Kentucky Occupational Safety and Health Surveillance

描述(由申请人提供)：肯塔基州的职业死亡率为每10万名工人中有6.9人死亡(肯塔基州死亡评估和控制评估[Face]计划数据，2003年)，比全国每10万名工人中有4人的死亡率高出72.5%。肯塔基州的非致命性工人伤害和疾病比率也高于全国比率(7.1/100全职工人伤害和疾病，而全国为5.3/100)(劳工统计局，2003)。在东南部肯塔基州建立基本职业安全和健康(OSH)监测计划，将针对和整合现有公共卫生监测系统的资源，并确定和利用新的和现有的OSH数据来源。目标是确定工人人口、工作环境和其他导致职业伤害的因素，并制定州职业安全和健康数据传播战略，以减少肯塔基州的职业伤害。该方法包括建立和实施以人口为基础的全面监测，监测由州和地区流行病学家委员会和国家职业安全与健康研究所推荐的13项职业伤害和疾病指标，以及致命和非致命的职业机动车碰撞(MVC)作为另一项指标，除了使用在线资源数据外，还使用现有的独立数据系统：医院出院、面部、工人索赔(WC)、中毒控制中心(PCC)、生命统计、肯塔基州成人血铅流行病学监测、碰撞报告分析安全高速公路、急诊科(ED)和创伤登记数据。将对1)关联的出院和WC数据集进行广泛分析，以检查职业跌倒；2)关联碰撞、出院、急救和创伤数据集，以检查非致命的职业机动车碰撞。完成对职业中毒事件PCC数据的叙述性数据分析。将探讨急诊数据和创伤系统数据作为独立和关联的职业健康数据来源的可行性。我们将发起并扩大与州和地方利益攸关方的伙伴关系，以建立一个专门针对肯塔基州的联盟，名为“肯塔基州--致力于安全生活”。我们将通过州联合体和其他社区利益攸关方分析和传播监测数据，并对开展的主要活动进行进程和结果评估。

DESCRIPTION (provided by the applicant): Kentucky's occupational fatality rate is 6.9 deaths/100,000 workers (Kentucky Fatality Assessment and Control Evaluation [FACE] program data, 2003), 72.5 percent above the national rate of 4/100,000 workers. Kentucky's nonfatal worker injury and illness rate is also greater than the national rate (7.1 injuries and illnesses/100 full-time workers compared to 5.3/100 nationally (Bureau of Labor Statistics, 2003). The establishment of a fundamental occupational safety and health (OSH) surveillance program in a southeastern state, Kentucky, will target and unite resources from existing public health surveillance systems and identify and utilize new and existing sources of OSH data. The objectives are to identify worker populations, work environments, and other factors which contribute to occupational injury, and develop state OSH data dissemination strategies to reduce Kentucky occupational injuries. The methodology consists of establishing and conducting comprehensive population-based surveillance of the 13 occupational injury and illness indicators recommended by the Council of State and Territorial Epidemiologists and the National Institute for Occupational Safety and Health, and fatal and nonfatal occupational motor vehicle collisions (MVCs) as another indicator using existing independent data systems: hospital discharge, FACE, Workers Claims (WC), Poison Control Center (PCC), Vital Statistics, Kentucky Adult Blood Lead Epidemiology Surveillance, Collision Report Analysis for Safer Highways, emergency department (ED), and trauma registry data in addition to online resource data. Extensive analysis of 1) linked hospital discharge and WC datasets to examine occupational falls and: 2) linked CRASH, hospital discharge, ED, and trauma datasets to examine nonfatal occupational motor vehicle collisions will be performed. Narrative data analysis of PCC data will be completed on occupational poisoning incidents. The feasibility of ED data and trauma systems data as independent and linked occupational heath data sources will be explored. We will initiate and expand partnerships with state and local stakeholders to establish a Kentucky state-specific consortium called "Kentucky-Working to SAFE Lives". We will analyze and disseminate surveillance data through the state consortium and other community stakeholders and a process and outcome evaluation of the major activities conducted will be performed.