# 20 {#section .Chapter-# .unnumbered}

# Occupational Safety and Health

20-1 Work-related injury deaths

20-1a All industries

20-1b Mining

20-1c Construction

20-1d Transportation

20-1e Agriculture, forestry, and fishing

20-2 Work-related injuries

20-2a All industries

20-2b Construction

20-2c Health services

20-2d Agriculture, forestry, and fishing

20-2e Transportation

20-2f Mining

20-2g Manufacturing

20-2h Adolescent workers

20-3 Overexertion or repetitive motion

20-4 Pneumoconiosis deaths

20-5 Work-related homicides

20-6 Work-related assaults

20-7 Elevated blood lead levels from work exposure

20-8 Occupational skin diseases or disorders

20-9 Worksite stress reduction programs

20-10 Needlestick injuries

20-11 Work-related, noise-induced hearing loss

20-1. Reduce deaths from work-related injuries.

+----------------------+-----------------------------------------------+
| 20-1a. All industry. |                                               |
+----------------------+-----------------------------------------------+
| **National Data      | Census of Fatal Occupational Injuries (CFOI), |
| Source**             | DOL, BLS.                                     |
+----------------------+-----------------------------------------------+
| **State Data         | Census of Fatal Occupational Injuries (CFOI), |
| Source**             | DOL, BLS.                                     |
+----------------------+-----------------------------------------------+
| **Healthy People     | 10.1 (Occupational Safety and Health).        |
| 2000 Objective**     |                                               |
+----------------------+-----------------------------------------------+
| **Measure**          | Rate per 100,000 workers.                     |
+----------------------+-----------------------------------------------+
| **Baseline**         | 4.5 (1998).                                   |
+----------------------+-----------------------------------------------+
| **Numerator**        | Number of work-related injury deaths among    |
|                      | workers aged 16 years and older.              |
+----------------------+-----------------------------------------------+
| **Denominator**      | Average annual number of workers aged 16      |
|                      | years and older.                              |
+----------------------+-----------------------------------------------+
| **Population         | U.S. resident population; U.S. civilian,      |
| Targeted**           | noninstitutionalized population.              |
+----------------------+-----------------------------------------------+
| **Questions Used To  | From the 1999 Current Population Survey:      |
| Obtain the National  |                                               |
| Data**               |                                               |
+----------------------+-----------------------------------------------+
|                      | \[DENOMINATOR:\]                              |
|                      |                                               |
|                      | -   Last week did you have a job, either full |
|                      |     or part time?                             |
+----------------------+-----------------------------------------------+
| **Expected           | Annual.                                       |
| Periodicity**        |                                               |
+----------------------+-----------------------------------------------+
| **Comments**         | CFOI uses multiple data sources including     |
|                      | death certificates, workers' compensation     |
|                      | reports, reports to various regulatory        |
|                      | agencies, police reports, medical examiner    |
|                      | records, as well as newspaper reports, to     |
|                      | identify and verify work-related fatalities.  |
+----------------------+-----------------------------------------------+
|                      | The number of workers is reported in CPS, a   |
|                      | monthly household survey that collects data   |
|                      | on the employment status of the civilian,     |
|                      | noninstitutionalized population aged 16 years |
|                      | and older. The number of workers includes     |
|                      | full- and part-time workers, and is averaged  |
|                      | over the calendar to account for seasonal and |
|                      | other variation.                              |
+----------------------+-----------------------------------------------+
|                      | Information on the type of industry for the   |
|                      | numerator is based on employer responses from |
|                      | CFOI. For the denominator, type of industry   |
|                      | is determined from the response of the next   |
|                      | of kin on the death certificate. The type of  |
|                      | industry responses from CFOI and the death    |
|                      | certificate are then converted to Standard    |
|                      | Industrial Classification (SIC) codes.        |
+----------------------+-----------------------------------------------+
|                      | See Appendix A for focus area contact         |
|                      | information.                                  |
+----------------------+-----------------------------------------------+

  

  ----------------------- -----------------------------------------------
  20.1b. Mining.          

  **National Data         Census of Fatal Occupational Injuries (CFOI),
  Source**                DOL, BLS.

  **State Data Source**   Census of Fatal Occupational Injuries (CFOI),
                          DOL, BLS.

  **Healthy People 2000   10-1a (Occupational Safety and Health).
  Objective**             

  **Measure**             Rate per 100,000 workers in the mining
                          industry.

  **Baseline**            23.6 (1998).

  **Numerator**           Number of work-related injury deaths among
                          workers aged 16 years and older in the mining
                          industry (SIC division B).

  **Denominator**         Average annual number of workers in the mining
                          industry (SIC division B).

  **Population Targeted** U.S. resident population; U.S. civilian,
                          noninstitutionalized population.

  **Questions Used To     See Questions Used To Obtain the National Data
  Obtain the National     provided with objective 20-1a.
  Data**                  

  **Expected              Annual.
  Periodicity**           

  **Comments**            See Comments provided with 20-1a for more
                          information.
  ----------------------- -----------------------------------------------

  

  ----------------------- -----------------------------------------------
                          

  20-1c. Construction.    

  **National Data         Census of Fatal Occupational Injuries (CFOI),
  Source**                DOL, BLS.

  **State Data Source**   Census of Fatal Occupational Injuries (CFOI),
                          DOL, BLS.

  **Healthy People 2000   10.1b (Occupational Safety and Health).
  Objective**             

  **Measure**             Rate per 100,000 workers in the construction
                          industry.

  **Baseline**            14.6 (1998).

  **Numerator**           Number of work-related injury deaths among
                          workers aged 16 years and older in the
                          construction industry (SIC division C).

