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December 1, 1989, Vol 262, No. 21 >
ARTICLE | December 1, 1989

Mandatory Reporting of Occupational Diseases by Clinicians FREE

Eugene Freund, MD, MSPH; Paul J. Seligman, MD; Terence L. Chorba, MD, MPH; Susan K. Safford, MD; Jonathan G. Drachman, MD; Harry F. Hull, MD
[+] Author Affiliations

Reprint requests to the National Institute for Occupational Safety and Health, 4676 Columbia Pkwy, Mailstop R21, Cincinnati, OH 45226 (Dr Freund).


JAMA. 1989;262(21):3041-3044. doi:10.1001/jama.1989.03430210083036
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References

OCCUPATIONAL disease surveillance is a critical step in the prevention of work-related injury and illness.1 Case reporting by health care providers to public health authorities is one way of identifying sources of exposure toward which control measures can be directed. Most health care providers are familiar with the existence of reporting requirements for infectious diseases such as tuberculosis and the sexually transmitted diseases; however, less attention has been paid by the medical community to recognizing and reporting occupationally related conditions.2,3

The Department of Labor estimated that in 1978 approximately 1.9 million people were severely or partially disabled from occupationally related diseases, at an annual cost of $11.4 billion in lost wages alone.4 The Bureau of Labor Statistics reported an incidence of occupational injury and illness for 1984 of 8.0 cases and 63.4 lost workdays per 100 full-time workers.5 This is most likely an underestimate, especially for

REFERENCES

1 +
Baker EL, Melius JM, Millar JD.  Surveillance of occupational illness and injury in the United States: current perspectives and future directions . J Public Health Policy . (Summer) 1988;:198-221.
2 +
The Role of the Internist in Occupational Medicine: A Position Paper . Philadelphia, Pa: American College of Physicians; 1984;.
3 +
Occupational Disease Data Collection: Fragmented, Unreliable and Seventy Years Behind Communicable Disease Surveillance . Washington, DC: US Congress, Committee on Government Operations; 1984;.
4 +
An Interim Report to Congress on Occupational Diseases. Washington, DC: US Dept of Labor; 1980;.
5 +
Occupational Injuries and Illnesses in the United States by Industry, 1984 . Washington, DC: US Bureau of Labor Statistics; 1986;. Bulletin 2259.
6 +
National Academy of Sciences, Panel on Occupational Safety and Health Statistics. Counting Injuries and Illnesses in the Workplace: Proposals for a Better System . Washington, DC: National Academy Press; 1987;.
7 +
Suruda A, Emmett EA.  Counting recognized occupational deaths in the United States . J Occup Med. 1988;;30:868-872.
8 +
Promoting Health/Preventing Disease: Objectives for the Nation . Washington, DC: US Dept of Health and Human Services; 1980;.
9 +
Chorba TL, Safford SK, Berkelman RL, Gibbs NP, Hull HF.  Mandatory reporting of infectious diseases by clinicians . JAMA. 1989;;262:3018-3026.
10 +
Rutstein DD, Mullan RJ, Frazier TM, Halperin WE, Melius JM, Sestito JP.  Sentinel health events (occupational): a basis for physician recognition and public health surveillance . Am J Public Health. 1983;;73:1054-1062.
11 +
Ramazzini B; Wright WC, trans. Diseases of Workers [De Morbis Artificum, 1713] . New York, NY: Hafner Press; 1964;.
12 +
Hamilton A. Exploring the Dangerous Trades: An Autobiography of Alice Hamilton , M.D. Boston, Mass: Little Brown & Co; 1943;.
13 +
Committee on Government Operations. Occupational Health Hazard Surveillance 72 Years Behind and Counting . Washington, DC: US Congress; 1986;.
14 +
Trask JW.  Vital statistics: a discussion of what they are and their uses in public health administration . Public Health Rep. 1915;; (suppl 100) .
15 +
Langmuir AD.  William Farr: founder of modern concepts of surveillance . Int JEpidemiol. 1976;;5:13-18.
16 +
Halperin WE, Frazier TM.  Surveillance for the effects of workplace exposure . Annu Rev Public Health. 1985;;6:419-432.
17 +
Muldoon JT, Wintermeyer LA, Eure JA, et al.  Occupational disease surveillance data sources, 1985 . Am J Public Health. 1987;;77:1006-1008.
18 +
Frazier TM.  Developing a national occupational health surveillance system in the United States . Scand J Work Environ Health. 1981;;7( (suppl 4) ):127-132.
19 +
Annual Report of the Heavy Metals Registry . Albany: New York State Dept of Health, Bureau of Environmental Epidemiology and Occupational Health; 1986;.
20 +
Seligman PJ, Halperin WE, Mullan RJ, et al.  Occupational lead poisoning in Ohio: surveillance using workers compensation data . Am J Public Health. 1986;;76:1299-1302.
21 +
Tanaka S, Seligman PJ, Halperin W, Thun M, Timbrook CL, Wasil JJ.  Use of workers compensation claims data for surveillance of cumulative trauma disorders . J Occup Med. 1988;;30:488-492.
22 +
Health Hazard Evaluation 88-244-1951, Orrville Bronze and Aluminum Company, Orrville, OH . Cincinnati, Ohio: National Institute for Occupational Safety and Health; 1989;.
23 +
National Institute for Occupational Safety and Health. SENSOR: Sentinel Event Notification System for Occupational Risks: A Proposal . Atlanta, Ga: US Dept of Health and Human Services, Centers for Disease Control; 1987;.
24 +
Seligman PJ, Sieber WK, Pedersen DH, Sundin DS, Frazier TM.  Compliance with OSHA record-keeping requirements . Am J Public Health. 1988;;78:1218-1219.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

