NPR reporter Daniel Zwerdling reports on the failure of hospitals to protect nursing staff from preventable and often debilitating injuries, writing that nursing assistants and orderlies suffer three times the rate of back and musculoskeletal injuries as construction workers. In fact, federal data show that nursing assistants experience more injuries than any other occupation. Zwerdling starts his piece with the story of Pennsylvania nurse Tove Schuster:
While working the overnight shift, (Schuster) heard an all-too-common cry: “Please, I need help. My patient has fallen on the floor.”
The patient was a woman who weighed more than 300 pounds. So Schuster did what nursing schools and hospitals across the country teach: She gathered a few colleagues, and they lifted the patient as a team.
“I had her legs — a corner of one of the legs, anyway,” says Schuster, who was 43 years old at the time. “And as we swung her up onto the bed, I felt something pop. And I went ‘ooo.’ ”
She finished the shift in pain and drove straight home to bed.
But after Schuster woke up late that afternoon, her husband, Matt, heard her shouting. He says he ran to the bedroom and found her crawling across the floor. “I thought it was a joke at first,” he says. “And she says, ‘I can’t walk.'”
During Zwerdling’s investigation, he found that the traditional way nurses have been taught to move patients — bending the knees and keeping the back straight — is actually quite dangerous. And while some hospitals have been successful at reducing lifting-related injuries using special machinery and intensive staff training, most hospitals have not taken such action. But perhaps most alarming was this finding from the article:
Many hospital administrators overlook injuries among the nursing staff partly because they’re preoccupied with other priorities. Industry sources told NPR that nursing employees have traditionally ranked low in the hospital industry’s hierarchy.
“Too many hospital administrators see nursing staff as second-class citizens,” says Suzanne Gordon, author of Nursing Against the Odds. “Historically, hospital administrators have viewed nurses as a disposable labor force.”
To read the full investigative article, visit NPR.
In other news:
Salon: Writer Luke Brinker reports that Illinois Gov. Bruce Rauner has “dramatically escalated his war against labor unions,” signing an executive order this week that allows public employees to opt out of paying “fair share” fees that support collective bargaining. (Whether a union member or not, all employees in unionized workplaces benefit from collective bargaining activities, thus the application of fair share fees.) According to Brinker, Rauner has called the fees unconstitutional; however, the Supreme Court has upheld such fees as legal as long as they’re not used to fund political activities. The story reads: “Bruce Rauner’s scheme to strip the rights of state workers and weaken their unions by executive order is a blatantly illegal abuse of power,” AFSCME Council 31 Executive Director Roberta Lynch told the Sun-Times in a statement yesterday. “Perhaps as a private equity CEO, Rauner was accustomed to ignoring legal and ethical standards, but Illinois is still a democracy and its laws have meaning.”
The Hill: Senate Republicans are moving to block the National Labor Relations Board from speeding up union elections. Reporter Tim Devaney writes that labor officials and Democrats argue that the rule is needed to prevent companies from delaying such elections and intimidating workers. Currently, it takes about 38 days from the time a petition is filed to hold an election, but the new NLRB rule could shorten that time to closer to 10 days. Opponents, however, are describing the measure as an “ambush” election rule and a “sneak attack” on businesses.
The New York Times: Reporter Rachel Abrams writes that Ashley Furniture, one of the world’s largest furniture makers, has been hit with $1.7 million in fines related to unsafe working conditions at its plant in Arcadia, Wisconsin, that have resulted in more than 1,000 injuries. OSHA cited the company for dozens of violations, with U.S. Labor Secretary Thomas Perez describing Ashley Furniture as an OSHA “frequent flier.” The company has also been placed in OSHA’s Severe Violator Enforcement Program for its failure to fix a number of safety issues. Abrams quotes Perez as saying: “I don’t quite understand how the worker can be to blame when the fact of the matter is, the machines lacked the proper safety mechanisms, which are not that expensive. This is not splitting the atom.”
