NIOSH Publication No. 2004-146

Worker Health Chartbook 2004

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1 Figure 1-21 Injuries and illnesses in private industry, 2001. Of the 5.2 million nonfatal occupational injuries and illnesses reported in 2001, 4.9 million or 93.6% were injuries. The remainder (333,800 cases or 6.4%) were work-related illnesses. Sixty-five percent (216,400 cases) of the nonfatal occupational illnesses were disorders associated with repeated trauma. (Source: BLS [2002b].)

2 Figure 1-22 Number of illness cases in private industry by type of illness, 1972-2001. Since 1972, BLS data illustrate significant variation in the number of reported illness cases. From 1972 to 1982, the number of illness cases declined gradually from 210,500 to 105,600. This number increased and peaked sharply in 1994 at 514,700 cases. The number of cases declined steadily to 333,800 in 2001. Disorders associated with repeated trauma declined for 7 consecutive years dating from 1995. About 216,400 cases were reported in 2001, compared with a high of 332,100 cases in 1994. (Source: BLS [2002b].)

3 Figure 1-23 Incidence rates of occupational illness in private industry by illness category, 1984-2001. Since first reporting illness category rates in 1984, BLS has tracked the steep increase in overall illness rates that began in the mid-1980s and peaked in 1994. The overall pattern reflects the trends for disorders associated with repeated trauma. (Source: BLS [2002b].)

4 Figure 1-24 Incidence rates of occupational illness in private industry by illness category other than disorders associated with repeated trauma, 1984-2001. Rates for other categories of illness were smaller than for disorders associated with repeated trauma. These diseases and disorders represent approximately one-third of all reported occupational illnesses. Skin diseases or disorders have consistently accounted for 12%-14% of all occupational illness cases, with rates ranging from 8.2 to 4.3 per 10,000 full-time workers between 1992 and 2001. (Source: BLS [2002b].)

5 Figure 2-1 Number of anxiety, stress, and neurotic disorder cases involving days away from work in private industry, 1992-2001. During 1992-2001, the annual number of anxiety, stress, and neurotic disorder cases involving days away from work ranged from a high of 7,603 cases in 1993 to a low of 4,409 in 1998. Numbers declined 8.6% between 1992 and 2001-from 6,189 to 5,659 cases. (Sources: BLS [2003a,b].)

6 Figure 2-2 Annual rates of anxiety, stress, and neurotic disorder cases involving days away from work in private industry, 1992-2001. The annual rate of anxiety, stress, and neurotic disorder cases involving days away from work declined 25% between 1992 and 2001-from 0.8 to 0.6 per 10,000 full-time workers. (Sources: BLS [2003a,b].)

7 Figure 2-3 Distribution and number of anxiety, stress, and neurotic disorder cases involving days away from work in private industry by age, 2001. Age data are available for 5,589 of the 5,659 BLS-estimated anxiety, stress, and neurotic disorder cases involving days away from work in 2001. Younger age groups accounted for the majority of cases. Workers aged 25-34 accounted for 1,426 or 25.5% of cases, and workers aged 35-44 accounted for 1,576 or 28.2% of cases. (Sources: BLS [2003a,b]; Booth-Jones et al. [2003a].)

8 Figure 2-4 Distribution of anxiety, stress, and neurotic disorder cases involving days away from work in private industry by sex, 1992-2001. Female workers accounted for the majority of anxiety, stress, and neurotic disorder cases during 1992-2001-from a low of 58.4% in 1992 to a high of 71.2% in 1995. (Sources: BLS [2003a,b]; Booth-Jones et al. [2003a].)

9 Figure 2-5 Distribution and number of anxiety, stress, and neurotic disorder cases involving days away from work in private industry by race/ethnicity, 2001. Race/ethnicity data are available for 3,930 of the 5,659 BLS-estimated anxiety, stress, and neurotic disorder cases involving days away from work in 2001. White, non-Hispanic workers accounted for the majority of cases (64.8%). Black, non-Hispanic and Hispanic workers accounted for 9.6% and 20.7% of the cases, respectively. (Sources: BLS [2003a,b]; Booth-Jones et al. [2003a].)

