NIOSH Science Blog Posts

The Unique Occupational Environment of the Home Healthcare Worker

Patient care is expanding beyond the walls of healthcare organizations. Improvements in technology, progression of disease management, and a growing number of persons seeking care within their homes are driving the growth of the home healthcare industry. Home healthcare workers (HHCWs) are a vital part of the rapidly growing industry and their work environment and Read More >

Posted on by Elizabeth Bien, PhD, MSN, RN, and Ron Smith, AIA, ACHA, ACHE, LEED AP8 Comments

Wildland Firefighter Health: Some Burning Questions

While research has not yet been conducted on all the hazards and risks associated with the wildland firefighting job, the National Institute for Occupational Safety and Health (NIOSH) is asked numerous questions about the hazards of fighting wildland fires. This blog is designed to answer some of those questions. What Is in Wildland Fire Smoke? Read More >

Posted on by LCDR Corey Butler, MS REHS; CAPT Christa Hale, DVM, MPH, DACVPM (Epi); Kathleen Navarro, PhD, MPH; Elizabeth Dalsey, MA; CAPT Chucri (Chuck) A. Kardous, MS, PE; Pamela S. Graydon, MS, COHC; and CAPT David C. Byrne, Ph.D., CCC-A8 Comments

Rising to the Challenges and Opportunities Presented by the Future of Work: NIOSH Introduces its Future of Work Initiative

The future of work is influenced by many changes to workplace, work, and workforce factors such as organizational design, work arrangements, technological job displacement, artificial intelligence, robotics, technologies, demographics, economic security, and skills. Advances in the future of work offer many opportunities, but they also create challenges for the workplace and work, with consequences for the Read More >

Posted on by Sara L. Tamers, PhD, MPH and John Howard, MD

Protecting Machine Operators from Silica Dust: Enclosed Cabs

  Construction workers who operate heavy equipment such as excavators, bulldozers, cranes, and backhoes frequently generate large quantities of respirable crystalline silica (RCS) dust. Exposure to even small amounts of RCS over time can cause silicosis, lung cancer, or chronic obstructive pulmonary disease (COPD), and other serious diseases. A recent study published in the American Read More >

Posted on by Scott Earnest, PhD, PE, CSP; Alan Echt, DrPH, CIH; Scott Breloff, PhD; Elizabeth Garza, MPH, CPH; Christina Socias-Morales, DrPH; Jeanette Novakovich, PhD5 Comments

Statement by Dr. John Howard on the September 11th National Day of Service and Remembrance 2020

Nineteen years ago, we faced the unimaginable. The events of September 11th, 2001, have left a permanent mark on us all. Today we remember the lives lost on that fateful day, as well as the bravery, resilience, and sacrifice shown in the face of tragedy by responders and survivors. Each Day of Remembrance is also Read More >

Posted on by John Howard, M.D.4 Comments

Partnering to Prevent Suicide in the Construction Industry – Building Hope and a Road to Recovery

September is Suicide Prevention Month. During this yearly observance, many organizations will place special emphasis on mental health and suicide prevention – including those in the construction industry where suicide rates of workers are alarmingly high.1 Overall, suicide rates in the U.S. have increased, and it has been the 10th leading cause of death since Read More >

Posted on by Trudi McCleery, MPH; Scott Earnest, PhD, PE, CSP; Christina Socias-Morales, DrPH; and CDR Elizabeth Garza, MPH, CPH3 Comments

Supplementing the Supply of N95s with Reusable Elastomeric Half Mask Respirators

As we celebrate our annual Respiratory Protection Week Observance this year, we at NIOSH want to show our appreciation to all the workers who use respiratory protection and the manufacturers who develop these products to keep our nation’s workers safe. Whether your role is to heal, protect, create, or construct, we rely on your skills Read More >

Posted on by Lee Greenawald,PhD; Jaclyn Krah Cichowicz, MA and Maryann M. D’Alessandro, PhD7 Comments

Respiratory Protection vs. Source Control – What’s the difference?

In an effort to limit the spread of COVID-19, CDC recommends that adults and children two years and older wear a mask, especially when social distancing is not possible or feasible[1]. Cloth masks and medical masks used in healthcare settings (such as surgical or procedure masks) are important tools in the fight against the spread of COVID-19, Read More >

Posted on by Jaclyn Krah Cichowicz, MA; LCDR Megan Casey, RN, BSN, MPH; and Maryann M. D’Alessandro, PhD26 Comments

Labor Day 2020: Statement by John Howard, M.D., Director, NIOSH

Labor Day was created to honor workers for their contributions and achievements at a time in history when workers faced long working hours and dangerous working conditions. The need to recognize our nation’s workers for their contributions and resilience could not be more relevant today. Millions of workers provide “essential services”—services that are vital to Read More >

Posted on by John Howard, M.D., Director, National Institute for Occupational Safety and Health2 Comments

Take Action to Protect Your Hearing

  In the United States, hearing loss is the third-most common chronic physical condition among adults after hypertension and arthritis. About 22 million U.S. workers are exposed to occupational noise each year. About 12% of the U.S. working population has hearing difficulty and around 58% of the hearing difficulty among U.S. workers is attributable to Read More >

