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¨ 7
Public Health
Impact:
The Importance of the Workplace
¡
8
8
,
Ÿ
¨ T
Brienne Brown, M.S.,
Program Coordinator,
Occupational Health Surveillance
Program ¡
U
U
ó
Ÿ
¨
The Big
Problem ¡
Ÿ
¨ á
The Council for
State and Territorial Epidemiologists (CSTE) has long recognized that
occupational illnesses and injuries are important causes of morbidity and
mortality in the US.
Approximately 6500 job-related deaths from injury, 13.2 million nonfatal
injuries, 60,300 deaths from disease, and 862,200 illnesses are estimated
to occur annually in the civilian workforce. The total direct ($65
billion) plus indirect ($106 billion) costs have been estimated to be
$171 billion.1 ¡
â
â
ó
Ÿ
¨
Importance of the
Workplace Ÿ
¨ e
Work has an enormous impact on the health of
the U.S. population.
The U.S. lags behind many nations in documenting the risks and casualties
of work.
Work-related injuries and illnesses impose a tremendous burden on
workers, their families, businesses, and the economy.
Workplace health surveillance focuses on examining the trends of known
safety and health problems as well as identifying emerging illnesses,
injuries, and exposures as a result of work.
One of the key missions of NIOSH is to improve the capacity of state
public health departments to address occupational health issues within
their states.
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Public Health
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H i s t o r i
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i n f e c t i o u s
d i s e a s e s
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h e a l t h
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a n d
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c h r o n i c
d i s e a s e s ,
i n j u r i e s
a n d
h e a l t h
b e h a v i o r s
( H a l p e r i n
1 9 9 8 )
S y s t e m s
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c o u n t i n g
w o r k - r e l a t e d
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i n
t h e
U . S .
a r e
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a c u t e
i n j u r i e s
a n d
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Practicing Competent Public
Health ¡
#
#
&
Ÿ
¨ Ð
Collect medical
and demographic information from health care providers on sick and
injured workers.
Analyze this information to identify the kinds of jobs and industries
where workers are getting sick and injured.
Work with employers to find practical solutions to improve health and
safety
Develop educational and training materials for workers and employers.
Conduct educational outreach to high-risk industries in collaboration
with stakeholders
Evaluate educational outreach and industrial hygiene intervention
activities to improve the effectiveness of the surveillance systems
Track patterns of work-related illness and injury and share this
information with policy makers and other interested
parties. ¡
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The 19
Indicators ¡
Ÿ
¨ ¤
Indicator
#1:Non-fatal injuries and illnesses reported by employers
Indicator #2:Work-related hospitalizations
Indicator #3:Fatal work-related injuries
Indicator #4:Amputations reported by employers
Indicator #5:Amputations identified in state workers' compensation
systems
Indicator #6:Hospitalizations for work-related burns
Indicator #7:Musculoskeletal disorders reported by employers
Indicator #8:Carpal tunnel syndrome cases identified in state workers'
compensation systems
Indicator #9:Pneumoconiosis hospitalizations
Indicator #10:Pneumoconiosis mortality
Indicator #11:Acute work-related pesticide poisonings reported to poison
control centers
Indicator #12:Incidence of malignant mesothelioma
Indicator #13:Elevated blood lead levels among adults
Indicator #14:Workers employed in industries with high risk for
occupational morbidity
Indicator #15:Workers employed in occupations with high risk for
occupational morbidity
Indicator #16:Workers in occupations and industries with high risk for
occupational mortality
Indicator #17:Occupational health and safety professionals
Indicator #18:OSHA enforcement activities
Indicator #19:Workers' compensation awards
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Grouping of 19
Indicators ¡
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12 Health
effect indicators (measures of injury or illness that indicate adverse
effects from exposure to known or suspected occupational hazards),
1 Exposure indicator (measures of markers in human tissue or fluid that
identify the presence of a potentially harmful substance resulting from
exposure in the workplace),
3 Hazard indicators (measures of potential for worker exposure to health
and safety hazards in the workplace),
2 Intervention indicators (measures of intervention activities or
intervention capacity to reduce workplace health and safety hazards), and
1 Socioeconomic impact indicator (measure of the economic impact of workrelated injuries and illnesses). ¡ â
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http://www.cste.org/dnn/LinkClick.aspx?fileticket=NX549KDRhis%3d&tabid=11
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Occupati
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Publications ¡
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Acute
Illnesses Associated with Exposure to Fipronil - Surveillance From 11
States in the United States, 2001 - 2007.
