Saturday, November 1, 2008

Insects and Scorpions

Insects and Scorpions

Stinging or biting insects or scorpions can be hazardous to outdoor workers. Stinging or biting insects include bees, wasps, hornets, and fire ants. Outdoor workers at risk of exposure to them include farmers, foresters, landscapers, groundskeepers, gardeners, painters, roofers, pavers, construction workers, laborers, mechanics, and any other workers who spend time outside.

The health effects of stinging or biting insects or scorpions range from mild discomfort or pain to a lethal reaction for those workers allergic to the insect’s venom. Anaphylactic shock is the body’s severe allergic reaction to a bite or sting and requires immediate emergency care. Thousands of people are stung by insects each year, and as many as 90–100 people in the United States die as a result of allergic reactions. This number may be underreported as deaths may be mistakenly diagnosed as heart attacks or sunstrokes or may be attributed to other causes.

It is important for employers to train their workers about their risk of exposure to insects and scorpions, how they can prevent and protect themselves from stings and bites, and what they should do if they are stung or bitten.

Bees, Wasps, and Hornets


Photos courtesy of Gary Alpert (1) and U.S. Department of Agriculture (2 & 3)

Bees, wasps, and hornets are most abundant in the warmer months. Nests and hives may be found in trees, under roof eaves, or on equipment such as ladders.

U.S. Geographic Region

Bees, wasps, and hornets are found throughout the United States.

Recommendations for Protecting Workers

Employers should protect their workers from stinging insects by training them about:

  • Their risk of exposure
  • Insect identification
  • How to prevent exposure
  • What to do if stung
Preventing Insect Stings

Workers should take the following steps to prevent insect stings:

  • Wear light-colored, smooth-finished clothing.
  • Avoid perfumed soaps, shampoos, and deodorants.
    • Don't wear cologne or perfume.
    • Avoid bananas and banana-scented toiletries.
  • Wear clean clothing and bathe daily. (Sweat may anger bees.)
  • Wear clothing to cover as much of the body as possible.
  • Avoid flowering plants when possible.
  • Keep work areas clean. Social wasps thrive in places where humans discard food.
  • Remain calm and still if a single stinging insect is flying around. (Swatting at an insect may cause it to sting.)
  • If you are attacked by several stinging insects at once, run to get away from them. Bees release a chemical when they sting, which may attract other bees.
    • Go indoors or jump into water.
    • A shaded area is better than an open area to get away from the insects.
  • If a bee comes inside your vehicle, stop the car slowly, and open all the windows.
  • Workers with a history of severe allergic reactions to insect bites or stings should consider carrying an epinephrine auto injector (EpiPen) and should wear a medical identification bracelet or necklace stating their allergy.
First Aid

If a worker is stung by a bee, wasp, or hornet:

  • Have someone stay with the worker to be sure that they do not have an allergic reaction.
  • Wash the site with soap and water.
  • Remove the stinger using gauze wiped over the area or by scraping a fingernail over the area.
    • Never squeeze the stinger or use tweezers.
  • Apply ice to reduce swelling.
  • Do not scratch the sting as this may increase swelling, itching, and risk of infection

Venomous Spiders

Venomous Spiders

Black widow Brown recluse Hobo spider
Photos courtesy of University of Missouri (black widow), Ohio State University (brown recluse), and Washington State University (hobo spider)

Overview

Venomous spiders found in the United States include the black widow, brown recluse, and hobo spiders. They can be dangerous to outdoor workers including farmers, foresters, landscapers, groundskeepers, gardeners, painters, roofers, pavers, construction workers, laborers, mechanics, and any other worker who spends time outside. These spiders occasionally find their way inside structures or buildings and can also present a risk to indoor workers including machine operators, janitors, and cashiers (Bureau of Labor Statistics Monthly Review - Insects bites, stings cause thousands of workplace injuries). Spiders are usually not aggressive and most bites occur because a spider is trapped or unintentionally contacted. It is important for employers to educate their workers about their risk of exposure to venomous spiders, how they can prevent and protect themselves from spider bites, and what they should do if they are bitten.