USA Today: Oil refinery workers from Ohio to California have gone on strike, joining the biggest refinery work stoppage since 1980, according to reporter Mike Snider. He writes that the initial strike began after a negotiation breakdown between United Steelworkers and BP. As of this weekend, more than 5,000 workers nationwide had joined the strike. In a Huffington Post blog post, United Steelworkers International President Leo Gerard writes that during previous negotiations, workers “struggled” to get their employers to include strong safety language in their collective bargaining agreements. In the post, Gerard remembers the workers who lost their lives in the 2010 Tesoro refinery blast in Anacortes, Washington; investigators eventually found that the piece of machinery that triggered the explosion was known by management to be faulty. Gerard quotes a striking worker: “A big part of this strike is that none of us wants to be the next person to lose his life for no good reason.”
Upworthy: Check out the new documentary, “The Hand That Feeds,” a film about immigrant and low-wage workers who are organizing against the odds for fair wages and working conditions. (We’ve posted the trailer below.) And visit the filmmakers’ Kickstarter campaign, which is raising funds to release the documentary nationwide, to learn more about the film and its subjects.
Kim Krisberg is a freelance public health writer living in Austin, Texas, and has been writing about public health for more than a decade.
Marvis L. Myers, 31, suffered fatal traumatic injuries on Friday, February 6, 2015 while working for the City of Columbia, SC. WISTV reports:
- The incident occurred at a construction site on Pulaski Street near College Street.
- The victim was underground “working on pipe repairs when a cave-in occurred.”
- He was “6 to 8 feet below ground level”
- The incident happened about 11:40 am local time.
The incident is being investigated by South Carolina OSHA (SC-OSHA). The agency is in one of the 25 states that operates its own federally-approved occupational health and safety program. The approval of these programs, among other things, is contingent on providing the agencies’ protections to their respective state and local government employees. About 2 percent of SC-OSHA’s inspections involve public sector workplaces.
SC-OSHA will be examining the circumstances the led to Mr. Marvis L. Myers’ death, including why the excavated area in which he was working was not properly shored-up to prevent a cave-in. The City of Columbia may receive citations and penalties for violations identified by SC-OSHA. The most recent SC-OSHA inspections in the city occurred in March 2012 following injuries suffered by a firefighter. No citations were issued.
About 8 million state and local public sector employees are not covered by OSHA. They are employed in states were federal OSHA has regulatory authority over private sector workplaces, but no authority over public sector ones. When a public sector employee is killed on-the-job in one of these states, there is no OSHA inspection.
Each year, about 70 workers are killed on the job in South Carolina. The Bureau of Labor Statistics reports 72 work-related fatal injuries in South Carolina during 2013 (preliminary data, most recent available.) Nationwide, at least 4,405 workers suffered fatal traumatic injuries in 2013. The AFL-CIO’s annual Death on the Job report notes:
- SC-OSHA has 24 inspectors to cover more than 101,000 workplaces.
- The average penalty for a serious violation in South Carolina is $492.
SC-OSHA has until the early July 2015 to issue any citations and penalties related to the incident that stole Marvis L. Myers’ life. It’s likely they’ll determine that Myers’ death was preventable. It was no “accident.”
It’s a persistent conundrum in the field of public health — how can we open people’s minds to positively receiving and acting on health information? Previous research has found that combining health tips with messages of self-affirmation may be a particularly effective strategy, but researchers weren’t entirely sure how self-affirmation worked at the neurological level. Now, a new study has found that self-affirmation’s effects on a particular region of the brain may be a major key to behavior change.
In even simpler terms, researchers involved this new study — which examined how self-affirmation alters the brain’s response to health messaging — found that precisely activating a certain region of the brain could be a central pathway toward positive behavior changes. The findings could point to a relatively low-cost way to yield behavioral changes that could impact some of the nation’s costliest conditions and risk factors, from obesity to tobacco use. Plus, the findings illustrate one way to deliver health messages in a fashion that allows those most at risk to see value in what might otherwise be viewed as judgmental and threatening.
“It seems like we can change neural activity using this simple intervention and it does relate to behavior change down the road,” said study lead author Emily Falk, an assistance professor of communication at the University of Pennsylvania Annenberg School for Communication. “Self-affirmation is a cheap, scalable intervention…and it turns out to have huge effects for a relatively low investment.”
To conduct the study, which was published in February in the Proceedings of the National Academy of Science, Falk and her fellow researchers used functional magnetic resonance imaging to study a region of the brain involved in processing self-relevance known as the ventromedial prefrontal cortex (VMPFC). To begin, sedentary study participants were first given a list of values — such as family and friends, religion or politics — and asked to rank them in order of meaningfulness. The study sample was then broken into two groups — both groups received the same behavioral health information, but only one group was first primed with a self-affirmation message based on their values ranking. The control group received similar self-affirmation messages, but they were based on values unimportant to them.
