Expanded Program in Occupational Injury and Illness Surveillance

项目总结/摘要 密歇根州立大学与密歇根职业安全与健康管理局合作 （MIOSHA）和密歇根州卫生与公众服务部一直在进行基于州的 自1988年以来，对职业伤害和疾病进行了监测。这项建议将继续并扩大这项活动。 该提案将资助产生职业指标、血铅升高数据的活动， 具体的非致命伤害（如烧伤），十个特别项目和扩大的监测方案，用于：（1） 职业性肺病;（2）急性职业性农药伤害和疾病;（3）急性职业性急性 创伤性死亡自启动多源监测以来，与工作有关的哮喘病例、急性 农药中毒、矽肺病和其他肺部疾病、血铅水平升高，以及急性 致命和非致命创伤已得到证实。这种基于病例的监测已经开始跟踪- 支持在工地执行MIOSHA检查。这些视察包括对 同事们。确认过程，工作场所检查和同事面试将 持续期间内的该州134家急性护理医院的报告率为100%。按季度 已编写并向大约3 300人邮寄了通讯（31年来每年4份）-目标 医生和卫生保健专业人员。203份年度报告和51份危险警报， 被传播。上述积极外联活动旨在鼓励举报和教育雇主， 员工对危险的认识将继续下去，医疗会议上的演示和展示摊位也将继续下去， 在医学文献中发表论文，在我们的网站（oem.msu.edu）、Twitter和Facebook上发帖， NIOSH科学博客和医疗许可委员会。我们将继续与NIOSH合作， CSTE、其他州、贸易组织和工会。评估我们努力改进的有效性 工作条件也将继续。这一应用的创新包括扩大我们的教育 外联，并确保我们解决弱势群体和少数群体的危害，以及 临时工和年轻人也跟着回来了。计划中的新活动包括扩大监测范围， 暴露监测，额外的非致命性创伤，漏报项目， MIOSHA检查，以跟踪关于特殊人群和工业 板块

Project Summary/Abstract Michigan State University in conjunction with the Michigan Occupational Safety and Health Administration (MIOSHA) and the Michigan Department of Health and Human Services has been conducting state-based occupational injury and illness surveillance since 1988. This proposal will continue and expand this activity. This proposal will fund activity to generate the occupational indicators, data on elevated blood leads, and specific non-fatal injuries (e.g. burns), ten special projects and expanded surveillance programs for: (1) occupational lung disease; (2) acute work-related pesticide injuries and illness; (3) acute work-related acute traumatic fatalities. Since initiation of multi-source surveillance, cases of work-related asthma, cases of acute pesticide poisoning, cases of silicosis and other lung diseases, elevated blood lead levels, and both acute fatal and non-fatal traumatic injuries have been confirmed. This case-based surveillance has initiated follow- back enforcement MIOSHA inspections in the worksites. These inspections have included interviews of fellow workers. The confirmation process, workplace inspections and fellow worker interviews will be continued. There has been 100% reporting from the 134 acute care hospitals in the state. A quarterly newsletter (four/year for 31 years) has been written and mailed out to approximately 3,300-targeted physicians and health care professionals. Two hundred and three annual reports and 51 hazard alerts have been disseminated. The above active outreach to encourage reporting and educate employers and employees about hazards will be continued as will presentations and display booths at medical meetings, publishing papers in the medical literature, postings on our website (oem.msu.edu), Twitter, and Facebook, the NIOSH Science Blog and through the medical licensing board. We will continue to work with NIOSH, CSTE, other states, trade organizations and unions. Evaluation of the effectiveness of our effort to improve working conditions will also continue. Innovations in this application including expanding our educational outreach, and ensuring that we address the hazards of vulnerable populations and minorities, as well as temporary workers and youth follow back. New activity planned includes expanding surveillance to include exposure surveillance, additional nonfatal traumatic injuries, projects on under-reporting, evaluation of MIOSHA inspections for following up reported cases and projects on special populations and industrial sectors.