Enhanced Program in Occupational Injury and Illness Surveillance

描述(由申请人提供)：密歇根州立大学与密歇根州社区卫生部门和密歇根州劳动和经济增长部自1988年以来一直在进行以州为基础的职业安全和健康监测。这项提议将继续并扩大这项活动。这项竞争性补充提案将为两种特定情况下的监测项目提供资金：(1)与工作相关的致命伤害和(2)与工作相关的噪音导致的听力损失(NIHL)。自1988年以来，该州一直有NIOSH资助的监控项目。有了这笔资金，职业病报告从1988年之前的每年不到100份增加到每年15,000-20,000份。1992年至2000年和2002年至今，国家卫生和社会服务部资助了与工作有关的NIHL项目，自2002年以来一直有与工作有关的致命伤害项目。2000年至2002年，密歇根州利用州基金进行了工伤致命伤害监测，2000年至2002年，在没有NIOSH资金的情况下，继续监测与工伤有关的NIHL。自开始监测以来，已确认605例与工作有关的致命伤害和24706例与工作有关的非霍奇金淋巴瘤病例。进行了66次死亡调查和122次NIHL，随后进行了工业卫生检查。确认过程、工业卫生检查和死亡调查将继续进行。已经并将在今后维护一个已准备好所有材料的网站。编写了79份死亡摘要、6份危险警报、1份关于非霍奇金淋巴瘤的季度通讯(共30份不同通讯)和每年2份年度报告(共16份不同报告)，并向大约4 000名目标保健和安全保健专业人员分发。将继续积极开展外联活动，鼓励报道国际人道主义法。其他将继续的活动将包括在医疗、健康和安全会议上进行演示和展示摊位，发表医学文献中的论文，以及与其他州组织合作，如医疗和听力许可委员会，宣传密歇根州的职业病报告法。积极传播与工伤有关的材料和预防性干预将继续是我们计划的一个组成部分。还将继续评估我们改善工作条件的努力的成效。除了上述基本监测外，我们还将扩大我们的外联、后续行动和评估活动。为NIHL计划的新活动包括：扩大我们对工人补偿数据的使用，关于报告不足的项目，评估OSHA对跟踪报告病例的检查，以及听力损失战略计划。为与工作有关的致命伤害计划的新活动包括：一个解决临时雇员死亡问题的项目，以及工程专业学生的参与。

DESCRIPTION (provided by applicant): Michigan State University in conjunction with the Michigan Department of Community Health and the Michigan Department of Labor and Economic Growth has been conducting state-based occupational safety and health surveillance since 1988. This proposal will continue and expand this activity. This competitive supplement proposal will fund surveillance programs for two specific conditions: (1) work-related fatal injuries and (2) work-related noise induced hearing loss (NIHL). The state has had NIOSH funded surveillance projects since 1988. With this funding occupational disease reporting has increased from less than 100 reports a year prior to 1988 to 15,000-20,000 reports a year. The state has had NIOSH funded projects in work-related NIHL from 1992 to 2000 and 2002 to date and work-related fatal injuries since 2002. Michigan conducted work-related fatal injury surveillance with state funds from 2000 to 2002 and continued surveillance without NIOSH funds for work-related NIHL from 2000 to 2002. Since initiation of surveillance, 605 work-related fatal injuries and 24,706 cases of work-related NIHL have been confirmed. Sixty-six fatality investigations and 122 NIHL follow back industrial hygiene inspections have been conducted. The confirmation process, industrial hygiene inspections and fatality investigations will be continued. A website with all the material prepared has been and will be maintained in the future. Seventy-nine fatality summaries, 6 hazard alerts, one quarterly newsletter (total 30 different newsletters) on NIHL and 2 annual reports per year (total 16 different reports) have been written and distributed to approximately 4,000 targeted health and safety and health care professionals. Active outreach to encourage reporting of NIHL will be continued. Additional activity that will continue will include presentations and display booths at medical and health and safety meetings, publishing papers in the medical literature and working with other state organizations such as the medical and audiology licensing board to publicize Michigan's occupational disease reporting law. Active dissemination of material derived from work-related fatal injuries and preventive intervention will continue to be an integral part of our program. Evaluation of the effectiveness of our effort to improve working conditions will also continue. In addition to the above basic surveillance, we will be expanding our outreach, followback and evaluation activity. New activity planned for NIHL includes: expanding our use of workers' compensation data, projects on under reporting, evaluation of OSHA inspections for following up reported cases, and a strategic plan for hearing loss. New activity planned for work-related fatal injuries includes: a project to address fatalities in temporary employees, and involvement of engineering students.