Georgia Occupational Health Surveillance Data Series 2016 Georgia Occupational Health Part 1 Indicators: Demographics and Summary Tables The Council of State and Territorial Epidemiologists (CSTE), in association with the National Institute of Occupational Safety and Health (NIOSH), recommends that states conduct surveillance for a set of 25 occupational health indicators across five main categories: health effects, exposures, hazards, interventions, and socioeconomic impact. Demographic information, along with the recommended indicators, are reported below for Georgia and the U.S. during 2016 and serve as measures of the occupational health status of the state's civilian workforce and can be used to track trends and guide prevention and intervention efforts. Over four million people age 16 years and older comprise Georgia's civilian workforce. Employment in some industries or occupations may put members of the Georgia workforce at higher risk for work-related injuries or illnesses1. The top three industries employing Georgia residents in 2016 were: Education and Health Services, Wholesale and Retail Trade, and Professional and Business Services. Table 1. Georgia and U.S. General Employment Demographics, 2016 Employed Persons, 16 Years and Older Georgia U.S. 4,670,000 151,436,000 Characteristics Percent (%) Civilian Workforce, Unemployed 5.4 4.9 Civilian Workforce, Self-Employed 5.8 6.3 Civilian Workforce, Part-Time 16.0 18.3 Civilian Employment by Number of Hours Worked 0 to 39 hours 28.8 32.7 40 hours 46.6 43.0 41+ hours 24.6 24.3 Civilian Employment by Sex Males 52.4 53.2 Females 47.6 46.8 Civilian Employment by Age Group 16 to 17 years 0.7 1.2 18 to 64 years 94.4 93.0 65+ years 4.9 5.9 Civilian Employment by Race White 62.9 78.8 Black 30.2 11.9 Other 6.9 9.3 Civilian Employment by Hispanic Origin 10.5 16.7 Table 2. Georgia and U.S. General Employment Demographics by Industry and Occupation, 2016 Georgia U.S. Characteristics Percent (%) Civilian Employment by Industry Mining and logging 0.2 0.5 Construction 7.2 6.8 Manufacturing: Durable Goods 5.1 6.4 Manufacturing: Nondurable Goods 4.9 3.8 *Wholesale and Retail Trade 14.3 13.4 Transportation and Utilities 6.4 5.3 Information 2.1 1.9 Financial Activities 7.2 6.9 *Professional and Business Services 13.4 12.1 *Education and Health Services 19.3 22.6 Leisure and Hospitality 8.0 9.4 Other Services 5.5 4.8 Public Administration 4.8 4.5 Agriculture and Related Industries 1.6 1.6 Civilian Employment by Occupation *Management, Business and Financial Operations 16.2 16.5 *Professional and Related Occupations 20.8 22.8 *Service Occupations 16.2 17.7 Sales and Related Occupations 11.1 10.5 Office and Administrative Support 12.7 11.7 Farming, Fishing, and Forestry 0.7 0.7 Construction and Extraction 5.2 5.2 Installation, Maintenance, and Repair 3.6 3.2 Production Occupations 5.8 5.6 Transportation and Material Moving 7.7 6.1 * = top three industries and occupations among employed civilians in 2016 - 1 - 2016 Recommended Occupational Health Indicators Table 3. Georgia and U.S. Occupational Health Indicators, Numbers 1 - 8, 2016 Characteristics Indicator 1: Non-Fatal Work-Related Injuries and Illnesses Reported by Employers 1.1 Estimated Annual Total Number of Work-Related Injuries and Illnesses 1.2 Estimated Annual Total Work-Related Injuries and illness Incidence Rate (per 100,000 FTEs) 1.3 Estimated Annual total Number of Cases Involving Days Away from Work 1.4 Estimated Annual Total Incidence Rate for Cases Involving Days Away from Work (per 100,000 FTEs) 1.5 