2014-06-01 12:00 - Messages

Prevalence rates for depression by industry

A claims database analysis
PURPOSE: To estimate and interpret differences in depression prevalence rates among industries, using a large, group medical claims database.
METHODS: Depression cases were identified by ICD-9 diagnosis code in a population of 214,413 individuals employed during 2002-2005 by employers based in western Pennsylvania. Data were provided by Highmark, Inc. (Pittsburgh and Camp Hill, PA). Rates were adjusted for age, gender, and employee share of health care costs. National industry measures of psychological distress, work stress, and physical activity at work were also compiled from other data sources.
RESULTS: Rates for clinical depression in 55 industries ranged from 6.9 to 16.2 %, (population rate = 10.45 %). Industries with the highest rates tended to be those which, on the national level, require frequent or difficult interactions with the public or clients, and have high levels of stress and low levels of physical activity.
CONCLUSIONS: Additional research is needed to help identify industries with relatively high rates of depression in other regions and on the national level, and to determine whether these differences are due in part to specific work stress exposures and physical inactivity at work. CLINICAL SIGNIFICANCE: Claims database analyses may provide a cost-effective way to identify priorities for depression treatment and prevention in the workplace.

Source: Wulsin L, Alterman T, Timothy Bushnell P, Li J, Shen R. Soc. Psychiatry Psychiatr. Epidemiol. 2014.
http://dx.doi.org/10.1007/s00127-014-0891-3

Economic evaluation of occupational safety preventive measures in a hospital

BACKGROUND: When an organization performs an integrated analysis of risks through its Occupational Health and Safety Management System, several steps are suggested to address the implications of the identified risks. Namely, the organization should make a detailed analysis of the monetary impact for the organization of each of the preventive measures considered. However, it is also important to perform an analysis of the impact of each measure on society (externalities).
OBJECTIVE: The aim of this paper is to present a case study related to the application of the proposed economic evaluation methodology in a Hospital is presented.
METHODS: An analysis of the work accidents has been made. Three of the major types of accidents have been selected: needle stings, falls and excessive strain. Following the risk assessment, some preventive measures have been designed. Subsequently, the Benefit/Cost ratio (B/C) of these measures has been calculated, both in financial terms (from the organization's perspective) and in economic terms (including the benefits for the worker and for the Society).
RESULTS: While the financial ratio is only advantageous in some cases, when the externalities are taken into account, the B/C ratio increases significantly.
CONCLUSIONS: It is important to consider external benefits to make decisions concerning the implementation of preventive measures in Occupational Health and Safety projects.

Source: Ramos DG, Arezes PM, Afonso P. Work, 2014.
http://dx.doi.org/10.3233/WOR-141884

Food and beverage sector

Working conditions and job quality
This report gives an overview of working conditions, job quality, workers' health and job sustainability in the food and beverage service activities sector (NACE 56). It is based mostly on the fifth European Working Conditions Survey (EWCS), which gathers data on working conditions and the quality of work across 34 European countries. Additional information on the structural characteristics of the sector is derived from Eurostat data. The fifth EWCS contains responses from 1,349 workers in the food and beverage sector.

Source: http://www.eurofound.europa.eu/publications/htmlfiles/ef138421.htm

Statistiques sur les lésions attribuables aux TMS en milieu de travail 2010-2013

Cette publication vise à documenter les lésions attribuables aux TMS en milieu de travail sous les aspects administratif, médical et socio-économique, dans un souci de qualité et d'uniformité des informations transmises sur le sujet. Les données qu'elle contient sont tirées des banques informationnelles de la CSST.
En 2011, une nouvelle définition des lésions de type TMS a été adoptée, de concert avec l'IRSST et l'Institut national de santé publique du Québec, afin de faciliter la cohérence et l'interprétation des données.
Sur le plan médical, les lésions de type troubles musculo-squelettiques sont des atteintes inflammatoires ou dégénératives aux structures musculo-squelettiques, causées par une sursollicitation articulaire (application d'une force excessive, répétitive ou continue, parfois combinée à une posture contraignante, à l'exposition aux vibrations ou au froid).

