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(c) 2010-2026 Jon L Gelman, All Rights Reserved.

Wednesday, November 20, 2013

What Does Cancer Smell Like?

Nanotechnology is giving rise to concern for the safety of workers. The lack of regulation, statutes, Iand safety precautions result in deciduous and latent exposures. Today's post was shared by The New York Times and comes from www.nytimes.com

On a lab bench in Philadelphia sits a tiny box lined with nearly invisible nanotubes and gold. A clear plastic pipe runs through it, and a thicket of pins, each sprouting a red or blue wire, protrudes from its end. As air from the pipe wafts over the nanotubes, electrical signals surge out of the box along the wire threads. The whole apparatus is situated near a vial of blood, “sniffing” the air above it through the pipe.
The box, an electronic nose, is a key part of a theory being explored by George Preti, an organic chemist at the Monell Chemical Senses Center, and an interdisciplinary team that includes physicists and veterinarians at the University of Pennsylvania. Preti is an expert on human odors, having studied them for more than 40 years. He has sniffed — both with machines and with his nose — breath, sweat and other secretions in search of answers about why we smell the way we do. This latest project seeks to answer a question others might have never thought to ask: Does ovarian cancer have a smell?
In modern cancer medicine, doctors tend to rely on advanced imaging techniques and the detection of lumps. The widely acknowledged problem with these methods, though, is that by the time doctors have reason to order a scan or feel something, it’s often too late. Ovarian cancer has usually spread to other organs by the time it’s detected. If it is caught early — which happens only 15 percent of the time, often by accident when...
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Truck Driver Safety and Health

Transportation accidents are a significant cause of injuries for workers. Today's post was shared by NIOSH Transportation and comes from blogs.cdc.gov


semi truck

Truck drivers face a disproportionately high risk for fatal crash-related injuries and for serious health disorders. The 2004 fatality rate for U.S. heavy and tractor-trailer truck drivers was 48.2 per 100,000 workers, approximately 11 times the rate for the general worker population. The Survey of Occupational Injuries and Illnesses estimated 63,570 non-fatal injuries among heavy and tractor-trailer truck drivers in 2004—the second highest number among all occupations.
We know this industry faces a high risk of illness and injury but the prevalence of specific health problems, and the relative contributions of occupation and health behaviors to the increased risk of injury and illness, is largely unknown. Some research associates the risk of crash-related deaths with job-related fatigue. Other studies suggest that the risks of cancer, heart attacks, and other disorders may be associated with aspects of long-haul driving such as loading and unloading cargo, irregular schedules, long hours of driving, a sedentary lifestyle, and the nature of drivers’ food choices on the road.
To help address these research gaps and better understand the risks faced by truck drivers, NIOSH is undertaking a national survey of truck driver safety and health. The survey, which grew out of stakeholder identified needs, will focus specifically on gathering baseline safety and health information among a large, representative national sample of truck drivers. We are seeking...
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Public Health Campaign of the Month: ‘Don’t Mess With Mercury’ Campaign

Mercury is a very toxic chemical in the occupational exposure to mercury produces serious disability.Today's post was shared by RWJF PublicHealth and comes from www.rwjf.org


Glass thermometers. Compact fluorescent light (CFL) bulbs. Medical equipment. Gauges and other science equipment. Thermostats, switches and other electrical devices.
Mercury lives in all of these devices—and all can be found in schools. While it may be common, mercury is also incredibly dangerous. Mercury poisoning can negatively impact the nervous system, lungs and kidneys. It can even lead to brain damage or death.
Often mercury poisoning is the result of a kid thinking it’s “cool”— taking it, playing with, passing it around to friends. Metallic mercury easily vaporizes into a colorless, odorless, hazardous gas.
The Agency for Toxic Substances and Disease Registry (ATSDR), part of the U.S. Centers for Disease Control and Prevention (CDC), has released a new website that brings together a suite of tools to educate kids, teachers, school administrators and parents about the dangers of mercury poisoning. They include an interactive human body illustration and facts sheets, as well as a 30-second “Don’t Mess With Mercury” animated video to raise awareness about the dangers of mercury.
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Drug overdose deaths have quadrupled since 1980

