John Howard | |
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Director of the National Institute for Occupational Safety and Health | |
In office 2002–2008, 2009–present | |
Preceded by | Linda Rosenstock |
Personal details | |
Born | John Jackson Howard [1] |
Education | MD,Loyola University;MPH,Harvard;JD,UCLA;LLM and MBA,George Washington University |
Profession | Physician,professor,public health administrator |
Known for | Director of NIOSH,Chief of Cal/OSHA |
John Jackson Howard is an American physician,professor,and public health administrator who served a 6-year term as the director of the National Institute for Occupational Safety and Health and was appointed to be a special coordinator to respond to the health effects of the September 11 attacks. In this role,Howard advocated for rescue workers,introducing a program to provide screening,medical exams,and treatment for them. [2] In 2009,Howard was again appointed as director of NIOSH and as World Trade Center Programs coordinator for HHS. [3] In 2011,Howard became the Administrator of the World Trade Center Health Program. In 2016,he became the first person to be appointed to a third 6-year term as NIOSH director,and was reappointed to a fourth term in 2021. [4]
John Howard received a doctor of medicine degree from Loyola University in 1974 (cum laude). [5] To this he added a Master of Public Health from the Harvard School of Public Health in 1982. In 1986,Howard earned a Juris Doctor from the University of California,Los Angeles (UCLA),and a Master of Laws in Administrative Law and Economic Regulation from The George Washington University in 1987. He also received a Master of Business Administration in Healthcare Management,from George Washington University,in 2016. [4] In addition,Howard is a board-certified occupational physician and has written numerous papers on occupational health law and policy. [6]
Howard began his career in occupational health in 1979 as an internist at the UCLA School of Medicine pulmonary fellowship program at Cedars-Sinai Medical Center. His clinical work involved asbestos-exposed shipyard workers,and he published research findings related to workplace exposure and occupational lung disease. [7] He served as a medical director and chief clinician at the Philip Mandelker AIDS Prevention Clinic. [8] He also worked as an assistant professor of environmental and occupational medicine at the University of California,Irvine. [9]
Howard served as the chief of the Division of Occupational Safety and Health in California's Department of Industrial Relations from 1991 to 2002. [4] He administered a staff of nearly 1,000 and all the state's occupational and public safety programs. [10] Through his administration of the division,Howard bolstered his reputation in the field. He received praise for successfully implementing a controversial statewide ergonomic standard. [5] He served in this capacity for more than a decade. [5]
Linda Rosenstock resigned in November 2000 as the director of the National Institute for Occupational Safety and Health. The position was not filled until July 15,2002,when Tommy Thompson,Health and Human Services Secretary placed John Howard in the post. The gap between Rosenstock and Howard was the longest between directors in the agency's 31-year history. [5] The appointment was immediately praised by several organizations including the American Industrial Hygiene Association and AFL-CIO. [6]
Under Howard,NIOSH shifted its research efforts to focus on emerging technologies. Howard sought practical applications for the new research. This included an initiative called "research-to-practice" (r2p) to ensure that NIOSH's findings would turn into practices and products that would ultimately benefit workers. He directed research on mining,nanotechnology,job stress,and ergonomics. [7] Howard summarized the adjustments the Institute needed to make:
[NIOSH's] challenges used to be those that normally would have had a very widespread risk factor associated with them - chemical agents and physical agents like asbestos and radiation. A lot of the studies and interventions to eliminate those hazards have been done over the last 20 to 25 years. We're now dealing with issues that have personal risks, and it is more difficult to design strategies for causation and intervention studies to eliminate those risks, such as musculoskeletal injuries and work-related stress. [11]
Howard expanded the National Occupational Research Agenda (NORA) instituted by his predecessor, Dr. Rosenstock, using it as a vehicle to work toward the institute's updated aims. [12]
