The NIOSH Surveillance Strategic Plan is based on a long-range vision of a comprehensive occupational surveillance program involving a coordinated set of complementary surveillance systems. The plan seeks to achieve an appropriate balance between national and State-based activities, as well as an appropriate balance among health, injury, and hazard surveillance. Because no single Federal agency has an exclusive mandate to promote and conduct occupational health and safety surveillance, surveillance at all levels will benefit from increasing coordination and information exchange. Since new issues in occupational health will undoubtedly emerge in the next decade, the Surveillance Strategic Plan incorporates flexibility and the capacity to respond to them. The five primary goals of the plan are: 1. Advance the usefulness of surveillance information at the Federal level for prevention of occupational illnesses, injuries, and hazards. 2. Strengthen the capacity of State health departments and other State agencies to conduct occupational surveillance. 3. Strengthen surveillance of high-risk industries and occupations, and of populations at high risk, including special populations. 4. Promote effective occupational safety and health surveillance conducted by employers, unions, and other non-governmental organizations. 5. Increase research to improve occupational surveillance.