Washington Occupational Surveillance Program

描述(由申请人提供)：这项扩大职业安全和健康监测的建议将导致使用NIOSH-CSTE愿景和模式加强监测活动，以建立一个全国性的基于州的职业伤害和疾病监测系统。这一扩大的方案提案包括一个基本方案和两个优先卫生项目--发展卡车运输业的职业伤害监测，以及扩大农药监测和预防项目。将在基本计划下开展以下工作：(1)建立监测咨询委员会，(2)对所有19项职业指标进行监测，(3)发布年度指标报告，(4)出版急性创伤损伤指标报告的附录，(5)参与监测联盟(COSS)--为更好地了解工人赔偿数据的使用提供领导，以及(6)通过既定的监测和预防项目，继续监测与工作相关的肌肉骨骼疾病、哮喘和住院烧伤。此外，还提出了在卡车运输行业开发职业伤害监测系统的建议。具体目标包括：(1)建立一个由管理层和劳工代表组成的卡车运输咨询小组，(2)公布卡车运输中伤害、趋势和成本的基线测量，(3)开发和实施一个监测系统，重点关注六种优先情况：上肢非创伤性肌肉骨骼疾病和下背部、坠落损伤、被伤害击中、腿部肌肉骨骼疾病、机动车碰撞损伤和受伤，(4)制定和实施案例和雇主跟踪协议，(5)对雇主和雇员进行全行业调查，以及(6)确定采取干预措施以减少卡车运输中的危险和伤害的机会。最后，将通过以下方式加强当前的农药监测和预防活动：(1)评估当前数据收集进程确定常见农药暴露的根本原因的能力；(2)修改访谈问题和指南；(3)使用事件树分析方法确定与农药暴露有关的原因；以及(4)根据通过加强监测活动产生的信息，制定和实施改进的预防活动。该提案中概述的活动将导致加强监测活动，将信息转化为建议和预防战略，并与能够干预的人建立必要的伙伴关系，最终目标是预防职业伤害和疾病。

DESCRIPTION (provided by the applicant): This proposal for Expanded Occupational Safety and Health Surveillance will lead to enhanced surveillance activity using the NIOSH-CSTE vision and model for a nationwide system of state-based occupational injury and illness surveillance. This Expanded Program proposal includes a Fundamental Program, and two Priority Health Projects - the development of occupational injury surveillance in the trucking industry, and the expansion of a pesticide surveillance and prevention project. The following will be conducted under the Fundamental Program: (1) establish a surveillance advisory committee, (2) conduct surveillance of all 19 Occupational Indicators, (3) publish an annual Indicator Report, (4) publish a supplement to the Indicator Report on acute traumatic injuries, (5) participate in the surveillance consortium (COSS) - providing leadership toward the improved understanding of the use of workers' compensation data, and (6) continue surveillance for work-related musculoskeletal disorders, asthma and hospitalized burns through established surveillance and prevention projects. Additionally, the development of an occupational injury surveillance system in the trucking industry is proposed. Specific aims include: (1) establish a trucking advisory group with management and labor representatives, (2) publish baseline measures of injuries, trends and costs within trucking, (3) develop and implement a surveillance system focusing on six priority conditions: non-traumatic musculoskeletal disorders of the upper extremity and low back, fall injuries, 'struck by' injuries, lower extremity musculoskeletal disorders, motor vehicle crash injuries, and 'caught in' injuries, (4) develop and implement case and employer follow up protocols, (5) conduct industry-wide surveys of employers and employees, and (6) identify opportunities for interventions to reduce hazards and injuries within trucking. Finally, current pesticide surveillance and prevention activities will be enhanced by: (1) assessing the capability of current data collection processes to identify underlying causes of common pesticide exposures, (2) modifying interview questions and guides, (3) using an event tree analysis approach to identify causal factors associated with pesticide exposure, and (4) developing and implementing improved prevention activities based on the information generated through enhanced surveillance activities. The activities outlined in this proposal will lead to enhanced surveillance activity, the translation of information into recommendations and prevention strategies, and the fostering of necessary partnerships with those that can intervene, with the ultimate goal of preventing occupational injury and illness.