Expanded Occupational Health Surveillance in MA

描述（由申请人提供）：与工作有关的伤害和疾病是马萨诸塞州一个重要的公共卫生问题，造成了巨大的人力和经济成本。马萨诸塞州认识到，预防工伤和疾病是公共卫生的优先事项，需要以州为基础的监督，以促进州和地方各级的有效干预和预防活动。国家监测结果还可以填补国家一级职业健康监测的空白。马萨诸塞州公共卫生部的职业健康监测方案（OHSP）成立于1986年，收集、分析和传播有关工伤、疾病和危害的信息，以促进该州的预防工作。2005年夏天，马萨诸塞州公共卫生部获得NIOSH资助，用于实施扩大职业健康监测方案。扩大方案包括基本监测活动和三个重点监测和干预项目，涉及一个优先健康状况——医院工作人员的严重伤害，以及两个优先工人群体——18岁以下的工作青年、移民和少数民族工人。职业健康服务计划要求提供补充支助，以扩大这一扩大方案，以解决另外两种优先职业健康状况：创伤性职业死亡和与工作有关的哮喘。具体而言，OHSP建议继续并加强正在进行的马萨诸塞州死亡评估和控制评估（FACE）项目和马萨诸塞州与工作相关的哮喘监测系统，作为扩大计划的组成部分。这两个拟议项目的目标与扩大计划的总体目标是一致的，即减少马萨诸塞州工伤和疾病的发生率。拟议的活动包括马萨诸塞州FACE和与工作相关的哮喘项目以及扩展计划内的现有项目之间的创新和成本效益合作。这两个拟议的项目还建立在OHSP的基本活动基础上，促进与MDPH、州和地区利益相关者的伙伴关系。所有扩大方案的活动都将由职业健康服务计划咨询委员会指导，该委员会由当地职业健康专家和倡导者组成。

DESCRIPTION (provided by applicant): Work-related injuries and illnesses are a significant public health problem in Massachusetts, imposing substantial human and economic costs. Massachusetts recognizes the prevention of work-related injuries and illnesses as a public health priority and the need for state-based surveillance to promote effective intervention and prevention activities at the state and local levels. State surveillance findings can also fill gaps in occupational health surveillance at the national level. Established in 1986, the Occupational Health Surveillance Program (OHSP) in the Massachusetts Department of Public Health (MDPH) collects, analyzes and disseminates information about work-related injuries, illness and hazards to promote prevention efforts in the state. In the summer of 2005, the Massachusetts Department of Public Health was awarded NIOSH funding to implement an Expanded Occupational Health Surveillance Program. The Expanded Program includes fundamental surveillance activities and three focused surveillance and intervention projects addressing one priority health condition - sharps injuries to hospital workers, and two priority worker populations - working youths less than 18 years of age, and immigrant and minority workers. OHSP is requesting supplemental support to extend this Expanded Program to address two additional priority occupational health conditions: traumatic occupational fatalities and work-related asthma. Specifically, OHSP proposes to continue and enhance the ongoing Massachusetts Fatality Assessment and Control Evaluation (FACE) Project and the Massachusetts surveillance system for work-related asthma as integral components of the Expanded Program. The aims of the two proposed projects,are consistent with the overarching aim of the Expanded Program to reduce the incidence of work-related injuries and illnesses in Massachusetts. Proposed activities include innovative and cost effective collaborations between both Massachusetts FACE and the work-related asthma project and the existing projects within the Expanded Program. Both proposed projects also build on OHSP's fundamental activities promoting partnerships with stakeholders in MDPH, the state and the region. All Expanded Program activities will be guided by the OHSP Advisory Board comprised of local occupational health experts and advocates.