Despite many advances, 20 American workers die each day as a result of occupational injuries. And occupational safety and health (OSH) is becoming even more complex as workers move away from the long-term, fixed-site, employer relationship. This book looks at worker safety in the changing workplace and the challenge of ensuring a supply of top-notch OSH professionals. Recommendations are addressed to federal and state agencies, OSH organizations, educational institutions, employers, unions, and other stakeholders. The committee reviews trends in workforce demographics, the nature of work in the information age, globalization of work, and the revolution in health care deliveryâ€"exploring the implications for OSH education and training in the decade ahead. The core professions of OSH (occupational safety, industrial hygiene, and occupational medicine and nursing) and key related roles (employee assistance professional, ergonomist, and occupational health psychologist) are profiled-how many people are in the field, where they work, and what they do. The book reviews in detail the education, training, and education grants available to OSH professionals from public and private sources.

Maximizing reader insights into a new movement toward leadership approaches that are collaborated and shared, and which views Occupational Safety and Health (OSH) and performance excellence within the wider examination of leadership relationships and practices, this book argues that these relationships and processes are so central to the establishment of OSH functioning that studying them warrants a broad, cross-disciplinary, multiple method analysis. Exploring the complexity of leadership by the impact that contexts (e.g., national and organizational culture) may have on leaders, this book discusses the related literature, then moves forward to show how a more comprehensive practical approach to Occupational Safety and Health and performance excellence can function on levels pertaining to events, individuals, groups, and organizations. This book proposes that greater clarity in understanding leadership in Occupational Safety and Health and performance excellence can be developed from addressing two fundamental issues. Firstly, how do subunit inputs and processes combine to produce unit-level outcomes and how does leadership affect this process? Secondly, how do the leaders influence the way that individual-level inputs are combined to produce organizational outputs. In these issues, the alternative methodologies that allow precise measurement of organizational outputs in OSH and performance excellence are reviewed. To help readers navigate through the best practices, each chapter contains Question Guidelines, Exercises and Case studies which illustrate the concepts discussed and which serves to highlight the key evidence demonstrating that collaborative leadership can positively affect individual, group, and organizational level outcomes, including organizational OSH and performance excellence.

Before effective treatments were introduced in the 1950s, tuberculosis was a leading cause of death and disability in the United States. Health care workers were at particular risk. Although the occupational risk of tuberculosis has been declining in recent years, this new book from the Institute of Medicine concludes that vigilance in tuberculosis control is still needed in workplaces and communities. Tuberculosis in the Workplace reviews evidence about the effectiveness of control measuresâ€"such as those recommended by the Centers for Disease Control and Preventionâ€"intended to prevent transmission of tuberculosis in health care and other workplaces. It discusses whether proposed regulations from the Occupational Safety and Health Administration would likely increase or sustain compliance with effective control measures and would allow adequate flexibility to adapt measures to the degree of risk facing workers.

The workplace is where 156 million working adults in the United States spend many waking hours, and it has a profound influence on health and well-being. Although some occupations and work-related activities are more hazardous than others and face higher rates of injuries, illness, disease, and fatalities, workers in all occupations face some form of work-related safety and health concerns. Understanding those risks to prevent injury, illness, or even fatal incidents is an important function of society. Occupational safety and health (OSH) surveillance provides the data and analyses needed to understand the relationships between work and injuries and illnesses in order to improve worker safety and health and prevent work-related injuries and illnesses. Information about the circumstances in which workers are injured or made ill on the job and how these patterns change over time is essential to develop effective prevention programs and target future research. The nation needs a robust OSH surveillance system to provide this critical information for informing policy development, guiding educational and regulatory activities, developing safer technologies, and enabling research and prevention strategies that serves and protects all workers. A Smarter National Surveillance System for Occupational Safety and Health in the 21st Century provides a comprehensive assessment of the state of OSH surveillance. This report is intended to be useful to federal and state agencies that have an interest in occupational safety and health, but may also be of interest broadly to employers, labor unions and other worker advocacy organizations, the workers' compensation insurance industry, as well as state epidemiologists, academic researchers, and the broader public health community. The recommendations address the strengths and weaknesses of the envisioned system relative to the status quo and both short- and long-term actions and strategies needed to bring about a progressive evolution of the current system.

Mirroring a worldwide phenomenon in industrialized nations, the U.S. is experiencing a change in its demographic structure known as population aging. Concern about the aging population tends to focus on the adequacy of Medicare and Social Security, retirement of older Americans, and the need to identify policies, programs, and strategies that address the health and safety needs of older workers. Older workers differ from their younger counterparts in a variety of physical, psychological, and social factors. Evaluating the extent, causes, and effects of these factors and improving the research and data systems necessary to address the health and safety needs of older workers may significantly impact both their ability to remain in the workforce and their well being in retirement. Health and Safety Needs of Older Workers provides an image of what is currently known about the health and safety needs of older workers and the research needed to encourage social polices that guarantee older workers a meaningful share of the nation's work opportunities.

