Hazard surveillance at NIOSH.

Sundin, David S.; Frazier, Todd M.

doi:10.2105/ajph.79.suppl.32

Cited by 22 publications

(12 citation statements)

References 6 publications

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“…The occurrence of OD is characterized by distinct regional and sector differentiation and shows considerable time and space dependent dynamics [6]. Studies dealing with occupational diseases have been widely used in the geographical analysis since the beginning of the 1980s [7][8][9]. The more frequent use of geographical information systems (GIS) in the research on variability of factors affecting the health of employees has been evident recently [9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Occupational diseases in the automotive industry in Czechia – Geographic and medical context

Jarolímek

Urban

Pavlínek

et al. 2017

Int J Occup Med Environ Health

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Objectives:The automotive industry represents the most important industrial sector in Czechia. The objective of this study has been to analyze the occurrence of occupational diseases (OD) in the automotive industry during the period from 2001 till 2014. Material and Methods: Data on OD cases was retrieved from the National Registry of OD. Further, we conducted a survey in automotive companies with focus on occupational health services and positions of the companies in global production networks (GPNs). An analysis of OD distribution in the automotive industry was performed (age, gender, company size and its role in GPNs, regional distribution of studied companies, and regional unemployment rate), and was accompanied by assessment of the quality and range of occupational health services. Results: Employees older than 40 years old have nearly 2.5 times higher probability of OD occurrence as compared with employees younger than 40 years old (odds ratio (OR) = 2.41, 95% confidence interval (CI): 2.05-2.85). Occupational diseases occurrence probability was 3 times higher for women than for men (OR = 3.01, 95% CI: 2.55-3.55). Occupational diseases incidence rates increased with the size of the company (0 OD/10 000 employees in micro enterprises to 57 OD/10 000 employees in large enterprises). A particularly steep rise in OD incidents in the automotive industry was observed in the Plzeň Region between 2001 and 2011. An association between OD incidents and the unemployment rate was not statistically confirmed. Conclusions: A statistically significant increase in OD incidents dependent on company size may be arguably attributed to a higher quality of occupational medical services in bigger companies, which ensures better detection and diagnosis of OD. In the Plzeň Region, the rapid increase in OD incidents was mainly caused by a change in the production process of automobile textiles in one factory due to the introduction of a glue containing isocyanates, which are potent allergising agents. This led to an increase in occupational allergic diseases -bronchial asthma in particular. Int J Occup Med Environ Health 2017;30(3): [455][456][457][458][459][460][461][462][463][464][465][466][467][468]

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Section: Introductionmentioning

confidence: 99%

Occupational diseases in the automotive industry in Czechia – Geographic and medical context

Jarolímek

Urban

Pavlínek

et al. 2017

Int J Occup Med Environ Health

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“…Expertise in epidemiologic principles is essential when analyzing and interpreting medical surveillance data and disease rates. 3,8,9 Availability of Intervention…”

Section: Ongoing Data Analysismentioning

confidence: 99%

General Principles of Medical Surveillance

Trout

2011

Journal of Occupational &Amp; Environmental Medicine

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Objective-As potential occupational exposure to nanomaterials becomes more prevalent, it is important that the principles of medical surveillance be considered for workers in the nanotechnology industry.Methods-The principles of medical surveillance are reviewed to further the discussion of occupational health surveillance for workers exposed to nanomaterials.Results-Because of the rapid evolution of nanotechnology, information may not be available to make a well-informed determination of all factors needed to evaluate risk of health effects from occupational exposure to nanomaterials. Conclusion-Everyworkplace dealing with engineered nanomaterials should conduct hazard and exposure assessments as part of an overall surveillance needs assessment for nanotechnology workers. In workplaces where risk is felt to be present, or at least cannot be ruled out, initiation of medical surveillance is prudent to protect workers' health.The principles of medical surveillance are an essential component of occupational health practice. 1-3 As the production of (and potential occupational exposure to) nanomaterials becomes more prevalent, it is important that these principles be considered for workers in the nanotechnology industry. DEFINITIONS AND BACKGROUNDOccupational health surveillance is the ongoing systematic collection, analysis, and dissemination of exposure and health data on groups of workers for the purpose of preventing illness and injury. Occupational health surveillance can help to define the magnitude and scope of occupational health issues among groups of workers, with the ultimate goal of prevention; occupational surveillance data are used to guide efforts to improve worker safety and health and monitor trends over time. The general term occupational health surveillance includes hazard and medical surveillance. Although the focus here concerns medical surveillance, integration of hazard and medical surveillance is

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“…(6)(7)(8)(9) Exposure surveillance is a subset of hazard surveillance, which in turn is a subset of public health surveillance. Traditionally, public health or epidemiologic surveillance has focused primarily on health outcomes, though it also includes hazard surveillance.…”

Section: Applied Studiesmentioning

confidence: 99%

“…(10)(11)(12) Hazard surveillance encompasses all health and safety hazards, including chemical, physical, ergonomic, safety, and psychosocial. (6,7,9,13,14) Exposure surveillance can be performed at many levels: within a department or section of a company (e.g., by the company itself (15) ); on a companywide basis (e.g., single or multisite, national or multinational company (16) ); on an industrywide basis (by a trade association, labor union, branch of military service (17) ); or by broad geographic levels, such as region or nation (e.g., by a government entity (18) ). Surveillance is most useful for prevention when aggregate, or grouped, analysis is performed with information about determinants of exposure at the work site level, with analysis and communication tailored to specific audiences.…”

Section: Applied Studiesmentioning

confidence: 99%

Exposure Databases and Exposure Surveillance: Promise and Practice

LaMontagne

Herrick²,

Dyke³

et al. 2002

AIHA Journal

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Based on recent developments in occupational health and a review of industry practices, it is argued that integrated exposure database and surveillance systems hold considerable promise for improving workplace health and safety. A foundation from which to build practical and effective exposure surveillance systems is proposed based on the integration of recent developments in electronic exposure databases, the codification of exposure assessment practice, and the theory and practice of public health surveillance. The merging of parallel, but until now largely separate, efforts in these areas into exposure surveillance systems combines unique strengths from each subdiscipline. The promise of exposure database and surveillance systems, however, is yet to be realized. Exposure surveillance practices in general industry are reviewed based on the published literature as well as an Internet survey of three prominent industrial hygiene e-mail lists. Although the benefits of exposure surveillance are many, relatively few organizations use electronic exposure databases, and even fewer have active exposure surveillance systems. Implementation of exposure databases and surveillance systems can likely be improved by the development of systems that are more responsive to workplace or organizational-level needs. An overview of exposure database software packages provides guidance to readers considering the implementation of commercially available systems. Strategies for improving the implementation of exposure database and surveillance systems are outlined. A companion report in this issue on the development and pilot testing of a workplace-level exposure surveillance system concretely illustrates the application of the conceptual framework proposed.

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Hazard surveillance at NIOSH.

Cited by 22 publications

References 6 publications

Occupational diseases in the automotive industry in Czechia – Geographic and medical context

Occupational diseases in the automotive industry in Czechia – Geographic and medical context

General Principles of Medical Surveillance

Exposure Databases and Exposure Surveillance: Promise and Practice

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