DESIGN FOR OCCUPATIONAL HEALTH AND SAFETY:DEFINING OCCUPATIONAL INJURIES AND DISEASES

DEFINING OCCUPATIONAL INJURIES AND DISEASES

Early in the 1980s, NIOSH defined the 10 most serious occupational disease and injury areas (CDC 1983). These were occupational lung diseases, musculoskeletal injuries, occupational cancers, acute trauma, cardiovascular diseases, disorders of reproduction, neurotoxic disorders, noise-induced hear- ing loss, dermatologic conditions, and psychological disorders. In April of 1996, NIOSH developed the National Occupational Research Agenda (NORA) (NIOSH 1996a), which identified 21 priority research areas to target and coordinate occupational safety and health research. Eight of the 21 target areas focus on occupational diseases and injuries. This was an update of the list from the early 1980s defined above. The new list identifies allergic and irritant dermatitis, asthma and chronic obstructive pulmonary disease, fertility and pregnancy abnormalities, hearing loss, infectious disease, low-back disorders, musculoskeletal disorders of the upper extremities, and traumatic injuries (NIOSH 1996b) as serious problems. More detail on each disease or condition is provided in Table 1. Table 2 provides brief descriptions of various types of occupational diseases and injuries not included in Table 1 that were highlighted previously by CDC and NIOSH.

7. WORKPLACE HAZARDS

A list of all currently recognized and potential workplace hazards would be larger than this entire Handbook. The best places to start accumulating hazard information pertinent to your operations are the OSHA standards, NIOSH criteria documents, and government reports and publications. These are available on the websites listed in this chapter and from the U.S. Superintendent of Documents in Washington, DC. The websites have a great deal of useful information. Other excellent sources of information include the National Safety Council Safety manuals, NIOSH (1984), and Best’s Loss Control Guide. Other federal, state, and local agencies can also provide some aspects of occupational health and safety hazard information. At the federal level these include the Environmental Protection Agency (EPA), the National Institute for Environmental Health Sciences (NIEHS), and the Centers for Disease Control and Prevention (CDC).

It is important to comprehend the breadth and nature of occupational hazard exposures. To do this we can classify workplace hazard sources into broad categories that help us to understand their nature and potential controls. These are:

1. Physical agents such as noise and heat

2. Powered mechanical agents such as machinery and tools

3. Nonpowered mechanical agents such as hammers, axes, and knives

4. Liquid chemical agents such as benzene and toluene

5. Powdered materials such as pesticides, asbestos, sand, and coal dust

6. Gaseous or vaporous chemical agents such as nitrous oxide, carbon monoxide, and anhydrous ammonia

Design for Occupational Health and Safety-0088Design for Occupational Health and Safety-0089

7. Heavy metals such as lead and mercury

8. Biological agents such as bacteria and viruses

9. Genetically engineered agents

10. Other hazards, such as wet working surfaces, unguarded floor openings, job stress, and the unsafe behavior of others

These hazards enter the body through various avenues, including inhalation into the lungs and nose, absorption through the skin and other membranes, ingestion into the throat and stomach, trau- matic contact with various body surfaces and organs, and, in the case of job stress, through the cognitive mental processes. Descriptions of many of these hazards and definitions of adverse exposure levels are contained in NIOSH (1977).

Traditional hazards such as unexpected energy release and chemicals are still major concerns in the workplace. The use of lasers, robots, microwaves, x-rays, and imaging devices will become more common and will make many of the traditional problems of controlling energy release and limiting worker access to hazardous machine components even more challenging. These technologies will be even more problematic because of the complex nature of the mechanisms of energy release and the increased power of the forces involved. For instance, using x-rays for lithographic etching of computer chips could produce exposures that are substantially higher than with conventional diagnostic x-rays. The safety precautions for this type of instrument have to be much better than current standards for diagnostic equipment.

In addition to these emerging hazards, other new hazards will appear. Some will be the exotic products of genetic engineering and biotechnology, while others will be the products of our ability to harness the laws of physics and chemistry with advanced engineering designs. The future will see commercial uses of plasma gas generators for tool hardening, electron accelerators for generating tremendous power for x-ray lithography in microchip production and fusion power generation. These will become everyday tools used by thousands of workers, many of whom will not be well educated or knowledgeable about the tremendous power of the technology they will be working with.

While these physical and biological hazards will become more prevalent and dangerous than they are today, there will also be more physical and psychological work demands that can lead to psy- chological stress problems. Currently, the two fastest-rising workers’ compensation claim areas in the United States are cumulative musculoskeletal trauma and psychological distress. The rise in these problems can generally be related to two factors: first, greater media, worker, and employer awareness and knowledge about how the workplace can contribute to such problems; and second, huge increases in workplace automation that create conditions that produce these disorders. Dealing with these stress- induced problems may be even more difficult than dealing with the biological, chemical, and physical hazards.

Comments

Popular posts from this blog

MATERIAL-HANDLING SYSTEMS:STORAGE SYSTEMS

NETWORK OPTIMIZATION MODELS:THE MINIMUM SPANNING TREE PROBLEM

DUALITY THEORY:THE ESSENCE OF DUALITY THEORY