Workers' Compensation: Centers for Disease Control and Prevention

Showing posts with label Centers for Disease Control and Prevention. Show all posts

Tuesday, March 22, 2016

Water is Work - World Water Day March 22, 2016

Today's post is shared from .unwater.org and from cdc.gov Water is critical to work, health and safety.

World Water Day 2016, sponsored by the United Nations, is focused on water and jobs. Approximately half of workers around the world (1.5 billion persons) have jobs in water-related industries. Many industries rely on water to perform jobs, such as fishing, agriculture, manufacturing, and food service. Societies and economies depend on the men and women who work to keep the world’s drinking water safe.

Review Committee Report: Inadvertent Shipment of Live Bacillus Anthrax Spores by DOD

The US Department of Defense issued a report concerning its shipment of live anthrax vaccine and concluded:

"On May 29, 2015, due to the inadvertent shipment of live anthrax from a Department of Defense (DoD) laboratory, the Deputy Secretary of Defense (DSD) directed the Under Secretary of Defense (USD) for Acquisition, Technology & Logistics (AT&L) to conduct a 30-day review of the Department’s safety practices for generating and handling inactivated Bacillus anthracis (BA).

Lab Worker Infected by Vaccinia Virus Infection Despite Recent Immunized

The US CDC reported:

Occupational exposures to orthopoxviruses in laboratories can result in infections. The most effective means of prevention are preexposure smallpox vaccination, training, and laboratory safety measures such as proper handling and disposal of needles. In addition, incident reporting and timeliness of seeking medical treatment for inadvertent exposures are critical components of laboratory response plans.

Health Care Workers' Hazard: Cloth Based Masked Face Masks

Infection in the workplace is now becoming a major concern as new epidemics of disease spread worldwide facilitated by the ever increasing global transportation network. The recent and urgent concerns over Flu, Ebola, Measles and Polio highlight the need to protect health workers.

A recent study published the British Medical Journal focuses on the inadequacy of current medical practices. The study of Clinical respiratory illness (CRI), influenza-like illness (ILI) and laboratory-confirmed the spread of respiratory virus infection and highlights the the problems with cloth face masks.

"We have provided the first clinical efficacy data of cloth masks, which suggest HCWs should not use cloth masks as protection against respiratory infection. Cloth masks resulted in significantly higher rates of infection than medical masks, and also performed worse than the control arm. The controls were HCWs who observed standard practice, which involved mask use in the majority, albeit with lower compliance than in the intervention arms. The control HCWs also used medical masks more often than cloth masks. When we analysed all mask-wearers including controls, the higher risk of cloth masks was seen for laboratory-confirmed respiratory viral infection."

Click here to read the entire report.
"A cluster randomised trial of cloth masks compared with medical masks in healthcare workers"
BMJ Open 2015;5:e006577 doi:10.1136/bmjopen-2014-006577

Tuesday, January 6, 2015

Weather Alert: Workers' Need to Prepare for Cold Weather Exposures

The United States weather bureau has predicted bitter cold for a vast segment of the nation. Workers who maybe exposed to frigid weather conditions should consult with the Centers for Disease Control and the National Institute for Occupational Safety and Health information in order to protect themselves from cold weather exposures. Such exposures may result in compensable injuries and illnesses for which workers' compensation benefits may be available.

Short Range Forecast Discussion NWS Weather Prediction Center College Park MD 358 PM EST Tue Jan 06 2015 Valid 00Z Wed Jan 07 2015 - 00Z Fri Jan 09 2015

***Bitterly cold temperatures from the Dakotas to the Northeast

***Lake effect snow continues downwind of the Great Lakes

***Mild and dry for the western part of the country

*** The weather pattern over the next few days will feature a massive surface high settling southward from Canada to the Great Plains on Wednesday, following by another large surface high by the end of the week.

Both of these features are of Arctic origin, and will bring bitterly cold weather from the western High Plains to the Mid-Atlantic and Northeast U.S. Widespread subzero overnight lows are forecast for the Dakotas, Upper Midwest, Great Lakes, and interior New England. Wind chill advisories and warnings are in effect for many of these same areas, with some of the coldest wind chill readings in the -25 to -45 degree range!