Posted on by Amanda Azman, Au.D.1 Comment

Cannabis and Work: The Need for More Research

Introduction Cannabis sativa has been used for a wide variety of industrial, medical, and non-medical uses for thousands of years, yet remains a source of controversy across the fields of medicine, law, and occupational safety1-5. Access to and consumption of cannabis have increased as a result of more favorable public attitudes and state access laws. Read More >

Posted on by Jamie Osborne, MPH, CHES®, and John Howard, MD11 Comments

An Expanded Focus for Occupational Safety and Health

  Work is changing. Technology, globalization, shifts in demographics, and other economic and political forces create new challenges for workers, employers, and those who work to protect them. In a recent commentary in the International Journal of Environmental Research and Public Health we suggest that the field of occupational safety and health (OSH) must also Read More >

Posted on by Paul Schulte, PhD, and Sarah A. Felknor, MS, DrPH6 Comments

A Guide to Respirators Used for Dust in Construction

Construction dust can cause serious damage to workers’ health and life-threatening diseases. Construction workers can be exposed to many types of dust, such as silica, wood, and lead dust. Workplace exposure to small particles of silica dust, also known as respirable crystalline silica, can lead to serious diseases, including silicosis, a progressive lung disease marked Read More >

Posted on by CAPT Alan Echt, DrPH, CIH; Christopher Coffey, Ph.D; Scott Earnest, PhD, PE, CSP; Jeanette Novakovich, PhD; CDR Elizabeth Garza, MPH, CPH; Scott Breloff, PhD; Christina Socias-Morales, DrPH15 Comments

Work Ability among Older Nurses

  As the U.S. workforce ages, many older nurses continue to work in direct patient care. However, by 2030, an estimated 1 million nurses will have retired from the workforce (Buerhaus, Skinner, Auerbach, & Staiger, 2017). The known safety and health hazards for nurses in direct-care positions could be even more dangerous for older workers. Read More >

Posted on by Amy Witkoski Stimpfel, PhD, RN7 Comments

Stand-Down for Falls in Its 7th Year: Fatal Falls are Falling

The National Campaign to Prevent Falls in Construction was launched in 2012 through the NORA Construction Sector Council with leadership from NIOSH, OSHA and CPWR – The Center for Construction Research and Training. Each year as part of the Campaign, safety stand-downs are held by employers across the country to focus on fall prevention. The Read More >

Posted on by Scott Breloff, PhD; Elizabeth Garza, MPH, CPH; Scott Earnest, PhD, PE, CSP; Alan Echt, DrPH, CIH; Christina Socias-Morales, DrPH; Jeanette Novakovich, PhD1 Comment

Heat Stress Imposed by PPE Worn in Hot and Humid Environments

  A recent blog discussed prolonged respirator use and the potential physiological burden that could result from the buildup of CO2 within the respirator facepiece. Heat stress is another potential stress factor that healthcare workers (HCWs) who use personal protective equipment (PPE) and their employers should be aware of in order to recognize the signs Read More >

Posted on by W. Jon Williams, PhD and Jaclyn Krah Cichowicz, MA3 Comments

Skin Irritation from Prolonged Use of Tight-Fitting Respirators

Filtering Facepiece Respirators (FFRs) are typically used by workers, including first responders and healthcare professionals, for short, infrequent periods of time to protect against potential airborne transmissible diseases. However, during widespread respiratory infectious disease outbreaks, there may be a need to implement respirator extended use practices due to an inadequate supply of FFRs. Skin irritation Read More >

Posted on by Adam Hornbeck, MSN, APRN, FNP-BC, FNP-C; Jaclyn Krah Cichowicz, MA; Selcen Kilinc-Balci, PhD, MBA; Dana Rottach, PhD; Jonisha Pollard, MS, CPE; and Harold L. Boyles, RN, MSHCA3 Comments

Measuring Workplace Risks across States

When assessing workplace safety in the United States, we have to consider what measures of risk to use. If all measures are strongly positively correlated, this may not matter. But they are not, so the choice of risk measure does matter: states where employers report the highest rates of non-fatal injuries have the lowest fatality Read More >

Posted on by John Mendeloff, PhD, and Wayne B. Gray, PhD7 Comments

The Role of Organizational Support and Healthy Work Design

The coronavirus disease 2019 (COVID-19) pandemic has affected nearly every aspect of Americans’ lives and has had a significant effect on the well-being of workers (APA, 2020; Kaiser, 2020; Nigam et al., 2020). As the nation aims to “flatten the curve” of COVID-19 cases and protect public health, employers are working to keep their businesses Read More >

Posted on by Emily J. Haas, PhD; Jeannie Nigam, MS; Jessica MK Streit, PhD, CHES®; Sudha Pandalai, MD, PhD; L. Casey Chosewood, MD, MPH; and Mary B. O’Connor, MS4 Comments

Safety Culture and Health Care

Health care facilities need to foster and promote a strong culture of safety that includes a commitment to worker safety, provision of and adequate access to safety and personal protective equipment, and extensive training efforts that utilize protocols requiring specific safety actions. The American Nurses Association (2016) states that “A culture of safety describes the Read More >

Posted on by Bonnie Rogers, DrPH, COHN-S, FAAN, LNCC11 Comments