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Notification of accidents and diseases - 248 entries found

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  • Notification of accidents and diseases


CIS 97-1843 Choi B. C. K.
Recording, notification, compilation, and classification of statistics of occupational accidents and diseases: The Thai experience
This is a report of an ILO project in Thailand, conducted in 1995, in order to improve the national notification of accidents and diseases. The ILO code of practice on recording and notification was found to be appropriate for the local requirements. The existing notification form was redesigned and suggestions were specified for cross-checking the data base of the Workmen's Compensation Fund.
Journal of Occupational and Environmental Medicine, Nov. 1996, Vol.38, No.11, p.1151-1160. 22 ref.

CIS 97-1499 Weddle M.G.
Reporting occupational injuries: The first step
In a survey of 372 environmental service workers in five hospitals, 108 (29.2%) recalled having been injured in the previous year, and of these, 42 had not reported one or more injuries. Older workers and those who had worked longer at the same job were more likely not to report an injury. The most commonly unreported injuries were back injuries, soft tissue injuries, and sprains. The most frequently sited reason for not reporting was that the injury seemed too minor. Worker training should include instruction and encouragement in the reporting of workplace injuries.
Journal of Safety Research, Winter 1996, Vol.27, No.4, p.217-223. 6 ref.

CIS 97-715
Ministerul muncii şi protecţiei sociale (Ministry of Labour and Social Protection)
Order approving the methodology standards prescribed by the Law on Occupational Safety and Health (No.90/1996) [Romania]
Ordin privind aprobarea normelor metodologice în aplicarea prevederilor Legii protecţiei muncii nr. 90/1996 [in Romanian]
These standards cover provisions concerning the certification of personal protective equipment, the notification and recording of occupational accidents and diseases and protective measures applying to dangerous work.
Monitorul Oficial al României, 15 Oct. 1996, Vol.8, No.249, p.1-37.

CIS 97-510 Layde P.M., Stueland D.T., Nordstrom D.L.
Representativeness of trauma center registries for farm injury surveillance
Farm injury data for 1986-1991 from a major trauma centre in Central Wisconsin, USA were evaluated. The pattern of farm injuries seen in residents of an established, geographically defined, population-based surveillance area was compared with that of a nonpopulation-based mix of patients from outside the area. The two sets of data suggested similar patterns with respect to seasonality, circumstances of injury, and source of injury. There were significant differences with respect to body part injured, severity of injury, and selected aspects of acute medical care. While useful for many purposes, trauma centre-based injury surveillance data should be interpreted cautiously.
Accident Analysis and Prevention, Sep. 1996, Vol.28, No.5, p.581-586. 22 ref.

CIS 97-342 Beale D., Cox T., Leather P.
Work-related violence - Is national reporting enough?
Criteria for reporting violent incidents in Great Britain under the Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 1995 (see CIS 95-1930) are discussed. The main criticism is that the reporting of violent incidents is still entirely dependent on the physical outcome of the incident and not on its nature. It is recommended that employers should establish their own internal systems for reporting and recording a wider range of violent and potentially violent incidents for the purposes of risk assessment and risk management.
Work and Stress, Apr.-June 1996, Vol.10, No.2, p.99-103. 15 ref.

CIS 96-1925 Order[s] of 26 Feb. 1996 by the Minister of Social Affairs establishing the notification forms for processes potentially leading to occupational diseases in the public sector, and for occupational accidents and diseases in the public sector [Tunisia]
Arrêté[s] du ministre des affaires sociales du 26 févr. 1996, fixant la formule des déclarations de procédés pouvant provoquer des maladies professionnelles dans le secteur public..., des accidents du travail et des maladies professionnelles dans le secteur public [Tunisie] [in French]
Two orders setting up the specifications for notification forms to be used for (a) manufacturing processes and chemical substances liable to give rise to occupational diseases; (b) occupational accidents (accident agent, accident type, site and nature of lesion); and (c) occupational diseases.
Journal officiel de la République tunisienne, 5 Mar. 1996, 139th Year, No.19, p.416-422.

CIS 96-2098 Wu T.N., Liou S.H., Shen C.Y., Hsu C.C., Chao S.L., Chang P.Y.
Occupational disease surveillance in Taiwan
This brief communication describes a surveillance system set up by the Ministry of Health in Taiwan in 1993 to increase the reporting of occupational diseases and to improve occupational medicine and industrial hygiene in the country. The three programmes established so far cover monitoring blood lead levels in lead-exposed workers, noise-induced hearing loss, and work-related diseases. Results indicate a substantial improvement in the reporting of occupational diseases.
Lancet, 21 Sep. 1996, Vol.348, No.9030. p.827. 4 ref.