Some record low temperatures are also possible. In addition to the frigid temperatures, the cold air advection over the Great Lakes along with upper-level shortwave energy moving over the region is expected to produce significant lake effect snow downwind from the Great Lakes through midweek. The heaviest snow is likely to occur east of lakes Erie and Ontario, where local amounts will easily exceed one foot.

Some upslope snow is likely in the central and northern Appalachians as well. The western U.S. is expected to remain dry with mild temperatures through the end of the week. Graphics available at www.wpc.ncep.noaa.gov/basicwx/basicwx_wbg.php

Tuesday, October 21, 2014

Are Uber Drivers Getting Their Tips?

Today's post is shared from http://ncworkcompjournal.com/

A U.S. federal judge recently ruled that a ride-sharing service must face a lawsuit alleging that the company has been pocketing tips meant for the drivers (Detroit Free Press, September 19, 2014). Uber Technologies is a smartphone-summoned car service based in San Francisco that has been charging a 20% surcharge on rides. Uber was founded in 2009 and is currently in 35 countries and more than 100 cities. It is valued at $18.2 billion and is the most valued ventured-back company in the world.

Filed in January, the class-action suit alleges that Uber has been keeping a “substantial portion” of the gratuity as additional revenue rather than sharing with its drivers. This lawsuit also accuses the company of misleading customers about the true cost of its service. The complaint characterizes Uber’s practice as unfair and deceptive because Uber keeps most of the surcharge and it’s not a gratuity.

Uber, Lyft and other car-booking companies have been facing a growing number of legal challenges. In Chicago, cab drivers sued the city claiming that these smartphone-summoned services are not subject to the same regulations governing conventional taxi companies. In Connecticut, Uber and Lyft have also been accused of racketeering by taxi and livery operators who accuse the companies of preying on established businesses and cutting legal corners by partnering with affiliated drivers instead of owning cars. That way, these companies claim they are different from taxi dispatchers and shouldn’t be forced to comply with existing regulations, such as driver background checks and liability insurance.

Thursday, August 28, 2014

Public Comment Sought on Draft Document for Workplace Tobacco Policies

NIOSH is seeking public comment on a draft Current Intelligence Bulletin,Promoting Health and Preventing Disease and Injury through Workplace Tobacco Policies. The public comment period is open for 30 days, closing on September 15. Occupational safety and health practitioners, healthcare professionals, and the general public are encouraged to review the document and provide comments. https://federalregister.gov/a/2014-19384.

Saturday, August 2, 2014

US Aid Workers Headed to Atlanta for Ebola Care

Today's post is shared from nytimes.com and concerns infectious disease in the workplace.
When two U.S. aid workers infected with Ebola arrive in Atlanta from Africa, they will be whisked into one of the most sophisticated hospital isolation units in the country.
The specialized unit at Emory University Hospital was opened a dozen years ago to care for federal health workers exposed to some of the world's most dangerous germs.
Now it's being pressed into service for the two seriously ill Americans who worked at a hospital in Liberia, one of the three West Africa countries hit by the largest Ebola outbreak in history.
One of the aid workers is due to arrive Saturday, and the second a few days later, according to officials at the hospital. They are traveling in a private jet outfitted with a special, portable tent designed for patients with highly infectious diseases.
It will be the first time anyone infected with Ebola is brought into the country. U.S. officials are confident they can be treated without putting the public in any danger.
The Emory hospital unit is located just down a hill from the Centers for Disease Control and Prevention. It is one of about four such units around the country for testing and treating people infected with dangerous, infectious germs.
The unit has its own laboratory equipment so samples don't have to be sent to the main hospital lab. Located on the ground floor, it's carefully separated from other patient areas, said Dr. Eileen Farnon, a Temple University doctor who formerly worked at the CDC and led teams investigating...

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Wednesday, July 30, 2014

Ebola Virus Disease Confirmed in a Traveler to Nigeria, Two U.S. Healthcare Workers in Liberia

Viral exposure in the workplace could have fatal consequences. This Health Advisory is shared from cdc.gov.

