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Injury exacts a huge toll in U.S. workplaces--on an average day, 16 workers are killed and over 17,000 workers are injured. The associated economic costs are high--about $121 billion per year. Research should focus on leading causes and high-risk groups. Priorities are deaths caused by motor vehicles, machines, violence, and falls, as well as traumatic injuries caused by falls and contact with machines, materials, equipment, and tools. High-risk groups include construction workers, loggers, miners, farmers, farm workers, adolescents, and older workers. Multiple factors and risks contribute to traumatic injuries, including the characteristics of workers, workplace/process design, work organization, economics and other social factors. Research needs are thus broad, and the development of interventions involve many disciplines and organizations.

Importance

Fatal Occupational Injuries

During the period 1980 through 1992, more than 77,000 workers died as a result of work-related injuries. This means that an average of 16 workers die every day from injuries suffered at work. The leading causes of occupational injury fatalities over this 13-year period were motor vehicles, machines, homicides, falls, electrocutions, and falling objects. There were four industries--mining, construction, transportation, and agriculture--with occupational injury fatality rates that were notably and consistently higher than all other industries. Motor-vehicle-related deaths in the transportation sector, machine-related deaths in agriculture, electrocutions and fatal falls in construction, homicide in retail trade and public administration, and deaths due to falling objects in mining and logging appear to be important because of particularly high rates of death from injury.

Nonfatal Occupational Injuries

In 1994, 6.3 million workers suffered job-related injuries that resulted in lost work time, medical treatment other than first aid, loss of consciousness, restriction of work or motion, or transfer to another job. The leading causes of nonfatal occupational injuries involving time away from work in 1993 were overexertion, contact with objects or equipment, and falls to the same level. Industries experiencing the largest number of serious nonfatal injuries include eating and drinking places, hospitals, and grocery stores. Industries facing higher risks of serious nonfatal injuries are concentrated in the manufacturing sector and include workers in shipbuilding, wooden building and mobile home manufacture, foundries, special products sawmills, and meat packing plants.

Clearly, work-related injuries and fatalities result from multiple causes, affect different segments of the working population, and occur in a myriad of occupational and industrial settings. The total cost of work-related injuries and fatalities to industry and to society at large has not been fully recognized, but is estimated to be greater than $121 billion annually. Efforts to set research and prevention priorities in traumatic injury must be driven by data that illuminate the nature and magnitude of these injuries.

For information on
The National Occupational Injury Research Symposiums (NOIRS)
visit the NOIRS Website at:
www.cdc.gov/niosh/noirs/noirsmain.html


Research Opportunities


Relatively good general information is available on the overall burden of work injuries in the United States. There are expanding sources of information to identify the industries and occupations where they occur most frequently and with greatest severity. The challenge is to move beyond this broad understanding to specific strategies that actually prevent another warehouse employee from being crushed by an overturned forklift, prevent scaffolding from collapsing from under a mason, and keep convenience store clerks and taxi drivers from being shot or stabbed. At many worksites, such injuries are already largely prevented. The challenge is to develop information systems that allow new preventive efforts to target high-risk worksites and to develop solutions that fit highly specific hazardous circumstances. Specific strategies are needed within work sectors (e.g., agriculture and construction) that address the complex interplay between machines, tools, and behavioral and environmental factors causing injuries at a worksite. In many cases, understanding these factors will lead researchers to re-engineer work practices, equipment, and tools to eliminate hazards. For hazards that cannot be eliminated (such as exposure of fire fighters to fires, explosions, and toxic emissions), research will improve safety practices and the protective equipment and clothing worn by the worker.


Current Activities


The initial activity of the Traumatic Occupational Injury Research Team was assisting with the sponsorship of the first National Occupational Injury Research Symposium (NOIRS) in October 1997. This was the first ever national conference on occupational injury research and was attended by over 300 occupational safety professionals from a wide variety of disciplines and organizations. The team is currently involved in the planning of the second Symposium, scheduled for October 2000.

The second major activity of the team was the development of a document describing the needs and priorities for traumatic occupational injury research in the U.S. Published by NIOSH in 1998, the document, "Traumatic Occupational Injury Research Needs and Priorities," provides a broad framework of the objectives and research needed to begin filling the gaps in knowledge and furthering progress toward safer workplaces and practices. This document provides a reference and structure for traumatic occupational injury research which can be used to facilitate the initiation of new, and the rekindling of existing, partnerships and collaborative research to prevent worker injuries and deaths. The team is encouraging agencies and organizations to use this document as a basis for planning and prioritizing their own research and for pursuing new partnerships and identifying topics for collaborative efforts.

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