Expanded Program in Occupational Injury and Illness Surveillance

项目摘要/摘要 密歇根州立大学与密歇根州职业安全和健康管理局合作 (MIOSHA)和密歇根州卫生与公众服务部一直在进行基于州的 1988年以来的职业伤害和疾病监测。这项提议将继续并扩大这项活动。 这项提议将为产生职业指标、血铅升高的数据以及 具体的非致命性伤害(如烧伤)、十个特别项目和扩大的监测方案：(1) 职业性肺病；(2)急性农药工伤和疾病；(3)急性工伤 创伤性死亡。自启动多源监测以来，与工作有关的哮喘病例、急性呼吸道感染病例 农药中毒，矽肺和其他肺部疾病，血铅水平升高，以及两者的急性 致命性和非致命性创伤性损伤已得到确认。这起以案件为基础的监视已经启动了跟踪- 支持在工地执行MIOSHA检查。这些检查包括约谈 同事们。确认过程、工作场所检查和同事面试将是 继续。该州134家急性护理医院报告了100%的病例。一份季刊 已编写时事通讯(31年，每年四次)，并将其邮寄给约3300人--目标 医生和卫生保健专业人员。203份年度报告和51份危险警报 被传播出去了。上述积极外展活动鼓励举报和教育雇主及 员工关于危险的知识将继续，医疗会议上的演示和展示亭也将继续， 在医学文献中发表论文，在我们的网站(oem.msu.edu)、Twitter和Facebook上发布帖子， NIOSH科学博客和医生执照委员会。我们将继续与NIOSH合作， CSTE、其他州、贸易组织和工会。对我们改进工作的有效性进行评估 工作条件也将继续下去。此应用程序的创新包括扩展我们的教育 外联，并确保我们解决弱势人口和少数群体的危险，以及 临时工和年轻人紧随其后。计划的新活动包括扩大监视范围，以包括 暴露监测、其他非致命性创伤伤害、漏报项目、评估 MIOSHA对报告的病例和特殊人群和工业项目的跟踪检查 扇区。

Project Summary/Abstract Michigan State University in conjunction with the Michigan Occupational Safety and Health Administration (MIOSHA) and the Michigan Department of Health and Human Services has been conducting state-based occupational injury and illness surveillance since 1988. This proposal will continue and expand this activity. This proposal will fund activity to generate the occupational indicators, data on elevated blood leads, and specific non-fatal injuries (e.g. burns), ten special projects and expanded surveillance programs for: (1) occupational lung disease; (2) acute work-related pesticide injuries and illness; (3) acute work-related acute traumatic fatalities. Since initiation of multi-source surveillance, cases of work-related asthma, cases of acute pesticide poisoning, cases of silicosis and other lung diseases, elevated blood lead levels, and both acute fatal and non-fatal traumatic injuries have been confirmed. This case-based surveillance has initiated follow- back enforcement MIOSHA inspections in the worksites. These inspections have included interviews of fellow workers. The confirmation process, workplace inspections and fellow worker interviews will be continued. There has been 100% reporting from the 134 acute care hospitals in the state. A quarterly newsletter (four/year for 31 years) has been written and mailed out to approximately 3,300-targeted physicians and health care professionals. Two hundred and three annual reports and 51 hazard alerts have been disseminated. The above active outreach to encourage reporting and educate employers and employees about hazards will be continued as will presentations and display booths at medical meetings, publishing papers in the medical literature, postings on our website (oem.msu.edu), Twitter, and Facebook, the NIOSH Science Blog and through the medical licensing board. We will continue to work with NIOSH, CSTE, other states, trade organizations and unions. Evaluation of the effectiveness of our effort to improve working conditions will also continue. Innovations in this application including expanding our educational outreach, and ensuring that we address the hazards of vulnerable populations and minorities, as well as temporary workers and youth follow back. New activity planned includes expanding surveillance to include exposure surveillance, additional nonfatal traumatic injuries, projects on under-reporting, evaluation of MIOSHA inspections for following up reported cases and projects on special populations and industrial sectors.