Examinee Non-Disclosure of Relevant Medical Information During Transportation Related Regulatory Examinations: A Case-Series

Details

• Personal Author:
  Caruth J ; Graber JM ; Minsinger KD ; Nezam H ; Udasin I
• Description:
  Objective: In the past decade, U.S. transport accidents have resulted in over 370,000 fatalities. Research on medical history non-disclosure during mandatory regulatory exams has been limited. This study used the National Transportation Safety Board's (NTSB) Case Analysis and Reporting Online (CAROL) database to: (1) Identify non-disclosure, (2) Assess non-disclosure patterns, (3) Evaluate CAROL's research potential. Methods: The CAROL database was searched for U.S. cases (01/01/2010-01/29/2024) involving fatalities and medically-related causes. Non-disclosure was defined as operators with undisclosed preexisting conditions or medications in NTSB reports. Twelve cases with recurring themes were described in detail. Results: Of 3,012 accidents, 258 met our criteria; 80 (31%) indicated examinee non-disclosure in the NTSB investigation. Conclusion: Operator non-disclosure in NTSB cases underscores CAROL's value for further investigations and highlights the risks non-disclosure poses to U.S. transportation safety. [Description provided by NIOSH]
• Subjects:
  Accidents, Occupational Automobiles Database Epidemiology Morbidity Mortality Occupational Health Safety Transportation
• Keywords:
  Accidents Author Keywords: Transportation Aviation Accidents Databases Deception Disclosure Morbidity Rates Mortality Rates Motor Vehicles Traffic Accidents
• ISSN:
  1076-2752
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Idaho ; New Jersey ; New York ; New York City Region [OSHA] ; Pennsylvania ; Philadelphia Region [OSHA] ; San Francisco Region [OSHA]
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• NIOSHTIC Number:
  nn:20070568
• Citation:
  J Occup Environ Med 2025 Feb; :[Epub ahead of print]
• Contact Point Address:
  Julie Caruth, MD, MPH EOHSI- Clinical Center 170 Frelinghuysen Road, Piscataway, NJ 08854
• Email:
  jec253@eohsi.rutgers.edu
• Federal Fiscal Year:
  2025
• Performing Organization:
  Mount Sinai School of Medicine
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Journal of Occupational and Environmental Medicine
• End Date:
  20270630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:b810db5fe39bdf543a3c4d5ca00f9402ed83a992c3c7c6fafa2763557683e3924e46d27a3f49fe413f6dcb1abf8a3c93ba1a111995a01e27323987986944d729
• Download URL:
  https://stacks.cdc.gov/view/cdc/208751/cdc_208751_DS1.pdf
• File Type:
  [PDF - 2.51 MB ]