New York Times: C.D.C. Painkiller Guidelines Aim to Reduce Addiction Risk

The following is an exerpt from a New York Times article by Sabrina Tavernise publised on March 15, 2016.

New C.D.C. guidelines on opioids like Percocet are likely to have sweeping effects on the practice of medicine.

In an effort to curb what many consider the worst public health drug crisis in decades, the federal government on Tuesday published the first national standards for prescription painkillers, recommending that doctors try pain relievers like ibuprofen before prescribing the highly addictive pills, and that they give most patients only a few days’ supply.

The release of the new guidelines by the Centers for Disease Control and Prevention ends months of arguments with pain doctors and drug industry groups, which had bitterly opposed the recommendations on the grounds that they would create unfair hurdles for patients who legitimately have long-term pain.

In the end, the agency softened the recommendations slightly but basically held its ground, a testament to how alarmed policy makers have become over the mounting overdoses and deaths from opioid addiction. Opioid deaths — including from heroin, which some people turn to after starting with prescription painkillers — reached a record28,647 in 2014, according to the most recent federal statistics.

Spinal surgery drop leads to fewer workers comp hospitalizations

Today’s post was shared by Workers Compensation and comes from www.businessinsurance.com.

As headlines like this one appear across the country we are simultaneously noting a significant increase in surgery denials from claims managers. Coincidence? – kc

Spinal Surgery

The number of inpatient hospitalizations among injured workers in California has declined, in part because of a reduction in the number of implant-eligible spinal surgeries in recent years, according the California Workers’ Compensation Institute.

From 2008 to 2014, workers comp inpatient hospitalizations declined 22.8%, according to an updated report, “Inpatient Hospital Utilization in California Workers’ Compensation,” released by CWCI on Thursday.

Payers of workers comp claims saw fewer hospital stays than Medicare, Medi-Cal and private coverage between 2013 and 2014, with the number of inpatient discharges for comp dropping 8.6%, the report states.

It also found that the number of workers comp implant-eligible spinal surgeries declined 8.4% in 2013 and 13.6% in 2014.

The decline “coincided with continued development of evidence-based medicine, utilization review, and independent medical review, fee schedule changes, and the phase out and ultimate repeal of duplicate ‘pass-through’ payments for hardware used in workers compensation spinal surgeries,” CWCI said in a statement.

However, since 2008, implant-eligible spinal surgeries have ranged between 21% and 23.2% of all workers comp inpatient discharges, according to the report. They accounted for 21.2% in 2014, the most recent year included.

The report notes that spinal fusions and back/neck procedures are the highest-volume inpatient hospital discharges among injured workers…

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Smartphone App Created for Day Laborers to Anonymously Report Employers

Today’s post was shared by WC CompNewsNetwork and comes from www.workerscompensation.com

Sacramento, CA – The New York Times reports that after three years of planning, an immigrant rights group is set to start a smartphone app for day laborers, a new digital tool with many uses: Workers will be able to rate employers (think Yelp or Uber), log their hours and wages, take pictures of job sites and help identify, down to the color and make of a car, employers with a history of withholding wages. They will also be able to send instant alerts to other workers. The advocacy group will safeguard the information and work with lawyers to negotiate payment. Not mentioned in the story is the opportunity for workers’ compensation carriers to recover lost premium.

"It will change my life and my colleagues’ lives a good deal," Omar Trinidad, a Mexican immigrant, said in Spanish through an interpreter. Mr. Trinidad is the lead organizer who helped develop the app. "Presently, there is a lot of wage theft," he said. "There has always been wage theft, and the truth is we’re going to put a stop to that." Mr. Trinidad, suggested the name for the app – Jornalero, which means day laborer in Spanish.

The app had its soft launch on Tuesday night, with beta testing to be held later this month at the Jackson Heights section of New York City day laborer stop that stretches for a mile along 69th Street. Day laborer centers in Brooklyn and on Staten Island will also be testing the product, which is available in Spanish and English.

The plan is for…

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CBS’s 60 Minutes: The King of Coal and the Massey Mine Disaster

The following is an exerpt from the online version of the program “King of Coal” which aired on March 6, 2016. 

In December, for the first time in U.S. history, a CEO of a major company was convicted of a workplace safety crime. His name is Don Blankenship and he was once known as the “King of Coal.” The company he ran, Massey Energy, owned more than 40 mines in central Appalachia, including the Upper Big Branch mine, located in Montcoal, West Virginia, a state where coal is the dominant industry.

In 2010, the Upper Big Branch Mine was the site of the worst mining disaster in the U.S. in 40 years — the kind of accident that isn’t supposed to happen anymore. It was just after 3 o’clock on April 5, when a massive explosion tore through miles of underground tunnels, killing 29 miners. Prosecutors accused Don Blankenship of ignoring mine safety laws and fostering a corporate mentality that allowed the disaster to occur.

It was an early 1900s type of explosion. Conditions should never have existed for that to take place. – Stanley Stewart

READ the full script of the interview by Anderson Cooper, the correspondent, and WATCH the full episode and associated video clips HERE.

