Dungeness crab fishermen perceptions of injury causation and factors in staying safe

Background: Commercial fishing is a hazardous occupation in the United States (US). Injury surveillance data relies heavily on US Coast Guard reports, which capture injuries severe enough to require reporting. The reports do not incorporate the fishermen’s perspective on contributing factors to injuries and staying safe while fishing.  Materials and methods: We conducted a pre-season survey of Dungeness crab fishermen during 2015 to 2016. Community researchers administered surveys to fishermen. Respondents reported their opinions about factors contributing to injuries and staying safe, which were grouped into similar themes by consen- sus. Descriptive statistics were calculated to explore the number of injuries, crew position, age, and years of experience. Chi-square tests compared perceptions of injury causation, staying safe, and other factors.  Results: Four hundred twenty-six surveys were completed. Injury causation perceptions were sorted into 17 categories, and staying safe perceptions were sorted into 13 categories. The most frequently cited causes of injury were heavy workload (86, 21.9%), poor mental focus (78, 19.9%), and inexperience (56, 14.3%). The most frequently cited factors in staying safe while fishing were awareness (142, 36.1%), good and well-maintained fishing gear/vessel (41, 10.4%), and best marine practices (39, 9.9%). Opinions were not significantly associated with experiencing an injury in the past while fishing, but some opinions were significantly associated with crew position, age, and years of experience.  Conclusions: The perceptions of fishermen can be evaluated further and incorporated into training or intervention development. The fishermen-led approach of this project lends itself to developing injury pre- vention strategies that are effective, realistic and suitable. The resources available at FLIPPresources.org, such as informational sheets for new fishermen, sample crew agreements, and first aid kit resources, supply workers in this fishery with real solutions for issues they identified through their survey responses.

Utility of a Work Process Classification System for characterizing non-fatal injuries in the Alaskan commercial fishing industry

Background. The US commercial fishing industry is hazardous, as measured by mortality data. However, research on non-fatal injuries is limited. Non-fatal injuries constitute the majority of occupational injuries and can result in workers' lowered productivity and wages, lost quality of life, and disability. In the United States, a Work Process Classification System (WPCS) has previously been applied in Alaskan freezer-trawl and freezer-longline fleets to identify causes of injuries and specific hazards, but not to other fishing fleets. Objectives. This descriptive epidemiologic study aimed to explore the application and modification of the WPCS in multiple Alaskan fleets, characterize non-fatal occupational injuries in these fleets, and identify work processes that could be targeted for further investigation and future injury prevention efforts. Design. Traumatic, non-fatal injuries on-board Alaskan commercial fishing vessels were identified through United States Coast Guard investigative reports. Characteristics of injuries, as well as worker characteristics, were analysed. Injuries were coded using the WPCS. Results. We successfully utilized the WPCS to code non-fatal injury cases (n = 136). The most frequent main work processes associated with non-fatal injuries included: on-board trawlers, handling frozen fish and processing the catch; on-board vessels using pot/trap gear, handling the gear and shooting/setting the gear; on-board longliners, traffic on board and hauling the gear; and on-board processor vessels, processing the catch, other work with the catch, and handling frozen fish. Conclusions. The study confirmed that a WPCS can be applied to multiple Alaskan fleets to identify hazardous tasks. Hazards were unique for each vessel gear type. Future injury prevention efforts should target work processes associated with the most frequent and most severe injuries. Future studies should establish time estimates for work processes in order to determine risk estimates. Efforts to improve non-fatal injury reporting, especially on smaller commercial fishing vessels, should be undertaken.To access the supplementary material for this article, please see Supplementary files under ‘Article Tools’ at: http://www.circumpolarhealthjournal.net/index.php/ijch/article/view/30070 This is the publisher’s final pdf. The published article is copyrighted by the author(s) and published by Co-Action Publishing for Circumpolar Health Research Network. The published article can be found at: http://www.circumpolarhealthjournal.net/index.php/ijchKeywords: Alaska, commercial fishing, occupational safety, work process, non-fatal injurie

