Disability-Adjusted Life Years in Occupational Injuries and Accidents
This paper provides estimates of Disability-Adjusted Life Years (DALYs) in occupational injuries and occupational accidents . After a careful search, only four studies were found. The numbers presented should not be compared due to substantially differ
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Springer Science+Business Media LLC 2010 (USA)
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Disability-Adjusted Life Years in Occupational Injuries and Accidents
Abstract: This paper provides estimates of Disability-Adjusted Life Years (DALYs) in > occupational injuries and > occupational accidents. After a careful search, only four studies were found. The numbers presented should not be compared due to substantially different methods. However, some insight about the limitations of the calculation and characteristics of the burden should be drawn. First, the magnitude is usually underestimated due to the lack of mortality data. Second, males are the largest contributors accounting for at least four-fifths of the burden. Third, falls and road traffic > injuries are the leading causes in both sexes. Fourth, despite data restrictions, developing countries have the biggest share of the burden of occupational injuries. Disability-adjusted life years, give a unique perspective on workers health. This frequently used and promoted metric should be a tool to obtain not only the attention of policy makers about the importance of injuries in the workplace, but also as a resource to decrease this preventable burden. List of Abbreviations: ACHS, Asociacio´n Chilena de Seguridad; AF, attributable fraction, BIREME, Centro Latinoamericano y del Caribe de Informacio´n en Ciencias de la Salud; BoD, burden of disease; DALY, disability-adjusted life years; EAP, economically active population; GBD, > global burden of disease; ICD, international classification of diseases; ILO, International Labor Organization; MEDLINE, biomedical database; RTI, road traffic injuries; WHO, World Health Organization; YLD, years lived with disability; YLL, years of life lost
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Introduction
Occupational injuries annually produce approximately 360.000 fatalities and 270 million accidents around the world (Takala, 2002). However, occupational injuries capture limited public attention and resources devoted to their prevention are lacking (ILO, 2003). This report summarizes available information on the burden of workplace injuries using Disability Adjusted-Life Years (DALYs). These provide a measure of injuries, which range from minor to fatal and from temporary to permanent.
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Relevant Literature
A systematic literature search was undertaken from 1993 onwards. Ovid Medline, OSH-ROM, NIOSHTIC, BIREME and other occupational and safety databases were used. Key words included: burden, DALY, injury, occupational, work-related AND mortality, morbidity, unintentional, falls, road traffic, poisonings, burns, fires, and drowning. The selection process consisted on: (1) reading the title and abstract, (2) reading the entire text of selected articles; (3) disregarding articles without a focus on the theme of central interest (4) making a manual search of the relevant citations; and (5) reading and analyzing the definitive set. No quality criteria were used in the article selection. The initial search produced 22 studies and was ultimately reduced to four.
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Methodological Considerations
Thre
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