John Howard was appointed by President George W. Bush to be a special coordinator to handle the medical issues afflicting 9/11 rescue workers, specifically those at the World Trade Center site. Howard introduced the World Trade Center (WTC) Medical Monitoring and Treatment Program, which offered medical help and screening to emergency workers. [2] [5] With the enactment of the James Zadroga 9/11 Health and Compensation Act, Howard in 2011 became Administrator of the World Trade Center Health Program. [4] [13]
As a public health administrator, Howard was admired for his ability to collaborate effectively, even with adversarial parties. He was noted for the tone of "openness and cooperation" he set [5] and for listening to and seeking input from all available stakeholders. [10]
As Howard's 6-year term approached its close, Centers for Disease Control and Prevention (CDC) director Julie Gerberding met with him to inform him that he would not be reappointed. [14] His term ended on July 14, 2008, in a "controversial decision that brought criticism from safety and health stakeholders". [9] He completed his term and began serving as a temporary senior advisor to the CDC director. NIOSH associate director Christine Branche, Ph.D., served as acting director in Dr. Howard's place. [14]
On September 3, 2009, HHS Secretary Kathleen Sebelius announced Howard's reappointment as director of NIOSH and World Trade Center Programs coordinator for HHS. [3] In 2016, Howard became the first person to be appointed to a third 6-year term as NIOSH director. [4]
The National Institute for Occupational Safety and Health is the United States federal agency responsible for conducting research and making recommendations for the prevention of work-related injury and illness. NIOSH is part of the Centers for Disease Control and Prevention (CDC) within the U.S. Department of Health and Human Services. Despite its name, it is not part of either the National Institutes of Health nor OSHA. Its current director is John Howard.
Chemical hazards are hazards present in hazardous chemicals and hazardous materials. Exposure to certain chemicals can cause acute or long-term adverse health effects. Chemical hazards are usually classified separately from biological hazards (biohazards). Chemical hazards are classified into groups that include asphyxiants, corrosives, irritants, sensitizers, carcinogens, mutagens, teratogens, reactants, and flammables. In the workplace, exposure to chemical hazards is a type of occupational hazard. The use of personal protective equipment may substantially reduce the risk of adverse health effects from contact with hazardous materials.
An occupational hazard is a hazard experienced in the workplace. This encompasses many types of hazards, including chemical hazards, biological hazards (biohazards), psychosocial hazards, and physical hazards. In the United States, the National Institute for Occupational Safety and Health (NIOSH) conduct workplace investigations and research addressing workplace health and safety hazards resulting in guidelines. The Occupational Safety and Health Administration (OSHA) establishes enforceable standards to prevent workplace injuries and illnesses. In the EU, a similar role is taken by EU-OSHA.
Occupational and Environmental Medicine (OEM), previously called industrial medicine, is a board certified medical specialty under the American Board of Preventative Medicine that specializes in the prevention and treatment of work-related illnesses and injuries.
The Centers for Agricultural Safety and Health (CASH) are a set of 12 NIOSH-funded agencies focused on occupational health in industry involving food or plant products, such as fishing, forestry, and agriculture. The agencies were established in 1990 under the Agricultural Health and Safety Initiative.
The Health Hazard Evaluation (HHE) program is a workplace health program administered by the National Institute for Occupational Safety and Health (NIOSH) by which employees, employers, and labor unions can request assistance from the HHE program at no cost to them.
The US National Institute for Occupational Safety and Health funds the Adult Blood Lead Epidemiology and Surveillance (ABLES) program, a state-based surveillance program of laboratory-reported adult blood lead levels. In 2009, the ABLES program updated its case definition for an Elevated Blood Lead Level to a blood lead concentration equal or greater than 10 micrograms per deciliter (10 μg/dL). This chart shows CDC/NIOSH/ABLES Elevated blood lead level case definition in perspective.
