continues to an unprec- edented the COVID-19 pandemic. Physical distancing has been identified as one of the methods of transmission. As a result, businesses, of were due to such measures as well as restrictions on travel and gatherings. from telework, and on-line meetings are now the norm. As businesses they will be for guidance on how to

Climate change is an urgent challenge amplified by socioeconomic factors that demands thoughtful public health responses from OEM professionals. This guidance statement from the American College of Occupational and Environmental Medicine focuses on the different strategies that these health professionals can implement to protect workers from health impacts associated with climate change hazards, foster workplace resilience in the face of rapidly changing environments, and take the necessary steps to mitigate the effects of global climate change.

Kathryn L. Mueller, MD, MPH, Thomas Warner Hudson III, MD, Daniel Bruns, PsyD, MA, Denise Zoe Algire, MBA, RN, COHNS-CM, William G. Buchta, MD, MPH, MS, Jennifer H. Christian, MD, MPH, Marianne Cloeren, MD, MPH, Rupali Das, MD, MPH, Michael Eisenhart, PT, Stephen A. Frangos, MD, MPH, Stephen Gillaspy, PhD, Richard Hammel, MD, MPH, Carol Havens, MD, Steven Marks, DNP, RN, APN, John Melvin, MD, X.J. Ethan Moses, MD, MPH, Stephen Persell, MD, MPH, Gary Pushkin, MD, Shelly Rodrigues, CAE, Bonnie Rogers, DrPH, COHN-S, Jill A. Rosenthal, MD, MPH, MA, Kenji Saito, MD, JD, Lori A. Schwartz, MD, Jeff Snodgrass, PhD, MPH, OTR, and C. Vaile Wright, PhD

Businesses are struggling to re-open as the world continues to deal with the coronavirus 2019 (COVID-19) pandemic. The reopening of businesses will require employers to implement safe return-to-work strategies through evaluation, testing, work modifications, and development of appropriate workplace policies. There will be unique challenges along the way as no one approach will be ideal for all workplaces and industries. This document is intended to provide return-to-work guidance for both employers and the occupational and environmental medicine physicians who will be supporting businesses in implementing safe return-to-work strategies.

: Over the decades, the workers' compensation system has provided many injured workers with a significant guarantee of both medical and financial support when they have been injured on the job. To be effective, workers' compensation systems at a minimum should include principles that require the addressing of medical causation, determination of an individual's functional ability both pre- and post-injury to include activity restrictions, return-to-work capability and disability, meeting jurisdiction-specific reporting requirements of the workers' compensation reporting requirements, and having knowledge of other perspectives of the various authorities and jurisdictions present in the United States. ACOEM lays out a description of various aspects of workers' compensations systems in the United States, with recommendations for minimal standards and best practices. This paper limits itself to the discussion of jurisdictions within the United States and ACOEM strongly recommends that providers consult directly with the states in which they are working as there are state variations in workers' compensation.