Estimated Annual Total Number of Cases Involving More Than 10 Days Away from Work Indicator 2: Work-Related Hospitalizations 2.1 Annual Number of Work-Related Hospitalizations 2.2 Annual Rate of Work-Related Hospitalizations (per 100,000 workers) Indicator 3: Fatal Work-Related Injuries 3.1 Annual Number of Fatal Work-Related Injuries 3.2 Annual Fatality Rate (per 100,000 FTEs) Indicator 4: Work-Related Amputations with Days Away from Work Reported by Employers 4.1 Estimated Annual Number of Work-Related Amputations Involving Days Away from Work 4.2 Estimated Annual Incidence Rate of Work-Related Amputations Involving Days Away from Work (per 100,000 FTEs) Indicator 5: State Workers' Compensation Claims for Amputations with Lost Work-Time 5.1 Annual Number of Amputations Cases with Lost Work-Time Identified in State Workers' Compensation System 5.2 Annual Incidence Rate of Amputations Cases with Lost Work-Time Identified in State Workers' Compensation System (per 100,000 covered workers) Indicator 6: Hospitalizations for Work-Related Burns 6.1 Annual Number of Work-Related Burn Hospitalizations 6.2 Annual Rate of Work-Related Burn Hospitalizations (per 100,000 workers) Indicator 7: Work-Related Musculoskeletal Disorders (MSDs) with Days Away from Work Reported by Employers 7.1 Estimated Annual Number of All MSDs Involving Days Away from Work 7.2 Estimated Annual Incidence Rate of All MSDs Involving Days Away from Work (per 100,000 FTEs) 7.3 Estimated Annual Number of MSDs of the Neck, Shoulder & Upper Extremities Involving Days Away from Work 7.4 Estimated Annual Incidence Rate of MSDs of Neck, Shoulder, and Upper Extremities Involving Days Away from Work (per 100,000 FTEs) 7.5 Estimated Annual Number of Carpal Tunnel Syndrome Cases Involving Days Away from Work 7.6 Estimated Annual Incidence Rate of Carpal Tunnel Syndrome cases Involving Days Away from Work (per 100,000 FTEs) 7.7 Estimated Annual Number of MSDs of the Back Involving Days Away from Work 7.8 Estimated Annual Incidence Rate of MSDs of the Back Involving Days Away from Work (per 100,000 FTEs) Indicator 8: State Workers' Compensation Claims for Carpal Tunnel Syndrome with Lost Work-Time 8.1 Annual Number of Carpal Tunnel Syndrome Cases with Lost Work-Time Identified in State Workers' Compensation System 8.2 Annual Incidence Rate of Carpal Tunnel Syndrome Cases with Lost Work-Time Identified in State Workers' Compensation System (per 100,000 covered workers) Georgia U.S. Number or Rate 82,300 2,700 25,100 800 10,860 2,857,400 2,900 892,270 917 407,310 2,327 N/A 49.8 N/A 171 5,190 3.7 3.6 140 5,060 5.0 5.0 255 N/A 6.3 N/A 115 N/A 2.5 N/A 6,870 229 2,190 73 90 3 2,950 98 285,950 294 90,910 93 5,390 6 113,320 116 310 N/A 7.6 N/A N/A = Data not available FTEs = Full-Time Equivalents There were 2327 work-related hospitalizations, 171 fatal work-related injuries, and an estimated 140 work-related amputations that required more than 7 days away from work in Georgia in 2016. - 2 - 2016 Recommended Occupational Health Indicators Table 4. Georgia and U.S. Occupational Health Indicators, Numbers 9 11: Pneumoconiosis and Pesticides, 2016 Georgia U.S. Characteristics Number or Rate Indicator 9: Hospitalizations from or with Pneumoconiosis~ 9.1.1 Annual Number of Total Pneumoconiosis Hospital Discharges 139 9.1.2 Annual Rate of Total Pneumoconiosis Hospital Discharges (per 1,000,000 residents) 16.9 9.1.3 Annual, Age-Standardized, Rate of Total Pneumoconiosis Hospital Discharges (per 1,000,000 residents) 16.8 9.2.1 Annual Number of Coal Workers' Pneumoconiosis