  **Denominator**         Average annual number of workers in the
                          construction industry (SIC division C).

  **Population Targeted** U.S. resident population; U.S. civilian,
                          noninstitutionalized population.

  **Questions Used To     See Questions Used To Obtain the National Data
  Obtain the National     provided with objective 20-1a.
  Data**                  

  **Expected              Annual.
  Periodicity**           

  **Comments**            See Comments provided with objective 20-1a for
                          more information.
  ----------------------- -----------------------------------------------

  

  ----------------------- -----------------------------------------------
  20-1d. Transportation.  

  **National Data         Census of Fatal Occupational Injuries (CFOI),
  Source**                DOL, BLS.

  **State Data Source**   Census of Fatal Occupational Injuries (CFOI),
                          DOL, BLS.

  **Healthy People 2000   10.1c (Occupational Safety and Health).
  Objective**             

  **Measure**             Rate per 100,000 workers in the transportation
                          industry.

  **Baseline**            11.8 (1998).

  **Numerator**           Number of work-related injury deaths among
                          workers aged 16 years and older in the
                          transportation industry (SIC division E).

  **Denominator**         Average annual number of workers aged 16 years
                          and older in the transportation industry (SIC
                          division E).

  **Population Targeted** U.S. resident population; U.S. civilian,
                          noninstitutionalized population.

  **Questions Used To     See Questions Used To Obtain the National Data
  Obtain the National     provided with objective 20-1a.
  Data**                  

  **Expected              Annual.
  Periodicity**           

  **Comments**            See Comments provided with objective 20-1a for
                          more information.
  ----------------------- -----------------------------------------------

  

  ----------------------- -----------------------------------------------
  20-1e. Agriculture,     
  forestry, and fishing.  

  **National Data         Census of Fatal Occupational Injuries (CFOI),
  Source**                DOL, BLS.

  **State Data Source**   Census of Fatal Occupational Injuries (CFOI),
                          DOL, BLS.

  **Healthy People 2000   10.1d (Occupational Safety and Health).
  Objective**             

  **Measure**             Rate per 100,000 workers in the agriculture,
                          forestry, and fishing industry.

  **Baseline**            24.1 (1998).

  **Numerator**           Number of work-related injury deaths among
                          workers aged 16 years and older in the
                          agriculture, forestry, and fishing industry
                          (SIC division A).

  **Denominator**         Average annual number of workers aged 16 years
                          and older in the agriculture, forestry, and
                          fishing industry (SIC division A).

  **Population Targeted** U.S. resident population; U.S. civilian,
                          noninstitutionalized population.

  **Questions Used To     See Questions Used To Obtain the National Data
  Obtain the National     provided with objective 20-1a.
  Data**                  

  **Expected              Annual.
  Periodicity**           

  **Comments**            See Comments provided with objective 20-1a for
                          more information.
  ----------------------- -----------------------------------------------

  

20-2. Reduce work-related injuries resulting in medical treatment, lost
time from work, or restricted work activity.

+----------------------+-----------------------------------------------+
| 20-2a. All industry. |                                               |
+----------------------+-----------------------------------------------+
| **National Data      | Annual Survey of Occupational Injuries and    |
| Source**             | Illnesses (ASOII), DOL, BLS.                  |
+----------------------+-----------------------------------------------+
| **State Data         | Annual Survey of Occupational Injuries and    |
| Source**             | Illnesses (ASOII), DOL, BLS.                  |
+----------------------+-----------------------------------------------+
| **Healthy People     | 10.2 (Occupational Safety and Health).        |
| 2000 Objective**     |                                               |
+----------------------+-----------------------------------------------+
| **Measure**          | Rate per 100 full-time workers.               |
+----------------------+-----------------------------------------------+
| **Baseline**         | 6.2 (1998).                                   |
+----------------------+-----------------------------------------------+
| **Numerator**        | Number of reported nonfatal injuries among    |
|                      | workers in all industries.                    |
+----------------------+-----------------------------------------------+
| **Denominator**      | Total number of hours worked by workers in    |
|                      | all industries.                               |
+----------------------+-----------------------------------------------+
| **Population         | Workers in private industry                   |
| Targeted**           | establishments---see Comments.                |
+----------------------+-----------------------------------------------+
| **Questions Used To  | From the 1998 Annual Survey of Occupational   |
| Obtain the National  | Injuries and Illnesses:                       |
| Data**               |                                               |
+----------------------+-----------------------------------------------+
|                      | \[NUMERATOR:\]                                |
|                      |                                               |
|                      | Copy these totals from your OSHA No. 200      |
|                      | form:                                         |
|                      |                                               |
|                      | -   Injuries with days away from work,        |
|                      |     restricted workdays or both \_\_\_\_\_    |
|                      |                                               |
|                      | -   Injuries without lost workdays \_\_\_\_\_ |
|                      |                                               |
|                      |     \[DENOMINATOR:\]                          |
|                      |                                               |
|                      | -   How many hours did your employees         |
|                      |     (salaried as well as hourly employees)    |
|                      |     actually work during 1998?                |
+----------------------+-----------------------------------------------+
| **Expected           | Annual.                                       |
| Periodicity**        |                                               |
+----------------------+-----------------------------------------------+
| **Comments**         | The Annual Survey of Occupational Injuries    |
|                      | and Illnesses is a Federal/State program in   |
|                      | which employer reports are collected from     |
|                      | approximately 164,000 private industry        |
|                      | establishments. The survey measures nonfatal  |
|                      | injuries and illnesses only and excludes the  |
|                      | self-employed, farms with fewer than 11       |
|                      | employees, private households, and employees  |
|                      | in Federal, State, and local government       |
|                      | agencies.                                     |
+----------------------+-----------------------------------------------+
|                      | Nonfatal occupational injuries are defined as |
|                      | any injury involving loss of consciousness,   |
|                      | restriction of work or motion, transfer to    |
|                      | another job, or medical treatment other than  |
|                      | first aid. For this objective nonfatal        |
|                      | occupational injuries include those to        |
|                      | workers regardless of age that involve days   |
|                      | away from work as well as those without lost  |
|                      | workdays.                                     |
+----------------------+-----------------------------------------------+
|                      | The rate per 100 full-time workers is         |
|                      | computed by (1) dividing the number of        |
|                      | occupational injuries reported by the total   |
|                      | number of hours worked by all employees       |
|                      | during the calendar year, and (2) multiplying |
|                      | the result by 200,000. The factor 200,000     |
|                      | represents the hours worked in a year by 100  |
|                      | full-time equivalent workers (working 40      |
|                      | hours work per week, 50 weeks a year).        |
+----------------------+-----------------------------------------------+
|                      | Information on the type of industry for the   |
|                      | numerator is based on employer responses and  |
|                      | converted to Standard Industrial              |
|                      | Classification codes.                         |
+----------------------+-----------------------------------------------+
|                      | See Appendix A for focus area contact         |
|                      | information.                                  |
+----------------------+-----------------------------------------------+