 

Photo credit: SMU Central University Librariesvia Foter.com / No known copyright restrictions

OSHA Orders Reinstatement, Back Wages and Damages for Alaska Pilot Fired for Raising Safety Concerns

Today’s post was shared by WC CompNewsNetwork and comes from www.workerscompensation.com.

Seattle, WA (WorkersCompensation.com) – The U.S. Department of Labor’s Occupational Safety and Health Administration has ordered an Alaska aviation company to pay years of back wages, $100,000 in compensatory damages, and to reinstate a pilot who had been suspended, then fired and ostracized among the close-knit industry for reporting safety concerns at work.

Bald Mountain Air Services violated federal whistleblower laws with its actions against the employee in 2012. With 35-years of aviation experience, the pilot for the Homer-based company raised repeated safety concerns at work ranging from missed drug tests for pilots to poor recordkeeping.

“Voicing safety concerns at work should never cost someone their job,” said OSHA Acting Regional Administrator Galen Blanton. “This employee should be hired back, compensated and treated fairly from here on out.”

OSHA’s order requires Bald Mountain Air Services to:

  • Pay the employee back wages at the rate of $350 per day from November 2012 until he receives a bona fide offer of reinstatement.
  • Pay the employee $100,000 in compensatory damages for pain, suffering and mental distress.
  • Expunge his employment records of any reference to the exercise of his rights under federal whistleblower law, and any reference to the adverse actions taken against him.
  • Not retaliate or discriminate against him in any manner, nor convey to a third party any mention of the employee’s protected activity.
  • Respondent…

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OSHA Orders Reinstatement, Back Wages and Damages for Alaska Pilot Fired for Raising Safety Concerns

Today’s post was shared by WC CompNewsNetwork and comes from www.workerscompensation.com.

Seattle, WA (WorkersCompensation.com) – The U.S. Department of Labor’s Occupational Safety and Health Administration has ordered an Alaska aviation company to pay years of back wages, $100,000 in compensatory damages, and to reinstate a pilot who had been suspended, then fired and ostracized among the close-knit industry for reporting safety concerns at work.

Bald Mountain Air Services violated federal whistleblower laws with its actions against the employee in 2012. With 35-years of aviation experience, the pilot for the Homer-based company raised repeated safety concerns at work ranging from missed drug tests for pilots to poor recordkeeping.

“Voicing safety concerns at work should never cost someone their job,” said OSHA Acting Regional Administrator Galen Blanton. “This employee should be hired back, compensated and treated fairly from here on out.”

OSHA’s order requires Bald Mountain Air Services to:

  • Pay the employee back wages at the rate of $350 per day from November 2012 until he receives a bona fide offer of reinstatement.
  • Pay the employee $100,000 in compensatory damages for pain, suffering and mental distress.
  • Expunge his employment records of any reference to the exercise of his rights under federal whistleblower law, and any reference to the adverse actions taken against him.
  • Not retaliate or discriminate against him in any manner, nor convey to a third party any mention of the employee’s protected activity.
  • Respondent…

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Zika pushes 38 percent of U.S. businesses surveyed to let workers defer trips

Today’s post was shared by Workers Comp Brief and comes from mobile.reuters.com

Aedes aegypti mosquitoes are seen inside the International Atomic Energy Agency's (IAEA) insect pest control laboratory in Seibersdorf, Austria, February 10, 2016. REUTERS/Leonhard Foeger
Aedes aegypti mosquitoes are seen inside the International Atomic Energy Agency’s (IAEA) insect pest control laboratory in Seibersdorf, Austria, February 10, 2016. REUTERS/Leonhard Foeger
A scientist shows a picture of Aedes aegypti mosquitoes inside the International Atomic Energy Agency's (IAEA) insect pest control laboratory in Seibersdorf, Austria, February 10, 2016. REUTERS/Leonhard Foeger
A scientist shows a picture of Aedes aegypti mosquitoes inside the International Atomic Energy Agency’s (IAEA) insect pest control laboratory in Seibersdorf, Austria, February 10, 2016. REUTERS/Leonhard Foeger
A biologist displays Aedes mosquito cells inoculated with virus Zika in the laboratory of Biology from University of Campinas (UNICAMP), in Campinas, Brazil, February 11, 2016. REUTERS/Paulo Whitaker
A biologist displays Aedes mosquito cells inoculated with virus Zika in the laboratory of Biology from University of Campinas (UNICAMP), in Campinas, Brazil, February 11, 2016. REUTERS/Paulo Whitaker

(Reuters) – Some 38 percent of U.S. multinationals, universities and non-profits surveyed by an arm of the State Department are allowing female employees to defer travel or leave countries where the Zika virus has been reported.

A fifth of the 321 respondents said they were giving male employees similar options, a sign of how employers’ travel policies are diverging as they react to the mosquito-borne virus and uncertainty about the way it is transmitted.

Scientists are investigating a potential link between Zika infections of pregnant women and more than 4,000 suspected cases in Brazil of microcephaly, a condition marked by abnormally small head size that can result in developmental problems.