CIS 96-2083
International Labour Office (ILO)
Recording and notification of occupational accidents and diseases: An ILO Code of Practice
Enregistrement et déclaration des accidents du travail et des maladies professionnelles: recueil de directives pratiques du BIT [in French]
Registro y declaración de accidentes de trabajo y enfermedades profesionales: resumen de directivas prácticas de la OIT [in Spanish]
This Code of Practice was adopted by a tripartite Meeting of Experts held in Geneva from 3 to 11 Oct. 1994. Its purpose is to help with the international harmonization of the procedures for the collection, recording and notification of occupational accidents and diseases. Contents: extracts from the Report of the Meeting of Experts; general provisions; policies and principles for the recording, notification and investigation of occupational accidents and diseases, dangerous occurrences and related statistics (at the national and enterprise level); legal, institutional and administrative arrangements for setting up reporting, recording and notification systems; reporting at the enterprise level; arrangements for recording; arrangements for notification; extension of systems to self-employed persons; compilation and publication of statistics; classification and investigation of occupational accidents and diseases and of dangerous occurrences. In annex: relevant ILO Conventions and Recommendations; schedules, lists and classification systems for occupational injuries and diseases, economic activities, occupations, status in employment and accidents.
ILO Publications, 1211 Genève 22, Switzerland, 1996. xxi, 97p. 8 ref. Index. Price: CHF 20.00.

CIS 96-1675 Reijula K., Haahtela T., Klaukka T., Rantanen J.
Incidence of occupational asthma and persistent asthma in young adults has increased in Finland
To investigate the incidence of occupational asthma in Finland and its relationship to new cases of persistent asthma, data were collected from two national registers, which cover practically all new cases of both types of asthma. From 1986 to 1993, the annual incidence of persistent asthma in adults (from 15 to 64 years) increased from 6,645 to 8,056 (21%). The incidence of asthma in women increased from 3,302 to 4,717 (43%). In the age group of 15-29 the increase was 91%, in 30-49 it was 60% and in 50-64 the increase was 7%. Among men, in the age group of 15-29 it increased by 87%, in 30-49 by 46%, while a decrease of 43% was detected in the age group of 50-64 years. During the same period, the annual incidence of occupational asthma increased from 227 to 386 (70%), from 109 to 185 (70%) in women and from 118 to 201 (70%) in men. In 1993 the population in Finland in the age range from 15-64 was 2.026 million. Thus, the incidence of persistent asthma was 0.4%. The proportion of newly diagnosed occupational asthma out of all new cases of asthma was 4.8%.
Chest, July 1996, Vol.110, No.1, p.58-61. Illus. 14 ref.

CIS 96-1075
Health and Safety Executive
Guidance for railways, tramways, trolley vehicle systems and other guided transport systems on the Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 1995
This document provides guidance on compliance with the UK Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 1995 (RIDDOR) (see CIS 95-1930) as they apply to railways and other guided transport systems. Guidance is given on: the main duties imposed; where the Regulations apply; who is covered by the Regulations; what is reportable; the reporting procedure; and record keeping. In appendices: definition of a relevant transport system; guidance on dangerous occurrences, major injuries, and specified diseases and conditions; sample reporting forms; text of the Regulations and Schedules.
HSE Books, P.O. Box 1999, Sudbury, Suffolk CO10 6FS, United Kingdom, 1996. iv, 86p. Bibl.ref. Price: GBP 11.50.

CIS 96-718
Health and Safety Executive
RIDDOR offshore
This booklet outlines the requirements of the Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 1995 (RIDDOR) (see CIS 95-1930) as they relate to offshore workers. Brief guidance is given on reportable events and the person responsible for reporting; the reporting procedure and time allowed for reporting; record keeping; types of major injuries, dangerous occurrences and diseases to be reported. A sample reporting form is included.
HSE Books, P.O. Box 1999, Sudbury, Suffolk CO10 6FS, United Kingdom, Apr. 1996. 10p. 1 ref.

CIS 96-658
Health and Safety Executive
RIDDOR: Information for doctors
This leaflet provides guidance for doctors on the requirements of the Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 1995 (see CIS 95-1930). Reportable diseases and occupational activities associated with them are listed from Schedule 3 of the Regulations, and guidance is given on how doctors can help in the reporting system.
HSE Books, P.O. Box 1999, Sudbury, Suffolk CO10 6FS, United Kingdom, Mar. 1996. 19p. 3 ref. [in English]

CIS 96-147
Health and Safety Executive
Everyone's guide to RIDDOR '95
This leaflet provides a simple guide to the responsibilities of employers and the self-employed under the Reporting of Injuries, Diseases and Dangerous Occurrences Regulations (RIDDOR) 1995 (see CIS 95-1930). Guidance is given on the requirements for reporting a death or major injury, an over-three-day injury, a disease or a dangerous occurrence. Definitions of these incidents are provided and a sample report form is included.
HSE Books, P.O. Box 1999, Sudbury, Suffolk CO10 6FS, United Kingdom, Jan. 1996. 10p.

CIS 96-146
Health and Safety Executive
A guide to the Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 1995
This guide provides the full text of the Reporting of Injuries, Diseases and Dangerous Occurrences Regulations (RIDDOR) 1995 and schedules (see CIS 95-1930) along with detailed guidance notes. Key changes from RIDDOR 1985 are summarized. Contents: interpretation of the Regulations and notes on selected definitions; requirements for notification and reporting of injuries and dangerous occurrences; reporting the death of an employee, cases of disease and gas incidents; record keeping and availability; additional provisions relating to mines and quarries and offshore workplaces. Notes on the schedules are provided and sample report forms are included.
HSE Books, P.O. Box 1999, Sudbury, Suffolk CO10 6FS, United Kingdom, 1996. v, 84p. 10 ref. Price: GBP 6.95.


