Chapter 2 • Fatal and Nonfatal Injuries, and Selected Illnesses
and Conditions
This chapter provides data describing the magnitude, distribution,
and major demographic characteristics of fatal and nonfatal occupational
injuries and selected occupational illnesses and conditions. The data
and figures are presented in the following 11 sections, which correspond
with surveillance and research areas within the National Institute for
Occupational Safety and Health (NIOSH):
Data for the figures came from epidemiologic surveillance programs in
the Centers for Disease Control and Prevention (CDC), the Bureau of Labor
Statistics (BLS), our State-based surveillance partners under the Sentinel
Event Notification System for Occupational Risks (SENSOR) program, and
NIOSH.
CDC provided case data reported from State and local health authorities
and from collaborating health care institutions on occupational hepatitis
B, occupational human immunodeficiency virus/acquired immune deficiency
syndrome (HIV/AIDS), percutaneous injuries, and occupational tuberculosis
(TB).
BLS provided data from their Census of Fatal Occupational Injuries (CFOI)
and Survey of Occupational Injuries and Illnesses (SOII). CFOI provides
the most complete count of fatal occupational injuries available. BLS
uses diverse State and Federal data sources to identify, verify, and profile
fatal occupational injuries. SOII measures the number, demographic, and
case characteristics of new occupational illness cases that are recognized,
diagnosed, and reported.
NIOSH supports State-based occupational injury surveillance activities
through the SENSOR program to develop model surveillance and related outreach
activities for preventing occupational illness and injury. Our State-based
partners contributed data on carpal tunnel syndrome, adult lead poisoning,
hearing loss, pesticide poisoning, occupational asthma, and silicosis.
Case data from these programs provided a unique perspective from our State-based
partners.
NIOSH contributions included analyses from the many CDC data sources,
the BLS CFOI and SOII data sources, surveys of hospital emergency departments,
and fatal injuries and disease mortality from State and national vital
statistics programs.
Anxiety, Stress, and Neurotic Disorders
Anxiety, stress, and neurotic disorders are associated with acute and
chronic post-traumatic anxiety, reaction to stress, panic disorders, and
other neurotic disorders not elsewhere classified. These disorders are
more severe than the average injury or illness. Affected workers experience
a much greater work loss than those with all nonfatal injuries or illnesses—25
days away from work compared with 6 in 2001 (Figure 2–6).
BLS reported 5,659 anxiety, stress, and neurotic disorder cases involving
days away from work in 2001 (Figure 2–1). Rates declined 25% between
1992 and 2001, from 0.8 per 10,000 full-time workers in 1992 to 0.6 in
2001 (Figure 2–2). In 2001, most cases involved workers who were
aged 25–54 (78.3%) (Figure 2–3), female (Figure 2–4),
and white, non-Hispanic (64.8%) (Figure 2–5). Two occupational groups
accounted for more than 63% of all anxiety, stress, and neurotic disorder
cases in 2001: technical, sales, and administrative support (39.9% or
2,250 cases) and managerial and professional specialty occupations (23.6%
or 1,331 cases) (Figure 2–7). Incidence rates for anxiety, stress,
and neurotic disorders exceeding the private-sector rate were reported
in 2001 for finance, insurance, and real estate (1.1 per 10,000 full-time
workers), transportation and public utilities (1.1), and services (0.7)
(Figure 2–8). Finance, insurance, and real estate had consistently
higher incidence rates than other industry sectors during 1992–2001
and experienced a 42.1% reduction over this period (Figure 2–9).
Magnitude and Trend
How did the number of anxiety, stress, and neurotic disorders change
during 1992–2001?
How did the rates of anxiety, stress, and neurotic disorders change
during 1992–2001?
Age
How did anxiety, stress, and neurotic disorders differ by age of worker
in 2001?
Sex
How did anxiety, stress, and neurotic disorders differ by sex of worker
during 1992–2001?
Race/Ethnicity
How did anxiety, stress, and neurotic disorders differ by race/ethnicity
in 2001?
Severity
How did anxiety, stress, and neurotic disorders compare with all nonfatal
injury and illness cases when measured by days away from work in 2001?
Occupation
How were anxiety, stress, and neurotic disorders distributed by occupation
in 2001?
Industry
How did rates of anxiety, stress, and neurotic disorders differ by private
industry sector in 2001?
How did the rates of anxiety, stress, and neurotic disorders change
by private industry sector during 1992–2001?
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