Category Archives: Health

Hotel Pool Spa Health Risks: Legionaires Disease And Pontiac Fever Outbreaks Associated With “Poorly Maintained” Pools And Spas

“…a combined outbreak of Pontiac fever and legionnaires disease at a hotel in Oklahoma City, Oklahoma, associated with exposure to a poorly maintained hot tub. Ninety‐five percent of the mostly adolescent 107 ill people had Pontiac fever, and the remainder had legionnaires disease.”

Most aerosolized sources of bacterial‐contaminated warm water, including whirlpool spas, warm spring pools, decorative fountains, cooling towers, and industrial cleaning systems that use high‐pressure water, have been linked to outbreaks of Pontiac fever.

Because the hot tub had been heavily disinfected before analysis by investigators, the results of hot tub water cultures were negative, but the results of PCR for L. pneumophila were positive. As in many outbreaks, a minority (46%) of persons with Pontiac fever had elevated L. pneumophila antibodies.

http://www.journals.uchicago.edu/doi/full/10.1086/510394

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Hotel Industry Employee Injury Risks: Hotel Housekeepers Have “Higher Rates Of On-The-Job Injuries” According To Medical Journal

“…hotel employees — and especially housekeepers — have higher rates of on-the-job injuries, according to a report last year in the American Journal of Industrial Medicine…”

"...hotel employees — and especially housekeepers — have higher rates of on-the-job injuries, according to a report last year in the American Journal of Industrial Medicine..."

Housekeepers are prone to repetitive stress injuries from such continual work as changing sheets, washing bathroom floors and vacuuming, according to nine researchers who studied three years of government-required accident logs at five union-represented hotels.

(From a Chron.com article)    More surprising, however, is that Hispanic housekeepers had a proportionally higher rate of injuries than non-Hispanic cleaners, according to the study. The research didn’t address possible explanations for that.

The research was funded by the union Unite Here, which represents hospitality employees, but the problem also has captured the attention of the Occupational Safety and Health Administration.

It recently hosted a conference in Houston on health and safety issues facing Latino workers.

While OSHA doesn’t have a specific ergonomic standard — it was repealed by Congress in 2001 before it was scheduled to go into effect — the agency has the “general duty clause” as an enforcement tool. It requires that employers provide a safe and healthy place to work, Jordan Barab, deputy assistant secretary of labor for OSHA, said in a telephone interview.

http://www.chron.com/disp/story.mpl/business/sixel/7002756.html

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California Workers’ Compensation Insurance: Medical Provider Networks Now Account For Over 80% Of Injured Worker Medical Services

The latest data show network providers accounted for 83.1 percent of services in the first 30 days on claims for injuries from the first quarter of AY 2009, and 67.4 percent of the post-30 day services rendered on AY 2008 claims.

(From a CWCI.org release)   A new California Workers’ Compensation Institute (CWCI) study shows the percentage of medical services to injured workers delivered by network physicians jumped sharply immediately after Medical Provider Networks (MPNs) were introduced into the workers’ compensation system in 2005, and that both the network utilization rate and the percentage of workers’ compensation medical dollars paid to network providers have continued to climb over the past five years.

Using first-year medical service data from 891,918 California workers’ compensation claims with 2004-2009 injury dates, CWCI measured the percentage of injured worker outpatient medical services rendered by network providers before and after MPNs began operations in January 2005. The results show that the network utilization rate rose from less than half of first-year physician-based services for 2004 job injuries to nearly 2/3 of the services for 2005 injuries – the first claims in which treatment in the initial 12 months could have shifted to MPNs. Furthermore, the data show that the trend toward the use of networks has continued, with network providers accounting for nearly ¾ of physician-based services for 2008 injury claims.

 http://www.cwci.org/press_release.html?id=164

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Hospitality Industry Health Insurance: New Health Care Law Puts Restaurants, With A Higher Percentage Of Unskilled And Part-Time Workers, At A Disadvantage In Finding Cost-Effective Health Insurance

The new health care law will make it far harder for the restaurant and retail sectors, the primary employers of part-time and low-skill workers, to operate. 
 
Restaurants and drugstores that are open 24 hours a day will be disadvantaged, because they need several shifts of workers to stay open.
 
Firms with more than 50 workers will have to offer the right kind of health insurance, costing no more than 9.5% of the employee’s income, or pay a $2,000 penalty.
 
