NIOSH Publication No. 2004-146

Worker Health Chartbook 2004

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1 Figure 1-10 Fatal occupational injury rates by State, 2002. Fatal occupational injury rates varied by State from 1.4 to 14.1 per 100,000 employed workers. (The U.S. rate was 4.0 per 100,000 employed workers in 2002.) Fatal occupational injuries exceeded 10 per 100,000 employed workers in Alaska, Wyoming, and Montana. (Sources: BLS [2003a]; BLS [2003b].)

2 Figure 1-18 Incidence rates of nonfatal occupational injuries and illnesses in private industry by State, 2001. Nonfatal occupational injury and illness rates varied by State from 2.3 to 8.7 per 100 full-time workers. (The U.S. rate was 5.7 per 100 full-time workers.) Lower rates were reported for States in the South, southern coastal States, and the Southwest. (Source: BLS [2003d].)

3 Figure 1-19 Incidence rates for lost-workday cases of nonfatal occupational injury and illness in private industry by State, 2001. Rates of lost-workday cases of nonfatal occupational injury and illness varied among the States from 1.9 to 5.0 per 100 full-time workers, with an overall U.S. rate of 2.8. Lower rates were reported for the South, southern coastal States, and the Southwest. (Source: BLS [2003d].)

4 Figure 1-20 Incidence rates for nonfatal occupational injury and illness cases involving days away from work in private industry by State, 2001. Rates of nonfatal occupational injury and illness cases with days away from work varied among the States from 1.2 to 3.5 per 100 full-time workers. (The U.S. rate was 1.7 per 100 full-time workers.) Lower rates were reported for the South, southern coastal States, Mississippi Delta, and western mountain States. (Source: BLS [2003d].)

5 Figure 1-25 Number of occupational illness cases in private industry by State, 2001. The number of new cases among reporting States ranged from 400 to 41,700. States with the highest numbers included California (41,700), Michigan (30,200), Texas (17,200), and Illinois (14,500). (Source: BLS [2003d].)

6 Figure 1-26 Incidence rates for occupational illness in private industry by State, 2001. Occupational illness rates varied widely among the States, from 8.8 per 10,000 full-time workers in New Mexico to 142.6 in Maine. (The U.S. rate was 36.7 per 10,000 full-time workers.) Higher rates were reported in the Midwest. Lower rates were reported for States in the South and in the southern coastal and western mountain States. (Source: BLS [2003d].)

7 Figure 2-17 Average annual rate of fatal occupational injuries per 100,000 workers by State of death, 1980-2000. (All data for 1980-2000 exclude New York City.) The States with the highest fatality rates for occupational injury during 1980-2000 include Alaska (20.9 per 100,000 workers), Wyoming (14.9), Montana (11.1), Idaho (9.7), Mississippi (9.6), and West Virginia (9.6). The greatest numbers of fatal occupational injuries occurred in California (12,221), Texas (11,635), Florida (7,252), Illinois (5,145), and Pennsylvania (4,420). (Source: NIOSH [2003].)

8 Figure 2-18 Number of fatal occupational injuries by State, 2002. BLS reported a low of 8 fatal occupational injuries in Rhode Island and a high of 478 in California for 2002. High fatality counts were also reported for Texas (417), Florida (354), New York (238), and Ohio (202). (Source: BLS [2003].)

9 Figure 2-34 Average State rates of elevated BLLs per 100,000 employed workers, 1998-2001: (A) 25 µg/dL or greater, and (B) 40 µg/dL or greater. During 1998-2001, the mean State rates for adults with BLLs of 25 µg/dL or greater ranged from 2.6 to 40.9 per 100,000 employed workers. Among the reporting States, those with the highest rates included Pennsylvania (40.9), New Hampshire (28.4), and Alabama (27.5). The lowest rate was reported by Arizona (2.6). State rates may truly reflect the magnitude of the lead exposure problem, but they may be biased because of varying degrees of completeness of blood lead testing carried out by employers among the States. (Sources: NIOSH [2002c]; CDC [2002d].)

During 1998-2001, the mean State rates for adults with BLLs of 40 µg/dL or greater ranged from 0.4 to 8.8 per 100,000 employed workers. Among the reporting States, those with the highest rates included Alabama (8.8), New Hampshire (7.5), and North Carolina (7.0). The lowest rate was reported by Arizona (0.4). (Note: Nebraska provided 2 years of data, and South Carolina provided 3 years. All other States provided 4 years of data for this figure.) (Sources: NIOSH [2002c]; CDC [2002d].)

10 Figure 2-37 Number of MSD cases involving days away from work in private industry by State, 2001. The number of new MSD cases within reporting States ranged from 1,589 to 52,136 in 2001. The States with the highest numbers of cases included California (52,136), New York (33,773), and Texas (32,838). (Source: BLS [2003d].)

11 Figure 2-38 Rates of MSD cases involving days away from work in private industry by State, 2001. The rate of new MSD cases within reporting States ranged from 35.0 to 141.5 per 10,000 full-time workers in 2001. The States with the highest rates include West Virginia (141.5), Alaska (123.5), and Washington (112.1). BLS reported an overall rate of 57.5 per 10,000 full-time workers for the United States in 2001. (Source: BLS [2003d].)