CIS 96-563 Zwerling C., Sprince N.L., Wallace R.B., Davis C.S., Whitten P.S., Heeringa S.G.
Effect of recall period on the reporting of occupational injuries among older workers in the Health and Retirement Study
Data on occupational injuries were analyzed for 7,049 subjects aged 51-61 years selected from a 1992 study on health and retirement which used a one-year recall period. A model of occupational injury rate as a function of time before the interview was developed. Based on a four-week recall period, the adjusted occupational injury rate was 36% higher than the rate based on a one-year recall period. Adjustment for recall period had less effect on the rate ratios of these injuries for nine risk factors studied. Results suggest that self-reported surveys with longer recall periods may be used to estimate occupational injury rates.
American Journal of Industrial Medicine, Nov. 1995, Vol.28, No.5, p.583-590. Illus. 16 ref.

CIS 96-1141 Maizlish N., Rudolph L., Dervin K., Sankaranarayan M.
Surveillance and prevention of work-related carpal tunnel syndrome: An application of the Sentinel Events Notification System for Occupational Risks
The Sentinel Events Notification System for Occupational Risks (SENSOR) method was adapted for surveillance of work-related carpal-tunnel syndrome in Santa Clara County, California, USA. Between 1989 and 1991, 54 health care providers in 14 medical facilities reported 382 cases from 195 work sites; 365 cases met reporting guidelines for work-related cases. Studies at six of the 24 work sites selected for investigation revealed a range of risk factors. This surveillance system linked to work site follow-up captured a number of cases of carpal-tunnel syndrome not reported in the pre-existing reporting system and revealed a clustering of occupational risk factors.
American Journal of Industrial Medicine, May 1995, Vol.27, No.5, p.715-729. Illus. 20 ref.

CIS 95-1930 Health and Safety - The Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 1995 [United Kingdom]
These Regulations were made on 6 Dec. 1995, and are effective on 1 Apr. 1996. They replace the 1985 Regulations with the same title (S.I. 2023, see CIS 88-1753), as amended by S.I. 1989/1457. They require the notification of the enforcing authority (generally, the Health and Safety Executive) of fatalities and major injuries arising out of or in connection with work, as well as of dangerous occurrences and incapacities due to occupational accidents lasting more than three days. Cases of occupational disease and gas incidents are also to be reported. The keeping of records of events subject to notification is also required. In schedules: list of major injuries; dangerous occurrences (with particular schedules relating to offshore workplaces, mines, quarries, transport systems); reportable diseases (with activities they are related to); details to be noted in records; additional provisions related to mines, quarries and offshore workplaces.
HMSO Publications Centre, P.O. Box 276, London SW8 5DT, United Kingdom, 1995. 32p. Price: GBP 5.60.

CIS 95-2087 An introduction to the Notifiable Occupational Disease System
This booklet describes the Notifiable Occupational Disease System (NODS) administered by the Occupational Safety and Health Service of the New Zealand Department of Labour. The four stages involved in the system are outlined: notification of a possible work-related condition; investigation of the individual worker and their work and workplace; validation of the notification by departmental medical practitioners; and entry of confirmed cases on the NODS database. Notifications received between 1992 and 1995 are summarized and individual case studies are reported.
Occupational Safety and Health Service, Department of Labour, P.O. Box 3705, Wellington, New Zealand, Aug. 1995. 32p. 12 ref.

CIS 95-1327 Occupational silicosis - Ohio 1989-1994
During the period 1989 to 1992, the Ohio Department of Health identified silicosis cases through reports of Bureau of Workers' Compensation claims, physician reports and death certificates. The addition in 1993 of hospital discharge reports resulted in a substantial increase in the number of silicosis cases identified annually. The advantages and limitations of this means of silicosis reporting are discussed.
Journal of the American Medical Association, 1st Mar. 1995, Vol.273, No.9, p.694-695. 7 ref.


CIS 96-1150 Mital A., Ghahramani B.
The injury profile of a large telecommunication company: A statistical summary
Over the years, over-exertion injuries have continued to increase despite ergonomic interventions to control their frequency of occurrence. Occupational injury and illness data from a large US telecommunications company (297,548 employees), collected over a seven-year period, suggest that: (1) better record-keeping may be a reason behind the reported increase in injuries; workday losses decline as a result of improved ergonomic and occupational health interventions; (2) serious injuries are not just limited to heavy manufacturing industries; and (3) reduction in workday losses may not translate in injury cost savings.
Ergonomics, Oct. 1994, Vol.37, No.10, Special Issue, p.1591-1601. 8 ref.

