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The opioid crisis in Canada continues to grow. Every day across the country, 11 people die from an opioid overdose, devastating individuals, families and communities alike.
Opioids include fentanyl, oxycodone, morphine and hydromorphine. These drugs are prescribed to manage pain, including injuries that have resulted from the workplace. But in addition to influencing pain perception, opioids are drugs that affect the mind, mood and mental processes. These effects can make the user feel euphoric, or high. In addition, illegal drugs with fentanyl added to them are contributing to many of the opioid-related harms and deaths.
While prescribed opioids offer benefits, they also come with risks. The high rates of opioid being prescribed mean that more people are being exposed to its risks and the potential for addiction. According to the Canadian Institute for Health Information, in Canada, 21.3 million prescriptions for opioids were dispensed in 2017, placing Canada among the highest opioid prescribing nations in the world. In 2018, 3.7 million Canadians aged 15 and older used an opioid pain medication. About 10% of those users reported taking the medication in a problematic way: in greater amounts than prescribed or more often than directed, using it to get high and other reasons unrelated to pain relief.
Effects of opioid use Short-term side effects from opioid use include drowsiness, nausea, vomiting, feeling euphoric, difficulty breathing, headaches, dizziness and confusion. These effects may cause workers to be impaired and unable to perform their job tasks safely. Over the long term, opioid use can lead to increased tolerance, substance use dependence, liver damage, and worsening pain.
An overdose can happen when too much of an opioid is taken. For instance, if a person stops taking the drug for a few days but then starts taking the drug at the same dose they were used to, it may lead to an overdose. Since opioids affect the part of the brain that controls breathing, taking more opioids than the body can handle slows breathing. This overdose can lead to unconsciousness and even death.
Opioids as a workplace issue Opioid use can potentially affect workplace health and safety in several ways. Its use and misuse tend to be higher in workplaces with lower paid sick leave and job security. This scenario suggests that workers may feel they need to return to work quickly after an injury, and in order to control their pain, they turn to opioid use. The lack of sick leave and job security also may lead workers reluctant to take time off in order seek appropriate treatment and recover.
In some cases, people who use prescription drugs may misuse them, which could lead them to develop dependence on the drugs. It has been noted that prescription misuse for opioids may lead to illegal drug use. As a person develops an addiction, they begin to crave the drug and continue to use it regardless of the harmful effects. This need becomes the focus of their feelings, thoughts and activities. This preoccupation can affect the ability to perform job tasks safely.
There is also the potential for an overdose to occur at the workplace, whether it involves a customer, client, member of the general public, or a co-worker. The safety of the first responder who encounters the product when performing first aid measures or law enforcement duties also becomes a factor.
What workplaces can do The federal government has taken measures to increase access to treatment and supervised consumption sites, expand public awareness, intercept illegal opioids, and improve public health data to inform effective strategies and preventative approaches. Employers can also play a critical role, including to:
Tips & Tools
If you have ever spilled the toner from a photocopier or laser printer cartridge, you will know what an awful mess it can make. But more than the mess, the tiny particles of toner can be a hazard to your health, becoming released into the air that you breathe. Although a spill like this may not happen often, it's important to know how to clean up safely when it does.
Toner is made of extremely fine plastic particles that can be easily dispersed in the air. While most toners are considered a nuisance dust, the particles may be a respiratory irritant which may aggravate existing lung conditions. Toners may also be an eye irritant. It is best to avoid using a standard vacuum cleaner to clean up spills as a vacuum without the appropriate high-efficiency particulate air (HEPA) filter will cause the particles to become airborne.
While rare, it is also important to use a specialized vacuum to prevent the build-up of static electricity, which may result in an explosion.
In addition, since toner particles are designed to fuse to paper when heated, always use cold water to clean up the mess. Do not use water or a cleaning product that is physically warm or hot. Hot water can also fuse the toner to your skin, clothing, or anything else that it touches.
Clean up steps
Be sure to have the toner's safety data sheet accessible for reference. The sheet provides information about its hazards and advice about safety precautions.