The Workers' Compensation system is embroiled in a debate over use of pain medications. As I noted before, the problem of prescription pain medication and the abuse of medical prescribers, Is not limited to Worker's Compensation alone. The problem is systemic in the medical delivery system throughout the United States and it is foolish to think that it is only an exclusive issue two of Worker's Compensation claims. What is actually occurring, is that the insurance carriers and employers in Worker's Compensation, are utilizing this issue to reduce the delivery of medical benefits at the cost of damaging the very Basic requirements of a Worker's Compensation system. Today's post was shared by RWJF PublicHealth and comes from knowmore.washingtonpost.com

Drug overdose deaths have quadrupled since 1980
Drug overdose deaths have quadrupled since 1980
Since 1980, the number of us who die of drug overdoses has quadrupled. Most of these deaths now result from prescription drugs, especially painkillers. “The dichotomy between good drugs prescribed by doctors and bad drugs sold on the street is just bad science,” one doctor told The New York Times a couple of years back.
The really upsetting maps above show this change over the decade that ended in 2009. Appalachia and New Mexico, as popular culture would lead you to expect, were particularly bad areas for drug fatalities fifteen years ago, but now, the problem is clearly a national one. “What other people had been saying was that this was predominantly a rural problem of drug poisoning,” Lauren Rossen, one of the people who put together this analysis, told me. “We were somewhat surprised to find that drug poisoning death rates were actually highest in metropolitan areas.” Exceptions are the state of New York and a narrow band running through the center of the contiguous states, from North Dakota to Texas.
Click “Know More” to read more about this troubling trend.
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New obesity treatment guideline released

Obesity is now been classified as disease. With such a designation of Worker's Compensation systems will be impacted by request for benefits in order to diminish obesity is a pre-existing and coexisting diagnosis. Treatment plans will need to be included for the reduction of weight in order to treat certain diseases by protocols including medication.Today's post was shared by RWJF PublicHealth and comes from www.bostonglobe.com

A new guideline for obesity treatment, released last week by the American Heart Association and American College of Cardiology, provides a solid road map for doctors challenged with helping overweight patients achieve a healthier weight.
Insurance coverage for weight-related counseling, such as helping patients plan new menus with fewer calories or outline a realistic fitness program, could improve under this new recommendation. More importantly, the panel of physicians and weight researchers outlined which interventions are the most effective based on clinical trials.
Doctors should treat patients who are obese — a BMI of 30 or above (180 pounds or more for a 5-foot-5 person — as well as those who are overweight with a BMI between 25 to 30 (150 to 180 pounds for a 5-foot-5 person) if they have certain heart disease risk factors such as type 2 diabetes, the guideline states. People at a healthy weight, or who are overweight without any health problems, should keep their weight steady.
“It’s not just about body weight, but whether excess body weight is associated with medical conditions,” said Dr. Timothy Church, director of preventive medicine research at Pennington Biomedical Research Center, who was not involved in writing the guideline.
Doctors can offer drugs or bariatric surgery to help reverse obesity, but they should first try providing patients with intensive counseling to help them exercise and eat right.
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Medicare’s Failure to Track Doctors Wastes Billions on Name-Brand Drugs

Versions of this story were co-published with Digital First Media websites and newspapers, with public radio station WNYC in New York and with American Public Media’s Marketplace.
Medicare is wasting hundreds of millions of dollars a year by failing to rein in doctors who routinely give patients pricey name-brand drugs when cheaper generic alternatives are available.
ProPublica analyzed the prescribing habits of 1.6 million practitioners nationwide and found that a tiny fraction of them are having an outsized impact on spending in Medicare’s massive drug program.
Just 913 internists, family medicine and general practice physicians cost taxpayers an extra $300 million in 2011 alone by disproportionately choosing name-brand drugs. These doctors each wrote at least 5,000 prescriptions that year, including refills, and ranked among the program’s most prolific prescribers.
Many of these physicians also have accepted thousands of dollars in promotional or consulting fees from drug companies, records show.
While lawmakers bitterly disagree about the Affordable Care Act, Medicare’s drug program has been held up as a success for government health care. It has come in below cost estimates while providing access to needed medicines for 36 million seniors and the disabled.
But this seeming fiscal success has hidden billions of dollars lost to unnecessarily expensive prescribing over the program’s eight-year history.
The waste is exacerbated by a ...
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A Permanent Slump?