Study participants were also fitted with a device that measured their activity levels for a week prior to the study and for a month after the initial intervention. In addition, participants continued to receive text message reminders for a month following the initial intervention. The text reminders would include one self-affirmation message and one health tip. For example, Falk told me a self-affirmation text might prompt the person to think about a time in the future when friends and family might need advice; while the health tip would explain that inactivity puts a person’s health at risk or that the best parking spots are those furthest away from the store. Falk and study co-authors Matthew Brook O’Donnell, Christopher Cascio, Francis Tinney, Yoona Kang, Matthew Lieberman, Shelley Taylor, Lawrence An, Kenneth Resnicow and Victor Strecher write:
VMPFC has been consistently associated with behavior change in response to health messages in prior work. This prior research has suggested that the link between VMPFC activity during health message exposure and behavior change may stem from a recipient’s ability to process a health message as self-relevant or as having value to oneself. Thus, we hypothesized that if affirmation allows people to see otherwise-threatening information as more self-relevant and valuable, delivering self-affirmation before health messages should increase neural activity in VMPFC during message exposure.
And that’s exactly what researchers found. According to the study, people who received relevant self-affirmation messages before getting the health advice showed higher levels of activity in the VMPFC region of the brain at the time of receiving the health messages. However, study participants who were prompted to think about values not ranked as important to them, showed lower levels of activity in that particular part of the brain. And not only did the relevant self-affirmation messages light up the region of the brain associated with positive valuation, it also resulted in actual behavior change. Those who received relevant self-affirmation showed a steeper decline in sedentary behavior in the month following the initial intervention, while those who didn’t receive relevant self-affirmation maintained their baseline levels of sedentary behavior.
Falk told me that previous research has found that brain activity in the VMPFC region tends to be a complimentary predictor of behavior change — in other words, brain activity seems to provide additional information that goes above and beyond what researchers gain from simply asking people questions. However, researchers were somewhat stumped as to why that was the case. At the same time, self-affirmation was emerging as an effective health messaging strategy, but researchers didn’t really know how self-affirmation worked at the neurological level. Falk said this study helps bring all those pieces together.
“We wanted to find a way to precisely engage that region of the brain and self-affirmation is a good tool to do that,” she told me. “The next step in the research is figuring out how to do this at scale, and I do think that’s a possibility.”
To request a full copy of the study, visit the Proceedings of the National Academy of Science.
Kim Krisberg is a freelance public health writer living in Austin, Texas, and has been writing about public health for more than a decade.
The story was about US immigration policy, but my-oh-my what it said about working conditions in poultry processing plants.
NPR’s Jim Zarroli reported from Georgia on the impact on businesses of the state’s 2011 law targeting undocumented immigrants. The president of Fieldale Farms, a poultry processing company, indicated he used to rely heavily on workers from Latin America and admitted that the documents of some may have been forged. But under the new law, undocumented workers are avoiding jobs in Georgia, and this is causing a problem for Fieldale Farms and other employers in the state. Fieldale Farms’ president Tom Hensley told Zarroli:
“We’ve had to hire middle-aged Americans who have not been used to working in an industrial facility and they have difficulty keeping up with the machines.”
Hmmm….difficulty keep up with the machines. Workers just can’t keep up. I wonder….could it be that the machines are running too fast?
If your average middle-aged Georgian can’t keep up with the poultry processing lines, does it seem right for a company to be expecting immigrant laborers to work at that pace?
When I hear about jobs that expect, by design, for people to contort themselves and work beyond their physical capacity, I know it’s a recipe for injuries. I can’t help but wonder if that’s what is going on when the poultry company president said this to Zarroli:
“We hire 100 people a week. Because we have 100 people who quit every week, out of 5,000 employees. We’re constantly short.”
How many of those 100 people who quit do so because the work has taken a toll on their hands, wrists or other body parts? Doesn’t being ‘constantly short’ just compound the work pace problem? If those middle-aged Americans can’t keep up, how much worse is it when they have to do the job of two people? It’s a vicious cycle that can only be fixed by companies fitting the task to the worker, not the other way around.
