Enhanced Program in Occupational Injury and Illness Sur*

描述（由申请人提供）：自1988年以来，密歇根州立大学与密歇根州社区卫生部和密歇根州劳动和经济增长部一起开展了以州为基础的职业安全和健康监测。本提案将继续并扩大这一活动。该提案将资助针对以下四种具体情况制定职业指标和监测计划的活动：(1)与工作相关的哮喘；(2)工作噪声性听力损失；(3)矽肺病;(4)急性农药病。自1988年至今，国家已经资助了与工作有关的哮喘项目，1988-1992年和2002年至今的矽肺病项目，以及1992年至今的与工作有关的NIHL项目。有了这笔资金，职业病报告从1988年以前的每年不到100份增加到每年1.5万至2万份。1993年至2001年，国家在没有SENSOR基金的情况下继续进行矽肺病监测，2000年至2002年继续进行与工作有关的国民健康状况监测。国家于2001年启动了急性农药病监测。自开始监测以来，已确认有2,074例与工作有关的哮喘、924例矽肺病、23,771例与工作有关的NIHL和183例急性农药中毒。开展工业卫生回访检查785次，走访8443名职工。确认程序、工业卫生检查和同事面谈将继续进行。该州156家急症护理医院100%报告了病例。编写了两份季度通讯（共85份不同的通讯）和每年4份年度报告（共59份不同的报告），并邮寄给大约4 000名目标医生和保健专业人员。将继续积极开展外联活动，鼓励报告工作。将继续开展的其他活动包括在医学会议上介绍和展示摊位，在医学文献中发表论文，并与医疗许可委员会等其他州组织合作，宣传密歇根州的职业病报告法。还将继续评估我们改善工作条件的努力的有效性。此外，除了上述基本监测外，我们还将扩大我们的外联、跟踪和评估活动。计划的新活动包括：扩大我们对工人补偿数据的使用，开展

DESCRIPTION (provided by the 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 proposal will fund activity to generate the occupational indicators and surveillance programs for four specific conditions: (1) work-related asthma; (2) work-related noise induced hearing loss (NIHL); (3) silicosis; and (4) acute pesticide illness. The state has had SENSOR funded projects in work-related asthma since 1988 to date, silicosis from 1988-1992 and 2002 to date and work-related NIHL from 1992 to date. 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 continued silicosis surveillance without SENSOR funds from 1993 to 2001 and work-related NIHL from 2000 to 2002. The State initiated acute pesticide illness surveillance in 2001. Since initiation of surveillance 2,074 cases of work-related asthma, 924 cases of silicosis, 23,771 cases of work-related NIHL and 183 cases of acute pesticide poisoning have been confirmed. Seven hundred and eighty-five follow back industrial hygiene inspections have been conducted, and 8,443 fellow workers interviewed during these inspections. The confirmation process, industrial hygiene inspections and fellow worker interviews will be continued. There has been 100% reporting from the 156 acute care hospitals in the state. Two quarterly newsletters (total 85 different newsletters) and 4 annual reports per year (total 59 different reports) have been written and mailed out to approximately 4,000 targeted physicians and health care professionals. Active outreach to encourage reporting will be continued. Additional activity that will continue will include presentations and display booths at medical meetings, publishing papers in the medical literature and working with other state organizations such as the medical licensing board to publicize Michigan's occupational disease reporting law. 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, follow back and evaluation activity. New activity planned includes: expanding our use of workers' compensation data, conducting follow back interviews of previously confirmed asthma cases and fellow workers, projects on under reporting, evaluation of OSHA inspections for following up reported cases, projects on special populations, implementing new reporting requirements for cholinesterase, arsenic, cadmium and mercury, and a strategic plan for hearing loss.