Work-Related Amputations in Michigan: Twelfth Report (January 2018 – December 2020)

Details

• Personal Author:
  Hosner J ; Rosenman, Kenneth D. ; Hosner J ; Rosenman, Kenneth D.
• Description:
  The Division of Occupational and Environmental Medicine (OEM) at Michigan State University (MSU) and the Michigan Department of Health and Human Services (MDHHS) monitor work-related amputations in Michigan. All Michigan hospitals are required to report work-related amputations and serve as the primary case-finding source. The MSU OEM Division also uses data from the Michigan Workers' Disability Compensation Agency (WDCA) to identify additional amputations. Amputations reported by hospitals were reviewed to identify amputations for which an inspection by the Michigan Occupational Safety and Health Administration (MIOSHA) might be useful to prevent additional amputations. Surveillance data were also used to describe trends and identify workers and industries with high risk of having a work-related amputation. This report describes work-related amputations that occurred in Michigan from 2018-2020 and results of MIOSHA follow-up of selected amputations. Key results include: Hospitals were the primary data source for 83.5% of work-related amputations. The remaining 16.5% of amputations were found only through the WDCA. A total of 1,321 work-related amputations occurred in Michigan between 2018-2020. Based on reports from employers during this same time, the Bureau of Labor Statistics (BLS) estimated there were only 690 work-related amputations in Michigan. There were 490 work-related amputations in Michigan in 2018 (11.0 per 100,000 employed persons), 461 in 2019 (10.4 per 100,000 employed persons), and 370 in 2020 (9.0 per 100,000 employed persons). The amputation rate was over six times higher among male workers than female workers. 38.6 % of amputations occurred in the manufacturing sector. Within manufacturing, wood products manufacturing had the highest rate of work-related amputations. (148.3 amputations per 100,000 employed persons). The leading cause of work-related amputations was pinching between objects, causing 17.1% of amputations. 92.7% of amputations involved fingers. 10.5% of finger amputations involved multiple fingers. The expected payer for medical treatment was workers' compensation for 73.6% of the amputations. From 2006 to 2020, the number of work-related amputations fell by 50.5% and the rate fell by 48.9%. The Michigan Occupational Safety and Health Administration (MIOSHA) inspected 38 of the worksites identified by a hospital report of an amputation; 34 received citations for a hazard directly related to the amputations and MIOSHA assessed an average of 2.2 violations and $6,290 in penalties per worksite. None of the hazards that caused the amputations were corrected prior to the MIOSHA inspection, which occurred three to six months after the amputation. This system, which combines data from medical records and workers' compensation claims provides a more accurate estimate of the number of work-related amputations in Michigan than the official estimate provided by BLS. The Michigan surveillance system identified almost twice as many (1,321 vs. 690) work-related amputations as the BLS employer Survey of Occupational Injuries and Illnesses (SOII). [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 ; Report
• Place as Subject:
  Michigan ; OSHA Region 5
• CIO:
  National Institute for Occupational Safety and Health (NIOSH) ; National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health ; Workplace Safety & Health
• Location:
  North America ; North America
• Pages in Document:
  1-19
• NIOSHTIC Number:
  nn:20066770
• Citation:
  East Lansing, MI: Michigan State University, 2022 Dec; :1-19
• Federal Fiscal Year:
  2023
• Performing Organization:
  Michigan State University
• Peer Reviewed:
  False
• Start Date:
  20050701
• Source Full Name:
  Work-related amputations in Michigan: twelfth report (January 2018 - December 2020)
• End Date:
  20260630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:c7335c0f59632f63ad4e50712f140bc29f780a85937855b010d4b4b0446142d85404c0c6ef840e8273570725bd1884577e8b23a6febd5d0a41985d7a4f25a8ab
• Download URL:
  https://stacks.cdc.gov/view/cdc/230905/cdc_230905_DS1.pdf
• File Type:
  [PDF - 530.34 KB ]