  

  ----------------------- -----------------------------------------------
  20-2b. Construction.    

  **National Data         Annual Survey of Occupational Injuries and
  Source**                Illnesses (ASOII), DOL, BLS.

  **State Data Source**   Annual Survey of Occupational Injuries and
                          Illnesses (ASOII), DOL, BLS.

  **Healthy People 2000   10.2a (Occupational Safety and Health).
  Objective**             

  **Measure**             Rate per 100 full-time workers in the
                          construction industry.

  **Baseline**            8.7 (1998).

  **Numerator**           Number of reported nonfatal injuries among
                          workers in the construction industry (SIC
                          division C).

  **Denominator**         Total number of hours worked by workers in the
                          construction industry (SIC division C).

  **Population Targeted** Workers in private industry
                          establishments---see Comments.

  **Questions Used To     See Questions Used To Obtain the National Data
  Obtain the National     provided with objective 20-2a.
  Data**                  

  **Expected              Annual.
  Periodicity**           

  **Comments**            See Comments provided with objective 20-2a for
                          more information.
  ----------------------- -----------------------------------------------

  

  ----------------------- -----------------------------------------------
  20-2c. Health services. 

  **National Data         Annual Survey of Occupational Injuries and
  Source**                Illnesses (ASOII), DOL, BLS.

  **State Data Source**   Annual Survey of Occupational Injuries and
                          Illnesses (ASOII), DOL, BLS.

  **Healthy People 2000   10.2b (Occupational Safety and Health).
  Objective**             

  **Measure**             Rate per 100 full-time workers in the health
                          services industry.

  **Baseline**            7.9 (1997).

  **Numerator**           Number of reported injuries among workers in
                          the health services industry (SIC Major Group
                          80).

  **Denominator**         Total number of hours worked by workers in the
                          health services industry (SIC Major Group 80).

  **Population Targeted** Workers in private industry
                          establishments---see Comments.

  **Questions Used to     See Questions Used To Obtain the National Data
  Obtain the National     provided with objective 20-2a.
  Data**                  

  **Expected              Annual.
  Periodicity**           

  **Comments**            See Comments provided with objective 20-2a for
                          more information.

  20-2d. Agriculture,     
  forestry, and fishing.  

  **National Data         Annual Survey of Occupational Injuries and
  Source**                Illnesses, DOL, BLS.

  **State Data Source**   Annual Survey of Occupational Injuries and
                          Illnesses, DOL, BLS.

  **Healthy People 2000   10.2c (Occupational Safety and Health).
  Objective**             

  **Measure**             Rate reported per 100 full-time workers among
                          workers in the agricultural, forestry, and
                          fishing industry.

  **Baseline**            7.6 (1998).

  **Numerator**           Number of reported injuries in the agriculture,
                          forestry, and fishing industry (SIC division
                          A).

  **Denominator**         Total number of hours worked by workers in the
                          agriculture, forestry, and fishing industry
                          (SIC division A).

  **Population Targeted** Workers in private industry
                          establishments---see Comments.

  **Questions Used To     See Questions Used To Obtain the National Data
  Obtain the National     provided with objective 20-2a.
  Data**                  

  **Expected              Annual.
  Periodicity**           

  **Comments**            See Comments provided with objective 20-2a for
                          more information.
  ----------------------- -----------------------------------------------

  

  ----------------------- -----------------------------------------------
  20-2e. Transportation.  

  **National Data         Annual Survey of Occupational Injuries and
  Source**                Illnesses (ASOII), DOL, BLS.