Hospital Discharges 23 9.2.2 Annual Rate of Coal Workers' Pneumoconiosis Hospital Discharges (per 1,000,000 residents) 2.8 9.2.3 Annual, Age-Standardized, Rate of Coal Workers' Pneumoconiosis Hospital Discharges (per 1,000,000 residents) 2.5 9.3.1 Annual Number of Asbestosis Hospital Discharges 81 9.3.2 Annual Rate of Asbestosis Hospital Discharges (per 1,000,000 residents) 9.8 9.3.3 Annual, Age-Standardized, Rate of Asbestosis Hospital Discharges (per 1,000,000 residents) 10.3 9.4.1 Annual Number of Silicosis Hospital Discharges 19 9.4.2 Annual Rate of Silicosis Hospital Discharges (per 1,000,000 residents) 2.3 9.4.3 Annual, Age-Standardized, Rate of Silicosis Hospital Discharges (per 1,000,000 residents) 2.1 9.5.1 Annual Number of Other and Unspecified Pneumoconiosis Hospital Discharges 17 9.5.2 Annual Rate of Other and Unspecified Pneumoconiosis Hospital Discharges (per 1,000,000 residents) 2.1 9.5.3 Annual, Age-Standardized, Rate of Other and Unspecified Pneumoconiosis Hospital Discharges (per 1,000,000 residents) 2.0 Indicator 10: Mortality from or with Pneumoconiosis 10.1.1 Annual Number of Total Pneumoconiosis Deaths 15 10.1.2 Annual Total Pneumoconiosis Death Rate (per 1,000,000 residents) 1.8 10.1.3 Annual, Age-Standardized Total Pneumoconiosis Death Rate (per 1,000,000 residents) 1.9 10.2.1 Annual Number of Coal Workers' Pneumoconiosis Deaths 0 10.2.2 Annual Coal Workers' Pneumoconiosis Death Rate (per 1,000,000 residents) ~ 10.2.3 Annual, Age-Standardized Coal Workers' Pneumoconiosis Death Rate (per 1,000,000 residents) ~ 10.3.1 Annual Number of Asbestosis Deaths 14 10.3.2 Annual Asbestosis Death Rate (per 1,000,000 residents) 1.7 10.3.3 Annual, Age-Standardized Asbestosis Death Rate (per 1,000,000 residents) 1.8 10.4.1 Annual Number of Silicosis Deaths 0 10.4.2 Annual Silicosis Death Rate (per 1,000,000 residents) ~ 10.4.3 Annual, Age-Standardized Silicosis Death Rate (per 1,000,000 residents) ~ 10.5.1 Annual Number of Other and Unspecified Pneumoconiosis Deaths <5 10.5.2 Annual Other and Unspecified Pneumoconiosis Death Rate (per 1,000,000 residents) ~ 10.5.3 Annual, Age-Standardized Other and Unspecified Pneumoconiosis Death Rate (per 1,000,000 residents) ~ Indicator 11: Acute Work-Related Pesticide-Associated Illness and Injury Reported to Poison Control Centers 11.1 Annual Number of Reported Work-Related Pesticide Poisoning Cases 91 11.2 Annual Incidence Rate of Reported Work-Related Pesticide Poisoning Cases (per 100,000 workers) 2.0 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A 1,662 * 5.6 300 * 0.8 1,142 * 3.9 73 * 0.2 161 * 0.5 2,490 1.7 ~Rates not calculated for indicators with <5 cases N/A = Data not available Pneumoconiosis is a class of non-malignant lung disease that includes asbestosis, coal workers' pneumoconiosis, and silicosis. There were 139 hospitalizations due to pneumoconiosis in Georgia during 2016, including 81 due to asbestosis. There were also 91 reported work-related pesticide poisonings in Georgia in 2016. - 3 - 2016 Recommended Occupational Health Indicators Table 5. Georgia and U.S. Occupational Health Indicators, Numbers 12 17, 2016 Characteristics Indicator 12: Incidence of Malignant Mesothelioma, Ages 15 and Older 12.1 Annual Number of Incident Mesothelioma Cases 12.2 Annual Mesothelioma Incidence Rate (per 1,000,000 residents) 12.3 Annual, Age-Standardized Mesothelioma Incidence Rate (per 1,000,000 residents) Indicator 13: Elevated Blood Lead Levels (BLL) Among Adults 13.1.1 Annual Number of Residents with Elevated Blood Lead Levels (>=10 g/dL) 13.1.2 