The "New Normal" is here, is workers' compensation going to adapt? Today's post was shared by Steven Greenhouse and comes from www.nytimes.com

Spend any time around monetary officials and one word you’ll hear a lot is “normalization.” Most though not all such officials accept that now is no time to be tightfisted, that for the time being credit must be easy and interest rates low. Still, the men in dark suits look forward eagerly to the day when they can go back to their usual job, snatching away the punch bowl whenever the party gets going.
But what if the world we’ve been living in for the past five years is the new normal? What if depression-like conditions are on track to persist, not for another year or two, but for decades?
You might imagine that speculations along these lines are the province of a radical fringe. And they are indeed radical; but fringe, not so much. A number of economists have been flirting with such thoughts for a while. And now they’ve moved into the mainstream. In fact, the case for “secular stagnation” — a persistent state in which a depressed economy is the norm, with episodes of full employment few and far between — was made forcefully recently at the most ultrarespectable of venues, the I.M.F.’s big annual research conference. And the person making that case was none other than Larry Summers. Yes, that Larry Summers.
And if Mr. Summers is right, everything respectable people have been saying about economic policy is wrong, and will keep being wrong for a long time.
Mr. Summers began with a point that should be obvious but...
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ObamaCare's Union Favor

Today's post was shared by Steven Greenhouse and comes from online.wsj.com

The Affordable Care Act's greatest hits keep coming, and one that hasn't received enough attention is a looming favor for President Obama's friends in Big Labor. Millions of Americans are losing their plans and paying more for health care, and doctors are being forced out of insurance networks, but a lucky few may soon get relief.
Earlier this month the Administration suggested that it may grant a waiver for some insurance plans from a tax that is supposed to capitalize a reinsurance fund for ObamaCare. The $25 billion cost of the fund, which is designed to pay out to the insurers on the exchanges if their costs are higher than expected, is socialized over every U.S. citizen with a private health plan. For 2014, the fee per head is $63.
The unions hate this reinsurance transfer because it takes from their members in the form of higher premiums and gives to people on the exchanges. But then most consumers are hurt in the same way, and the unions have little ground for complaint given that ObamaCare would not have passed in 2010 without the fervent support of the AFL-CIO, the Teamsters and the rest.
The unions ought to consider this tax a civic obligation in solidarity with the (uninsured) working folk they claim to support. Instead, they've spent most of the last year demanding that the White House give them subsidies and carve-outs unavailable to anyone else.
But don't expect ObamaCare favors unless you helped to re-elect the President. In an aside in a Federal Register...
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Tuesday, November 19, 2013

John Burton Reports on Workers' Compensation Insurance Industry Underwriting Results

 Issue 7 of the Workers’ Compensation Resources Research Report examines the profitability of the workers’ compensation insurance industry in 2012 as reported by A.M. Best. The operating ratio, which is the most comprehensive measure of underwriting results because it considers investment income, decreased from 100.4 in 2011 to 93.8 in 2012.  An operating ratio of greater than 100 indicates that the industry is not profitable, and thus the industry was unprofitable in 2011.  An operating ratio of less than 100 indicates that the workers’ compensation insurance industry is profitable, and thus the industry was profitable in 2012.  The operating ratio of 93.8 in 2012 means the industry earned $6.20 of profits for every $100 of net premiums.

The operating ratio has usually been less than 100 in recent decades, indicating that the workers’ compensation insurance industry has generally been profitable when investment income earned by insurance carriers is considered.  Since 1993, the insurance industry has been profitable in 16 of the 19 years – all but 2001, 2002, and 2011.

An order form for Issue 7 of the WCRRR can be downloaded from www.workerscompresources.com

'Superbugs could erase a century of medical advances,' experts warn

The increase of infectious diseases is a cause of great concern in medical care. Today's post was shared by FairWarning and comes from www.independent.co.uk

Routine operations could become deadly "in the very near future" as bacteria evolve to resist the drugs we use to combat them. This process could erase a century of medical advances, say government doctors in a special editorial in The Lancet health journal.

