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An Annual Report by the Kentucky Injury Prevention and Research Center Authored by Svetla Slavova, Terry Bunn January 2016 OCCUPATIONAL HEALTH IN KENTUCKY, 2015

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Page 1: OCCUPATIONAL HEALTH IN KENTUCKY, 2015 › kiprc › koshs › annual-reports › 2015.pdfOccupational Health in Kentucky: Annual Report 2015 2 EXECUTIVE SUMMARY Key findings: Kentucky’s

An Annual Report by the Kentucky Injury Prevention and Research Center

Authored by Svetla Slavova, Terry Bunn January 2016

OCCUPATIONAL HEALTH IN KENTUCKY, 2015

Page 2: OCCUPATIONAL HEALTH IN KENTUCKY, 2015 › kiprc › koshs › annual-reports › 2015.pdfOccupational Health in Kentucky: Annual Report 2015 2 EXECUTIVE SUMMARY Key findings: Kentucky’s

Occupational Health in Kentucky: Annual Report 2015

2

EXECUTIVE SUMMARY

Key findings:

Kentucky’s 2014 non-fatal work-related injury and illness rate was 3,700/100,000 full-time equivalents, still 16% above the national rate.

The 2014 work-related fatality rate was 4.6 deaths/100,000 workers, 35% above the U.S. rate of 3.4/100,000.

Kentucky’s work-related amputation rate

was 8 claims/100,000 workers in 2014, 60% above the 2014 U.S. rate.

The 2014 age-adjusted pneumoconiosis mortality rate was 31 deaths/million residents, 417% above the U.S. rate.

The 2012 annual incidence rate of reported work-related pesticide poisonings in Kentucky was 2.5/100,000 FTEs, 32% above the national rate.

The 2012 percentage of Kentucky workers employed in high risk industries for occupational morbidity was 9.3%, same as in 2011. The corresponding U.S. percentage was 7.2%.

The 2012 Kentucky occupational motor

vehicle injury rate was 68/100,000 workers, a 10% increase from 2011.

The occupational fall injury incidence rate increased by 11% from 2012 to 2013.

The average amount of workers’ compensation benefits per covered worker in Kentucky increased by 5% from $384 in 2012 to $402 in 2013.

There were 3,884 truck tractor and semi-trailer collisions in 2014, a 16% increase from 2013, and the highest number in Kentucky since 2010.

There were 82 school bus collisions in 2014, a 15% increase from 2013.

The number of buses involved in motor vehicle collisions increased by 10% from 156 in 2013 to 171 in the year 2014.

Page 3: OCCUPATIONAL HEALTH IN KENTUCKY, 2015 › kiprc › koshs › annual-reports › 2015.pdfOccupational Health in Kentucky: Annual Report 2015 2 EXECUTIVE SUMMARY Key findings: Kentucky’s

Occupational Health in Kentucky: Annual Report 2015

3

Indicator #1: Non-Fatal Work-Related Injuries and Illnesses Reported By Employers

In 2014, there were 46,200 non-fatal work-related injuries and illnesses in Kentucky, with an incidence rate of 3,700/100,000 full-time equivalents (FTEs), down 55% from 1998 (Figure 1). Kentucky is still about 16% above the national incidence rate of 3,200/100,000. Figure 1. Non-Fatal Work-Related Injury and Illness Incidence Rates, 2000-2014

Data Source: Annual Bureau of Labor Statistics (BLS) Survey of Occupational Injuries and Illnesses (SOII).

Indicator #2: Work-Related Hospitalizations

In 2014, there were 1,640 work-related hospitalizations with an annual crude rate of 87/100,000 employed persons age 16 years and older, 20% increase from the year 2013 (Figure 2).

Figure 2. Work-Related Hospitalization Rates, 2000-2014

Data Source: Numerator KY data: Kentucky Inpatient Hospital Discharge Data, Office of Health Policy. Numerator US data: National Hospital Discharge Survey. Denominator data: BLS Current Population Survey data. Rates may differ from rates reported in previous reports as the KY hospital discharge files for the last 4 years were updated.

