The Mount Sinai Selikoff Centers for Occupational Health are a set of occupational and environmental health clinics that focus on the prevention, diagnosis, and treatment of workplace injuries and illnesses. [1] Significant injuries and illnesses that are treated at the clinical centers include (yet are not limited to) occupational lung cancers, [2] manganese/silica/lead exposures, and asbestos-related illness, [3] which was the career-long research of Dr. Irving Selikoff, the centers' inaugural director. The Selikoff Centers for Occupational Health's multidisciplinary health care team includes physicians, nurse practitioners, industrial hygienists, ergonomists, social workers, and benefits specialists, who are "leaders in the prevention, diagnosis and treatment of workplace injuries and illnesses," [4] and provide comprehensive patient-centered services in New York City and Lower Hudson Valley. [5] The clinical centers are located within the Icahn School of Medicine at Mount Sinai under the Division of Occupational and Environmental Medicine.
The Selikoff Centers for Occupational Health also partner with employers and unions to assess and reduce risk factors in all work environments. [6] Their aim is to establish comprehensive occupational health and safety programs designed to encourage a safe, healthful, and productive workplace. [7] The centers participate in and host events, both for national and international audiences, including the World Trade Health Program Symposium of 2016, an annual Manganese Conference, and the 25th Occupational Health Clinic Network to discuss international workplace health. With a focus on prevention, the Selikoff Centers for Occupational Health strive to keep workers healthy and their workplaces safe.
The Division of Occupational and Environmental Medicine at the Icahn School of Medicine at Mount Sinai, is also home to the New York and New Jersey Education and Research Center. The research center offers programs in Occupational Medicine, Industrial Hygiene, as well as continuing education, referring patients in need of treatment or services, and those of the general population interested in occupational health and safety, to the Selikoff Centers for Occupational Health.
Dr. Irving Selikoff founded and became the director of the Environmental and Occupational Health Division of The Mount Sinai Hospital in New York City in 1966, which at the time was the United States' first hospital division dedicated to the field of occupational health and safety. [8] His work on asbestos and the conditions workers were exposed to on their jobs also contributed to the creation of the Occupational Safety and Health Administration (OSHA), as well as the National Institute for Occupational Health and Safety (NIOSH). [9] After Selikoff's death, the division expanded to include the "Irving J. Selikoff Center for Occupational and Environmental Medicine," which today is named the "Selikoff Centers for Occupational Health". [10]
The Selikoff Centers for Occupational Health are also a designated "Clinical Center of Excellence" under the World Trade Center Health Program. This program was established by the James Zadroga 9/11 Health and Compensation Act of 2010 (Zadroga Act) and is administered by the National Institute for Occupational Safety and Health (NIOSH) within the federal Centers for Disease Control and Prevention. The Zadroga Act provides free medical monitoring, treatment, mental health services, and benefits counseling for 9/11 responders and volunteers. The Selikoff Centers for Occupational Health at The Mount Sinai Hospital (Manhattan) is home to the largest World Trade Center (WTC) Health Program Clinical Center of Excellence (CCE) in the New York/New Jersey region. [11]
In 2015 the United States Congress passed a reformed version of the Zadroga Act, which provides lifetime health benefits for the 9/11 first responders and victims. [12]
Research conducted on 9/11 first responders continues to show the need for Medical Screening Programs in the event of disasters. [13]
A repetitive strain injury (RSI) is an injury to part of the musculoskeletal or nervous system caused by repetitive use, vibrations, compression or long periods in a fixed position. Other common names include repetitive stress injury, repetitive stress disorders, cumulative trauma disorders (CTDs), and overuse syndrome.
A blood-borne disease is a disease that can be spread through contamination by blood and other body fluids. Blood can contain pathogens of various types, chief among which are microorganisms, like bacteria and parasites, and non-living infectious agents such as viruses. Three blood-borne pathogens in particular, all viruses, are cited as of primary concern to health workers by the CDC-NIOSH: HIV, hepatitis B (HVB), & hepatitis C (HVC).
The Occupational Safety and Health Act of 1970 is a US labor law governing the federal law of occupational health and safety in the private sector and federal government in the United States. It was enacted by Congress in 1970 and was signed by President Richard Nixon on December 29, 1970. Its main goal is to ensure that employers provide employees with an environment free from recognized hazards, such as exposure to toxic chemicals, excessive noise levels, mechanical dangers, heat or cold stress, or unsanitary conditions. The Act created the Occupational Safety and Health Administration (OSHA) and the National Institute for Occupational Safety and Health (NIOSH).