Nigerian health authorities have confirmed a diagnosis of Ebola Virus Disease (EVD) in a patient who died on Friday in a hospital in Lagos, Nigeria, after traveling from Liberia on July 20, 2014. The report marks the first Ebola case in Nigeria linked to the current outbreak in the West African countries of Guinea, Sierra Leone, and Liberia. Health authorities also reported this weekend that two U.S. citizens working in a hospital in Monrovia, Liberia, have confirmed Ebola virus infection. These recent cases, together with the continued increase in the number of Ebola cases in West Africa, underscore the potential for travel-associated spread of the disease and the risks of EVD to healthcare workers. While the possibility of infected persons entering the U.S. remains low, the Centers for Disease Control and Prevention (CDC) advises that healthcare providers in the U.S. should consider EVD in the differential diagnosis of febrile illness, with compatible symptoms, in any person with recent (within 21 days) travel history in the affected countries and consider isolation of those patients meeting these criteria, pending diagnostic testing.

Background

CDC is working with the World Health Organization (WHO), the ministries of health of Guinea, Liberia, and Sierra Leone, and other international organizations in response to an outbreak of EVD in West Africa, which was...

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Saturday, July 19, 2014

Medical Errors - The Third Leading Cost of Death

Costing almost $1 Trillion dollars per year and a leading of death are medical errors.

Medical doctors specializing in patient safety testified on preventable medical errors that can lead to death or serious financial problems as bills mount to correct the medical mistake.

Senate Health, Education, Labor and Pensions Subcommittee on Primary Health & Aging

Click here to watch the video

Saturday, July 5, 2014

Drowsy Driving and Risk Behaviors

English: An advisory sign on Interstate 15 in Utah near Mt. Nebo. It reminds drowsy drivers to get off the freeway. (Photo credit: Wikipedia)

CDC analyzed data regarding drowsy driving by selected characteristics, including sleep patterns and risk behaviors, from 92,102 adult survey respondents in 10 states and Puerto Rico in 2011–2012. Among the respondents, 4% reported having fallen asleep while driving in the previous 30 days. In addition to known risk factors, drowsy driving was more prevalent among men, younger drivers, binge drinkers, and among drivers who did not regularly use seatbelts compared with other respondents.

As many as 7,500 fatal motor vehicle crashes in the United States each year might involve drowsy driving, and 4.2% of adult respondents to a 2009–2010 survey reported falling asleep while driving at least once during the previous 30 days. Adults who reported usually sleeping ≤6 hours per day, snoring, or unintentionally falling asleep during the day were more likely to report falling asleep while driving than adults who did not.

Click here to read the complete study.

Monday, June 30, 2014

Obesity Prevalence by Occupation in Washington State

Today's post comes from guest author Kit Case, from Causey Law Firm.

Truckers, movers, and police and firefighters are likeliest to be obese. Doctors, scientists and teachers are the healthiest.
Those are the results of a first-of-its-type study the Washington State Department of Labor & Industries sponsored connecting what you do for work with obesity. The study also examined the percentage of workers in specific occupations who smoke, have adequate fruit and vegetable servings, participate in leisure time exercise and report high physical demands of their job.

“This is the first state-level study using the Behavioral Risk Factor Surveillance System data to estimate occupation-specific obesity."

“The objective of the research was to identify occupations in need of workplace obesity prevention programs,” said Dr. David K. Bonauto, associate medical director for L&I’s research division. “Employers, policy makers and health practitioners can use our results to target and prioritize prevention and health behavior promotions.”
The study, “Obesity Prevalence by Occupation in Washington State, Behavioral Risk Factor Surveillance System,” was published earlier this year by the Centers for Disease Control and Prevention. The study was based on more than 88,000 participants the CDC contacted in the state in odd years from 2003-2009. It found that nearly 1-in-4 workers statewide were obese.
“We know obesity poses a threat to public health,” Dr. Bonauto said. “This is the first state-level study using the Behavioral Risk Factor Surveillance System data to estimate occupation-specific obesity. All states within the U.S. could have this data if questions about occupation and industry were added to many state and national health surveys.”
Truck drivers were the most obese, nearly 39 percent. The proportion of current smokers was highest also for truck drivers, who – with computer scientists and mechanics – had the lowest proportion of adequate servings of fruits and vegetables. “Truckers are likely influenced by the availability of food choices, such as fast food and convenience stores,” Dr. Bonauto noted.
The study has its limitations. Because researchers used self-reported height and weight, there might be an underestimate of obesity. Also, the body mass index results don’t distinguish between fat and muscle mass. Police and firefighters, for instance, had a high prevalence of obesity but also had the highest proportion of vigorous leisure time physical activity.
Those with less education and an income less than $35,000 had a significantly higher likelihood of being obese, according to the study. Workers who had regular servings of fruits and vegetables and adequate physical exercise were less likely to be obese.
Photo credit: kennethkonica / Foter / Creative Commons Attribution-NoDerivs 2.0 Generic (CC BY-ND 2.0)

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Sunday, January 12, 2014

The 50-year war on smoking

The 1964 U.S. Surgeon General's report on smoking — the first official acknowledgment by the federal government that smoking kills — was an extraordinarily progressive document for its time. It swiftly led to a federal law that restricted tobacco advertising and required the now-familiar warning label on each pack of cigarettes.