  **State Data Source**   Annual Survey of Occupational Injuries and
                          Illnesses (ASOII), DOL, BLS.

  **Healthy People 2000   10.2d (Occupational Safety and Health).
  Objective**             

  **Measure**             Rate per 100 full-time workers in the
                          transportation industry.

  **Baseline**            7.9 (1997).

  **Numerator**           Number of reported injuries among workers in
                          the transportation industry (SIC division E).

  **Denominator**         Total number of hours worked by workers in the
                          transportation industry (SIC division E).

  **Population Targeted** Workers in private industry
                          establishments---see Comments.

  **Questions Used To     See Questions Used To Obtain the National Data
  Obtain the National     provided with objective 20-2a.
  Data**                  

  **Expected              Annual.
  Periodicity**           

  **Comments**            See Comments provided with objective 20-2a for
                          more information.
  ----------------------- -----------------------------------------------

  

  ----------------------- -----------------------------------------------
  20-2f. Mining.          

  **National Data         Annual Survey of Occupational Injuries and
  Source**                Illnesses (ASOII), DOL, BLS.

  **State Data Source**   Annual Survey of Occupational Injuries and
                          Illnesses (ASOII), DOL, BLS.

  **Healthy People 2000   10.2e (Occupational Safety and Health).
  Objective**             

  **Measure**             Rate per 100 full-time workers in the mining
                          industry.

  **Baseline**            4.7 (1998).

  **Numerator**           Number of reported injuries among workers in
                          the mining industry (SIC division B).

  **Denominator**         Total number of hours worked by workers in the
                          mining industry (SIC division B).

  **Population Targeted** Workers in private industry
                          establishments---see Comments.

  **Questions Used To     See Questions Used To Obtain the National Data
  Obtain the National     provided with objective 20-2a.
  Data**                  

  **Expected              Annual.
  Periodicity**           

  **Comments**            See Comments provided with objective 20-2a for
                          more information.
  ----------------------- -----------------------------------------------

  

  ----------------------- -----------------------------------------------
  20-2g. Manufacturing.   

  **National Data         Annual Survey of Occupational Injuries and
  Source**                Illnesses (ASOII), DOL, BLS.

  **State Data Source**   Annual Survey of Occupational Injuries and
                          Illnesses (ASOII), DOL, BLS.

  **Healthy People 2000   Adapted from 10.2 (Occupational Safety and
  Objective**             Health).

  **Measure**             Rate per 100 full-time workers in the
                          manufacturing industry.

  **Baseline**            8.5 (1998).

  **Numerator**           Number of reported injuries among workers in
                          the manufacturing industry (SIC division D).

  **Denominator**         Total number of hours worked by workers in the
                          manufacturing industry (SIC division D).

  **Population Targeted** Workers in private industry
                          establishments---see Comments.

  **Questions Used To     See Questions Used To Obtain the National Data
  Obtain the National     provided with objective 20-2a.
  Data**                  

  **Expected              Annual.
  Periodicity**           

  **Comments**            The Annual Survey of Occupational Injuries and
                          Illnesses is a Federal/State program in which
                          employer reports are collected from
                          approximately 164,000 private industry
                          establishments. The survey measures nonfatal
                          injuries and illnesses only and excludes the
                          self-employed, farms with fewer than 11
                          employees, private households, and employees in
                          Federal, State, and local government agencies.

                          Nonfatal occupational injuries are defined as
                          any injury involving loss of consciousness,
                          restriction of work or motion, transfer to
                          another job, or medical treatment other than
                          first aid. For this objective nonfatal
                          occupational injuries include those to workers
                          regardless of age that involve days away from
                          work as well as those without lost workdays.

                          The rate per 100 full-time workers is computed
                          by dividing the number of occupational injuries
                          reported by the total number of hours worked by
                          all employees during the calendar year,
                          multiplied by 200,000. The factor 200,000
                          represents the hours worked in a year by 100
                          full-time equivalent workers (working 40 hours
                          work per week, 50 weeks a year).

                          Information on the type of industry for the
                          numerator is based on employer responses and
                          converted to Standard Industrial Classification
                          codes.

                          This objective differs from Healthy People 2000
                          objective 10.2, which tracked nonfatal,
                          work-related injuries in various industries.
                          This objective tracks nonfatal, work-related
                          injuries in the manufacturing industry, which
                          was not previously a separately tracked
                          industry.

                          See Appendix A for focus area contact
                          information.
  ----------------------- -----------------------------------------------

  

