A sample of 686 fishermen in El-Maaddiya fishing port were interviewed for collecting relevant data. This paper presents the types of injuries mentioned by the interviewed fishermen and their potential causes in terms of accident type and involved agency/agency part. Also, major health problems and potential causes are presented. Furthermore, a logistic regression analysis was performed to study the significance of the association of some factors, such as age, experience, education and fishing gear with the occurrence of injuries and illnesses. The results of this study show that the Egyptian fishing industry involve many hazardous work conditions and practices that result in high morbidity and mortality rates, and high injury rates. The study recommends further research on suitable measures for the management of this problem.     

我国事故指标与经济社会发展指标多元回归分析

以安全生产相对指标工矿商贸十万就业人员生产安全事故死亡率为研究对象,通过文献调研分析,最终从经济发展、经济发展结构、经济活动水平和社会活动水平角度筛选出14个指标为观察对象,采用逐步多元回归分析法筛选出影响我国安全生产的主要经济社会发展指标为：第三产业增加值产值占GDP比重、第三产业就业人数占总就业人数的比重和固定资产投资增长速度,并建立了回归模型。应用弹性系数法对主要影响因素进行重要性排序,并推测工矿商贸就业人员十万人事故死亡率将保持持续下降的趋势。     

2000-2009年全国职业中毒状况规律分析和对策探讨

职业中毒是我国的主要职业病之一,严重影响着劳动者的健康和社会的和谐稳定。根据卫生部2000-2009年公布的职业病统计数据,分析总结我国职业中毒的发生规律。结果表明：职业中毒是仅次于尘肺病的第二大类职业病。职业中毒占职业病总数的12.8%-18%,在职业中毒病例中,急性职业中毒占22.4%-39.6%,慢性职业中毒占60.4%-77.6%。职业中毒总人数变化从2000年到2005年较平稳,从2006年起,呈波浪形上升趋势,但其增幅远小于职业病总数和尘肺病新发病例人数的增幅。其中,急性职业中毒总人数略有下降趋势,慢性职业中毒总人数呈波浪形上升趋势。引起急性职业中毒占前两位的化学毒物主要是一氧化碳和硫化氢,引起慢性职业中毒占前两位的化学毒物主要是铅及其化合物和苯。中小企业职业中毒发生率高。建议各级职能部门重点加强相关行业的监管,尤其是其中的中小企业的监管;履行指导的职责,加强有效果的安全教育和培训;同时加强职业监控监护。     

Attributes of Occupational Injury Among Workers in the Chemical Industry and Safety Issues

Case-study research was carried out with a view to find the attributes of occupational injury among workers in the chemical industry and to enhance safety issues. Injury data were collected and processed in terms of different variables, such as age, gender, skills, type of hazard, etc. Pareto analysis was then applied to find a pattern of occupational injury among the workers. The study revealed that 79.52% of the injured workers were in the 40–59 age group; 57.14% of accidents occurred during the 1st shift; 73.26% of accidents caused injury to hands, feet, chest to thigh, arms and eyes; and 70.93% of injuries were caused by pumps, carrying and lifting, vehicles, pipelines, valves, and grinding. Surprisingly, no one was injured in the group of temporary workers. The paper also provides specific suggestions followed by some action plans.     

Working conditions,psychological/physical symptoms and occupational accidents. Bayesian network models

Each day thousands of workers suffer occupational accidents of varying degrees of severity. Accidents at work render workers incapable of carrying out their day to day activities, either temporarily or permanently, and they also have detrimental effects on family life, the company, and the general public. In order to reduce the occupational accident rate, it is necessary to determine the causes of those accidents. Although there are many different types of accidents, they generally stem from poor working conditions. The purpose of this study was to analyze the influence of working conditions on occupational accidents from data gathered in the VI National Survey of Working Conditions (VI NSWCs) in 2007. This survey utilized a random sample of the active population of Spain. The sample comprised 11,054 people (5917 males and 5137 females). In order to carry out the study, a probabilistic model was built using Bayesian networks. The model included the following variables: hygiene conditions, ergonomic conditions, job demands, physical symptoms, psychological symptoms, and occupational accidents. The study demonstrated that there were strong relationships between hygiene conditions and occupational accidents; it has been shown that poor hygienic conditions duplicate the probability of accident. Physical symptoms increased almost 50% due to poor ergonomic conditions. And finally, high job demands almost duplicated the psychological symptoms. The investigation also showed a high degree of interdependence between physical and psychological symptomatologies and the relationship between these and occupational accidents.     

