state laws mandate appropriate protective mea-
sures for workers in high-risk occupations. Occu-
pational and industry standards often result in
further measures to protect people from the haz-
ards of their jobs. Individuals are responsible for
following appropriate safety procedures.
MOTOR VEHICLE ACCIDENTSaccount for about 25
percent of workplace deaths. VIOLENCEalso claims
a significant number of deaths, particularly among
retail cashiers and cab drivers who are at risk for
death by homicide during robberies. Other occu-
pations with high risk for injury and death are
logging, commercial fishing, roofing, construction,
and mining.
KEY INDIVIDUAL MEASURES
FOR PREVENTING WORKPLACE INJURIES
- Obtain proper training for operating devices and
equipment. - Integrate ergonomic standards and practices into work
stations and job tasks. - Use appropriate protective devices, clothing, and gear.
- Follow employer risk-management policies and procedures.
- Remain DRUG-free and ALCOHOL-free in the workplace.
See also ACCIDENTAL INJURIES; BUILDING-RELATED
ILLNESS; OCCUPATIONAL HEALTH AND SAFETY; REPETITIVE
MOTION INJURIES; SICK BUILDING SYNDROME; TRAUMA
PREVENTION; WORKPLACE STRESS.
personal health history An ongoing record of an
individual’s health conditions including vaccina-
tions, illnesses, injuries, operations, pregnancies
and births, medications, and other information
that might be relevant in the context of providing
health-care services. A personal health history also
helps determine future health risks and appropri-
ate treatment options.
A personal health history might include these
events (including dates)
- vaccinations, routine medical examinations,
and routine diagnostic procedures such as MAM-
MOGRAM, PAP TEST, blood cholesterol test, tuber-
culin SKINtest, COLONOSCOPY - common childhood diseases such as MEASLES,
MUMPS, RUBELLA, CHICKENPOX - uncommon childhood diseases such as SCARLET
FEVER, rheumatic FEVER- congenital anomalies,BIRTH DEFECTS, and con-
genital disorders (such asCEREBRAL PALSY), or
GENETIC DISORDERS(such asSICKLE CELL ANEMIAor
HEMOPHILIA) - serious injuries such as BONE FRACTURE, CONCUS-
SION, major trauma
- congenital anomalies,BIRTH DEFECTS, and con-
- serious illnesses such as ENCEPHALITIS, MENINGITIS,
ENDOCARDITIS, HEPATITIS, PANCREATITIS- surgeries (including TUBAL LIGATION or
VASECTOMY)
- surgeries (including TUBAL LIGATION or
- pregnancies, miscarriages, abortions, deliveries
- CONTRACEPTION, SEXUALLY TRANSMITTED DISEASES
(STDS)- DIABETES
- CARDIOVASCULAR DISEASE(CVD)
- HEART ATTACKor STROKE
- HYPERTENSION(high BLOOD PRESSURE)
- ANGINA PECTORIS
- ARRHYTHMIA
- PERIPHERAL VASCULAR DISEASE(PVD), CORO-
NARY ARTERY DISEASE(CAD), or CORONARY
ARTERY BYPASS GRAFT(CABG) - HEART FAILUREor CARDIOMYOPATHY
- VALVULAR HEART DISEASEor valve replace-
ment- pulmonary disease such as CHRONIC OBSTRUCTIVE
PULMONARY DISEASE(COPD) or EMPHYSEMA - gastrointestinal disorders such as INFLAMMATORY
BOWEL DISEASE(IBD), GASTROESOPHAGEAL REFLUX
DISORDER(GERD), PEPTIC ULCER DISEASE - CANCER(including SKIN CANCER)
- pulmonary disease such as CHRONIC OBSTRUCTIVE
- neurologic conditions such as PARKINSON’S DIS-
EASEor psychiatric conditions such as SCHIZO-
PHRENIAor BIPOLAR DISORDER- chronic health conditions
- infections such as OTITISmedia, SINUSITIS,
BRONCHITIS, CYSTITIS - OSTEOARTHRITIS, ANKYLOSING SPONDYLITIS,
GOUT - thyroid disease such asHYPOTHYROIDISM,
GOITER, or HYPERTHYROIDISM - DEPRESSIONor GENERALIZED ANXIETY DISOR-
DER(GAD)
- infections such as OTITISmedia, SINUSITIS,
- chronic health conditions
- medications (including OVER-THE-COUNTER[OTC]
DRUGSand herbal remedies)
40 Preventive Medicine