Occupational Safety and Health in Alaska's Seafood Processing Industry

Although the seafood processing industry is vital to Alaska’s economy, limited research has addressed workers’ safety and health. Federal and state regulators have classified both offshore and onshore seafood processing worksites in Alaska as high-hazard environments; however, there is a dearth of published information on safety and health outcomes in the industry. There is evidence from the Survey of Occupational Injuries and Illnesses that these workers are at high risk for nonfatal injuries and illnesses. Nonfatal incidents can be severe, resulting in workers' lowered productivity, lost worktime and wages, lowered quality of life, and disability. Research is needed to inform targeted injury and illness prevention strategies in this economically important and understudied industry. To conduct surveillance research on safety and health in this industry, we utilized two data sources – one which captured information on offshore worksites, and another which captured information on onshore worksites. To research safety and health programs at Alaskan worksites, we engaged stakeholders who directed and managed these programs. US Coast Guard reports were utilized to determine patterns of traumatic injury characteristics and circumstances, as well as identify modifiable worksite hazards, among offshore seafood processors working in Alaskan waters during 2010-2015. One fatal and 304 nonfatal injuries were reported to the Coast Guard across multiple fleets of catcher-processor and mothership vessels. The most frequently occurring injuries were: by nature of injury, sprains/strains/tears (75, 25%), contusions (50, 16%), and fractures (45, 15%); by body part affected, upper extremities (121, 40%) and trunk (75, 25%); by event/exposure resulting in injury, contact with objects and equipment (150, 49%), and overexertion and bodily reaction (76, 25%); and by source of injury, processing equipment and machinery (150, 49%). The work processes most frequently associated with injuries were: processing seafood on the production line (68, 22%); stacking blocks/bags of frozen product (50, 17%); and repairing/maintaining/cleaning factory equipment (28, 9%). Some injuries, such as serious back injuries, intracranial injuries, and finger crushing or amputations, had the potential to lead to long-term disability. Alaska workers' compensation claims data were utilized to (a) estimate the risk of nonfatal injuries and illnesses, (b) determine patterns of incident characteristics and circumstances, and (c) identify modifiable workplace hazards among onshore workers in the seafood processing industry during 2014-2015. During the study period, 2,194 claims were accepted for nonfatal injuries and illnesses. The average annual claim rate was 48 per 1,000 workers. The most frequently occurring injuries and illnesses, were: by nature, sprains/strains/tears (747, 36%), contusions (353, 17%), and lacerations/punctures (227, 11%); by body part, upper extremities (880, 43%) and trunk (422, 21%); and by event/exposure, contact with objects and equipment (721, 36%) and overexertion and bodily reaction (697, 35%). Incidents resulting from line production activities (n=623) frequently involved: repetitive motion; overexertion while handling trays/pans, basket/buckets, and fish/shellfish; and coming into contact with fish/shellfish, trays/pans, and processing machinery. Incidents resulting from material handling activities (n=339) frequently involved overexertion while handling boxes/cartons/bags, and falls/slips/trips. Interviews with safety and health directors/managers were conducted to investigate: (a) offshore and onshore worksite and workforce characteristics; (b) safety and health program features; (c) economic factors influencing programs; and (d) program challenges and successes. Based on the common findings across these topics, we identified workplace factors that could be modified to improve safety and health. Interview participants reported directing/managing programs for 68% of the 25,000 workers in this Alaskan industry. The 14 participants represented 13 companies that operated 32 onshore plants and 30 vessels, employing an estimated 17,000 workers at peak season, of which 84% were processors. Participants noted widely varying degrees of program buy-in and engagement from management and workers, ranging from basic compliance with standards to full partnerships for carrying out best practices. While some participants reported that fostering a proactive safety culture and “prevention mindset” were among their greatest successes, others discussed the challenges of overcoming an “old guard mentality” that did not prioritize safety. Most participants noted that language barriers among the diverse workforce presented difficulties when communicating, especially during training. Ergonomic hazards and long work hours were frequently reported as areas of concern. The epidemiologic studies identified similar patterns of injuries and modifiable hazards in offshore and onshore worksites. Among both seafood processors in vessels, and workers of various occupations in plants, preventing musculoskeletal injuries – particularly to the upper extremities and trunk – is paramount for improving occupational health. In offshore work environments, hazard control measures should target: (a) overexertion from lifting and lowering objects and equipment; (b) equipment and boxes falling and striking workers; (c) workers being caught in running machinery during regular operations; and (d) slips, trips, and falls. Similarly, in onshore plants, hazard control measures should target: (a) repetitive motion, overexertion, and contact with equipment during line production; (b) overexertion due to manually lifting, lowering, pushing, and pulling materials and equipment; and (c) slips, trips, and falls. Interviewing safety and health directors and managers uncovered additional workplace factors that could be modified in order to improve workers’ safety and health. These factors included: worksite manager training; worker training; adoption of ergonomics; work hours; knowledge sharing within the industry; and organizational aspects related to safety culture. Participants reported that fully engaging workers in all aspects of their safety and health programs was beneficial to their programs’ success. To assist industry members with protecting workers’ safety and health, occupational health practitioners and researchers could support the development and evaluation of training for limited-English-speaking-workers, fatigue risk management systems, and ergonomic solutions. In the long-term, this research project will help prevent injuries and illnesses among workers in the seafood processing industry