+----------------------+-----------------------------------------------+
| 20-2h. Adolescent    |                                               |
| workers.             |                                               |
+----------------------+-----------------------------------------------+
| **National Data      | National Electronic Injury Surveillance       |
| Source**             | System (NEISS), CPSC and NIOSH.               |
+----------------------+-----------------------------------------------+
| **State Data         | Not identified.                               |
| Source**             |                                               |
+----------------------+-----------------------------------------------+
| **Healthy People     | 10.2f (Occupational Safety and Health).       |
| 2000 Objective**     |                                               |
+----------------------+-----------------------------------------------+
| **Measure**          | Rate per 100 adolescent workers.              |
+----------------------+-----------------------------------------------+
| **Baseline**         | 4.8 (1997).                                   |
+----------------------+-----------------------------------------------+
| **Numerator**        | Number of work-related injuries among workers |
|                      | aged 15 to 17 years as reported in hospital   |
|                      | emergency department records.                 |
+----------------------+-----------------------------------------------+
| **Denominator**      | Total number of hours worked by workers aged  |
|                      | 15 to 17 years.                               |
+----------------------+-----------------------------------------------+
| **Population         | U.S. resident population; U.S. civilian,      |
| Targeted**           | noninstitutionalized population.              |
+----------------------+-----------------------------------------------+
| **Questions Used To  | From the 1999 Current Population Survey:      |
| Obtain the National  |                                               |
| Data**               |                                               |
+----------------------+-----------------------------------------------+
|                      | \[DENOMINATOR:\]                              |
|                      |                                               |
|                      | -   Last week did you have a job, either full |
|                      |     or part time?                             |
|                      |                                               |
|                      | -   Last week how many hours did you actually |
|                      |     work at your job?                         |
+----------------------+-----------------------------------------------+
| **Expected           | Periodic.                                     |
| Periodicity**        |                                               |
+----------------------+-----------------------------------------------+
| **Comments**         | NEISS data are based on work-related injury   |
|                      | data reported in a national sample of         |
|                      | hospital emergency departments. Coders report |
|                      | only those injuries that are designated as    |
|                      | "work-related."                               |
+----------------------+-----------------------------------------------+
|                      | The denominator is taken from the Current     |
|                      | Population Survey, a monthly household survey |
|                      | that collects data on the employment status   |
|                      | of the civilian, noninstitutionalized         |
|                      | population. Unpublished data are available    |
|                      | for persons aged 15 years; these data are     |
|                      | combined with the standard CPS data for       |
|                      | persons aged 16 to 17 years.                  |
+----------------------+-----------------------------------------------+
|                      | The rate per 100 full-time adolescent workers |
|                      | is computed by multiplying the number of      |
|                      | injuries reported to workers aged 15 to 17    |
|                      | years divided by the total hours worked by    |
|                      | employees aged 15 to 17 years during the      |
|                      | calendar year, multiplied by 200,000. The     |
|                      | factor 200,000 represents the hours worked in |
|                      | a year by 100 full-time equivalent workers    |
|                      | (working 40 hours work per week, 50 weeks a   |
|                      | year).                                        |
+----------------------+-----------------------------------------------+
|                      | The baseline data are based on fiscal year    |
|                      | 1997, though labeled 1996. Future rates will  |
|                      | be based on calendar years due to changes in  |
|                      | the weighting strategy for the NEISS          |
|                      | hospitals.                                    |
+----------------------+-----------------------------------------------+
|                      | See Appendix A for focus area contact         |
|                      | information.                                  |
+----------------------+-----------------------------------------------+

  

+----------------------+-----------------------------------------------+
| 20-3. Reduce the     |                                               |
| rate of injury and   |                                               |
| illness cases        |                                               |
| involving days away  |                                               |
| from work due to     |                                               |
| overexertion or      |                                               |
| repetitive motion.   |                                               |
+----------------------+-----------------------------------------------+
| **National Data      | Annual Survey of Occupational Injuries and    |
| Source**             | Illnesses (ASOII), DOL, BLS.                  |
+----------------------+-----------------------------------------------+
| **State Data         | Annual Survey of Occupational Injuries and    |
| Source**             | Illnesses (ASOII), DOL, BLS.                  |
+----------------------+-----------------------------------------------+
| **Healthy People     | 10.3 (Occupational Safety and Health).        |
| 2000 Objective**     |                                               |
+----------------------+-----------------------------------------------+
| **Measure**          | Rate per 100,000 workers.                     |
+----------------------+-----------------------------------------------+
| **Baseline**         | 675 (1997).                                   |
+----------------------+-----------------------------------------------+
| **Numerator**        | Number of reported nonfatal occupational      |
|                      | injuries and illnesses due to overexertion or |
|                      | repetitive motion involving days away from    |
|                      | work among workers aged 16 years and older.   |
+----------------------+-----------------------------------------------+
| **Denominator**      | Total number of hours worked by workers aged  |
|                      | 16 years and older.                           |
+----------------------+-----------------------------------------------+
| **Population         | Workers in private industry                   |
| Targeted**           | establishments---see Comments.                |
+----------------------+-----------------------------------------------+
| **Questions Used To  | From the 1998 Annual Survey of Occupational   |
| Obtain the National  | Injuries and Illnesses:                       |
| Data**               |                                               |
+----------------------+-----------------------------------------------+
|                      | \[NUMERATOR:\]                                |
|                      |                                               |
|                      | Copy these totals from your OSHA No. 200      |
|                      | form:                                         |
|                      |                                               |
|                      | -   Injuries with days away from work,        |
|                      |     restricted workdays or both \_\_\_\_\_    |
|                      |                                               |
|                      | -   Injuries without lost workdays \_\_\_\_\_ |
|                      |                                               |
|                      | -   Disorders associated with repeated trauma |
|                      |     \_\_\_\_.                                 |
|                      |                                               |
|                      |     \[DENOMINATOR:\]                          |
|                      |                                               |
|                      | -   How many hours did your employees         |
|                      |     (salaried as well as hourly employees)    |
|                      |     actually work during 1998?                |
+----------------------+-----------------------------------------------+
| **Expected           | Annual.                                       |
| Periodicity**        |                                               |
+----------------------+-----------------------------------------------+
| **Comments**         | See Comments provided with objective 20-2a    |
|                      | for more information.                         |
+----------------------+-----------------------------------------------+
|                      | The computation of this measure is the same   |
|                      | as for 20-2a except the multiplication factor |
|                      | is 200,000,000 instead of 200,000, in order   |
|                      | to produce a rate per 100,000.                |
+----------------------+-----------------------------------------------+
|                      | See Appendix A for focus area contact         |
|                      | information.                                  |
+----------------------+-----------------------------------------------+
|                      |                                            |
+----------------------+-----------------------------------------------+
| 20-4. Reduce         |                                               |
| pneumoconiosis       |                                               |
| deaths.              |                                               |
+----------------------+-----------------------------------------------+
| **National Data      | National Surveillance System for              |
| Source**             | Pneumoconiosis Mortality (NSSPM), CDC, NIOSH. |
+----------------------+-----------------------------------------------+
| **State Data         | National Surveillance System for              |
| Source**             | Pneumoconiosis Mortality (NSSPM), CDC, NIOSH. |
+----------------------+-----------------------------------------------+
| **Healthy People     | 10.17 (Occupational Safety and Health).       |
| 2000 Objective**     |                                               |
+----------------------+-----------------------------------------------+
| **Measure**          | Number of deaths.                             |
+----------------------+-----------------------------------------------+
| **Baseline**         | 2,928 (1997).                                 |
+----------------------+-----------------------------------------------+
| **Numerator**        | Number of deaths for occupation-related       |
|                      | pneumoconiosis (ICD-9 codes 500-505).         |
+----------------------+-----------------------------------------------+
| **Denominator**      | Not applicable.                               |
+----------------------+-----------------------------------------------+
| **Population         | U.S. resident population.                     |
| Targeted**           |                                               |
+----------------------+-----------------------------------------------+
| **Questions Used To  | Not applicable.                               |
| Obtain the National  |                                               |
| Data**               |                                               |
+----------------------+-----------------------------------------------+
| **Expected           | Annual.                                       |
| Periodicity**        |                                               |
+----------------------+-----------------------------------------------+
| **Comments**         | Data are restricted to those decedents aged   |
|                      | 15 years and older in order to represent      |
|                      | working members of the population and to      |
|                      | exclude those unlikely to be associated with  |
|                      | occupational exposure.                        |
+----------------------+-----------------------------------------------+
|                      | See Appendix A for focus area contact         |
|                      | information.                                  |
+----------------------+-----------------------------------------------+

