Independent report: Limitations of epidemiology when investigating occupations with a potential for significant vibration exposure: IIAC position paper 49

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Industrial Injuries Advisory Council

July 4

14:36 2023

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Limitations of epidemiology when investigating occupations with a potential for significant vibration exposure and PD A11, HAVS

Ref: Position paper 49 HTML

Limitations of epidemiology when investigating occupations with a potential for significant vibration exposure and PD A11, HAVS

Ref: Position paper 49 PDF, 4.48 MB, 21 pages

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This Industrial Injuries Advisory Council (IIAC) position paper reviews the epidemiology on hand-arm vibration syndrome (HAVS) in detail and outlines its limitations with regard to some occupational groups and vibrating tools.

The Command paper CP 868, Hand-arm vibration syndrome and assessment of vibration exposure reviewed two alternative approaches to assessing vibration exposure and exposure equivalence to those vibrating tools on the current list that have passed the causation question. The recommendation was to extend the list of tools in Schedule 1 of PDA11 despite the limited direct evidence of a doubling of relative risk in some tools.

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