Acute Antimicrobial Pesticide-related Illnesses among Workers in Healthcare Facilities - California, Louisiana, Michigan, and Texas, 2002-2007.
Illnesses and Injuries Related to Total Release Foggers --- Eight States,
2001-2006
Acute Pesticide Poisoning in the U.S. Retail Industry, 1998-2004
Acute Illness Associated with Pesticide Exposures at Schools
Acute Pesticide-Related Illness Among Emergency Responders, 1993-2002
Unintentional Topical Lindane Ingestions - United States, 1998-2003
Surveillance for Acute Insecticide - Related Illness Associated with
Mosquito Control Efforts - Nine States, 1999-2002
Acute Pesticide-Related Illnesses Among Working Youths, 1988-1999
Illness Associated with Occupational Use of Flea-Control Products California, Texas, and Washington, 1989-1997
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CA, MA, MI, NJ, NY,
OR, WA: Occupational Lung Disease: asthma, asbestosis, silicosis
CA, MA, OR: Work-Related Injuries to workers under age 18
MA: Health and Safety of Immigrant and Minority Workers
MI: Work-Related Hearing Loss among: Auto Repair Workers, Farmers,
Lawncare Workers
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Capture-recapture of
possible exposures through medical records
Create a working scientific advisory committee
Develop educational and training materials for workers and employers.
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with stakeholders
Evaluate educational outreach and industrial hygiene intervention
activities to improve the effectiveness of the surveillance systems
Evaluate occuptional health program according to CDC standards
Evaluate forms on which data are entered and reported
GIS mapping of data
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The Compendium of NORA Research Projects and
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responded concerning their research projects identified as NORA from
1996-2005. The 188 extramural projects (out of 353 identified as NORA),
292 intramural projects, and two cooperative agreements illustrate the
impressive range and high quality of research that continues to result
from these national partnerships. Many projects involved work in more
than one priority area, but each was assigned to a primary priority area.
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academia, private organizations and government to maximize the return on
research investment. By providing brief project summaries and contact
information, we hope this document will provide a tool to improve
networking among researchers, foster communication between researchers
and end-users, and stimulate thinking on new research ideas and new ways
to highlight impact. We all share the same goal: the protection,
preservation and improvement of the health of people who work.
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Fatal Work-Related Injuries
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The CDC/CSTE Fellowship is designed for recent master or doctoral level
graduates in epidemiology or a related field who are interested in the
practice of public health at the state or local level. While the program
provides rigorous training for its participants, it is also designed with
flexibility in order to meet the particular interests of the Fellow.
Fellows are carefully matched to host agencies based on the career
interests of the Fellow and available opportunities of the host agency.
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through competency-based training.
Training
Closely designed after the Epidemic Intelligence Service (EIS) program
and using a mentorship model, The CDC/CSTE Applied Epidemiology
Fellowship offers a unique opportunity for graduates to acquire and
develop epidemiologic skills during a high quality, on-the job-training
program in public health practice. Fellows work closely with highly
trained and experienced epidemiologists at the state and local level, as
well as those working at the federal level with the CDC. All Fellowship
graduates have secured permanent positions and most are furthering their
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To compete for a DSHS internship, the student must submit:
Completed DSHS Internship Application.
Copy of resume.
Two letters of recommendation from academic faculty. One recommendation
should be from a former or current faculty. The second could be from an
academic advisor, an employment supervisor, a second faculty member, or a
sponsor of a student organization in which you participate.
Letter of Interest that explains why you are best qualified for the
internship, describes relevant experience, and explains how the
internship will further academic and/or professional goals.
http://www.dshs.state.tx.us/academiclinkages/internships.shtm
Submit the above application requirements to Dr. Rosamaria Murillo at
rosamaria.murillo@dshs.state.tx.us
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John Hellsten, Ph.D., epidemiologist
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