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.
The permissible exposure limit is a legal limit in the United States for exposure of an employee to a chemical substance or physical agent such as high level noise. Permissible exposure limits were established by the Occupational Safety and Health Administration (OSHA). Most of OSHA's PELs were issued shortly after adoption of the Occupational Safety and Health (OSH) Act in 1970.
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, 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. It is concerned with the maintenance of health in the workplace, including prevention and treatment of diseases and injuries, with secondary objectives of maintaining and increasing productivity and social adjustment in the workplace.
Irving J. Selikoff was a medical researcher who in the 1960s established a link between the inhalation of asbestos particles and lung-related ailments. His work is largely responsible for the regulation of asbestos today. He also co-discovered a treatment for tuberculosis.
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".
Philip John Landrigan, is an American epidemiologist and pediatrician. He has campaigned against substances in the environment that are harmful to children, such as lead and asbestos. He is also concerned with environmental pesticides.
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. In 2009, Howard was again appointed as director of NIOSH and as World Trade Center Programs coordinator for HHS. 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.
An occupational fatality is a death that occurs while a person is at work or performing work related tasks. Occupational fatalities are also commonly called "occupational deaths" or "work-related deaths/fatalities" and can occur in any industry or occupation.
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.
Buy Quiet is an American health and safety initiative to select and purchase the lowest noise emitting power tools and machinery in order to reduce occupational and community noise exposure. Buy Quiet Programs are examples of noise control strategies. Buy Quiet is part of the larger Hearing Loss Prevention Program, and is an example of Prevention Through Design, which seeks to reduce occupational injury through prevention considerations in designs that impact workers.
Occupational safety and health (OSH) or occupational health and safety (OHS), also known simply as occupational health or occupational safety, is a multidisciplinary field concerned with the safety, health, and welfare of people at work. These terms also refer to the goals of this field, so their use in the sense of this article was originally an abbreviation of occupational safety and health program/department etc. OSH is related to the fields of occupational medicine and occupational hygiene.
Stephen M. Levin was the medical director of the Mount Sinai Irving J. Selikoff Center for Occupational and Environmental Medicine, a professor of occupational medicine at the Mount Sinai School of Medicine, and the co-director of the World Trade Center Worker and Volunteer Medical Screening Program. A graduate of Wesleyan University and then New York University School of Medicine, Levin was born and raised in Philadelphia to working-class parents—his father was a carpenter, his mother a hospital worker. He was recognized worldwide as a leader in the field of occupational medicine, particularly due to his work on behalf of 9/11 workers and those injured by asbestos in the town of Libby, Montana.
The World Trade Center Health Program provides medical benefits to specific groups of individuals who were affected by the September 11 attacks in 2001 against the United States. The WTC Health Program was established by Title I of the James Zadroga 9/11 Health and Compensation Act, P.L. 111-347, which amended the Public Health Service Act. The United States Congress passed the bill in December 2010 and United States President Barack Obama signed it into law on January 2, 2011. The Zadroga Act required the WTC Health Program to begin administering medical benefits on July 1, 2011. On December 18, 2015, the Zadroga Act was reauthorized to provide medical benefits to affected individuals until 2090. The National Institute for Occupational Safety and Health (NIOSH), within the Centers for Disease Control and Prevention, administers the program. The Centers for Disease Control and Prevention is component of the United States Department of Health and Human Services (HHS).
Occupational hearing loss (OHL) is hearing loss that occurs as a result of occupational hazards, such as excessive noise and ototoxic chemicals. Noise is a common workplace hazard, and recognized as the risk factor for noise-induced hearing loss and tinnitus but it is not the only risk factor that can result in a work-related hearing loss. Also, noise-induced hearing loss can result from exposures that are not restricted to the occupational setting.
Occupational heat stress is the net load to which a worker is exposed from the combined contributions of metabolic heat, environmental factors, and clothing worn which results in an increase in heat storage in the body. Heat stress can result in heat-related illnesses, such as heat stroke, hyperthermia, heat exhaustion, heat cramps, heat rashes and chronic kidney disease. Although heat exhaustion is less severe, heat stroke is a medical emergency and requires emergency treatment, which if not provided can even lead to death.
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.