2014-05-01 12:00 - Messages

Les risques professionnels par métiers

Enquête Sumer 2010
La nomenclature des familles professionnelles (Fap) rapproche le répertoire opérationnel des métiers et des emplois (Rome) utilisé par Pôle emploi, des professions et catégories socioprofessionnelles (PCS), utilisées par l'Insee dans ses enquêtes.
Ce numéro de Synthèse Stat' décrit, au travers de fiches, les principales expositions professionnelles des salariés pour chaque Fap (ou regroupement de Fap) de la nomenclature en 87 postes. Pour chacune d'entre elles sont également fournis des éléments descriptifs de la Fap et du profil des salariés.
Les expositions aux risques professionnels sont présentées par types de contraintes physiques, organisationnelles, d'expositions aux agents biologiques et aux nuisances chimiques.
Les données présentées sont issues de l'enquête Surveillance médicale des expositions aux risques professionnels (Sumer) de 2010, enquête transversale qui permet de cartographier les expositions professionnelles des salariés, la durée de ces expositions et les protections collectives ou individuelles éventuelles mises à disposition.

Source: http://travail-emploi.gouv.fr/etudes-recherche-statistiques-de,76/statistiques,78/conditions-de-travail-et-sante,80/etudes-recherches-statistiques-de,76/etudes-et-recherches,77/publications-dares,98/syntheses,2212/05-les-risques-professionnels-par,17742.html

Des risques professionnels contrastés selon les métiers

Les conditions de travail des salariés sont très variables d'un métier à l'autre. Les résultats de l'enquête Sumer 2010 font notamment apparaître un clivage entre les métiers qui impliquent une forte demande psychologique et beaucoup de marges de manœuvre – tels les métiers de cadres – et ceux qui imposent des contraintes physiques importantes et exposent à des risques chimiques ou biologiques – tels les métiers d'ouvriers non qualifiés des industries de process et de la manutention.

Source: http://travail-emploi.gouv.fr/etudes-recherche-statistiques-de,76/statistiques,78/conditions-de-travail-et-sante,80/etudes-recherches-statistiques-de,76/etudes-et-recherches,77/publications-dares,98/dares-analyses-dares-indicateurs,102/2014-039-des-risques,17740.html

Estimated rate of agricultural injury

The Korean Farmers' Occupational Disease and Injury Survey
OBJECTIVES: This study estimated the rate of agricultural injury using a nationwide survey and identified factors associated with these injuries.
METHODS: The first Korean Farmers' Occupational Disease and Injury Survey (KFODIS) was conducted by the Rural Development Administration in 2009. Data from 9,630 adults were collected through a household survey about agricultural injuries suffered in 2008. We estimated the injury rates among those whose injury required an absence of more than 4 days. Logistic regression was performed to identify the relationship between the prevalence of agricultural injuries and the general characteristics of the study population.
RESULTS: We estimated that 3.2% (±0.00) of Korean farmers suffered agricultural injuries that required an absence of more than 4 days. The injury rates among orchard farmers (5.4 ± 0.00) were higher those of all non-orchard farmers. The odds ratio (OR) for agricultural injuries was significantly lower in females (OR: 0.45, 95% CI = 0.45-0.45) compared to males. However, the odds of injury among farmers aged 50-59 (OR: 1.53, 95% CI = 1.46-1.60), 60-69 (OR: 1.45, 95% CI = 1.39-1.51), and ≥70 (OR: 1.94, 95% CI = 1.86-2.02) were significantly higher compared to those younger than 50. In addition, the total number of years farmed, average number of months per year of farming, and average hours per day of farming were significantly associated with agricultural injuries.
CONCLUSIONS: Agricultural injury rates in this study were higher than rates reported by the existing compensation insurance data. Males and older farmers were at a greater risk of agriculture injuries; therefore, the prevention and management of agricultural injuries in this population is required.

