RESUMO
OBJECTIVE: To review the causes of all fire fighter line-of-duty-deaths from 1998 through 2001, and present recommendations for preventing fatalities within the specific subgroup of structure related events. METHODS: Fire fighter fatality data from the United States Fire Administration were reviewed and classified into three main categories of injury. Investigations conducted through the National Institute for Occupational Safety and Health (NIOSH) Fire Fighter Fatality Investigation and Prevention Program provided the basis for the recommendations presented in this paper. RESULTS: During the time period from 1998-2001, there were 410 line-of-duty deaths among fire fighters in the United States, excluding the 343 fire fighters who died at the World Trade Center on 11 September 2001. The 410 fatalities included 191 medical (non-traumatic) deaths (47%), 75 motor vehicle related fatalities (18%), and 144 other traumatic fatalities (35%). The latter group included 68 fatalities that were associated with structures which commonly involved structural collapse, rapid fire progression, and trapped fire fighters. CONCLUSIONS: Structural fires pose particular hazards to fire fighters. Additional efforts must be directed to more effectively use what we have learned through the NIOSH investigations and recommendations from published experts in the safety community, consensus standards, and national fire safety organizations to reduce fire fighter fatalities during structural fire fighting.
Assuntos
Acidentes de Trabalho/mortalidade , Incêndios , Ferimentos e Lesões/mortalidade , Acidentes por Quedas/mortalidade , Acidentes de Trabalho/prevenção & controle , Acidentes de Trânsito/mortalidade , Adulto , Asfixia/mortalidade , Queimaduras/mortalidade , Emergências , Humanos , Masculino , National Institute for Occupational Safety and Health, U.S. , Saúde Ocupacional , Guias de Prática Clínica como Assunto , Fatores de Risco , Estados Unidos/epidemiologia , Ferimentos e Lesões/epidemiologiaRESUMO
Thirteen authors from the National Institute for Occupational Safety and Health contribute to this summary of recent and ongoing national occupational mortality surveillance studies of construction workers, including studies conducted under NIOSH's Fatality Assessment and Control Evaluation project, Sentinel Health Events project, National Occupational Mortality Surveillance System, and other projects.
Assuntos
Acidentes de Trabalho/mortalidade , Arquitetura de Instituições de Saúde , Doenças Profissionais/mortalidade , Ocupações/classificação , Adolescente , Adulto , Negro ou Afro-Americano/estatística & dados numéricos , Causas de Morte , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , National Institute for Occupational Safety and Health, U.S. , Ocupações/estatística & dados numéricos , Vigilância da População , Fatores Sexuais , Estados Unidos/epidemiologia , População Branca/estatística & dados numéricosRESUMO
Analysis of 1980-1985 death certificate data for the United States indicated that an average of 369 occupational deaths per year involved agricultural machinery as the external cause of death. Out of all agricultural machine-related deaths, tractors accounted for 69 percent. Over half of these tractor-related deaths were rollovers. There is a need for public health programs to affect greater use of rollover protective structures (ROPS) on farm tractors.
