Washington Occupational Injury and Illness Surveillance Program

项目主任/首席调查员(最后、第一、中间)：Wellner、Sara、E/Bonaut、David、K 扩展计划项目摘要 公共卫生监测是持续、系统地收集、分析、解释和传播 关于卫生事件的数据，用于公共卫生行动，以减少发病率和死亡率，并改善 健康。以州为基础的职业安全和健康监测项目处于独特的地位 国家特定的数据来源，并确定新出现的职业健康和安全问题。 华盛顿的研究和监视行动基于数据，来自多个咨询小组的输入， 以及利用公众、媒体或其他职业领域正在兴起的兴趣的机会 安全和健康。基于数据的研究优先顺序受以下因素的影响： 建议监测的条件，如与工作有关的肌肉骨骼疾病和工作场所创伤 受伤死亡。认识到许多工伤和疾病未向数据系统报告 确定职业病和职业暴露监测优先顺序的因素(例如我们的建议 对于呼吸系统疾病和有害的职业接触铅)。此外，这一负担 职业暴露、伤害和疾病在劳动人口中不是平均分担的，有种族差异 少数民族因职业原因可能遭受较高的职业伤害和患病率 隔离到风险较高的职业和行业。最后，通常存在数据差距，例如识别 职业对传染病的贡献，这影响了我们监测项目的优先顺序。 考虑到这些因素，在本研究方案中，我们打算做以下工作： 1.从利益相关者的投入中，用数据确定和应对新出现的职业安全和健康问题。 2.填写CSTE职业健康指标，描述职业暴露、伤害和 华盛顿的疾病。 3.建立职业性截肢监控系统。创建后，使用系统进行评估 我们的州OSHA采取行动防止此类伤害并简化改进的报告系统 截肢给监管机构。 4.领导改进关于应呈报传染病的行业和职业编码的努力，并确定 工作场所传染病聚集性。 5.继续华盛顿的ABLES计划，评估工作场所铅暴露政策的变化。 6.实施扩大的方案监测项目，解决与工作有关的致命职业伤害问题 肌肉骨骼疾病，职业性呼吸系统疾病，以及确定种族和民族差异 职业伤害率和患病率。 OMB编号0925-0001/0002(批准的第03/2020版至2023年2月28日)续页格式页

Program Director/Principal Investigator (Last, First, Middle): Wuellner, Sara, E/Bonauto, David, K Expanded Program Project Summary Public health surveillance is the ongoing systematic collection, analysis, interpretation and dissemination of data regarding a health event for use in public health action to reduce morbidity and mortality and to improve health. State-based occupational safety and health surveillance programs are in a unique position to utilize state-specific data sources and identify emerging occupational health and safety issues. Washington’s research and surveillance actions are based on data, input from multiple advisory groups, and opportunities to take advantage of emerging interest from the public, press, or others in occupational safety and health. Data based prioritization of research is influenced by the magnitude, severity, and cost of conditions proposed for surveillance, such as work-related musculoskeletal disorders and workplace traumatic injury fatalities. Recognition that many work-related injuries and illnesses are underreported to data systems factors into surveillance prioritization for occupational disease and occupational exposures (e.g. our proposals for respiratory disease and for hazardous occupational exposures to lead). Moreover, the burden of occupational exposures, injuries, and illnesses are not shared equally across the working population with racial and ethnic minorities likely suffering higher occupational injury and illness rates due to occupational segregation into higher risk occupations and industries. Finally, there are often data gaps, like identifying occupational contributions to infectious diseases, which influence our prioritization of surveillance projects. With these factors in mind, in this research proposal, we intend to do the following: 1. From stakeholder input identify and respond to emerging occupational safety and health issues with data. 2. Complete the CSTE occupational health indicators to describe occupational exposures, injuries, and illnesses in Washington. 3. Create an occupational amputations surveillance system. Following creation, use the system to evaluate our state OSHA actions to prevent such injuries and streamline a system of improved reporting of amputations to regulatory authorities. 4. Lead efforts to improve industry and occupation coding on notifiable infectious diseases and identify workplace infectious disease clusters. 5. Continue Washington’s ABLES program and evaluate changes to the workplace lead exposure policies. 6. Implement expanded program surveillance projects, addressing fatal occupational injuries, work-related musculoskeletal disorders, occupational respiratory disease, and identifying racial and ethnic disparities in occupational injury and illness rates. OMB No. 0925-0001/0002 (Rev. 03/2020 Approved Through 02/28/2023) Page Continuation Format Page