Construction Industry Grapples With Its Top Killer: Drug Overdose

Construction workers are more likely to die of overdose than workers in any other occupation, forcing the industry to rethink its approach to safety.

Construction workers already had the highest on-the-job death toll of any industry. Now they are more likely to die of overdose than those in any other line of work, according to a new analysis by the Centers for Disease Control and Prevention. That disparity stems in part from addictive medication workers are prescribed to manage pain from injuries, which are common because of the physical nature of the work.

It’s an issue that the industry — which is already trying to protect its workers from falls, electrocutions and chemical hazards — has struggled to get a handle on for more than a decade. The presentation at One Madison in November was just one example of how the industry has started reckoning with the problem in recent years. Unions now employ full-time addiction and mental health specialists, and workplace safety experts have increasingly had to focus on preventing overdoses.

The industry has the highest death rate attributed to overdose, according to the C.D.C. study, which was published in August. The report, the agency’s most comprehensive examination of overdose deaths by occupation, found that there were more than 162 overdose deaths per 100,000 construction workers in 2020, the most recent year for which data is available. The food service industry, with nearly 118 deaths among the same number of workers, had the second-highest rate.

But in the same year, the number of overall deaths on the job in construction was about 10 workers per 100,000, according to data from the Department of Labor, suggesting that workers were roughly 16 times as likely to die of an overdose as they were from a work-related injury.

Construction Industry Grapples With Its Top Killer: Drug Overdose - The New York Times (nytimes.com)