Prevention

Occupational health hazards are often hidden, and may not even be appropriately disclosed to workers who are exposed.  They are usually shielded from public view, meaning they don't get the attention needed to ensure protections are put in place to address them.  But every once in a while, hazards to workers' health are right in front of you. Yesterday morning, I was driving on FM 1626 in Kyle, TX and passed this scene:  Two construction workers standing in a nasty cloud of dust.  The men were working at the new campus of Austin Community College in Hays County, TX and were cutting stone…
This week, Liz and I have been highlighting parts of our second annual review of U.S. occupational health and safety.   The first two sections of the report summarize key studies in the peer-reviewed literature, and an assessment of activities at the federal level.  In section three of the report we present high points---and a few low points---from state and local governments on workers’ rights and safety protections.  These include: New laws in Portland, Oregon and New York City requiring many employers to offer paid sick leave to their employees.   With 22 percent of the U.S. workforce in…
As Liz Borkowski noted yesterday, we are following up on a tradition that we started last year to mark Labor Day.  We released our second annual review of U.S. occupational health and safety for Labor Day 2013. Liz explained in her post our objectives in preparing the report.  She also highlighted its first section which profiles some of the best research from the year published in both peer-reviewed journals and by non-profit organizations.  Here’s a peek at section two of the report on activities at the federal level: Sequestration and other budget cuts have affected our worker protection…
For older workers, the most dangerous occupational move may be getting behind the wheel. Last Friday, the Centers for Disease Control and Prevention released data showing that among highway transportation incidents, which are the leading cause of occupational death in the country, the highest fatality rates occur among workers ages 65 years old and older. In fact, workers in that age group experienced a fatality rate three times higher than workers ages 18 to 54. The unfortunate trend was seen across industries and occupations and among most demographic groups, according to data published in…
Helping others isn't only the right thing to do, it's the healthy thing to do. In a recent study published in the September issue of the American Journal of Public Health (AJPH), researchers found that helping others was a predictor of reduced mortality because it buffers the relationship between stress and death. In other words, stress did not predict mortality among people who had helped others in the past year, but it did predict mortality among those who had not helped others. In fact, study researchers found that their data, along with previous data, "indicate that help given to others…
After more than 900 days of "review" by the White House's Office of Information and Regulatory Affairs (OIRA), OSHA announced it was publishing a proposed rule to protect workers who are exposed to respirable crystalline silica.  It's a workplace hazard that causes the irreversible and progressive lung disease silicosis, and is also associated with lung cancer, autoimmune disorders and kidney disease.  About 2.2 million workers are exposed to the fine dust in their jobs, many of which are employed in the construction industry.  I've been writing here for about two years on the need for a…
Fair working standards for construction workers and financial profit for developers aren't incompatible, according to a new report from Texas' Workers Defense Project. In fact, consumers are actually willing to pay more to live in places built on principles of safety, economic justice and dignity. Released this week in collaboration with the University of Texas' Center for Sustainable Development, "Green Jobs for Downtown Austin: Exploring the Consumer Market for Sustainable Buildings" studied consumer attitudes toward sustainable construction jobs and explored the market for certification…
With immigration at the forefront of national debate, Jim Stimpson decided it was time to do a little more digging. "There's a lot of rhetoric around immigrants' use of public services in general and health care specifically, and I thought with impending federal immigration reform it would be useful to have some sort of contribution about the facts of unauthorized immigrants' use of health services in the United States," said Stimpson, a professor within the University of Nebraska's School of Public Health and director of the university's Center for Health Policy. So together with colleagues…
In its short history dating back to 1998, the U.S. Chemical Safety Board has conducted more than 100 investigations of industrial chemical explosions, unplanned toxic releases, spills and other incidents.  Some of the disasters made the headlines, such as the 2005 explosion at the BP refinery in Texas City, TX which killed 15 workers, but others garnered much less public attention.  Accompanying the CSB's investigation reports are detailed recommendations made to the companies involved, as well as trade associations, consensus standard-setting groups, unions, the US EPA and Occupational…
[Update 1/21/2014 below] Christopher Michael Cantu, 22, loved Tejano music and was proud of his Mexican heritage.   His family says he was always happy, full of energy and a hard worker.  Those are probably some of the qualities that helped him get a job in May at Coastal Plating Inc. in Corpus Christi, TX.   But after just three days on the job, Cantu died from a fatal work-related injury.  KIII TV reported: "Cantu was killed when a piece of heavy equipment, a 2,600 pound metal tank, fell on him. ...Cantu's fellow employees rushed to his aid, but the tank he was working on was so massive,…
