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					   Update from the California
  Department of Public Health
          Barbara Materna, Ph.D., CIH
           Occupational Health Branch
     California Department of Public Health
California Industrial Hygiene Council 20th Annual Conference
                    December 6, 2010
                Intro to OHB
“Occupational public health” program to:
 Track & use data
 Investigate hazards,
  injury & illness
 Provide information
  & technical assistance
 Promote policies that
  protect health
 Address emerging hazards
     OHB Focus Areas in 2010
       by Industry Sector
 NIOSH National Occupational
  Research Agenda (NORA)
  Partnership to stimulate innovative research
   & workplace improvements
  2006: Planning focused on 8 industry sectors

 OHB staff on NORA Sector Research Councils
  Healthcare & Social Assistance
  Services (minus healthcare/social services)
               www.cdc.gov/NIOSH/NORA
2010 CA Employment by NORA Sector

                     Mfg 9%

                                     Ag
                                     Trans
                                     Constr
Services                             Mfg
57%                                  Health
(minus                               Trade
health/soc)                          Services
                                     Mining

                            Health/Social Serv 10%

                    Wholesale/Retail 15%
      A closer look at Services
 Services Sector NORA research goals set for:
   Building services (e.g., janitors, landscapers)
   Education services (public & private)
   Accommodations (hotel, motel)
   Food services (restaurants, food delivery)
   Temporary labor firms
   Telecommunications
   Auto repair
   Recreation & entertainment
   Cross-cutting: musculoskeletal disorders, surveillance
 Created separate NORA plan for Public Safety
  Featuring some OHB activities
       by Industry Sector
 Services

 Healthcare

 Retail

 Construction

 Agriculture
      Services Sector Projects
 Education & Building Services
  Cleaning for Asthma-Safe Schools (CLASS)

 Personal Care Services (hair, nail salons)
  California Safe Cosmetics Program
      Cleaning for Asthma-Safe
          Schools (CLASS)
 To help schools transition to
  cleaning products free of
  asthma-causing chemicals
 Custodians have high rates
  of work-related asthma
 Teachers, other staff &
  students also affected
 3rd-party certified safer
  alternatives are available
        http://www.cdph.ca.gov/programs/ohsep/Pages/Asthma.aspx
   2009-10 CLASS Pilot Project
 Partnership with Green                                      School Site
  Schools Initiative                                          Partners

 Small grants to 3 districts                            Placer

  & statewide charter school                       Manteca


 Custodians evaluated                         Alameda


  current products & tested
  safer alternatives                                San Luis Obispo

                                                              Camarillo

 Evaluated barriers to                                         Long Beach

  adoption of green cleaning
                http://www.greenschools.net/
            Next Steps for CLASS
 Develop statewide guidelines for schools to
  switch to safer cleaning products
 Will provide rationale; outline key steps;
  provide case studies & resources; document
  cost savings
 Enhance OHB asthma website
Long Beach Unified
CLASS Team
     Services Sector Project #2
 Personal Care Services: Hair & nail salons

 California Safe
  Cosmetics
  Program




               www.cdph.ca.gov/programs/cosmetics
  CA Safe Cosmetics Act of 2005
 Concern about chronic
  exposure to consumer &
  professional products
 Mandatory reporting of
  products with carcinogens
  & reproductive hazards
 CDPH mandates:
   Collect reports
   Make non-CBI info public
   Notify Cal/OSHA & Cal/EPA
    of worker/consumer concerns
    CA Safe Cosmetics Program
 Online reporting system
  launched 9/2009
 25,000+ products to date
 CPDH/AG letter increased
  reporting by 33% in 2 mon
 Current activities:
    Building system for public data
    Compliance/enforcement
    Research collaborations
    Trade secret substantiation
     process
   Safety Kink in Hair Relaxing?
 Complaints re: Brazilian
  Blowout smoothing product
    Burning eyes, nose, throat,
     scalp; asthma trigger
    Lab analysis = formaldehyde
    Not reported to CSCP
                                   NY Times, Fashion & Style, 7/19/2007

