The Vulnerable Worker Notes from the Field Robert Harrison MD, MPH - - PDF document
The Vulnerable Worker Notes from the Field Robert Harrison MD, MPH Public Health Medical Officer California Department of Public Health Clinical Professor of Medicine University of California, San Francisco TEL: 415 885 7580 Email:
Robert Harrison MD, MPH Public Health Medical Officer California Department of Public Health Clinical Professor of Medicine University of California, San Francisco TEL: 415 885 7580 Email: robert.harrison@ucsf.edu
1926 - 2002
American Community Survey 2006-2010, American FactFinder. Accessed March 2014.
“A Generation of Widening Inequality.” The California Budget Office. November 2011.
Eisenbrey, R and Gordon, C. “ As unions decline, inequality rises.” Economic Policy Institute. June 6, 2012
Current Population Survey 1994-2010, Accessed March 2014.
May 2012 State Occupational Employment and Wage Estimates California. Occupational Employment
2014.
Occupation Title # New Jobs by 2020 Personal care aides 138,200 Retail salespersons 103,600 Combined food preparation and serving 73,400 Cashiers 64,600 Waiters and waitresses 59,600 Occupation Title % Growth by 2020 Home health aides 52.4% Personal care aides 42.6% Bicycle repairers 35.7% Pharmacy aides 32.1% Nonfarm animal caretakers 31.1%
There will be an estimated 929,000 new low-wage jobs by 2020. Of the new jobs created by 2020, 36.2% of them will be low-wage.
Projections of Employment by Industry and Occupation. State of California Employment Development
Effective July 27, 2006
Effective July 27, 2006
17, two months pregnant
by labor contractor x 3 days
driver to clinic with core temp = 108o
"Maria's death should have been prevented, and all Californians must do everything in their power to ensure no other worker suffers the same fate."
Maria Isabel Jimenez May 14, 2008 17 y.o. picking grapes Jose Hernandez June 20, 2008 64 y.o. picking squash Abdon Garcia July 9, 2008 46 y.o. loading grapes Ramiro Rodriguez July 9, 2008 48 y.o. picking nectarines Jorge Herrera July 31, 2008 37 y.o. loading grapes Maria Alvarez August 2, 2008 63 y.o. picking grapes
50/50 private households and construction contractors Moving and hauling, landscaping, painting, roofing, drywall
It’s a long way down Will this hold if he falls? Very awkward posture Could he trip?
diacetyl x 5 years
Treated for asthma.
predicted). HRCT with ground glass opacities.
California Department of Health Services http://www.dhs.ca.gov/ohb/flavorings.htm Baltimore Sun - April 23, 2006 Sacramento Bee - July 30, 2006
“sentinel” microwave popcorn plant
transplant list
Exposed Control
Hubbs et aL: Necrosis of nasal and airway epithelium in rats inhaling vapors of artificial butter flavoring. Tox Applied Pharm 185:128 (2002).
5 10 15 20 25 30 35 40 Lowest quartile Second Third Highest quartile
% affected
Cumulative diacetyl exposure quartiles
Abnormal Spirometry by Diacetyl Exposure
Kreiss K et al. Clinical bronchiolitis obliterans in workers at a microwave popcorn plant. NEJM 347:330 (2002).
Kim TJ, Materna BL. Prudhomme JC, Fedan KB, Enright PL,Sahakian NM, Windham GC, Kriess K: Amer J Ind Med 53: 857-65, 2010.
for emergency standard granted by Standards Board 1/18/07 - referred to advisory committee
9/28/06, 2/13/07, 3/21/07, and 5/18/07
September 16, 2010
.87 g/m3 ACGIH STEL
(May 2010)
56
April 28, 2017 - Tennessee
February 12, 1986 - October 14, 2017
November 9, 1986 – February 12, 2018
37 year old immigrant from El Salvador with 8 years exposure to silica dust (>20x PEL) while fabricating engineering stone. Biopsy + mixed dust pneumoconiosis 2013 (K. Jones), systemic sclerosis. Died from respiratory failure - September 2018.
* Heinzerling, Flattery, Weinberg, Blanc, Balmes, Elicker, Potocko, Guiness, Harrison)