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August 2003, Vol 93, No. 8 | American Journal of Public Health 1283-1286
© 2003 American Public Health Association


RESEARCH AND PRACTICE

Declining Trends in Work-Related Morbidity and Disability, 1993–1998: A Comparison of Survey Estimates and Compensation Insurance Claims

Cam Mustard, ScD, Donald Cole, MD, MSc, Harry Shannon, PhD, Jason Pole, MSc, Terry Sullivan, PhD and Richard Allingham, MSc

Cam Mustard, Donald Cole, Harry Shannon, Jason Pole, and Terry Sullivan are with the Institute for Work and Health, Toronto, Ontario. Cam Mustard and Donald Cole are also with the Department of Public Health Sciences, University of Toronto Faculty of Medicine. Harry Shannon is also with the Department of Clinical Epidemiology and Biostatistics, Faculty of Health Sciences, McMaster University, Hamilton, Ontario. Terry Sullivan is also with CancerCare Ontario, Toronto, and the Department of Health Policy, Management and Evaluation, University of Toronto Faculty of Medicine. Cam Mustard is also with the Population Health Program, Canadian Institute for Advanced Research, Toronto. Richard Allingham is with the Workplace Safety and Insurance Board, Toronto.

Correspondence: Requests for reprints should be sent to Cam Mustard, ScD, Institute for Work & Health, 481 University Ave, Suite 800, Toronto, ONT, Canada, M5G 2E9 (e mail: cmustard{at}iwh.on.ca).

Objectives. This study compared trends in the incidence of work-related morbidity and disability across 3 sources of surveillance data in a Canadian province.

Methods. Time series estimates of workplace injuries and work-related disability based on 2 panel surveys in the province of Ontario, Canada, for the period 1993–1998 were compared with rates of work-related injury and illness compensation claims during the same period.

Results. Lost-time compensation claims declined by 28.8% over this 6-year period. The incidence of self-reported work-related injury declined by 28.2%, and the selfreported incidence of work absence for work-related causes declined by 32.2%.

Conclusions. Parallel reductions in work-related morbidity were seen in 3 independent data sources. These results support an interpretation that there has been an important reduction in injury risk in Ontario workplaces over the past decade.




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How low can they go? Potential for reduction in work injury rates
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P M Smith and C A Mustard
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Occup. Environ. Med., September 1, 2004; 61(9): 750 - 756.
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