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Occupational Health
Area of public health promoting and maintaining the highest degree of physical
OSHA (Occupational Safety and Health Act)
1970 law establishing federal worker protections and the General Duty Clause requiring safe workplaces
General Duty Clause
Part of OSHA that requires employers to provide a workplace free from recognized hazards that can cause death or serious harm
Clean Air Act
1970 law regulating air pollutants to protect workplace and environmental air quality
Clean Water Act
1972 law regulating discharges into waterways to ensure safe water in workplaces
Fair Labor Standards Act (FLSA)
1938 law regulating wages
Federal Employees’ Compensation Act (FECA)
1916 law providing benefits to federal employees injured or ill on the job
Mine Safety and Health Acts
1952–2006 laws protecting coal miners and regulating mining safety
Global Harmonized System (GHS)
2003 system standardizing chemical labeling and safety data sheets (SDS)
Physical Hazards
Workplace risks including noise
Chemical Hazards
Workplace risks including VOCs
Biological Hazards
Workplace risks including viruses
Mechanical/Ergonomic Hazards
Risks from machinery
Coal Mining Hazards
Includes fatalities
Noise Exposure
OSHA requires hearing conservation when 8-hr TWA ≥85 dB
Vibration Exposure
Hand-Arm Vibration or whole-body exposure causing fatigue
Ionizing Radiation
High-energy radiation (X-rays
Non-Ionizing Radiation
Low-energy radiation (microwaves
Epidemic
Sudden increase of cases in a community or region
Pandemic
Epidemic occurring worldwide or over a very wide area
Endemic
Infectious disease habitually present in a geographic area
Latency
Time period between exposure to a harmful agent and manifestation of disease
LD50
Toxicology measure representing dose that kills 50% of test animals
Triangle Shirtwaist Fire
1911 NYC fire killing 146 workers due to unsafe conditions and locked doors
Gauley Bridge / Hawk’s Nest Tunnel
1931 US silica dust exposure causing occupational lung disease
Coconut Grove Fire
1942 Boston nightclub fire killing 492 people
Bhopal Disaster
1984 chemical accident in India exposing 500
Bangladesh Factory Collapse
2013 building collapse killing over 1
Chinese Poultry Facility Fire
Industrial fire killing 119 workers
Hippocrates
460–370 BC
Pliny the Elder
23–79 CE
Galen
129–200 CE
Paracelsus
1493–1541
Agricola
1494–1555
Bernardino Ramazzini
1633–1714
Sir Percival Pott
1714–1788
Charles Turner Thackrah
1795–1833
Alice Hamilton
1869–1970
Rachel Carson
1907–1964
WHO (World Health Organization)
Advises on occupational health standards globally
EU-OSHA
European Agency for Safety and Health at Work
US Department of Labor (DOL)
Enforces labor laws
Iceberg Concept
Only a small fraction of occupational injuries/diseases are reported
Take-Home Exposure
Hazardous substances brought home from workplace contaminating family
Child Labor
Use of children in hazardous work
Green Jobs
Jobs in renewable energy
Nanotechnology
Work involving nanoparticles
Cold Weather Hazards
Includes hypothermia
Silica Dust
Crystalline dust ~20x more toxic than coal dust
DDT
Dichlorodiphenyltrichloroethane
PCBs
Polychlorinated biphenyls
Dioxins
Group of highly toxic persistent organic pollutants formed as byproducts of industry
PFAS
Per- and polyfluoroalkyl substances
VOCs
Volatile Organic Compounds
Asbestos
Naturally occurring fibrous mineral
Lead
Heavy metal
Coal Workers’ Pneumoconiosis (CWP)
Lung disease from coal dust inhalation
Chronic Obstructive Pulmonary Disease (COPD)
Chronic lung disease worsened by coal dust and silica exposure
Hearing Conservation Program
OSHA-required program for noise ≥85 dB including monitoring
Hand-Arm Vibration (HAV)
Vibration exposure from tools causing musculoskeletal and neurological disorders
Whole-Body Vibration
Exposure from vehicles or heavy machinery
Hypothermia
Dangerous drop in body temperature due to cold exposure
Frostbite
Tissue freezing from cold exposure
Trench Foot
Tissue damage from prolonged wet and cold conditions
Latent Occupational Disease
Disease with delayed onset after workplace exposure
Electronic Ink
Example of nanotechnology
Epidemiology
Study of distribution
Risk
Likelihood of an adverse health event or disease in a population
Globalization
Outsourcing and location of work based on cost
Immigrant Workers
Vital to US workforce
Aging Workforce
Older workers in labor force
WHO Occupational Health Services
Provide guidance to employers
LD50
Lethal Dose 50
Cholera
Waterborne bacterial disease studied in epidemiology
John Snow
1849 London cholera outbreak