Source: http://www.csst.qc.ca/publications/300/Documents/DC300_322web.pdf

Trial-Based Economic Evaluations in Occupational Health

Principles, Methods, and Recommendations
To allocate available resources as efficiently as possible, decision makers need information on the relative economic merits of occupational health and safety (OHS) interventions. Economic evaluations can provide this information by comparing the costs and consequences of alternatives. Nevertheless, only a few of the studies that consider the effectiveness of OHS interventions take the extra step of considering their resource implications. Moreover, the methodological quality of those that do is generally poor. Therefore, this study aims to help occupational health researchers conduct high-quality trial-based economic evaluations by discussing the theory and methodology that underlie them, and by providing recommendations for good practice regarding their design, analysis, and reporting. This study also helps consumers of this literature with understanding and critically appraising trial-based economic evaluations of OHS interventions.

Source: van Dongen, Johanna M.; van Wier, Marieke F.; Tompa, Emile; Bongers, Paulien M.; van der Beek, Allard J.; van Tulder, Maurits W.; Bosmans, Judith E.. Journal of Occupational & Environmental Medicine: June 2014 - Volume 56 - Issue 6 - p 563–572.
http://dx.doi.org/10.1097/JOM.0000000000000165

Harassment and bullying cost you plenty

Work pressure, harassment and bullying are still costing workers and employers many weeks off work and thousands of dollars for individual compensations claims.
Workers under the pump who lodged mental stress claims took off a median 9.6 weeks with the median cost of each claim being $19,700, says the latest data from Safe Work Australia.
Work-related harassment and/or workplace bullying accounted for 8.4 weeks off work and $18,100.
Also, exposure to workplace or occupational violence resulted in an average 3.1 weeks off work and $6400.
Although overall the frequency of these and other mental stress claims, including exposure to traumatic events and suicide or attempted suicide, have fallen since 2001-2002, harassment and/or bullying has increased.
Also, these figures may underestimate the extent of the problem. “Workers' compensation data may not be the best way of looking at trends in work-related mental stress as the ability to lodge a claim may be influenced by the legislative process and other external factors,” says the Safe Work Australia data.

Source: http://nsca.org.au/bullying-and-harassment/harassment-bullying-cost-plenty/

Fatal falls in the U.S. residential construction industry

BACKGROUND: Falls from heights remain the most common cause of workplace fatalities among residential construction workers in the United States.
METHODS: This paper examines patterns and trends of fall fatalities in U.S. residential construction between 2003 and 2010 by analyzing two large national datasets.
RESULTS: Almost half of the fatalities in residential construction were from falls. In the residential roofing industry, 80% of fatalities were from falls. In addition, about one-third of fatal falls in residential construction were among self-employed workers. Workers who were older than 55 years, were Hispanic foreign-born, or employed in small establishments (1-10 employees) also had higher proportions of fatal falls in residential construction compared to those in nonresidential construction.
CONCLUSIONS: The findings suggest that fall safety within the residential construction industry lags behind commercial construction and industrial settings. Fall prevention in residential construction should be enhanced to better protect construction workers in this sector.

Source: Dong XS, Wang X, Largay JA, Platner JW, Stafford E, Cain CT, Choi SD. Am. J. Ind. Med. 2014.
http://dx.doi.org/10.1002/ajim.22341

Tracking Low Back Problems in a Major Self-Insured Workforce

Toward Improvement in the Patient's Journey
Objective: To assess the cost outcomes of treatment approaches to care for back problems in a major self-insured workforce, using published guidelines to focus on low back pain.
Methods: Longitudinally tracked episodes of three types of International Classification of Diseases, Ninth Revision diagnosis code–identified back problems (n = 14,787) during 2001 to 2009. Identified five patterns of care on the basis of the first 6 weeks of claims and compared their total costs per episode with tests that included splits by episode type and duration, use of guidelines, and propensity-derived adjustments.
Results: Care congruent with 10 of 11 guidelines was linked to lower total costs. Of the five patterns, complex medical management and chiropractic reported the highest and lowest rates, respectively, of guideline-incongruent use of imaging, surgeries, and medications, and the highest and lowest total costs.
Conclusions: Approaches marked by higher resource utilization and lower guideline congruence are linked to greater low back pain total costs. Total cost is a needed input for guideline development.