Workplace health surveillance or occupational health surveillance (U.S.) is the ongoing systematic collection, analysis, and dissemination of exposure and health data on groups of workers. The Joint ILO/WHO Committee on Occupational Health at its 12th Session in 1995 defined an occupational health surveillance system as "a system which includes a functional capacity for data collection, analysis and dissemination linked to occupational health programmes".
The National Occupational Research Agenda (NORA) is a partnership program developed by the National Institute for Occupational Safety and Health (NIOSH). The program was founded in 1996 to provide a framework for research collaborations among universities, large and small businesses, professional societies, government agencies, and worker organizations. Together these parties identify issues in the field of workplace safety and health that require immediate attention based on the number of workers affected, the seriousness of the hazard, and the likelihood that new safety information and approaches can effect a change.
Linda Rosenstock is a public health specialist and administrator. She served as the director for the National Institute for Occupational Safety and Health from 1994 through 2000 and was dean of the University of California, Los Angeles School of Public Health from November 2000 to July 1, 2012.
Marcus Malvin Key was a public health administrator and practitioner who served as the first director for the National Institute for Occupational Safety and Health (NIOSH) in the U.S. government.
John F. (Jack) Finklea was a physician, professor, researcher, and public health administrator notable for his leadership of the Environmental Protection Agency's National Center for Environmental Research and the National Institute for Occupational Safety and Health.
John Donald Millar was a physician and public health administrator who rose to prominence as the director of the National Institute for Occupational Safety and Health from 1981 through 1993.
A physical hazard is an agent, factor or circumstance that can cause harm with contact. They can be classified as type of occupational hazard or environmental hazard. Physical hazards include ergonomic hazards, radiation, heat and cold stress, vibration hazards, and noise hazards. Engineering controls are often used to mitigate physical hazards.
Radiation dose reconstruction refers to the process of estimating radiation doses that were received by individuals or populations in the past as a result of particular exposure situations of concern. The basic principle of radiation dose reconstruction is to characterize the radiation environment to which individuals have been exposed using available information. In cases where radiation exposures can not be fully characterized based on available data, default values based on reasonable scientific assumptions can be used as substitutes. The extent to which the default values are used depends on the purpose of the reconstruction(s) being undertaken.
Total Worker Health is a trademarked strategy defined as policies, programs, and practices that integrate protection from work-related safety and health hazards with promotion of injury and illness prevention efforts to advance worker well-being. It was conceived and is funded by the National Institute for Occupational Safety and Health (NIOSH). Total Worker Health is tested and developed in six Centers of Excellence for Total Worker Health in the United States.
Emergency Responder Health Monitoring and Surveillance (ERHMS) is a health monitoring and surveillance framework developed by a consortium of federal agencies, state health departments, and volunteer responder groups designed to address existing gaps in surveillance and health monitoring of emergency responders. The framework provides recommendations, guidelines, tools, and trainings to protect emergency responders during each phase of an emergency response, including pre-deployment, deployment, and post-deployment phases. ERHMS was designed to function within the Federal Emergency Management Agency's (FEMA's) National Incident Management System (NIMS), a systematic approach to emergency management. The ERHMS trainings satisfy Public Health Emergency Preparedness capability 14, "Responder Safety and Health."
The New York and New Jersey Education and Research Center is one of eighteen Education and Research Centers funded by the National Institute for Occupational Safety and Health (NIOSH). The NYNJERC was established in 1978.
The American Industrial Hygiene Association (AIHA) is a 501(c)6 non-profit organization, whose mission is "Creating knowledge to protect worker health." The American Industrial Hygiene Association works to provide information and resources to Industrial Hygienists and Occupational Health professionals.
The Division of Industrial Hygiene was a division of the U.S. Public Health Service (PHS) with responsibility for occupational safety and health programs. It existed from 1914 until 1971, when it became the National Institute for Occupational Safety and Health (NIOSH). It had several names during its existence, most notably the Office of Industrial Hygiene and Sanitation in its earlier years and the Division of Occupational Health during its later years.
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