This will give small restaurants and stores a substantial cost advantage.  It will wreak havoc with franchisees, who frequently own groups of small establishments.  
 
 
(From a GLGroup.com article)   In 2009, 50% of restaurant employees and 36% of retail employees worked part-time, i.e. under 35 hours per week. A higher percentage of women, 58% in the restaurant industry and 44% in the retail industry, work part-time.  
 
With higher-skill jobs, employers can offer the required benefits and pay for them by cutting the wage. But low-wage jobs in the restaurant and retail sectors leave little room for cuts in wages.
 
So firms will have an incentive to become more automated, or machinery-intensive—and hire fewer workers.  Fast food restaurants could ship in more food and have it reheated, rather than cooking it on the premises. Department stores could have fewer sales clerks and more price-scanning stations, so that shoppers could scan labels for prices rather than asking sales assistants.
 
 

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Hotel And Resort Mineral Spa Safety: Risk Of Disease Transmission In Pool Spa Water Tied To Water Filtration Systems

“There’s a risk of disease transmission, there’s a risk of injury, there’s a real risk of death.”

The resort’s pool licence was revoked after inspectors found the water filtration system wasn’t working properly.

The issue lies with the pool’s 23 skimmers, which circulate the water through a central filter.

Engineers say that because of the high amount of minerals in the water, 19 of them are no longer working.

(From a WinnipegFreePress.com article)   There’s a storm a-brewin’ at a luxury resort north of Regina where health inspectors ordered a mineral spa closed this weekend over health and safety concerns.

Dwight Hayter, CEO of the Manitou Springs Hotel and Mineral Spa, said Saturday he’s got “24 layoffs and a hotel full of unhappy guests” on his hands.

“We don’t think this was necessary,” he said, acknowledging there are problems with the spa but insisting he wasn’t given enough time to fix them.

“To have another month, month-and-a-half extension on such an important issue as this, we didn’t think was a stretch.”

But deputy medical health officer John Opondo said the spa has been on probation for more than two years.

“We have been working with them progressively, we’ve had provincial partners involved in a peer review process to really try and bring them into compliance,” said Opondo.

http://www.winnipegfreepress.com/life/oddities/luxury-spa-at-saskatchewan-resort-closed-over-health-concerns-92599504.html

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Restaurant Food Safety: Oregon Restaurant Salmonella Poisoning Outbreak Highlights Risks Of Food Contamination And Need For Strict Food Preparation Safety Training

Salmonella, the most prevalent food borne pathogen in this country, is an organism that can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Infection with Salmonella can result in the organism getting into the bloodstream and producing more severe illnesses such as arterial infections (i.e., infected aneurysms), endocarditis, and arthritis.

Salmonella poisoning can also lead to Reiter’s Syndrome, a difficult-to-treat reactive arthritis characterized by severe joint pain, irritation of the eyes, and painful urination. Some Salmonella bacteria are antibiotic resistant, largely due to the use of antibiotics to promote the growth of feed animals.

“….76 million people each year come down with some form of food poisoning; hundreds of thousands are hospitalized and about 5,000 die…”

(From a NewsInferno.com article)   Dawnelle Marshall of the Public Health Division of the Douglas County Health Department said that the source of the outbreak remains unknown and that interviews continue with patrons of the restaurant who visited the establishment during the outbreak period in order to determine the outbreak’s timeline and origin, wrote KPIC.

“We’ve not been able to pinpoint the source, whether that is a food item, whether there is cross-contamination. We have not been able to do that, but we do have sampling that is pending, and those results should be in later this week,” said Marshall. Los Dos Amigos is cooperating in the investigation, added Marshall.

“They’re taking suggestions, they’re sharing information about how they process food, and what they do with foods. So until we know what that source is, it’s hard to evaluate what that potential cause can be,” said Marshall, quoted KPIC.

Marshall also said that some people have fallen very ill with dehydration that required intravenous fluids, reported KPIC.

http://www.newsinferno.com/archives/20114

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Hotel Pool And Spa Health And Safety: Proper Water Chemistry Controls Are Essential To Maintaining Guest Health And Limit Illnesses (Video)

[youtube=http://www.youtube.com/watch?v=HCrDkXevV4Y]

A short video that describes basic water chemistry and the controls required for safe water.

