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(c) 2010-2024 Jon L Gelman, All Rights Reserved.

Friday, September 27, 2013

Antibiotic Resistant Threats in the US, 2013

Healthcare workers have something to worry about. Today's post is shared from the US CDC.

Threat Report 2013

This report, Antibiotic resistance threats in the United States, 2013 gives a first-ever snapshot of the burden and threats posed by the antibiotic-resistant germs having the most impact on human health
Each year in the United States, at least 2 million people become infected with bacteria that are resistant to antibiotics and at least 23,000 people die each year as a direct result of these infections. Many more people die from other conditions that were complicated by an antibiotic-resistant infection.
Antibiotic-resistant infections can happen anywhere. Data show that most happen in the general community; however, most deaths related to antibiotic resistance happen in healthcare settings such as hospitals and nursing homes.

OSHA cites Nebraska Cold Storage for 14 safety violations including ammonia exposure

Proposed fines total $132,800; company placed in Severe Violator Enforcement Program

Nebraska Cold Storage Inc. has been cited for 14 safety violations and fined $132,800 by the U.S. Department of Labor's Occupational Safety and Health Administration for exposing workers to anhydrous ammonia at its Hastings facility. The company has been placed in OSHA's Severe Violator Enforcement Program.

"Ammonia is considered a high health hazard because it can be corrosive to the skin, eyes and lungs. It is flammable at varying concentrations," said Bonita Winingham, OSHA's area director in Omaha. "Businesses that handle hazardous materials must take precautions to protect workers from exposure to chemicals, explosions and fire hazards."

The March inspection was initially conducted under OSHA's high-hazard local emphasis program. It expanded to include all items within the agency's national emphasis program for process safety management for covered chemical facilities. The company provides basic storage and shipping services for the frozen, refrigerated and perishable food industries.

Four willful violations were cited. Some involve PSM violations, including the failure to develop and implement written, safe operating and mechanical integrity procedures and measures to take for physical contact or airborne exposure to anhydrous ammonia. The remaining violations involve failing to correct deficiencies in equipment and to document responses to 2010 compliance audit findings, including 12 of 22 deficient audit items that remained uncorrected. A willful violation is one committed with intentional, knowing or voluntary disregard for, or plain indifference to, employee safety and health.

A total of 10 serious safety violations include lack of emergency action planning; failing to maintain the original ammonia refrigeration systems process hazard analysis; exposing workers to crushing hazards by failing to remove and/or repair damaged storage racks; and failing to evaluate the performance of a powered industrial truck operator every three years. The other violations include failing to prevent electrocution from ice buildup encasing electrical junction boxes; operating equipment within 30 inches of a fork truck charging station; and install fixed wiring and provide strain relief for power cords. A serious violation occurs when there is substantial probability that death or serious physical harm could result from a hazard about which the employer knew or should have known. The current citations may be viewed at http://www.osha.gov/ooc/citations/Nebraska_Cold_Storage.pdf*

OSHA's Severe Violator Enforcement Program focuses on recalcitrant employers that endanger workers by committing willful, repeat or failure-to-abate violations. Under the program, OSHA may inspect any of the employer's facilities if it has reasonable grounds to believe there are similar violations.

The company has 15 business days from receipt of the citations and notice of proposed penalties to contest the citations and proposed penalties before the independent Occupational Safety and Health Review Commission. If a company does not file or contest within that period, it must abate the cited conditions within the period ordered in the citations and pay the proposed penalties.

Mets’ Harvey Is Covered Like Any Other Employee With a Workplace Injury

Today's post  comes from www.nytimes.com


If Mets pitcher Matt Harvey has Tommy John surgery on his right elbow, it will be paid for, partly, with workers’ compensation insurance. A partly torn ulnar collateral ligament like Harvey’s is considered a workplace injury, just as if he were a truck driver hurt on a loading dock.
The basic agreement between major league owners and players requires that teams pay the cost of injuries.

“The employer gets to recover, as an offset, any workers’ compensation recovery that is available,” said Rob Manfred, an executive vice president of Major League Baseball. “And the club is on the hook for what workers’ compensation doesn’t pay.”

At some point after an operation or procedure, a player signs a form that allows his team to pursue the insurance claim. So if workers’ compensation did not pay the full cost of Derek Jeter’s surgery for a fractured left ankle last year, the Yankees made up the difference — essentially the cost of doing business.

“The player never sees a bill,” Manfred said.

Another factor is that the cost of Tommy John surgery is not uniform. Dr. James Andrews, the renowned orthopedic surgeon, might charge more than the Hospital for Special Surgery, where the Mets’ medical director, David Altchek, is an orthopedic surgeon. (Andrews prescribed a six- to eight-week rehabilitation program for Harvey earlier this week that would precede any decision to operate.)

