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Record identifier : 568529
Personal Name - Primary Intelectual Responsibility : Reddy, Susheetha
Title and statement of responsibility : A review of recent Ontario occupational health initiatives: From failure to success. Paper 1 (A): The general exposure matrix for workman's compensation in the construction industry. Paper 2 (B): An alternative exposure model for contact dermatitis in machine shops. Paper 3 (C): Success at the community network level: Public health and OHS collaboration [Thesis]
Publication, Distribution,Etc. : University of Massachusetts Lowell, 2007
Language of the Item : eng
Dissertation of thesis details and type of degree : Sc.D.
Body granting the degree : , University of Massachusetts Lowell
Summary or Abstract : Paper 1 describes the process involving development of the general exposure matrix--a tool to streamline the process to minimize individual risk assessments and voiding copious exposure documentation. This was intended to be of assistance to WSIB claim adjudication in the construction industry in the province of Ontario, Canada. The paper reviews a variety of social process difficulties and technical difficulties behind a failure of that initiative. There proved to be five major technical problems--proving insurmountable hurdles to attain the original project goals: (a) The multiple-exposure nature of work in the construction industry multiplied the need size of the exposure matrix immensely to cover different exposure durations, and different mixes of exposures. (b) Published research was an inconsistent patchwork of exposure, outcomes and methods. (c) The lack of a focus on a single disease outcome dissipated resources. (d) Historical evolution in the nature of exposure left an incomplete record--with some exposure of major significance in earlier decades and new exposures currently. (e) There has been no research on the accuracy of long-term self-reporting, especially anecdotal reporting. To address the difficulties posed by the breadth of goals of the initial "general matrix" project, an alternative, much more restricted study, Paper 2, was undertaken. This project documents what actually could be concluded about exposure/illness linkages in a much more limited context of job types and with a much more specific illness outcome--but using the existing accumulating workman's compensation documentation accumulating in the pubic health system where injured workers first came--and occupational health professionals who were in that system. The Wellington County, Ontario, machine shops sector with exposure to metal working fluids claims (81) data, averaging 78 pages in length/claim was reviewed. A clear set of exposure criteria factors can be observed among this group of cases for two type of objectives (1) Exposure Assessment--(a) Job activity (b) Contact area (c) Contact frequency (d) Obtain MSDSs (e) Amount (f) Duration (2) Prevention--(a) Controls (b) PPE (c) Barrier Creams (d) Good Housekeeping (e) Personal Hygiene (f) Training. Paper 3 documents the new community level linkages between local health clinics, WSIB, and occupation health experts, all working in collaboration to provide a possible institutional model for reducing occupational illnesses. Most of the CHC's have mobilized community partnerships and actions to solve occupational health problems. They are performing medical screening and developing screening tools, informing and linking people to needed health services, educating and empowering people about health issues and building a healthy network. Strategies include building alliances with the Ministry of Labor and Ministry of health and long-term care; Financial support for access to technically trained physicians, industrial hygienists, and toxicologists; Approval of training courses, best-practice examples, and university programs; Work towards empowering scientific centers, better legislation and funds available to support such type of initiatives..
Topical Name Used as Subject : Occupational safety
Information of biblio record : TL
 
 
 
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