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

Monday, October 13, 2014

The lifetime medical cost of motor vehicle crash injuries is $18.4 billion

Key Points

  • In 2012, an estimated 2,519,471 emergency department visits resulting from nonfatal crash injuries occurred in the United States, with 7.5% of these visits resulting in hospitalization, accounting for an estimated 1,057,465 hospitalization days in 2012.
  • The estimated total lifetime medical cost of nonfatal crash injuries was $18.4 billion (in 2012 dollars), consisting of $7.7 billion among patients treated and released from the emergency department and $10.7 billion among hospitalized patients.
  • Teens and young adults aged 15–29 years account for 21% of the population but accounted for 38% of the costs for patients treated and released for crash injuries.
  • Primary seatbelt laws, child passenger restraint laws, ignition interlocks to prevent alcohol impaired driving, publicized sobriety checkpoints, and graduated driver licensing systems for teens all have shown effectiveness to reduce crash injuries and fatalities. To date, no state has implemented all of these safety measures in accordance with evidence and expert recommendation.

FIGURE 1. Percentage of emergency department visits for nonfatal crash injuries among motor vehicle occupants that result in hospitalization, by age group — National Electronic Injury Surveillance System, United States, 2012

The figure above is a bar chart showing the percentage of emergency department visits for nonfatal crash injuries among motor vehicle occupants that result in hospitalization, by age group, for the year 2012. Approximately 7.5% of persons overall were hospitalized; adults aged ≥80 years had a significantly higher hospitalization rate (33%) than all other age groups except for person aged 70–79 years.The figure above is a bar chart showing the percentage of emergency department visits for nonfatal crash injuries among motor vehicle occupants that result in hospitalization, by age...

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Sunday, October 12, 2014

2nd person in U.S. tests positive for Ebola

Today's post is shared from CNN.com/

A health care worker at Texas Health Presbyterian Hospital has tested positive for Ebola after a preliminary test, the state's health agency said in a statement.

Confirmatory testing will be conducted by the Centers for Disease Control and Prevention in Atlanta.

The employee helped care for Thomas Eric Duncan, the first person diagnosed with Ebola in the United States. Duncan died on Wednesday.

"We knew a second case could be a reality, and we've been preparing for this possibility," Dr. David Lakey, commissioner of the Texas Department of State Health Services, said in a statement Sunday morning.

"We are broadening our team in Dallas and working with extreme diligence to prevent further spread."

If confirmed by the CDC, the health care worker's case would mark the second diagnosis of Ebola ever in the United States.

Globally, the disease has wrought catastrophic consequences.

The World Health Organization estimates more than 8,300 have contracted Ebola during the current outbreak. Of those, more than 4,000 people have died.

Three countries -- Sierra Leone, Guinea and Liberia -- have been hardest hit.


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Ebola Victim’s Family Blames Hospital and State

Today's post is shared from nytimes.com
Relatives of the first person to die of Ebola in the United States, joined by the Rev. Jesse L. Jackson Sr., continued on Saturday to denounce the treatment he and his family had received from a hospital here and from Texas officials, claiming that he had been cremated without their knowledge or permission and given substandard care because he was African.
Josephus Weeks, a nephew of the Ebola victim — Thomas Eric Duncan, 42, a Liberian who died Wednesday at the Dallas hospital where he had been found to have Ebola on Sept. 30 — said his uncle had been “handled poorly, unfairly, and an injustice was done.”
Mr. Weeks spoke to reporters on Saturday in Chicago with Mr. Jackson and Mr. Duncan’s mother, Nowai Gartay. They asked why Mr. Duncan had not been taken to Nebraska Medical Center, where two Americans who contracted the disease in West Africa have been treated. And they said the Dallas hospital, Texas Health Presbyterian, had not immediately informed them that Mr. Duncan had died and had led them to believe that he was still alive.
“I feel bad about my son,” Ms. Gartay said inside a chapel at the Chicago headquarters of Mr. Jackson’s Rainbow/PUSH Coalition. “We call the hospital — they know that my son died, and they didn’t tell me. They only told me, ‘You can’t talk to your son.’ ”
Mr. Jackson said the other Ebola victims in the United States “came back to...
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NJ quarantines NBC crew that worked with Ebola-stricken cameraman


