The Oklahoma State Department of Health (OSDH), Injury Prevention Service (IPS) conducted a project to establish a fundamental surveillance system to collect data on occupational hazards, diseases, injuries, and deaths in Oklahoma. Occupational injuries are a significant public health problem in the United States (U.S.) and in Oklahoma. Surveillance data from the national Census of Fatal Occupational Injuries (CFOI) indicate that in the U.S. almost 5,000 persons die each year from occupational injuries. In Oklahoma, over 100 occupational injury deaths are reported annually. Transportation incidents account for the highest number of deaths followed by agriculture-related deaths. Overall, men account for more than 90% of deaths. Injuries occur most commonly among workers 35-54 years of age. For this project, data were collected on 13 health conditions and 6 health condition determinants. These data were collected and analyzed to determine the magnitude and trends of occupational indicators and to develop, implement, and evaluate occupational injury and illness prevention programs in Oklahoma. Indicator data for 2003-2008 were collected using the standardized methods specified in Occupational Health Indicators: A Guide for Tracking Occupational Health Conditions and Their Determinants. These guidelines were compiled by the Council of State and Territorial Epidemiologists (CSTE) in collaboration with the National Institute for Occupational Safety and Health (NIOSH). The 19 health conditions and their determinants include: nonfatal work-related injuries and illnesses reported by employers, work-related hospitalizations, work-related amputations with days away from work reported by employers, amputations filed with the state workers' compensation system, work-related musculoskeletal disorders with days away from work reported by employers, carpal tunnel syndrome cases filed with the state workers' compensation system, hospitalizations from or with pneumoconiosis, mortality from or with pneumoconiosis, acute work-related pesticide-associated illness and injury reported to poison control centers, incidence of malignant mesothelioma, elevated blood lead levels, workers employed in high risk industries and occupations, occupational safety and health professionals, Occupational Safety and Health Administration (OSHA) enforcement activities, and workers' compensation awards. Data were collected from existing data sources, including Oklahoma Vital Statistics, the Oklahoma hospital discharge database, Oklahoma Workers' Compensation Court, the Bureau of Labor Statistics website, the U.S. Census Bureau website, the National Academy of Social Insurance website, the American Association of Poison Control Centers, the Oklahoma Central Cancer Registry, the Oklahoma Adult Blood Lead Epidemiology and Surveillance program and OSHA. Comprehensive, statewide data were also collected on work-related fatalities from multiple reporting sources, including the Office of the Chief Medical Examiner, OSDH Division of Vital Records, OSHA, and the Oklahoma Department of Labor Public Employees Occupational Safety and Health Division. Summary data reports, Injury Updates, and fact sheets were prepared utilizing the data described above. Materials were distributed and posted on the IPS website (http://ips.health.ok.gov
) to allow employers and safety managers to utilize the information in safety trainings. The Oklahoma Occupational Safety and Health Surveillance Advisory Committee continued meeting to enhance the Oklahoma Occupational Safety and Health Surveillance program. Members of the Advisory Committee included a representative for each of the local data sources and representatives from the Department of Labor, OSHA, the Oklahoma Poison Control Center, and academia. The Advisory Committee reviewed data collection procedures, examined data collected, provided input on reports, assisted with distribution of materials, and reviewed the state strategic plan. The IPS also participated in the Consortium of Occupational State-based Surveillance and the Coordination Committee to discuss program efforts with other states and NIOSH, to review and edit the existing occupational indicators, and to propose and prepare new indicators.