Building Capacity for State-Based Occupational Health Surveillance

职业伤害和职业病是严重的公共卫生问题。然而，这些伤害和 疾病可以预防。为了使工作场所更健康和更安全，卫生机构必须获得 这是充分理解问题所必需的信息。职业健康监测提供必要的 提供信息，以便为研究优先事项提供信息，确定预防活动的目标和设计，并监测 实现预防目标。由于国家系统存在许多差距，州卫生机构有一个关键的 在填补这些空白和指导地方预防工作方面发挥重要作用。促进职业健康， 在州一级，有必要指导国家新资助的基于州的监督计划。 职业安全与健康研究所（NIOSH）;加强所有23个机构之间的合作和协同作用 NIOSH资助国家支持的项目;促进职业健康专业知识的发展， 全国各州的监控工作 州和地区流行病学家理事会是一个成员国组织， 地区，并代表流行病学家的观点，在州和地方政府工作， 公共卫生实践。科技教育委员会的一个主要目标是在各国之间建立更有效的关系， 地区流行病学家和其他卫生机构。CSTE与NIOSH有着悠久的合作历史， 各州致力于发展各州的职业健康监测能力。CSTE建议， 在这一历史的基础上：通过职业健康指标提高监测能力， 监测项目;倡导将职业健康考虑纳入更广泛的公共卫生 通过立场声明制定议程;制定和传播监督指南、成功案例， 通过国家技术教育委员会网站，加强对国家职业健康信息的获取; 开展职业健康监测;计划、组织、开展和评估科学会议， 支持NIOSH资助和未资助的州职业健康监测项目的研讨会; 促进州、地区和全国合作，提高职业健康监测能力， 该提案将解决已确定的增加国家职业健康能力的需求， 将其纳入一般公共卫生实践。

Occupational injuries and illnesses are significant public health problems. However, these injuries and illnesses can be prevented. In order to make workplaces healthier and safer, health agencies must obtain the information necessary to fully understand the problem. Occupational health surveillance provides essential information to inform research priorities, target and design prevention activities, and monitor progress in meeting prevention goals. Because many gaps exist in national systems, state health agencies have a crucial role to play both in filling these gaps and in guiding local prevention efforts. To advance occupational health at the state level, there is a need to mentor state-based surveillance programs newly funded by the National Institute for Occupational Safety and Health (NIOSH); enhance collaboration and synergism among all 23 NIOSH funded state supported programs; and promote development of occupational health expertise and surveillance efforts in all states across the nation. The Council of State and Territorial Epidemiologists (CSTE) is an organization of member states and territories and represents the perspective of epidemiologists working in state and local governments in the practice of public health. A primary goal of CSTE is to establish more effective relationships among state and territorial epidemiologists and other health agencies. CSTE has a long history of collaboration with NIOSH and the states in working to develop occupational health surveillance capacity in the states. CSTE is proposing to build on this history to: advance surveillance capacity through occupational health indicators and joint surveillance projects; advocate for inclusion of occupational health considerations on the broader public health agenda through position statements; develop and disseminate surveillance guidance, success stories, and enhance access to state occupational health information via the CSTE website; update technical guidance for conducting occupational health surveillance; plan, organize, conduct, and evaluate scientific meetings and workshops to support NIOSH funded and unfunded state occupational health surveillance programs, and; promote state, regional, and nationwide collaboration to increase occupational health surveillance capacity in the U.S. This proposal will address the identified need to increase state capacity in occupational health and to integrate it into general public health practice.