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Full text linkThe root causes of health care worker strain and depression include excessive job demands, extended work schedules, little decision-making opportunity, assault, bullying, and fear of injury. Potential links between working conditions and opioid overuse have also been discussed, beginning with psychological job strain or with physical pain leading to medication use. Promising solutions have been identified and many would be cost-effective, as enhanced working conditions could improve workers' mental health, job satisfaction, retention, and patient outcomes. Considering the number of health care workers leaving work during the global COVID-19 pandemic, it is urgent to address preventable root causes. In 2021, the US Congress called for educating health workers and first responders on the primary prevention of mental health conditions and substance use disorders. The CDC issued a Request for Information; this submission summarized research from CPH-NEW, a NIOSH Center of Excellence in |\uae, supplemented by a selective literature review.U19 OH008857/OH/NIOSH CDC HHSUnited States/U19 OH012299/OH/NIOSH CDC HHSUnited States
2022 National and State HAI Progress Report: Standardized Utilization Ratios for Acute Care Hospitals
No full textStandardized Utilization Ratio data for the 2022 HAI Progress Report (Acute Care Hospitals
Child Abuse Negl
Full text linkBackground:Empirical studies have demonstrated associations between ten original adverse childhood experiences (ACEs) and multiple health outcomes. Identifying expanded ACEs can capture the burden of other childhood adversities that may have important health implications.Objective:We sought to identify childhood adversities that warrant consideration as expanded ACEs. We hypothesized that experiencing expanded and original ACEs would be associated with poorer adult health outcomes compared to experiencing original ACEs alone.Participants:The 11,545 respondents of the National Longitudinal Surveys (NLS) and Child and Young Adult Survey were 48.9 % female, 22.7 % Black, 15.8 % Hispanic, 36.1 % White, 1.7 % Asian/Native Hawaiian/Pacific Islander/Native American/Native Alaskan, and 7.5 % Other.Methods:This study used regression trees and generalized linear models to identify if/which expanded ACEs interacted with original ACEs in association with six health outcomes.Results:Four expanded ACEs\u2014basic needs instability, lack of parental love and affection, community stressors, and mother\u2019s experience with physical abuse during childhood \u2014significantly interacted with general health, depressive symptom severity, anxiety symptom severity, and violent crime victimization in adulthood (all p-values <0.005). Basic needs instability and/or lack of parental love and affection emerged as correlates across multiple outcomes. Experiencing lack of parental love and affection and original ACEs was associated with greater anxiety symptoms (p = 0.022).Conclusions:This is the first study to use supervised machine learning to investigate interaction effects among original ACEs and expanded ACEs. Two expanded ACEs emerged as predictors for three adult health outcomes and warrant further consideration in ACEs assessments.CC999999/ImCDC/Intramural CDC HHSUnited States
The COVID-19 Pandemic Demonstrated Why CDC Needs Data Authority
Full text linkThe COVID-19 Pandemic Demonstrated Why CDC Needs Data Authority (timeline)
Varicella disease: (Week 42) Weekly cases* of notifiable diseases, United States, U.S. Territories, and Non-U.S. Residents week ending October 19 2024
No full textThis data includes weekly cases of notifiable diseases, United States, U.S. Territories, and Non-U.S. Residents, specifically covering Varicella disease cases. The Weekly data are considered provisional and collected locally due to state, territorial, and local regulations. Healthcare providers, medical labs, and other entities report conditions to public health departments, varying by jurisdiction. Case notifications for national notifiable conditions are voluntarily submitted to CDC. NNDSS data are provisional and subject to change until reconciled with state and territorial providers. Weekly cumulative counts may increase or decrease as updates occur. Finalized annual data often differ from provisional counts. CDC aggregates data for national notifiable diseases and conditions on a weekly and annual basis. To see specific surveillance Case Definitions for this disease, go to: https://ndc.services.cdc.gov/2024-42-table 1360-H.pd
A Crane Operator is Knocked Off a Truck Bed and Crushed by an Unsecured 40-foot Tower Crane Jib
Full text linkA 45-year-old crane operator died when knocked off a truck bed by a tower crane jib that rolled off a truck bed and struck him. The victim was assisting another employee rig the loads for unloading as they were being delivered. The victim was going to be the tower crane operator once it was erected. A meeting was held right after lunch on the day of the incident instructing all truck drivers not to untie their loads before the rigging was complete. The driver of the truck involved in the incident was not at the meeting and wasn't aware of the change in procedure The CA/FACE investigator determined that, in order to prevent future occurrences, employers, as part of their Injury and Illness Prevention Program (IIPP) should: 1. Ensure that all affected employees and sub-contractors are aware of changes in procedures. 2. Continuously evaluate safe work practices for effectiveness.Publication Date provided by FACE program; not printed on the report.Cooperative Agreemen
A Construction Carpenter was Killed When Struck by the Bucket of a Backhoe