CIS 96-181 Lerer L.B., Myers J.E.
Application of two secondary documentary sources to identify the underreporting of fatal occupational injuries in Cape Town, South Africa
Data on fatal occupational injuries from the medical examiner's records in the state mortuary in Cape Town, South Africa were compared with those of the occupational safety inspectorate of the Department of Manpower. 28% of fatalities had not been reported in terms of statutory regulations. Unreported deaths accounted for 25% of all fatal occupational injuries in the construction industry; none of the fatal injuries in agriculture and fishing had been reported. Falls constituted 45% of the unreported fatalities. High levels of under-reporting indicate deficiencies in current occupational safety surveillance and enforcement in South Africa.
American Journal of Industrial Medicine, 1994, Vol.26, No.4, p.521-527. 18 ref.

CIS 95-405 Ordinance No.20 of the Ministry of Labour [Japan]
Rōdō-shōrei dai-nijū-gō [in Japanese]
This Ordinance, made under the Industrial Safety and Health Law of Japan (CIS 92-352), makes it compulsory to report incidents involving wire breakage and crane collapse to the authorities.
Kampō, 30 Mar. 1994, No.58, p.27-34.

CIS 95-553
Health and Safety Executive
Advice and information for bereaved families
This leaflet describes what the Health and Safety Executive (HSE) does following a fatal accident at work. The investigation procedure and the roles of the HSE inspector, the police and the coroner are described along with action in the case of a prosecution by the HSE. Organizations offering further help are listed.
HSE Books, P.O. Box 1999, Sudbury, Suffolk CO10 6FS, United Kingdom, Sep. 1994. 6p.

CIS 95-148 Meredith S.K., McDonald J.C.
Work-related respiratory disease in the United Kingdom, 1989-1992: Report on the SWORD project
Between 1989 and 1991, 5576 new cases of respiratory illness thought to be due to occupational factors were reported as part of the United Kingdom SWORD project. Half of the cases were diseases of long latency mainly due to asbestos, 28% were occupational asthma, 10% inhalation accidents and 14% other acute diseases. Occupations presenting the greatest risk of acute disease were paint spraying and chemical processing, while shipyard and dock workers, miners, quarrymen and construction workers were at greatest risk of long latency diseases. Tables show agents and occupations associated with respiratory diseases. The scheme demonstrates the feasibility of this approach to surveillance.
Occupational Medicine, Sep. 1994, Vol.44, No.4, p.183-189. 15 ref.

CIS 95-147 Sallie B.A., Ross D.J., Meredith S.K., McDonald J.C.
SWORD '93. Surveillance of work-related and occupational respiratory disease in the UK
Data on work-related respiratory diseases collected by the SWORD (Surveillance of Work-Related and Occupational Respiratory Disease) project are reviewed for 1993. Some 3269 new cases are estimated to have been seen by participating physicians in 1993 (3635 in 1992). Diseases of long latency accounted for 52% of cases, asthma for 27% and inhalation accidents for 12%; 93% of the long latency diseases were attributed to asbestos. With the exception of construction workers with pneumoconiosis (31%), engineers and metalworkers were the most affected group, representing at least 25% in each disease category. A table lists agents and occupations associated with asthma.
Occupational Medicine, Sep. 1994, Vol.44, No.4, p.177-182. 4 ref.

CIS 94-1899 Duvall M.N.
Digest of official interpretations of the Bureau of Labor Statistics recordkeeping guidelines for occupational injuries and illnesses, May 1994 (revised edition)
The US Occupational Safety and Health Administration (OSHA) has issued regulations on the reporting of occupational accidents and diseases (29 CFR Part 1904, CIS 89-1068). While the guidelines issued by the Bureau of Labor Statistics (BLS) do not have the force of law, they are an important point of reference in determining which injuries and illnesses must be reported on OSHA forms. Some 207 interpretations of the guidelines by OSHA, BLS or the US Department of Labor's Occupational Safety and Health Review Commission are summarized under the headings "employers subject to OSHA recordkeeping requirements", "the mechanics of OSHA recordkeeping", "location, retention, and maintenance of records", "employer decisionmaking", analysis of case recordability", "evaluating the event of recordable cases", "employer obligations for reporting occupational injuries and illnesses" and "access to OSHA records and penalties for failure to comply with recordkeeping obligations".
Occupational Safety & Health Reporter, 13 July 1994, Vol.24, No.7, p.317-336. 210 ref.


CIS 95-155 French Society of Occupational Medicine and Health - Meetings of 9 February, 9 March and 6 April 1993
Société de médecine et d'hygiène du travail - Séances du 9 février, du 9 mars et du 6 avril 1993 [in French]
Topics of papers presented at the meetings of 9 Feb., 9 Mar. and 6 Apr. 1993 of the French Society of Occupational Medicine and Health: present trends in French policy relating to the employment of handicapped persons; occupational medicine and the employment of handicapped people; working conditions in the fast food sector - a socio-medical approach; bronchiolitis obliterans, bronchiectasis and emphysema following acute poisoning by ammoniac gas (study of a case in Dakar, Senegal); degenerative aspects of night work; hypersomnolence and aptitude to drive; retrospective study of the outcome of occupational disease reports made by a pathology unit under Schedule 30 of the French social security scheme between 1981 and 1991; repercussions of the French Order of 21 Sept. 1982 relating to psychotechnic tests to determine the aptitude of industrial truck drivers.
Archives des maladies professionnelles et de médecine du travail, 1993, Vol.54, No.8, p.653-668.