Although the looming threat of antibiotic, or anti-microbial, resistance has been known about for years, the new warning reflects growing concern that the NHS and other national health systems, already under pressure from ageing populations, will struggle to cope with the rising cost of caring for people in the "post-antibiotic era".

In a stark reflection of the seriousness of the threat, England's deputy chief medical officer, Professor John Watson, said: "I am concerned that in 20 years, if I go into hospital for a hip replacement, I could get an infection leading to major complications and possible death, simply because antibiotics no longer work as they do now."

About 35 million antibiotics are prescribed by GPs in England every year. The more the drugs circulate, the more bacteria are able to evolve to resist them. In the past, drug development kept pace with evolving microbes, with a constant production line of new classes of antibiotics. But the drugs have ceased to be profitable and a new class has not been created since 1987.

Writing in The Lancet, experts, including England's chief medical officer, Dame Sally Davies, warn that death rates from bacterial infections "might return to those of the early 20th...

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The Shame of American Health Care

The workers' compensation medical treatment delivery system is problematic as it as delays and denials and epidemic in the program. Looking for a solution, hope beams bright in the implementation of a single-payer universal program. Today's post was shared by Steven Greenhouse and comes from www.nytimes.com

Even as Americans struggle with the changes required by health care reform, an international survey released last week by the Commonwealth Fund, a research organization, shows why change is so necessary.
The report found that by virtually all measures of cost, access to care and ease of dealing with insurance problems, Americans fared poorly compared with people in other advanced countries. The survey covered 20,000 adults in the United States and 10 other industrial nations — Australia, Canada, France, Germany, the Netherlands, New Zealand, Norway, Sweden, Switzerland and Britain, all of which put in place universal or near-universal health coverage decades ago. The United States spends far more than any of these countries on a per capita basis and as a percent of the national economy.
For that, it gets meager results. Some 37 percent of American adults went without recommended care, did not see a doctor when sick or failed to fill prescriptions in the past year because of costs, compared with 4 percent in Britain and 6 percent in Sweden. Nearly a quarter of American adults could not pay medical bills or had serious problems paying them compared with less than 13 percent in France and 7 percent or less in five other countries. Even Americans who were insured for the entire year were more likely than adults abroad to forgo care because of costs, an indication of how skimpy some insurance policies are.
When Americans got sick, they had to wait longer than people in...
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Is Walmart's request of associates to help provide Thanksgiving dinner for co-workers proof of low wages?

Wages set rates in workers' compensation claims. An increase in the minimum wage will result in an immediate increase in workers' compensation benefits. Today's post was shared by Steven Greenhouse and comes from www.cleveland.com

The Walmart on Atlantic Boulevard in Canton is collecting food for employees who can't afford Thanksgiving dinner. The company said this is proof that employees look out for one another. The group of employees who have held national strikes against the world's largest retailer says the food drive is proof Walmart doesn't pay associates enough to survive. The Organization United for Respect at Walmart, or OUR Walmart, is holding strikes against the chain at stores in Dayton and Cincinnati on Monday, Nov. 18. (courtesy of OUR Walmart)
CLEVELAND, Ohio -- The storage containers are attractively displayed at the Walmart on Atlantic Boulevard inCanton. The bins are lined up in alternating colors of purple and orange. Some sit on tables covered with golden yellow tablecloths. Others peer out from under the tables.
This isn't a merchandise display. It's a food drive - not for the community, but for needy workers.
"Please Donate Food Items Here, so Associates In Need Can Enjoy Thanksgiving Dinner," read signs affixed to the tablecloths.
The food drive tables are tucked away in an employees-only area. They are another element in the backdrop of the public debate about salaries for cashiers, stock clerks and other low-wage positions at Walmart, as workers in Cincinnati and Dayton are scheduled to goon strike Monday.
Chat wrap: OUR Walmart rep answers your questions about this story
Is the food drive proof the retailer pays so little that many employees can't afford Thanksgiving dinner?
Norma...
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Why Are Children Working in American Tobacco Fields?

