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

Friday, January 11, 2013

NIOSH Announces the Top 10 Science Blog Posts in 2012

The list shows the vast array of topics covered by NIOSH.  Of note this year, the third and eleventh most viewed blogs were written by external partners.

  1. Help Wanted: Spray Polyurethane Foam Insulation Research.  We urged you to help us collect on-site air samples during SPF installation.  The response was fantastic!  Thank you!
  2. Worker Exposure to Crystalline Silica During Hydraulic Fracturing   highlighted a newly-identified hazard in the fracking industry, provided prevention information and asked for assistance with future efforts. 
  3. Hair Formaldehyde and Industrial Hygiene, from the Center for Research on Occupational and Environmental Toxicology (CROET) at Oregon Health and Science University, summarized the campaign to inform stylists of the risks related to formaldehyde-containing hair straighteners and the need for proper protection. 
  4. Sleep and Work. In honor of National Sleep Awareness Week we summarized sleep and work issues in this blog and highlighted NIOSH research in the companion blog NIOSH Research on Work Schedules and Work-related Sleep Loss(#6). 
  5. Stress and Health in Law Enforcement highlighted research from the Buffalo Cardio-Metabolic Occupational Police Stress (BCOPS) study and from related studies of morbidity and mortality among police officers. 
  6. See #4 above
  7. Brain Injury in the NFL discussed new research finding that National Football League (NFL) players may be at a higher risk of death associated with Alzheimer’s and other impairments of the brain and nervous system than the general U.S. population.
  8. Safer and Healthier at any Age:  Strategies for an Aging Workforce  presented strategies for preparing your workplace to accommodate an older workforce. 
  9. All-terrain Vehicles and Work highlighted the risks associated with ATVs and identified safe practices for use in the workplace.
  10. Respiratory Protection for Workers Handling Engineered Nanoparticles.  While this blog was technically posted in December of 2011 we included it anyway.  This blog provided an update on the science and rationale behind NIOSH’s recommendations for the use and selection of respirators against engineered nanoparticles.
  11. Sleep Pain and Hospital Workers, from colleagues at Harvard, examined the question: Does lack of sleep increase pain and limit function among hospital care workers?
  12. Safety and Health in the Theater:  Keeping Tragedy Out of the Comedies… and Musicals…and Dramas discussed the often overlooked hazards in the theater.

Downton Abbey and Workers' Compensation

Highclere Castle
Highclere Castle (Photo credit: Wikipedia)

The PBS series, Downton Abbey, has many parallels to the nation's workers' compensation system and reflects how outdated the present benefit system is to meet current needs of injured workers.

The critically acclaimed fictional British TV series, that begins a 3rd broadcast season this month in the US. The first season was set in 1912, with the sinking the RMS Titanic and the outbreak of World War I. 


 The drama concerns itself with non-working aristocratic elite who had amassed multitudes of wealth and were land barrons. The post-Edwardian era Crawley family had a large entourage of servants, who worked 
"downstairs," at low pay and no benefits, providing services to the heirs of Downton Abbey, a lavish estate in England.

It mirrors the era of the enactment of the original European, and thereafter adopted US, workers'  compensation programs. The system provided an administrative remedy to provide a summary, remedial system of benefits to workers in lieu of a trial by jury in the civil justice system.

While workers' compensation is not explicitly mentioned in the TV series, the viewer can gain an understanding of the perspective of the oppressed employees who devoted their lives to the land owning family and considered it an honor and privilege to stay in their employ. Dedication to the employer resulted in lifelong career positions with little complaint of working conditions and lack of benefits.

The British aristocracy system portrayed in the Downton Abbey soon fell into economic ruin, as did the entire British workers' compensation system, yielding to a better medical delivery system and socialized benefits. 


On the other side of "the pond," in the US, the program has just persisted with more money going to the richest individuals, reflected in with major compensation packages. On the other hand, working Americans have lost jobs, benefits, and income as the nation's economy continues to decline. The US needs to adjust the benefit system to approach what the European Economic Union has achieved.

The second Obama Administration is beng recomposed with a Cabinet to achieve a better funded and structured benefit system. Hopefully a better benefit system will be formulated for injured workers and their families.

Obama signs MSP Medicare bill

"The legislation changes the way Medicare collects money from people whose negligence caused a patient to incur medical bills. Murphy said the new law will streamline an outdated process, making it easier to close cases and bring money into the Medicare program."

Read more: http://thehill.com/blogs/healthwatch/medicare/276621-obama-signs-medicare-bill#ixzz2HehBHham


Questions remain on the practicalities of implementation as regulations need to be promulgated.

The NEW law will be discussed at the Hot Topics in Workers' Compensation Law 2013 Seminar (NJ ICLE Jn 29, 2013)

Thursday, January 10, 2013

OSHA posts results of sampling for contaminants at Sandy cleanup areas in New York and New Jersey


Employers reminded they must protect their workers from exposure to health hazards

The U.S. Department of Labor's Occupational Safety and Health Administration has posted results of its initial industrial hygiene sampling of locations in New York and New Jersey where recovery work in connection with Hurricane Sandy is being performed. The results are posted on OSHA's website at: http://www.osha.gov/sandy/sample_results.html.

The purpose of the sampling is to measure potential or actual employee exposure to potential health hazards during recovery operations. Sampling was conducted in a variety of locations throughout the storm affected areas. The results of this first round of sampling show that while some contaminants were present, such as carbon monoxide, asbestos and silica, they have so far not exceeded any of OSHA's Permissible Exposure Limits, which can be found at: http://www.osha.gov/dsg/topics/pel/index.html.