Source: Allen, Harris; Wright, Marcia; Craig, Terri; Mardekian, Jack; Cheung, Raymond; Sanchez, Robert; Bunn, William B.; Rogers, William. Journal of Occupational & Environmental Medicine: June 2014 - Volume 56 - Issue 6 - p 604–620.
http://dx.doi.org/10.1097/JOM.0000000000000210

Epidemiology of occupational accidents in Iran based on social security organization database

BACKGROUND: Today, occupational accidents are one of the most important problems in industrial world. Due to lack of appropriate system for registration and reporting, there is no accurate statistics of occupational accidents all over the world especially in developing countries.
OBJECTIVES: The aim of this study is epidemiological assessment of occupational accidents in Iran.
MATERIALS AND METHODS: Information of available occupational accidents in Social Security Organization was extracted from accident reporting and registration forms. In this cross-sectional study, gender, age, economic activity, type of accident and injured body part in 22158 registered accidents during 2008 were described.
RESULTS: The occupational accidents rate was 253 in 100,000 workers in 2008. 98.2% of injured workers were men. The mean age of injured workers was 32.07 ± 9.12 years. The highest percentage belonged to age group of 25-34 years old. In our study, most of the accidents occurred in basic metals industry, electrical and non-electrical machines and construction industry. Falling down from height and crush injury were the most prevalent accidents. Upper and lower extremities were the most common injured body parts.
CONCLUSION: Due to the high rate of accidents in metal and construction industries, engineering controls, the use of appropriate protective equipment and safety worker training seems necessary.

Source: Mehrdad R, Seifmanesh S, Chavoshi F, Aminian O, Izadi N. Iran. Red Crescent Med. J. 2014; 16(1).
http://dx.doi.org/10.5812/ircmj.10359  

Les conditions de travail des Européens se sont dégradées au cours des 5 dernières années

La Commission européenne publie les résultats d'une enquête sur les conditions de travail des Européens et sur l'impact que la crise économique a pu avoir sur celles-ci. L'enquête a été réalisée auprès d'un échantillon représentatif de 26 500 actifs européens. Elle révèle une détérioration générale des conditions de travail ainsi que de grandes disparités en matière de satisfaction des travailleurs selon les pays.
La plupart des travailleurs se disent satisfaits de leurs conditions de travail (77% en moyenne dans l'UE) et de la santé et la sécurité au travail (85%). Plus de 80% des personnes interrogées au Luxembourg, en Finlande et aux Pays-Bas estiment que leurs conditions de travail sont bonnes. Viennent ensuite l'Autriche, la Belgique, le Royaume-Uni et l'Estonie.
Mais bien que globalement les Européens se disent satisfaits, la majorité d'entre eux (57%) déplore une dégradation générale de leurs conditions de travail sur les 5 dernières années. La dégradation concerne surtout la France (62%), Chypre et la Hongrie (75%), le Portugal (78%), la Slovénie (84%), l'Italie (85%), l'Espagne (86%) et la Grèce (88%).

Source: http://www.eurogip.fr/fr/eurogip-infos-actu?id=3697

Commercial Fishing Morbidity and Mortality U.S. Distant Water Tuna Fleet 2006-2012

The United States Coast Guard (USCG) Marine Information for Safety and Law Enforcement (MISLE) system was used as the primary source for fatality and injury data. MISLE is used to record information reported by fishing companies to the USCG on injuries, fatalities, and vessel incidents such as allision, collision, fire, flooding, and sinking events. Federal law requires companies that operate fishing vessels to report marine casualties (death, “serious injury,” material loss of property, vessel damage affecting seaworthiness or efficiency, or significant harm to the environment) to the USCG [46 USC 6101]. For standardization of findings, a case was defined as any crewmember who suffered a non-fatal or fatal traumatic injury reported to the USCG. Incident data were extracted from reports found in MISLE and entered into an Access database.

Source : http://www.cdc.gov/niosh/docs/2014-126/pdfs/2014-126.pdf

Les risques professionnels par secteurs

Enquête Sumer 2010
La nomenclature d'activités française est la nomenclature statistique nationale d'activités utilisée par l'Insee dans ses nquêtes. La nomenclature agrégée a été développée pour les besoins de l'analyse économique et la diffusion, tout en favorisant les comparaisons internationales.
Ce numéro de Synthèse Stat' décrit, au travers de fiches, les principales expositions professionnelles des salariés pour chaque secteur d'activité (selon la nomenclature d'activités agrégée - A 38, 2008). Pour chacun d'entre eux sont également fournis des éléments descriptifs du secteur 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,2212/06-les-risques-professionnels-par,17743.html

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