Expanded Occupational Health Surveillance in Massachusetts

马萨诸塞州公共卫生部职业健康监测 计划（OHSP）建议利用其丰富的经验和合作伙伴网络， 继续并加强职业健康监测扩大方案， 预防该计划的首要目标是减少工作的发生率和严重程度- 相关的伤害和疾病，并改善工人的健康在马萨诸塞州。这一建议 州政府机构领导层的大力支持，并利用了更多的州和联邦 以补充其核心监督资金。 与工作有关的伤害和疾病是可以预防的。虽然马萨诸塞州已经使 在改善工人健康和安全方面取得的进展，与工作有关的伤害和疾病仍然是一个 严重的公共卫生威胁。每周都有一到两名工人受到致命伤害， 马萨诸塞州。对于每一个死亡，估计有890个非致命的伤害和疾病 据雇主报告，每年有86 000多起工伤和疾病。 以前的研究表明，真实的数字要高得多。如已经 最近的COVID-19表明，这一负担不成比例地福尔斯在低工资工人身上， 主要是移民和有色人种工人，他们往往从事更危险的工作。 与工作有关的伤害和疾病给工人造成严重的健康和经济损失， 家庭、雇主和社会。虽然马萨诸塞州的全部费用尚未计算， 2018年，马萨诸塞州的工人赔偿福利超过12.6亿美元。 本提案的目的是继续和加强OHSP的基础项目 以及目前资助的三个扩大项目，以满足国家的确定需求。 OHSP建议扩大基础项目的范围，以提供更多的交叉- 就复杂的不断变化的问题进行项目协调和部门内协作，例如 2019冠状病毒病和健康公平。该提案建立在我们对服务不足的工人的承诺之上 通过使用健康公平框架来指导我们的工作。该提案将扩大OHSP的能力， 利用卫生信息学并与合作伙伴合作， 消除不安全的工作条件，减轻其对工人健康和生活质量的影响。 OHSP建议继续并加强其关于工人死亡的三个扩展项目， 卫生保健工作者和与工作有关的呼吸道疾病。最终，扩大 该计划将减少MA工作场所的危险，改善工人健康， 成本

The Massachusetts Department of Public Health’s Occupational Health Surveillance Program (OHSP) is proposing to build on its extensive experience and network of partners to continue and enhance the Expanded Program for occupational health surveillance and prevention. The overarching aim of the program is to reduce the incidence and severity of work- related injuries and illnesses and improve worker health in Massachusetts. This proposal has strong support from state agency leadership and has leveraged additional state and federal resources to supplement its core surveillance funding. Work-related injuries and illnesses are preventable. While Massachusetts has made progress in improving worker health and safety, work-related injuries and illnesses remain a significant public health threat. One to two workers are fatally injured each week in Massachusetts. For every fatality, there are an estimated 890 nonfatal injuries and illnesses reported by employers, amounting to over 86,000 work-related injuries and illnesses per year. Previous studies have demonstrated that the true number is much higher. As has been demonstrated recently with COVID-19, this burden falls disproportionately on low wage workers, primarily immigrants and workers of color, who are often employed in more dangerous jobs. Work-related injuries and illnesses have serious health and economic costs for workers, their family, employers, and society. While the full costs in Massachusetts have not been calculated, over $1.26 billion dollars were paid in Massachusetts Workers’ Compensation benefits in 2018. The purpose of this proposal is to continue and enhance OHSP’s Fundamental Project and three of its currently funded Expanded Projects to meet the identified needs of the state. OHSP proposes broadening the scope of the Fundamental Project to provide more cross- project coordination and intra-departmental collaboration on complex evolving issues, such as COVID-19 and health equity. The proposal builds on our commitment to underserved workers by using a health equity framework to guide our work. This proposal will expand OHSP’s ability to use health informatics and to collaborate with partners in order to identify and respond to unsafe work conditions and ameliorate their impact on the health and quality of life of workers. OHSP proposes to continue and enhance its three Expanded Projects on worker fatalities, health care workers, and work-related respiratory diseases. Ultimately, the proposed Expanded Program will lead to reductions in hazards in MA workplaces, improved worker health, and lower costs.