CIS 94-565 Roche L.M.
Use of employer illness reports for occupational disease surveillance among public employees in New Jersey
The New Jersey Department of Health Public Employees Occupational Safety and Health (PEOSH) Program reviewed public employers' occupational injuries and illness reports for 1988-90 to determine their usefulness for occupational disease surveillance. Skin diseases and respiratory conditions due to toxic agents were the two most common categories of illness. The most common illnesses on the reports for 1990 and 1991 were insect bites, conditions provoked by poisonous or allergenic plants, skin problems, smoke inhalation, communicable diseases, stress reactions, and toxic substance inhalation. Analyses of the age, sex, and occupation of the employees and on the cause of the illnesses are also presented. From the analysis of First Reports for June 1990 and January 1991, the First Reports were determined to be very useful for occupational disease surveillance because of their timeliness and detail on the employer, employee, and illness.
Journal of Occupational Medicine, June 1993, Vol.35, No.6, p.581-586. 13 ref.

CIS 94-409 Directive on the investigation of occupational accidents and the notification of occupational diseases [Estonia]
Tööõnnetuste ja kutsehaiguste uurimise ja arvelevõtmise kord [in Estonian]
Porjadok rassledovanija i učeta nesčastnyh slučaev na proizvodstve i slučaev professional'nyh zabolevanij [in Russian]
This legal text represents official guidance to the investigation and notification of occupational accidents and diseases in Estonia. It was written in conformity with articles 25, 26 and 27 of the Estonian Labour Code. In annex: sample reporting forms. A Russian translation and an Estonian offprint are available from: Tööeksperdi RAS, 0001 Tallin pst.5, Estonia.
Riigi Teataja, 21 June 1993, No.34, p.875-887.

CIS 94-326 National Asbestos Registers - Annual report 1992-93
Report of the National Asbestos Registers of New Zealand, set up in 1992 to register cases of exposure to asbestos and cases of disease due to asbestos exposure in the country. Out of 390 notifications of suspected asbestos-related health conditions, 199 were confirmed as such (mesothelioma: 44; lung cancer: 25; other cancers: 4; asbestosis: 38; pleural changes with or without lung changes: 88), 13 were disproved ("no asbestos-related condition could be established") and 178 were still being investigated. Some case studies and implications for the future were discussed.
Occupational Safety and Health Service, Department of Labour, P.O. Box 3705, Wellington, New Zealand, 1993. 12p. Illus. 1 ref.

CIS 93-1681 Drogaris G.
Learning from major accidents involving dangerous substances
The Major Accident Reporting System (MARS) has been established by the Commission of the European Communities within the framework of the implementation of the Seveso Directive 82/501/EEC (CIS 83-889). Accident reports (121 by end 1991) have been analysed and accidents classified according to a number of parameters in order to identify priorities for improving safety. Accident causes have been identified for the majority of accidents notified and consequently lessons for preventing similar recurrences or mitigating accident consequences have been extracted. This analysis shows that the vast majority of the accidents notified could have been easily prevented by proper application of available knowledge. Managerial/organisational omissions and design inadequacies are the most dominant underlying causes.
Safety Science, Apr. 1993, Vol.16, No.2, p.89-113. Illus. 53 ref.


CIS 95-1344 Kochan F.
Occupational diseases and possibilities of preventing them
Les maladies professionnelles et les possibilités de les prévenir [in French]
This report presents the results of a questionnaire survey of 22 ISSA member institutions in 20 countries. Comparative data are presented on: definition of occupational diseases; national occupational disease statistics and recognition of new occupational diseases; national standards for the measurement, evaluation and delimitation of exposure and stress factors in the work process; control of compliance with occupational hygiene limits and standards; information and registration systems for factors causing occupational diseases; national programmes for the prevention of occupational diseases; criteria for the recognition of new occupational diseases; industrial medical surveillance; documentation of information on exposure histories of employees in relation to medical surveillance; trends; conclusions.
ISSA Publications, International Social Security Association, Case Postale 1, 1211 Genève 22, Switzerland, 1993. 103p. Illus. 43 ref.

CIS 94-874 Society of Occupational Medicine and Ergonomics of Bordeaux and region - Proceedings of the meetings of 24 May, 15 November and 13 December 1991
Société de médecine du travail et d'ergonomie de Bordeaux et de sa région - Séances du 24 mai, du 15 novembre et du 13 décembre 1991 [in French]
Topics of papers presented at the meetings of 24 May, 15 November and 13 December 1991 of the Society of Occupational Medicine and Ergonomics of Bordeaux and region (France): Health and safety in the use of composite materials in the aircraft industry; comments on the problems associated with the notification of occupational diseases under the French Scheme (example of Schedule 64 (intoxication due to carbon monoxide); repercussions of work on perinatal problems in rural settings (survey of 534 women); conditions of work; comparison of the results of objective and subjective analysis; work in tropical countries: update of specific preventive measures; medical problems due to laser check-out workstations in supermarkets; problem of aptitude to apprenticeship in the case of a subject suffering from tuberous sclerosis: a case study; survey of occupational deafness cases diagnosed in the unit of occupational diseases in Bordeaux; the concept of occupational risk (danger, risk, cyndinics); compulsory vaccination against hepatitis B (Law of 18 Jan. 1991; Order of 15 March 1991: CIS 91-1754).
Archives des maladies professionnelles, 1992, Vol.53, No.6, p.426-442.

