Expanded Occupational Health Surveillance in MA

扩大马萨诸塞州的职业健康监测

• 批准号: 10186441
• 负责人: Emily Helen Sparer-Fine
• 金额: $ 69.5万
• 依托单位: MASSACHUSETTS STATE DEPT OF PUB HEALTH
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-07-01 至 2021-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10186441
• 关键词: Expanded; Occupational; Health; Surveillance; MA

 DESCRIPTION (provided by applicant): Work-related injuries and illnesses (WRlls) are a significant public health problem in Massachusetts (MA), imposing preventable human and economic costs. State-based surveillance of these injuries and illnesses and workplace hazards is essential to effectively target intervention and prevention activities and to monitor progress. State-based surveillance can also provide information to fill gaps in national surveillance. Since the late 1980's, with substantial support from NIOSH and others, the MA Department of Public Health (DPH) has built a successful Occupational Health Surveillance Program (OHSP). OHSP has developed comprehensive case-based surveillance and intervention systems for a number of priority health conditions. A system for responding to urgent sentinel occupational health events is in place, as is a unique statewide system for surveillance of sharps injuries to hospital workers. Over the years, OHSP has expanded its capacity to use the growing number of population-based health data sets to characterize work-related health problems in the state, and annually generates 23 state Occupational Health Indicators. Committed to using data for action, OHSP collaborates with multiple agency and community partners to address identified health and safety problems. OHSP activities have resulted in changes in individual worksites and contributed to both broad-based policy changes and technological innovations to reduce workplace risks and, in turn, to reductions in the incidence of several targeted occupational health outcomes. Three interrelated themes are central to OHSP's work: 1) the essential link between surveillance and intervention (surveillance to practice); 2) use of the existing public health infrastructure to address occupational health concerns at the state and local levels (integration); and 3) special emphasis on addressing the needs of underserved workers, consistent with DPH's mission to reduce health disparities (occupational health equity). OHSP is proposing to build on its extensive occupational health surveillance experience and network of partners to continue and enhance an Expanded Program for occupational health surveillance and prevention. The overarching aim of the proposed program is to reduce the incidence of WRlls in MA. The proposed Expanded Program includes fundamental surveillance activities and four Priority Focus Areas (PFA) surveillance and intervention projects addressing occupational health conditions and/or populations that have been identified as priorities with input from key stakeholders in the state. Specific aims are to: 1. Continue Fundamental Occupational Health Surveillance activities, including generation of Occupational Health Indicators; 2. Continue and enhance the Young Workers Injury Surveillance and Prevention Project, expanding the population under surveillance to include young adults; 3. Continue and enhance the Massachusetts Fatality Assessment Control and Evaluation Project; 4. Continue and enhance the Hospital Workers Project conducting surveillance and prevention of sharps injuries and patient handling musculoskeletal disorders; 5. Continue the surveillance and prevention of work-related asthma and explore approaches to conducting surveillance of other work-related lung diseases in MA. Each of these projects involves collection, analysis, and dissemination of data on occupational health outcomes and collaboration with multiple internal and external partners to promote use of the data to improve worker safety and health. The proposed set of surveillance and prevention activities share a number of objectives and needs and provide important opportunities for collaboration and synergies across projects. As a new cross-cutting initiative, OHSP will generate local area employment and WRIl data to promote consideration of working conditions in community public health planning and practice. Increased emphasis on effective communication will enhance translation of surveillance findings to practice in MA workplaces and communities, with a continued emphasis on reaching vulnerable workers.

 描述（由申请人提供）：工伤和疾病 (WRlls) 是马萨诸塞州 (MA) 的一个重大公共卫生问题，造成了可预防的人力和经济成本。对这些伤害和疾病以及工作场所危害进行国家级监测对于有效地确定干预和预防活动的目标并监测进展情况至关重要。基于国家的监测还可以提供信息来填补国家监测的空白。 自从 20 世纪 80 年代末，在 NIOSH 和其他机构的大力支持下，马萨诸塞州公共卫生部 (DPH) 成功建立了职业健康监测计划 (OHSP)。 OHSP 已针对一些优先健康状况开发了全面的基于病例的监测和干预系统。建立了一个应对紧急哨点职业健康事件的系统，以及一个独特的全州范围内医院锐器伤害监测系统 工人。多年来，OHSP 不断扩大其能力，利用越来越多的基于人口的健康数据集来描述该州与工作相关的健康问题，并每年生成 23 项州职业健康指标。 OHSP 致力于利用数据采取行动，与多个机构和社区合作伙伴合作，解决已发现的健康和安全问题。 OHSP 活动导致了各个工作场所的变化，并促进了基础广泛的政策变化和技术创新，以降低工作场所风险，进而减少了一些目标职业健康结果的发生率。 三个相互关联的主题是 OHSP 工作的核心： 1) 监测与干预之间的重要联系（监测与实践）； 2）利用现有的公共卫生基础设施 解决州和地方各级的职业健康问题（整合）； 3) 特别强调满足服务不足的工人的需求，这符合 DPH 减少健康差异（职业健康公平）的使命。 OHSP 建议利用其丰富的职业健康监测经验和合作伙伴网络，继续并加强职业健康监测和预防的扩展计划。拟议计划的总体目标是减少 MA 中 WRll 的发生率。拟议的扩展计划包括基本监测活动和四个优先重点领域 (PFA) 监测和干预项目，这些项目涉及职业健康状况和/或人口，这些项目已根据该州主要利益相关者的意见被确定为优先事项。具体目标是： 1. 继续开展基本职业健康监测活动，包括制定职业健康指标； 2.继续并加强青工伤害监测和预防项目，将监测对象扩大到青壮年； 3. 继续并加强马萨诸塞州死亡评估控制和评估项目； 4. 继续并加强医院工作人员项目，对锐器伤害和处理肌肉骨骼疾病的患者进行监测和预防； 5. 继续开展工作相关哮喘的监测和预防工作，并探索在马萨诸塞州开展其他工作相关肺部疾病监测的方法。 每个项目都涉及职业健康结果数据的收集、分析和传播，以及与多个内部和外部合作伙伴的合作，以促进数据的使用，以改善工人的安全和健康。拟议的一系列监测和预防活动具有许多共同目标和需求，并为跨项目的合作和协同作用提供了重要机会。作为一项新的跨领域举措，OHSP 将生成当地就业和 WRIl 数据，以促进在社区公共卫生规划和实践中考虑工作条件。更加重视有效沟通将加强监测结果转化为 MA 工作场所和社区的实践，并继续强调接触弱势工人。