Focus Area 20:Occupational Safety and Health

Progress Review

February 18, 2004

Burden of Occupational Injuries and Illnesses

• In 2002– Reported 5,524 5,524 work-related injury deaths in the U.S.

(~15 deaths/day)– Over 4.7 million4.7 million new nonfatal injuries and illnesses

reported in the private industry alone• 4,406,100 injuries • 294,500 illnesses

• Occupational injuries and illnesses are estimated to cost:

• $45.8 billion$45.8 billion - direct costs• $137.4 - $229 billion$137.4 - $229 billion - indirect costs

Source: Census of Fatal Occupational Injuries, BLS; Annual Survey of Occupational Injuries and Illnesses, BLS; The Liberty Mutual Workplace Safety Index, 2003 (Refers to costs for year 2001).

Occupational Safety and Health Objectives

Moving toward target20-1. Work-related injury

deaths20-2. Work-related injuries20-3. Overexertion or

repetitive motion injuries20-4. Pneumoconiosis deaths20-5. Work-related homicides20-6. Work-related assaults20-7. Elevated blood lead

levels20-8. Occupational skin

diseases or disorders

Unable to assess20-9. Stress reduction

programs20-10. Needlestick injuries20-11. Noise induced

hearing loss*

Note: +Topics to be highlighted *Developmental objective

+

+

+

Percent of 2010 Target Achieved as of February 2004

-20%

0%

20%

40%

60%

80%

100%

120%

-20%

0%

20%

40%

60%

80%

100%

120%

Injury deaths

Non-fatal injuriesOverexertion

or repetitive motion injuries

Pneumo-coniosis

deaths

Homicides

Assaults

Elevated blood lead

levels

Skin diseases or disorders

Note: Percent of Target Achieved = Most recent value – Baseline value Target value – Baseline value

Work-Related Injury Death Rates, 2002

0

5

10

15

20

25

0

5

10

15

20

25

Deaths per 100,000 workers

Note: Rates are calculated for workers 16 and over. Counts are for workers of all ages. Source: Census of Fatal Occupational Injuries, BLS, DOL.

All Industries

Obj. 20-1

Mining Agriculture Construction Transportation

N=5,524 N= 121 N= 789 N= 1,121 N=910

All IndustriesDeaths per 100,000 workers

2010 Target

3.6

3.8

4.0

4.2

4.4

4.6

1998 1999 2000 2001 2002

Work-Related Injury Deaths, 2002

Other 5%

Other 7%

Homicide 11%

Suicid

e 4%

Struck by object 9%

Highway 25%

Struck

by v

ehicl

e 6%

Other 3%

Aircraft 3

%

Non

-hig

hway

6%

Electrocutions 5%

Note: Percentages may not add to totals because of rounding.Source: Census of Fatal Occupational Injuries, BLS, DOL.

Transportation – 43%

Contact with objects and equipment – 16%

Assaults and violent acts – 15%

Falls – 13%

Exposure to harmful substances and environments – 10%

Fires and explosions – 3%

N=5,524

Work-Related Injury Death Rates, 2002

0

1

2

3

4

5

6

7

0

1

2

3

4

5

6

7Deaths per 100,000 workers

2010 Target

Total

Obj. 20-1aNote: Black and White exclude persons of Hispanic origin; Persons of Hispanic origin may be any race.Source: Census of Fatal Occupational Injuries, BLS, DOL.

Black White Hispanic Females Males

4.03.5

3.9

5.0

0.7

6.9

Work-Related Injury Deaths Among Hispanics, 1995-2000

Agriculture

Construction

Transportation

Services

Retail

Manufacturing

Wholesale

Mining

Finance

0 20 4020040060080010001200

Number of deaths Rate per 100,000 workers

18.3

Source: Census of Fatal Occupational Injuries, DOL, BLS.

1,153

625

493

483

432

417

160

109

59

15.3

10.1

2.0

3.0

3.1

4.9

37.6

1.7

Rate for all workers, 2000

12.9

20.9

11.8

2.0

2.7

3.3

4.3

30.0

0.9

Work-Related Injury Deaths Among Hispanics

0

200

400

600

800

1,000

1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 20020

200

400

600

800

1,000Number of deaths

Source: Census of Fatal Occupational Injuries, BLS, DOL.

