Enhanced Program in Occupational Injury and Illness Surveillance

描述（由申请人提供）：自1988年以来，密歇根州立大学与密歇根州社区卫生部和密歇根州劳动和经济增长部一起开展了以州为基础的职业安全和健康监测。本提案将继续并扩大这一活动。这项竞争性补充提案将资助两种特定情况的监测项目：(1)与工作有关的致命伤害和(2)与工作有关的噪音引起的听力损失（NIHL）。自1988年以来，该州一直有NIOSH资助的监测项目。有了这笔资金，职业病报告从1988年以前的每年不到100份增加到每年1.5万至2万份。从1992年到2000年和2002年至今，国家有NIOSH资助的与工作有关的NIHL项目，自2002年以来有与工作有关的致命伤害项目。从2000年到2002年，密歇根州用国家基金进行了与工作有关的致命伤害监测，并在2000年到2002年期间，在没有NIOSH基金的情况下继续进行了与工作有关的NIHL监测。自开始监测以来，已确认有605起与工作有关的致命伤害和24 706起与工作有关的非血液病病例。已经进行了66起死亡调查和122起国家卫生实验室跟踪工业卫生检查。确认过程、工业卫生检查和死亡调查将继续进行。一个包含所有准备好的材料的网站已经建立并将在未来继续维护。已经编写了79份死亡摘要、6份危险警报、一份关于国家人道主义精神疾病的季度通讯（共30份不同的通讯）和每年2份年度报告（共16份不同的报告），并向大约4 000名健康、安全和保健专业人员分发。将继续积极开展外联活动，鼓励报告国家人道主义问题。将继续开展的其他活动包括在医疗、健康和安全会议上进行介绍和展示，在医学文献上发表论文，并与其他州组织（如医疗和听力学许可委员会）合作，宣传密歇根州的职业病报告法。积极传播与工作有关的致命伤害的资料和预防干预将继续是我们计划的一个组成部分。还将继续评估我们改善工作条件的努力的有效性。除了上述基本监测外，我们还将扩大我们的外联、跟踪和评估活动。NIHL计划的新活动包括：扩大我们对工人赔偿数据的使用，关于漏报的项目，对OSHA检查的评估，以跟踪报告的病例，以及听力损失战略计划。针对与工作有关的致命伤害计划的新活动包括：一个解决临时雇员死亡问题的项目，以及工程专业学生的参与。

DESCRIPTION (provided by applicant): Michigan State University in conjunction with the Michigan Department of Community Health and the Michigan Department of Labor and Economic Growth has been conducting state-based occupational safety and health surveillance since 1988. This proposal will continue and expand this activity. This competitive supplement proposal will fund surveillance programs for two specific conditions: (1) work-related fatal injuries and (2) work-related noise induced hearing loss (NIHL). The state has had NIOSH funded surveillance projects since 1988. With this funding occupational disease reporting has increased from less than 100 reports a year prior to 1988 to 15,000-20,000 reports a year. The state has had NIOSH funded projects in work-related NIHL from 1992 to 2000 and 2002 to date and work-related fatal injuries since 2002. Michigan conducted work-related fatal injury surveillance with state funds from 2000 to 2002 and continued surveillance without NIOSH funds for work-related NIHL from 2000 to 2002. Since initiation of surveillance, 605 work-related fatal injuries and 24,706 cases of work-related NIHL have been confirmed. Sixty-six fatality investigations and 122 NIHL follow back industrial hygiene inspections have been conducted. The confirmation process, industrial hygiene inspections and fatality investigations will be continued. A website with all the material prepared has been and will be maintained in the future. Seventy-nine fatality summaries, 6 hazard alerts, one quarterly newsletter (total 30 different newsletters) on NIHL and 2 annual reports per year (total 16 different reports) have been written and distributed to approximately 4,000 targeted health and safety and health care professionals. Active outreach to encourage reporting of NIHL will be continued. Additional activity that will continue will include presentations and display booths at medical and health and safety meetings, publishing papers in the medical literature and working with other state organizations such as the medical and audiology licensing board to publicize Michigan's occupational disease reporting law. Active dissemination of material derived from work-related fatal injuries and preventive intervention will continue to be an integral part of our program. Evaluation of the effectiveness of our effort to improve working conditions will also continue. In addition to the above basic surveillance, we will be expanding our outreach, followback and evaluation activity. New activity planned for NIHL includes: expanding our use of workers' compensation data, projects on under reporting, evaluation of OSHA inspections for following up reported cases, and a strategic plan for hearing loss. New activity planned for work-related fatal injuries includes: a project to address fatalities in temporary employees, and involvement of engineering students.