Altchek...

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Some players may be out of NFL deal

Today's post was shared by CAAA and comes from espn.go.com


NFL Concussion Settlement Details
New details from the NFL's $765 million proposed concussion settlement reveal that the first players diagnosed with football-related brain damage would be shut out of the deal. And with the number of confirmed brain damage cases growing, some players and attorneys told "Outside the Lines" they fear there isn't enough money to cover all eligible players diagnosed with such injuries.

Former players report widespread confusion over who will qualify for compensation and how the money will be distributed. Details described to "Outside the Lines" by sources familiar with the settlement -- along with new statistics on the incidence of football-related brain damage -- underscore the concerns voiced by some players and lawyers:

• The proposed settlement disqualifies most players who died before 2006, even if they were diagnosed with football-related brain damage. That would shut out the relatives of players like Hall of Fame Pittsburgh Steelers center Mike Webster, who died in 2002 and was later diagnosed with the first case of football-related brain damage. Webster's protracted battle with the NFL raised public awareness and helped ignite the NFL's concussion crisis.

A source familiar with the negotiations said the NFL sought to include only death claims that fell within the statute of limitations -- two years in most states. That would have cut out many players who died before 2009 and 2010. As part of the negotiations, representatives of the...
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United Airlines flight lands safely after pilot suffers heart attack

Safety in the air is of great concern.What is lacking is adequate access to medical care and resources on an urgent basis. This article is shared from Reuters.

A United Airlines flight bound for Seattle with 165 people on board made an emergency landing at Boise Airport on Thursday evening after the pilot suffered a heart attack, an airport spokeswoman said.
The Boeing 737 landed safely shortly after 8 p.m. local time and the pilot was rushed to a local hospital, where his condition was unknown, Boise Airport spokeswoman Patty Miller said.
"We got a call from United flight 1607 at about 7:55 p.m. Mountain Time declaring an emergency, they said the pilot had had a heart attack," Miller said, adding that the plane landed at 8:08 p.m.
Click here to read the complete article.
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EPA Announces the start of Sampling Activities at the CTS of Ashville, Inc. Superfund Site in Ashville,North Carolina

September 20, 2013) Today, US Environmental Protection Agency (EPA) officials announced sampling activities for the Soil Vapor Extraction (SVE) Confirmation Sampling and Analysis Plan and the Non-Aqueous Phase Liquids (NAPL) Investigation will begin on Monday, September 23, 2013 at the CTS of Ashville Inc. Superfund Site in Ashville, NC

The work will include collecting soil and water samples to better understand how deep and wide the highest concentrated contamination exists on and adjacent to the former plant property.

The NAPL Work Plan requires that samples also be collected on adjacent properties to the east of the Site, and if data indicates the need sampling may proceed to properties on the west of the Site. Specialized equipment will be used and the sampling area may be expanded as data is collected. This work is essential to determine the best cleanup plan for the Site.

The sampling event is projected to take about 3 months. EPA and/or its contractor will provide oversight of the sampling activities.

Lobbying In D.C. On Behalf Of Injured Workers



Regulations were proposed recently to operationalize the The SMART act. The public comment period is ongoing. Today's post comes from guest author Paul J. McAndrew, Jr., from Paul McAndrew Law Firm.

On April 17, my colleagues from WILG (Workers Injury Law & Advocacy Group) and I gathered in Washington D.C. to lobby Congressional representatives on behalf of injured workers. We discussed several bills that will affect the interests of workers in Iowa and across the United States. I had the pleasure of meeting with Senator Tom Harkin, Senator Chuck Grassley, Congressman Bruce Braley and Congressman Dave Loebsack in their offices where we discussed the following bills:

The MSP and Workers’ Compensation Settlement Agreement Act of 2012

The Akaka Amendment to S. 1789, The Post Service Reform Bill (an amendment to strip from S. 1789 those provisions that deform the Federal Employee Compensation Act).



As I explained at these meetings, the MSP and Worker’s Compensation Settlement Act of 2012 is necessary for three reasons:
(1) to bring some reasonable and understandable system to CMS’ current uncertain and regulation-less system of establishing Medicare Set-aside Plans for workers’ compensation settlements;
(2) to allow for an appeal of CMS’s MSA determination; and
(3) to bring some reasonable time limits to CMS’ process of setting the MSA required for workers’ compensation settlements.

The Akaka Amendment to strip the FECA deform provisions out of S.1789 is necessary because the FECA deform provisions wrongfully reduces monetary benefits and treats the injured worker like a fraud (mandating period independent medical examinations, vocational rehabilitation and field nurses to hound the injured worker). Workers' compensation reform is a constant threat to the rights of workers across the country. It is important that all of us who participate in the work' comp' system do our part to protect and preserve these legal rights.
Tembow