Maryland Occupational Health and Safety Surveillance Project

马里兰州卫生部 FOA：PAR-20-312 国家职业安全和健康监测监督计划（U60） 马里兰州标题：马里兰州职业健康与安全监督项目 CFDA：93.262 1.具体目标 在这项提案中，马里兰州职业健康和安全监督项目的 马里兰州卫生部（OHSSP）建立在先前项目的成功基础上， 论证了在各种现有状态下，将工业和职业结合起来的可行性和实用性 监测系统，通过现有的职业健康指标提供关于伤害和疾病的数据， 并确定了特定工人群体职业安全和健康数据方面的重要差距 （特别是移民工人）。新提案的重点是这一服务不足的人口， 创新的方法，着眼于一个重要的健康状况（哮喘）的整体，寻求 有机会将卫生部门现有的家访活动与减少哮喘触发因素结合起来 对雇主采取新的补充办法，以确定和减少工人 职业和家庭环境作为一个连续体。最后，新提案包括并扩大了 该项目建立在前一个项目期间的工作基础上，以解决该州的阿片类药物危机， 发生在马里兰州的工作场所，与一个创新的项目，是开发工具包，为雇主和 其他利益相关者改善马里兰州工作场所阿片类药物的管理。现时的建议 推动这项工作，完成工具包，开展外联和技术援助， 全州的工具包，并评估工具包对工作场所政策的影响 和管理实践。该项目的具体目标是： 1.推进职业卫生领域的职业流行病学公共卫生研究， 继续从现有数据来源和数据扩展中生成现有的职业健康指标 来源; 2.通过将工业和 职业在马里兰州暴力死亡报告系统（MVDRS），国家无意 药物过量报告系统，马里兰州行为风险因素监测系统 （BRFSS）和国家电子疾病监测系统（NEDSS）和/或电子 健康记录; 3.加强数据的使用，为医务和保健部门和外部利益攸关方的预防活动提供信息 加强外联和预防活动; 4.通过创新的方法，重点改善农民工的呼吸系统疾病 与当地卫生部门、雇主和医疗保健提供者合作，重点是 工人的整体环境。 5.通过行为危险因素监测改善工作场所阿片类药物的监测 国家无意药物过量报告系统（SUDORS）和 社区流行病早期通报电子监测系统 “）; 6.根据利益相关者的意见，开发关于改善马里兰州阿片类药物管理的工具包 工作场所; 7.招聘雇主和工作场所，在其中实施和传播工具包，以改善 马里兰州工作场所的阿片类药物管理;以及 8.评价工具包在改变政策和做法、转移资源、 并改善正在或即将进入药物滥用治疗阶段的药物滥用患者的治疗结果， 职场

Maryland Department of Health FOA: PAR-20-312 State Occupational Safety and Health Surveillance Surveillance Program (U60) Maryland Title: Maryland Occupational Health and Safety Surveillance Project CFDA: 93.262 1. SPECIFIC AIMS In this proposal, the Maryland Occupational Health and Safety Surveillance project of the Maryland Department of Health (OHSSP) builds on the success of the prior projects, which have demonstrated the feasibility and utility of incorporating industry and occupation in various existing state surveillance systems, provided data on injury and illness through existing occupational health indicators, and identified important gaps in occupational safety and health data in specific worker populations (notably, migrant workers). The new proposal focuses on this underserved population with an innovative approach that looks at an important health condition (asthma) in its totality, seeking opportunities to pair existing health department activities on home visiting and asthma trigger reduction with a new complementary approach to employers to identify and reduce triggers in the workers’ occupational and home environments as a continuum. Finally, the new proposal includes and expanded project that builds on work from the previous project period, to address the state’s opioid crisis as it occurs in Maryland workplaces, with an innovative project that is developing toolkits for employers and other stakeholders to improve management of opioids in Maryland workplaces. The current proposal advances that work, completing the toolkits, conducting outreach and technical assistance to implement the toolkits throughout the State, and an evaluation of the impacts of the toolkits on workplace policies and management practices. The specific aims of the project are: 1. Advance occupational epidemiology public health research in occupational health through continued production of existing OHIs from existing sources of data and expansion of data sources; 2. Broaden the utility of other state surveillance systems by the inclusion of industry and occupation in the Maryland Violent Death Reporting System (MVDRS), the State Unintentional Drug Overdose Reporting System, the Maryland Behavioral Risk Factor Surveillance System (BRFSS), and the National Electronic Disease Surveillance System (NEDSS) and/or electronic health records; 3. Enhance the use of data to inform prevention activities in MDH and external stakeholders through increased outreach and prevention activities; and 4. Provide focus on improvement of respiratory disease in migrant workers through an innovative collaboration with local health departments, employers, and health care providers, focused on the worker’s total environment. 5. Improve surveillance of opioids in the workplace through the Behavior Risk Factor Surveillance System (BRFSS), State Unintentional Drug Overdose Reporting System (SUDORS), and the Electronic Surveillance System for the Early Notification of Community-Based Epidemics (“ESSENCE”); 6. Based on stakeholder input, develop toolkits on improving opioids management in Maryland workplaces; 7. Recruit employers and workplaces in which to implement and disseminate toolkits to improve opioids management in Maryland workplaces; and 8. Evaluate the effectiveness of the toolkits in altering policies and practices, shifting resources, and improving outcomes for individuals with substance use disorders who are in or entering the workplace.