  

  ----------------------- -----------------------------------------------
  20-5. Reduce deaths     
  from work-related       
  homicides.              

  **National Data         Census of Fatal Occupational Injuries (CFOI),
  Source**                DOL, BLS.

  **State Data Source**   Census of Fatal Occupational Injuries (CFOI),
                          DOL, BLS.

  **Healthy People 2000   10.16 (Occupational Safety and Health).
  Objective**             

  **Measure**             Rate per 100,000 workers.

  **Baseline**            0.5 (1998).

  **Numerator**           Number of deaths due to work-related homicides
                          among workers aged 16 years and older.

  **Denominator**         Average annual number of workers aged 16 years
                          and older.

  **Population Targeted** U.S. civilian, noninstitutionalized population.

  **Questions Used To     See Questions Used To Obtain the National Data
  Obtain the National     provided with objective 20-1a.
  Data**                  

  **Expected              Annual.
  Periodicity**           

  **Comments**            See Comments provided with objective 20-1a for
                          more information.

                          See Appendix A for focus area contact
                          information.
  ----------------------- -----------------------------------------------

  

+----------------------+-----------------------------------------------+
| 20-6. Reduce         |                                               |
| work-related         |                                               |
| assaults.            |                                               |
+----------------------+-----------------------------------------------+
| **National Data      | National Crime Victimization Survey (NCVS),   |
| Source**             | DOJ, BJS.                                     |
+----------------------+-----------------------------------------------+
| **State Data         | Not identified.                               |
| Source**             |                                               |
+----------------------+-----------------------------------------------+
| **Healthy People     | Not applicable.                               |
| 2000 Objective**     |                                               |
+----------------------+-----------------------------------------------+
| **Measure**          | Rate per 100 workers.                         |
+----------------------+-----------------------------------------------+
| **Baseline**         | 0.85 (1987--92).                              |
+----------------------+-----------------------------------------------+
| **Numerator**        | Number of persons who report being the victim |
|                      | of an assault (see Comments) while working or |
|                      | on duty.                                      |
+----------------------+-----------------------------------------------+
| **Denominator**      | Average annual number of workers aged 16      |
|                      | years and older.                              |
+----------------------+-----------------------------------------------+
| **Population         | U.S. civilian, noninstitutionalized           |
| Targeted**           | population.                                   |
+----------------------+-----------------------------------------------+
| **Questions Used To  | From the 1998 National Crime Victimization    |
| Obtain the National  | Survey:                                       |
| Data**               |                                               |
+----------------------+-----------------------------------------------+
|                      | \[NUMERATOR:\]                                |
|                      |                                               |
|                      | -   What were you doing when this incident    |
|                      |     occurred?                                 |
|                      |                                               |
|                      |     \[Response categories include:\]          |
|                      |                                               |
|                      |     \_\_\_\_ Working or on duty               |
+----------------------+-----------------------------------------------+
|                      | -   Other than any incidents already          |
|                      |     mentioned, has anyone attacked or         |
|                      |     threatened you in any of these ways:      |
|                      |                                               |
|                      |     a\) With any weapon, for instance, a gun, |
|                      |     or knife-\                                |
|                      |     b) With anything like a baseball bat,     |
|                      |     frying pan, scissors, or stick-\          |
|                      |     c) By something thrown, such as a rock or |
|                      |     bottle-\                                  |
|                      |     d) Include any grabbing, punching, or     |
|                      |     choking-\                                 |
|                      |     e) Any rape, attempted rape, or other     |
|                      |     type of sexual attack-\                   |
|                      |     f) Any face to face threats-\             |
|                      |     OR\                                       |
|                      |     g) Any attack or threat or use of force   |
|                      |     by anyone at all?\                        |
|                      |     Please mention it even if you are not     |
|                      |     certain that it was a crime.\             |
|                      |     (Briefly describe incident.)              |
+----------------------+-----------------------------------------------+
|                      | From the 1998 Current Population Survey:      |
+----------------------+-----------------------------------------------+
|                      | \[DENOMINATOR:\]                              |
|                      |                                               |
|                      | -   Last week did you have a job, either full |
|                      |     or part time?                             |
+----------------------+-----------------------------------------------+
| **Expected           | Annual.                                       |
| Periodicity**        |                                               |
+----------------------+-----------------------------------------------+
| **Comments**         | For this objective, assault includes a        |
|                      | response of "yes" to any of the assault       |
|                      | categories listed in the questions above and  |
|                      | a response that the assault occurred while    |
|                      | working or on duty. Assault occurring on the  |
|                      | way to or from work was not included.         |
+----------------------+-----------------------------------------------+
|                      | See Comments provided with objective 20-1a    |
|                      | for more information.                         |
+----------------------+-----------------------------------------------+
|                      | See Appendix A for focus area contact         |
|                      | information.                                  |
+----------------------+-----------------------------------------------+

