Occupational health & injury surveillance in Louisiana.
Atlanta, GA: U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, U60-OH-008470, 2009 Aug; :1-16
Assessing the magnitude of occupational illnesses and injuries and identifying priority areas for outreach and intervention is the cornerstone of a successful occupational health program. Since its inception in 2005, Louisiana's Occupational Health and Injury Surveillance Program has initiated and developed the capacity to conduct occupational health surveillance on key occupational health indicators. As a result of an additional 2 years of funding (2008-2010), further progress has been made to advance Louisiana's Occupational Health and Injury Surveillance program. Data sharing arrangements based on memorandums of understanding or other formalized procedures were established with the major data stewards: Office of Vital Records (Mortality and Inpatient Hospital Discharge data); Louisiana State University/Tumor Registry (Cancer incidence); Louisiana Department of Labor/Office of Workers Compensation (workers compensation records) and the Louisiana Poison Center (pesticide poisoning). Fluency was developed in accessing and analyzing public use data sources including the Bureau of Labor Statistics' Census of Fatal Occupational Injuries, Survey of Occupational Injuries & Illnesses, and the Current Population Survey. The creation of surveillance databases to receive and manage the large volume of data has facilitated routine and timely analysis of the grant-funded occupational health indicators in addition to other priority health outcomes such as mercury and carbon monoxide poisoning. Other results include in-depth review of all pesticide-related hospitalizations for a 10-year period, a web-based report summarizing Louisiana's occupational indicator data, a review of 10-years of work-related hospitalizations, and the rapid development and implementation of an active surveillance system of work-related health effects associated with the BP Oil Spill. Advancing outreach and prevention activities was achieved through partnering with organizations and agencies involved in occupational health issues. A student intern program with the 2 local Schools of Public Health (Louisiana State University and Tulane) promoted collaborative projects and the use of occupational health data among educational institutions. An in-depth analysis of asbestosis hospitalizations by a public health school intern highlighted the magnitude of this illness on Louisiana workers - approximately 300 new hospitalizations per year were identified. The adult blood lead surveillance program identified elevated lead levels in Hispanic construction workers which prompted an educational campaign targeting agencies in the New Orleans' area that work with the growing Hispanic population. In response to the BP Oil Spill, the Program investigated and tracked health effects among workers involved in oil spill clean-up activities and liaised with Federal Agencies involved in the oil spill response. The Oil Spill Surveillance reports produced by the program provided timely worker safety information to the multiple local, state, and federal agencies involved in the response. In collaboration with the Louisiana Department of Agriculture and Forestry and the Louisiana State University (LSU) AgCenter, staff conducted trainings to educate licensed pesticide applicators about common exposure scenarios occurring during pesticide applications.
Epidemiology; Surveillance-programs; Occupational-diseases; Occupational-health; Occupational-health-programs; Injuries; Injury-prevention; Recording-systems; Information-systems; Mortality-data; Data-processing; Public-health; Information-retrieval-systems; Poison-control; Poisons; Mercury-compounds; Mercury-poisoning; Oxides; Pesticides; Health-services; Oil-industry; Petroleum-industry; Education; Asbestosis; Blood-samples; Lead-absorption; Lead-compounds; Racial-factors; Construction-workers; Hazardous-waste-cleanup
Dianne Dugas, MPH, MSW, Louisiana Department of Health & Hospitals, Office of Public Health, Section of Environmental Epidemiology & Toxicology, PO Box 60630, New Orleans, LA 70160
7439-97-6; 630-08-0; 7439-92-1
Final Cooperative Agreement Report
NTIS Accession No.
National Institute for Occupational Safety and Health
Louisiana State Office of Public Health, Department of Health & Hospitals