6,1005,700

5,300 5,000 4,800 4,600 4,400 4,2003,900

3,600 3,500 3,500 3,400 3,300 3,200

8,3007,400 7,200

6,400 6,100 6,200

5,200 5,2004,700 4,200 4,200 4,200 4,100 4,000

3,700

0

1,000

2,000

3,000

4,000

5,000

6,000

7,000

8,000

9,000

10,000

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

Rat

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FTE

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US KY

142129

142 134123 120 107 113

99

97 82

187212 208

185 194208

184

149

77

101 94 94 89

72

87

0

50

100

150

200

250

300

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

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Occupational Health in Kentucky: Annual Report 2015

4

Indicator #3: Fatal Work-Related Injuries

In 2014 there were 82 fatal occupational injuries in Kentucky, a small difference from the reported 86 fatal work-related injuries for 2013. The 2014 Kentucky rate was 4.6/100,000, or 35% above the preliminary 2014 national rate of 3.4/100,000.

Figure 3. Fatal Work-Related Injury Rates, 2000-2014

Data Source: Census of Fatal Occupational Injuries (CFOI).

Indicator #4: Work-Related Amputations with Days Away from Work

There were 100 amputation cases with days away from work in 2014, down 20 cases from the year 2013. The annual incidence rate of 8 cases per 100,000 FTEs was more than 50% higher than the national amputation incidence rate of 5/100,000 (BLS SOII) in 2014 (Figure 4). Figure 4. Work-Related Amputation Rates, 2000-2014

Data Source: Annual BLS Survey of Occupational Injuries and Illnesses (SOII).

4.4 4.4 4.1 4 4.1 4 4 3.9 3.8 3.5 3.6 3.6 3.4 3.4 3.4

7

66.5

7.9 7.6

6.5

7.6

5.8 5.9 5.9

4.1

5.3 5 4.8 4.6

0

2

4

6

8

10

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

Rat

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0,0

00

FTE

s

US KY

1110

109 9 9

9

87

7 6 6 6

7

5

11

7

1211

1312

7

1113

8 7

12

7

7

8

0

2

4

6

8

10

12

14

16

18

20

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

Rat

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FTE

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US KY

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Occupational Health in Kentucky: Annual Report 2015

5

Indicator #5: Amputations Filed with the State Workers’ Compensation System by Injury Year

There were 103 amputations reported to the Kentucky Department of Workers’ Compensation with injury occurring during 2013. The majority of these injuries occurred in the manufacturing industry (n=62). The 2013 incidence rate of 5.9 amputations per 100,000 workers covered by the state Workers’ Compensation system was the same as the 2012 incidence rate (Figure 5).

Figure 5. Annual Incidence Rate of Amputation Cases with Lost Work-time Filed with State Workers’ Compensation, per 100,000 Workers Covered by the State Workers’ Compensation System, 2000-2013

Data Source: Kentucky Department of Workers’ Claims.

Indicator #6: Work-Related Burn Hospitalizations

There were 26 work-related burn hospitalizations in 2014 with an annual crude rate for work-related burn hospitalizations of 1.4/100,000 employed persons age 16 years or older. (Figure 6). Figure 6. Burn Hospitalizations, 2000-2014

Data Source: Kentucky Inpatient Hospital Discharge Data, Office of Health Policy.