 Marketed as HCHO free

 Multi-state/agency
  investigation
 Possibly multiple products?      NY Times, Fashion & Style, 11/3/2010
    Healthcare Sector Projects
 Preparedness for Respirator Use in
  Healthcare Facilities

 Respirator Use Evaluation in Acute Care
  Hospitals

 Investigation of meningococcal disease
  transmission
 Aerosol Transmissible Diseases
                 Title 8 CCR 5199
 Effective August 5, 2009 – First of its kind in U.S.
 Aims to prevent wide range of diseases
 Comprehensive
  requirements
  cover hierarchy
  of controls

 Makes CDC/CDPH
  guidelines
  enforceable
Preparedness for Respirator Use
    in Healthcare Facilities
 H1N1 pandemic
  showed many facilities
  unprepared
 Fit testing training
  needed, esp. in primary
  & long-term care
 Obtained federal
  funding for regional
  trainings-of-trainers
    Fit testing
    Infection control
   Respirator Use Evaluation in
  Acute Care Hospitals (REACH)
 Funded by NIOSH
  NPPTL during 2009
  H1N1 pandemic
 To assess respirator
  policies & practices in
  16 N Calif. hospitals
 All facilities using N95s
  but common problems:
    Training, fit testing,
     recordkeeping, program
     evaluation
          Follow-up Projects
 REACH 2
  NPPTL-funded projects in 4 U.S. regions for
   2010-11 influenza season: CA, NY, IL/MN, NC
  Developing standard questionnaires to interview
   hospital managers & staff, make observations

 Intervention project: Improving Respirator
  Use in Healthcare Facilities
  Developing & evaluating tool kit for hospital
   respiratory protection program administrators
 Investigation of Meningococcal
     Disease Transmission
 3 cases reported to CDPH:
   index case, police officer,
    respiratory therapist

 Assessed occupational
  exposures, lapses in
  infection control

 Recommendations for
  prevention
   Prompt notification & post-
    exposure f/u
   Reassess PPE guidance
                                  MMWR Nov 19, 2010. 59(45):1480-83.
        Retail Sector:
Hazard of Shared Tagging Guns
 Retail worker reported
  with Hepatitis B
 Workers shared tagging
  guns & received
  repeated needlesticks
 Follow-up testing for
  bloodborne pathogens

 Health hazard alert
  developed
      Construction Sector:
 Ergonomics – Overhead Drilling
 Drilling holes into ceilings:
  high physical demands

 Results in MSDs of wrist,
  forearm, shoulder & back

 Intervention to reduce
  fatigue/MSD risk factors &
  not limit productivity
 Designed & evaluated
  inverted drill press on
  rolling tripod
                     Rempel et al. 2010. JOEH 7:194-202.
          Construction Sector:
          Ergonomics + Silica
 Drilling on concrete
  structures: ergo & silica
  hazards

 Designed drill support
  + dust capture system

 Seeking contractors for
  evaluation study

 Ultimately will seek
  manufacturer
     Construction Sector:
    Safer Solar Energy Jobs




SF Chronicle, March 24, 2010   http://www.cdph.ca.gov/programs/ohbface/Pages/default.aspx
Agriculture (& Construction) Sector:
     Heat Illness Prevention
 Collaboration since
  2005 with Cal/OSHA
 Data collection on
  Cal/OSHA investigations
  of serious & fatal illness
 Analysis of risk factors,
  prevention measures
 Understand impact of
  8 CCR Section 3395
      For more information
Barbara Materna, Ph.D., CIH, Chief, Occupational
  Health Branch
California Department of Public Health
850 Marina Bay Parkway, Bldg. P, 3rd Floor
Richmond, CA 94804
Email: Barbara.Materna@cdph.ca.gov
OHB Web site: www.cdph.ca.gov/programs/ohb
OHB Workplace Hazards Helpline:
  (866) 282-5516 toll-free in CA

				
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