Last data update: May 20, 2024. (Total: 46824 publications since 2009)
Records 1-3 (of 3 Records) |
Query Trace: Tapp LC[original query] |
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Evaluation of skin and respiratory symptoms among employees with occupational exposures to cobalt and chromium at an orthopedic implant manufacturer
Beaucham CC , Tapp LC , Mueller CA . J Occup Environ Med 2018 60 (11) e626-e632 The National Institute for Occupational Safety and Health (NIOSH) Health Hazard Evaluation Program received a request from employees at an orthopedic implant manufacturer. Employees were concerned about respiratory symptoms thought to be caused by occupational exposures to metals and metalworking fluids (MWFs). The company manufactured surgical instrumentation and medical devices including cobalt-chromium femoral implants for use in joint replacement surgeries. At the time of the evaluation, the company employed 400 employees spread across nine buildings, working two 8-hour shifts per day, 5 or 6 days per week. Twenty-six employees worked in the building where the implants were machined. |
Occupational traumatic injuries among workers in health care facilities - United States, 2012-2014
Gomaa AE , Tapp LC , Luckhaupt SE , Vanoli K , Sarmiento RF , Raudabaugh WM , Nowlin S , Sprigg SM . MMWR Morb Mortal Wkly Rep 2015 64 (15) 405-10 In 2013, one in five reported nonfatal occupational injuries occurred among workers in the health care and social assistance industry, the highest number of such injuries reported for all private industries. In 2011, U.S. health care personnel experienced seven times the national rate of musculoskeletal disorders compared with all other private sector workers. To reduce the number of preventable injuries among health care personnel, CDC's National Institute for Occupational Safety and Health (NIOSH), with collaborating partners, created the Occupational Health Safety Network (OHSN) to collect detailed injury data to help target prevention efforts. OHSN, a free, voluntary surveillance system for health care facilities, enables prompt and secure tracking of occupational injuries by type, occupation, location, and risk factors. This report describes OHSN and reports on current findings for three types of injuries. A total of 112 U.S. facilities reported 10,680 OSHA-recordable* patient handling and movement (4,674 injuries); slips, trips, and falls (3,972 injuries); and workplace violence (2,034 injuries) injuries occurring from January 1, 2012-September 30, 2014. Incidence rates for patient handling; slips, trips, and falls; and workplace violence were 11.3, 9.6, and 4.9 incidents per 10,000 worker-months,dagger respectively. Nurse assistants and nurses had the highest injury rates of all occupations examined. Focused interventions could mitigate some injuries. Data analyzed through OHSN identify where resources, such as lifting equipment and training, can be directed to potentially reduce patient handling injuries. Using OHSN can guide institutional and national interventions to protect health care personnel from common, disabling, preventable injuries. |
Case studies: evaluation of cut-resistant sleeves and possible fiberglass fiber shedding at a steel mill
Ceballos DM , Tapp LC , Wiegand DM . J Occup Environ Hyg 2014 11 (2) D28-33 The National Institute for Occupational Safety and Health (NIOSH) received a health hazard evaluation (HHE) request from employees and union representatives at a steel mill. They were concerned with skin and upper respiratory irritation, and safety and hygiene issues regarding the required use of cut-resistant protective sleeves. The manufacturer of the cut-resistant sleeves reported that the sleeves were made of a blended weave of para-aramid (Kevlar), cellulose, and E-glass fibers. New sleeves were shown to emit very few fibers into the air under controlled use conditions.(1) However, employees were concerned that the sleeves could shed respirable fiberglass fibers, that this shedding could increase after repeated launderings, and that this exposure could cause skin irritation, respiratory irritation, or chronic respiratory disease. | During our evaluation, we met with union representatives and company health and safety managers, toured the facility, and confidentially interviewed employees. We collected surface samples using either Stick-to-it lift tape (SKC Inc., Eighty Four, Pa.) or vacuuming with a polycarbonate filter from work surfaces, workers’ skin, and workers’ clothing, including the surface of new and laundered protective sleeves. We also collected bulk samples of new and laundered protective sleeves and other potential sources of fibers at the steel mill (i.e., insulation materials). These samples were analyzed by stereomicroscope and polarized light microscopy for identification of fiberglass, Kevlar, and cellulose fibers, as well as for fiber morphology and size. This case study focuses on the industrial hygiene sampling component of our evaluation. Information regarding the medical interviews, and safety and hygiene issues related to the use of the sleeves can be found in the NIOSH HHE report. (2) |
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