10 Figure 2-6 Distribution of anxiety, stress, and neurotic disorder cases and all nonfatal injury and illness cases involving days away from work in private industry by days away from work, 2001. Compared with all nonfatal injury and illness cases in 2001, anxiety, stress, and neurotic disorder cases tended to involve higher percentages of long-term work loss (11-20, 21-30, and 31 or more days away from work). In 2001, 42.1% of these cases involved 31 or more days away from work. The median number of days away from work was 25 for anxiety, stress, and neurotic disorders-substantially greater than the median of 6 for all nonfatal injury and illness cases. (Sources: BLS [2003a]; Booth-Jones et al. [2003a].)

11 Figure 2-7 Distribution and number of anxiety, stress, and neurotic disorder cases involving days away from work in private industry by occupation, 2001. Technical, sales, and administrative support along with managerial and professional specialty occupations constituted 63.5% of anxiety, stress, and neurotic disorder cases in 2001. (Sources: BLS [2003a,b]; Booth-Jones et al. [2003a].)

12 Figure 2-8 Incidence rate of anxiety, stress, and neurotic disorder cases by private industry sector, 2001. For anxiety, stress, and neurotic disorders, private industry reported an overall incidence rate of 0.6 per 10,000 full-time workers in 2001. Higher rates were reported for transportation and public utilities (1.1), finance, insurance, and real estate (1.1), and services (0.7) (Note: A dash in parentheses indicates that no data were reported or that data do not meet BLS publication criteria). (Source: BLS [2003a].)

13 Figure 2-9 Annual rates of anxiety, stress, and neurotic disorder cases involving days away from work by private industry sector, 1992-2001. The annual rate for these disorders declined 25% in the private sector during 1992-2001, and rates declined for each industry sector except retail trade. Finance, insurance, and real estate had consistently higher rates than other industry sectors during the 10-year period and experienced a 42.1% rate reduction. (Sources: BLS [2003a,b].)

14 Figure 2-35 Number of MSD cases and all nonfatal injury and illness cases involving days away from work in private industry, 1992-2001. The number of MSD cases declined from 784,145 in 1992 to 522,528 in 2001. As a percentage of all nonfatal injury and illness cases, MSD cases remained relatively stable between 1992 and 2001, ranging from a low of 33.6% in 1992 to a high of 34.0% in 2001. (Source: BLS [2003c].)

15 Figure 2-36 Distribution and number of MSD cases involving days away from work in private industry by nature of injury or illness, 2001. Sprains and strains accounted for 399,772 cases or 76.5% of the 522,528 musculoskeletal disorders involving days away from work in 2001. (Source: BLS [2003d].)

16 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].)

17 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].)

18 Figure 2-39 Distribution of MSD cases and all nonfatal injury and illness cases involving days away from work in private industry by age, 2001. Age data are available for 518,397 of the 522,528 BLS-estimated MSD cases involving days away from work in 2001. Overall, three age groups (25-34, 35-44, and 45-54) accounted for 78.9% of cases, slightly greater than the 75.2% reported for all nonfatal injury and illness cases. (Source: BLS [2003d].)

19 Figure 2-40 Distribution of MSD cases and all nonfatal injury and illness cases involving days away from work in private industry by sex, 2001. Male workers accounted for a lower percentage of MSD cases in 2001 than nonfatal injury and illness cases (62.5% versus 66.1%). However, female workers accounted for a higher percentage of MSD cases (37.5% versus 33.9%). (Source: BLS [2003d].)

20 Figure 2-41 Distribution of MSD cases and all nonfatal injury and illness cases involving days away from work in private industry by race/ethnicity, 2001. Race/ethnicity data are available for 373,710 of the 522,528 BLS-estimated MSD cases involving days away from work in 2001. White, non-Hispanic workers accounted for 71.6% of MSD cases and 68.2% of all nonfatal injury and illness cases. Black, non-Hispanic workers and Hispanic workers accounted for 12.1% and 13.7% of MSD cases, respectively. (Source: BLS [2003d].)