Health Equity and a Paradigm Shift in Occupational Safety and Health

Despite significant improvements in occupational safety and health (OSH) over the past 50 years, there remain persistent inequities in the burden of injuries and illnesses. In this commentary, the authors assert that addressing these inequities, along with challenges associated with the fundamental reorganization of work, will require a more holistic approach that accounts for the social contexts within which occupational injuries and illnesses occur. A biopsychosocial approach explores the dynamic, multidirectional interactions between biological phenomena, psychological factors, and social contexts, and can be a tool for both deeper understanding of the social determinants of health and advancing health equity. This commentary suggests that reducing inequities will require OSH to adopt the biopsychosocial paradigm. Practices in at least three key areas will need to adopt this shift. Research that explicitly examines occupational health inequities should do more to elucidate the effects of social arrangements and the interaction of work with other social determinants on work-related risks, exposures, and outcomes. OSH studies regardless of focus should incorporate inclusive methods for recruitment, data collection, and analysis to reflect societal diversity and account for differing experiences of social conditions. OSH researchers should work across disciplines to integrate work into the broader health equity research agenda

Exposures and Health Effects of Bioaerosols in Seafood Processing Workers - a Position Statement

Occupational hazards exist in the processing of seafood both in land-based facilities as well as on board vessels. Recent findings on occupational injury and respiratory health risks among seafood processing workers were presented and discussed at the IFISH5 conference. Particular emphasis was put on the challenges that im/migrant workers encounter, the greater risks onboard factory vessels, especially where processing machinery are retrofitted to older vessels not primarily designed for this purpose, and the difficulties in assessing and preventing bioaerosol exposures and associated respiratory health risks despite recent advances in characterising agents responsible for allergic and non-allergic reactions. Based on appraisal of existing knowledge in the published literature and new findings presented at the conference, recommendations for immediate actions as well as for future research have been proposed. Among these include the importance of improving extraction ventilation systems, optimising machinery performance, enclosure of bioaerosol sources, improved work organization, and making special efforts to identify and support the needs of im/migrant workers to ensure they also benefit from such improvements. There is a need for studies that incorporate longitudinal study designs, have improved exposure and diagnostic methods, and that address seafood processing in countries with high seafood processing activities such as Asia and those that involve im/migrant workers worldwide. The medical and scientific community has an important role to play in prevention but cannot do this in isolation and should cooperate closely with hygienists, engineers, and national and international agencies to obtain better health outcomes for workers in the seafood industry