11.7

11.6

11.1

10.8

10.1

10.8

9.5

10.3 7.7

6.5

6.2

6.2

5.9

5.9

0

5

10

15

20

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

Rat

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wo

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rs c

ove

red

b

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KY

4.0

2.6

3.1

4.0

5.9

4.6

3.8 4.2

2.5

0.8 0.8

2.7

3.2

2.93.3

2.4 2.5 2.6

1.9 1.91.3

0.9

0.8 0.91.2 1.4

0.0

1.0

2.0

3.0

4.0

5.0

6.0

7.0

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014Rat

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US KY

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Occupational Health in Kentucky: Annual Report 2015

6

Indicator #7: Work-Related Musculoskeletal Disorders (MSDs) with Days Away from Work Kentucky had a total annual MSD incidence rate of 374 cases/100,000 FTEs in 2013 (Figure 7), due primarily to MSDs of the back (157/100,000). Figure 7. Musculoskeletal Disorders Incidence Rates Involving Days Away from Work, 2003-2013

Data Source: Annual Bureau of Labor Statistics (BLS) Survey of Occupational Injuries and Illnesses (SOII).

Indicator #8: Carpal Tunnel Syndrome First Report of Injury Filed with the State Workers’ Compensation System by Injury Year

There were 251 Carpal Tunnel Syndrome (CTS) cases reported in 2013, an incidence rate of 14/100,000. Figure 8. Lost Work-Time Claim Rates for Carpal Tunnel Syndrome Cases Identified in State Workers’

Compensation Systems, 2000-2013

Data Source: Kentucky Department of Workers’ Claims.

349

308

352

257 245

190 213 213 193170

157

33 29 9 14 12 6 7 9 6 10 7

214183 177

158 143106 106

141 128 123 104

698

622

665

542482

409

417

446

445

408

374

0

100

200

300

400

500

600

700

800

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

Rat

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10

0,0

00

FTE

s

MSDs of the back

Carpal tunelsyndrome

MSDs of the neck,shoulder, andupper extremities

All MSDs

33

32

30

31

30

21

18

17

14

15

14

13

16

14

0

10

20

30

40

50

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

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KY

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Occupational Health in Kentucky: Annual Report 2015

7

Indicator #9: Hospitalization from or with Pneumoconiosis

The annual age-standardized rate of pneumoconiosis hospitalizations per million residents in Kentucky increased 5% from 466/100,000 in 2013 to 487/100,000 in 2014. There were 2,036 total pneumoconiosis hospitalizations in 2014, including 1,695 coal workers’ pneumoconiosis hospitalizations (Figure 9). Figure 9. Age-Standardized Hospitalization Rates from or with Total Pneumoconiosis, 2004-2014

Note: U.S. rates are not available for years 2011 - 2014. Data Source: Kentucky Inpatient Hospital Discharge Data, Office of Health Policy.

Indicator #10: Mortality from or with Pneumoconiosis

There were 121 deaths for Kentucky residents ages 16 years or older, who died from or with pneumoconiosis in 2014. The 2014 Kentucky age-adjusted death rate from or with pneumoconiosis for residents 16 years of age or older was 31 per one million, 417% above the U.S. rate (Figure 10).

Figure 10. Age-Standardized Mortality Rate from or with Pneumoconiosis, 2003-2014

Data Source: Kentucky Death Certificates, Office of Vital Statistics and the U.S. multiple cause of death files, CDC WONDER query system.

125 109 86 78 79 68 42

593

555

558

496

572

570

572

553

526

466

487

0

100

200

300

400

500

600

700

2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014Rat

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US KY

12

11

10

10

9

9

8.0

8

7

7

76

36

35

35

3330

26 26

2832

28 2831

0

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2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

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Occupational Health in Kentucky: Annual Report 2015

8

Indicator #11: Acute Work-Related Pesticide-Associated Illness and Injury Reported to Poison Control Centers

The 2012 annual incidence rate of reported work-related pesticide poisonings in Kentucky was 2.5/100,000 FTEs, 32% above the national rate (Figure 11).

Figure 11. Work-Related Pesticide-Associated Poisoning Rates, 2000-2012

Data Source: American Association of Poison Control Centers.

Indicator #12: Incidence of Malignant Mesothelioma

The age-adjusted rate of malignant mesothelioma was 10.0 cases per million residents in 2012, about 16% below the U.S rate of 12 malignant mesothelioma cases per one million residents (Figure 12).

