1. Focus Area 20: Occupational Safety and Health Progress Review February 18, 2004

2. Burden of Occupational Injuries and Illnesses In 2002 5,524 –Reported 5,524 work-related injury deaths in the U.S. (~15 deaths/day) 4.7 million –Over 4.7 million new nonfatal injuries and illnesses reported in the private industry alone 4,406,100 injuries 294,500 illnesses Occupational injuries and illnesses are estimated to cost: $45.8 billion$45.8 billion - direct costs $137.4 - $229 billion$137.4 - $229 billion - indirect costs Source: Census of Fatal Occupational Injuries, BLS; Annual Survey of Occupational Injuries and Illnesses, BLS; The Liberty Mutual Workplace Safety Index, 2003 (Refers to costs for year 2001).

3. Occupational Safety and Health Objectives Moving toward target 20-1. Work-related injury deaths 20-2. Work-related injuries 20-3. Overexertion or repetitive motion injuries 20-4. Pneumoconiosis deaths 20-5. Work-related homicides 20-6. Work-related assaults 20-7. Elevated blood lead levels 20-8. Occupational skin diseases or disorders Unable to assess 20-9. Stress reduction programs 20-10. Needlestick injuries 20-11. Noise induced hearing loss* Note: +Topics to be highlighted *Developmental objective + + +

4. Percent of 2010 Target Achieved as of February 2004 Injury deaths Non-fatal injuries Overexertion or repetitive motion injuries Pneumo- coniosis deaths Homicides Assaults Elevated blood lead levels Skin diseases or disorders Note: Percent of Target Achieved = Most recent value – Baseline value Target value – Baseline value

5. Work-Related Injury Death Rates, 2002 Deaths per 100,000 workers Note: Rates are calculated for workers 16 and over. Counts are for workers of all ages. Source: Census of Fatal Occupational Injuries, BLS, DOL. All Industries Obj. 20-1 Mining AgricultureConstructionTransportation N=5,524 N= 121N= 789N= 1,121N=910 All Industries Deaths per 100,000 workers 2010 Target 3.6 3.8 4.0 4.2 4.4 4.6 19981999200020012002

6. Work-Related Injury Deaths, 2002 Note: Percentages may not add to totals because of rounding. Source: Census of Fatal Occupational Injuries, BLS, DOL. Transportation – 43% Contact with objects and equipment – 16% Assaults and violent acts – 15% Falls – 13% Exposure to harmful substances and environments – 10% Fires and explosions – 3% N=5,524

7. Work-Related Injury Death Rates, 2002 Deaths per 100,000 workers 2010 Target Total Obj. 20-1a Note: Black and White exclude persons of Hispanic origin; Persons of Hispanic origin may be any race. Source: Census of Fatal Occupational Injuries, BLS, DOL. BlackWhiteHispanic FemalesMales 4.0 3.5 3.9 5.0 0.7 6.9

8. Work-Related Injury Deaths Among Hispanics, 1995-2000 Agriculture Construction Transportation Services Retail Manufacturing Wholesale Mining Finance 02040200400600 800 10001200 Number of deaths Rate per 100,000 workers 18.3 Source: Census of Fatal Occupational Injuries, DOL, BLS. 1,153 625 493 483 432 417 160 109 59 15.3 10.1 2.0 3.0 3.1 4.9 37.6 1.7 Rate for all workers, 2000 12.9 20.9 11.8 2.0 2.7 3.3 4.3 30.0 0.9

9. Work-Related Injury Deaths Among Hispanics Number of deaths Source: Census of Fatal Occupational Injuries, BLS, DOL. Foreign-born Native-born Work-Related Injury Deaths per 100,000 workers (1996-2000)

10. Work-Related Injury Deaths Among Workers Under 18 years, 1992-2002 Source: Census of Fatal Occupational Injuries, BLS, DOL. Agriculture Retail trade Construction Services Manufacturing Government Transportation Wholesale trade Other N = 707 Deaths Age

11. Mining Injury Death Rates, 2002 Deaths per 100,000 workers Note: Rates are calculated for workers 16 and over. Numbers are for workers of all ages. Total includes three deaths from Metal mining. Source: Census of Fatal Occupational Injuries, BLS, DOL. Obj. 20-1b Total Oil & gas extraction Coal mining Nonmetal mining N=121N=71N=25N=22

12. Coal, Metal and Non-Metal Mining Injury Deaths, 1998-2002 Underground (N=141)Surface (N=250) Notes: “Fall of ground” includes “fall of face, rib, pillar, side, or highwall’ and “fall of roof or back” (underground mining). Source: Mine Safety and Health Administration, DOL. Fall of ground Powered haulage Machinery Slip or fall of person Ignition/explosion of gas/dust Other

13. Miners with Coal Workers’ Pneumoconiosis 25+ 20-24 15-19 10-14 <10 Note: Includes only miners who are examined. Source: Coal Workers X-Ray Surveillance Program, NIOSH. Percent Years worked 1973-19781978-19811982-19861987-1991 1992-1995 1996-2002 Number of deaths 1999: 1,003 2000: 950

14. Pneumoconiosis Deaths Note: Age 15 and over. Source: National Surveillance System for Pneumoconiosis Mortality, NIOSH. Coal workers’ pneumoconiosis Other pneumoconiosis Number of deaths Obj. 20-4 2010 Target

15. Nonfatal Occupational Emergency Department Visits, 1999 Visits per 100 full-time workers Source: National Electronic Injury Surveillance System, CPSC and NIOSH. Age (years)

16. Source: Annual Survey of Occupational Injuries and Illness, DOL, BLS. Skin diseases or disorders Respiratory conditions Poisoning All other occupational illnesses (about 80% of “other” are diseases associated with repeated trauma) N = 294,500 Nonfatal Occupational Illnesses, 2002

17. Dermatitis Cases Note: Age 16 and over. Cases involving days away from work. Source: Annual Survey for Occupational Illnesses and Injuries, BLS, DOL. Number of cases Rate per 10,000 full-time workers

18. Progress review data and slides can be found on the web at: http://www.cdc.gov/nchs/hphome.htm