Expansion of the New Hampshire Occupational Health Surveillance Program

 描述（由申请人提供）：本申请的主要目的是扩大新罕布什尔州以州为基础的职业健康监测能力，重点是通过强调干预和预防将职业健康纳入主流公共卫生。目标概要： 1.评估工作场所伤害、疾病、死亡、危险和/或暴露的程度和严重性a.收集、分析和解释至少15项核心职业健康指标，B。解决现有数据源在收集和分析职业病和职业伤害方面的效用和局限性，c.扩大监视活动，包括对来自其他机构和组织的非常规数据源的分析，以及d.发展加强职业健康监测的方法和能力。 2.通过收集行业、职业和工作状态的数据，确定风险最大的工人和职业。 3.根据从以下试点项目的结果中吸取的经验教训，制定研究和预防（方案）政策：在所有付款人索赔数据库中收集工人赔偿数据，B。数据链接-所有伤害监测的紧急医疗服务和医院出院数据，c.母乳喂养率和工作场所哺乳政策， D.卫生保健人员的疫苗接种率和工作场所的流感政策，e。成人血铅水平升高（成人血铅流行病学和监测计划）。每项研究的结果将为企业和行业制定优先政策活动提供信息，并可能导致公共卫生部门更有力地采用预防和员工健康战略。除了深入分析外，还将制定其他州可以采用的方法，作为加强职业健康监测系统的一部分。 4.扩大外联和传播 5.对监督活动的成就和影响进行持续的绩效审查（评价）。

 DESCRIPTION (provided by applicant): The primary aim of this application is to expand state-based capacity for occupational health surveillance in New Hampshire, with a focus on integrating occupational health into mainstream public health through emphasis on intervention and prevention. Summary objectives: 1. Assess the extent and severity of workplace Injuries, illnesses, deaths, hazards and/or exposures a. Collect, analyze, and Interpret a minimum of 15 of the core occupational health indicators, b. address the utility and limitations of existing data sources for collecting and analyzing occupational illnesses and injuries, c. expand surveillance activities to include analysis of unconventional data sources from other agencies and organizations, and d. develop methodology and capacity for enhanced occupational health surveillance. 2. Identify workers and occupations at greatest risk through data collection of industry, occupation, and work status. 3. Develop research and prevention (program) policies based on lessons learned from the results of the following pilot projects: a. Collection of workers' compensation data in the All Payer Claims Database (APOD), b. Data linkage - Emergency Medical Services and Hospital Discharge Data for all injury surveillance, c. Breastfeeding rates and worksite lactation policies, d. Vaccination rates of healthcare personnel and workplace influenza policies, e. Elevated adult blood lead levels (Adult Blood Lead Epidemiology and Surveillance Program). The results of each study will inform business and industry priority setting policy activities and could lead to stronger adoption of prevention and employee wellness strategies across public health sectors. In addition to in-depth analysis, methods will be developed that other states can adopt as part of an enhanced occupational health surveillance system. 4. Expand outreach and dissemination 5. A continuous performance review (evaluation) of the accomplishments and impact of surveillance activities.