Enhanced Program in Occupational Injury and Illness Sur*

描述(由申请人提供)：密歇根州立大学与密歇根州社区卫生部门和密歇根州劳动和经济增长部门自1988年以来一直在进行以州为基础的职业安全和健康监测。这项提议将继续并扩大这项活动。这项提案将资助为以下四种具体情况制定职业指标和监测方案的活动：(1)与工作有关的哮喘；(2)与工作有关的噪音导致的听力损失(NIHL)；(3)矽肺；(4)急性农药疾病。自1988年至今，该州已有传感器资助的与工作相关的哮喘项目，1988-1992年至2002年的矽肺项目，以及自1992年至今的与工作相关的NIHL项目。有了这笔资金，职业病报告从1988年之前的每年不到100起增加到每年15,000-20,000起。从1993年到2001年，该州继续在没有传感器资金的情况下对矽肺进行监测，从2000年到2002年，继续进行与工作有关的NIHL监测。2001年，国家启动了农药急性疾病监测。自开展监测以来，已确诊2074例职业性哮喘、924例矽肺、23771例职业性非霍奇金淋巴瘤和183例急性农药中毒。进行了785次后续工业卫生检查，并在检查期间采访了8,443名同事。确认过程、工业卫生检查和与同事的面谈将继续进行。该州156家急性护理医院报告了100%的病例。编写了两份季度通讯(共85份不同通讯)和每年4份年度报告(共59份不同报告)，并将其邮寄给大约4 000名目标医生和保健专业人员。将继续积极开展外联活动，鼓励报告工作。其他将继续的活动将包括在医学会议上发表演讲和展示摊位，发表医学文献中的论文，以及与其他州组织合作，如医疗许可委员会，宣传密歇根州的职业病报告法。还将继续评估我们改善工作条件的努力的成效。此外，除了上述基本监测外，我们还将扩大我们的外展、跟踪和评估活动。计划的新活动包括：扩大我们对工人补偿数据的使用，进行 对以前确诊的哮喘病例和同事的后续访谈，关于报告不足的项目，评估OSHA检查以跟踪报告病例的项目，关于特殊人群的项目，执行关于胆碱酯酶、砷、镉和汞的新报告要求，以及听力损失战略计划。

DESCRIPTION (provided by the 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 proposal will fund activity to generate the occupational indicators and surveillance programs for four specific conditions: (1) work-related asthma; (2) work-related noise induced hearing loss (NIHL); (3) silicosis; and (4) acute pesticide illness. The state has had SENSOR funded projects in work-related asthma since 1988 to date, silicosis from 1988-1992 and 2002 to date and work-related NIHL from 1992 to date. 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 continued silicosis surveillance without SENSOR funds from 1993 to 2001 and work-related NIHL from 2000 to 2002. The State initiated acute pesticide illness surveillance in 2001. Since initiation of surveillance 2,074 cases of work-related asthma, 924 cases of silicosis, 23,771 cases of work-related NIHL and 183 cases of acute pesticide poisoning have been confirmed. Seven hundred and eighty-five follow back industrial hygiene inspections have been conducted, and 8,443 fellow workers interviewed during these inspections. The confirmation process, industrial hygiene inspections and fellow worker interviews will be continued. There has been 100% reporting from the 156 acute care hospitals in the state. Two quarterly newsletters (total 85 different newsletters) and 4 annual reports per year (total 59 different reports) have been written and mailed out to approximately 4,000 targeted physicians and health care professionals. Active outreach to encourage reporting will be continued. Additional activity that will continue will include presentations and display booths at medical meetings, publishing papers in the medical literature and working with other state organizations such as the medical licensing board to publicize Michigan's occupational disease reporting law. 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, follow back and evaluation activity. New activity planned includes: expanding our use of workers' compensation data, conducting follow back interviews of previously confirmed asthma cases and fellow workers, projects on under reporting, evaluation of OSHA inspections for following up reported cases, projects on special populations, implementing new reporting requirements for cholinesterase, arsenic, cadmium and mercury, and a strategic plan for hearing loss.