title: Occupational fatalities in Alaska: two decades of progress, 1990-1999 and 2000-2009.
abstract: BACKGROUND
  Alaska had the highest work-related fatality rate of any state during 1980-1989. The National Institute for Occupational Safety and Health established the Alaska Field Station (AFS) to address this problem.
  
  
  METHODS
  AFS established surveillance systems to provide scientific assessments of occupational hazards. Interventions were developed in collaboration with partners and evaluated.
  
  
  RESULTS
  During 2000-2009, Alaska experienced a 42.5% decline in work-related fatalities over the previous decade of 1990-1999. In 2009, the workplace fatality rate for Alaska was 5.6/100,000 workers. Commercial pilot deaths were reduced by 50% and Bering Sea crab fishing death rates were reduced by 60%. Building on this success, AFS established national programs to improve safety in the commercial fishing and oil and gas extraction industries.
  
  
  CONCLUSIONS
  A focused, epidemiological approach to reducing fatalities in high-risk occupations is effective. Ongoing commitment to this type of approach will assist in continued success in Alaska and elsewhere.
authors: Centers for Disease Control and Prevention/National Institute for Occupational Safety and Health/Alaska Pacific Office 4230 University Drive, Suite 310 Anchorage, Alaska 99508, USA. JLincoln@cdc.gov
authors: Jennifer M
authors: JM
authors: Lincoln
authors: Mary B
authors: MB
authors: O'Connor
authors: Kyla D
authors: KD
authors: Retzer
authors: Ryan D
authors: RD
authors: Hill
authors: Theodore D
authors: TD
authors: Teske
authors: Chelsea C
authors: CC
authors: Woodward
authors: Devin L
authors: DL
authors: Lucas
authors: Philip D
authors: PD
authors: Somervell
authors: Jason T
authors: JT
authors: Burton
authors: Nicolle A
authors: NA
authors: Mode
authors: Brad J
authors: BJ
authors: Husberg
authors: George A
authors: GA
authors: Conway
mesh_terms: D000062:Accidents, Occupational / Q000401:mortality*; D000413:Alaska / Q000453:epidemiology; D004332:Drowning / Q000401:mortality; D005398:Fisheries / Q000706:statistics & numerical data; D006801:Humans; D007221:Industry / Q000706:statistics & numerical data; D016272:Occupational Health; D061329:Oil and Gas Fields; D012189:Retrospective Studies; D012306:Risk; D012449:Safety; D017132:Workplace / Q000706:statistics & numerical data