Exploratory narrative text analysis to characterize tasks associated with injuries among electric utility line workers: EPRI Occupational Health and Safety Database 1995-2013.

BACKGROUND: Injury prevention is an important goal for electric utility line workers who are among the top 10 U.S. occupational groups sustaining fatal injuries on the job. METHODS: Using narrative text fields, we identified 10 high-risk tasks among electric utility line workers. We performed a case-control study of task-injury associations using data from the Electric Power Research Institute Occupational Health and Safety Database (1995-2013). RESULTS: Drawn from 12,323 line worker injuries, cases were individuals with a major injury (5 or more days lost work) matched to controls, individuals with a minor injury (less than 1 day lost work), on company and year of injury. Conditional logistic regression estimated adjusted odds ratios (OR) and 95% confidence intervals (95% CI). Some tasks associated with higher odds for major injuries among line workers included: climbing up/down ladder/stairs/elevator (OR = 4.3; 95% CI = 2.6, 7.4); climbing down poles and transmission towers (OR = 5.5; 95% CI = 3.6, 8.4); entering/stepping out/approaching utility trucks, bucket, or vaults (OR = 5.8; 95% CI = 4.0, 8.4); and performing repetitive work/overtime (OR = 5.5; 95% CI = 3.2, 9.5). CONCLUSIONS: Knowledge gained can be used to focus efforts and plan efficient preventive measures that reduce injury rates, time lost from work, and costs within the electric power industry.

Proximity to overhead power lines and childhood leukaemia: an international pooled analysis.

BACKGROUND: Although studies have consistently found an association between childhood leukaemia risk and magnetic fields, the associations between childhood leukaemia and distance to overhead power lines have been inconsistent. We pooled data from multiple studies to assess the association with distance and evaluate whether it is due to magnetic fields or other factors associated with distance from lines. METHODS: We present a pooled analysis combining individual-level data (29,049 cases and 68,231 controls) from 11 record-based studies. RESULTS: There was no material association between childhood leukaemia and distance to nearest overhead power line of any voltage. Among children living < 50 m from 200 + kV power lines, the adjusted odds ratio for childhood leukaemia was 1.33 (95% CI: 0.92-1.93). The odds ratio was higher among children diagnosed before age 5 years. There was no association with calculated magnetic fields. Odds ratios remained unchanged with adjustment for potential confounders. CONCLUSIONS: In this first comprehensive pooled analysis of childhood leukaemia and distance to power lines, we found a small and imprecise risk for residences < 50 m of 200 + kV lines that was not explained by high magnetic fields. Reasons for the increased risk, found in this and many other studies, remains to be elucidated.