Proper water chemistry is essential to maintaining safe and consistent swimming pool operation. Chemicals used in swimming pools include: Disinfectants to destroy harmful or otherwise objectionable organisms; Alkalinity and pH Adjusters to maintain a consistent acid-base relationship and acid buffering capacity; Chlorine Stabilizer to prevent unnecessary loss of chlorine; Algicide to kill and prevent algae, and Filter Aids to help remove foreign material. Following is a discussion of various factors which affect water chemistry, how they affect swimming pools and how to use pool chemicals to restore a properly balanced water chemistry.

http://www.deh.enr.state.nc.us/ehs/chem.htm

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Hospitality Industry Workplace Safety: OSHA Considering A Rule Mandating A “Formal Injury And Illness Prevention Program” For Employers

OSHA is considering a proposed rule for a formal Injury and Illness Prevention Program and will hold informal stakeholder meetings on the proposal. The proposal would require employers to develop a formal program to reduce workplace injuries and illnesses through a systematic process that proactively addresses workplace safety and health hazards.

(From a Safety.blr.com article)   On the basis of OSHA’s experience with workplace safety programs, a proposed rule would include the following elements:

  • Management duties
  • Employee participation
  • Hazard identification
  • Hazard prevention and control
  • Education and training
  • Program evaluation and improvement

 Injury and Illness Prevention Program State Requirements    There are 24 states that require a written injury and illness prevention program for certain industries, mostly as a requirement for worker’s compensation insurance coverage. 16 states offer discounts on workers’ compensation premium rates of up to 5 percent for qualifying organizations that voluntarily adopt and implement written safety and health programs.

California, for example, requires employers to have formal written injury and illness prevention programs. BLR has prepared written tips and considerations to help employers develop an injury and illness prevention program based on California’s requirements, and they cover OSHA’s proposed program elements:

OSHA Provides Incentives for Injury and Illness Prevention Programs

OSHA has a policy of reducing penalties for employers who have violated OSHA standards but who have demonstrated a good faith effort to provide a safe and healthy workplace to their employees. The Agency has long recognized the implementation of a safety and health program as a way of demonstrating good faith.

http://safety.blr.com/workplace-safety-news/safety-administration/illness-and-injury-reporting-OSHA-300-log/New-Injury-and-Illness-Prevention-Program-Rule-Con/

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Hotel And Resort Pool Health And Safety: Recreational Water Illnesses (RWI) Have Increased Over The Past Two Decades

Recreational water illnesses (RWIs) are caused by germs spread by swallowing, breathing in mists or aerosols of, or having contact with contaminated water in swimming pools, hot tubs, water parks, water play areas, interactive fountains, lakes, rivers, or oceans.

(From a CDC.gov posting)   RWIs can be a wide variety infections, including gastrointestinal, skin, ear, respiratory, eye, neurologic, and wound infections. The most commonly reported RWI is diarrhea. Diarrheal illnesses can be caused by germs such as Crypto (short for Cryptosporidium), Giardia, Shigella, norovirus and E. coli O157:H7. In the past two decades, there has been an increase in the number of RWI outbreaks associated with swimming.

CDC’s Healthy Swimming program offers information and resources to raise awareness about RWIs and how to prevent them.

http://www.cdc.gov/healthywater/swimming/rwi/

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Restaurant Food Safety: Some Counties Are Now Posting Restaurant Inspections Online With Explanation Of Findings

Most food establishments don’t publicize even their most positive inspection reports, and no government in the Philadelphia region requires that they be tacked up for easy viewing like a menu.

But more are going online. With the new Camden County database that went live Thursday night, the outcome of inspections are now posted for the vast majority of restaurants in the eight-county region.

(From a Philly.com article)   Philadelphia and Bucks, Montgomery and Camden Counties post the actual inspection reports – complete with comments and compliance for dozens of categories – in searchable databases that often contain previous inspections and explanations of the findings.

“Who doesn’t want to know what their children’s cafeteria looks like?” said Carmen G. Rodriguez, the freeholder liaison to the Health Department in Camden County, whose new Web site, like those in the other counties, includes schools.

Still, interpreting the regulatory language of inspection reports for what patrons really want to ask – Is this a safe place to eat? – takes time and patience.

“Cross-contamination and hand-washing violations and temperatures,” thorough cooking, hot foods kept hot and cold foods kept cold – these are the most important risk factors for food-borne illness, said Ben Chapman, a food-safety specialist at North Carolina State University. Dirty bathrooms matter less.

http://www.philly.com/inquirer/local/pa/20100430_Most_restaurant_inspections_now_posted_on_the_Web.html

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