Work-Related Amputations in Michigan, 2016

Details

• Personal Author:
  Rockhill S ; Rosenman, Kenneth D.
• Description:
  The Division of Occupational and Environmental Medicine at Michigan State University (MSU) and the Michigan Department of Health and Human Services (MDHHS) direct a surveillance system for monitoring work-related amputations in Michigan. This report describes these injuries for 2016. Key results include: The system found 431 work-related amputations among Michigan residents (9.3 per 100,000 employed persons). The official U.S. Department of Labor estimate (240) was 44.3 percent lower. From 2006 to 2016, the number of work-related amputations fell 41.8 percent and the rate fell by 40.8 percent. Numbers and rates decreased from 2006 to 2009, then remained fairly level until 2013. There was a slight increase in work-related amputations in 2013, but the number and rate have fallen since then (23.9 percent and 29.0 percent, respectively). Most (374) cases were found through hospital/emergency department medical records. Workers' Compensation Lost Wage Claims identified 142 cases, 85 of which were matched to medical records. Work-relatedness could not be determined for two cases based on medical records but was confirmed after linking the cases to the Workers' Compensation database. The amputation rate was over seven times higher among males compared to females. Over one-third of amputations occurred among workers in the manufacturing industry. The manufacturing sector with the highest rate was Wood Products Manufacturing. Power saws were the leading cause, causing 13.9 percent of amputations with a known cause. Most (92.8 percent) amputations involved fingers. About one in seven (14.4 percent) finger amputations involved multiple fingers. The expected payer for medical costs was Workers' Compensation for 73.3 percent of cases with a specified payment source. The Michigan Occupational Safety and Health Administration (MIOSHA) inspected 10 worksites and assessed an average of one violation and $2,000 in penalties per worksite. Michigan hospitals, which are required to report work-related amputations, were the primary data source for 86.7 percent of cases in 2016. The remaining 13.3 percent of cases were found only through the Michigan Workers' Compensation Agency. The Workers' Compensation data only includes workers who requested wage replacement due to missing work for more than seven consecutive days or who received compensation based on the percentage of finger(s) lost. It does not include individuals who filed claims for medical care cost reimbursement only. Michigan's surveillance system does not capture workers who don't receive treatment at a hospital in Michigan and don't file a Workers' Compensation claim. The Michigan work-related amputation surveillance system uncovers hazardous worksites, facilitates worksite remediation, and identifies workers and industries with high amputation risks. By combining data from both medical records and Workers' Compensation claims, it provides a more accurate estimate of the number of amputations that occur in Michigan. The surveillance system found 191 more amputation cases than the official employer-based estimate of 240. This report will be updated annually and made available on the MDHHS Division of Environmental Health and the MSU Division of Occupational and Environmental Medicine websites. [Description provided by NIOSH]
• Subjects:
  Manufacturing And Industrial Facilities Musculoskeletal System Occupational Health Safety
• Keywords:
  Hand Injuries Manufacturing Occupational Health Power Tools Surveillance Traumatic Injuries Workers Compensation
• Publisher:
  Michigan State University
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Report
• Place as Subject:
  Michigan ; OSHA Region 5
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  1-27
• NIOSHTIC Number:
  nn:20066768
• Citation:
  East Lansing, MI: Michigan State University, 2019 Jul; :1-27
• Federal Fiscal Year:
  2019
• Performing Organization:
  Michigan State University
• Peer Reviewed:
  False
• Start Date:
  20050701
• Source Full Name:
  Work-related amputations in Michigan, 2016
• End Date:
  20260630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:a3743e4821c0188ba5fa6e052c0d69c3795a2da5bad6db69bf7528ce1b3eace4ca838ebddfa677e257a3e78523943fc83d64f6f39ac7dbb3618485207c742ba7
• Download URL:
  https://stacks.cdc.gov/view/cdc/230892/cdc_230892_DS1.pdf
• File Type:
  [PDF - 562.28 KB ]