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原文传递 Core Surveillance Model Program in California.

题名：	Core Surveillance Model Program in California.
作者：	Harrison, R.; Materna, B.; Reinisch, F.; Harrington, D.
关键词：	California (State), Surveillance programs, Models, Preventive medicine, Workers, Work environment, Diseases, Injuries, Hazards, Bronchial asthma, Pesticides, Carpal tunnel syndrome (CTS), Traumatic injuries, Fatalities, Lead poisoning, Silicosis, Public health, Workers compensation, Construction industry, Construction, Intervention, Databases, Recommendations, National Institute Occupational Safety Health
摘要：	The Occupational Health Branch (OHB) of the California Department of Health Services (CDHS) proposed to develop and implement a core state-based surveillance model program for the prevention of targeted workplace diseases, injuries, and hazards. From 2000 to 2005, a multidisciplinary staff at the OHB conducted surveillance and investigation of multiple work-related diseases and injuries, including asthma, pesticide illness, carpal tunnel syndrome, selected fatal injuries, and lead poisoning. In addition, we added silicosis and selected nonfatal injuries as core surveillance activities. Several innovative approaches enhanced our previous surveillance activities: (1) all conditions that were recommended as “core” public health activities by the State-NIOSH Surveillance Work Group were placed under surveillance; (2) our surveillance model used multiple data sources - including electronic reporting through a new Workers’ Compensation Information System - that can be replicated in other States; and (3) we conducted a broad-based intervention in the construction industry based on multiple-endpoint surveillance data. Our approach relied on the linking of surveillance data with intervention and prevention efforts to integrate occupational health into mainstream public health. The successes and lessons learned from these activities may assist NIOSH in recommending a model for core occupational health surveillance that can be undertaken in other states. For each core condition under surveillance, we conducted efficient case finding using existing NIOSH and/or CSTE case definitions, and employed standardized databases and coding systems to collect, analyze, and report aggregate data to NIOSH. Using established guidelines for prioritizing cases for follow-up, we performed hazard surveys and workplace investigations for purposes of targeted prevention activities. We used a variety of means to disseminate our scientific findings and prevention recommendations, including the preparation of an annual report to key constituents (Occupational Health Watch) and articles for scientific publication. The project developed and implemented a broad-based, industry-wide intervention activity that addressed simultaneously multiple health and safety hazards identified through the core surveillance system. Construction was targeted as the focus of the intervention component, which was identified, developed, and implemented in a collaborative process with key stakeholders. The intervention was a statewide training program designed to improve the quality and frequency of tailgate safety trainings, which all construction employers are required to conduct every ten working days. Each aspect of our project included an evaluation component.
报告类型：	科技报告