Attributes of occupational injury among workers in the chemical industry and safety issues.

Case-study research was carried out with a view to find the attributes of occupational injury among workers in the chemical industry and to enhance safety issues. Injury data were collected and processed in terms of different variables, such as age, gender, skills, type of hazard, etc. Pareto analysis was then applied to find a pattern of occupational injury among the workers. The study revealed that 79.52% of the injured workers were in the 40-59 age group; 57.14% of accidents occurred during the 1st shift; 73.26% of accidents caused injury to hands, feet, chest to thigh, arms and eyes; and 70.93% of injuries were caused by pumps, carrying and lifting, vehicles, pipelines, valves, and grinding. Surprisingly, no one was injured in the group of temporary workers. The paper also provides specific suggestions followed by some action plans.     

Under-Reporting of Accidents Involving Biological Material by Nursing Professionals at a Brazilian Emergency Hospital

Background. Pathogens can be transmitted to health professionals after contact with biological material. The exact number of infections deriving from these events is still unknown, due to the lack of systematic surveillance data and under-reporting. Methods. A cross-sectional study was carried out, involving 451 nursing professionals from a Brazilian tertiary emergency hospital between April and July 2009. Through an active search, cases of under-reporting of occupational accidents with biological material by the nursing team were identified by means of individual interviews. The Institutional Review Board approved the research project. Results. Over half of the professionals (237) had been victims of one or more accidents (425 in total) involving biological material, and 23.76% of the accidents had not been officially reported using an occupational accident report. Among the under-reported accidents, 53.47% were percutaneous and 67.33% were bloodborne. The main reason for nonreporting was that the accident had been considered low risk. Conclusions. The under-reporting rate (23.76%) was low in comparison with other studies, but most cases of exposure were high risk.     

The relationship of beer consumption and state alcohol and motor vehicle policies to fatal accidents

Fatal accident data from 50 states and the District of Columbia were examined in order to determine the relationship between alcohol availability and fatal motor vehicle accidents. This relationship was analyzed for both fatal accidents and motor vehicle fatalities (potentially more than one per accident) using multiple regression. The independent variables were: (1) driving age (percent of drivers under 21); (2) beverage purchase age; (3) average beer consumption; (4) number of outlets per million population selling alcohol for on-premise consumption; (5) percentage of metropolitan residents; (6) percentage of male drivers; and (7) mileage per driver per year. It was found that the regression analyses for fatal accidents and for fatalities were highly similar. Driving age was the strongest predictor of highway mortality. On-premise availability of alcohol was significantly and inversely associated with motor vehicle fatalities. This suggests that when on-premise outlets are fewer and more geographically spread out, the chances of drinking and driving are greater. Finally, average beer consumption was significantly and positively associated with highway fatalities perhaps because many drivers consider it a “soft” alcoholic beverage that will not impair their ability to drive.     

Economic cost of occupational accidents: Evidence from a small island economy

Though a number of occupational accidents have occurred amongst the working population in Mauritius, no study has been carried out to measure the costs associated with such accidents to the best of our knowledge. This study bridges this gap by measuring the economic costs of occupational accidents by using both quantitative and qualitative approaches. The results show that occupational accidents result in costs amounting to nearly Rs. 168 mn of which a major part is accounted for, by loss in productivity. Alongside the highest rate of accidents took place within small enterprises and younger workers are the one taking higher risks mainly due to lack of knowledge and risk awareness. The findings also reveal that only 4% employers believe that investment in safety and health is important for maintaining good business partly because most of the costs are borne by the state. Such a situation therefore requires the need for awareness on practical health and safety systems and procedures among both employees and employers with a view to prevent accident and injuries.     

