title: Social and economic impact of neurotoxicity in hazardous waste workers in Lenoir, North Carolina.
abstract: A detailed study of workers at a hazardous waste incinerator in Lenoir, North Carolina, revealed significant financial losses resulting from health problems caused by the incinerator. The losses included approximately $3 million for 3 years of medical care for 28 workers employed at the incinerator. Future wage losses for exposed workers were projected to be from $14 million to $15 million. Loss of the incinerator as a viable employment base was a significant blow to the local economy. Third-party payers of medical costs, government and private, were also at risk of financial loss. Workers' compensation benefits ranging from $6500 to $274,000 per person were paid by insurance companies to some workers; however, these benefits did not always cover the medical expenses incurred. As a result of their illnesses, 11 of the 28 workers (39%) had to sell or give up their homes, 8 workers (36%) lost their vehicles, 19 workers (68%) began to receive Social Security Disability payments, and 11 workers (39%) obtained food stamps. One worker not included in these figures died 3 years after he settled with the state workers' compensation program. Five of the 28 interviewed workers continue to work in spite of continuing health problems. The 23 workers who cannot work will have estimated lifetime medical expenses of $25.4 million.
authors.affiliation: Med-Health Clinic Ltd. and Environmental and Occupational Medical Research Institute, Lafayette, Louisiana 70503, USA.
authors.forename: T J
authors.initials: TJ
authors.lastname: Callender
authors.forename: M
authors.initials: M
authors.lastname: Ristovv
authors.forename: M
authors.initials: M
authors.lastname: Guerra
authors.forename: R
authors.initials: R
authors.lastname: Ruttenberg
mesh_terms: D000395:Air Pollutants, Occupational / Q000506:poisoning*; D017281:Cost of Illness; D006233:Persons with Disabilities / Q000523:psychology; D006256:Hazardous Waste; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D009314:National Institute for Occupational Safety and Health, U.S.; D009420:Nervous System / Q000187:drug effects*; D009657:North Carolina; D011041:Poisoning / Q000191:economics / Q000523:psychology; D012943:Social Security; D013315:Stress, Psychological; D014481:United States; D014484:United States Environmental Protection Agency; D014942:Workers' Compensation
chemical_list: D000395:Air Pollutants, Occupational; D006256:Hazardous Waste