Yet there was nothing truly surprising about the conclusion of the report. Throughout the 1950s, scientists had been discovering various ways in which smoking took a toll on people's health. Britain issued its own report, with the same findings, two years before ours. Intense lobbying by the tobacco industry slowed the U.S. attack on smoking. And even when then-Surgeon General Luther Terry convened a panel before the report was issued to make sure its findings were unimpeachable, he felt compelled to allow tobacco companies to rule out any members of whom they disapproved.
Saturday marks the report's 50th anniversary. The intervening decades have seen remarkable progress against smoking in the United States, despite the stubborn efforts of the tobacco industry, which lobbied, obfuscated and sometimes lied outright to the public about the dangers of its products. During those years, though, independent research tied smoking and secondhand smoke to an ever-wider range of ailments. According to the U.S. Centers for Disease Control and Prevention, smoking causes cancer of the lungs, larynx, bladder, bone marrow, blood, esophagus, kidneys and several...

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Sunday, December 29, 2013

US flu activity keeps climbing

Today's post was shared by CIDRAP and comes from www.cidrap.umn.edu

Highly magnified, digitally colorized
electromicrograph of 2009 H1N1 influenza virus,
the predominant strain this season.

US influenza activity kept climbing last week, as several states outside the South reported widespread cases, and the 2009 H1N1 virus continued to be the predominant strain, according to the US Centers for Disease Control and Prevention (CDC).
Ten states reported geographically widespread flu activity, up from just four southern states the week before. The ten are Alabama, Alaska, Kansas, Louisiana, Massachusetts, New York, Pennsylvania, Texas, Virginia, and Wyoming.
Also, six states reported high influenza-like illness (ILI) activity as measured by visits to sentinel clinics, up from four states the previous week, the CDC reported. Nationally, 3.0% of medical visits were due to ILI, compared with the national baseline of 2.0%.
States with high ILI activity were Alabama, Louisiana, Mississippi, Missouri, Oklahoma, and Texas. Another eight states cited moderate ILI activity, and the rest had low or minimal numbers.
The CDC also reported a big jump in the percentage of respiratory samples that tested positive for flu: 24.1% (of 6,813 specimens), versus 17.8% a week earlier.

An H1N1 season so far

Of the positive specimens, more than 98% were influenza A viruses, and 2009 H1N1—the former pandemic virus, now a seasonal strain—accounted for nearly all of those that were subtyped. Only 1.8% of the positive specimens were influenza B isolates.
Last week the...

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Sunday, December 15, 2013

Your Flu Shot is Waiting

Today's post was shared by RWJF PublicHealth and comes from www.rwjf.org

New reports from the U.S. Centers for Disease Control and Prevention (CDC) show that 39 percent of adults and 41 percent of children six months and older got their flu shots for the 2013-2014 season by early November—a rate similar to flu vaccination coverage last season at the same time.
Other flu shot statistics of note this year include:

Vaccination among pregnant women (41 percent) and health care providers (63 percent) is about the same as it was this time last year
High rates were seen again this year among health care providers including pharmacists (90 percent), physicians (84 percent) and nurses (79 percent), but the CDC reported much lower vaccination rates among assistants or aides (49 percent) and health care providers working in long-term care facilities (53 percent)

“We are happy that annual flu vaccination is becoming a habit for many people, but there is still much room for improvement,” says Anne Schuchat, MD, director of the National Center for Immunization and Respiratory Diseases at CDC. “The bottom line is that influenza can cause a tremendous amount of illness and can be severe. Even when our flu vaccines are not as effective as we want them to be, they can reduce flu illnesses, doctors' visits, and flu-related hospitalizations and deaths.”
Seasonal influenza activity is increasing in parts of the United States. Further increases in influenza activity across the country are expected in the coming weeks. “If you have not...