A Global Forum on Prevention
The XXII World Congress on Safety and Health at Work 2020: Global Forum for Prevention opens its doors to the world every three years. This time, it is Canada's turn to welcome the global prevention community to the Metro Toronto Convention Centre on October 4-7, 2020.
With the theme of "Prevention in the Connected Age", this is a premier event for occupational health and safety leaders, policy-makers, employers and advocates to stay current with emerging challenges, innovative solutions and best practices in work-related injury and disease prevention.
Call for Abstracts
Participants from around the world are invited to submit abstracts to be a part of this exciting global event. You must submit your abstract by December 15, 2019.
The 2020 World Congress is organized by the International Labour Organization and the International Social Security Association and is co-hosted by the Canadian Centre for Occupational Health and Safety (CCOHS) and the Institute for Work and Health (IWH).
This month's feature podcast is Supporting Workers with a Comprehensive Return to Work Program. Also, November is Radon Month, listen to Recognizing Radon.
Feature Podcast: Supporting Workers with a Comprehensive Return to Work Program
Sonya Tonkovich from the Canadian Centre for Occupational Health and Safety (CCOHS) shares tips on what should be included in a comprehensive return to work program, and how organizations can support workers returning to work from both physical and mental health related leaves.
The podcast runs 5:56 minutes. Listen to the podcast now.
Encore Podcast: Recognizing Radon
Radon is a colourless, odourless, tasteless gas released when uranium, found naturally in rocks and soil, decays. It is also classified as a known carcinogen and a leading cause of lung cancer among non-smokers. In Canada, radon can be found in new and older homes, public buildings and underground worksites. In this podcast, Dr. Cheryl Peters, Postdoctoral Fellow at Carleton University and Occupational Exposures Lead Scientist at CAREX Canada discusses radon, where it's found, the impact it can have on our health and how we can limit our exposure to it.
The podcast runs for 8:22 minutes. Listen to the podcast now.
CCOHS produces free monthly podcasts on a wide variety of topics designed to keep you current with information, tips, and insights into the health, safety, and well-being of working Canadians. You can download the podcast to your and listen to it at your own convenience or on the go!
CCOHS is looking for industrious, committed students in occupational health and safety programs to apply for the 2020 Dick Martin Scholarship Award. The annual, national scholarship is open to all students enrolled in an occupational health and safety course or program at an accredited Canadian college or university, leading to an occupational health and safety certificate, diploma or degree. Programs include mine safety, occupational or industrial health and safety, industrial hygiene, safety management or other related safety degree program.
Two scholarships worth $3000 each will be awarded to one winning university student and one winning college student. A $500 award will also be provided to each of the winning students' academic institutions.
To apply for the scholarship, post-secondary students are invited to submit a 1200-word essay on one of two topics related to occupational health and safety.
Essays will be judged on the intellectual content, the practical and theoretical value and the presentation and style.
For application rules, criteria, tips and other guidelines visit www.ccohs.ca/scholarship.
If you're not a student, but know one, why not share this with them?
Applications are open until 11:59 p.m. EST, January 31, 2020 and the winners will be announced during Safety and Health Week in May 2020.
A lack of civility and respect are often at the root of violence, harassment and bullying issues within workplaces. How do you champion and prioritize a civil and healthy workplace before it gives way to a toxic culture ripe with resentment, rudeness, and violence?
A crucial part of any healthy workplace is a workplace violence prevention program that outlines preventive measures against all forms of harassment and violence – including sexual, domestic and workplace. Whether driven by legislation or motivated by doing the right thing, policies and procedures need to be comprehensive, supported by leadership, and underscored by an environment that values respect, consideration and professionalism.
Gain practical knowledge and leave with tools so you can take action to minimize the potential for harassment and violence in your workplace, in this one-day workshop developed by CCOHS. There are a few seats left for the November 18 session and more available for the January 14 session in Mississauga, Ontario.
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The Health and Safety Report, a free monthly newsletter produced by the Canadian Centre for Occupational Health and Safety (CCOHS), provides information, advice, and resources that help support a safe and healthy work environment and the total well being of workers.
© 2021, Canadian Centre for Occupational Health and Safety