Expanded Occupational Health Surveillance in MA

扩大马萨诸塞州的职业健康监测

• 批准号: 10674584
• 负责人: Emily Helen Sparer-Fine
• 金额: $ 16.09万
• 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/10674584
• 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基于国家的监测，对于有效地针对干预和预防活动以及监测进展情况至关重要。以国家为基础的监测也可以提供信息，填补国家监测的空白。 以来 20世纪80年代后期，在NIOSH和其他机构的大力支持下，MA公共卫生部（DPH）成功地建立了职业健康监测计划（OHSP）。OHSP为一些重点健康状况制定了全面的基于病例的监测和干预系统。一个应对紧急哨点职业健康事件的系统已经到位，一个独特的全州范围内的锐器伤医院监测系统也已经到位。 工人多年来，OHSP扩大了其能力，使用越来越多的基于人口的健康数据集来描述该州与工作有关的健康问题，每年生成23个州职业健康指标。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，以解决已确定的健康和安全问题。职业健康安全方案的活动导致了个别工作场所的变化，并促进了广泛的政策变化和技术创新，以减少工作场所的风险，从而减少了几种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）监测和干预之间的重要联系（监测到实践）; 2）利用现有的公共卫生基础设施， 在州和地方一级解决职业健康问题（一体化）; 3）特别强调满足服务不足工人的需求，与DPH的使命一致，以减少健康差距（职业健康公平）。 OHSP建议在其广泛的职业健康监测经验和合作伙伴网络的基础上，继续并加强职业健康监测和预防的扩展计划。拟议计划的首要目标是减少MA中WRLL的发生率。拟议的扩大方案包括基本监测活动和四个重点领域监测和干预项目，这些项目涉及职业健康状况和/或人口，这些状况和/或人口已被确定为该州主要利益攸关方的优先事项。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.继续并加强青年工人伤害监测和预防项目，将监测的人口扩大到包括青年人; 3.继续并加强马萨诸塞州死亡评估控制和评价项目; 4.继续并加强医院工作人员项目，监测和预防锐器伤害和处理肌肉骨骼疾病的病人; 5.继续监测和预防与工作有关的哮喘，并探索在MA进行其他与工作有关的肺部疾病监测的方法。 每个项目都涉及收集、分析和传播有关职业健康结果的数据，并与多个内部和外部合作伙伴合作，以促进使用数据来改善工人的安全和健康。拟议的一套监测和预防活动具有一些共同的目标和需求，并为各项目之间的协作和协同增效提供了重要机会。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。更加强调有效的沟通将促进监测结果在千年评估工作场所和社区的实践，并继续强调接触弱势工人。