The State Department’s Overseas Security Advisory Council (OSAC), which has a membership of more than 3,500 U.S. companies and institutions that do business abroad, surveyed its members and reported the…

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Megaship in Seattle – First of Many

The biggest cargo ship ever to call in North America, CMA CGM’s Benjamin Franklin, arrived in Seattle on February 29, 2016 after it’s inauguration in Long Beach, CA and a stop in Oakland, CA on her way north.  French-based CMA CGM, the world’s third-largest container shipping firm, is taking steps to make it the market leader on trans-Pacific routes.  By May of this year, it will redeploy its flagship fleet of six 18,000 TEU ships on the trans-Pacific routes. Trade with Asia provides support for West Coast port cities and cities across the nation with increased jobs from the docks to the department stores.

Shipping lines have been gradually increasing the size of vessels for decades, taking advantage of improving technology and engineering to reduce fuel and labor costs. U.S. ports, meanwhile, have struggled to keep up with the growing size of the ships, spending billions to deepen harbors, raise bridges and improve onshore infrastructure like roads and rail connections.

Jock O’Connell, an international trade economist affiliated with Beacon Economics, said CMA CGM’s move to integrate the new ships into its trans-Pacific service so rapidly was a surprise. The Benjamin Franklin calls at several West Coast ports in recent months appeared to be test runs of the ability of the ports to handle the ships.

Seattle is in the midst of a major renovation of Terminal 5 to accommodate megaships like the Benjamin Franklin, improving dockside services, installing larger cranes and dredging to increase depths to allow for the deeper draft vessels.  The Benjamin Franklin, one of the largest container cargo vessels, capable of carrying 18,000 TEU, has a 52’ draft and is about a third larger than the biggest container ships that currently visit the deep water ports of southern California.

Thanks to the West Seattle Blog for other stats – besides the ship being more than twice as long as the 605-foot Space Needle is tall – it’s 177 feet wide and 197 feet high (roughly equal to a 20-story building), with its tallest antenna topping out at 230 feet.

Check out the fantastic photo tour of the Benjamin Franklin on gCaptain! 

Sources: gCaptain, Port of Oakland, West Seattle Blog, Wikipedia.

Video credit: Port of Oakland Photo credit: CMA CGM Media Gallery

 

The quest for meaningful and accurate occupational health and safety statistics

Today’s post was shared by Jon L Gelman and comes from www.bls.gov

For much of its 130 year history, the U.S. Bureau of Labor Statistics (BLS)1 has collected data and published reports on occupational injuries, illnesses, and fatalities. From the beginning, BLS has engaged in ongoing efforts to improve the breadth and accuracy of the data available for end users. As far back as 1912, the Occupational Safety and Health Statistics (OSHS) program published annual reports on work injuries and illnesses.2 Two of the more recent annual reports are from the Survey of Occupational Injuries and Illnesses (SOII), which began with publishing 1972 data in 1974,3 and the Census of Fatal Occupational Injuries (CFOI), which began with publishing 1992 data in 1994.4 The SOII covers nonfatal work-related injuries and illnesses, and the CFOI covers fatal work-related injuries. In 2013, the SOII estimated that there were 3,007,300 occupational injuries and illnesses among private industry workers, a rate of 3.3 per 100 full-time equivalent workers. This was down from a rate of 5.0 a decade earlier. Likewise, CFOI data identified 4,585 fatal work injuries in 2013, down from 5,575 in 2003. BLS is continually improving collection methods to ensure that occupational injury, illness, and fatality data are accurately tracked.

The OSHS program has seen many new developments. The program has adapted to changes to the structure of jobs among American workers—moving from field to factory to office—and changing workplace safety regulations. This article…

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New staging of mesothelioma tumors may predict outcome

Today’s post was shared by Jon L Gelman and comes from workers-compensation.blogspot.com

A recent study indicates that a new physician staging processes by weight and volume of mesothelioma tumors may be helpful in predicting outcome. Mesothelioma is a fatal rare tumor and almost always associated with exposure to asbestos fibers. The development of mesothelioma commonly is diagnosed decades after the initial exposure to asbestos fiber.

Today’s post is shared from sciencedaily.com and reports a significant development in the treatment of the disease.

A new study suggests that significant improvements could be made in the scoring system physicians use to estimate the stage (severity) of mesothelioma, an aggressive and deadly cancer.

The current scoring system incorporates such factors as the size of the tumor and whether it has spread to other parts of the body. The study’s findings suggest that, in addition, tumor weight and volume "may be valuable components for staging malignant pleural mesothelioma."

An improved scoring system could provide a more accurate prognosis and help guide treatment, said lead author Wickii Vigneswaran, MD, MBA, who now is at Loyola University Medical Center and Loyola University Chicago Stritch School of Medicine. Dr. Vigneswaran has performed nearly 200 mesothelioma surgeries, and he is among only a handful of surgeons nationwide who treat mesothelioma surgically.

The study is published in the European Journal of Cardio-Thoracic Surgery. Eur J Cardiothorac Surg (2016)doi: 10.1093/ejcts/ezv422 First published online: January…

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Published by Causey Wright