Annual Prevalence Rate of Blood Lead Levels (>=10 g/dL) (per 100,000 workers) 13.1.3 Annual Number of Incident Cases with Elevated Blood Lead Levels (>=10 g/dL) 13.1.4 Annual Incidence Rate of Blood Lead Levels (>=10 g/dL) (per 100,000 workers) 13.2.1 Annual Number of Residents with Elevated Blood Lead Levels (>=25 g/dL) 13.2.2 Annual Prevalence Rate of Blood Lead Levels (>=25 g/dL) (per 100,000 workers) 13.2.3 Annual Number of Incident Cases with Elevated Blood Lead Levels (>=25 g/dL) 13.2.4 Annual Incidence Rate of Blood Lead Levels (>=25 g/dL) (per 100,000 workers) 13.3.1 Annual Number of Residents with Elevated Blood Lead Levels (>=40 g/dL) 13.3.2 Annual Prevalence Rate of Blood Lead Levels (>=40 g/dL) (per 100,000 workers) 13.3.3 Annual Number of Incident Cases with Elevated Blood Lead Levels (>=40 g/dL) 13.3.4 Annual Incidence Rate of Blood Lead Levels (>=40 g/dL) (per 100,000 workers) Indicator 14: Percentage of Workers Employed in Industries at High Risk~ for Occupational Morbidity 14.1 Number of Employed Persons in High Morbidity Risk North American Industry Classification System (NAICS) Industries 14.2 Percentage of Employed Persons in High Morbidity Risk NAICS Industries Indicator 15: Percentage of Workers Employed in Occupations at High Risk for Occupational Morbidity 15.1 Average Number of Employed Persons in High Morbidity Risk Bureau of the Census Occupations 15.2 Percentage of Employed Persons in High Morbidity Risk Bureau of the Census Occupations Indicator 16: Percentage of Workers Employed in Industries and Occupations at High Risk~ for Occupational Mortality 16.1 Average Number of Employed Persons in High Mortality Risk Bureau of Census Industries 16.2 Percentage of Employed Persons in High Mortality Risk Bureau of Census Industries 16.3 Number of Employed Persons in High Mortality Risk Bureau of Census Occupations 16.4 Percentage of Employed Persons in High Mortality Risk Bureau of Census Occupations Indicator 17: Occupational Safety and Health ProfessionalsX 17.1 Rate of Board-Certified Occupational Medicine Physicians (per 100,000 employees) 17.2 Rate of American College of Occupational and Environmental Medicine (ACOEM) Members (per 100,000 employees) 17.3 Rate of Board-Certified Occupational Health Nurses (per 100,000 employees) 17.4 Rate of American Association of Occupational Health (AAOH) Nurse Members (per 100,000 employees) 17.5 Rate of Board-Certified Industrial Hygienists (per 100,000 employees) 17.6 Rate of American Industrial Hygiene Association (AIHA) Members (per 100,000 employees) 17.7 Rate of Board-Certified Safety Health Professionals (BCSP) (per 100,000 employees) 17.8 Rate of American Society of Safety Engineers (ASSE) Members (per 100,000 employees) Georgia U.S. Number or Rate 62 * 7.5 N/A 7.4 * 1,167 25.0 555 11.9 232 5.0 148 3.2 18 0.4 14 0.3 14,791 15.2 N/A N/A 2,563 2.6 N/A N/A N/A N/A N/A N/A 191,026 5.0 6,682,275 5.3 604,022 18,256,349 16.6 15.8 653,123 16.0 526,131 12.9 20,367,099 15.6 15,769,868 12.1 X X X X X X X X X X X X X X X X N/A = Data not available * = Not reported for 2016 X = No longer a required indicator There were 555 reported new cases of elevated blood lead levels 10 g/dL among adults in Georgia during 2016. Exposure to lead is associated with hypertension, cognitive dysfunction, adverse effects on renal function, and adverse effects on female reproductive outcomes.1 - 4 - 2016 Recommended Occupational Health Indicators Table 6. Georgia and U.S. Occupational Health Indicators, Numbers 18 22, 2016 Characteristics Indicator 18: OSHA