12 Figure 2-58 Number of disorders associated with repeated trauma in private industry by State, 2001. Within reporting States, the number of repeated trauma disorders ranged from 100 to 26,700 cases in 2001. States with the highest numbers included California (26,700), Michigan (22,700), Texas (11,600), and Illinois (9,500). (Source: BLS [2002].)

13 Figure 2-59 Incidence rates for disorders associated with repeated trauma in private industry by State, 2001. Incidence rates for disorders associated with repeated trauma varied by State in 2001, from a low of 2.9 per 10,000 full-time workers in New Mexico to a high of 120.1 in Maine. The U.S. rate was 23.8 per 10,000 full-time workers. Lower rates were reported for States in the West, the Southwest, and the South. (Source: BLS [2002].)

14 Figure 2-149 Number of occupational disorders due to physical agents in private industry by State, 2001. In 2001, the number of disorders due to physical agents within reporting States ranged from fewer than 50 cases to 1,300. States with the highest numbers included California (1,300), Michigan (1,200), Indiana (800), Illinois (700), and Wisconsin (700). (Source: BLS [2002].)

15 Figure 2-150 Incidence rates for occupational disorders due to physical agents in private industry by State, 2001. Rates of occupational disorders due to physical agents vary among the States from a reported low of 0.2 per 10,000 full-time workers in Delaware to a high of 4.1 in Nebraska. The U.S. rate was 1.6 per 10,000 full-time workers. (Source: BLS [2002].)

16 Figure 2-153 Number of occupational poisoning cases in private industry by State, 2001. The number of occupational poisoning cases within reporting States ranged from fewer than 50 to 300 in 2001. BLS reported a total of 2,800 occupational poisoning cases in 2001. States with the highest numbers included California (300), Illinois (200), Indiana (200), Michigan (200), Missouri (200), North Carolina (2002) and Texas (200). (Source: BLS [2002].)

17 Figure 2-154 Incidence rates for occupational poisoning in private industry by State, 2001. Occupational poisoning rates varied from a low of less than 0.1 per 10,000 full-time workers in many States to a high of 1.2 per 10,000 full-time workers in Maine. The U.S. rate was 0.3 per 10,000 full-time workers. (Source: BLS [2002].)

18 Figure 2-166 Age-adjusted mortality rates for hypersensitivity pneumonitis in U.S. residents aged 15 and older by State, 1990-1999. States with higher hypersensitivity pneumonitis mortality rates during 1990-1999 were in the upper Midwest, the northern Plains and Mountain States, and New England. In the group of States with the highest mortality from hypersensitivity pneumonitis, rates ranged from three to five times the U.S. rate of 0.2 per million. (Source: NIOSH [2002e].)

19 Figure 2-169 Age-adjusted mortality rates for malignant mesothelioma in U.S. residents aged 15 or older by State, 1999. The highest malignant mesothelioma mortality rates occurred in Alaska and Maine in 1999. The rates for each of these States were more than twice the national rate of 11.7 per million. States in the next highest rate group were widely dispersed, with a concentration on the eastern seaboard and in the West. The rates in these States were nearly 1.5 to 2 times the U.S. rate. (Source: NIOSH [2002e].)

20 Figure 2-176 Age-adjusted mortality rates for asbestosis in U.S. residents aged 15 or older by State, 1990-1999. Delaware and West Virginia had the highest asbestosis mortality rates during 1990-1999. States in the second highest mortality rate category were predominantly coastal States. All States in these two groupings had asbestosis mortality rates above the U.S. rate of 5.4 per million. (Source: NIOSH [2002f].)

21 Figure 2-179 Age-adjusted mortality rates for byssinosis in U.S. residents aged 15 or older by State, 1990-1999. States with the highest byssinosis mortality rates during 1990-1999 were located predominantly in the Southeast in the textile-producing States. During this period, more than half of byssinosis decedents were residents of North Carolina, South Carolina, and Georgia. (Source: NIOSH [2002f].)

22 Figure 2-184 Age-adjusted mortality rates for CWP in U.S. residents aged 15 or older by State, 1990-1999. West Virginia had the highest CWP mortality rate-nearly 20 times the rate of 7.56 per million for the entire United States. The second highest rate category included the Appalachian and western coal mining regions. (Source: NIOSH [2002f].)

23 Figure 2-187 Age-adjusted mortality rates for unspecified/other pneumoconiosis in U.S. residents aged 15 or older by State, 1990-1999. During 1990-1999, West Virginia had the highest mortality rates for unspecified/other pneumoconiosis-more than 20 times the U.S. rate of 1.59 per million. High rates were observed among other Appalachian and Western mining States, ranging from two to nine times the U.S. rate. (Source: NIOSH [2002f].)

24 Figure 2-193 Age-adjusted mortality rates for silicosis in U.S. residents aged 15 or older by State, 1990-1997. States with the highest silicosis mortality rates during 1990-1999 were regionally dispersed: West Virginia, Pennsylvania, and Vermont make up the eastern cluster; and Colorado, New Mexico, and Utah constitute the western cluster. Mortality rates for each of these States were at least three times the rate of 1.21 per million for the entire United States. (Source: NIOSH [2002f].)