Source: Chae H, Min K, Youn K, Park J, Kim K, Kim H, Lee K. Ann. Occup. Environ. Med. 2014; 26: 8.
http://dx.doi.org/10.1186/2052-4374-26-8

Occupational fatalities among driver/sales workers and truck drivers in the United States, 2003-2008

BACKGROUND: This study provides a national profile of occupational fatalities among truck drivers and driver-sales workers.
METHODS: Data from the 2003-2008 Census of Fatal Occupational Injuries were used. Cases were extracted specifically for occupational subcategories included in the Driver/Sales Workers and Truck Drivers occupational category: Driver/Sales Workers, Heavy and Tractor-Trailer Truck Drivers, and Light Truck or Delivery Services Drivers.
RESULTS: In 2003-2008, the group Driver/Sales Workers and Truck Drivers had 5,568 occupational fatalities, representing 17% of all occupational fatalities in the United States. The majority of these fatalities were in the subgroup Heavy and Tractor-Trailer Truck Drivers (85%) and due to transportation incidents (80%). Older and male drivers had higher fatality rates than their counterparts.
CONCLUSIONS: Findings suggest a need for targeted interventions to reduce highway fatalities among heavy truck drivers. Better employment data are needed to separate the three occupational subcategories by worker characteristic and employment history for use in research and prevention efforts. Am. J. Ind. Med. 9999:1-10, 2014. Published 2014. This article is a U.S. Government work and is in the public domain in the USA.

Source: Chen GX, Amandus HE, Wu N. Am. J. Ind. Med. 2014.
http://dx.doi.org/10.1002/ajim.22320

Estimation du coût des accidents et des problèmes de santé au travail

Les coûts liés aux accidents et aux maladies d'origine professionnelle peuvent être importants. En 2007, dans l'UE-27, 5 580 accidents du travail ont eu des conséquences mortelles et 2,9 % de la main-d'oeuvre a eu un accident de travail qui a entraîné plus de trois jours d'absence. En outre, quelque 23 millions de personnes ont rencontré des problèmes de santé causés ou aggravés par le travail sur une période de 12 mois.
Il s'avère complexe de dresser une estimation globale précise des coûts pour toutes les parties prenantes au niveau national ou international concernant les accidents et les maladies d'origine
professionnelle dus à l'absence ou à l'inefficacité d'un système de santé et de sécurité au travail (SST). Il est toutefois essentiel que les décideurs comprennent l'importance et l'ampleur de l'absence ou de l'inefficacité d'un système de SST afin de mettre en oeuvre des mesures efficaces dans ce domaine.
L'Agence européenne pour la sécurité et la santé au travail (EU-OSHA) a mandaté les sociétés TNO et Matrix pour examiner des études évaluant le coût de la SST, effectuer une comparaison critique des méthodologies et formuler des recommandations pour de futures recherches en ce qui concerne l'estimation du coût de l'absence ou de l'inefficacité d'un système de SST à plus grande échelle. Ces sociétés devaient se concentrer sur les publications scientifiques attribuant une valeur monétaire à la perte de productivité et à l'augmentation des problèmes de santé résultant de l'absence ou de l'inefficacité d'un système de SST.

Source: https://osha.europa.eu/fr/publications/reports/executive-summary-estimating-the-cost-of-accidents-and-ill-health-at-work

Estimating the Return on Investment From a Health Risk Management Program Offered to Small Colorado-Based Employers

Objective: To determine whether changes in health risks for workers in small businesses can produce medical and productivity cost savings.
Methods: A 1-year pre- and posttest study tracked changes in 10 modifiable health risks for 2458 workers at 121 Colorado businesses that participated in a comprehensive worksite health promotion program. Risk reductions were entered into a return-on-investment (ROI) simulation model.
Results: Reductions were recorded in 10 risk factors examined, including obesity (−2.0%), poor eating habits (−5.8%), poor physical activity (−6.5%), tobacco use (−1.3%), high alcohol consumption (−1.7%), high stress (−3.5%), depression (−2.3%), high blood pressure (−0.3%), high total cholesterol (−0.9%), and high blood glucose (−0.2%). The ROI model estimated medical and productivity savings of $2.03 for every $1.00 invested.
Conclusions: Pooled data suggest that small businesses can realize a positive ROI from effective risk reduction programs.

