NIOSH Science Blog Posts

Work-Related Low-Back Injury and Increased Rate of Death

Do certain types of work-related disabilities lead to an increased rate of death? This question has not been well studied. Recently published research, “Increased overall and cause‐specific mortality associated with disability among workers’ compensation claimants with low back injuries,” examined the issue. [1]  The study found that those with a lost-time disabling low-back workers’ compensation Read More >

Posted on by Chris Martin, MD, MSc, and Stephen Bertke, PhD2 Comments

Understanding the Use of Imported Non-NIOSH-Approved Respirators

When a respirator has been approved by NIOSH, the user can be confident that the device will provide the expected level of protection, as long as it fits properly and is worn correctly. But when serious outbreak conditions cause a shortage of the NIOSH-approved filtering facepiece respirators (FFRs), other reliable options must be found. When Read More >

Posted on by Maryann M. D’Alessandro, PhD; John Powers, BS; and Jaclyn Krah Cichowicz, MA

Uso adecuado del respirador N95 para estar preparado para la protección respiratoria

Cuando ocurren brotes de enfermedades infecciosas, dependemos de los profesionales de atención médica para que cuiden a los afectados, lo cual los pone en mayor riesgo de exposición al patógeno causante de la enfermedad. Mientras que los controles técnicos y administrativos deberían ser lo primero que se considere para proteger a estos trabajadores de la Read More >

Posted on by Maryann M. D’Alessandro, PhD, y Jaclyn Krah Cichowicz, MA

Controlar a fadiga em momentos de crise: Orientação para enfermeiros, gerentes e outros funcionários de serviços de saúde

Em momentos de crise, funcionários de saúde (por exemplo, enfermeiros, enfermeiros licenciados em clínica geral, médicos, assistentes de enfermagem etc.) continuam a oferecer atendimento, mesmo com demandas desafiadoras de trabalho, incluindo maior internação de pacientes gravemente doentes, aumento do estresse no trabalho e uma necessidade frequente de horas extras. Essas demandas de trabalho podem compor Read More >

Posted on by enfermeira Beverly M. Hittle, PhD; Imelda S. Wong, PhD; e enfermeira Claire C. Caruso, PhD, FAAN1 Comment

危機発生時の疲労管理:看護師、管理者、および他の医療従事者に向けた指針

危機発生時、重症患者の搬入の増加、業務上のストレスの増加、超過勤務の必要性の増加を含め、かつてない困難な業務負荷の中にあっても、医療従事者(例:看護師、専門看護師、医師、准看護師)は医療行為を継続します。こういった業務負荷は既に厳しい勤務環境(すなわち、12時間シフト、夜勤)と合わさり、しっかりと回復するためのシフト中の通常の休憩時間やシフト間の休日など、十分な休憩・休日の確保を難しくしています。これらの業務上の因子のすべて(すなわち、身体的、心理的、および/または精神的負荷)が睡眠不足と重なることで疲労に繋がります1-3。 Read More >

Posted on by Beverly M. Hittle (PhD, RN)、Imelda S. Wong(PhD), Claire C. Caruso(PhD, RN、FAAN)

NIOSH Ventilated Headboard Provides Solution to Patient Isolation During an Epidemic

To protect healthcare workers, other patients, and visitors from exposure to airborne infectious diseases, patients in hospital settings sometimes need to be placed in airborne infection isolation rooms (AIIRs). AIIRs contain specific engineered features to isolate and more-quickly remove potentially infectious patient aerosols so that they do not infect others. Isolation rooms are expensive, costing Read More >

Posted on by Kenneth R. Mead Ph.D., PE20 Comments

Summary of Recommendations from the Fire Fighter Fatality Investigation and Prevention Program from 2006—2014

Since 1998, NIOSH has conducted independent investigations of firefighter line-of-duty deaths and recommended ways to prevent deaths and injuries through the Fire Fighter Fatality Investigation and Prevention Program (FFFIPP). A recent article, “Summary of recommendations from the National Institute for Occupational Safety and Health Fire Fighter Fatality Investigation and Prevention Program, 2006–2014” provides information on Read More >

Posted on by Suzanne Marsh, MPA; Sydney Webb, PhD; and Karis Kline, MSLeave a comment

Respiratory Protection During Outbreaks: Respirators versus Surgical Masks

Consistent use of respirators improves protection against respiratory illness Consistent use of personal protective equipment (PPE) is an important part of the strategy to protect healthcare professionals from inhaling infectious particles, preventing the spread of respiratory infection between healthcare professionals and patients. Two types of devices are most commonly used in the healthcare setting: N95 Read More >

Posted on by Christopher Coffey, Ph.D; Maryann M. D’Alessandro, PhD; and Jaclyn Krah Cichowicz, MA

NIOSH Encourages Worker Well-Being Research

NIOSH continues to seek new ways to promote worker well-being research through programs and new initiatives, including the Total Worker Health® and Healthy Work Design and Well-being cross-sector programs. Total Worker Health (TWH) is a holistic approach to worker well-being. By acknowledging work-related risk factors that can impact health, the TWH approach seeks to improve Read More >

Posted on by Toni Alterman, PhD; Chia-Chia Chang, MBA, MPH; Abay Asfaw, PhD; Kaori Fujishiro, PhD; Candice Y Johnson, PhD; Emily Stiehl, PhD; and Sarah Mitchell, MPH2 Comments

Managing Fatigue During Times of Crisis: Guidance for Nurses, Managers, and Other Healthcare Workers