Developed to provide safety and health students with an understanding of the how-tos of implementing an occupational safety and health initiative, the first edition of Occupational Health and Safety Management soon became a blueprint for occupational safety and health management for the smallest- to the largest-sized companies. Competently followin

The field of occupational health and safety constantly changes, especially as it pertains to biomedical research. New infectious hazards are of particular importance at nonhuman-primate facilities. For example, the discovery that B virus can be transmitted via a splash on a mucous membrane raises new concerns that must be addressed, as does the discovery of the Reston strain of Ebola virus in import quarantine facilities in the U.S. The risk of such infectious hazards is best managed through a flexible and comprehensive Occupational Health and Safety Program (OHSP) that can identify and mitigate potential hazards. Occupational Health and Safety in the Care and Use of Nonhuman Primates is intended as a reference for vivarium managers, veterinarians, researchers, safety professionals, and others who are involved in developing or implementing an OHSP that deals with nonhuman primates. The book lists the important features of an OHSP and provides the tools necessary for informed decision-making in developing an optimal program that meets all particular institutional needs.

In 1977, a grain elevator explosion in Westwego, Louisiana, took the lives of thirty-five workers. The next year, fifty-one men who were working on cooling tower for a West Viginia power plant died when their support scaffolding collapsed. And more recently, a Senate subcommittee hearing revealed that the incidence of lung cancer among uranium miners is nearly four times the national average rate for men of the same age. Clearly, as Lawrence Bacow writes in this book, occupational safety and health is a big problem that may be getting bigger. What can be done about it? This book argues that OSHA is not up to the task. Most accidents are caused by hazards that are unique to individual firms. A single regulatory authority like OSHA cannot be everywhere at once; it lacks the resources needed to ferret out firm-specific hazards and to ensure day-to-day compliance with health and safety regulations. If government is to make the workplace safe, it must enlist the help of the parties that have the greatest influence over safety and health on the job--labor and management. Bargaining for Job Safety and Health examines how labor and management work together and against each other to abate occupational hazards. It describes OSHA's influence, both positive and negative, over collective bargaining on health and safety issues. Through a series of case studies in develops a theory to explain why some unions are more aggressive than others in pursuing health and safety objectives. The book also outlines strategies that OSHA might take to encourage labor and management to assume a larger role in curbing job hazards through collective bargaining. Although it focuses on job safety and health, this book draws a number of very interesting parallels between OSHA and other types of regulatory programs. It should interest a wide audience, including labor and management officials, health and safety professionals, policymakers, labor relations scholars, and others interested in regulatory reform and program design.

Using an interdisciplinary approach, this book presents a wide range of methods and specific criteria for assessing hazard and exposure in the workplace environment, offering ways to reduce these hazards. This text provides coverage of basic risk factors, law-based protection of labor, shaping conditions of occupational safety and ergonomics, psychophysical capabilities of humans in the working environment, and more.

Universal health coverage (UHC) has been recognized by the World Health Organization as a key element in reducing social inequality and a critical component of sustainable development and poverty reduction. In most of the world UHC is sought through a combination of public and private-sector health care systems. In most low- and middle-income countries health systems are evolving to increasingly rely on the private sector because the public sector lacks the infrastructure and staff to meet all health care needs. With growing individual assets available for private-sector expenditure, patients often seek better access to technology, staff, and medicines. However, in low-income countries nearly 50 percent of health care financing is out-of-pocket. With the expected increase in the overall fraction of care provided through the private sector, these expenditures can be financially catastrophic for individuals in the informal workforce. In the global workforce of approximately 3 billion people, only 10 to 15 percent are estimated to have some type of access to occupational health services. The informal workforce is growing worldwide, and the degree to which its occupational health needs are satisfied depends on the capabilities of the general health care system. In July 2014, the Institute of Medicine held a workshop on approaches to universal health coverage and occupational health and safety for informal sector workers in developing countries. This report summarizes the presentations and discussions from this workshop. Approaches to Universal Health Coverage and Occupational Health and Safety for the Informal Workforce in Developing Countries identifies best practices and lessons learned for the informal workforce in developing countries in the financing of health care with respect to health care delivery models that are especially suitable to meeting a population's needs for a variety of occupational health issues, including the prevention of or mitigation of hazardous risks and the costs of providing medical and rehabilitation services and other benefits to various types of workers within this population. These experiences and lessons learned may be useful for stakeholders in moving the discussions, policies, and mechanisms forward to increase equitable access to quality health services without financial hardship for the informal workforce.