Core Occupational Health Surveillance in Massachusetts

描述：与工作有关的伤害和疾病是一个重大的公众 在美国的健康问题，造成大量的人力和经济 成本对与工作有关的疾病、伤害和危险的监测是 确定研究优先事项以及确定目标、设计和评价 预防工作。国家和地方需要监督， 国家一级。马萨诸塞州公共卫生部（MDPH）提议 制定、实施和评估核心职业健康监测 在州和地方一级促进预防的方案，可以作为一个 为其他州树立榜样。这一核心计划将包括监测多个 职业健康/危害终点。建议的具体目标 项目如下，分为四大类： 监督：1）完善高度优先的职业健康清单 应置于哨点病例监测之下的所有 2）为高优先级条件制定监督协议， 在马萨诸塞州实施监测; 3）评估 哨点事件监测活动，并修订示范核心方案; 基于人群的监测：4）描述现有基于人群的 关于健康状况、危险和可能 用于国家和地方一级的职业健康监测; 5） 分析重点数据集;准备和传播监测 报告; 6）评估这些不同的基于人口的相对效用 监测方法，并提出基于核心人群的 监测活动;干预和预防：7）继续和扩大 与预防合作伙伴建立工作关系，以促进监测的使用 在州和地方一级采取公共卫生行动的调查结果; 8）制定 改进监测结果的传播和使用的机制; 合作：9）与东北部的其他州合作，以获得他们的投入 界定职业健康监察的核心职能，并促进 发展国家职业健康监测能力; 10）制定一项 其他国家可使用/改编的一套书面“监督工具” 致力于核心项目的建设。MDPH将与NIOSH国家职业 监督联合会在制定最后报告和一套共识 关于核心职业健康监测活动的建议 美国。

DESCRIPTION: Work-related injuries and illnesses are a significant public health problem in the United States, imposing substantial human and economic costs. Surveillance of work-related illnesses, injuries and hazards is essential to establish research priorities and to target, design and evaluate prevention efforts. Surveillance is needed at the state and local as well as national levels. The Massachusetts Department of Public Health (MDPH) proposes to develop, implement, and evaluate a core occupational health surveillance program to promote prevention at the state and local levels that can serve as a model for other states. This core program will include surveillance of multiple occupational health/ hazard endpoints. The specific aims of the proposed project are as follows, falling into four major categories: Sentinel Event Surveillance: 1) refine the list of high priority occupational health conditions that should be placed under sentinel case surveillance in all states; 2) develop surveillance protocols for high priority conditions and implement surveillance in Massachusetts; 3) evaluate prevention impact of sentinel event surveillance activities, and revise model core program; Population-based Surveillance: 4) describe existing population-based sources of data on health conditions, hazards and the worker populations-at-risk that may be used for occupational health surveillance at the state and local levels; 5) conduct analyses of priority data sets; prepare and disseminate surveillance reports; 6) assess the relative utility of these different population-based approaches to surveillance, and propose schedule of core population-based surveillance activities; Intervention and Prevention: 7) continue and expand working relationships with prevention partners to promote use of surveillance findings for public health action at the state and local levels; 8) develop mechanisms to improve dissemination and use of surveillance findings; Regional Collaboration: 9) work with other states in the Northeast to obtain their input in defining core occupational health surveillance functions and to promote the development of state occupational health surveillance capacity; 10) produce a set of written "surveillance tools" that can be used/adapted by other states working to build core programs. MDPH will work with NIOSH State Occupational Surveillance Consortium in developing a final report and set of consensus recommendations regarding core occupational health surveillance activities in the states.