Occupational Safety and Health Surveillance in New York

描述（由申请人提供）：这笔赠款将使纽约州卫生部（DOH）能够建立一个综合方案，监测纽约人的职业健康状况。由于纽约州面积大，人口多样化，因此在人口中发生的职业死亡、伤害和疾病的范围很广。综合监测系统将使卫生和社会福利部能够深入了解受这些健康问题影响的人口，从而帮助我们预防未来的职业病和伤害。我们将继续审查有关职业病和伤害的现有数据来源，以确定高风险行业和职业以及风险增加的人群。维持一支专门从事职业健康监测和干预的核心工作人员队伍，还将使纽市卫生部能够对新的或正在出现的职业健康问题，包括恐怖主义事件，作出快速反应。卫生局目前监督法律规定的三个职业健康登记处——重金属登记处、职业肺病登记处和农药中毒登记处。作为国家监测活动的一部分，每个登记处的信息都与国家职业安全与卫生研究所共享。卫生局积极加强各注册处的个案查核工作。这涉及采取综合办法，解决保健提供者在报告职业病方面存在的障碍。因此，NYSDOH开展了广泛的外联活动，以提高对疾病和报告法规的认识，了解如何诊断职业病，以及了解公共卫生监测系统的目的和功能。此外，我们还通过纽约州职业健康诊所网络提供咨询和病人转诊支持。我们计划将这些在病例确定方面的进展转化为可衡量的危害预防活动的制定和实施。此外，通过评估我们的活动并与主要利益攸关方分享这些信息，我们将能够协助改善全国的职业监督。

DESCRIPTION (provided by the applicant): This grant will enable the New York State (NYS) Department of Health (DOH) to establish an integrated program that will monitor the occupational health status of New Yorkers. Since NYS is large and has a diverse population, there is a wide spectrum of occupational fatalities, injuries and diseases that occur among the population. An integrated surveillance system will allow NYSDOH to gain insight into the populations being affected by these health issues which should then assist us in preventing future occupational diseases and injuries. We will continue to review existing data sources on occupational diseases and injuries to identify high-risk industries and occupations, as well as populations at an increased risk. Maintaining a core staff dedicated to occupational health surveillance and intervention will also enable NYSDOH to conduct rapid response to new or emerging occupational health issues, including terrorism events. NYSDOH currently oversees three occupational health registries mandated by law - the Heavy Metals Registry, the Occupational Lung Disease Registry and the Pesticide Poisoning Registry. Information from each of these registries is shared with the National Institute for Occupational Safety and Health (NIOSH) as part of national surveillance activities. NYSDOH has actively worked to enhance each registry's case ascertainment. This has involved an integrated approach addressing barriers among health care providers towards occupational disease reporting. Therefore, NYSDOH has conducted extensive outreach to increase awareness of the diseases and reporting regulations, knowledge of how to diagnose occupational diseases, and understanding of the purpose and functioning of public health surveillance systems. In addition, we have offered consultation and patient referral support through the NYS Occupational Health Clinic Network. We plan to translate these advances in case ascertainment into the development and implementation of measurable hazard prevention activities. Furthermore, by evaluating our activities and sharing this information with key stakeholders, we will be in a position to assist in improving occupational surveillance nationally.