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NIOSH Respiratory Diseases Research Program

Evidence Package for the National Academies' Review 2006-2007

NIOSH Programs > Respiratory Diseases > Evidence Package > 8. Surveillance Activities

8.4 Worker Health Chartbook

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 By the late 1990s, it was apparent that the “WoRLD Surveillance Report” series and similar surveillance reports produced by NIOSH’s Injury Program were effective tools for planning and for raising awareness of occupational safety and health problems. Because of these successes, NIOSH leadership recognized the potential value of producing and disseminating a single surveillance report containing a broad range of occupational injury and illness surveillance data. It was anticipated that such a report would promote planning, implementation, and evaluation of research and prevention activities undertaken by the occupational safety and health community.


 RDRP contributed data from the “WoRLD Surveillance Report” to both the 2000 and 2004 editions of the NIOSH “Worker Health Chartbook” (Chartbook). The Chartbook includes descriptive information on the prevalence, morbidity, and mortality of several respiratory diseases (asthma, hypersensitivity pneumonitis, mesothelioma, asbestosis, byssinosis, CWP, silicosis, and TB). It emphasizes the magnitude, geographic distribution, and trends of these conditions.

Outputs and Transfer

 Hard copy and electronic resource: NIOSH. [2004]. “Worker Health Chartbook 2004” Washington, DC: U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health DHHS (NIOSH) Publication No. 2004-146 ( (A8-9).

From September 1, 2003  to October 11, 2005 there were 22,863 visits to the Worker Health Chartbook on the NIOSH Internet (

Intermediate Outcomes

Available data suggests that the Chartbook has influenced the actions of others.

While it is difficult to document citations of reports published by agencies (in contrast to papers published in journals), we have documented approximately 70 articles and other published materials that have referenced the Chartbook.

A variety of trade journals, state/university newsletters, popular press, and other Web sources announced availability of the Chartbook from NIOSH:

Additional Web sources provide a link to the Chartbook or have it otherwise available:

What’s Ahead

The Chartbook will continue to be maintained and updated at regular intervals.