Figure 12. Age-Standardized Incidence Rate of Malignant Mesothelioma, 2000-2012

Data Source: Kentucky Cancer Registry. U.S. rate for 2011 was not available at the time of the publication.

2.11.8

1.9 1.8 1.8 1.8 1.8 1.71.5 1.5

2.1 2 1.9

3

1.6

2.62.8

2.4 2.42.5 2.4

2.2 2.1

3.7 3.6

2.5

0

1

2

3

4

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012

Rat

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FTE

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US KY

10.512.7

13.9 13.7 13.8 1412.8 12.6

12.5

13 12.5 12.4 12

9.88.7

12 108.3 8.5

7.9

10.3

14

9.8 9.4 10 10

0

5

10

15

20

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012Rat

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Occupational Health in Kentucky: Annual Report 2015

9

Indicator #13: Elevated Blood Lead Levels (BLL) among Adults

The current surveillance case definition for an elevated BLL used by the Centers for Disease Control and Prevention (CDC) and National Institute for Occupational Safety and Health (NIOSH) includes workers aged 16 and older, with blood lead concentrations of 10 μg/dL or higher. There were 378 incident cases with BLL > 10μg/dL in 2012. The Kentucky rate of incidence cases of persons age 16 years or older with elevated BLL > 10μg/dL was 18.2/100,000 in 2012. The Kentucky annual incidence rate of persons aged 16 years or older with elevated BLL> 25μg/dL was 4.7/100,000 in 2012 (89 cases), a slight decrease compared to the 2011 rate of 4.8/100,000. Figure 13. Annual Incidence Rates of Elevated BLL ≥25 μg/dL Among Persons Age 16 Years and Older*

Data Source: Kentucky Lead Poisoning Prevention Program, Division of Adult and Child Health. U.S. rates were obtained from the NIOSH ABLES program. U.S. rates for 2011-2012 were not available at the time of the publication.

Indicator #14: Workers Employed in Industries with High Risk for Occupational Morbidity

The percentage of Kentucky workers employed in high-risk morbidity industries in year 2012 was 9.3% (Figure 14), same as in 2011. Nationwide, the percentage of workers employed in industries at high risk for occupational morbidity in 2012 was 7.2% (Figure 14).

Figure 14. Percentage of Workers in High Risk Industries for Occupational Morbidity, 2012

Data Source: Census Bureau County Business Patterns.

5.1 4.7 4.2 4.43.8 3.4

2.74

8

5

76 6.1

7.4

4 4.5 4.8 4.7

0

2

4

6

8

10

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012

Rat

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5.9 6.2

7.5

5.36.1

10.6

6.9

9.3

7.7 7.7

6.4

8.7 9

6.56.9

7.4

10.1

7.16.4

4.1

6.97.7

5.8

6.8

9.4

7.2

0

2

4

6

8

10

12

CA CO CT FL GA IA IL KY LA MA MD MI MN MO MT NC NE NH NJ NM NY OR TX WA WI US

% w

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ers

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Occupational Health in Kentucky: Annual Report 2015

10

Indicator #15: Percentage of Workers Employed in Occupations at High Risk for Occupational Morbidity

In 2012 there were 229,050 (15.8%) of Kentucky workers employed in occupations at high risk for occupational morbidity. The percentage of U.S. workers employed in occupations at high risk for occupational morbidity in 2012 was 15.9%.

Figure 15. Percentage of Ky Workers in Occupations with High Risk for Occupational Morbidity, 2012

Data Source: Bureau of Labor Statistics (BLS) Current Population Survey (CPS).

Indicator #16: Percentage of Workers Employed in Industries and Occupations at High Risk for Occupational Mortality

In 2012, 227,238 (14.2%) of the Kentucky workers were employed in high-risk for occupational mortality occupations. The corresponding U.S. percentage was 12.3% (Figure 16). The percentage of Kentucky workers employed in high mortality risk industries was 16.2% in 2012, 10% above the U.S. (15.3%) (data not shown).