What I wouldn’t do to track down those 100 former Fieldale Farms’ employees who quit last week. It would be enlightening to learn why they quit. And it’s too bad our official data on work-related injuries isn’t more than just a survey of employers. What if there was a complementary annual survey of workers? One question to ask would be: Did you quit a job last year because you were hurt or ill from your work?
Workplace safety is one of the core issues of concern for the thousands of refinery workers who went on strike February 1 at plants in Texas, California, Washington, and Kentucky. The workers are members of the United Steelworkers (USW), and say their employers— LyondellBasell, Marathon Oil, and Royal Dutch Shell—put lives at risk with excessive work hours, delayed maintenance, and production pressure. Their previous contract was negotiated and approved in 2012.
“Union members believe it is time to take a stand,” USW spokesperson Lynn Hancock told the Houston Chronicle. “If we don’t, our people will continue to get injured and killed on the job.” The last time there was a walk-out of this magnitude by the USW was 1980.
Reporter Andrew Schneider with Houston Public Media spoke to picketing workers outside of LyondellBasell’s corporate offices.
“The union says the company is requiring excessive overtime which can reduce workers’ sleep time, and contracting out skilled jobs to unskilled workers less familiar with safety rules.”
Mr. Lee Medley, a pipefitter and president of USW local 13-1 told Schneider:
“’I was born in Texas City, I’ve worked in refineries for 35 years, my kids were raised here, so it’s us in the community, we live here. So if they’re hurting safety, they are putting my family and my friends at risk.’”
One of those risks—and it’s a big one–is the use of hydrofluoric acid (HF). It’s used at oil refineries in an alkylation process to increase octane levels in gasoline. Exposure to HF is dangerous and can be deadly. HF is extremely corrosive and can cause deep burns, including of internal organs. One safety data sheet explains:
“Even weak solutions of hydrofluoric acid will rapidly penetrate the skin, destroying the soft tissue and bone underneath.“
A release of HF will form a thick cloud that remains close to the ground. It can slowly travel miles from a site, poisoning and injuring those in its wake. In a 2013 report by the USW on HF, the union noted that 50 US refineries store and use large quantities of HF. (The USW represents workers at 28 of the 50 plants.) Surveys from those sites revealed a total of 131 HF-related incidents and close calls over the previous three years. More than half of the sites reported that neither on-site emergency responders, off-site emergency responders, on-site nursing and medical personnel, nor first receivers (e.g., hospital workers) were less than very prepared for an on-site emergency. Preparedness scores for the surrounding communities were even lower.
Gabriel Alvarado was 34 years old when an HF release changed his life. He was severely burned and ultimately lost a limb following the 42,000 pound HF release and fire in 2009 at CITGO’s Corpus Christi, TX refinery. The Chemical Safety Board estimated that 4,000 pounds of the HF likely migrated from the facility into the atmosphere. You’d think that CITGO learned a lesson, but in March 2012, another major HF release occurred again at the Corpus Christi facility. I think this is what USW’s Health, Safety and Environment Director Mike Wright meant when he said the following in the video Still Out of Control:
“I’ve never seen an industry where management is so casual about risk as the oil industry.”
Over the last 24 hours, press reports about the strike have used the terms “stalemate,” “progress,” and a “delicate situation.” I guess it depends who you ask. As for the workers’ safety concerns, Gary Beevers, USW International Vice President in charge of National Oil Bargaining, says:
“Onerous overtime, unsafe staffing levels, dangerous conditions the industry continues to ignore; the daily occurrences of fires, emissions, leaks and explosions that threaten local communities without the industry doing much about it and the flagrant contracting out that impacts health and safety on the job.”
How will it end? Beevers says:
“We’re going to stop killing people, or we’ll withhold our work.”
A few of the recent pieces I’ve liked:
Tara C. Smith at Slate: Measles is Horrible
Jason Cherkis in the Huffington Post: Dying to Be Free (“There’s A Treatment For Heroin Addiction That Actually Works. Why Aren’t We Using It?”)
Sara Ainsworth at RH Reality Check: Lawyers for Fetuses? Yes, It’s Absurd, But It’s Worse Than You Realize
Wil S. Hylton in the New Yorker: A Bug in the System: Why last night’s chicken made you sick
Sarah Goodyear at Citylab: More Women Ride Mass Transit Than Men. Shouldn’t Transit Agencies Be Catering to Them?
