MSHAâs Assistant Secretary Richard Stickler revealed yesterday the agencyâs new procedures for determining whether a work-related death âis to be counted as a reportable death in MSHAâs official statistics.âÂ In my post âCounting (or Not) of Workersâ Deaths,â I pushed Mr. Stickler to share the results of his review of MSHAâs fatality accounting system.Â After reading the new policy, Iâm having one of those âbe careful what you wish forâ reactions.
In a memorandum entitled âProcess for Determining Chargeability of Fatal Accidents,â Assistant Secretary Stickler provides a âFatal Injury Guideline Matrixâ which MSHA district managers will use to decide whether a death is counted in MSHAâs official count of mining-related deaths.Â The trouble with the matrix is it forgets the agencyâs core mission of prevention.Â As pointed out by former Assistant Secretary Davitt McAteer in a Pittsburg Post-Gazette article:Â
âThe guidelines should be applied in a way that improves the chances of preventing deaths in the future because thatâs the real mission of the agency.âÂ
In other words, failing to count certain kinds of fatal injuries (or, for that matter, non-fatal injuries or illnesses) is like wearing blinders.Â If we donât count this kind of fatality, or that kind of fatality, how will we notice new trends, and then take steps to prevent them in the future?
The new MSHA criteriaÂ takes a reductionist approach to accounting for mining-related fatalities.Â It backs MSHA away from its public health and prevention rootsÂ to an attitudeÂ aligned with the mining industry.Â This attitude seeks toÂ attribute as few fatalities as possible to mining operations.
Heart attacks or other deaths deemed to be related to ânatural causesâ have not been (and will not be) counted by MSHA.Â If they arenât âcountedâ they also arenât investigated by MSHA.Â (For a long time, I've thought this situation is aÂ true missed opportunity.)Â The scientific evidence on the association between air pollutants (e.g., particulate matter, SOx) and cardiovascular mortality, including heart attacks, has developed rapidly in the last decade.Â If a miner dies of a heart attack at his jobsite, or shortly after leaving work, wouldnât it be worthwhile for MSHA to assess the environmental factors to which the worker was exposed?Â For example, was he a mechanic working underground with diesel-powered equipment and high exposure to diesel particulate matter?Â Was he a motorman involved in a complex longwall move and exposed to high levels of air contaminants?Â
By investigating these ânatural causeâ deaths among miners, might we learn something about exposures or mining operations that may pose aÂ risk to minersâ health?Â Â Instead, we are stuck in a 1970's mentality about mining-related fatalities.Â We count roof and rib falls,Â methane explosions andÂ belt fires, butÂ prefer to leave deaths from coal workers' pneumoconiosis, silicosis, asbestosis, and other mining-related diseases out of the official statistics.