  

  ----------------------- -----------------------------------------------
  20-7. Reduce the number 
  of persons who have     
  elevated blood lead     
  concentrations from     
  work exposures.         

  **National Data         Adult Blood Lead Epidemiology and Surveillance
  Source**                Program (ABLES), CDC, NIOSH.

  **State Data Source**   Adult Blood Lead Epidemiology and Surveillance
                          Program (ABLES), CDC, NIOSH.

  **Healthy People 2000   Adapted from 10.8 (Occupational Safety and
  Objective**             Health).

  **Measure**             Rate per million persons.

  **Baseline**            93 (1998) (25 States---see Comments).

  **Numerator**           Number of adults aged 16 to 64 years with blood
                          lead levels \>25 μg/dL in States that
                          participate in the ABLES program.

  **Denominator**         Number of adults aged 16 to 64 residing in
                          ABLES States.

  **Population Targeted** Selected States---see Comments.

  **Questions Used To     Not applicable.
  Obtain the National     
  Data**                  

  **Expected              Annual.
  Periodicity**           

  **Comments**            Twenty-five States reported 10,501 adults aged
                          16 to 64 years with blood lead levels of 25
                          μg/dL or greater in 1998. This objective
                          differs from Healthy People 2000 objective 10.8
                          in that it tracks the rate per million in ABLES
                          States as a measure; 10.8 tracked the number of
                          adults with blood lead levels greater than 25
                          μg in ABLES States.

                          See Appendix A for focus area contact
                          information.
  ----------------------- -----------------------------------------------

  

+----------------------+-----------------------------------------------+
| 20-8. Reduce         |                                               |
| occupational skin    |                                               |
| diseases or          |                                               |
| disorders among      |                                               |
| full-time workers.   |                                               |
+----------------------+-----------------------------------------------+
| **National Data      | Annual Survey of Occupational Injuries and    |
| Source**             | Illnesses (ASOII), DOL, BLS.                  |
+----------------------+-----------------------------------------------+
| **State Data         | Annual Survey of Occupational Injuries and    |
| Source**             | Illnesses (ASOII), DOL, BLS.                  |
+----------------------+-----------------------------------------------+
| **Healthy People     | 10.4 (Occupational Safety and Health).        |
| 2000 Objective**     |                                               |
+----------------------+-----------------------------------------------+
| **Measure**          | Rate per 100,000 full-time workers.           |
+----------------------+-----------------------------------------------+
| **Baseline**         | 67 (1997).                                    |
+----------------------+-----------------------------------------------+
| **Numerator**        | Number of reported nonfatal occupational      |
|                      | illnesses due to work-related skin disease    |
|                      | and disorders among workers in all            |
|                      | industries.                                   |
+----------------------+-----------------------------------------------+
| **Denominator**      | Total number of hours worked by workers in    |
|                      | all industries.                               |
+----------------------+-----------------------------------------------+
| **Population         | Workers in private industry                   |
| Targeted**           | establishments---see Comments.                |
+----------------------+-----------------------------------------------+
| **Questions Used To  | From the 1998 Annual Survey of Occupational   |
| Obtain the National  | Injuries and Illnesses:                       |
| Data**               |                                               |
+----------------------+-----------------------------------------------+
|                      | -   Copy the totals from your OSHA No. 200    |
|                      |     form:                                     |
|                      |                                               |
|                      | -   Skin diseases or disorders \_\_\_         |
+----------------------+-----------------------------------------------+
| **Expected           | Annual.                                       |
| Periodicity**        |                                               |
+----------------------+-----------------------------------------------+
| **Comments**         | See Comments provided with objective 20-2a    |
|                      | for more information.                         |
+----------------------+-----------------------------------------------+
|                      | The computation of this measure is the same   |
|                      | as for 20-2a except the multiplication factor |
|                      | is 200,000,000 instead of 200,000, in order   |
|                      | to produce a rate per 100,000.                |
+----------------------+-----------------------------------------------+
|                      | For this objective nonfatal occupational skin |
|                      | diseases or disorders include those to        |
|                      | workers regardless of age that involve days   |
|                      | away from work as well as those without lost  |
|                      | workdays.                                     |
+----------------------+-----------------------------------------------+
|                      | See Appendix A for focus area contact         |
|                      | information.                                  |
+----------------------+-----------------------------------------------+