Differences in the lethality of occupational accidents in OECD countries

International comparisons of the frequency of occupational accidents are rare because figures reported by each country are influenced by factors other than differences in the occurrence of actual accidents. In this study, we performed an international comparison of occupational accidents which distinguishes between fatal cases and all reported accidents, in order to control for the effects of other factors in accident reporting. Annual data on the numbers of fatal and non-fatal occupational accidents in member countries of the Organisation for Economic Co-operation and Development (OECD) between 1993 and 1998 were obtained from the Labour Statistics Database, which is operated by the International Labour Organization (ILO). The average incidence of all accidents across OECD countries ranged from 17 to 4608 per 100,000 persons in the labor force, whereas the incidence of fatal accidents across OECD countries ranged from 1 to 12 per 100,000 persons in the labor force. Lethality rates per 10,000 total accident cases ranged from 9 (Germany) to 3252 (Turkey). When comparing countries using the same statistical definition of accidents, three or more absence days, the difference in lethality of reported accidents within the same industrial sector is reduced to a sixfold difference (49 for the United Kingdom versus 333 for Ireland). Furthermore, the difference in lethality decreased to about twofold (18 for Spain versus 35 for Czech Republic) in the group using definitions with a criteria of one absent day. The results suggest that reported differences in lethality can reflect artificial administrative factors rather than the harmful factors that cause actual occupational accidents. To make more valid comparison of occupational accident between countries, harmonization of accident statistics is required.     

Society's aggression level as a predictor of traffic fatality rate

This research investigated the relationship of violence/aggression and other societal variables to traffic accidents. In the first of two studies, multiple regression was applied to 1977 data from each of the 50 states and the District of Columbia. Traffic fatalities per registered vehicle was the dependent variable. The independent variables were homicide rate, suicide rate, fatality rate from other causes, unemployment rate, personal income, density of physicians, alcohol consumption, motor vehicles per capita, road mileage per vehicle, sex and age distribution of drivers, and attained education. The main finding was that the homicide rate (but not the suicide rate) predicted the traffic fatality rate; additional significant predictors were the proportion of young drivers and the fatality rate from non-motor-vehicle accidents. The two primary predictors (homicides and young drivers) accounted for 64 % of the variance of traffic fatalities. In the second study, validation was performed by using the 1977 regression coefficients to estimate 1978 traffic fatalities. The results indicate that when the 1977 regression coefficients were applied to the 1978 values for homicides and young drivers, they accounted for 49 % of the variance of the 1978 traffic fatalities. The findings are discussed in terms of how society's violence/aggression may contribute to traffic accidents.     

GAP—a fault-tree based methodology for analyzing occupational hazards

Occupational accidents are stochastic events. The moment of their occurrence cannot be predicted. However, their rate of occurrence may be reduced, albeit not to zero. Considerable effort has been invested into this objective. This led to decreasing numbers of accidents over the years, a tendency which seems, however, to have come to a standstill since approximately 1998. The potential of presently used methods like check lists or HAZOP-based approaches for evaluating and producing recommendations for reducing occupational hazards has apparently been exhausted. Hence, further improvement of the injury rates is expected only from the use of in-depth analysis methods. Therefore, fault tree analysis is applied to occupational safety. This leads to the formulation of the hazard base model and its representation by means of an occupational hazard tree. This tree serves as an example for the assessment of occupational hazards of work places and activities. The characteristic feature of the occupational hazard tree is the decomposition of the undesired event ‘injury’ into basic events. These are qualified verbally using the expressions ‘certain/permanently’, ‘impossible/never’, ‘probable/frequently’, ‘possible/occasionally’, ‘improbable/rarely’. The procedure is implemented in the program GAP (HazardAnalysisProgram), which enables one to generate and evaluate occupational hazard trees. A global verbal assessment of a workplace or an activity is then obtained. On its basis weaknesses of the occupational safety concept are identified, appropriate countermeasures are devised, they are prioritized and their efficiency is valuated. The procedure was successfully tested by analyzing two accidents and assessing a workplace at a major industrial firm.     

