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Evaluation of a nationally funded state-based programme to reduce fatal occupational injuries.

Authors
Chaumont Menendez-C; Castillo-D; Rosenman-K; Harrison-R; Hendricks-S
Source
Occup Environ Med 2012 Nov; 69(11):810-814
NIOSHTIC No.
20041265
Abstract
Background: The Fatality Assessment and Control Evaluation (FACE) programme was established by the National Institute for Occupational Safety and Health to help prevent occupational traumatic fatalities by funding states to conduct targeted fatality investigations within cause-specific focus areas and associated prevention efforts. Purpose: To investigate the impact of the state-based FACE programme on two previous focus areas. Methods: A longitudinal time-series analysis spanning 22 years compared state fatality rates for occupational falls and electrocutions before and after FACE programme funding with states not receiving FACE programme funding. Lag periods were utilised to allow time for the programme to have an effect, and rates were adjusted for a variety of covariates. Separate analyses were conducted for each injury outcome. Results: A reduction in fall fatality rates that was of borderline significance (1-year lag adjRR=0.92 (0.84 to 1.00)) and a non-significant reduction in electrocution fatality rates (3-year lag adjRR=0.92 (0.82 to 1.03)) were observed in states with FACE programme funding, Best-fit models presented two separate lag periods. Conclusions: While it is challenging to quantitatively evaluate effectiveness of programmes such as FACE, the data suggest the FACE programme may be effective in preventing occupational injury deaths within its outcome focus areas throughout the state. It is important to look for ways to measure intermediate effects more precisely, as well as ways to maintain effects over time.
Keywords
Surveillance-programs; Mortality-data; Mortality-rates; Injury-prevention; Traumatic-injuries; Safety-education; Safety-programs; Safety-research; Long-term-study; Fall-protection; Electrocutions; Quantitative-analysis
Contact
Dr Cammie Chaumont Menendez, National Institute for Occupational Safety and Health, Division of Safety Research, Morgantown, WV 26505, USA
CODEN
OEMEEM
Publication Date
20121101
Document Type
Journal Article
Email Address
cmenendez@cdc.gov
Fiscal Year
2013
NTIS Accession No.
NTIS Price
Identifying No.
B08142012
Issue of Publication
11
ISSN
1351-0711
NIOSH Division
DSR
Source Name
Occupational and Environmental Medicine
State
WV; MI; CA
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