Occupational road trauma and permanent medical impairment

Medically impairing occupational injuries sustained in traffic in Sweden were analysed. More than half of the cases with a permanent medical impairment were caused by minor injuries. Soft tissue injuries to the neck (whiplash injuries) made up nearly half of all permanently impairing injuries, and half of these were caused by rear-end collisions. As a final result, just over one third (37%) of the total group had a permanent decreased work capacity, or needed to change jobs because of residual problems from their injuries. Professional drivers had the highest injury incidence per employed and they accounted for 28% of the total number of permanent impairment cases, and for 43% of the fatalities. Professional drivers also had a higher percentage of serious injuries and severe permanent impairments than other occupational groups. This might be associated with the low use of safety belts (16%) compared to other occupational groups, where usage was 4–5 times higher. This occupational injury problem ought to be handled in the same way as other occupational safety problems, i.e. protective equipment in a vehicle should be used and the use of safe vehicles should be encouraged.     

Trends in occupational hygiene in Finland

The aim of this work is to evaluate and describe the current status of, and prospects for, the future of occupational hygiene in Finland. The main sources of information include a seminar held in the annual meeting of Finnish Occupational Hygiene Society and interviews with different stakeholders. Nanotechnology and other new materials, changing work environments, circular economy including green jobs, new medical methods and advances of construction methods were recognized as future challenges. Future work opportunities for occupational hygiene experts included exposure assessments in indoor air surveys, private consulting and entrepreneurship in general, international activities and product safety issues. Unclear topics needing more attention in the future were thought to be in new exposures, sensitive persons, combined effects, skin exposures and applicability of personal protective equipment. Occupational hygiene should broaden its view; occupational hygienists should have to cooperate with other specialists and grasp new challenges.     

Inherent occupational health assessment during basic engineering stage

Each year more people die from work-related diseases than are killed in industrial accidents. Therefore it is essential to evaluate occupational health aspect during the process design. Early evaluation of safety, health, and environmental (SHE) performance is advantageous, since the opportunities to make the process inherently benign are greater and the cost therefore lower. The methods for occupational health assessments need to be tailored to specific design stages, since the data availability is changing as the design proceeds. In this paper, an index-based method called the Occupational Health Index (OHI) is presented for the basic engineering stage. The OHI is the final of the three methods in series proposed for health assessment in development and design stages. The OHI is based on the information available in piping and instrumentation diagrams (PIDs) and the plot plan. Four health aspects are considered; chronic inhalation risks to noncarcinogens and carcinogens, acute inhalation risk, and dermal/eye risk. The index is demonstrated on separation system of a toluene hydrodealkylation process. The assessment results allow the level of occupational health risks to be evaluated, the sources of exposures be detected, and corrective actions taken in a focused way.     

Trends in occupational injuries and fatality in Turkey

Introduction. The aim of this study was to evaluate the trend of occupational injuries in Turkey using epidemiologic criteria such as incidence mortality and fatality/all injuries recorded – rates. Materials and methods. Safety and health data were obtained from the Annual Statistic Books of the Social Insurance Institution (1988–2006) and Social Security Institution (2007–2011) of Turkey. Results. The results from the official data showed that although total employment is increasing the number of occupational injuries and incidence and mortality rates are decreasing. The results also demonstrate that occupational fatality/all injuries recorded – rate is increasing. The fatality/all injuries recorded – rate per 1000 injuries increased to 25.5 in 2011 from 8.6 in 1988. Each work day an average of five people died because of occupational injuries. Discussion and conclusions. The fatality/all injuries recorded – rate (the number of fatal cases per 1000 occupational injuries) is an important indicator of the injury rate for a country. Systems of occupational injury and illness surveillance constitute a critical resource for the management and reduction of occupational injuries and illness.     

将劳动安全卫生教育推向社会

从阐述我国劳动安全卫生教育面临的一个重要方面的问题入手,提出劳动安全卫生教育必须由企业推向社会。还探讨了劳动安全卫生教育推向社会的意义、作用以及具体方法。     

Managing occupational injuries records in Slovenia from 1948 to 2008

The aim of this study is to examine and compare all publicly accessible data on occupational injuries in Slovenia in the period from 1948 to 2008, obtained either from archives or websites. The data obtained from five different sources which have been formally collecting and presenting data on occupational injuries in Slovenia (Labour Inspectorate of the Republic of Slovenia – LIRS, Institute of Public Health of the Republic of Slovenia – IPHRS, International Labour Organization – ILO, Statistical Office of the Republic of Slovenia – SORS, and issues of the Journal of Occupational Safety and Fire Safety) were reviewed and managed. Since the early 1960s, there has been a significant decrease of fatal and non-fatal occupational injuries in Slovenia. Problems related to gathering and interpreting data on occupational injuries are also discussed with special emphasize on diversity of models used for occupational injuries data collecting. The results of the 60-year-long retrospective study can also be of assistance for professionals involved in planning, implementing and controlling the national policy and/or regional policies on safety and health at work.     