Figure 16. Percentage of Workers Employed in High Mortality Risk Occupations, 2012.

Data Source: Bureau of Labor Statistics (BLS) Current Population Survey (CPS).

16

.5

13

.9 15

.3

13

.3

16

.3 18

.6

16

.2

15

.8

16

.5

13

.1 14

.7

14

.9

15

.3 17

.5

17

.8

16

.7

16

.7

13

.3 15

.5

15

.4 16

.6

13

.8

18

14

.3 15

.5

15

.9

0

5

10

15

20

25

CA CO CT FL GA IA IL KY LA MA MD MI MN MO MT NC NE NH NJ NM NY OR TX WA WI US

% w

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12

.3

10

.8

8

11

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.9

10

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14

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18

.8

12

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15

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8.7 9

12

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9.5

12

.7 14

.4

11

.7

12

.2

12

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0

5

10

15

20

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CA CO CT FL GA IA IL KY LA MA MD MI MN MO MT NC NE NH NJ NM NY OR TX WA WI US

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Occupational Health in Kentucky: Annual Report 2015

11

Indicator #17: Occupational Safety and Health Professionals

Table 1. Rates of Occupational Safety and Health Professionals in Kentucky and the U.S.

Rate per 100,000 employees KY 2010

US 2010

KY 2012

US 2012

Rate of board-certified occupational medicine physicians 1.5 2.1 1.5 2.1

Rate of American College of Occupational and Environmental Medicine (ACOEM) members 3.3 2.9 3.1 2.7

Rate of board-certified occupational health nurses 4.0 3.9 NA NA

Rate of members of the American Association of Occupational Health Nurses (AAOHN) NA NA 3.8 3.3

Rate of board-certified industrial hygienists 3.6 5.2 3.0 3.3

Rate of American Industrial Hygiene Association (AIHA) members 4.4 5.6 5.8 6.0

Rate of board certified safety health professionals 8.6 8.8 9.7 9.2

Rate of American Society of Safety Engineers (ASSE) members 27.5 22.5 29.9 22.7 Data Sources: American Board of Preventive Medicine, ACOEM, American Board of Occupational Health Nurses Directory, AAOHN, American Board of Industrial Hygiene, AIHA, BCSP, ASSE, BLS Current Population Survey.

Indicator #18: OSHA Enforcement Activities

In 2012, there were 1,062 establishments inspected by KY OSHA. The percentage of establishments under OSHA jurisdiction inspected by KY OSHA in 2012 was 1.0% (Figure 17). The percentage of OSHA-covered employees whose work areas were inspected by OSHA in 2012 was 4.5%, a 33% decrease compared with year 2011. Figure 17. OSHA Enforcement Activities, 2011-2012

Data Sources: OSHA annual reports, BLS statistics on Covered Employers and Wages.

0.0%

1.0%

2.0%

3.0%

4.0%

5.0%

6.0%

7.0%

KY 2012 US 2012 KY 2011 US 2011 KY 2012 US 2012 KY 2011 US 2011

percentage of all establishments under OSHAjurisdiction inspected by OSHA

percentage of employees in establishmentsunder OSHA jurisdiction whose work areas

were inspected

1.0% 1.0% 1.0% 1.1%

4.5%

3.3%

6.7%

3.6%

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Occupational Health in Kentucky: Annual Report 2015

12

Indicator #19: Workers’ Compensation Awards

The total amount of workers’ compensation benefits paid in Kentucky in 2013 was $698 million. The average amount of workers’ compensation benefits paid per covered worker in Kentucky increased 5% from $384 in 2012 to $402 in 2013 (Figure 18). Figure 18. Average Amount of Workers’ Compensation Benefits Paid Per Worker in Kentucky, 2000-2013

Data Source: National Academy of Social Insurance.