Child Labor prohibitions are enforced through workers' compensation acts. Unfortunately that is an inefficient enforcement mechanism. Today's post was shared by Steven Greenhouse and comes from www.thenation.com

Young farm workers are falling ill from “green tobacco sickness” while the industry denies it and government lets it happen.



This article was reported in partnership with the Investigative Fund of the Nation Institute.

The air was heavy and humid on the morning the three Cuello sisters joined their mother in the tobacco fields. The girls were dressed in jeans and long-sleeve shirts, carried burritos wrapped in aluminum foil, and had no idea what they were getting themselves into. “It was our first real job,” says Neftali, the youngest. She was 12 at the time. The middle sister, Kimberly, was 13. Yesenia was 14.
Their mother wasn’t happy for the company. After growing up in Mexico, she hadn’t crossed the border so that her kids could become farmworkers. But the girls knew their mom was struggling. She had left her husband and was supporting the family on the minimum wage. If her girls worked in the tobacco fields, it would quadruple the family’s summer earnings. “My mom tends to everybody,” Neftali says. This was a chance to repay that debt.
The sisters trudged into dense rows of bright green tobacco plants. Their task was to tear off flowers and remove small shoots from the stalks, a process called “topping and suckering.” They walked the rows, reaching deep into the wet leaves, and before long their clothes were soaked in the early morning dew. None of them knew that the dew represented a...
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Europeans Fault American Safety Effort in Bangladesh

Workers' Compensation is not a byproduct of safety it is only the result of non-safe workplace conditions. Today's post was shared by Steven Greenhouse and comes from www.nytimes.com

Tensions broke into the open on Monday involving two large groups of retailers — one overwhelmingly American, the other dominated by Europeans — that have formed to improve factory safety in Bangladesh.
An official from the European group voiced concern that the American retailers would piggyback at no cost on the efforts of the Europeans — which includes H&M, Carrefour and more than 100 other retailers — in financing safety upgrades at hundreds of factories.
The members of the European-led group, the Accord on Fire and Building Safety in Bangladesh, have made binding commitments to help pay for fire safety measures and building upgrades when shortcomings in safety are found in the more than 1,600 garment factories its members use in Bangladesh. While the American-dominated group, which has 26 members, including Walmart Stores, Target and Gap, has stopped short of making such a binding commitment, it has pledged to provide loans for the improvements.
Scott Nova, executive director of the Worker Rights Consortium, a labor rights group based in Washington that is a member of the Europe-led accord, said members had a “significant concern about a free-rider situation.”
Jeff R. Krilla, the president of the American-dominated group, the Alliance for Bangladesh Worker Safety, said he was surprised by the criticism, noting that his alliance had agreed to make $100 million in low-cost loans available to Bangladesh factory owners to finance...
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Extension of Benefits for Jobless Is Set to End

Today's post was shared by Steven Greenhouse and comes from www.nytimes.com

WASHINGTON — Unless Congress acts, during the last week of December an estimated 1.3 million people will lose access to an emergency program providing them with additional weeks of jobless benefits. A further 850,000 will be denied benefits in the first quarter of 2014.
Congressional Democrats and the White House, pointing to the sluggish recovery and the still-high jobless rate, are pushing once again to extend the period covered by the unemployment insurance program. But with Congress still far from a budget deal and still struggling to find alternatives to the $1 trillion in long-term cuts known as sequestration, lawmakers say the chances of an extension before Congress adjourns in two weeks are slim.
As a result, one of the largest stimulus measures passed during the recession is likely to come to an end, and jobless workers in many states are likely to receive considerably fewer weeks of benefits.
In all, as many as 4.8 million people could be affected by expiring unemployment benefits through 2014, estimated Gene Sperling, President Obama’s top economic adviser.
Historically, there has not been a time where the unemployment rate has been this high where you have not extended it,” Mr. Sperling said in an interview. “Why would you not extend now, when you’re dealing with the nearly unprecedented levels of long-term unemployment coming off such a historic recession? This would be the wrong time to do it.”
Democrats are pushing...
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