At times of crisis, healthcare workers (e.g., nurses, advanced practice nurses, physicians, nursing assistants, etc.) continue to provide care, despite ever challenging work demands, including higher influx of critically ill patients, increased work stress, and a frequent need for overtime. These work demands can compound already challenging work schedules (i.e. 12-hour shifts, night shifts), making Read More >

Posted on by Beverly M. Hittle, PhD, RN, Imelda S. Wong, PhD and Claire C. Caruso, PhD, RN, FAAN11 Comments

Manejo de la fatiga en tiempos de crisis: Directrices para enfermeros, administradores y otros trabajadores de atención médica

En tiempos de crisis, los trabajadores de atención médica (por ejemplo, enfermeros, enfermeros especialistas, médicos, auxiliares de enfermería, etc.) siguen brindando atención, a pesar de exigencias laborales constantemente arduas, como mayor afluencia de enfermos críticos, mayor estrés laboral y la necesidad frecuente de horas extras. Estas exigencias pueden complicar jornadas laborales ya complejas (es decir, Read More >

Posted on by Beverly M. Hittle, PhD, RN, Imelda S. Wong, PhD y Claire C. Caruso, PhD, RN, FAANLeave a comment

The Need for Fit Testing During Emerging Infectious Disease Outbreaks

Proper respirator use is essential for healthcare workers who are expected to interact with patients with infectious respiratory diseases. The Occupational Safety and Health Administration (OSHA) requires healthcare facilities to maintain a respiratory protection program that specifies requirements such as annual fit testing, medical clearance, and training. Initial fit testing is required before using a Read More >

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

‘Take-Home’ Exposures Still Persist

Occupational health has evolved into a largely technical field dedicated to identifying and eliminating the physical, chemical, and biologic hazards found at the workplace (Peckham et al, 2017). Central to this approach has been the distinction between work-related and non-work-related exposures, injuries, and illnesses which has become a line of demarcation between occupational safety and Read More >

Posted on by Diana Ceballos, PhD, MS, CIH, and Michael Flynn, MA12 Comments

Proper N95 Respirator Use for Respiratory Protection Preparedness

When outbreaks of infectious disease occur, we rely on healthcare professionals to care for those affected, putting themselves at increased risk of exposure to the pathogen causing the disease. While engineering and administrative controls should be the first considerations to protect these workers from this exposure, facilities should also ensure that at-risk employees are prepared Read More >

Posted on by Maryann M. D’Alessandro, PhD, and Jaclyn Krah Cichowicz, MA

Artificial Intelligence Crowdsourcing Competition for Injury Surveillance

In 2018, NIOSH, the Bureau of Labor Statistics (BLS), and the Occupational Safety and Health Administration (OSHA) contracted the National Academies of Science (NAS) to conduct a consensus study on improving the cost-effectiveness and coordination of occupational safety and health (OSH) surveillance systems. NAS’s report recommended that the federal government use recent advancements in machine Read More >

Posted on by Sydney Webb, PhD; Carlos Siordia, PhD; Stephen Bertke, PhD; Diana Bartlett, MPH, MPP; and Dan Reitz16 Comments

Year of the Nurse

The World Health Organization has designated 2020 the Year of the Nurse and the Midwife. Nurses play a critical role in our healthcare system and in the lives of the  patients they care for. The very act of caring for and serving others can place nurses at risk for many workplaces injuries and illnesses including Read More >

Posted on by LCDR Megan Casey, RN, BSN, MPH5 Comments

Are There Nano- and Microplastics in the Workplace?

The growing problem of plastic pollution in the environment is receiving an increasing amount of attention (see article in Nature). Small particles of plastics are often referred to as microplastics (plastic particles smaller than 5 mm [1]) and nanoplastics (the nanoscale fraction of plastic particles). Nano- and microplastic particles (NMPPs) can be formed through environmental Read More >

Posted on by Vladimir Murashov, PhD; Charles L. Geraci, Jr., PhD, CIH, FAIHA ; Paul Schulte, PhD; and John Howard, MD9 Comments

Made for Each Other – a Valentine’s Day Note about Approved Respirator Configurations

It’s Valentine’s day, which means that NIOSH has some relationship advice for you … and your respirator. Have you ever become infatuated with thinking about your compatibility in a relationship – inspecting and examining every detail? Yeah. We do that too. In fact, NIOSH evaluates every respirator assembly configuration to determine that the performance requirements Read More >

Posted on by Jaclyn Krah Cichowicz, MA3 Comments

World Cancer Day 2020 – Reflecting on a Decade of NIOSH Cancer Research

February 4th, 2020 is World Cancer Day, and we are reflecting on the role of the occupational cancer research being done at the National Institute for Occupational Safety and Health (NIOSH) in reducing the burden of cancer worldwide. Cancer develops as a result of the body losing its ability to control the growth and spread Read More >

Posted on by Raquel Velazquez-Kronen, Ph.D.; and Jasmine Nelson, B.S.7 Comments

Drug Overdose in the Workplace and the Role of Opioids

The drug overdose epidemic continues to afflict our country. Nationally, there were more than 70,000 drug overdose deaths in 2017 [i] involving opioids (such as fentanyl, heroin and hydrocodone), stimulants (such as cocaine and methamphetamine), and alcohol.[ii] Nearly 70% of these deaths involved an opioid.[ii] Recent data show that drug overdoses at work are increasing. Read More >

Posted on by Dawn Castillo, MPH; Michael Fiore, MS; Emily Sparer-Fine, ScD; Hope M. Tiesman, PhD; Steve Wurzelbacher, PhD5 Comments