Expanded Occupational Health Surveillance in Massachusetts

马萨诸塞州公共卫生部的职业健康监测 OHSP计划(OHSP)建议以其丰富的经验和合作伙伴网络为基础 继续和加强扩大的职业健康监测和 预防。该计划的总体目标是减少工作的发生率和严重性- 相关伤害和疾病，并改善马萨诸塞州的工人健康。这项建议具有 得到州机构领导层的大力支持，并利用额外的州和联邦 用于补充其核心监测资金的资源。 工伤和疾病是可以预防的。而马萨诸塞州已经取得了 在改善工人健康和安全、工伤和疾病方面的进展仍然是 严重的公共卫生威胁。每周有一到两名工人受重伤 马萨诸塞州。每一起死亡事件中，估计有890起非致命性伤害和疾病 据雇主报告，每年因工受伤和患病的人数超过86 000人。 此前的研究表明，真实数字要高得多。一如既往 新冠肺炎最近的例子表明，这一负担主要落在了低薪工人身上。 主要是移民和有色人种工人，他们经常受雇于更危险的工作。 工伤和疾病给工人带来了严重的健康和经济代价，他们的 家庭、雇主和社会。虽然马萨诸塞州的全部成本还没有计算出来， 2018年，马萨诸塞州的工人补偿福利支付了超过12.6亿美元。 这项建议的目的是继续和加强OHSP的基础项目 它目前资助的三个扩大项目，以满足国家确定的需求。 OHSP建议扩大基础工程的范围，以提供更多交叉项目- 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 新冠肺炎和健康股权。这项提议建立在我们对未得到充分服务的工人的承诺之上 通过使用卫生公平框架来指导我们的工作。这项提议将扩大OHSP的能力 使用卫生信息学并与合作伙伴协作，以确定和应对 不安全的工作条件，并改善其对工人健康和生活质量的影响。 OHSP提议继续并加强其关于工人死亡的三个扩大项目， 卫生保健工作者，以及与工作有关的呼吸系统疾病。最终，拟议的扩展 该计划将减少MA工作场所的危险，改善工人的健康，并降低 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.