Superfund Sites and the Bipartisan Infrastructure Law in New Jersey State: A Photo Essay.

In 2021, the Infrastructure Investment and Jobs Act, also known as the Bipartisan Infrastructure Law (BIL), became law, with one component being an investment to clean-up Superfund and Brownfield sites. Through BIL funding, the Environmental Protection Agency announced $3.5 billion to clean-up Superfund sites that have been awaiting funding for years in mostly historically underserved communities. As in many states, the 3 Superfund sites used as examples in this essay are in a metropolitan or surrounding area and in residential communities. The photos in this essay help highlight how hazardous waste sites have come to look like normal industrial sites and that communities are often unaware of the dangerous exposures they face. The author suggests that in the age of social media, taking pictures and documentation of hazardous waste sites today in our communities can help mobilize public awareness and drive action to be taken toward delayed clean-up.

Blood and Body Fluid Exposure Among Healthcare Workers and Personal Protective Equipment Usage in the United States.

BACKGROUND: The International Safety Center disseminates the Exposure Prevention Information Network (EPINet) surveillance system to standardize a system for healthcare facilities to track mucocutaneous blood and body fluid exposures. METHODS: Occupational exposure incidents to blood and body fluids were recorded within the participant health systems and hospitals (N = 41), using the EPINet Blood and Body Fluid Exposure Report Form. Forms include detailed questions about the circumstances surrounding the exposure, including the type of exposure, body part(s) involved, and if the employee reporting the incident was wearing personal protective equipment (PPE). RESULTS: There were statistically significant differences between participants who wore PPE at time of exposure versus those who did not. Differences were noted by job category (χ2 =32.91, p-value = <.001); where the exposure occurred (χ2 = 32.31, p-value = <.001); what the exposure was a result of (χ2 = 50.19, p-value = <.001); and day versus night shift (χ2 = 11.47, p-value = .001). CONCLUSION/APPLICATIONS TO PRACTICE: The study found that occupational exposure to blood and body fluids in 2021 remain high risk given the frequency with which they happen, the exposure site (face) and lack of PPE use. The pandemic seemed to matter little in changing frequencies despite high awareness and growing PPE availability and supply. The findings provide robust information about how exposures occur, why they remain high risk, and how important it is to improve reporting and surveillance to prevent occupational exposures and disease in healthcare in future.

Evaluation of workplace opioid prevention and response training for union and employer instructors and leadership.

OBJECTIVE: Opioids and the Workplace Prevention and Response (OWPR) Train-the-Trainer (TTT) and Leadership programs were piloted to improve trainees' abilities to conduct opioid awareness training and to introduce policies and programs in their workplaces. METHODS: The TTT (N = 54) and Leadership (N = 19) pilot trainees were administered voluntary pre- and post-training surveys and observed for discussion on knowledge and confidence regarding teaching and on workplace policies and workplace injury prevention related to opioids. RESULTS: Percentage agreement with correct responses for all TTT and 10 out of 14 (71.4 percent) Leadership knowledge and confidence questions increased significantly from pre- to post-test. CONCLUSION: We found some evidence that the OWPR TTT and Leadership training programs and materials were effective in improving trainee's abilities to conduct opioid awareness training and to introduce policies and programs to address opioids and the workplace.

Improving Awareness of Workplace Opioid Use and Addiction Prevention: A Train-the-Trainer Approach.

BACKGROUND: The National Institute of Environmental Health Sciences Worker Training Program developed instructor curriculum, a training tool, and materials to prepare trainees to conduct opioids workplace awareness training. Opioids and the Workplace Prevention and Response (OWPR) Train-the-Trainer (TTT) courses were held during three instructor-led online programs. METHODS: The OWPR TTT was evaluated using an online pre- and posttest among registered participants, and an assessment of discussion among trainees during the training program. RESULTS: A total of 31 pretests and 24 posttests were completed for the three TTT courses conducted. Quantitative and qualitative data complemented each other in supporting the conclusion that the training achieved intended objectives. CONCLUSION/APPLICATIONS TO PRACTICE: The evaluation illustrated that the training was effective in increasing knowledge and confidence in conducting awareness training on opioid use and addiction prevention.

Opioids and the Workplace Prevention and Response Train-the-Trainer and Leadership Training Mixed Methods Follow-up Evaluation.

