Washington Occupational Surveillance Program

描述（由申请人提供）：本扩展职业安全和健康监测提案将使用NIOSH-CSTE的愿景和模型来加强监测活动，以国家为基础的职业伤害和疾病监测的全国系统。这一扩大方案提案包括一项基本方案和两个优先保健项目————发展卡车运输业的职业伤害监测，以及扩大农药监测和预防项目。以下将在基础项目下进行：(1)建立监督咨询委员会，(2)对所有19项职业指标进行监督，(3)发布年度指标报告，(4)发布急性创伤性伤害指标报告的补充，(5)参加监督联盟(COSS) -为提高对工人赔偿数据使用的理解提供领导，(6)继续监测与工作有关的肌肉骨骼疾病。哮喘和住院烧伤通过建立监测和预防项目。此外，还提出了在卡车运输行业建立职业伤害监测系统的建议。具体目标包括：(1)建立一个由管理层和劳工代表组成的卡车运输咨询小组；(2)公布卡车运输中伤害、趋势和成本的基准措施；(3)制定并实施一个监测系统，重点关注六个优先条件：上肢和下背部的非创伤性肌肉骨骼疾病、跌倒伤害、“撞击”伤害、下肢肌肉骨骼疾病、机动车碰撞伤害和“陷入”伤害，(4)制定和实施案例和雇主跟进协议，(5)对雇主和雇员进行全行业调查，(6)确定干预措施的机会，以减少卡车运输中的危险和伤害。最后，目前的农药监测和预防活动将通过以下方式得到加强：(1)评估当前数据收集过程的能力，以确定常见农药暴露的潜在原因；(2)修改访谈问题和指南；(3)使用事件树分析方法确定与农药暴露相关的因果因素；(4)根据加强监测活动产生的信息制定和实施改进的预防活动。本提案中概述的活动将导致加强监测活动，将信息转化为建议和预防战略，并与能够干预的国家建立必要的伙伴关系，最终目标是预防职业伤害和疾病。

DESCRIPTION (provided by the applicant): This proposal for Expanded Occupational Safety and Health Surveillance will lead to enhanced surveillance activity using the NIOSH-CSTE vision and model for a nationwide system of state-based occupational injury and illness surveillance. This Expanded Program proposal includes a Fundamental Program, and two Priority Health Projects - the development of occupational injury surveillance in the trucking industry, and the expansion of a pesticide surveillance and prevention project. The following will be conducted under the Fundamental Program: (1) establish a surveillance advisory committee, (2) conduct surveillance of all 19 Occupational Indicators, (3) publish an annual Indicator Report, (4) publish a supplement to the Indicator Report on acute traumatic injuries, (5) participate in the surveillance consortium (COSS) - providing leadership toward the improved understanding of the use of workers' compensation data, and (6) continue surveillance for work-related musculoskeletal disorders, asthma and hospitalized burns through established surveillance and prevention projects. Additionally, the development of an occupational injury surveillance system in the trucking industry is proposed. Specific aims include: (1) establish a trucking advisory group with management and labor representatives, (2) publish baseline measures of injuries, trends and costs within trucking, (3) develop and implement a surveillance system focusing on six priority conditions: non-traumatic musculoskeletal disorders of the upper extremity and low back, fall injuries, 'struck by' injuries, lower extremity musculoskeletal disorders, motor vehicle crash injuries, and 'caught in' injuries, (4) develop and implement case and employer follow up protocols, (5) conduct industry-wide surveys of employers and employees, and (6) identify opportunities for interventions to reduce hazards and injuries within trucking. Finally, current pesticide surveillance and prevention activities will be enhanced by: (1) assessing the capability of current data collection processes to identify underlying causes of common pesticide exposures, (2) modifying interview questions and guides, (3) using an event tree analysis approach to identify causal factors associated with pesticide exposure, and (4) developing and implementing improved prevention activities based on the information generated through enhanced surveillance activities. The activities outlined in this proposal will lead to enhanced surveillance activity, the translation of information into recommendations and prevention strategies, and the fostering of necessary partnerships with those that can intervene, with the ultimate goal of preventing occupational injury and illness.