21 Figure 2-42 Distribution of MSD cases and all nonfatal injury and illness cases involving days away from work in private industry by days away from work, 2001. Compared with all nonfatal injuries and illnesses in 2001, MSD cases tended to involve higher percentages of long-term work loss (6-10, 11-20, 21-30, and 31 or more days away from work). Thirty-one or more days away from work were reported for 23.9% of MSD cases. A median of 8 days away from work was reported for MSD cases in 2001-slightly greater than the median of 6 days for all nonfatal injuries and illnesses. (Source: BLS [2003d].)

22 Figure 2-43 Distribution of MSD cases and all nonfatal injury and illness cases involving days away from work in private industry by occupation, 2001. Operators, fabricators, and laborers accounted for 40.8% of all MSD cases involving days away from work in 2001. Comparisons between MSD cases and nonfatal injuries and illnesses by occupational groups indicate only small differences. (Source: BLS [2003d].)

23 Figure 2-44 Distribution of MSD cases and all nonfatal injury and illness cases involving days away from work in private industry by industry, 2001. Manufacturing (22.9%) and services (25.8%) accounted for about half of all MSD cases in 2001. Distributions of MSD cases are notably different from distributions of all nonfatal injuries and illnesses by industry sector, with the greatest differences in services, construction, manufacturing, and retail trade. (Source: BLS [2003d].)

24 Figure 2-56 Number of disorders associated with repeated trauma in private industry, 1972-2001. Repeated trauma disorders ranged from a low of 20,200 cases in 1978 to a high of approximately 332,100 cases in 1994. In 2001, BLS reported 216,400 repeated trauma disorder cases-nearly 65% of all nonfatal occupational illness cases in 2001, and a decrease of 42% from the 1994 rate. (Source: BLS [2002].)

25 Figure 2-57 Incidence rates of disorders associated with repeated trauma in private industry, 1984-2001. BLS reported increasing rates for repeated trauma disorders-from 5.1 per 10,000 full-time workers in 1984 to 41.1 in 1994. BLS reported a rate of 23.8 per 10,000 full-time workers in 2001. (Source: BLS [2002].)

26 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].)

27 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].)

28 Figure 2-147 Number of occupational disorders due to physical agents in private industry, 1972-2001. The number of BLS-estimated disorders due to physical agents ranged from a high of approximately 30,100 cases in 1972 to a low of 8,300 cases in 1982. In 2001, BLS reported 14,600 cases. The pattern of increases and decreases after 1984 seems to parallel disorders associated with repeated trauma, though at substantially lower orders of magnitude. (Source: BLS [2002].)

29 Figure 2-148 Incidence rates for occupational disorders due to physical agents in private industry, 1984-2001. BLS reported rates of disorders due to physical agents ranging from 1.3 to 2.9 per 10,000 full-time workers during 1984-2001. The rate was 1.6 per 10,000 full-time workers in 2001. Disorders due to physical agents accounted for approximately 4% of all reported illness cases. The pattern of rate increases and decreases after 1984 seems to parallel disorders associated with repeated trauma. (Source: BLS [2002].)

30 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].)

31 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].)

32 Figure 2-204 Number of skin diseases and disorders in private industry, 1972-2001. The number of skin diseases and disorders peaked at 89,400 cases in 1974 then declined steadily to a low of 39,500 in 1983. Cases increased to 65,700 in 1994 then declined steadily to 38,900 in 2001. (Source: BLS [2002].)

33 Figure 2-205 Incidence rates of skin diseases and disorders in private industry, 1984-2001. Rates of skin diseases and disorders increased from 6.3 cases per 10,000 full-time workers in 1984 to 8.2 in 1992. Rates remained elevated through 1995 then declined to 4.3 cases per 10,000 full-time workers in 2001-the lowest rate ever reported by BLS. (Source: BLS [2002].)

34 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].)

35 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].)