OBJECTIVES: This study was designed to evaluate the outcomes of a national summer 2020 'Opioids and the Workplace' Prevention and Response (OWPR) Train-the-Trainer (TTT) and Leadership training tool and program at 6-month follow-up. The TTT program goal is to help instructors plan and conduct education and training on opioids and the workplace awareness. The Leadership program goal is to help trainees, who are in a position to take organizational level actions, implement policies, and programs related to opioid and substance use and injury prevention. METHODS: Trainees were from various backgrounds, such as labor unions, academic consortiums, health and safety professionals, government, and community organizations. About 6 months following each individual course date a follow-up survey was sent to each available participants' e-mail (n = 53 TTT, n = 28 Leadership) with a response rate of 47.2% for the TTT (n = 25) and 63.2% for Leadership (n = 12). Trainees were asked about individual or workplace level actions taken; any obstacles that prevented them or their coworkers from being involved in or conducting activities; if the OWPR training tool was used in their workplace for a training program; and whether the pandemic impacted their ability to address opioids in the workplace. RESULTS: Among TTT trainees, about half of follow-up survey respondents from the 2020 training reported planning and conducting training and education, reaching out to coworkers to see how they are doing, sharing factsheets and information from the opioid training with coworkers, and re-focusing on self-care. Among Leadership trainees, about two-fifths of follow-up survey respondents from the 2020 training reported sharing factsheets and information from the opioid training. Some trainees described the COVID-19 pandemic as limiting their ability to take actions in addressing opioids and the workplace. CONCLUSIONS: Evidence supports that the 'Opioids and the Workplace' Train-the-Trainer program and materials have contributed to helping trainees plan and conduct opioids awareness training at their organizations. Evidence supports that the Opioids in the Workplace Leadership program helped contribute to trainees taking workplace level actions to implement policies and programs.

Opioids and the Workplace Prevention and Response Awareness Training: Mixed Methods Follow-Up Evaluation.

The National Institute of Environmental Health Sciences Worker Training Program piloted an Opioids and the Workplace: Prevention and Response training tool and program in 2019. The pilot trainees (N = 97) were surveyed (n = 27) and interviewed (n = 6) six months posttraining, and those who downloaded the training tool from the Worker Training Program website (n = 87) were surveyed (n = 19) and interviewed (n = 1) two to six months postdownload, to evaluate the impact of the training program. Workplace policy and program-level actions were reported less frequently than individual-level actions by trainees, except for planning and conducting training and education. Barriers to taking actions included not being able to make changes on their own without supervisor support and lack of upper management support and approval. We found some evidence that the Opioids in the Workplace training program and materials contributed to helping workers introduce policies and programs related to opioids within their workplace or union.

Needlestick Injuries Among Healthcare Workers Administering COVID-19 Vaccinations in the United States.

As mass COVID-19 vaccination programs roll out across the country, we are potentially faced with compromising workers' health for the sake of the broader public health, as it relates to occupational exposure to contaminated needles and syringes. We have the opportunity to provide recommendations that advance protection of workers through the industrial hygiene hierarchy of controls, especially in light of the twentieth anniversary of the Needlestick Safety and Prevention Act. Specifically, greater focus on institutional controls that can dictate the safety culture and climate of institutions that roll out COVID-19 vaccination programs, while maintaining careful focus on preventing sharps injuries and blood exposure. In addition, we provide suggestions for the role that engineering controls, such as devices with sharps injury prevention features play in protecting workers from exposure to bloodborne pathogens, as well as the importance of ongoing injury incident surveillance.

Pilot Study on Risk Perceptions and Knowledge of Fentanyl Exposure Among New York State First Responders.

OBJECTIVES: The present opioid epidemic and abuse of fentanyl in the United States has led to an increased risk of exposure to first responders. Law enforcement, fire, and emergency medical services are receiving misinformation on fentanyl health and safety risks and this has led to miscommunication. Understanding the risk perceptions and knowledge of first responders regarding fentanyl can help identify training gaps. METHODS: A 15-item 6-point Likert scale online questionnaire was developed and distributed to firefighters, police officers, and emergency medical technicians, regarding perceptions of fentanyl exposure, and additional questions concerning knowledge. The online questionnaire was sent to 15 associations of national and New York State first responders with 3 associations acknowledging and distributing the survey. RESULTS: Of the 247 participants, 187 served New York State; 92 worked in law enforcement; and the other 95 worked in either fire, emergency medical service, or both. New York State first responders generally agreed with expert risk perceptions and knowledge of fentanyl exposure in the pilot study. Items pertaining to using hand sanitizer, selecting glove type, and dermal exposure to fentanyl had lower agreement with expert beliefs. CONCLUSIONS: Risk perceptions and knowledge could be used to evaluate fentanyl response training among first responders.

Risk Perceptions and Barriers to Protective Behavior Use Among Chemical Tank Cleaners: An Exploratory Study.

Chemical tank cleaners' occupational diseases and injuries are largely unknown due to a lack of monitoring and limited research. Their potential exposure to highly corrosive chemicals-including sodium hypochlorite, sodium hydroxide, and ferric chloride-suggests that tank cleaners represent an at-risk occupational group. This pilot study explored tank cleaners' risk perceptions and barriers to using personal protective equipment and other protective behaviors in their workplace. Data sources included a survey (n = 29) and interviews (n = 9) with sodium hypochlorite tank cleaners in the United States. Although sodium hypochlorite may become reactive under high temperatures, 12 questionnaire respondents indicated not being concerned about high temperatures within the tank, and 15 were not concerned about exposure via ingestion. Analyses of survey and interview results provide evidence of inadequate training among tank cleaners, their lack of understanding of basic chemical properties and routes of exposure, and limited access to and an incomplete understanding of how to properly use personal protective equipment, particularly respiratory protection. These findings can inform researchers, educators, and safety engineers in developing future studies, interventions, and training to improve tank cleaners' health and safety.