Types of Venomous Spiders

Black Widows | Brown Recluse Spiders | Hobo Spiders

Black Widows


Photos courtesy of Ohio State University and University of Missouri

Black widow spiders are found throughout North America, but are most common in the southern and western areas of the United States. They are identified by the pattern of red coloration on the underside of their abdomen. They are usually found in workplaces containing undisturbed areas such as woodpiles, under eaves, fences, and other areas where debris has accumulated. They may also be found living in outdoor toilets where flies are plentiful.

Black widow spiders build webs between objects, and bites usually occur when humans come into direct contact with these webs. A bite from a black widow can be distinguished from other insect bites by the two puncture marks it makes in the skin. The venom is a neurotoxin that produces pain at the bite area and then spreads to the chest, abdomen, or the entire body.

Brown Recluse Spiders


Photos courtesy of Ohio State University and Texas A&M

The brown recluse spider, also known as the violin spider, is most commonly found in the Midwestern and southern states of the United States. It is brown in color with a characteristic dark violin-shaped (or fiddle-shaped) marking on its head and has six equal-sized eyes (most spiders have eight eyes). Brown recluse spiders are usually found in workplaces with secluded, dry, sheltered areas such as underneath structures logs, or in piles of rocks or leaves. If a brown recluse spider wanders indoors, they may be found in dark closets, shoes, or attics.

The brown recluse spider cannot bite humans without some form of counter pressure, for example, through unintentional contact that traps the spider against the skin. Bites may cause a stinging sensation with localized pain. A small white blister usually develops at the site of the bite. The venom of a brown recluse can cause a severe lesion by destroying skin tissue (skin necrosis). This skin lesion will require professional medical attention.

Hobo Spiders


Photos courtesy of Washington State University

The hobo spider is found throughout the Pacific Northwest. It is large and brown with a distinct pattern of yellow markings on its abdomen. Unlike many other similar looking spiders, hobo spiders do not have dark bands on their legs. To catch their prey, hobo spiders build funnel webs in holes, cracks, and recesses. They may be found in outdoor workplaces with retaining walls, and in foundations, window wells, and stacks of firewood and bricks. Indoors, they can nest between boxes or other storage items, on window sills, under baseboard heaters or radiators, behind furniture, and in closets. Hobo spiders do not climb like most spiders but are fast runners. These spiders are much more likely to attack if provoked or threatened. The bite of a hobo spider may go unnoticed; however a moderate to severe, slow-healing wound will develop.

Symptoms

Symptoms associated with spider bites can vary from minor to severe. Although extremely rare, death can occur in the most severe cases. Possible symptoms resulting from a spider bite include the following:

  • Itching or rash
  • Pain radiating from the site of the bite
  • Muscle pain or cramping
  • Reddish to purplish color or blister
  • Increased sweating
  • Difficulty breathing
  • Headache
  • Nausea and vomiting
  • Fever
  • Chills
  • Anxiety or restlessness
  • High blood pressure

Recommendations for Protecting Workers

Employers should protect their workers from spider bites by training them on:

  • Their risk of exposure to spiders
  • How to identify spiders
  • How to prevent exposure to spiders
  • What they should do if they are bitten by a spider

Prevention

Workers can take the following preventive steps:

  • Inspect or shake out any clothing, shoes, towels, or equipment before use.
  • Wear protective clothing such as a long-sleeved shirt and long pants, hat, gloves, and boots when handling stacked or undisturbed piles of materials.
  • Minimize the empty spaces between stacked materials.
  • Remove and reduce debris and rubble from around the outdoor work areas.
  • Trim or eliminate tall grasses from around outdoor work areas.
  • Store apparel and outdoor equipment in tightly closed plastic bags.
  • Keep your tetanus boosters up-to-date (every 10 years). Spider bites can become infected with tetanus spores.

First Aid

Workers should take the following steps if they are bitten by a spider:

  • Stay calm. Identify the type of spider if it is possible to do so safely. Identification will aid in medical treatment.
  • Wash the bite area with soap and water.
  • Apply a cloth dampened with cold water or filled with ice to the bite area to reduce swelling.
  • Elevate bite area if possible.
  • Do not attempt to remove venom.
  • Notify your supervisor.
  • Immediately seek professional medical attention.