CIS 93-802 Fingar A.R., Hopkins R.S., Nelson M.
Work-related injuries in Athens county 1982 to 1986 - A comparison of emergency department and workers' compensation data
In this study, two sources of data on occupational injuries were examined for one US county in the State of Ohio for the years 1982 to 1986. The data sources were: emergency department visits for occupational injuries as reported in the National Electronic Injury Surveillance System (NEISS); lost-work time claims to the Bureau of Workers' Compensation (BWC). Based on comparison of the NEISS and BWC data sets, it is concluded that neither data set alone gives a complete or accurate picture of occupational injuries in the county. The two may provide a more complete representation of occupational injuries when examined together. Using the NEISS and BWC data sets in combination results in a total number of injuries higher than that predicted by national norms.
Journal of Occupational Medicine, Aug. 1992, Vol.34, No.8, p.779-787. 4 ref.

CIS 92-2019 Winder C., Tottszer A., Navratil J., Tandon R.
Hazardous materials incidents reporting - Results of a nationwide trial
As part of a feasibility study for establishing a permanent Australian System for Hazardous Materials Incidents Reporting (ASHMIR), all major Australian state/territory fire brigades agreed to provide standardised information on incidents involving hazardous materials to the Australian National Occupational Health and Safety Commission for six months. A total of 532 incidents were reported during the trial. Two-thirds of the incidents involved petroleum products, the main risk being flammability. The most common types of accidents were spills (42%) and leaks (37%). The trial was found to be useful from an operational perspective and identified a number of areas for attention.
Journal of Hazardous Materials, July 1992, Vol.31, No.2, p.119-134. Illus. 9 ref.

CIS 92-1857 Castejón Vilella E.
Occupational accidents in Spain. Some results after the introduction of the new occupational accident reporting form
Accidentabilidad laboral en España. Algunos resultados de la explotación del nuevo parte de accidente de trabajo [in Spanish]
In 1988, a new model form for accident notification was introduced in Spain. After the introduction of this new form, the number of reported accidents increased by 79%. This increase mainly derived from the notified no-time-lost accidents because of the simplification in the notification procedure. Length of service in relation to occupational accidents, incidence of serious and fatal accidents, and cost of occupational accidents are also discussed. Tables are included.
Salud y trabajo, 1992, No.91, p.4-11. Illus. 8 ref.


CIS 93-1187 van der Schaaf T.W., Lucas D.A., Hale A.R.
Near miss reporting as a safety tool
Proceedings of a three-day meeting at Eindhoven, the Netherlands, Sept. 1989, on the theme "registration and analysis of near misses". The contributions are organised under three headings: technical section (a commentary on accident and incident reporting systems; a framework for designing near miss management systems; understanding, reporting and preventing human fixation errors); case studies in the process industry (near miss reporting pitfalls for nuclear plants; development of a near miss management system at a chemical process plant; IDA, an interactive programme for the collection and processing of accident data); case studies in transportation (near miss reporting from a railway perspective; video analysis of road user behaviour at intersections; use of traffic conflicts for near miss reporting).
Butterworth-Heinemann, Lineacre House, Jordan Hill, Oxford OX2 8DP, United Kingdom, Oct. 1991. 151p. Illus. Bibl.ref. Price: GBP 30.00.

CIS 93-1185 Lanoie P.
Safety regulation and the risk of workplace accidents - Does better accident reporting matter?
The paper examines the effectiveness of policies adopted by the Province of Quebec (Canada) occupational safety and health authority, la Commission de la santé et de la sécurité au travail (CSST), in promoting workplace safety after its creation in 1980. The study considers the overall impact of CSST policies on a category of accidents presumably non-biased with respect to accident reporting, namely, the accidents that have resulted in permanent disabilities. The results suggest that CSST's safety-enhancing measures have been successful in reducing the incidence of workplace accidents in certain industries, but there seems to be no evidence that better reporting could have counterbalanced any ameliorating impact of CSST policies on accidents.
Université de Montréal, Centre de recherche et développement en économique (C.R.D.E.), C.P. 6128, succursale A, Montréal, Québec H3C 3J7, Canada, 1991. 20p. 30 ref.

CIS 93-479 Wang J.D.
From conjecture and refutation to the documentation of occupational diseases in Taiwan
The documentation of occupational diseases in a developing country like Taiwan is a challenge to an occupational physician. For lack of a system including material safety data sheets (MSDS), workers are usually not aware of what chemicals they are exposed to. Since many occupational diseases have long latencies and do not show any specific symptoms and signs, recognition and identification of their occupational origin are often very difficult. Using databases which provide a relatively complete list of industrial chemicals and a set of specific signs and/or symptoms, combined with the epidemiologic approach of conjectures and refutations the authors have documented eight kinds of occupational diseases and an outbreak of botulism. A similar approach can be applied to any other country in a similar situation, and a system involving an identification sheet (e.g. MSDS) for each chemical should be advocated and implemented in such countries as one means to enable prompt recognition and prevention of occupational diseases.
American Journal of Industrial Medicine, Oct. 1991, Vol.20, No.4, p.557-565. Illus. 21 ref.

