Costs of Occupational Injuries and Illnesses


Book Description

As the debate over health care reform continues, costs have become a critical measure in the many plans and proposals to come before us. Knowing costs is important because it allows comparisons across such disparate health conditions as AIDS, Alzheimer's disease, heart disease, and cancer. This book presents the results of a major study estimating the large and largely overlooked costs of occupational injury and illness--costs as large as those for cancer and over four times the costs of AIDS. The incidence and mortality of occupational injury and illness were assessed by reviewing data from national surveys and applied an attributable-risk-proportion method. Costs were assessed using the human capital method that decomposes costs into direct categories such as medical costs and insurance administration expenses, as well as indirect categories such as lost earnings and lost fringe benefits. The total is estimated to be $155 billion and is likely to be low as it does not include costs associated with pain and suffering or of home care provided by family members. Invaluable as an aid in the analysis of policy issues, Costs of Occupational Injuryand Illness will serve as a resource and reference for economists, policy analysts, public health researchers, insurance administrators, labor unions and labor lawyers, benefits managers, and environmental scientists, among others. J. Paul Leigh is Professor in the School of Medicine, Department of Epidemiology and Preventive Medicine, University of California, Davis. Stephen Markowitz, M.D., is Professor in the Department of Community Health and Social Medicine, City University of New York Medical School. Marianne Fahs is Director of the Health Policy Research Center, Milano Graduate School of Management and Urban Policy, New School University. Philip Landrigan, M.D., is Wise Professor and Chair of the Department of Community Medicine, Mount Sinai Medical Center, New York.




Estimating the Cost of Work-related Accidents and Ill-health


Book Description

The European Agency for Safety and Health at work (EU-OSHA) aims to estimate the costs of accidents at work, work-related health problems and work-related deaths in Europe. The first step towards achieving this objective entails the production of an overview of the availability and quality of the national and international data sources required for the development of such a European-level cost calculation. The current report presents these results. The availability of relevant data was checked at the international as well as the national level in the 28 Member States of the European Union (EU-28), Iceland and Norway. Data were collected with the assistance of country experts who were asked to complete forms relating to sources of cases and costs of accidents at work and work-related health problems. The resulting data were assessed against predefined quality criteria. The cost assessment was limited to an overview of availability of data. Having assessed the coverage and quality of the available data sources, it became apparent that there were insufficient data to determine cases of the work-related burden of disease at the European level. There is a paucity of robust, reliable data relating to accidents at work and work-related health problems. With regard to costs, we found that direct healthcare costs can be deduced from international data sources. Calculating indirect costs, however, would be challenging, as data relating to several additional costs and the friction period are missing. Based on the available data sources on gross salary, we recommend adopting the human capital approach. An essential prerequisite for the use of such an approach, however, is that the number of missed work days can be estimated. Despite the lack of data, some of the gaps may be filled through estimation. Suggestions for an approach to doing so can be based on the following observations: - In some countries the availability of data sources appears to be reasonably sound and may be sufficient to carry out a cautious estimation. Subsequently, these results may be used to estimate the costs in other countries with comparable structures. - Through a combination of figures on the work-related fraction of diseases, incidence and prevalence of these diseases, and costs associated with such diseases, a cost estimation may be feasible for some specific work-related diseases. - Since much research has been done on the impact of certain risk factors on specific health problems, and figures on the occurrence of certain risk factors are also available, a cost estimation by risk factor seems feasible. An approach like this may allow a partial cost estimation. However, an estimate of the total burden of work-related disease would require a considerable number of assumptions to be made.













The Costs of Accidents at Work


Book Description

This revised version of HS(G)96 (0 7176 1343 7) continues to publicizes the message that most companies do not realize the extent of their losses due to accidents. It emphasizes that there is no contradiction between profitability and good health and safety mnagement. TUC figures show that unions secured damage awards totalling 304m for workplace injuries and ill health to their members in 1995. The revision is aimed primarily at management and applies to all industries. It repalces 0 7176 1343 7, with the same series number.













Mandatory Workplace Safety and Health Programs


Book Description

In 1998, the Occupational Safety and Health Administration (OSHA) began developing a standard that would have required all workplaces to establish a safety and health program. By 1999, it had abandoned its rulemaking process, partly due to intense criticism of the proposed standard. This report assesses the standard and studies of its potential effects, concluding with recommendations should federal or state authorities revisit the initiative.