If national lawmakers took action on less than a dozen policy fronts, they could reduce child poverty in the U.S. by a whopping 60 percent. In sheer numbers, such a reduction would lift 6.6 million children out of poverty and significantly improve their opportunities for living long and fruitful lives. For the public health field, in particular, targeting poverty — a root determinant of lifelong disease and disability — could put an entire generation on a trajectory toward better health and well-being.
Those numbers are from the Children’s Defense Fund, which late last month released “Ending Child Poverty Now,” a report that provides a policy blueprint for cutting child poverty by more than half by building on policies and programs already in place. In fact, the report found that the nation could achieve this mark by investing just an additional 2 percent of the federal budget into existing efforts that increase employment, boost wages for low-income families and ensure that children’s basic needs, such as nutrition, are met. Currently, the U.S. has the second-highest child poverty rate among 35 industrialized nations — our children face a one in five chance of living in poverty. (The latest data show that 22 percent of U.S. children live in households with incomes below the federal poverty level — that’s less than $24,000 a year for a family of four.) The report reads:
Growing up poor has lifelong negative consequences, decreasing the likelihood of graduating from high school and increasing the likelihood of becoming a poor adult, suffering from poor health, and becoming involved in the criminal justice system. These impacts cost the nation at least half a trillion dollars a year in lost productivity and increased health and crime costs. Letting a fifth of our children grow up poor prevents them from having equal opportunities to succeed in life and robs the nation of their future contributions.
To analyze the potential impact, researchers from the Urban Institute examined nine policy changes: increasing the earned income tax credit for low-income families; increasing the federal minimum wage to $10.10; creating subsidized job opportunities for unemployed and underemployed people in families with children; and expanding child care subsidies. The report also examined enhancing the Child and Dependent Care Tax Credit; increasing Supplemental Nutrition Assistance Program benefits (the program formerly known as food stamps); making the child tax credit fully refundable; expanding access to housing vouchers; and disregarding child support payments when calculating eligibility for Temporary Assistance for Needy Families (TANF) as well as passing full child support payments on to custodial parents (for TANF families, child support payments go through the TANF program and large portions are often kept by the state to offset the cost of assistance, though states can waive that option.)
Using the Supplemental Poverty Measure — a new measure the Census recently began using to better illustrate the complexities of poverty — researchers calculated a variety of far-reaching benefits. In addition to lifting 6.6 million children out of poverty, the proposed policy changes would reduce poverty among children younger than 3 by 64 percent as well as improve the economic conditions of an additional 4 million poor children, though those children would still be living below the poverty line. The changes would also reduce poverty among black children, who experience the highest poverty rates, by 72 percent, and single-parent families would experience a decline in poverty rates of 64 percent.
Getting down to the individual policy level, researchers found that expanding access to housing vouchers for low-income families with children had the greatest impact — a child poverty reduction of 21 percent. Increasing SNAP benefits was the second-most effective individual policy, reducing child poverty by 16.2 percent. Expanding the earned income tax credit would reduce child poverty by 8.8 percent, and expanding access to child care subsidies would reduce the rate by 3.1 percent. Assuming that a hike in the federal minimum wage would also affect workers making slightly below the current floor of $7.25 and slight higher than the new wage of $10.10, researchers calculated that raising the minimum wage would reduce child poverty by 4 percent. However, the change that affected income most was a transitional jobs program, in which an estimated 2.5 million parents would be expected to participate and which reduce child poverty by 10.7 percent.
Of course, reducing childhood poverty doesn’t happen without a significant investment. The Urban Institute researchers estimate that the policy changes would increase government expenditures by $77.2 billion. But to put that spending package in context, consider it equals just 0.5 percent of the size of the 2010 U.S. gross national product. Plus, the report found that the policy package would narrow the poverty gap by more than $28 billion, which translates into a 36.5-cent poverty reduction for every one dollar of new government funding.
“The Urban Institute’s analysis for (the Children’s Defense Fund) is clear: by investing more in existing programs the U.S. could substantially decrease child poverty immediately,” the report reads. “Shrinking child poverty by 60 percent and improving economic circumstances for 97 percent of poor children would improve the life chances of millions of children, bring child poverty in the U.S. in line with rates in other high-income countries, and help prevent poverty in the future.”