Road accidents,an occupational risk

Road accidents sustained at work represent between 20% and 40% of work fatalities in most industrialised countries, yet few data on occupational road accident risk factors have been published. A case control study was performed to assess the role of work-related risk factors in the occurrence of occupational road accidents. A preliminary qualitative study was carried out to identify possible occupational factors in occupational road accidents, and to draw up the case control study. Cases were recruited from the Rhône road trauma registry (France), controls from voting lists. A telephone interview was performed. Exposure to road risk was measured as a percentage of work time. One hundred and forty-six cases and 440 matched controls were interviewed. Accident risk was found to increase with exposure. Driving was associated with more difficult working conditions than found in jobs not involving driving. These difficulties, however, were not systematically associated with increased occupational road accident risk. Among factors which still emerge after adjustment for road risk exposure, there are scheduling issues (inflexible schedule organisation, lack of consecutive rest-days, lack of flexibility in performing the work), difficulties of communication with superiors, low seniority in the activity, low educational level and physical constraints at work. This study highlights some possible occupational road accident risk factors. Given the chosen case/control methodology, the findings may be considered as advancing our knowledge of the subject, but need confirmation by further studies.     

Epidemiology of occupational acute traumatic hand injuries: a literature review

The purpose of this review was to summarize the literature on occupational, acute, traumatic hand injury and suggest directions for future research. In 1996, the leading occupational injury treated in United States' hospital emergency departments was an acute hand injury (e.g. laceration, crush or fracture). These injuries affected 30% of an estimated 3.3 million injured workers (990,000). Cuts and lacerations of the fingers ranked third after back and leg strains in the number of lost workday cases in the USA in 1994. The incidence rate of hand injuries studied in seven manufacturing environments around the world ranged from 4 to 11 per 100 workers per year. Workers aged 24 years or less had the highest risk of hand injury. Men had higher rates of severe hand injury than women.Despite the high frequency and significant amount of lost work time associated with these injuries, they are poorly understood from an etiological perspective. There is only one case-control study of occupational hand injury in the literature. That study suggested an important role for both fixed (age) and transient risk factors (doing an unusual task) at the time of the injury. More analytic epidemiological research is needed to identify potentially modifiable risk or protective factors (e.g. glove use) for acute hand injuries. In this regard, the case-crossover design, a relatively new epidemiological approach using cases as their own controls, could prove an efficient method for determining transient, modifiable risk factors for acute, occupational hand injury.     

The development of an occupational attributional style questionnaire

Ninety working adults completed the OASQ — an occupational attributional style questionnaire aimed specifically at examining attributions for work-related events. They also completed well-known and validated measures of job satisfaction and intrinsic motivation. The OASQ was shown to have satisfactory internal reliability. Attributions for positive events, rather than negative events, were significantly correlated with demographic variables like occupational status and salary but also job satisfaction and motivation. The study supports previous work to the effect that an ‘optimistic’ internal attributional style at work is associated with satisfaction and motivation.     

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.     

Employee assistance programs,drug testing,and workplace injury

IntroductionLittle is known about the effects of employee assistance programs (EAPs) on occupational injuries.Materials and methodsMultivariate regressions probed a unique data set that linked establishment information about workplace anti-drug programs in 1988 with occupational injury rates for 1405 establishments.ResultsEAPs were associated with a significant reduction in both no-lost-work and lost-work injuries, especially in the manufacturing and transportation, communication and public utilities industries (TCPU). Lost-work injuries were more responsive to specific EAP characteristics, with lower rates associated with EAPs staffed by company employees (most likely onsite). Telephone hotline services were associated with reduced rates of lost-work injuries in manufacturing and TCPU. Drug testing was associated with reductions in the rate of minor injuries with no lost work, but had no significant relationship with lost-work injuries.Practical applicationsThis associational study suggests that EAPs, especially ones that are company-staffed and ones that include telephone hotlines, may prevent workplace injuries.     

医护人员血源性病原体职业危害研究进展

本研究的目的是了解医护人员血源性病原体职业接触流行特征、职业危害及其研究进展。结果表明,发生针刺及其他锐器损伤的最主要的职业群体是护理人员,最容易导致医护人员损伤的锐器为注射器针头、玻璃安瓿、缝合针和手术刀片等,导致医护人员锐器伤的最常见的医疗操作是注射、缝合和采血。发生血源性病原体职业接触后,医护人员可能感染HBV、HCV及HIV等多种血源性病原体。国内既往研究大多关注伤害发生率及相关危险因素,未对血源性病原体职业接触后感染HBV、HCV及HIV的风险开展研究,尚需通过建立队列,开展前瞻性调查研究。     

Transformation of occupational health in the Czech Republic: Challenge for education and training

The establishment of occupational health services entrusted with essentially preventive tasks was enacted in the Czech Republic only in 1991. A major obstacle to the implementation of this legal provision is the limited number of specialists in occupational medicine, less than 250 for a total labour force of about 5 million. Enhanced education and training of further occupational physicians is needed, the resources being general practicioners having expertise with basic occupational health care in various sectors of economic activities. In order to meet the EC standards for the specialty, cooperation within the framework of EASOM is highly desirable.     