Source: Goetzel, Ron Z.; Tabrizi, Maryam; Henke, Rachel Mosher; Benevent, Richele; Brockbank, Claire; Stinson, Kaylan; Trotter, Margo; Newman, Lee S. Journal of Occupational & Environmental Medicine: May 2014 - Volume 56 - Issue 5 - p 554–560.
http://dx.doi.org/10.1097/JOM.0000000000000152

Using injury severity to improve occupational injury trend estimates

BACKGROUND: Hospitalization-based estimates of trends in injury incidence are also affected by trends in health care practices and payer coverage that may differentially impact minor injuries. This study assessed whether implementing a severity threshold would improve occupational injury surveillance.
METHODS: Hospital discharge data from four states and a national survey were used to identify traumatic injuries (1998-2009). Negative binomial regression was used to model injury trends with/without severity restriction, and to test trend divergence by severity.
RESULTS: Trend estimates were generally biased downward in the absence of severity restriction, more so for occupational than non-occupational injuries. Restriction to severe injuries provided a markedly different overall picture of trends.
CONCLUSIONS: Severity restriction may improve occupational injury trend estimates by reducing temporal biases such as increasingly restrictive hospital admission practices, constricting workers' compensation coverage, and decreasing identification/reporting of minor work-related injuries. Injury severity measures should be developed for occupational injury surveillance systems.

Source: Sears JM, Bowman SM, Hogg-Johnson S. Am. J. Ind. Med. 2014.
http://dx.doi.org/10.1002/ajim.22329

Twenty years of workers' compensation costs due to falls from height among union carpenters, Washington State

BACKGROUND: Falls from height (FFH) are a longstanding, serious problem in construction.
METHODS: We report workers' compensation (WC) payments associated with FFH among a cohort (n = 24,830; 1989-2008) of carpenters. Mean/median payments, cost rates, and adjusted rate ratios based on hours worked were calculated using negative-binomial regression.
RESULTS: Over the 20-year period FFH accounted for $66.6 million in WC payments or $700 per year for each fulltime equivalent (2,000 hr of work). FFH were responsible for 5.5% of injuries but 15.1% of costs. Cost declines were observed, but not monotonically. Reductions were more pronounced for indemnity than medical care. Mean costs were 2.3 times greater among carpenters over 50 than those under 30; cost rates were only modestly higher.
CONCLUSIONS: Significant progress has been made in reducing WC payments associated with FFH in this cohort particularly through 1996; primary gains reflect reduction in frequency of falls. FFH that occur remain costly.

Source: Lipscomb HJ, Schoenfisch AL, Cameron W, Kucera KL, Adams D, Silverstein BA. Am. J. Ind. Med. 2014. 
http://dx.doi.org/10.1002/ajim.22339 

How Healthy Is the Singaporean Worker?

Results From the Singapore National Health Survey 2010
Objective: To compare the prevalence of common medical conditions (including mental health and self-rated health) and lifestyle risk factors for disease of the Singapore workforce with the nonworking population, and evaluate the association of these factors with occupation class.
Methods: Data were obtained from a population-representative cross-sectional survey in 2010. Adjusted prevalence ratios (PRs) were obtained by modified Breslow-Cox proportional hazards regression model.
Results: Within the workforce, after adjustment for age, sex, and ethnicity, daily smoking (PR = 1.87; 95% confidence interval [CI], 1.40 to 2.51; P < 0.001), no regular exercise (PR = 1.13; 95% CI, 1.07 to 1.20; P < 0.001), and poor self-rated health (PR = 1.46, 95% CI, 1.22 to 1.76; P < 0.001) were more prevalent in the lower-skilled occupation classes.
Conclusions: Lower-skilled occupation classes in Singapore are associated with lifestyle risk factors, and tailored workplace health promotion programs addressing their specific health needs are needed.

