Expanded Occupational Health Surveillance in MA

描述（由申请人提供）：工伤和疾病是马萨诸塞州的一个重大公共卫生问题，造成了巨大的人力和经济成本。马萨诸塞州认识到预防与工作有关的伤害和疾病是公共卫生的优先事项，需要以州为基础的监测，以促进州和地方各级的有效干预和预防活动。国家监测结果也可以填补国家一级职业健康监测的空白。 自1986年以来，MA公共卫生部一直致力于建立职业健康监测计划（OHSP）。OHSP针对重点职业健康状况和人群制定了有针对性的监测和干预系统，根据监测结果开展了基础广泛的预防活动，开展了监测研究，并努力将职业健康纳入主流公共卫生实践。OHSP建议在过去经验的基础上，在马萨诸塞州实施一项扩大的职业健康监测计划。拟议的扩大方案包括基本监测活动和四个额外的重点监测和干预项目，涉及两个优先健康状况和两个优先人群，这些都是在该州主要利益攸关方的投入下确定的。总体目标是减少马萨诸塞州工人的工伤和疾病发生率。拟议的扩大方案的具体目标是：（1）继续开展基本的职业健康监测活动，包括制定州职业健康指标;（2）继续并加强马萨诸塞州与工作有关的哮喘监测系统;（3）继续并加强马萨诸塞州对18岁以下青少年与工作有关的伤害监测系统;（4）继续并加强马萨诸塞州对医院工作人员锐器伤的新的监测系统;（5）在五个社区保健中心实施职业健康监测，以确定少数族裔和移民工人职业伤害和疾病的特点。OHSP活动将继续由当地职业健康专家和倡导者组成的咨询委员会指导。

DESCRIPTION (provided by applicant): Work-related injuries and illnesses are a significant public health problem in Massachusetts, imposing substantial human and economic costs. Massachusetts recognizes the prevention of work-related injuries and illnesses as a public health priority and the need for state-based surveillance to promote effective intervention and prevention activities at the state and local levels. State surveillance findings can also fill gaps in occupational health surveillance at the national level. Since1986, the MA Department of Public Health has worked to build an Occupational Health Surveillance Program (OHSP). OHSP has developed targeted surveillance and intervention systems for priority occupational health conditions and populations, carried out broad-based prevention activities based on surveillance findings, conducted surveillance research, and worked to integrate occupational health into mainstream public health practice. OHSP proposes to build on past experience and to implement an expanded occupational health surveillance program in Massachusetts. The proposed expanded program includes fundamental surveillance activities and four additional focused surveillance and intervention projects addressing two priority health conditions and two priority populations that have been identified with input from key stakeholders in the state. The overarching goal is to reduce the incidence of work-related injuries and illnesses among Massachusetts workers. Specific aims of the proposed expanded program are to: (1) Continue fundamental occupational health surveillance activities, including generation of state occupational health indicators; (2) Continue and enhance the Massachusetts surveillance system for work-related asthma; (3) Continue and enhance the Massachusetts surveillance system for work-related injuries to youths less than 18 years of age; (4) Continue and enhance the new Massachusetts surveillance system for sharps injuries to hospital workers; and (5) Implement occupational health surveillance in five community-based health centers in order to characterize occupational injuries and illnesses among minority and immigrant workers. OHSP activities will continue to be guided by an advisory board of local occupational health experts and advocates.