25 Figure 2-197 Number of cases of dust diseases of the lungs in private industry by State, 2001. The number of dust diseases of the lungs within reporting States ranged from fewer than 50 cases to 200 in 2001. BLS reported 1,300 cases of dust diseases of the lung in 2001. Eight States (California, Illinois, New York, Oklahoma, Texas, Virginia, Washington, and West Virginia) reported 100 or more cases. (Source: BLS [2002].)

26 Figure 2-198 Incidence rates for dust diseases of the lungs in private industry by State, 2001. Rates for occupational dust diseases of the lungs varied by State in 2001, from a low of 0.1 per 10,000 full-time workers in most States to a high of 3.8 per 10,000 full-time workers in West Virginia. The U.S. rate was 0.1 per 10,000 full-time workers. Lower rates were reported for States in the South, the Southwest, and the West. (Source: BLS [2002].)

27 Figure 2-201 Number of respiratory conditions due to toxic agents in private industry by State, 2001. The number of respiratory conditions due to toxic agents within reporting States in 2001 ranged from fewer than 50 cases to 1,400. BLS reported 14,500 cases in 2001. States with the highest numbers of these conditions included California (1,400), Michigan (900), Texas (700), North Carolina (700), and New York (700). (Source: BLS [2002].)

28 Figure 2-202 Incidence rates for respiratory conditions due to toxic agents in private industry by State, 2001. In 2001, incidence rates of occupational respiratory conditions due to toxic agents varied by State from a low of 0.7 per 10,000 full-time workers in Louisiana to a high of 5.0 in Maine. The U.S. rate was 1.6 per 10,000 full-time workers. Lower rates were reported for Southern, Southwestern, and Western States. (Source: BLS [2002].)

29 Figure 2-206 Number of skin diseases and disorders in private industry by State, 2001. The number of occupational skin diseases and disorders within reporting States ranged from fewer than 50 cases to 3,700 in 2001. BLS reported 38,900 cases in 2001. States with the highest numbers included California (3,700), Michigan (2,800), Texas (2,000), and Florida (1,900). (Source: BLS [2002].)

30 Figure 2-207 Incidence rates for skin diseases and disorders in private industry by State, 2001. In 2001, rates of occupational skin diseases and disorders varied by State from a low of 1.2 cases per 10,000 full-time workers in New Mexico to a high of 9.8 in Kansas. The U.S. rate was 4.3 cases per 10,000 full-time workers. Lower rates were reported for the West, the Southwest, and the Mid-Atlantic States. (Source: BLS [2002].)

31 Figure 3-8 Fatal occupational injuries in the agriculture, forestry, and fishing industry by State, 1992-2000. (Fatality data exclude New York City.) During 1992-2000, the highest numbers of fatal occupational injuries in agriculture, forestry, and fishing were reported by California (646), Texas (384), Florida (313), Kentucky (298), Pennsylvania (289), and Tennessee (271). (Sources: BLS [2001a]; Myers [2001b].)

32 Figure 3-9 Fatal occupational injury rates in the agriculture, forestry, and fishing industry by State, 1992-2000. (Fatality data exclude New York City.) During 1992-2000, the highest fatal occupational injury rates in agriculture, forestry, and fishing were reported by Alaska (175.9 per 10,000 workers), Kentucky (62.3), and Tennessee (44.3). (Sources: BLS [2001a,b]; Myers [2001b].)

33 Figure 3-12 Unintentional on-farm deaths of youths under age 20 by State, 1982-1996. During 1982-1996, the highest numbers of unintentional on-farm deaths of youths under age 20 were reported by Texas (204), Pennsylvania (109), Iowa (107), Missouri (106), and Wisconsin (105). (Sources: NCHS [2002]; Adekoya and Pratt [2001].)

34 Figure 3-15 Number of nonfatal occupational farming injuries by State, 1993-1995. During 1993-1995, the highest numbers of nonfatal occupational farming injuries occurred in California (12,695), Minnesota (11,847), Iowa (11,137), and Wisconsin (10,173). (Note: For reporting purposes, the following States were combined: Alaska and Washington; Connecticut, Massachusetts, and Rhode Island; Delaware and Maryland; Maine, New Hampshire, and Vermont; Montana and Wyoming; and Nevada and Utah.) (Sources: NIOSH [2001b]; Myers [2001c].)

35 Figure 3-16 Rates of nonfatal occupational farming injuries by State, 1993-1995. Mississippi had the highest rate of nonfatal occupational farming injury (14.5 per 100 full-time workers), followed by Alaska and Washington (combined injury rate of 14.3), Arizona (13.7), Ohio (13.1), and Colorado (11.3). (Note: For reporting purposes, the following States were combined: Alaska and Washington; Connecticut, Massachusetts, and Rhode Island; Delaware and Maryland; Maine, New Hampshire, and Vermont; Montana and Wyoming; and Nevada and Utah.) (Sources: BLS [2002b]; NIOSH [2001b]; Myers [2001c].)