Core Occupational Health Surveillance in Massachusetts

描述：工伤和疾病是一种重要的公共疾病 美国的健康问题，给人类和经济带来了巨大的压力 成本。监测与工作有关的疾病、伤害和危险 必须确定研究重点，并确定目标、设计和评估 预防工作。需要在州和地方以及 国家层面。马萨诸塞州公共卫生部建议 制定、实施和评估核心职业健康监测 在州和地方各级促进预防的计划，可以作为 其他州的模型。这一核心计划将包括对多个 职业健康/危险终点。建议的具体目标 项目如下，分为四大类：哨兵事件 监测：1)细化高度优先的职业健康清单 应将所有病例置于哨点病例监测之下的情况 国家；2)制定针对高优先情况的监测议定书 在马萨诸塞州实施监测；3)评估预防效果 哨兵事件监测活动，并修订模型核心方案； 基于人口的监测：4)描述现有的基于人口的来源 关于健康状况、危害和高危工人人口的数据，可能 用于州和地方两级的职业健康监测；5) 对优先数据集进行分析；准备和传播监测 报告；6)评估这些不同人口的相对效用 监测方法，并提出以核心人群为基础的时间表 监测活动；干预和预防：7)继续和扩大 与预防伙伴建立工作关系，以促进监测的使用 州和地方各级公共卫生行动的调查结果；8)制定 改进监测结果传播和使用的机制；区域 协作：与东北部其他州合作，获取他们的意见 界定职业健康监察的核心职能，并推广 发展国家职业健康监测能力；10)制作 一套可供其他州使用/改编的书面“监督工具” 致力于打造核心项目。MDPH将与NIOSH State Ococation合作 监督联盟正在制定一份最终报告和一套共识 关于年内核心职业健康监察活动的建议 美国。

DESCRIPTION: Work-related injuries and illnesses are a significant public health problem in the United States, imposing substantial human and economic costs. Surveillance of work-related illnesses, injuries and hazards is essential to establish research priorities and to target, design and evaluate prevention efforts. Surveillance is needed at the state and local as well as national levels. The Massachusetts Department of Public Health (MDPH) proposes to develop, implement, and evaluate a core occupational health surveillance program to promote prevention at the state and local levels that can serve as a model for other states. This core program will include surveillance of multiple occupational health/ hazard endpoints. The specific aims of the proposed project are as follows, falling into four major categories: Sentinel Event Surveillance: 1) refine the list of high priority occupational health conditions that should be placed under sentinel case surveillance in all states; 2) develop surveillance protocols for high priority conditions and implement surveillance in Massachusetts; 3) evaluate prevention impact of sentinel event surveillance activities, and revise model core program; Population-based Surveillance: 4) describe existing population-based sources of data on health conditions, hazards and the worker populations-at-risk that may be used for occupational health surveillance at the state and local levels; 5) conduct analyses of priority data sets; prepare and disseminate surveillance reports; 6) assess the relative utility of these different population-based approaches to surveillance, and propose schedule of core population-based surveillance activities; Intervention and Prevention: 7) continue and expand working relationships with prevention partners to promote use of surveillance findings for public health action at the state and local levels; 8) develop mechanisms to improve dissemination and use of surveillance findings; Regional Collaboration: 9) work with other states in the Northeast to obtain their input in defining core occupational health surveillance functions and to promote the development of state occupational health surveillance capacity; 10) produce a set of written "surveillance tools" that can be used/adapted by other states working to build core programs. MDPH will work with NIOSH State Occupational Surveillance Consortium in developing a final report and set of consensus recommendations regarding core occupational health surveillance activities in the states.