The organizational tenure — Job involvement relationship: A job-career experience explanation

Research on the job involvement-organizational tenure relationship has shown no consistent relationship, but recent job and career experience models suggest that a relationship should be found. Using data from three organizations (n = 216), polynomial regression analysis revealed a curvilinear job involvement-organizational tenure relationship. This finding is discussed with reference to changes in workplace sensemaking that occur as work experience is accumulated.     

Occupational stress among health care workers: A test of the job demands-control model

Models of occupational stress have often failed to make explicit the variable of control over the environment, as well as the role of job socialization in shaping personality characteristics and coping behaviours. This neglect has helped maintain the focus of stress reduction interventions on the individual. A new model of occupational stress developed by Robert Karasek incorporates control and socialization effects and has successfully predicted the development of heart disease and psychological strain. A survey instrument derived from the model was distributed to 771 hospital and nursing home employees in New Jersey, and 289 (37.5 per cent) were returned. Respondents did not significantly differ from non-respondents by age, sex, job tenure, union membership status, job satisfaction, job perceptions and attitude towards employer and union. The results support the hypothesis that reported job strain (job dissatisfaction, depression, psychosomatic symptoms) and burnout is significantly higher in jobs that combine high workload demands with low decision latitude. This association remained significant after controlling for age, sex, education, marital status, children, hours worked per week and shift worked. Other job characteristics (job insecurity, physical exertion, social support, hazard exposure) were also associated with strain and burnout. The survey instrument also identified high strain jobtitles in the surveyed workplaces. The results are discussed in relation to directions for future research, research on stress in nursing, and approaches to stress reduction.     

Global trend according to estimated number of occupational accidents and fatal work-related diseases at region and country level

Background

Although occupational accidents and work-related diseases have been of interest for a long time, due to lack of proper recording and notification systems the official numbers of occupational accidents and work-related diseases are missing for many countries. Presently, the demand for effectiveness and an interest in the economic aspects of accidents have increased prevention activities at company and country levels.

Methods

Occupational accident data of selected countries and of World Health Organization regional divisions together with the global burden of disease were used in estimating global occupational accidents and fatal work-related diseases. The trend of global occupational accidents and work-related diseases is presented at region and country levels. The years 1998, 2001, and 2003 are compared in the case of occupational accidents and the years 2000 and 2002 in the case of work-related diseases.

Results

The total number of occupational accidents and fatal work-related diseases has increased, but the fatality rates per 100,000 workers have decreased. There were almost 360,000 fatal occupational accidents in 2003 and almost 2 million fatal work-related diseases in 2002. Every day more than 960,000 workers get hurt because of accidents. Each day 5,330 people die because of work-related diseases.

Conclusions

Information on occupational accidents and work-related diseases is needed so that countries may understand better the importance of occupational health and safety at country and company level. Especially companies in developing countries are not familiar with occupational safety and health. Statistical data is essential for accident prevention; it is a starting point for the safety work.     

Age differences in safety attitudes and safety performance in Hong Kong construction workers

PROBLEM: Safety in the construction industry is a major issue in Hong Kong, representing about 46% of all occupational injuries in 1998. This study explored linear and curvilinear relations between age and safety performance (accident rates and occupational injuries), as well as safety attitudes, in construction workers in Hong Kong. METHOD: A Chinese version of the Safety Attitude Questionnaire (SAQ by Donald & Canter) was developed and administered to a sample of Chinese construction workers (N=374, 366 males, 8 females) from 27 construction sites. RESULTS: Accident rates were not related to age. Occupational injuries were related to age in a curvilinear manner, with injuries at first increasing with age, then decreasing. Two safety attitude scales were related to age with older workers exhibiting more positive attitudes to safety. If age and tenure are controlled, some attitude scales are predictors of safety performance. IMPACT ON INDUSTRY: Management/supervisors, team leaders, and workers are all responsible for safety, and any negative bias toward older construction workers is unfounded.