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Tomasi SE, Ramirez‐Cardenas A, Thiese MS, Rinsky JL, Chiu SK, Luckhaupt S, Bateman R, Burrer SL. COVID-19 mortality among Amalgamated Transit Union (ATU) and Transport Workers Union (TWU) workers-March-July 2020, New York City metro area. Am J Ind Med 2021; 64:723-730. [PMID: 34346103 PMCID: PMC8427001 DOI: 10.1002/ajim.23281] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2021] [Revised: 07/21/2021] [Accepted: 07/21/2021] [Indexed: 12/18/2022]
Abstract
BACKGROUND Transit workers have jobs requiring close public contact for extended periods of time, placing them at increased risk for severe acute respiratory syndrome coronavirus 2 infection and more likely to have risk factors for coronavirus disease 2019 (COVID-19)-related complications. Collecting timely occupational data can help inform public health guidance for transit workers; however, it is difficult to collect during a public health emergency. We used nontraditional epidemiological surveillance methods to report demographics and job characteristics of transit workers reported to have died from COVID-19. METHODS We abstracted demographic and job characteristics from media scans on COVID-19 related deaths and reviewed COVID-19 memorial pages for the Amalgamated Transit Union (ATU) and Transport Workers Union (TWU). ATU and TWU provided a list of union members who died from COVID-19 between March 1-July 7, 2020 and a total count of NYC metro area union members. Peer-reviewed publications identified through a scientific literature search were used to compile comparison demographic statistics of NYC metro area transit workers. We analyzed and reported characteristics of ATU and TWU NYC metro area decedents. RESULTS We identified 118 ATU and TWU NYC metro area transit worker COVID-19 decedents with an incidence proportion of 0.3%. Most decedents were male (83%); median age was 58 years (range: 39-71). Median professional tenure was 20 years (range: 2-41 years). Operator (46%) was the most reported job classification. More than half of the decedents (57%) worked in positions associated with close public contact. CONCLUSION Data gathered through nontraditional epidemiological surveillance methods provided insight into risk factors among this workforce, demonstrating the need for mitigation plans for this workforce and informing transit worker COVID-19 guidance as the pandemic progressed.
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Affiliation(s)
- Suzanne E. Tomasi
- Respiratory Health Division, National Institute for Occupational Safety and Health (NIOSH) Centers for Disease Control and Prevention (CDC) Morgantown West Virginia USA
| | | | - Matthew S. Thiese
- Rocky Mountain Center for Occupational and Environmental Health University of Utah School of Medicine Salt Lake City Utah USA
| | - Jessica L. Rinsky
- Division of Field Studies & Engineering NIOSH, CDC Cincinnati Ohio USA
| | - Sophia K. Chiu
- Division of Field Studies & Engineering NIOSH, CDC Cincinnati Ohio USA
| | - Sara Luckhaupt
- Division of Field Studies & Engineering NIOSH, CDC Cincinnati Ohio USA
| | | | - Sherry L. Burrer
- Emergency Preparedness and Response Office NIOSH, CDC Atlanta Georgia USA
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Iskander J, Ahluwalia J, Luckhaupt S, Lewis B. Lessons from Leading US Public Health Service Physicians. Mil Med 2019; 184:127-130. [DOI: 10.1093/milmed/usy428] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2018] [Revised: 11/20/2018] [Indexed: 11/13/2022] Open
Affiliation(s)
- John Iskander
- Centers for Disease Control and Prevention, 1600 Clifton Road MS D-50, Atlanta, GA
- United States Public Health Service, 1101 Wooton Pkwy, Rockville, MD
| | - Jaspal Ahluwalia
- United States Public Health Service, 1101 Wooton Pkwy, Rockville, MD
- Food and Drug Administration, 10903 New Hampshire Ave, Silver Spring, MD
| | - Sara Luckhaupt
- Centers for Disease Control and Prevention, 1600 Clifton Road MS D-50, Atlanta, GA
- United States Public Health Service, 1101 Wooton Pkwy, Rockville, MD
| | - Brian Lewis
- United States Public Health Service, 1101 Wooton Pkwy, Rockville, MD
- Food and Drug Administration, 10903 New Hampshire Ave, Silver Spring, MD
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Tamers SL, Goetzel R, Kelly KM, Luckhaupt S, Nigam J, Pronk NP, Rohlman DS, Baron S, Brosseau LM, Bushnell T, Campo S, Chang CC, Childress A, Chosewood LC, Cunningham T, Goldenhar LM, Huang TTK, Hudson H, Linnan L, Newman LS, Olson R, Ozminkowski RJ, Punnett L, Schill A, Scholl J, Sorensen G. Research Methodologies for Total Worker Health®: Proceedings From a Workshop. J Occup Environ Med 2018; 60:968-978. [PMID: 30407366 PMCID: PMC6221402 DOI: 10.1097/jom.0000000000001404] [Citation(s) in RCA: 37] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
OBJECTIVE There is growing interest in the NIOSH Total Worker Health program, specifically in the process of designing and implementing safer, health-promoting work and workplaces. A Total Worker Health (TWH) Research Methodology Workshop was convened to discuss research methods and future needs. METHODS Twenty-six experts in occupational safety and health and related fields reviewed and discussed current methodological and measurement issues and those showing promise. RESULTS TWH intervention studies face the same challenges as other workplace intervention studies and some unique ones. Examples are provided of different approaches and their applications to TWH intervention studies, and desired developments in the TWH literature. CONCLUSIONS This report discusses and outlines principles important to building the TWH intervention research base. Rigorous, valid methodologic, and measurement approaches are needed for TWH intervention as well as for basic/etiologic, translational, and surveillance research.
