Expanded Program in Occupational Injury and Illness Surveillance

 描述(由申请人提供)：密歇根州立大学与密歇根州社区卫生部门和密歇根州许可和监管事务部自1988年以来一直在进行以州为基础的职业伤害和疾病监测。这项提议将继续并扩大这项活动。这项提案将资助为以下四种具体情况制定职业指标和监测方案的活动：(1)职业性肺病；(2)与工作有关的急性农药病；(3)与工作有关的急性创伤性非致命伤害；以及(4)与工作相关的急性创伤性死亡。从1988年至今，国家卫生和社会服务部资助了与工作有关的哮喘项目，从2001年至今资助了农药项目，从1988至1992年资助了矽肺项目，从2002年至今资助了急性创伤死亡项目，从2010年至今资助了职业肺病项目。自开始监测以来，已确认与工作有关的哮喘病例、急性农药中毒病例、矽肺病例和急性外伤性死亡病例。进行了后续的工业卫生检查，并在检查期间与同事进行了面谈。确认过程、工业卫生检查和与同事的面谈将继续进行。该州136家急性护理医院已经100%报告了这一情况。编写了一份季度通讯(共148份不同通讯)和年度报告，并将其邮寄给大约3300名目标医生和保健专业人员。上述鼓励报告的积极宣传活动将继续进行，并将在医学会议上进行演示和展示，通过我们的网站、Twitter、Facebook、NIOSH Science博客发布医学文献中的论文，并与其他州组织(如医疗执照委员会)合作，宣传密歇根州的职业病报告法。还将继续评估我们改善工作条件的努力的成效。除了上述基本监测外，我们还将扩大我们的外联、后续行动和评估活动。计划开展的新活动包括：扩大监测范围，将非致命性创伤伤害纳入监测范围，实施漏报项目，评估OSHA对报告病例的跟踪检查，以及针对特殊人群和工业部门的项目。

 DESCRIPTION (provided by applicant): Michigan State University in conjunction with the Michigan Department of Community Health and the Michigan Department of Licensing and Regulatory Affairs 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 and surveillance programs for four specific conditions: (1) occupational lung disease; (2) acute work-related pesticide illness; (3) work-related acute traumatic non-fatal injuries; and 4) work-related acute traumatic fatalities. The state has had NIOSH funded projects in work-related asthma from 1988 to date, pesticides from 2001 to date, silicosis from 1988-1992 and 2002 to date, acute traumatic fatalities from 2002 to date and occupational lung disease from 2010 to date. Since initiation of surveillance, cases of work-related asthma, cases of acute pesticide poisoning, cases of silicosis, and acute traumatic fatalities have been confirmed. Follow-back industrial hygiene inspections have been conducted, and fellow workers interviewed during these inspections. The confirmation process, industrial hygiene inspections and fellow worker interviews will be continued. There has been 100% reporting from the 136 acute care hospitals in the state. A quarterly newsletter (total of 148 different newsletters) and annual reports have been written and mailed out to approximately 3,300 targeted physicians and health care professionals. The above active outreach to encourage reporting will be continued as well as presentations and display booths at medical meetings, publishing papers in the medical literature, via our website, Twitter, Facebook, the NIOSH Science Blog, and working with other state organizations, such as the medical licensing board, to publicize Michigan's occupational disease reporting law. Evaluation of the effectiveness of our effort to improve working conditions will also continue. In addition to the above basic surveillance we will be expanding our outreach, follow back and evaluation activity. New activity planned includes: expanding surveillance to include nonfatal traumatic injuries, projects on under-reporting, evaluation of OSHA inspections for following up reported cases and projects on special populations and industrial sectors.