2014-09-01 12:00 - Messages

National working conditions surveys in Europe: A compilation

This report describes surveys in 15 EU Member States that meet two conditions: they are national, covering all or most of the working population; and they relate at least primarily to working conditions issues, such as health and safety at the workplace, work organisation, quality of working life and work–life balance. For each survey, a data sheet provides the main characteristics of the survey in a consistent template. These characteristics include the survey name, institute responsible, territorial scope, sectors and population covered, and sample size. Information is also provided on methodology, quality control procedures and contact details.

Source: http://www.eurofound.europa.eu/publications/htmlfiles/ef1431.htm

Statistiques AT-MP 2013 de l’Assurance Maladie

L'Assurance maladie – Risques professionnels a rendu public les statistiques 2013 des accidents du travail et des maladies professionnelles. En 2013, on observe une baisse du nombre d'accidents du travail avec arrêt (- 3,5 %), des décès (-3%) et des maladies professionnelles (-4,7%). Les accidents de trajet sont quant à eux en progression (3,6 %).

Source: http://www.inrs.fr/accueil/header/actualites/statistiques-ATMP-2013.html

Compensation benefits in a population-based cohort of men and women on long-term disability after musculoskeletal injuries

Costs, course, predictors
OBJECTIVES: The aim of this study is to assess costs, duration and predictors of prolonged compensation benefits by gender in a population characterised by long-term compensation benefits for traumatic or non-traumatic musculoskeletal injuries (MSIs).
METHODS: This study examined 3 years of data from a register-based provincial cohort including all new allowed long-term claims (≥3 months of wage replacement benefits) related to neck/shoulder/back/trunk/upper-limb MSIs in Quebec, Canada, from 2001 to 2003 (13 073 men and 9032 women). Main outcomes were compensation duration and costs. Analyses were carried out separately for men and women to investigate gender differences. An extended Cox model with Heaviside functions of time was used to account for covariates with time-varying effects.
RESULTS: Male workers experienced a longer compensation benefit duration and higher median costs. At the end of follow-up, 3 years postinjury, 12.3% of men and 7.3% of women were still receiving compensation benefits. Effects of certain predictors (e.g., income, injury site or industry) differed markedly between men and women. Age and claim history had time-varying effects in the men's and women's models, respectively.
CONCLUSIONS: Knowing costs, duration and predictors of long-term compensation claims by gender can help employers, decision makers and rehabilitation specialists to identify at-risk workers and industries to engage them in early intervention and prevention programmes. Tailoring parts of long-term disability prevention and management efforts to men's and women's specific needs, barriers and vulnerable subgroups, could reduce time on benefits among both male and female long-term claimants.

Source: Lederer V, Rivard M. Occup. Environ. Med. 2014.

The business case for safety and health: Cost–benefit analyses of interventions in small and medium-sized enterprises

This report examines the economic aspects of occupational safety and health (OSH) interventions in small and medium-sized businesses (SMEs). First, case studies in the existing literature were identified and examined. Second, 13 new case studies on OSH initiatives in European SMEs were developed, with a business case for each intervention prepared according to a common model. The OSH interventions studied were generally profitable, and these new case studies therefore provide a useful tool to allow owners and managers of SMEs an insight into the potential benefits of improving OSH and the key factors involved in carrying out a cost–benefit analysis.

Source : https://osha.europa.eu/en/publications/reports/the-business-case-for-safety-and-health-cost-benefit-analyses-of-interventions-in-small-and-medium-sized-enterprises

Comparison of data sets for surveillance of work-related injury in Victoria, Australia

OBJECTIVE: To investigate differences and similarities between three sources of work-related injury information: workers compensation claims, emergency department (ED) presentation data and hospital admissions data.
METHODS: This population-based, retrospective descriptive analysis of non-fatal, work-related injuries of workforce participants in Victoria, Australia, has compared data from workers compensation claims and ED presentation and hospital admission data sets for the period 2004-2011. Work-related injury case frequency and rate were compared across study years according to gender, age, geographical location and injury type. Injury rates were expressed as cases per million hours worked.
RESULTS: Rates of hospital admissions for treatment of work-related injury increased over the study period, compared with decreasing rates of injury in compensation claims and ED data. The highest rate of injuries to younger workers was captured in ED data. There was greater capture of musculoskeletal injuries by workers' compensation data, and of open wound and burn injury by the ED data. Broad similarities were noted for temporal trends according to gender, for the distribution of cases across older age groups and for rates of fracture injuries.
CONCLUSIONS: These study findings inform use of workers' compensation, ED presentation and hospital admission data sets as sources of information for surveillance of work-related injuries in countries where these types of data are routinely collected. Choice of data source for investigation of work-related injury should take into consideration the population and injury types of interest.

