ERD Research Hour
EMILY HEALY, EPIDEMIOLOGIST
SEPTEMBER 30, 2021
0
5
10
15
-
10,000
20,000
30,000
40,0002
00
0
20
01
20
02
20
03
20
04
20
05
20
06
20
07
20
08
20
09
20
10
20
11
20
12
20
13
20
14
20
15
20
16
20
17
20
18
20
19
20
20
Un
em
plo
yme
nt
Nu
mb
er
of
Cla
ims
FROI Frequency
Unemployment
Rate
Frequency of FROIs Filed and Unemployment Rate
Source: Workers’ Compensation Administrative Network (WCAN), MT DLI ERD
Great Recession
COVID-19
Pandemic
0%
5%
10%
15%
Nature of Injury Before and During Pandemic
Source: Workers’ Compensation Administrative Network (WCAN), MT DLI ERD
0%
10%
20%
30%
40%
Pre-Pandemic Pandemic
3 3 32
6
12 1210
8
5
2 1
8
11 1113
12
$0.00
$1.00
$2.00
$3.00
$4.00
$5.00
$6.00
$7.00
$8.001
6
11
16
21
26
31
36
41
46
51
19
88
19
90
19
92
19
94
19
96
19
98
20
00
20
02
20
04
20
06
20
08
20
10
20
12
20
14
20
16
20
18
20
20
Ind
ex
Ra
te
Ra
nk
ing (
1-5
1)
Oregon Ranking Study – Montana’s Historical
Ranking
Source: Oregon Department of Consumer and Business Services
Montana Ranking
Montana Index Rate
National Index Rate
Nonfatal Occupational Injury and Illness Incidence
Rates per 100 FTEs (Private Industry)
7.6
3.85.0
2.8
0
2
4
6
8
Ra
te p
er
10
0 F
TE
s
Montana
National
Source: Bureau of Labor Statistics (SOII)
Fatal Occupational Injury Rates per 100,000 FTEs
Source: Bureau of Labor Statistics (CFOI)
8.2 7.8
3.7 3.5
0
5
10
15
2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
Ra
te p
er
10
0,0
00
FTE
Montana
National
Workers in High-Risk Jobs
6%
18%
24%
18%
5%
16% 16%
12%
0%
10%
20%
30%
High Risk Industries forInjury
High Risk Occupations forInjury
High Risk Industries forFatality
High Risk Occupations forFatality
Montana
US
Source: 2019 U.S. Census Bureau County Business Patterns (CBP) and 2019 Bureau of Labor
Statistics’ Current Population Survey (CPS)
Workers in High-Risk Jobs
Source: 2019 Bureau of Labor Statistics’ Current Population Survey (CPS)
0% 5% 10% 15%
Construction
Animal production & aquaculture
Truck transportation
Crop production
Landscaping services
Drinking places, alcoholic beverages
Sawmills & wood preservation
Support activities for mining
Services incidental to transportation
Logging
Workers in High Risk Industries for Fatality
Montana
US
Worker
Well-BeingWork Evaluation
& Experience
Workplace Physical
Environment & Safety
Climate
Workplace
Policies &
Culture
Health Status
Health Equity
HOME
COMMUNITY
SOCIETY
HISTORY
Health Equity
Source: 2014-2018 Montana Behavioral Risk Factor Surveillance System
0 10 20 30 40
White,NH
AI/AN,NH
Other
Top Three Occupations by Race in Montana
Service Occupations
Professional & Related
Mgmt, Bus, & Finance
Mgmt, Bus, & Finance
Service Occupations
Professional & Related
Service Occupations
Professional & Related
Sales & Related
0% 10% 30% 40%20%
Health Equity
Source: Montana Department of Public Health and Human Services Communicable Disease and
2020 US Census
Population
COVID-19
Cases
COVID-19
Deaths
White 89% 81% 76%
American Indian or Alaska Native 7% 9% 15%
Native Hawaiian or Other Pacific Islander 0% <1% <1%
Asian 1% <1% <1%
Black or African American 1% 1% <1%
Other Race 3% 9% 8%
Health Equity
Source: 2017 & 2018 Montana Behavioral Risk Factor Surveillance System
0
10
20
30
40
50
Asthma Arthritis Diabetes Hypertension
Chronic Health Conditions by Household Income <$15,000
$15,000-$24,999
$25,000-$49,999
$50,000-$74,999
$75,000+
0%
10%
30%
20%
40%
50%
5% 20%
Diabetes Prevalence
