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The Disease Burden of Nonfatal Occupational Injuries in an Electric Locomotive Manufacturing Company

Author: HuJia
Tutor: XiaZhaoLin；HeYongHua；LiangYouXin
School: Fudan University
Course: Occupational and Environmental Health
Keywords: Occupational injury Epidemiological studies Direct costs Indirect costs DALY Burden of disease Motor car vehicle manufacturing companies
CLC: R13
Type: Master's thesis
Year: 2009
Downloads: 66
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Abstract

Occupational injuries by the process of the production environment or job insecurity directly or indirectly caused the accident, accidental injury, the body can cause disability and even death, and economic loss and other serious social consequences. According to the ILO report, the worldwide occur each year 270 million occupational injuries, which caused 36 million deaths. More serious in developing countries, the issue of occupational safety. Of high incidence of occupational injuries in the industry, machine manufacturing the first place. Over the past decade, the cause of the rapid development of China's electric locomotive plays an important role in the railway construction. Currently, relatively little research on electric locomotive of enterprise occupational injury, foreign domestic has not been systematically reported. We hope that through this study, a preliminary study on this issue from the point of view of epidemiology and health economics. The 202 nonfatal occupational injury victims between the electric locomotive enterprises 2004.06.01-2008.05.31 registered for the study, using retrospective epidemiological survey methods, analysis of the enterprise nonfatal occupational injury trends type of injury, three distribution law, the main reason. The results showed that occupational injuries occurred in the fall. Upper and lower extremities are the most commonly injured body parts. Occur most types of occupational injuries as fractures and crushing injuries. Incorrect operation, co-operation, the poor as well as fatigue is the cause of the most common injuries. The multiple reasons composite role in work-related injuries occur also played an important role. These results suggest that targeted prevention and control measures should be based on the characteristics of nonfatal occupational injuries and take. Case - control study of nonfatal occupational injury victims occurred during the motor business 2004.06.01-2008.05.31 case group and control group 1:2 matched random sampling method to extract single factor logistic regression Multivariate Logistic regression analysis, comparing the enterprise exposure of socioeconomic characteristics of the 202 victims of occupational injuries and 411 non-occupational injury victims and occupational factors. The results show that the heavy workload, the short length of service may increase the risk of occupational injury. Victims of nonfatal occupational injuries to the enterprise 2004-2008 epidemiological survey and analysis of the distribution of the direct costs of occupational injury and per capita direct costs. The direct costs to the cost of hospitalization. Severe harm to the direct cost of the highest per capita minor injury to the direct cost of the largest proportion. The tips of the highest direct costs of electrical injury and fractures caused have the highest per capita direct costs burns electrical burn. The results also show that the direct costs and direct costs per capita of the male victims than female victims. In view of the medical expenses often constitute the main body of the work-related injury compensation costs, the outpatient expenses caused by the study of the electric locomotive enterprise nonfatal occupational injuries and hospitalization cost factors a preliminary study. The results found that the nature of the injury affect the size of the out-patient costs. The injury occurred the year and the number of hospital days were a direct impact on the size of the hospital fees. Marital status, the nature of the harm and damage parts indirect impact by affecting the number of days in hospital inpatient costs. The severity of the injury is not only a direct impact on the cost of hospitalization, but also through the indirect impact of the number of days in hospital costs. For more in-depth assessment of the economic outcome of nonfatal occupational injuries, 2005-2007 183 victims of the electric locomotive enterprise as the research object, using epidemiological retrospective survey methodology to analyze the distribution of indirect costs and the burden of disease situation. The results show that the indirect costs of enterprises within three years of the motor of 6,545,600 yuan, DALYs 467.63 years. Indirect costs and the burden of disease caused mainly by men. Severe damage caused by the indirect cost per capita, and DALYs highest. Indirect costs and DALYs proportion of fractures, while the the indirect costs burns electrical burn per capita and the highest per capita DALYs. The study found that gradually increased over time, the indirect costs and DALYs. To further study the disease burden of non-fatal occupational injuries, this study discusses the the DALYs possible influencing factors. The results showed that the age, sex, severity of the injury and whether hospitalization affect the size of DALYs. In conclusion, the prevention and control of occupational injuries is a systematic project, Occupational safety and health workers should be to strengthen the security of the susceptible population, to carry out a comprehensive intervention research and intervention cost - effectiveness, cost - benefit study to reduce the incidence of occupational injuries, and reduce the economic burden of occupational injuries and loss of employee quality of life.

The Disease Burden of Nonfatal Occupational Injuries in an Electric Locomotive Manufacturing Company

Abstract

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