Source: McInnes JA, Clapperton AJ, Day LM, MacFarlane EM, Sim MR, Smith P. Occup. Environ. Med. 2014.

Occupational injuries and illnesses and associated costs in Thailand

BACKGROUND: The purpose of this study was to enumerate the annual morbidity and mortality incidence and estimate the direct and indirect costs associated with occupational injuries and illnesses in Bangkok in 2008. In this study, data on workmen compensation claims and costs from the Thai Workmen Compensation Fund, Social Security Office of Ministry of Labor, were aggregated and analyzed.
METHODS: To assess costs, this study focuses on direct costs associated with the payment of workmen compensation claims for medical care and health services.
RESULTS: A total of 52,074 nonfatal cases of occupational injury were reported, with an overall incidence rate of 16.9 per 1,000. The incidence rate for male workers was four times higher than that for female workers. Out of a total direct cost of $13.87 million, $9.88 million were for medical services and related expenses and $3.98 million for compensable reimbursement. The estimated amount of noncompensated lost earnings was an additional $2.66 million.
CONCLUSION: Occupational injuries and illnesses contributed to the total cost; it has been estimated that workers' compensation covers less than one-half to one-tenth of this cost.

Source: Thepaksorn P, Pongpanich S. Saf. Health Work, 2014; 5: 66-72.

Diisocyanate and Non-Diisocyanate Sensitizer-Induced Occupational Asthma Frequency During 2003 to 2007 in Ontario, Canada

Objective: To investigate proportions and outcomes of isocyanate and other causes of occupational asthma (OA) claims in Ontario, Canada, 2003 to 2007.
Methods: New accepted workers' compensation claims for OA compensated by the Ontario Workplace Safety and Insurance Board were retrospectively reviewed.
Results: There were 112 allowed claims for OA—30 (26.8%) from diisocyanates (ISO) and 82 (73.2%) from other causes (non-diisocyanates [N-ISO]). The most common occupations for ISO OA were production workers (50%). The most common agents in the N-ISO group were flour (13%) and metal dusts/fumes (10%). At a median time of 8 months postdiagnosis, 55% of ISO and 56.4% of N-ISO workers, respectively, were unemployed.
Conclusions: Diisocyanates OA compensation claims in Ontario are recognized at a lower absolute number and proportion of all OA claims than those in earlier periods. More than half from all causes were unemployed at a median of 8 months postdiagnosis.

Source: Ribeiro, Marcos; Tarlo, Susan M.; Czyrka, Andréa; Vernich, Lee; Luce, Carol E.; Liss, Gary M. Journal of Occupational & Environmental Medicine: September 2014, Volume 56, Issue 9, p. 1001–1007

Hidden Costs Associated With Venous Thromboembolism

Impact of Lost Productivity on Employers and Employees
Objective: To determine productivity loss and indirect costs with deep vein thrombosis (DVT) and pulmonary embolism (PE).
Methods: Medical and pharmacy claims with short-term disability (STD) and long-term disability (LTD) claims from 2007 to 2010 were analyzed from the Integrated Benefits Institute's Health and Productivity Benchmarking (IBI-HPB) database (STD and LTD claims) and IMS LifeLink™ data (medical and pharmacy claims), which were indirectly linked using a weighting approach matching from IBI-HPB patients' demographic distribution.
Results: A total of 5442 DVT and 6199 PE claims were identified. Employees with DVT lost 57 STD and 440 LTD days per disability incident. The average per claim productivity loss from STD and LTD was $7414 and $58181, respectively. Employees with PE lost 56 STD and 364 LTD days per disability incident. The average per claim productivity loss from STD and LTD was $7605 and $48,751, respectively.
Conclusions: Deep vein thrombosis and PE impose substantial economic burdens.

Source: Page, Robert L.; Ghushchyan, Vahram; Gifford, Brian; Read, Richard Allen; Raut, Monika; Bookhart, Brahim K.; Naim, Ahmad B.; Damaraju, C. V.; Nair, Kavita V. Journal of Occupational & Environmental Medicine: September 2014, Volume 56, Issue 9, p. 979–985.

Working conditions in Zanzibar

The first Zanzibar Working Conditions Survey, 2010, found that the incidence of physical risks, namely exposure to vibrations, noise and high temperatures, is high. The survey was based on the Global Module for Working Conditions Survey, developed jointly by the ILO and Eurofound to provide a comprehensive and systematic review of changes in quality of working life in developing countries. The Zanzibar study is presented as a follow-up and completion of the study on Working conditions in Tanzania in 2009, Zanzibar being a semi-autonomous part United Republic of Tanzania.

Source: http://www.eurofound.europa.eu/publications/htmlfiles/ef1437.htm

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