North Carolina Occupational Health Surveillance Expanded Program - Fundamental-Enhanced Component and Chemical Exposure Surveillance Expanded Project

化学品暴露监测扩展计划的项目摘要 2018 年，美国中毒控制中心收到 210 万起中毒事件报告； 31,316 报告将打电话的原因列为职业原因。工作场所造成的伤害和疾病 化学品暴露是可以预防的。改善工作场所安全的成功干预措施 首先要有了解问题严重性所需的数据。 北卡罗来纳州采用多管齐下的监测方法来应对化学品泄漏和 暴露，重点是监测和预防职业伤害。三 监测系统协同工作，监测紧急化学品释放和暴露 两种普遍存在的有害物质——一氧化碳和农药。这个数据是 用于为特定事件的及时公共卫生反应和干预提供信息。 北卡罗来纳州正在寻求扩大资金来监测以下化学品暴露： 1. 综合化学品暴露监测，包括急性农药中毒化学品 排放和职业一氧化碳中毒纳入统一的软件平台 以获得更有效的响应。 2. 提高进行化学品后续访谈和转介的能力 接触，包括职业性一氧化碳中毒、农药中毒。 3. 提供应急响应支持和多学科职业健康 保护公众健康和员工的咨询。 4. 维护、开发和促进以新兴职业为重点的合作项目 与坚定的州内合作伙伴网络一起实施健康监测优先事项。 5. 与州外区域和国家合作伙伴合作，设计和推广最佳 职业监视实践。 州一级的公共卫生监测受到了 COVID-19 的巨大影响 大流行。自 2020 年 1 月以来，我们已部署工作人员参与应对工作， 延迟了我们的一些例行监视活动。然而，人们认识到职业 在 COVID-19 期间，健康影响受到更多国家关注和公众认识 大流行。尽管许多地方缺乏行业、职业、种族和民族信息 数据来源限制了我们作为公共卫生专业人员充分应对疫情的能力 大流行期间，我们可以在国家认可的基础上创新监测和改进的方式 本县职业健康状况。

Project Abstract for Expanded Program in Chemical Exposure Surveillance In 2018, 2.1 million poisoning exposures were reported to US Poison Control Centers; 31,316 reports listed the reason for the call as occupational. Workplace injuries and illness caused by chemical exposures are preventable. Successful interventions to improve workplaces safety begin with having the data necessary to understand the magnitude of the problem. North Carolina uses a multipronged surveillance approach to respond to chemical releases and exposures, with an emphasis on monitoring and preventing occupational injuries. Three surveillance systems work together to monitor emergency chemical releases and exposures to two ubiquitous and harmful substances – carbon monoxide and pesticides. This data is leveraged to inform timely public health response and intervention for specific incidents. North Carolina is seeking expanded funding in surveillance of chemical exposures to: 1. Integrate chemical exposure surveillance, include acute pesticide poisonings chemical releases, and occupational carbon monoxide poisonings into a unified software platform for more effective response. 2. Increase capacity to conduct follow-back interviews and referrals for chemical exposures, including occupational carbon monoxide poisonings, pesticide poisonings. 3. Provide emergency response support and multidisciplinary occupational health consultations to protect public health and employees. 4. Maintain, develop and promote collaborative projects focused on emerging occupational health surveillance priorities with a committed network of in-state partners. 5. Work with out-of-state regional and national partners to design and promote best practices for occupational surveillance. Public health surveillance at the state levels has been greatly impacted by the COVID-19 pandemic. Our staff have been deployed to the response since January 2020, which has delayed several of our routine surveillance activities. However, the recognition that occupation impacts health has received more national attention and public awareness during the COVID-19 pandemic. Although the lack of industry, occupation, race, and ethnicity information in many data sources has limited our ability as public health professionals to adequately respond to the pandemic, we can build on the national recognition to innovate how we monitor and improve occupational health in this county.