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Affiliation(s)
- Sara L Tamers
- Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, Washington, DC (Dr Tamers, Ms Chang, Dr Childress, Dr Schill); Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, Atlanta, GA (Dr Chosewood); Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, Cincinnati, OH (Dr Luckhaupt, Ms Hudson, Dr Cunningham, Dr Bushnell, Dr Scholl, Ms Nigam); Johns Hopkins University, Baltimore, Maryland (Dr Goetzel); IBM Watson Health, Bethesda, Maryland (Dr Goetzel, Dr Ozminkowski); University of Iowa, Iowa City, Iowa (Dr Kelly, Dr Rohlman, Dr Campo); HealthPartners Institute, Minneapolis, Minnesota (Dr Pronk); City University of New York, New York City, New York (Dr Baron, Dr Huang); University of Illinois at Chicago, Chicago, Illinois (Dr Brosseau); Center for Construction Research and Training, Silver Spring, Maryland (Dr Goldenhar); University of North Carolina-Chapel Hill, Chapel Hill, North Carolina (Dr Linnan); Center for Health, Work & Environment, Colorado School of Public Health, University of Colorado, Colorado (Dr Newman); Oregon Health and Science University, Portland, Oregon (Dr Olson); University of Massachusetts Lowell, Lowell, Massachusetts (Dr Punnett); Harvard University, Cambridge, Massachusetts (Dr Pronk, Dr Sorensen)
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Luckhaupt S. 261 Using the national health interview surveyto study workplace psychosocial exposures in the u.s. Epidemiology 2018. [DOI: 10.1136/oemed-2018-icohabstracts.410] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Calvert GM, Luckhaupt S, Lee SJ, Cress R, Schumacher P, Shen R, Tak S, Deapen D. Lung cancer risk among construction workers in California, 1988-2007. Am J Ind Med 2012; 55:412-22. [PMID: 22237930 DOI: 10.1002/ajim.22010] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/15/2011] [Indexed: 01/19/2023]
Abstract
BACKGROUND Although lung cancer risks can vary by race/ethnicity and by construction occupation, these risks have not been examined extensively. METHODS This study analyzed 110,937 lung cancer cases identified from the California Cancer Registry between 1988 and 2007. Mean age at diagnosis, proportion diagnosed at an advanced stage, and proportion with 3-year survival were calculated for lung cancer cases employed in the construction industry. Case-control methodology was also used to assess the risk of lung cancer. Morbidity odds ratios (MORs) were estimated by conditional logistic regression. RESULTS Construction workers were found to have a significantly elevated risk for all lung cancer combined (MOR = 1.57) and for each lung cancer histologic subtype examined. All construction occupations, except managers/engineers and supervisors, had a significantly elevated risk for all lung cancer combined. Roofers and welders had the highest risks for total lung cancer and for each of the histologic subtypes. Construction workers in each of the four race/ethnicity groups also had significantly increased lung cancer risks. Compared to non-construction workers, construction workers were diagnosed at an earlier age, at a more advanced stage, and had significantly lower 3-year survival, though differences were modest. CONCLUSION These findings justify additional reductions in carcinogenic exposures in construction, and increased support for smoking cessation programs at construction sites.
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Affiliation(s)
- Geoffrey M Calvert
- Division of Surveillance, Hazard Evaluations, and Field Studies, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Cincinnati, Ohio, USA.
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Abstract
BACKGROUND Chlamydial infection is the most common sexually transmitted bacterial infection in the United States, with an estimated 3 million new cases annually. In 2001, the U.S. Preventive Services Task Force (USPSTF) recommended that clinicians screen all sexually active women at increased risk for infection for Chlamydia trachomatis. PURPOSE To summarize a systematic evidence review commissioned by the USPSTF in preparation for an update of its 2001 recommendation. DATA SOURCES English-language articles identified in PubMed between July 2000 and July 2005. Additional articles were identified by bibliographic reviews and discussions with experts. A total of 452 articles were identified. STUDY SELECTION Explicit inclusion and exclusion criteria were used for each of 3 key questions. For studies of screening in nonpregnant women at increased risk, review was limited to randomized, controlled trials. For other groups, both randomized, controlled studies and nonrandomized, prospective, controlled studies were included. DATA ABSTRACTION Using standardized forms, staff of the Agency for Healthcare Research and Quality abstracted data on study design, setting, sample, randomization, blinding, results, and harms. DATA SYNTHESIS Only 1 new study met inclusion criteria. This poor-quality study of the effectiveness of screening for chlamydial infection among nonpregnant women at increased risk found that screening was associated with a lower prevalence of chlamydial infection and fewer reported cases of pelvic inflammatory disease at 1-year follow-up. LIMITATIONS No new evidence was found on screening in pregnant women, nonpregnant women not at increased risk, or men. CONCLUSIONS A systematic review found a small amount of new evidence to inform the USPSTF as it updates its recommendations regarding screening for chlamydial infection. There are large gaps in the evidence about screening men to improve health outcomes in women.
