Analysis of participation in the federally mandated coal workers' health surveillance program

The Federal Coal Mine Health and Safety Act of 1969 required that periodic chest radiographs be offered to underground coal miners to protect the miners from the development of Coal Workers' Pneumoconiosis (CWP) and progression of the disease to progressive massive fibrosis (PMF). These examinations are administered by the National Institute for Occupational Safety and Health (NIOSH) through the Coal Workers' Health Surveillance Program (CWHSP). The mine operator is required to provide each miner with the opportunity to have the chest radiograph at no cost to the miner.^ Three rounds of examinations have been conducted since 1969 and the fourth is underway. The decrease in participation over rounds is of great concern if the incidence and progression of CWP are to be understood and controlled.^ This study developed rates of participation for each of 558 West Virginia underground coal mines who submitted or had NIOSH assigned plans for making chest radiographs available during the third round, July 1978 through December 1980. These rates were analyzed in relation to desired levels of participation and to reinforcing, predisposing and enabling factors presumed to affect rates of participation in disease prevention and surveillance programs.^ Two reinforcing factors, size of mine and inclusion of the mine in the National Coal Study (NCS) epidemiology research program, and the enabling factor, use of an on-site radiograph facility, demonstrated highly significant relationships to participation rates.^ The major findings of the study were: (1) Participation in the CWHSP is even lower than previously estimated; (2) CWHSP program evaluation is not systematic and program data base is not complete and comprehensive; and (3) NIOSH program policy is not clear and administration of the CWHSP is fragmented and lacks adequate fiscal and personnel resources. ^

Training federal employees to be their best : hearing before the Oversight of Government Management, Restructuring, and the District of Columbia Subcommittee of the Committee on Governmental Affairs, United States Senate, One Hundred Sixth Congress, second session, May 18, 2000.

Shipping list no.: 2001-0039-P.

1995 Federal research and development program in materials science and technology : a report /

"December 1995."

Health benefits of pets : summary of working group : NIH Technology Assessment Workshop, September 10-11, 1987.

Shipping list no.: 88-461-P.

Personal assistants for handicapped federal employees : hearing before the Subcommittee on the Civil Service of the Committee on Post Office and Civil Service, House of Representatives, Ninety-sixth Congress, second session, on H.R. 7466 ... August 20, 1980.

"Serial no. 96-102."

Job sharing for federal employees.

Mode of access: Internet.

Illinois On-Site Safety and Health Consultation Program.

The Illinois On-Site Safety and Health Consultation Program assists employers in providing their employees a safe and healthy workplace. The goal of the program is to help Illinois employers identify and correct potential safety and health hazards before they become expensive and dangerous problems.

Illinois On-Site Safety and Health Consultation Program.

The Illinois On-Site Safety and Health Consultation Program assists employers in providing their employees a safe and healthy workplace. The goal of the program is to help Illinois employers identify and correct potential safety and health hazards before they become expensive and dangerous problems.

Liabilities of the state employees' group insurance program.

Title from cover.

Federal employees' compensation act (5 USC 8101 et seq.) and related provisions, through April 19, 1968.

"Replaces ... Federal Employees' compensation act as amended to September 13, 1960, issued ... in 1962."

An assessment of the Federal adult education act program /

Includes bibliographical references.

Pension and health benefits of American workers : new findings from the April 1993 Current Population Survey /

Mode of access: Internet.

The predicted impact of the black lung benefits program on the coal industry /

Cover title.

Cost-of-living allowances for federal employees in nonforeign areas : hearing before the Subcommittee on Civil Service, Post Office, and General Services of the Committee on Governmental Affairs, United States Senate, Ninety-seventh Congress, first session, May 14, 1981.

Mode of access: Internet.

Social security. Hearings before the Committee on Finance United States Senate Eighty-ninth Congress, first session on H.R. 6675

"H.R. 6675, an act to provide a hospital insurance program for the aged under the Social security act, with a supplementary health benefits program and an expanded program on medical assistance, to increase benefits under the old-age, survivors, and disability insurance system, to improve the Federal-State public assistance programs, and for other purposes."