Foreign-born

Native-born

Work-Related Injury Deaths per 100,000 workers

(1996-2000)

0

2

4

6

8

0

2

4

6

8

41%

18%

15%

10%

6%

4%

2%

2%

2%

Work-Related Injury Deaths Among Workers Under 18 years, 1992-2002

Source: Census of Fatal Occupational Injuries, BLS, DOL.

Agriculture

Retail trade

Construction

Services

Manufacturing

Government

Transportation

Wholesale trade

Other

N = 707Deaths

0

100

200

300

400

500

Under 16 years 16 to 17 years

0

100

200

300

400

500

Age

Mining Injury Death Rates, 2002

0

10

20

30

0

10

20

30Deaths per 100,000 workers

Note: Rates are calculated for workers 16 and over. Numbers are for workers of all ages. Total includes three deaths from Metal mining. Source: Census of Fatal Occupational Injuries, BLS, DOL.

Obj. 20-1b

Total Oil & gas extraction

Coal mining

Nonmetal mining

N=121 N=71 N=25 N=22

Coal, Metal and Non-Metal Mining Injury Deaths, 1998-2002

43.3%

18.4%

10.6%

1.4%

11.3%

14.9%

Underground (N=141)

3.6%

40.4%

20.8%

13.2%

1.6%

20.4%

Surface (N=250)

Notes: “Fall of ground” includes “fall of face, rib, pillar, side, or highwall’ and “fall of roof or back” (underground mining).Source: Mine Safety and Health Administration, DOL.

Fall of ground

Powered haulage

Machinery

Slip or fall of person

Ignition/explosion of gas/dust

Other

0

10

20

30

40

0

10

20

30

40

Miners with Coal Workers’ Pneumoconiosis

25+ 20-24 15-19 10-14 <10

Note: Includes only miners who are examined.Source: Coal Workers X-Ray Surveillance Program, NIOSH.

PercentYears worked

1973-1978 1978-1981 1982-1986 1987-1991 1992-1995 1996-2002

Number of deaths1999: 1,003 2000: 950

Pneumoconiosis Deaths

Note: Age 15 and over. Source: National Surveillance System for Pneumoconiosis Mortality, NIOSH.

0

1000

2000

3000

4000

5000

1974 1977 1980 1983 1986 1989 1992 1995 1998

0

1000

2000

3000

4000

5000Coal workers’ pneumoconiosisOther pneumoconiosis

Number of deaths

Obj. 20-4

2010 Target

Nonfatal Occupational Emergency Department Visits, 1999

0

1

2

3

4

5

6

15-17 18-19 20-24 25-34 35-44 45-54 55-64 65+

0

1

2

3

4

5

6

Visits per 100 full-time workers

Source: National Electronic Injury Surveillance System, CPSC and NIOSH.

Age (years)

Source: Annual Survey of Occupational Injuries and Illness, DOL, BLS.

Skin diseases or disorders

Respiratory conditions

Poisoning

All other occupational illnesses (about 80% of “other” are diseases associated with repeated trauma)

N = 294,500

Nonfatal Occupational Illnesses, 2002

75.7%

15.2%

1.6%

7.5%

Dermatitis Cases

9,4528,835 8,453

7,202 6,884 6,5895,715 5,529 4,996 4,714

1.21.1 1.1

0.90.8 0.8

0.6 0.60.5 0.5

0

2,000

4,000

6,000

8,000

10,000

1992 1993 1994 1995 1996 1997 1998 1999 2000 2001

0.00.20.40.60.81.01.21.4

Note: Age 16 and over. Cases involving days away from work.Source: Annual Survey for Occupational Illnesses and Injuries, BLS, DOL.

Number of cases Rate per 10,000 full-time workers

Progress review data and slidescan be found on the web at:

http://www.cdc.gov/nchs/hphome.htmhttp://www.cdc.gov/nchs/hphome.htm