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Affiliation(s)
- David S Meyers
- Center for Primary Care, Prevention, and Clinical Partnerships, Agency for Healthcare Research and Quality, Rockville, Maryland 20850, USA
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Mabry IR, Luckhaupt S. Screening for developmental dysplasia of the hip. (Quiz 1005-6). Am Fam Physician 2006; 74:1005-6. [PMID: 17002037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/12/2023]
Affiliation(s)
- Iris R Mabry
- US Preventive Services Task Force Center for Primary Care, Prevention, and Clinical Partnerships, Agency for Healthcare Research and Quality, USA
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Yi MS, Luckhaupt S, Mrus JM, Tsevat J. Do medical house officers value the health of veterans differently from the health of non-veterans? Health Qual Life Outcomes 2004; 2:19. [PMID: 15070409 PMCID: PMC406418 DOI: 10.1186/1477-7525-2-19] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2004] [Accepted: 04/07/2004] [Indexed: 11/10/2022] Open
Abstract
Background Little information is available regarding medical residents' perceptions of patients' health-related quality of life. Patients cared for by residents have been shown to receive differing patterns of care at Veterans Affairs facilities than at community or university settings. We therefore examined: 1) how resident physicians value the health of patients; 2) whether values differ if the patient is described as a veteran; and 3) whether residency-associated variables impact values. Methods All medicine residents in a teaching hospital were asked to watch a digital video of an actor depicting a 72-year-old patient with mild-moderate congestive heart failure. Residents were randomized to 2 groups: in one group, the patient was described as a veteran of the Korean War, and in the other, he was referred to only as a male. The respondents assessed the patient's health state using 4 measures: rating scale (RS), time tradeoff (TTO), standard gamble (SG), and willingness to pay (WTP). We also ascertained residents' demographics, risk attitudes, residency program type, post-graduate year level, current rotation, experience in a Veterans Affairs hospital, and how many days it had been since they were last on call. We performed univariate and multivariable analyses using the RS, TTO, SG and WTP as dependent variables. Results Eighty-one residents (89.0% of eligible) participated, with 36 (44.4%) viewing the video of the veteran and 45 (55.6%) viewing the video of the non-veteran. Their mean (SD) age was 28.7 (3.1) years; 51.3% were female; and 67.5% were white. There were no differences in residents' characteristics or in RS, TTO, SG and WTP scores between the veteran and non-veteran groups. The mean RS score was 0.60 (0.14); the mean TTO score was 0.80 (0.20); the mean SG score was 0.91 (0.10); and the median (25th, 75th percentile) WTP was $10,000 ($7600, $20,000) per year. In multivariable analyses, being a resident in the categorical program was associated with assigning higher RS scores, but no residency-associated variables were associated with the TTO, SG or WTP scores. Conclusion Physicians in training appear not to be biased either in favor of or against military veterans when judging the value of a patient's health.
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Affiliation(s)
- Michael S Yi
- Department of Internal Medicine, Division of General Internal Medicine, Section of Outcomes Research, University of Cincinnati Medical Center, USA
- Center for Clinical Effectiveness, Institute for Health Policy and Health Services Research, University of Cincinnati Medical Center, USA
- Department of Pediatrics, Cincinnati Children's Hospital Medical Center, USA
| | - Sara Luckhaupt
- Department of Internal Medicine, Division of General Internal Medicine, Section of Outcomes Research, University of Cincinnati Medical Center, USA
| | - Joseph M Mrus
- Department of Internal Medicine, Division of General Internal Medicine, Section of Outcomes Research, University of Cincinnati Medical Center, USA
- Center for Clinical Effectiveness, Institute for Health Policy and Health Services Research, University of Cincinnati Medical Center, USA
- Department of Pediatrics, Cincinnati Children's Hospital Medical Center, USA
- HSR&D Service, Cincinnati Veterans Affairs Medical Center and Veterans Healthcare System of Ohio, Cincinnati, USA
| | - Joel Tsevat
- Department of Internal Medicine, Division of General Internal Medicine, Section of Outcomes Research, University of Cincinnati Medical Center, USA
- Center for Clinical Effectiveness, Institute for Health Policy and Health Services Research, University of Cincinnati Medical Center, USA
- HSR&D Service, Cincinnati Veterans Affairs Medical Center and Veterans Healthcare System of Ohio, Cincinnati, USA
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