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Friday, December 13, 2013

Increase in miscarriages coincided with high levels of lead in D.C. water, study finds

The study findings, which are scheduled to be published in the journal Environmental Science and Technology, do not prove that the city’s lead crisis caused fetal deaths or miscarriages. But the results show a significant correlation between the two events.
Lead is an extremely toxic metal, and ingestion of lead paint dust and high doses of lead in water have been traced to brain damage, behavioral problems and developmental delays in children. Exposure to lead has also been linked to miscarriages. In the early 1900s, lead-laced pills were used to induce abortions.
The study, by Virginia Tech environmental engineer Marc Edwards, contrasts sharply with government-led health studies that were released amid an outcry after people learned of hazardous lead in the water in 2004. Those studies largely rejected the notion that the water had harmed public health.
The data seem “to confirm the expectation, based on prior research, that about 20 to 30 extra fetal deaths occurred each year that the lead in water was high,” Edwards said.
One rushed and disputed analysis by the Centers for Disease Control and Prevention asserted in April 2004 that there was no indication of health trouble from the water problem, even among children in homes with the highest lead levels in the water. Under repeated criticism, the CDC published a corrected analysis in 2010, acknowledging that this overarching statement had been misleading and based on incomplete data.
Today, the city’s...

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Monday, December 9, 2013

Winter Weather Alert: Generators

Carbon monoxide poisoning is a serious issue for workers who use or are exposed to generators. As the winter storm season approaches employers and workers need to concentrate on avoiding exposures that could lead to serious illness and death in the workplace. Today's post was shared by U.S. CPSC and comes from www.cpsc.gov

Dangerous ice and snow is sweeping across the plains, south, and heading east. There are expected to be widespread power outages associated with this large storm.
Are you planning on using a portable gas generator to help you during or after the storm this week?
When dealing with severe winter weather and power outages some people take unnecessary risks. Do not take extra risks with your generator. It can be deadly. Its invisible odorless CO exhaust can kill you and your family in just minutes.
Be safe. Put your generator:

OUTSIDE! Keep it at least 20 feet* away from windows and doors.
Do NOT put generators in garages or basements. An open door does NOT provide enough ventilation to save you from deadly carbon monoxide gas.

When you use a generator, be sure to have a working CO alarm in your home. (Note: You should do this anyway.)
Finally, know the initial symptoms of CO poisoning:

Headache
Fatigue
Shortness of breath
Nausea
Dizziness.

Get outside into fresh air quickly and call 911 immediately. Know what to do.
* Minimum distance recommended by the U.S. Centers for Disease Control and Prevention.
Here’s more information on carbon monoxide.
This address for this post is: http://www.cpsc.gov/onsafety/2013/12/winter-weather-alert-generators/

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Wednesday, December 4, 2013

CDC releases new findings and prevention tools to improve food safety in restaurants

Increased awareness and implementation of proper food safety in restaurants and delis may help prevent many of the foodborne illness outbreaks reported each year in the United States, according to data from the Centers for Disease Control and Prevention. Researchers identified gaps in the education of restaurant workers as well as public health surveillance, two critical tools necessary in preventing a very common and costly public health problem.

The research identifies food preparation and handling practices, worker health policies, and hand-washing practices among the underlying environmental factors that often are not reported during foodborne outbreaks, even though more than half of all the foodborne outbreaks that are reported each year are associated with restaurants or delis. Forty-eight million people become ill and 3,000 die in the United States.

"Inspectors have not had a formal system to capture and report the underlying factors that likely contribute to foodborne outbreaks or a way to inform prevention strategies and implement routine corrective measures in restaurants, delis and schools to prevent future outbreaks," said Carol Selman, head of CDC's Environmental Health Specialists Network team at the National Center for Environmental Health.

Four articles published today in the Journal of Food Protection focus on actions steps to prevent foodborne illness outbreaks related to ground beef, chicken, and leafy vegetables like lettuce and spinach. The articles also focus on specific food safety practices, such as ill workers not working while they are sick, as a key prevention strategy.