1 +
Baker EL, Melius JM, Millar JD.  Surveillance of occupational illness and injury in the United States: current perspectives and future directions . J Public Health Policy . (Summer) 1988;:198-221.
2 +
The Role of the Internist in Occupational Medicine: A Position Paper . Philadelphia, Pa: American College of Physicians; 1984;.
3 +
Occupational Disease Data Collection: Fragmented, Unreliable and Seventy Years Behind Communicable Disease Surveillance . Washington, DC: US Congress, Committee on Government Operations; 1984;.
4 +
An Interim Report to Congress on Occupational Diseases. Washington, DC: US Dept of Labor; 1980;.
5 +
Occupational Injuries and Illnesses in the United States by Industry, 1984 . Washington, DC: US Bureau of Labor Statistics; 1986;. Bulletin 2259.
6 +
National Academy of Sciences, Panel on Occupational Safety and Health Statistics. Counting Injuries and Illnesses in the Workplace: Proposals for a Better System . Washington, DC: National Academy Press; 1987;.
7 +
Suruda A, Emmett EA.  Counting recognized occupational deaths in the United States . J Occup Med. 1988;;30:868-872.
8 +
Promoting Health/Preventing Disease: Objectives for the Nation . Washington, DC: US Dept of Health and Human Services; 1980;.
9 +
Chorba TL, Safford SK, Berkelman RL, Gibbs NP, Hull HF.  Mandatory reporting of infectious diseases by clinicians . JAMA. 1989;;262:3018-3026.
10 +
Rutstein DD, Mullan RJ, Frazier TM, Halperin WE, Melius JM, Sestito JP.  Sentinel health events (occupational): a basis for physician recognition and public health surveillance . Am J Public Health. 1983;;73:1054-1062.
11 +
Ramazzini B; Wright WC, trans. Diseases of Workers [De Morbis Artificum, 1713] . New York, NY: Hafner Press; 1964;.
12 +
Hamilton A. Exploring the Dangerous Trades: An Autobiography of Alice Hamilton , M.D. Boston, Mass: Little Brown & Co; 1943;.
13 +
Committee on Government Operations. Occupational Health Hazard Surveillance 72 Years Behind and Counting . Washington, DC: US Congress; 1986;.
14 +
Trask JW.  Vital statistics: a discussion of what they are and their uses in public health administration . Public Health Rep. 1915;; (suppl 100) .
15 +
Langmuir AD.  William Farr: founder of modern concepts of surveillance . Int JEpidemiol. 1976;;5:13-18.
16 +
Halperin WE, Frazier TM.  Surveillance for the effects of workplace exposure . Annu Rev Public Health. 1985;;6:419-432.
17 +
Muldoon JT, Wintermeyer LA, Eure JA, et al.  Occupational disease surveillance data sources, 1985 . Am J Public Health. 1987;;77:1006-1008.
18 +
Frazier TM.  Developing a national occupational health surveillance system in the United States . Scand J Work Environ Health. 1981;;7( (suppl 4) ):127-132.
19 +
Annual Report of the Heavy Metals Registry . Albany: New York State Dept of Health, Bureau of Environmental Epidemiology and Occupational Health; 1986;.
20 +
Seligman PJ, Halperin WE, Mullan RJ, et al.  Occupational lead poisoning in Ohio: surveillance using workers compensation data . Am J Public Health. 1986;;76:1299-1302.
21 +
Tanaka S, Seligman PJ, Halperin W, Thun M, Timbrook CL, Wasil JJ.  Use of workers compensation claims data for surveillance of cumulative trauma disorders . J Occup Med. 1988;;30:488-492.
22 +
Health Hazard Evaluation 88-244-1951, Orrville Bronze and Aluminum Company, Orrville, OH . Cincinnati, Ohio: National Institute for Occupational Safety and Health; 1989;.
23 +
National Institute for Occupational Safety and Health. SENSOR: Sentinel Event Notification System for Occupational Risks: A Proposal . Atlanta, Ga: US Dept of Health and Human Services, Centers for Disease Control; 1987;.
24 +
Seligman PJ, Sieber WK, Pedersen DH, Sundin DS, Frazier TM.  Compliance with OSHA record-keeping requirements . Am J Public Health. 1988;;78:1218-1219.

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