CIS 92-1569 Compulsory notification of occupational diseases by clinicians in the United States
Déclaration obligatoire des maladies professionnelles par les cliniciens aux Etats-Unis [in French]
French translation of an English article (abstracted under CIS 92-866) concerning the difficulties encountered in the United States in setting up, at the federal level, an effective registration system for the notification of occupational diseases. Apart from the difficulties associated with the disparate nature of the provisions in force in the different states, the project for the registration of occupation diseases, the SENSOR programme (system of notification of sentinel events in areas of occupational hazards), comes up against the absence of follow-up in the workplace, i.e. the difficulty in establishing a connection between occupational activities and observed pathology.
Documents pour le médecin du travail, 2nd Quarter 1991, No.46, p.95-100. Illus. 24 ref.

CIS 92-843 Windau J., Rosenman K., Anderson H., Hanrahan L., Rudolph L., Stanbury M., Stark A.
The identification of occupational lung disease from hospital discharge data
The Bureau of Labor Statistics-State Health Department Select Committee on Occupational Illnesses and Injuries conducted a study of hospital discharge records in the US in order to determine their usefulness for identifying cases of occupational disease. Four states searched the diagnosis fields on computerised hospital discharge records for selected occupational lung diseases: pneumoconiosis, extrinsic allergic alveolitis, and respiratory conditions due to chemical fumes and vapours. The hospital discharge data identified more cases of pneumoconiosis than did the BLS data systems. Numerous cases of extrinsic allergic alveolitis and respiratory conditions due to chemical fumes and vapours were also identified. Patterns evidenced in the data were generally consistent with current knowledge of the diseases. The inclusion of industry and occupation on the hospital discharge record, further study of the quality of diagnosis coding, and the use of these data by additional states will enhance the usefulness of these data for occupational disease surveillance.
Journal of Occupational Medicine, Oct. 1991, Vol.33, No.10, p.1060-1066. 9 ref.

CIS 92-444 The functions of the Danish Registry of Occupational Injuries - Occupational accidents and diseases
Sådan fungerer Arbejdsskaderegistret i Danmark - arbejdsulykker og arbejdsbetingede lidelser [in Danish]
Description of the Register of Occupational Accidents and the Register of Occupational Diseases, the 2 components of the Registry of Occupational Injuries operated by the Danish National Labour Inspection Service. All accidents which result in 1 or more days' absence from work, and all diseases that are known or suspected to be work-related, are registered. Examples of the use of the registers are given, as are the principles of compilation of statistical tables from the available data.
The Registry of Occupational Injuries, Directorate of Labour Inspection, Landskronagade 33-35, 2100 København Ø, Denmark, 1991. 47p. Illus.

CIS 91-1990 Haastrup P., Brockhoff L.H.
Reliability of accident case histories concerning hazardous chemicals - An analysis of uncertainty and quality aspects
This paper attempts to analyse the differences found among sources of accident case histories and to assess the quality of both the case histories and of underlying accident reporting systems. Of the 595 transportation accidents in the data sample, 39 are described by more than one source and are used in an analysis of the reliability of the number of fatalities reported in case histories. Sixteen accidents (41%) show discrepancies between the sources. By extrapolating the results of this fatality analysis to other parameters, and supported by an analysis of selected cases, the general quality of information from accident case histories is evaluated.
Journal of Hazardous Materials, Aug. 1991, Vol.27, No.3, p.339-350. Illus. 14 ref.

CIS 91-1882 McDiarmid M.A., Bonanni R., Finocchiaro M.
Poor agreement of occupational data between a hospital-based cancer registry and interview
With occupation recognised as a risk factor for various cancers, the collection of occupational and industry data by a number of registers of vital statistics, including cancer registers, has developed. Registers may be data sources for cancer aetiology research and occupational disease surveillance, despite concerns that their data are fragmentary and may lack validity. To improve completeness and validity of occupational information in a hospital-based cancer register, this study compared information obtained through abstracting medical records for the register with information obtained through lung-cancer patient interviews. Statistically significant agreement was generally poor, largely due to data missing in the medical records. Data quality of hospital based cancer registries can be improved by employing trained cancer registrars in order to elicit occupational histories from patients.
Journal of Occupational Medicine, June 1991, Vol.33, No.6, p.726-729. 26 ref.


CIS 92-453 King W.E.
Work injury statistics - How to understand and use them
Types of work injury claims, counts and rates are explained. Sources and types of statistical reports in Canada are described. The usefulness of certain statistics, such as days lost and costs, are explained along with how to interpret statistics critically. Appendices include definitions, a list of health and safety organisations which provide statistics, basic calculation methods for rates, and definitions of direct and indirect accident costs.
Canadian Centre for Occupational Health and Safety, 250 Main Street East, Hamilton, Ontario L8N 1H6, Canada, 1990. 16p. Illus. Price: CAD 3.00 (Canada); USD 3.50 (USA); USD 4.00 (elsewhere).