  

+----------------------+-----------------------------------------------+
| 20-9. Increase the   |                                               |
| proportion of        |                                               |
| worksites employing  |                                               |
| 50 or more persons   |                                               |
| that provide         |                                               |
| programs to prevent  |                                               |
| or reduce employee   |                                               |
| stress.              |                                               |
+----------------------+-----------------------------------------------+
| **National Data      | National Survey of Worksite Health Promotion  |
| Source**             | Activities (NSWHP), Association for Worksite  |
|                      | Health Promotion and OPHS, ODPHP.             |
+----------------------+-----------------------------------------------+
| **State Data         | Not identified.                               |
| Source**             |                                               |
+----------------------+-----------------------------------------------+
| **Healthy People     | 6.11 (Mental Health and Mental Disorders).    |
| 2000 Objective**     |                                               |
+----------------------+-----------------------------------------------+
| **Measure**          | Percent.                                      |
+----------------------+-----------------------------------------------+
| **Baseline**         | 37 (1992).                                    |
+----------------------+-----------------------------------------------+
| **Numerator**        | Number of worksites that provide programs to  |
|                      | prevent or reduce employee stress.            |
+----------------------+-----------------------------------------------+
| **Denominator**      | Number of worksites surveyed.                 |
+----------------------+-----------------------------------------------+
| **Questions Used To  | From the 1992 National Survey of Worksite     |
| Obtain the National  | Health Promotion Activities:                  |
| Data**               |                                               |
+----------------------+-----------------------------------------------+
|                      | -   During the past 12 months, did your       |
|                      |     worksite offer any information or         |
|                      |     activities concerning stress management?  |
+----------------------+-----------------------------------------------+
|                      | If yes:                                       |
|                      |                                               |
|                      | -   Which of the following was offered        |
|                      |     related to stress management?             |
|                      |                                               |
|                      |     Individual classes\                       |
|                      |     Group classes\                            |
|                      |     Resource materials, such as brochures,    |
|                      |     pamphlets or videos\                      |
|                      |     Job redesign, personnel reassignment      |
+----------------------+-----------------------------------------------+
| **Expected           | Periodic.                                     |
| Periodicity**        |                                               |
+----------------------+-----------------------------------------------+
| **Comments**         | The baseline was set using data from the 1992 |
|                      | National Survey of Worksite Health Promotion  |
|                      | Activities, which collected data from the     |
|                      | private sector and may not accurately reflect |
|                      | the practices of public sector organizations. |
+----------------------+-----------------------------------------------+
|                      | Data from the 1999 National Worksite Health   |
|                      | Promotion Survey reported that only 26        |
|                      | percent of worksites offered worksite-based   |
|                      | stress management programs, but that 48       |
|                      | percent offered stress management either in   |
|                      | the worksite or through their health care     |
|                      | programs. NIOSH is currently planning data    |
|                      | collection efforts to better understand       |
|                      | stress prevention activities in both public   |
|                      | and private workplaces.                       |
+----------------------+-----------------------------------------------+
|                      | See Appendix A for focus area contact         |
|                      | information.                                  |
+----------------------+-----------------------------------------------+

  

  ----------------------- -----------------------------------------------
  20-10. Reduce           
  occupational            
  needlestick injuries    
  among health care       
  workers.                

  **National Data         National Surveillance System for Hospital
  Source**                Health Care Workers (NaSH), CDC, NCID.

  **State Data Source**   Not identified.

  **Healthy People 2000   Not applicable.
  Objective**             

  **Measure**             Number of needlestick injuries.

  **Baseline**            600,000 (1996).

  **Numerator**           Number of needlestick injuries among health
                          care workers.

  **Denominator**         Not applicable.

  **Population Targeted** Health care workers.

  **Questions Used To     Not applicable.
  Obtain the National     
  Data**                  

  **Expected              Annual.
  Periodicity**           

  **Comments**            Estimates for the United States will be based
                          on the sample of U.S. hospitals that
                          voluntarily participate in the NaSH program.

                          See Appendix A for focus area contact
                          information.
  ----------------------- -----------------------------------------------

  

  -----------------------------------------------------------------------
  20-11. (Developmental)  
  Reduce new cases of     
  work-related,           
  noise-induced hearing   
  loss.                   
  ----------------------- -----------------------------------------------
  **Comments**            An operational definition could not be
                          specified at the time of publication.

                          The proposed national data source is Annual
                          Survey of Occupational Injuries and Illnesses,
                          BLS, DOL.

                          This objective is adapted from Healthy People
                          2000 objective 10.7 which used data from the
                          U.S. Air Force Hearing Conservation database.

                          See Appendix A for focus area contact
                          information.
  -----------------------------------------------------------------------

  