Atlanta, GA: U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, U60-OH-008328, 2006 Nov; :1-49
The Wisconsin Fatality Assessment and Control Evaluation (WI FACE) program was dynamic and innovative having met its program objectives for surveillance, investigations and outreach. The program investigated 39 fatalities to obtain more detailed information and these cases were published as investigation reports or alerts. Twenty-two alerts were also disseminated during last five years. Wisconsin targeted high risk groups (deaths of youths under age 18, Hispanic workers), specific worksites (highway work zone deaths) and machine-related deaths for investigations. In Wisconsin, the age adjusted death rate ranged from 1.7 to 2.0 per 100,000 people during the last five year cooperative period. Without variance, deaths were more frequent in the categories of male gender, non-Hispanic ethnicity, and White race. The one anomaly is the disproportionately higher fatalities of males compared to females. This could be due to the fact that traditionally, males make up significantly more of the employees in high risk jobs such as agriculture, transportation and construction. The greatest number of fatalities occurred in the age groups spanning 25-64 years of age. During the last five years, the four most fatal occupations in Wisconsin were motor/truck driver (23%), farming (21%), laborer (16%) and construction (11%). In Wisconsin, from 2000-2005, we had 616 occupational fatalities. Of these fatalities, one hundred sixty one (26%) work-related fatalities occurred in the agricultural sector. During this period other fatality percentages were 16% construction, 12% transportation, 21% service industries, and 7% government service industry. The WI FACE database has underlying cause of death for 68% of the cases. Of these, traumatic injuries were the most prevalent (59%), followed by motor vehicle crash including passengers, pedestrian and plane crashes (25%), and farm accidents (6%). Overall, our patterns of occupational fatalities did not change over the last five years. The state's occupational fatality rate remained at half that of the U.S. (4.0/100,000; 2002). Wisconsin fatality data, like national fatality data, demonstrates that motor/truck driver (23%) and agriculture (21%) continue to be the most hazardous occupations. In summary, the WI FACE program successfully identified and tracked cases of occupational fatalities. The data were used to guide the selection of investigation priorities and intervention strategies. Outreach included making information and recommendations available via the internet, publications and other written materials, as well as actively presenting information to target groups. The work has effectively raised awareness of occupational safety in general, as well as specific risk factors for occupational fatalities. The impact is the lowest fatality rate in the state since the inception of the program 25 years ago.
Children; Men; Women; Humans; Accident-rates; Accident-statistics; Accidents; Agriculture; Agricultural-workers; Construction; Construction-workers; Accident-prevention; Transportation-industry; Transportation-workers; Injuries; Traumatic-injuries; Drivers; Epidemiology; Statistical-analysis; Morbidity-rates; Mortality-rates