Source: Lim, Raymond Boon Tar; Ma, Stefan; Fong, Chee Weng; Chua, Lily; Chia, Kee Seng; Heng, Derrick; Lim, Wei Yen. Journal of Occupational & Environmental Medicine: May 2014 - Volume 56 - Issue 5 - p 498–509.
http://dx.doi.org/10.1097/JOM.0000000000000131

Effect of Physician-Dispensed Medication on Workers' Compensation Claim Outcomes in the State of Illinois

Objective: To evaluate differences between physician-dispensed and non–physician-dispensed medication with regard to lost time, prescription volume, and pharmaceutical, medical, indemnity costs in the Illinois workers' compensation system.
Methods: We studied a sample of 6824 workers' compensation indemnity claims that were opened and closed between January 1, 2007, and December 31, 2012, by Accident Fund Holdings in the State of Illinois.
Results: The number of prescriptions per claim and pharmaceutical, medical, and indemnity costs, as well as time out from work, were significantly higher in claims where a pharmaceutical was dispensed by the physician within 90 days of injury than in claims where physician dispensing did not occur. These differences persisted controlling for age, sex, attorney involvement, and injury complexity.
Conclusion: Physician dispensing is associated with higher costs and more lost time than pharmacy-dispensed medications in workers' compensation claims.

Source: White, Jeffrey A., Tao, Xuguang, Artuso, Ryan D., Bilinski, Craig, Rademacher, James, Bernacki, Edward J. Journal of Occupational & Environmental Medicine: May 2014 - Volume 56 - Issue 5 - p 459–464.
http://dx.doi.org/10.1097/JOM.0000000000000145

Des statistiques sur mesure pour y voir plus clair!

Vous voulez en savoir davantage sur les indicateurs d’accidents du travail et de maladies professionnelles produits par l’Institut de recherche Robert-Sauvé en santé et en sécurité du travail (IRSST)? Dans le cadre du Forum SST à Québec, l’IRSST a lancé aujourd’hui le site Web Statistiques sur mesure qui se propose de relever ce défi. Présentant des dossiers thématiques qui mettent en valeur les études produites par l’Institut, ce site peut s’avérer fort utile pour la communauté scientifique autant que pour les partenaires du monde du travail.

Source: http://www.irsst.qc.ca/-communique-des-statistiques-sur-mesure-pour-y-voir-plus-clair-2014-05-06.html

Asbestos-related Disease Indicators 2014

This is the third Safe Work Australia report on Asbestos-related Disease Indicators. In this report,  mesothelioma and asbestosis have been used to indicate the extent of asbestos-caused disease in Australia. The report uses data from the Australian Institute of Health and Welfare, New South Wales Dust Diseases Board, National Data Set for Compensation-based Statistics, and the Australian Bureau of Statistics.

Source: http://www.safeworkaustralia.gov.au/sites/swa/about/publications/pages/asbestos-related-disease-indicators-2014

Work-related musculoskeletal disorders on the decline in Ontario

Work-related musculoskeletal disorders appear to be on the decline in Ontario. That’s what findings from a comprehensive population-based surveillance study recently done by the Institute for Work & Health (IWH) would suggest.
The study, led by IWH president Dr. Cameron Mustard, tracks the occurrence of work-related musculoskeletal disorders (MSDs) over eight years between 2004 and 2011. It uses three independent population databases to take a count of work-related MSDs as reported by the total number of Ontarians active in the labour force in that time period—a sample of about six million.
What's important about this study is that it drew on three different data sources,” says Mustard. “And because they vary somewhat in how they define work-related MSDs, there are differences in incidence estimates between the three data sources. But all three show a steady decline.
This finding supports what several other studies in industrialized countries such as Australia, the Netherlands, the United States and the United Kingdom have found. The study, which has been submitted for publication in the Scandinavian Journal of Work, Environment and Health, is the first surveillance study on work-related MSDs done in Canada in recent times.

Source: At Work, Issue 76, Spring 2014.
http://www.iwh.on.ca/at-work/76/work-related-musculoskeletal-disorders-on-the-decline-in-ontario

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