To read the full report, visit the Children’s Defense Fund. And click here for an accompanying report from the Urban Institute. Visit the Centers for Disease Control and Prevention for more on child health and poverty.
Kim Krisberg is a freelance public health writer living in Austin, Texas, and has been writing about public health for more than a decade.
When negotiations over legislation to reform the 39-year-old Toxics Substance Control Act (TSCA) broke down this past fall, among the major points that remained unresolved were how a revised TSCA would treat state and other local chemicals management regulations and how – and under what timelines – the US Environmental Protection Agency (EPA) would prioritize chemicals for safety review. As of early this year, lawmakers on both sides of the aisle in the House and Senate have issued statements about their commitment to produce a bipartisan bill. Chemical industry trade associations and environmental health advocates have similarly expressed “cautious optimism” that legislation will be produced that Democrats, Republicans and other stakeholders can support.
As we wait for introduction of a new TSCA reform bill, on which Senators Tom Udall (D-NM) and David Vitter (R-LA) are expected to take the lead, The Pump Handle has decided to take a look at some of what’s at stake and revisit why the outcome matters to those who care about protecting and improving occupational and public health.
State vs. federal law
There has been some debate about how the language in the last draft of the Chemical Safety Improvement Act and its companion House bill, the Chemicals in Commerce Act, would actually play out with regard to state and local laws. But it was largely interpreted – including by numerous state legislators and attorneys general – to mean that the new legislation would change TSCA in a way that would effectively stop states from regulating chemicals independently of EPA and do so both retrospectively and prospectively. What the draft bills essentially said was that states could not regulate chemicals about which the EPA has made any type of determination – even if the federal agency decided not to regulate a chemical.
Putting arguments about the competing authority of federal and state law aside, here’s a reminder of why passions are running so high on this issue.
According to Safer States’ “bill tracker,” there are now at least 169 state chemical regulation bills that have been passed in at least 35 states. These include numerous laws that address chemicals and chemical uses that are not regulated under TSCA. Among these:
- Connecticut’s ban on use of bisphenol A in receipt papers;
- Maryland, Minnesota and Vermont’s bans on BPA in infant formula cans, and
- Maryland and New York’s bans on use of chlorinated flame retardants known as TCEP and TDCPP in children’s products.
Other laws that could be affected by a TSCA state-preemption provision include Maine and Washington’s laws regarding “chemicals of concern” in children’s products. These require manufacturers to report on such chemical use and under certain circumstances include chemical phase-outs and substitution with safer alternatives. Other states – among them Connecticut, Florida, New York and Oregon – are now considering similar bills.
TSCA preemption could potentially affect California’s Proposition 65 – the state law that designates chemicals as carcinogens, reproductive and developmental toxicants and posts warnings on products and facilities where these substances are used. Such a provision could also affect California’s Safer Consumer Products Regulations – part of the state’s so-called “green chemistry” policy – that aims to replace hazardous chemicals with safer alternatives. The state is in the process of designating the regulations’ first chemical-product combinations that would be targeted for possible phase-out unless safer alternatives can be found.
For those not following this California process closely, the three sets of products selected for the round of “priority product” designation are children’s sleeping products containing the flame retardant TDCPP and two with obvious occupational health concerns: wet spray polyurethane foams with diisocyanates and paint and varnish removers containing methylene chloride – a powerful respiratory and neurotoxin that’s also been linked to birth defects and cancer.
How long will it take?
Currently, TSCA makes it very difficult for EPA to restrict – let alone ban – the use of any chemical. For example, the same diisocyanates – known as significant factors in occupational asthma – that would be covered by the California “priority product” designation are subject to an EPA TSCA “chemical action plan” which is taking years to develop. EPA started the process in 2011 when it released its methylene diphenyl diisocyanate work-plan. The original public comment period on it lasted a year. It was then extended until April 2014. Then in March 2014, the comment period was extended again and now closes on April 1, 2017. In contrast, California’s first “priority product” list is to be finalized this year.
Another example involves nonylphenols and nonylphenol ethoxylates. These chemicals have adverse consequences for the environment and human health, including those occurring through occupational exposure. Nonylphenols and nonylphenol ethoxylates are toxic to aquatic organisms, have been found in human biomonitoring studies and appear to have estrogenic and endocrine system effects. These compounds are used in commercial and other cleaning products, to “cure” epoxies, and as surfactants in numerous other industrial and commercial products, including dust-control and deicing products.
