1. Workplace Health Issues Ray Sinclair NIOSH Small Business Program February 9, 2011 The findings and conclusions in this presentation are those of the author and do not necessarily represent the views of the Centers for Disease Control and Prevention.

2. Federal Organization for Workplace Safety and Health Department of Health and Human Services (HHS) Research and Recommendations Centers for Disease Control and Prevention (CDC) National Institute for Occupational Safety and Health (NIOSH) Department of Health and Human Services Mine Safety and Health Administration (MSHA) Department of Labor (DOL) Occupational Safety and Health Administration (OSHA) Regulation and Enforcement Department of Labor

3. Work-related Illnesses and Injuries ► ► Fatalities per day   14 from injuries (5071 in 2008)   137 from diseases ► ► 3.7 million non-fatal illnesses and injuries (2008) ► ► $50 billion -- direct costs for occupational injuries ► ► $155 billion – direct + indirect (2002)* Liberty Mutual Safety Index, 2004 *

4. Silica ► ► Widely used ► ► Health concerns: silicosis and other respiratory diseases; cancer ► ► NIOSH has recommended lower exposure standard ► ► OSHA action expected

5. Injury & Illness Prevention Program ► Planning, implementing, evaluating, and improving processes and activities that protect employee S&H ► Data to support rulemaking ► S&H Program Management Guidelines (‘89) ► Lessons learned from VPP and SHARP ► 12 states have similar rules ► Prerule stage

6. www.regulations.gov www.reginfo.gov/public

7. S&H and Health Promotion ► ► Efficiency and effectiveness ► ► PPG: workplace stress & work/life balance ► ► NY clinics: diagnosis (EE) & prevention services (ER) ► ► Lincoln Industries: go! Platinum www.lincolnindustries.com/wellness

8. S&H and Health Promotion ► ► 20 Essential Elements   Organizational Culture & Leadership   Program Design   Program Implementation & Resources   Evaluation www.cdc.gov/niosh/worklife

9. Diacetyl ► ► Food flavoring ingredient ► ► Associated with rare lung disease ► ► Court cases in 2004 and 5 ► ► OSHA 2008 ► ► Cal-OSHA draft standard 2009 www.cdc.gov/nioshwww.osha.gov

10. Nanotechnology ► Manipulation of matter on near-atomic scale to produce materials with novel properties ► Unprecedented scientific advances ► US impact: $699M ► Global investment: $11.8B (2006) $1T (2015) ► 2 million workers ► 3-4 consumer products per week nano.gov

11. Growth of Nanotechnology Products 2006 2009 2008 2007

12. Nano-enabled Products Clothing Double Core Tennis Balls Dental Adhesive Washbasin Wound Dressing NanoOpto subwavelength polarizing beam splitter/combiner Immuno- suppressant Refrigerator

13. Nanomaterials ► < 100 nanometers ► New properties ► Workers are exposed to NM ► Processes used to create NM represent new hazards ► Use risk management programs to minimize worker exposures cdc.gov/niosh/topics/nanotech

14. Hazard Communication ► ► Alignment with Global Harmonization System   Hazard classification   Labels   Safety data sheets ► ► Uniform formats benefit EE and ER ► ► Training likely to be required ► ► Annual cost: $100M; Benefits: $750M

15. Respirators in Healthcare ► ► Respirators must seal to face ► ► N-95 issue in California ► ► TIL rulemaking

16. NIOSH Health Hazard Evaluation Program ► ► Free service   Employer   Union representative   Employees (3 or 1)   State/local government ► ► Consultation or field evaluation ► ► Provide exposure data and solutions

17. NIOSH Health Hazard Evaluation Program ► ► Chemical exposures ► ► Ergonomic hazards ► ► Biological hazards ► ► Heat ► ► Work organization ► ► Noise

18. When Can an HHE Help?  New processes  Illness of unknown source  Exposure to unregulated agents  Old problem – new setting

19. Poultry Worker Example ► ► Evisceration line ► ► Super-chlorinated water ► ► Eye & respiratory irritation

20. Poultry Worker Example ► ► Modified ventilation ► ► Fewer symptoms ► ► Less chlorine in air

21. Hot Dog Hangar Example ► ► Highest tier 6’9” ► ► Employee pain & injuries ► ► Potential back injuries

22. Hot Dog Hangar Example ► ► Height reduced to 5’ ► ► Weight lifted reduced to 26 lbs ► ► New platforms for workers ► ► Rotate workers off job

23. How to Request Health Hazard Evaluation Assistance ► ► 513-841-4382 ► ► 800-232-4636 ► ► www.cdc.gov/niosh/hhe

24. cdc.gov/niosh

25. cdc.gov/niosh/hhe “Request an HHE”

26. cdc.gov/niosh “Directory of Publications”

27. cdc.gov/niosh/topics

28. cdc.gov/niosh “Respirators and Protective Technologies”

29. Respirator Trusted Source Information Page

30. 1-800-CDC-INFO CDCinfo@cdc.gov

31. Thank you. Call me anytime. Ray Sinclair NIOSH Small Business Program 513.533.8172 Rsinclair@cdc.gov