Indicator #20: Low Back Disorders

In 2014, the number of work-related surgical low back disorder hospitalizations for persons 16 years or older in Kentucky was 125, at an annual rate of 6.7/100,000 employees (Figure 19). There were 47 non-surgical work-related low back disorder hospitalizations for persons 16 years old and above, an annual rate of 2.5/100,000.

Figure 19. Kentucky Work-Related Surgical and Nonsurgical Low Back Disorder Hospitalization Rates Among Persons 16 Years and Older, 2009-2014

Data Source: Kentucky Department for Public Health, Office of Health Policy.

$334

$396$423 $429

$452$411

$377 $368$398

$442$391 $389 $384 $402

$0

$100

$200

$300

$400

$500

$600

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

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am

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11.610.2

8.8 9.2

7.56.7

6.24.7 4.5

3.5 3.32.5

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4

6

8

10

12

14

2009 2010 2011 2012 2013 2014

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Surgical Non-surgical

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Occupational Health in Kentucky: Annual Report 2015

13

Indicator #21: Asthma Among Adults Caused or Made Worse by Work

Using data from the 2011 Asthma Call Back Survey conducted on Behavioral Risk Factor Surveillance System (BRFSS) respondents, it was estimated that 228,298 (63.5%) of ever-employed Kentucky adults with current asthma considered that their asthma was caused or made worse by exposures at work.

Indicator #22 (Kentucky-Specific): Fatal and Non-Fatal Occupational Motor Vehicle Collision Injuries

In 2014, there were 12,533 occupational motor vehicle collisions (MVCs) in Kentucky, a 10% increase from 11,332 in 2013; 77 drivers or occupants in the vehicles involved in these collisions were killed and 2,750 people were injured. Table 2 compares some characteristics of the commercial vehicles involved in collisions in Kentucky 2010-2014. In about two-thirds of the cases, the commercial vehicle was listed as unit one (usually, the unit at fault). There were 32 commercial vehicle fires in 2014 compared to 25 reported in 2013. The number of buses involved in motor vehicle collisions increased from 156 in 2013 to 171 in 2014. Table 2. Kentucky Commercial Vehicle Collisions, 2010-2014

Year

2010 2011 2012 2013 2014

Total number of commercial vehicles involved in collisions in Kentucky

5,984 6,395 6,122 6,296 7,281

Unit number 01 (usually, the unit at fault ) 3,840 4,166 3,951 4,097 4,755

Driver's injury

Fatal 9 13 10 9 8

Incapacitating 31 48 37 37 40

Non-incapacitating 145 116 110 125 142

Possible injury 139 143 150 139 155

Vehicle fire 33 20 31 25 32

KY license 3,466 3,080 2,848 2,909 3,323

Total number of fatalities in collisions involving a commercial vehicle

99 83 81 72 64

Total number of injuries in collisions involving a commercial vehicle

1,438 1,438 1,392 1,399 1,396

Single vehicle collision 1,316 1,475 1,407 1,440 1,614

Unit type

Bus 148 136 143 156 171

School bus 59 75 69 71 82

Truck and trailer 1,018 1,125 1,083 1,094 1,313

Truck – single unit 1,498 1,385 1,419 1,484 1,697

Truck tractor & semi-trailer 3,111 3,491 3,279 3,358 3,884

Truck – other combination 122 138 109 106 110

Other 28 44 20 26 24

Hazard cargo present 171 151 133 136 180

Data Source: Kentucky State Police Collision Report Analysis for Safer Highways (CRASH) database.

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Occupational Health in Kentucky: Annual Report 2015

14

Indicator #23: (Kentucky- Specific): Occupational Motor Vehicle Collisions- First Reports of Injury and Claims Filed with Workers’ Claims by Injury Year

There were 1,289 occupational motor vehicle collision claims or first reports of injury filed with the Kentucky Department for Workers’ Claims for injuries during 2013, with 68 injuries /100,000 workers (Figure 20).

