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The global burden of selected occupational diseases and injury risks: methodology and summary.

Authors
Nelson-DI; Concha-Barrientos-M; Driscoll-T; Steenland-K; Fingerhut-M; Punnett-L; Pruss-Ustun-A; Leigh-J; Corvalan-C
Source
Am J Ind Med 2005 Dec; 48(6):400-418
NIOSHTIC No.
20029116
Abstract
Around the globe, work has a heavy impact on health. To better advise policy makers, we assessed the global burden of disease and injury due to selected occupational hazards. This article presents an overview, and describes the methodology employed in the companion studies. Using the World Health Organization (WHO) Comparative Risk Assessment methodology, we applied relative risk measures to the proportions of the population exposed to selected occupational hazards to estimate attributable fractions, deaths, and disability-adjusted life years (DALYs). Numerous occupational risk factors had to be excluded due to inadequate global data. In 2000, the selected risk factors were responsible worldwide for 37% of back pain, 16% of hearing loss, 13% of chronic obstructive pulmonary disease (COPD), 11% of asthma, 8% of injuries, 9% of lung cancer, and 2% of leukemia. These risks at work caused 850,000 deaths worldwide and resulted in the loss of about 24 million years of healthy life. Needlesticks accounted for about 40% of Hepatitis B and Hepatitis C infections and 4.4% of HIV infections in health care workers. Exposure to occupational hazards accounts for a significant proportion of the global burden of disease and injury, which could be substantially reduced through application of proven risk prevention strategies.
Keywords
Occupational-diseases; Injuries; Diseases; Occupational-health; Risk-analysis; Occupational-hazards; Risk-factors; Mortality-data; Mortality-rates; Health-care-personnel; Workers; Worker-health; Back-injuries; Hearing-loss; Pulmonary-system-disorders; Bronchial-asthma; Lung-cancer
Contact
Deborah Imel Nelson, Geological Society of America, PO Box 9140, Boulder, Colorado 80301-9140
CODEN
AJIMD8
Publication Date
20051201
Document Type
Journal Article
Email Address
dnelson@geosociety.org
Fiscal Year
2006
NTIS Accession No.
NTIS Price
Issue of Publication
6
ISSN
0271-3586
NIOSH Division
OD
Source Name
American Journal of Industrial Medicine
State
DC; CO; GA; MA
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