In a recent study comparing workers at industrial livestock operations and those employed at antibiotic-free livestock operations, researchers found that industrial workers were much more likely to carry livestock-associated strains of drug-resistant Staphylococcus aureus, more commonly and scarily known as MRSA. First, it's important to note that both groups of workers had a similar prevalence of S. aureus and methicillin-resistant S. Aureus (MRSA); however, it was overwhelmingly workers at industrial livestock operations, sometimes known as concentrated animal feeding operations or CAFOs,…
Last year, reported cases of West Nile virus in the United States hit their highest levels in nearly a decade. It's a good reminder to keep protecting yourself from getting bitten, but it also begs the question: Is this just a sign of a much bigger threat? The answer is just as wily as the pesky mosquito. According to recent data published June 28 in CDC's Morbidity and Mortality Weekly Report, the federal public health agency received reports of 5,780 nationally notifiable arboviral disease cases in 2012. (Arboviral diseases are those transmitted by arthropods, such as ticks and mosquitoes…
by Kim Krisberg When most of us pass by a new high-rise or drive down a new road, we rarely think: Did the builders and planners consider my health? However, a new report from the U.S. Environmental Protection Agency offers evidence that certain types of land use and transportation decisions can indeed limit the human health and environmental impacts of development. Released in mid-June, the publication is a revised and updated version of an EPA report initially published in 2001. Agency officials said the report was particularly timely as the nation's built environments are quickly changing…
by Kim Krisberg It seems we barely go a week now without news of another violent gun incident. Last week's shooting rampage in Santa Monica, Calif., has resulted in the deaths of five people. And since the Newtown school shooting last December — in the span of less than six months — thousands of Americans have been killed by guns. Just a couple days before the Santa Monica shooting, the Institute of Medicine (IoM) and National Research Council released a new report proposing priority research areas for better understanding gun-related violence, its causes, health effects and possible…
by Kim Krisberg Every Tuesday night, the Austin-based Workers Defense Project welcomes standing room-only crowds to its Workers in Action meetings. During the weekly gatherings, low-wage, primarily Hispanic workers learn about their wage and safety rights, file and work on wage theft complaints, and organize for workplace justice. Once a month, a representative from the local OSHA office would join the Tuesday meeting, giving some of Texas' most vulnerable workers the chance to meet face-to-face with the agency charged with protecting their health and safety on the job. Unfortunately, due to…
by Kim Krisberg When it comes to nonviolent drug offenses, systems that favor treatment over incarceration not only produce better health outcomes, they save money, too. It's yet another example of how investing in public health and prevention yields valuable returns on investment. In a new study published in the June issue of the American Journal of Public Health (AJPH), researchers found that California's Substance Abuse and Crime Prevention Act, which diverts nonviolent drug offenders from the correctional system and into treatment, saved a little more than $2,300 per offender over a 30-…
At the Washington Post's Wonkblog, Ezra Klein has put up two posts about healthcare costs that are well worth reading. The first is about Oregon's Medicaid program, which has been the basis for some exciting recent research on how Medicaid coverage affects recipients' lives and is now trying to reduce the growth in healthcare costs by improving community health. The second is an interview with Bill Gates, whose Gates Foundation is trying to reduce global deaths of children under age five. Both pieces address one of today's key healthcare questions: How can we best use finite resources to…
by Kim Krisberg On Feb. 13, 2012, Honey Stecken gave birth to her daughter Maren. Everything appeared perfectly fine — she ate and slept and did all the things a baby does. Even after a couple weeks at home in South Fork. Colo., with her newborn little girl, nothing seemed out of the ordinary. About two weeks after Maren's arrival, while Honey was at a children's birthday party for one of her son's friends, she received a call from a doctor she didn't know. He was calling on a Saturday, never a good sign. With an urgent tone in his voice, he asked if Maren was eating well, if she was vomiting…
by Kim Krisberg Another day, another study that shows investing in public health interventions can make a serious dent in health care spending. A new study recently published in the American Journal of Preventive Medicine found that banning smoking in all U.S. subsidized housing could yield cost savings of about $521 million every year. That total includes $341 million in secondhand smoke-related health care expenditures, $108 million in renovation expenses and $72 million in smoking-attributable fire losses. In fact, just prohibiting smoking in public housing alone would result in a savings…
by Kim Krisberg Eric Rodriguez and his colleagues at the Latino Union of Chicago quite literally meet workers where they're at — on the city's street corners. Many of the day laborers who gather there during the morning hours are hired to work construction at residential housing sites. Work arrangements are hardly formal, to say the least, and day laborers are frequently subjected to unnecessary and illegal dangers on the job. Unfortunately, worker safety is often kicked to the curb in the street corner marketplace. For years, Rodriguez, who started as an organizer and is now the union's…