Health Equity
Source: 2017 Montana Behavioral Risk Factor Surveillance System
•General worksite wellness
• Arthritis
• Breastfeeding
• Cancer control
• Diabetes
• Disability and health
• Nutrition
• Physical activity
• Tobacco use prevention
Programs offered:
Health Equity
0 20 40 60 80 100
State & Local Government - Public Administration
Health Care & Social Assistance Services
Educational Services
Information, Finance & Ins, & Real Estate Services
Mining
Utilities, Transportation, & Warehousing
Arts, Entertainment, & Recreation
Prof, Mgmt, Admin Support & Waste Mgmt Services
Accommodations & Food
Other Services, Except Public Administration
Wholesale & Retail Trade
Agriculture, Forestry, Fishing, & Hunting
Manufacturing
Construction
Annual Checkup by Industry
Source: 2014-2018 Montana Behavioral Risk Factor Surveillance System
0% 20% 40% 60% 80% 100%
Health Equity
Source: 2010-2019 Vital Statistics Data, Montana
Department of Public Health and Human Services
15%
14%
9%
7%
7%
7%
6%
6%
6%
6%
5%
4%
3%
3%
3%
0% 5% 10% 15% 20%
Construction
Military
Wholesale & Retail Trade
Agriculture, Forestry, Fishing, Hunting
Manufacturing
Health Care & Social Assistance
Utilities, Transportation, & Warehousing
Professional, Scientific, & Technical Services
Accommodation & Food Services
Other Services, Except Public Administration
Public Administration
Information, Finance & Ins, & Real Estate
Arts, Entertainment, & Recreation
Educational Services
Mining
Suicide by Industry
Health Equity
0 10 20 30
Health Care & Social Assistance Services
Accommodations & Food
Other Services, Except Public Administration
Arts, Entertainment, & Recreation
Wholesale & Retail Trade
Prof, Mgmt, Admin Support & Waste Mgmt Services
Educational Services
State & Local Government - Public Administration
Information, Finance & Ins, & Real Estate Services
Manufacturing
Utilities, Transportation, & Warehousing
Construction
Agriculture, Forestry, Fishing, & Hunting
Mining
Diagnosed Depression by Industry
Source: 2014-2018 Montana Behavioral Risk Factor Surveillance System
0% 10% 30%20%
Health Equity
Source: 2008-2017 Vital Statistics Data, Montana
Department of Public Health and Human Services
17%
14%
13%
10%
7%
6%
6%
4%
4%
3%
3%
3%
2%
2%
2%
2%
2%
0% 5% 10% 15% 20%
Construction
Health Care & Social Assistance
Accommodation & Food Services
Retail Trade
Other Services, Except Public Administration
Manufacturing
Agriculture, Forestry, Fishing, Hunting
Public Administration
Finance & Ins, & Real Estate
Prof, Scientific, & Technical Services
Arts, Entertainment, & Recreation
Mining
Educational Services
Transportation & Warehousing
Admin & Support & Waste Management
Information
Wholesale Trade
Opioid Overdose Deaths by Industry
Resources
• NIOSH Total Worker Health Program
• Background information on total worker health
• Planning, assessment, and evaluation tools
• Construction Industry Alliance for Suicide Prevention
• Recognizing risk factors
• Prevention, intervention, and postvention information
• CDC COVID-19 and Health Equity
• Guidance on health equity for different groups
• Examples of recognizing and improving health outcomes
• DPHHS Suicide Prevention Site
• Montana specific resources
• Montana Healthcare Foundation
• American Indian/Alaska Native health
• Behavioral health initiatives
ERD Dashboards
• Workers’ compensation
• Other ERD programs
• Occupational safety and health
• Prevailing wage