Infectious diseases are compensable conditions under most state workers' compensation laws. Todays post is shared from northjersey.com

An NBC news crew that was worked alongside an Ebola-stricken cameraman in Liberia has been placed under mandatory quarantine through Oct. 22, New Jersey health officials announced Saturday.
The state Department of Health issued the order Friday evening, after a voluntary 21-day isolation agreement was violated by the crew, according to a notice posted on the health department's Web site.
The notice stressed that the crew remains "symptom-free" and that there was "no reason for concern of exposure to the community."
Neither health officials nor an NBC News spokesperson would say who violated the order, how many people were being quarantined or locate where the quarantine was being carried out.
But Princeton Police Chief Nicholas Sutter confirmed that his agency, in conjunction with the Princeton Health Department, was enforcing the order. He believed three people, all in Princeton, had been quarantined.
He referred all other comment to the state Health Department.
The NBC team was led by Chief Medical Editor Nancy Snyderman, who lives in Princeton, according to her bio on the NBC News website.
Freelancer Ashoka Mukpo, 33, contracted Ebola while working as a camera operator for Snyderman's team in Liberia, where the virus has killed more than 2,000 people, according to NBC News. He is being treated in Nebraska, where...
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Jon L. Gelman of Wayne NJ is the author of NJ Workers’ Compensation Law (West-Thompson-Reuters) and co-author of the national treatise, Modern Workers’ Compensation Law (West-Thompson-Reuters). 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.

Is $1,125 hepatitis pill from Bay Area drugmaker worth it?

  • Gilead Sciences won federal approval for the drug Harvoni, a once-a-day Hepatitis C pill, that has a controversial $1,125 price tag. Photo: Gilead Sciences, Courtesy Photo
    Gilead Sciences won federal approval for the drug Harvoni, a once-a-day Hepatitis C pill, that has a controversial $1,125 price tag. Photo: Gilead Sciences, Courtesy Photo
After shaking up the health care industry with a $1,000 hepatitis C pill, Gilead Sciences of Foster City won approval Friday for a new version of that treatment that works faster, drops the usual injections and boasts an already-controversial $1,125 price tag.
The new daily pill Harvoni costs $94,500 for 12 weeks and $63,000 for eight weeks — both cheaper than some existing hepatitis C treatments, according to the drugmaker. But some patient advocates are already upset about the price after nearly revolting against Gilead’s first hepatitis C therapy, Sovaldi, which became the best-selling new drug ever when it hit the market late last year at $84,000 for 12 weeks.
Harvoni, which combines Sovaldi and a new drug called ledipasvir, is expected to push Gilead’s overall hepatitis C drug sales to $12 billion this year and more than $15 billion next year, said Michael Yee, a biotechnology analyst at RBC Capital Markets.
“It is a major breakthrough to have yet another regimen that takes two drugs and combines it into one, and shortens the treatment of care for patients,” he said.
Debates over cost
Sales of Sovaldi were $2.3 billion in the first quarter and $3.5 billion in the second, putting it on track to become one of the world’s best-selling medicines. At the same time, its...
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Read more about Hepatitis:
Sep 16, 2014
The maker of one of the costliest drugs in the world announced on Monday that it had struck deals with seven generic drug makers in India to sell lower-cost versions of the medicine — a $1,000-a-pill hepatitis C treatment ...
Jul 25, 2014
Hepatitis remains largely ignored or unknown. In April this year, WHO issued new recommendations on treatment of hepatitis C. In May, World Health Assembly delegates from 194 Member States adopted a resolution to ...
Jun 26, 2014
Medications for other diseases may be more expensive, but insurers worry about the potential outlay, given that approximately 3.2 million people in the U.S. are chronically infected with hepatitis C, according to the U.S. Center ...
Aug 02, 2014
They also note that while Sovaldi has a monopoly on the market right now, a half dozen new hepatitis C drugs are excepted to be available in the next 4 years and will likely drive down the cost of the drug as competition ...