Maine has designated nonylphenols and nonylphenol ethoxylates as “priority chemicals” under its Safer Chemicals in Children’s Products law. While this does not restrict their use, it requires manufacturers to report to the state the names of products that contain these compounds. EPA’s action on nonylphenols and nonylphenol ethoxylates has languished. The agency released its “action plan” for the compounds in August 2010. This past September, EPA proposed a Significant New Use Rule for these compounds – a TSCA provision that would require manufacturers to notify EPA of any new uses – the comment period for which closed on January 15. Chemical manufacturers and companies that use these chemicals in their products are objecting to this proposal in part because they say EPA is attempting to address ongoing rather than new uses of these compounds. Whatever EPA’s response to these comments, it’s likely – if EPA’s past performance is any indication – that any action on these compounds will be further delayed.
EPA’s past performance with the TSCA “action plan” timelines also illustrate another objection that’s been raised to the draft TSCA reform bills most recently considered: the lack of effective deadlines under which EPA would be required to act on chemicals of concern, including chemicals with well-recognized health risks. Other issues that remain unresolved include consideration of vulnerable populations and handling of confidential business information.
Word among those following TSCA reform closely and those involved in these discussion on Capitol Hill, is that new legislation is expected this spring. In the meantime, at least 24 states have 71 new chemicals management bills under consideration.
Elizabeth Grossman is the author of Chasing Molecules: Poisonous Products, Human Health, and the Promise of Green Chemistry, High Tech Trash: Digital Devices, Hidden Toxics, and Human Health, and other books. Her work has appeared in a variety of publications including Scientific American, Yale e360, Environmental Health Perspectives, Mother Jones, Ensia, Time, Civil Eats, The Guardian, The Washington Post, Salon and The Nation.
by Amy Liebman, MPA, MA
Pesticide drift from a pear orchard sickened 20 farmworkers laboring in a neighboring cherry orchard in April 2014, in Washington State, according to a new Morbidity and Mortality Weekly Report from the Centers for Disease Control and Prevention. Interestingly, and critically, the exposure came to light because a newspaper reporter tipped off the Washington Department of Agriculture, who then contacted the Washington Department of Health. Where were the clinician reports?
Off-drift pesticide poisonings are serious occupational hazards that can be prevented; this instance was no exception. Two workers in full personal protective equipment including respirators applied three newly marketed pesticides to an orchard. Farmworkers in an adjacent farm, unaware of the scheduled spraying, began feeling ill within minutes of being exposed to the pesticide drift. Their crew leader called 911, and medical personnel provided emergency care on-site. Sixteen of those 20 sought additional medical care after receiving emergency care, with symptoms including headache, nausea, eye irritation, and respiratory issues. Two weeks later, authorities followed up with eight of the workers. Six of them were still exhibiting symptoms from the exposure.
While it is prohibited to apply agricultural pesticides when it can result in the exposure of people, no regulation requires farmers to notify neighboring farms of upcoming pesticide applications. California is the only state that recommends workers be notified of area pesticide applications. This case highlights why such notification is needed. It also underscores the importance of surveillance. When cases like this come to light, regulatory agencies can take appropriate action to strengthen policies. That is why it is a law in many states, including Washington, for clinicians to report pesticide exposures. These reports allow agencies like each state’s health department, the CDC, and the Environmental Protection Agency to follow trends, and to identify– and potentially remove — pesticides or practices that are repeatedly found to be hazardous. In this case, multiple clinicians likely treated the 16 workers who sought care, but none of them filled out a report.
Farmworkers do not always have a reporter inquiring about about pesticide poisonings. It is more likely there will be a clinician caring for a poisoned worker. That clinician can make all the difference for the overexposed worker — and other farmworkers– by reporting it. Clinicians have a critical role in preventing tomorrow’s pesticide poisonings by ensuring that today’s are accurately reported.
Amy K. Liebman, MPA, MA, is the Director of Environmental and Occupational Health at Migrant Clinicians Network, a nonprofit dedicated to health justice for the mobile poor, creating practical solutions at the intersection of poverty, migration, and health.