Full text linkA 24-year-old construction carpenter died when struck by the bucket of a backhoe. The victim was checking the measurements of the footings on the foundation of a building that was being built at the time of the incident. The backhoe operator extended the bucket up and out to empty some dirt, then swung it back toward the work. When the operator swung the bucket around, the victim and co-workers were bent over checking the measurements of the footings and were struck by the backhoe bucket and boom. 1. The CA/FACE investigator determined that, in order to prevent future occurrences, employers, as part of their Injury and Illness Prevention Program (IIPP) should: 2. Ensure that backhoe operators are certain the area is clear of all persons before they start and/or re-start operating. 3. Consider requiring training certification for backhoe operators.Publication Date provided by FACE program; not printed on the report.Cooperative Agreemen
Plant Manager dies when he falls from the top of a boiler in California
Full text linkA 59-year-old male Plant Manager (decedent) died when he fell from the top of a boiler. The decedent had climbed a fixed ladder to gain access to a platform built on top of the boiler. A valve in the steam line needed to be opened to release pressure. In order to turn the valve wheel that was 6 feet, 1 inch above the platform floor, the decedent climbed onto the guardrail surrounding the platform. He was using a 3-foot-long pipe wrench to open the 16-inch valve wheel when the decedent slipped, or the pipe wrench slipped causing the decedent to topple over the guardrail. The decedent landed on the concrete floor below. The employer did not have an Injury and Illness Prevention Program (IIPP) or a code of safe practices. The decedent, who was substituting for the boilermaker, was not trained in the task he undertook. The employer did not have a person on site to which safety responsibilities were assigned. No recent safety inspection had been performed. The CA/FACE investigator determined that, in order to prevent future occurrences, employers should as part of their Injury and Illness Prevention Program (IIPP): 1. ensure employees do not stand on guard railing to gain access to a work area. 2. ensure employees do not perform tasks for which they are not trained. 3. make work areas safely accessible to employees. 4. supply proper tools that are commercially available for tasks employees must perform. 5. develop and implement a formal, written Injury and Illness Prevention Plan to include a code of safe practices. 6. assign a qualified safety person to fully carry out safety responsibilities.Cooperative Agreemen
Hod Carrier dies and three co-workers injured in fall from rolling tower scaffold in California
Full text linkA 29-year-old hod carrier (decedent) died and three co-workers were injured when they fell from the fourth story of a pump house building that was under construction. The decedent and three co-workers were spraying fireproof insulation onto the structural steel frame of the building. They used a rolling tower scaffold to gain access to the structural steel overhead. Putlogs (types of trusses) had been added to sides of the rolling tower scaffold on which an extension platform had been constructed. This platform was used to gain access to the outer side of the structural steel. A fourth worker (the decedent) joined his three co-workers to help install a guardrail. Their combined weight caused the scaffold to tip and throw them to the concrete deck 44 feet below. The scaffold had not been engineered for the extension platform. No counterweights, anchorage or bracing were used. Neither the decedent nor his coworkers were wearing personal fall protection. The scaffold was constructed using parts from different manufacturers. The CA/FACE investigator determined that, in order to prevent future occurrences, employers should as part of their Injury and Illness Prevention Program (IIPP): 1. ensure scaffolds are constructed according to manufacturer's recommendations or are properly designed/engineered. 2. ensure employees follow safe work practices when constructing scaffolds. 3. ensure employees do not exceed scaffold load limits given by the manufacturer or by the engineer.Cooperative Agreemen
Logger and logging supervisor killed by uprooted tree
Full text linkAn uprooted tree struck and killed a 34-year-old logging supervisor and a 33-year-old logger (the victims). The victims were part of a six-man crew using a crane to move cut timber from a slope to a road. The mobile crane, known as a "yarder," was located on the road above the slope. It was anchored by a single guyline to an uncut tree on the hillside above the road. At the time of the incident, the yarder was attempting to pull a set of logs up the slope. During two previous attempts or "turns," the logs had become hung-up on a stump. The two victims were standing near the yarder when a third "turn" was started. The logs hung-up again. The tree that was anchoring the yarder uprooted and fell toward the yarder. A co-worker working on the slope below the road (the witness) saw the tree fall toward the yarder. He yelled to a co-worker to radio for help and climbed up the slope to the road where other workers met him. Both victims were found under the uprooted tree. CPR was performed but stopped when there was no detectable response. Alaska State Troopers were notified, and the bodies recovered. The victims were pronounced dead at the scene. Based on the findings of the investigation, to prevent similar occurrences, employers should: 1. Ensure that all crewmembers are capable of recognizing hazardous conditions and are authorized to stop work so that work procedures can be modified in accordance with safe logging and timber harvesting methods. 2. Ensure that all skylines and guylines are anchored to stumps; 3. Ensure that all personnel involved in rigging of cable yarding systems are trained in selecting and rigging anchor stumps.Cooperative Agreemen