"These initial results should not be taken by employers as an "all clear" signal regarding potential exposure to health hazards," said Robert Kulick, OSHA's regional administrator in New York. "It is important that each employer continually ensure that workers are not overexposed. Employers can accomplish this by performing site assessments to determine potential hazards and institute effective measures to protect workers against exposure to toxic substances such as asbestos, lead and mold."

OSHA will continue to conduct industrial hygiene monitoring on a rotating basis at various locations where recovery work is being performed. The results will be posted on OSHA's website. The monitoring is one element of OSHA's ongoing efforts to protect the safety and health of workers cleaning up after Sandy.

Since the storm struck, OSHA has been conducting daily briefings, safety and health field interventions and other outreach activities to identify and remove employees from hazards and to provide Sandy cleanup workers and employers with safety and health information. To date, OSHA has conducted over 4,400 briefings and interventions, reaching nearly 61,000 workers and employers performing recovery work in Sandy-impacted areas. OSHA's work is ongoing. Guidance, fact sheets and other information can be found on OSHA's Hurricane Sandy web page, located at www.osha.gov/sandy/.

Curing the Profit Motive in Health Care

Soaring medical costs have afflicted the workers' compensation industry with economic distress and have severely impacted the efficient and effective delivery of medical care to injured workers.  Both increased costs/profits and a related spike in mortality addresses the need for more governmental control in the United States.

A study "...found that patients’ mortality rates spiked when nonprofit hospitals switched to become profit-making, and their staff levels declined."

Read "Health Care and Profits, a Poor Mix" NYTimes

Wednesday, January 9, 2013

Oil, Cancer and The Promised Land

John P. Smol,  Professor Department of Biology, Queen’s University Canada Research Chair
 in Environmental Change

Industry has a long history of not completely disclosing hazardous that they are generating and oll production maybe just another one of them. Historical conspiracies of silent were evident in the asbestos  tobacco, lead and PCB industries resulting in epidemics of disease and death.

"The development of Alberta’s oil sands has increased levels of cancer-causing compounds in surrounding lakes well beyond natural levels, Canadian researchers reported in a study released on Monday. And they said the contamination covered a wider area than had previously been believed."

Read: "Oil Sands Industry in Canada Tied to Higher Carcinogen Level" NYTimes

Monday, January 7, 2013

Are You Suffering From Symptoms Of Chronic Stress? Take the Stress Test!

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

Signs of Chronic Stress:
Cognitive symptoms
•          Memory problems
•          Inability to concentrate
•          Poor judgment
•          Pessimistic approach or thoughts
•          Anxious or racing thoughts
•          Constant worrying
Emotional symptoms
•          Moodiness
•          Irritability or short temper
•          Agitation, inability to relax
•          Feeling overwhelmed
•          Sense of loneliness and isolation
•          Depression or general unhappiness
Physical symptoms
•          Aches and pains
•          Diarrhea or constipation
•          Nausea, dizziness
•          Chest pain, rapid heartbeat
•          Loss of sex drive
•          Frequent colds
Behavioral symptoms
•          Eating more or less
•          Sleeping too much or too little
•          Isolating oneself from others
•          Procrastinating or neglecting responsibilities
•          Using alcohol, cigarettes, or drugs to relax

Take the Stress Test for Adults:
Thomas Holmes and Richard Rahe in 1967, examined the medical records of over 5,000 medical patients as a way to determine whether stressful events might cause illnesses. Patients were asked to tally a list of 43 life events based on a relative score. A positive correlation was found between their life events and their illnesses.
Their results were published as the Social Readjustment Rating Scale (SRRS), known more commonly as the Holmes and Rahe Stress Scale.
To measure stress according to the Holmes and Rahe Stress Scale, the number of "Life Change Units" that apply to events in the past year of an individual's life are added and the final score will give a rough estimate of how stress affects health.
Note: the table, below, is from the Wikipedia page on this subject.  For a fee of $5.00, you can go directly to Dr. Rahe's website and obtain the full test materials as well as background information and details of this and other products and services available.
To measure stress according to the Holmes and Rahe Stress Scale, the number of "Life Change Units" that apply to events in the past year of an individual's life are added and the final score will give a rough estimate of how stress affects health.
Life eventLife change units
Death of a spouse 100
Divorce 73
Marital separation 65
Imprisonment 63
Death of a close family member 63
Personal injury or illness 53
Marriage 50
Dismissal from work 47
Marital reconciliation 45
Retirement 45
Change in health of family member 44
Pregnancy 40
Sexual difficulties 39
Gain a new family member 39
Business readjustment 39
Change in financial state 38
Death of a close friend 37
Change to different line of work 36
Change in frequency of arguments 35
Major mortgage 32
Foreclosure of mortgage or loan 30
Change in responsibilities at work 29
Child leaving home 29
Trouble with in-laws 29
Outstanding personal achievement 28
Spouse starts or stops work 26
Begin or end school 26
Change in living conditions 25
Revision of personal habits 24
Trouble with boss 23
Change in working hours or conditions 20
Change in residence 20
Change in schools 20
Change in recreation 19
Change in church activities 19
Change in social activities 18
Minor mortgage or loan 17
Change in sleeping habits 16
Change in number of family reunions 15
Change in eating habits 15
Vacation 13
Christmas 12
Minor violation of law 11
Score of 300+: At risk of illness.
Score of 150-299+: Risk of illness is moderate (reduced by 30% from the above risk).
Score 150-: Only have a slight risk of illness.

Recommended methods for relieving chronic stress include exercise (which can be modified to accommodate physical restrictions after an injury), meditation, music therapy, breathing techniques, and such simple things as companionship - from a pet, friend or family member.