Enforcement Activities 18.1 Annual Number of Establishments Inspected by OSHA in all OSHA-covered Sectors 18.2 Number of OSHA-Covered Establishments that are Eligible for OSHA Inspection (Excluding Farms and Mines) 18.3 Percentage of OSHA-Covered Establishments Eligible for Inspection that were Inspected by OSHA 18.4 Annual Number of Employees Whose Work Areas were Inspected by OSHA 18.5 Number of OSHA-Covered Employees (Excluding Farmers and Miners) 18.6 Percentage of OSHA-Covered Employees Eligible for Inspection Whose Work Areas were Inspected by OSHA Indicator 19: Workers' Compensation Awards 19.1 Total Amount of Workers' Compensation Benefits Paid 19.2 Average Amount of Workers' Compensation Benefits Paid Indicator 20: Work-Related Low Back Disorder Hospitalizations 20.1 Annual Number of Work-Related Surgical Low Back Disorder Hospitalizations 20.2 Annual Rate of Work-Related Surgical Low Back Disorder Hospitalization (per 100,000 worker) 20.3 Annual Number of Work-Related Low Back Disorder Hospitalizations 20.4 Annual Rate of Work-Related Low Back Disorder Hospitalizations (per 100,000 worker) Indicator 21: Asthma Among Adults Caused or Made Worse by Work 21.1 Weighted estimate of the number of ever-employed adults with current asthma who report that their asthma was caused or made worse by exposures at work 21.2 Estimated proportion of ever-employed adults with current asthma who report that their asthma was caused or made worse by exposures at work Indicator 22: Work-Related Severe Traumatic Injury Hospitalizations 22.1 Annual Number of Work-Related Severe Traumatic Injury Hospitalizations 22.2 Annual Rate of Work-Related Severe Traumatic Injury Hospitalizations (per 100,000 workers) Indicator 23: Influenza Vaccination Coverage Among Hospital Care Personnel 23.1 Pooled Proportion of Hospital Care Personnel Influenza Vaccination Coverage in Acute Care Hospitals (2015-2016 influenza season) Indicator 24: Occupational Heat-Related Emergency Department (ED) Visits 24.1 Annual Number of Emergency Department Visits for Occupational Heat-Related Illness 24.2 Annual Rate of Emergency Department Visits for Occupational Heat-Related Illness (per 100,000 workers) Indicator 25: Hospitalizations for or with Occupational Eye Injuries 25.1 Annual Number of Inpatient Hospitalizations for or with Occupational Eye Injuries 25.2 Annual Rate of Inpatient Hospitalizations for Occupational Eye Injuries (per 100,000 workers) N/A = Data not available = Data not collected in 2016 Georgia U.S. Number or Rate 1,617 290,244 0.6 109,503 3,700,890 3.0 74,350 9,320,150 0.8 3,409,034 119,247,257 2.9 $1,375,290,000 $61,918,340,000 $337.41 $456.00 N/A N/A N/A N/A N/A N/A N/A N/A 334,065 61.1 8,054,104 52.0 88.1 86.4 353 N/A 7.6 N/A 44 N/A 0.9 N/A Georgia spends an average of $1.4 billion in workers' compensation costs each year for work-related injuries, illnesses, medical expenses, and lost wages2. Approximately 61% of adults with asthma in Georgia in 2016 reported that their asthma was made worse or caused by exposures at their workplace. - 5 - 2016 Recommended Occupational Health Indicators To access the full Georgia Occupational Health Indicators Surveillance Report visit: dph.georgia.gov/georgiaoccupational-health-and-safety-surveillance-program References: 1. Council of State and Territorial Epidemiologists. Occupational Health Indicators: A Guide for Tracking Occupational Health Conditions and Their Determinants. April 2019. 2. National Academy of Social Insurance. Workers' Compensation Benefits, Coverage, and Costs, 2016. - 6 -