Enhancing State-Based Occupational Health Surveillance Capacity

 职业伤害和职业病是重大的公共卫生问题。每年在美国，数以千计的工人在工作中受到致命伤害。与工作有关的疾病更难以衡量，造成巨大的人力和经济代价。这些疾病和伤害是可以预防的。使工作场所更安全、更健康的成功方法开始是掌握了解问题所需的信息。基于国家的监测（SBS）计划可以提供急需的职业病和伤害的数据，并产生必要的信息，以增加和评估传统的数据源。各国可以积极地将监测结果与工作场所和社区的干预工作联系起来，利用国家干预资源以及与能够利用监测数据采取行动的机构和社区伙伴的日常工作关系。州和地区流行病学家理事会向各州提供了技术援助，以建设职业健康能力，并通过提供州职业健康监测信息和数据的中央储存库，促进州监测数据的使用。国家科技教育委员会加强了其网站，使所有州都能获得指标数据，向能力最低或没有能力的州通报生成这些数据的便利性和实用性，并分享联系信息和州OH方案及其报告和工具的链接。CSTE职业健康和安全小组委员会制定并实施了各种活动，以协助各州向多个受众传达有关州方案的作用以及其努力如何有助于改善工人健康和安全的信息。该提案强调了州职业公共卫生计划之间以及这些州计划与国家职业安全与健康研究所（NIOSH）之间在OHS方面持续合作的重要性和必要性，以提高全国的OHS能力。拟议的活动涉及五个具体目标，通过州和地区流行病学家理事会的组织结构，扩大了近15年来一直在开展的活动。拟议目标包括：与NIOSH合作，开发和维护OHI方法和数据;开发指导、“模型”产品、成功案例和其他沟通策略;将OHS和预防纳入更广泛的公共卫生实践;为会议和研讨会提供差旅支持，以提高NIOSH资助和未资助的州方案的能力;促进州、地区和国家的合作，以提高美国的OHS能力。

 DESCRIPTION (provided by applicant): Project Summary/Abstract Occupational injuries and illnesses are significant public health problems. Each year in the U.S., thousands of workers are fatally injured at work. Work-related disease is more difficult to measure and impose substantial human and economic costs. However, these injuries and illnesses can be prevented. Successful approaches to making workplaces safer and healthier begin with having the information necessary to understand the problem. State-based surveillance (SBS) programs can provide critically needed data on occupational disease and injuries and generate information necessary to augment and evaluate conventional data sources. States can actively link surveillance findings with intervention efforts at the worksite and the community, drawing on state-based intervention resources and day-to-day working relationships with agency and community partners who can use surveillance data to take action. The Council of State and Territorial Epidemiologists (CSTE) has provided states with technical assistance to build occupational health (OH) capacity and promote the use of state surveillance data by providing a central repository for state-based occupational health surveillance (OHS) information and data. CSTE has enhanced its website to provide all states with access to indicator data, inform states with minimal or no capacity about the ease and utility of generating these data, and share contact information and links to state OH programs and their reports and tools. The CSTE OHS Subcommittee has developed and implemented a variety of activities to assist states in reaching multiple audiences with messages about what the state programs do and how their efforts contribute to improved health and safety for workers. This proposal addresses the importance and need for ongoing collaborations in OHS among state occupational public health programs and between these state programs and the National Institute for Occupational Safety and Health (NIOSH) to improve OHS capacity in the nation. The proposed activities, which address five Specific Aims, expand on activities that have been ongoing for nearly 15 years through the organizational structure of the Council of State and Territorial Epidemiologists (CSTE). Proposed objectives include: collaboration with the NIOSH to develop and maintain OHI methods and data; development of guidance, `model' products, success stories, and other communication strategies; integration of OHS and prevention into broader public health practice; provision of travel support for meetings and workshops that build capacity in NIOSH-funded and unfunded state programs; and promotion of state, regional, and national collaboration to increase OHS capacity in the U.S.