Since 2000, CDC has worked with state and local health departments to develop new surveillance and training tools to advance the use of environmental health assessments as a part of foodborne outbreak investigations.
The National Voluntary Environmental Assessment Information System (NVEAIS) is a new surveillance system targeted to state, tribal and other localities that inspect and regulate restaurants and other food venues such as banquet facilities, schools, and other institutions. The system provides an avenue to capture underlying environmental assessment data that describes what happened and how events most likely lead to a foodborne outbreak. These data will help CDC and other public health professionals determine and understand more completely the primary and underlying causes of foodborne illness outbreaks.
A free interactive e-learning course has been developed to help state and local health departments investigate foodborne illness outbreaks in restaurants and other food service venues as a member of a larger outbreak response team, identify an outbreak's environmental causes, and recommend appropriate control measures. This e-learning course is also available to members of the food industry, academia and the public, anyone interested in understanding the causes of foodborne outbreaks.

"We are taking a key step forward in capturing critical data that will allow us to assemble a big picture view of the environmental causes of foodborne outbreaks," Selman said.

The data surveillance system and e-Learning course will debut in early 2014. With these tools, state, and local public health food safety programs will be able to report data from environmental assessments as a part of outbreak investigations and prevent future foodborne outbreaks in restaurants and other food service establishments.

CDC developed these products in collaboration with the U.S. Food and Drug Administration, U.S. Department of Agriculture, and state and local health departments.

For more information about the National Voluntary Environmental Assessment Information System: http://www.cdc.gov/nceh/ehs/EHSNet/resources/nveais.htm

For information about free e-Learning courses in Environmental Assessment of Foodborne Illness Outbreaks:http://www.cdc.gov/nceh/ehs/eLearn/EA_FIO/index.htm

….

Jon L. Gelman of Wayne NJ is the author NJ Workers’ Compensation Law (West-Thompson) and co-author of the national treatise, Modern Workers’ Compensation Law (West-Thompson). For over 4 decades the Law Offices of Jon L Gelman 1.973.696.7900 jon@gelmans.com have been representing injured workers and their families who have suffered occupational accidents and illnesses.

December 3rd is International Day of Persons with Disabilities

Around the world, people with disabilities face physical, social, economic and attitudinal barriers that exclude them from participating fully and effectively as equal members of society. December 3rd is International Day of Persons with Disabilities. This year's theme is "break barriers, open doors: for an inclusive society for all." The commemoration of this year's International Day of Persons with Disabilities provides an opportunity to further raise awareness of disability and accessibility as a cross cutting development issue. It will also further the global efforts to promote accessibility, remove all types of barriers, and to realize the full and equal participation of people with disabilities in society and shape the future of development for all.1

A CDC Initiative: Including People with Disabilities

At CDC, we operate on the principle that people with disabilities are best served by Public Health when they are included in mainstream public health activities. To that end, inclusion might require appropriate accommodations to reduce or eliminate barriers that limit the participation of people with disabilities in health activities. When children and adults with disabilities receive needed programs, services and health care across their lifespan, they can reach their full potential, have an improved quality of life, and experience independence.

In 2010, CDC Director Dr. Thomas Frieden established an initiative to serve the health needs of people with a disability in the United States. CDC's Disability and Health Work Group was established in 2010 for centers and offices within the agency. The disability inclusion initiative has increased awareness and fostered activities focused on integrating disability into CDC's mainstream public health activities.

Objectives

People with disabilities need public health programs and healthcare services for the same reasons anyone does—to be well, active, and a part of the community. CDC works to include people with disabilities by

improving health monitoring of people of all ages with disabilities to identify disparities in health between people with and without disabilities;
including disability status indicators in key CDC monitoring programs;
conducting public health research to understand the health risks experienced by people with disabilities;
encouraging participation of people with disabilities in program activities conducted or supported by CDC;
developing and disseminating accessible health communications and messages to people with sensory (e.g., blindness, deafness) or cognitive (e.g., intellectual disability) limitations.

Disability Resources at CDC

Being healthy means the same thing for all of us—staying well so we can lead full, active lives. Having the tools and information to make healthy choices and knowing how to prevent illness is key to being well, with or without a disability.

Visit these resources to learn more:

As we commemorate International Day of Persons with Disabilities, we ask you to join us in being a part of the global disability movement to change attitudes and approaches to disability to promote the equity and full inclusion of people with disabilities in society and across public health activities.

Resources

References

International Day of Persons with Disabilities, 3 December 2013. United Nations Enable. Available at http://www.un.org/disabilities/default.asp?id=1607 . Accessed October 21 2013

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