NJ Workers' Compensation Premiums Ranked 3rd Highest in the Nation

NJ's workers' compensation premium cost soared over the last year. NJ is now ranked 3rd highest in the US according to a recent study conducted by the state of Oregon.

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Jon L. Gelman of Wayne NJ is the author of NJ Workers’ Compensation Law (West-Thompson-Reuters) and co-author of the national treatise, Modern Workers’ Compensation Law (West-Thompson-Reuters). 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.

Read more:
3 hours ago
NJ Workers' Compensation Premiums Ranked 3rd Highest in the Nation. NJ's workers' compensation premium cost soared over the last year. NJ is now ranked 3rd highest in the US according to a recent study conducted by ...
Dec 19, 2012
NJ Workers Compensation Premiums Go Up for 2013. NJ Compensation Rating and Inspection Bureau has announced rate increases for 2013 as follows: Revision of Rates and Rating Values – Effective January 1, 2013
Sep 21, 2011
"Insurance companies appear to have been setting premiums according to their returns on the stock and bond markets, not according to the number of claims they have," said J. Paul Leigh, UC Davis professor of public health ...
Sep 11, 2012
The defense based NY Workers' Compensation Policy Institue has published a report reflecting that NY has the highest premium assessments in the country for workers' compensation. Note that NJ is not far behind when ...

Saturday, October 11, 2014

OSHA launches national dialogue on hazardous chemical exposures and permissible exposure limits in the workplace

The U.S. Department of Labor's Occupational Safety and Health Administration today announced it is launching a national dialogue with stakeholders on ways to prevent work-related illness caused by exposure to hazardous substances. The first stage of this dialogue is a request for information on the management of hazardous chemical exposures in the workplace and strategies for updating permissible exposure limits.

OSHA's PELs, which are regulatory limits on the amount or concentration of a substance in the air, are intended to protect workers against the adverse health effects of exposure to hazardous substances. Ninety-five percent of OSHA's current PELs, which cover fewer than 500 chemicals, have not been updated since their adoption in 1971. The agency's current PELs cover only a small fraction of the tens of thousands of chemicals used in commerce, many of which are suspected of being harmful. Substantial resources are required to issue new exposure limits or update existing workplace exposure limits, as courts have required complex analyses for each proposed PEL.

"Many of our chemical exposure standards are dangerously out of date and do not adequately protect workers," said Assistant Secretary of Labor for Occupational Safety and Health Dr. David Michaels. "While we will continue to work on updating our workplace exposure limits, we are asking public health experts, chemical manufacturers, employers, unions and others committed to preventing workplace illnesses to help us identify new approaches to address chemical hazards."

OSHA is seeking public comment regarding current practices and future methods for updating PELs, as well as new strategies for better protecting workers from hazardous chemical exposures. Specifically, the agency requests suggestions on:
possible streamlined approaches for risk assessment and feasibility analyses and
alternative approaches for managing chemical exposures, including control banding, task-based approaches and informed substitution.

The goal of this public dialogue is to give stakeholders a forum to develop innovative, effective approaches to improve the health of workers in the United States. In the coming months, OSHA will announce additional ways for members of the public to participate in the conversation.

The comment period for the RFI will continue for 180 days. Instructions for submitting comments are available in the Federal Register, Docket No. OSHA-2012-0023, at https://federalregister.gov/a/2014-24009. For more information, please visit the OSHA Chemical Management Request for Information Web page athttp://www.osha.gov/chemicalmanagement/index.html.