Occupational Disease Surveillance System in U.S.A. and U.K.

Author(s):  
Seong Kyu Kang ◽  
Jae Chul Hong ◽  
Yun Chul Hong ◽  
Seong Ah Kim
2021 ◽  
Vol 64 (5) ◽  
pp. 338-357
Author(s):  
Natalie Troke ◽  
Chloë Logar‐Henderson ◽  
Nathan DeBono ◽  
Mamadou Dakouo ◽  
Selena Hussain ◽  
...  

2019 ◽  
Vol 76 (9) ◽  
pp. 625-631 ◽  
Author(s):  
Sharara Shakik ◽  
Victoria Arrandale ◽  
Dorothy Linn Holness ◽  
Jill S MacLeod ◽  
Christopher B McLeod ◽  
...  

ObjectivesDermatitis is the most common occupational skin disease, and further evidence is needed regarding preventable risk factors. The Occupational Disease Surveillance System (ODSS) derived from administrative data was used to investigate dermatitis risk among industry and occupation groups in Ontario.MethodsODSS cohort members were identified from Workplace Safety and Insurance Board (WSIB) accepted lost time claims. A case was defined as having ≥2 dermatitis physician billing claims during a 12-month period within 3 years of cohort entry. A 3-year look-back period prior to cohort entry was used to exclude prevalent cases without a WSIB claim. Workers were followed for 3 years or until dermatitis diagnosis, age 65 years, emigration, death or end of follow-up (31 December 2016), whichever occurred first. Age-adjusted and sex-adjusted Cox proportional hazard models estimated HRs and 95% CIs. The risk of dermatitis was explored using a job exposure matrix that identifies exposure to asthmagens, many of which also cause contact dermatitis.ResultsAmong 597 401 workers, 23 843 cases of new-onset dermatitis were identified. Expected elevated risks were observed among several groups including furniture and fixture industries, food and beverage preparation and chemicals, petroleum, rubber, plastic and related materials processing occupations and workers exposed to metal working fluids and organic solvents. Decreased risk was observed among farmers, nurses and construction industries, and occupations exposed to latex and indoor cleaning products.ConclusionsODSS can contribute to occupational dermatitis surveillance in Ontario by identifying occupational groups at risk of dermatitis that can then be prioritised for prevention activities.


2019 ◽  
Vol 16 (5) ◽  
pp. 563-571 ◽  
Author(s):  
Chloë Logar-Henderson ◽  
Jill S. MacLeod ◽  
Victoria H. Arrandale ◽  
D. Linn Holness ◽  
Christopher B. McLeod ◽  
...  

Author(s):  
Jill MacLeod ◽  
Chloe Logar-Henderson ◽  
Chris McLeod ◽  
Alice Peter ◽  
Paul A Demers

IntroductionWorkplace conditions and exposures are important determinants of health. However, identifying and monitoring population-level trends in work-related disease is challenged by existing data limitations. Administrative health databases capture timely and accurate information about disease diagnoses among the Ontario population, but these data do not include work history. Objectives and ApproachThe Occupational Disease Surveillance System (ODSS), launched in 2017, captures and reports trends in work-related disease in Ontario. A cohort of 2+ million workers was identified from compensation claims (1983-2014). Records were linked through probabilistic and deterministic methods to the Registered Persons Database (1990-2015), and administrative health databases including the Ontario Cancer Registry (1964-2016), hospitalization (2006-2016), ambulatory care (2006-2016) and provincial health insurance plan billing data (1999-2016). Preliminary applications of ODSS have examined risks of 28 cancer sites and 11 non-cancer health conditions. Risks are estimated with Cox proportional hazards models for thousands of industry and occupation groups. ResultsLinkage of existing administrative databases is an efficient approach for examining risk factors for work-related disease at the population level. ODSS can identify groups of workers by industry or occupation that are at increased risk of disease due to known or suspected workplace conditions and risk factors. For example, ODSS detected elevated risk of lung cancer among known at-risk workers employed in mining and quarrying (HR 1.47, 95% CI 1.33-1.61), transport equipment operating (HR 1.39, 95% CI 1.34-1.44), and construction (HR 1.09, 95% CI 1.06-1.13). Exploratory analyses can also detect previously unknown associations between work-related risk factors and disease. For example, although dermatitis and asthma are common occupational diseases, many causative exposures remain unclear. ODSS is currently being used to further explore potential risk factors. Conclusion/ImplicationsTimely information about work-related disease is crucial to support prevention initiatives to protect workers. This novel linkage identifies existing and emerging trends in occupational disease in Ontario. By capturing work-related risk factors, ODSS serves as a model for other provinces to overcome existing gaps in disease surveillance.


2019 ◽  
Vol 39 (5) ◽  
pp. 178-186 ◽  
Author(s):  
Jeavana Sritharan ◽  
Jill S. MacLeod ◽  
Christopher B. McLeod ◽  
Alice Peter ◽  
Paul A. Demers

Introduction Previous Canadian epidemiologic studies have identified associations between occupations and prostate cancer risk, though evidence is limited. However, there are no well-established preventable risk factors for prostate cancer, which warrants the need for further investigation into occupational factors to strengthen existing evidence. This study uses occupation and prostate cancer information from a large surveillance cohort in Ontario that linked workers’ compensation claim data to administrative health databases. Methods Occupations were examined using the Occupational Disease Surveillance System (ODSS). ODSS included 1 231 177 male workers for the 1983 to 2015 period, whose records were linked to the Ontario Cancer Registry (OCR) in order to identify and follow up on prostate cancer diagnoses. Cox proportional hazard models were used to calculate age-adjusted hazard ratios and 95% CI to estimate the risk of prostate cancer by occupation group. Results A total of 34 997 prostate cancer cases were diagnosed among workers in ODSS. Overall, elevated prostate cancer risk was observed for men employed in man¬agement/administration (HR 2.17, 95% CI = 1.98–2.38), teaching (HR 1.99, 95% CI = 1.79–2.21), transportation (HR 1.20, 95% CI = 1.16–1.24), construction (HR 1.09, 95% CI = 1.06–1.12), firefighting (HR 1.62, 95% CI = 1.47–1.78), and police work (HR 1.20, 95% CI = 1.10–1.32). Inconsistent findings were observed for clerical and farm¬ing occupations. Conclusion Associations observed in white collar, construction, transportation, and protective services occupations were consistent with previous Canadian studies. Findings emphasize the need to assess job-specific exposures, sedentary behaviour, psy¬chological stress, and shift work. Understanding specific occupational risk factors can lead to better understanding of prostate cancer etiology and improve prevention strategies.


Author(s):  
Jong Han Leem ◽  
Seong Sil Chang ◽  
Seong Ah Kim ◽  
Jai Dong Moon ◽  
Chang Ho Chae ◽  
...  

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