Figure 20. Occupational Motor Vehicle Collision Injury Rates, 2000-2013

Data Source: Kentucky Department of Workers’ Claims.

Indicator #24 (Kentucky- Specific): Occupational Falls- First Reports of Injury and Claims Filed with Workers’ Claims by Injury Year

In 2013, there were 6,787 occupational fall claims and first reports of injuries filed with the Kentucky Department of Workers’ Claims; an associated injury incidence rate of 357/100,000 employed workers (Figure 21).

Figure 21. Occupational Fall Injury Incidence Rates, 2000-2013

Data Source: Kentucky Department of Workers’ Claims.

98 96 96 99 96 95 91 89 8967 65 69 62 68

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Occupational Health in Kentucky: Annual Report 2015

15

Indicator #25 (Kentucky- Specific): Work-related Traumatic Injuries Treated in Kentucky Trauma Centers

Kentucky Trauma System expanded from 5 trauma centers in 2008 to 28 trauma centers in 2014 that have been submitting data to the state Trauma Registry (TR) system. The number of work-related traumatic injury cases reported to the state TR increased from 350 in 2008 to 460 in 2014 but as a percentage of all traumatic injuries this is a decrease from 5.3% in 2008 to 3.6% in 2014 (Figures 22 and 23). The rate of work-related traumatic injuries reported to the TR increased from 16.4/100,000 employed persons in 2008 to 24.5/100,000 in 2014 (Figure 24). The majority of the 2014 injured workers were employed in other services industry (n=109, 24%), construction (n=61, 13%), and transportation and public utilities (n=33, 7%).

Figure 22. Work-related traumatic injuries treated in Kentucky trauma centers

Data Source: Kentucky Trauma Registry.

Figure 23. Work-related traumatic injuries as a percentage of all traumatic injuries treated in Kentucky trauma centers

Data Source: Kentucky Trauma Registry.

Figure 24. Rate of work-related traumatic injuries treated in Kentucky trauma cent

Data Source: Kentucky Trauma Registry.

350303

350409 415 408

460

0

100

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2008 2009 2010 2011 2012 2013 2014

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5.3%4.5% 4.6% 4.8%

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Occupational Health in Kentucky: Annual Report 2015

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Indicator #26 (Kentucky- Specific): Work-related Traumatic Brain Injury (TBI) Hospitalizations

In 2014, there were 69 work-related TBI hospitalizations; an associated rate of 3.7/100,000 employed persons (Figure 25). Figure 25. Rate of work-related TBI hospitalizations, 2008-2014

Data Source: Kentucky Inpatient Hospital Discharge Data, Office of Health Policy. Indicator #27 (Kentucky- Specific): Occupational Concussion- First Reports of Injury and Claims Filed with Workers’ Claims by Injury Year

In 2014, there were 300 occupational concussion claims and first reports of injuries filed with the Kentucky Department of Workers’ Claims; an associated injury incidence rate of 16/100,000 employed workers (Figure 21). The number of concussion injures reported to WC steady increased over the last 7 years which could be partially due to the increased awareness and better recognition of concussion injuries. Figure 21. Occupational Fall Injury Incidence Rates, 2000-2013

Data Source: Kentucky Department of Workers’ Claims.

3.8

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Occupational Health in Kentucky: Annual Report 2015

17

This publication was supported by grant number 1U60/OH008483-11 from CDC-NIOSH. Its contents are solely the responsibility of the Kentucky Injury Prevention and Research Center and do not necessarily represent the official views of NIOSH.

The Kentucky Injury Prevention and Research Center (KIPRC) is a partnership

between the Kentucky Department for Public Health and the University of

Kentucky’s College of Public Health that combines academic investigation with

practical public health initiatives.

Inquiries should be directed to:

Kentucky Injury Prevention and Research Center

333 Waller Avenue, Suite 242

Lexington, Kentucky 40504

(859) 257-4954 office

(859) 257-3909 fax

http://www.kiprc.uky.edu