CIS 92-123 Skov T., Mikkelsen S., Svane O., Lynge E.
Reporting of occupational cancer in Denmark
The present study examined the reporting of pleural mesotheliomas and sinonasal adenocarnimomas - cancers with well-known associations with occupational exposures to asbestos and wood dust - in Denmark in 1983-1987. The estimated underreporting was around 50%. Examination of the medical records of patients who had not been reported in 1986-1987 revealed that in most cases the medical records did not contain sufficiently detailed information about occupational exposures. It was recommended that a formal screening interview be carried out whenever a diagnosis is made of a potential occupational cancer. Medical associations may play a major role by issuing guidelines addressing occupational diseases within the fields of their expertise.
Scandinavian Journal of Work, Environment and Health, Dec. 1990, Vol.16, No.6, p.401-405. 10 ref.

CIS 91-458 Ng T.P., Chan S.L., Lee J.
Mortality of a cohort of men in a silicosis register: further evidence of an association with lung cancer
Lung cancer mortality from 1980 to 1986 was studied in a cohort of 1,419 men in a silicosis register who had no previous exposure to asbestos or polyaromatic hydrocarbons. The 28 deaths from lung cancer were statistically in excess of expected (SMR 2.03; 95% CI 1.35-2.93). Excess risks of lung cancer were found in both underground workers and surface workers. All lung cancer deaths were smokers. There was an increase in SMRs with longer latency periods and years of exposure. The risk for lung cancer was higher in those with tuberculosis (SMR 2.52; 95% CI 1.52-3.94). The results show that most of the excess lung cancer risk in silicotics is due to smoking, but a synergistic effect between smoking and silica/silicosis on the risk of lung cancer is also likely. In particular, a possible role of silicosis and tuberculosis as the fibrotic seedbed for malignant growth in the lung is strongly supported.
American Journal of Industrial Medicine, 1990, Vol.17, No.2, p.163-171. Illus. Bibl.ref.

CIS 91-468 Brewer R.D., Oleske D.M., Hahn J., Leibold M.
A model for occupational injury surveillance by occupational health centers
Injuries account for more than 90% of the reported work-related health problems in the United States. However, a complete and standardised reporting system for occupational injuries does not exist in this country. The first year's experience of a clinic based occupational injury surveillance system involving occupational medicine clinics is described. During 1988 health and hazard information was collected on 14 156 work-related admissions. An analysis of these cases showed that most patients received care for minor trauma, with 78.4% of the cases classified as cuts or lacerations, sprains or strains, or contusions. Overall, 53.8% of the cases were caused by metal items, boxes, machines, or working surfaces. These preliminary results support the feasibility of conducting clinic based occupational injury surveillance as a means of assisting employers with the control of work-related conditions.
Journal of Occupational Medicine, Aug. 1990, Vol.32, No.8, p.698-702. 13 ref.

CIS 91-123 Occupational disease surveillance: Asthma
Lead from the Morbidity and Mortality Weekly Report issued by the Centers for Disease Control (Atlanta, GA), 1990, 39: 119-123. It reports on the implementation and early results of occupational asthma surveillance in the US states of Michigan, Colorado and New Jersey, conducted in the framework of the Sentinel Event Notification System for Occupational Risks (SENSOR). An early evaluation of the data indicates that physician reporting of occupational asthma can be useful in the identification of remediable health hazards in the workplace.
Journal of the American Medical Association, 23/30 Mar. 1990, Vol.263, No.12, p.1613 and 1616. 9 ref.


CIS 01-925 Act No.16.074 on occupational accidents and diseases [Uruguay]
Ley N° 16.074 sobre los accidentes de trabajo y enfermedades profesionales [Uruguay] [in Spanish]
This law obliges employers to join an existing scheme of social security, so that their workers can obtain workmen's compensation in case of an occupational accident or disease. Acts 10.004 of 28 Feb. 1941 and 1.949 of 21 Nov. 1961 are revoked.
Registro nacional de leyes, decretos, etc., p.464-483. Also in: Diario Oficial, 23 Oct. 1989. [in Spanish]

CIS 92-866 Freund E., Seligman P.J., Chorba T.L., Safford S.K., Drachman J.G., Hull H.F.
Mandatory reporting of occupational diseases by clinicians
Occupational disease surveillance is considered to be a critical step in the prevention of work-related injury and illness, with case reporting by physicians and health care providers being an important surveillance activity. Problems in the reporting of occupational disease are discussed and sources of surveillance data are outlined. Use of the list of Sentinel Health Events (Occupational) for the recognition of occupational diseases is described along with the Sentinel Event Notification System for Occupational Risks (SENSOR), designed to establish reporting mechanisms for a list of occupational conditions selected by NIOSH. A table lists reportable occupational diseases by state.
Journal of the American Medical Association, 1 Dec. 1989, Vol.262, No.21, p.3041-3044. 24 ref.

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