The Health Hazard Evaluation Program at NIOSH Reviews of Research Programs of the National Institute for Occupational Safety and Health (2009) / Chapter Skim
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Appendix D: Stakeholder Input: Key Recommendations and Emerging Health Hazards
Appendix D: Stakeholder Input: Key Recommendations and Emerging Health Hazards
Pages 196-202
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From page 196... ...
. Comments were received from occupational, environmental, and internal physicians, medical directors, and nurses; environmental safety specialists and administrators; industrial hygienists; toxicologists; epidemiologists; research psychologists; engineers; academics; compliance officers; investigators; nonprofit health organization representatives; union and worker representatives; and federal and state representatives.
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From page 197... ...
Interaction with the Occupational Health Community • Communicate better with safety professionals in industry; • Market the value of HHEs through collaborations with relevant pro fessional associations and employer or business groups (e.g., National B usiness Group on Health) ; • Partner with community institutions, worker advocate groups, faith-based centers, and day labor organizations to relate to immigrant workers; • Improve the visibility of the HHE Program to employers, unions, occupa tional medicine physicians and nurses, health departments, and workers to make the program more accessible; • Encourage state-based programs to make referrals for HHEs; • assist local health department occupational health professionals, con To sult with local experts in nearby field offices in order to clarify procedures related to the advisability of referrals to the HHE Program (Determining which of the federal, state, and local agencies responsible for responding to specific issues is difficult)
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From page 198... ...
, businesses, nongovernmental organizations, occupational and environmental health professionals, healthcare providers, and state and local health departments; • Target the construction sector because of its limited resources and high risks in both safety and health issues; and • Educate healthcare facilities about exposures in the hospital environment and collaborate with NIOSH researchers to follow up on issues identified through HHEs. Surveillance • Create a national surveillance system for occupational illness; • Strengthen ties between NIOSH and state health departments (e.g., fund ing, cooperative agreements)
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From page 199... ...
should be identified and solutions implemented to prevent their recur rence; and • Prioritize HHE recommendations by effectiveness and provide a prioritized listing of available literature to assist OSHA in more specific rule-making. Product Dissemination Online Dissemination • Improve the online search engine, including provision of an alphabetical categorization by main topic (exposure or disease)
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From page 200... ...
Emerging Health Hazards Stakeholders identified emerging health hazards with broad comments about a number of wide-ranging issues and concerns, as follows: • All-hazards disaster preparedness, emergency response, and terrorist related defense or assessments; • Unforeseen issues associated with climate change, water shortages, and other environmental extremes; • Continuing development of new compounds and chemicals, including the use of chemicals about which there are limited or no health data; • The downsizing of health and safety staffs across the country and weak enforcement of safety and health laws; • Emerging issues related to the aging workforce;
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From page 201... ...
; • solvents; • isocyanates and aziridine (for example, as used in golf ball manufacturing and rubber coating) ; • cadmium; • pesticide application; • neurotoxicants and their effect on pregnant or breastfeeding women; • unregulated or under-regulated toxins identified as carcinogens; • multiple chemical exposures during and after hardwood floor finishing;
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From page 202... ...
, hexavalent chromium in portland cement and concrete, and diesel exhaust; • carbon monoxide exposure (e.g., from gasoline generators or gas-powered washers) ; • establishment of occupational exposure limits; • dermatitis; • effects of food additives; • behavioral modification for the protection against needlesticks and other contaminated sharps injuries in hospitals; • hazards associated with construction and warehousing; • agricultural hazards; • sources of autoimmune diseases in women and healthcare provider i mmune system problems; and • musculoskeletal issues (e.g., ergonomic issues related to text messaging and small-computer use or associated with multiple operators of the same piece of equipment)
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Key Terms
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