Port safety and the container revolution: A statistical study on human factor and occupational accidents over the long period

Several factors can affect occupational accident frequency, namely economical factors, technologies used (low automation, discontinuous operating) job design, organization of work/environmental conditions and human factors. In particular, technological advances in industrial activities can give rise to improvement in productivity and in occupational health and safety, but not necessarily simultaneously. The beginning of the container transport dates back to 50 years ago, but while containerization changed everything, from ships and ports to patterns of global trade, its impact on work injuries was not explored at all. The aim of this paper is to investigate the relationship between work organization, job experience, productivity and occupational accidents, from the starting of the container expansion to nowadays, considering Genoa port (Italy), one of the largest of the Mediterranean Sea. In order to minimize possible reporting biases, such as underreporting or reclassification to a lower level of severity, injury statistics are elaborated starting from data collected directly on-site, from internal accident or medical-aid reports. An in-depth statistical analysis on occupational injuries in the years 1980–2006 is carried out, with reference to frequency indexes, mechanism of injury and material causes. The increase of container-ships traffic and, consequently, the sharp change in port infrastructure involved a rapid modification also in the work organization, with particular reference to the number and characteristics of workforce (decrease from 5783 to nearly 1000 employees and increase of low experience workers from 28% to 74%). The striking high percentage increase of young or low experienced workers in handling container (and performing correlated new tasks) caused a remarkable increase of the risk for occupational injuries. In the studied port, we recorded an increase of the frequency index (injuries per hundred thousand hours worked) from 13.0 to 29.7. It results that the increased expansion of shipping container utilization is not connected to a correspondent human factor safety implementation. Main risk factors are pointed out, revealing an increase of accidents due to transport vehicle (+8.3%) and a reduction of accidents caused by substance or materials (?4.5%). These factors show a statistical significant correlation with the new job tasks. Consideration of these findings may enable managerial solutions and workplace organization interventions for the prevention of injuries and safety performance improvement in port activities.     

Grey relational analysis based on instance based learning approach for classification of risks of occupational low back disorders

Classification of industrial jobs related to occupational low back disorders risks has great significance in preventing injuries and designing workplaces. In this study, industrial jobs are classified into two categories, i.e., low risk and high risk, using grey relational analysis approach. The results on a dataset are provided, together with the comparisons in terms of classification accuracy between the proposed approach and other methods that used the same dataset, including logistic regression, decision tree, neural networks, neuro-fuzzy classification, ant colony optimisation, memory-based reasoning, and ensemble model. The proposed approach outperforms other alternative methods and yields at least 10% improvement in classification accuracy compared to the best results achieved among the earlier studies.     

Data mining for occupational injuries in the Taiwan construction industry

There is a higher rate of occupational injury in the construction industry than most other industries on average. However, steps can be taken to reduce worker risk through effective injury prevention strategies. In this article, association rule mining is employed in identifying the characteristics of occupational injuries in the construction industry. Accident reports during the period 1999–2004 are extracted from case reports of the Northern Region Inspection Office of the Council of Labor Affairs of Taiwan. In addition to general factors, several factors related to weather conditions are included in this article. The results show that there are some patterns of occupational injuries in the construction industry. The effect of rain on the occurrence of fatalities is of great significance. Proposed inspection plans should be in accordance with the type of construction and environmental evaluation. The findings identified in this article provide a direction for more effective inspection strategies and injury prevention programs.     

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.     

2006年促进职业安全与健康框架公约和建议书介绍及相关问题探讨

《2006年促进职业安全与健康框架公约》(C187,2006)和《职业安全与健康框架建议书》(R197,2006)的公布是为了进一步减少全球发生的大量职业性伤病和死亡,保护工人免受因就业而引发的病患和伤害,降低职业性伤病和死亡对劳动生产率和经济与社会发展的负面影响。本文对《公约》及《建议书》的主要内容,包括《公约》中的定义、《公约》制定的目标、国家政策、国家制度、国家计划等进行了详细的介绍和分析,以期继续推广预防性安全健康文化建设。     

Agricultural injuries in Etawah district of Uttar Pradesh in India

Increased use of farm machinery along with other agricultural inputs has enhanced the production and productivity of Indian farms. Simultaneously, it has also increased occupational health hazards on the farms. Major occupational health hazards are farm related injuries. Very little information is available about the type and nature of agricultural injuries on Indian farms. In the present study, agriculture injuries data were collected for the period 1996–2000 for the Etawah district of Uttar Pradesh in India. It has a total population of 1.4 million while 0.75 million were associated with agricultural activities. The agricultural injuries incidence rate was 0.8 per thousand workers per year in the study area. Out of all agricultural injuries, 9% injuries were fatal. The highest number of injury victims were in the age group of 30–44 years. The highest percentages of injured victims were literate but non-matric. The monetary loss due to agricultural injuries in the study area was estimated to be about US $730,000 per year. To minimize agricultural injuries, development of interventions and trainings needs to be organized at block levels for proper and safe operation of agricultural equipment.