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Death certificate-based occupational mortality surveillance in the United States.

Authors
Dubrow R; Sestito JP; Lalich NR; Burnett C; Salg JA
Source
Am J Ind Med 1987 Mar; 11(3):329-342
NIOSHTIC No.
00168303
Abstract
The use of death certificates for surveillance of occupational mortality patterns in the U.S. to develop information on potential occupational health problems is discussed. The joint efforts of NIOSH, the National Center for Health Statistics, the Bureau of the Census, the Association for Vital Records and Health Statistics and state health departments have resulted in the selection of a standard system for occupation and industry coding of death certificate, development of programs to ensure consistent use of the codes, and development of a computer software package for proportionate mortality ratio analysis. The use of death certificate occupation and industry entry coding has increased from only six states in 1979 to 31 states and the District of Columbia. Proportionate mortality ratio analyses have used information from death certificates coded for occupation and industry. Limitations in the use of information from death certificates include its questionable accuracy, unsuitability for studying nonfatal occupational diseases, and the long latency period for many occupational disorders. The authors conclude that, in spite of certain deficiencies, surveillance of occupational mortality using coded entries from death certificates represents a simple and inexpensive tool for occupational disease surveillance and epidemiological studies.
Keywords
NIOSH-Author; Mortality-surveys; Mortality-rates; Occupational-diseases; Epidemiology; Industrial-hazards; NOMS; National Occupational Mortality Surveillance; Author Keywords: occupational disease; occupational surveillance; mortality surveillance; surveillance; death certificates
Contact
Robert Dubrow, MD, PhD, Division of Surveillance, Hazard Evaluations, and Field Studies, National Institute for Occupational Safety and Health, Mail Stop R-18,4676 Columbia Parkway, Cincinnati, OH 45226
CODEN
AJIMD8
Publication Date
19870301
Document Type
Journal Article
Fiscal Year
1987
Issue of Publication
3
ISSN
0271-3586
NIOSH Division
DSHEFS
Source Name
American Journal of Industrial Medicine
State
OH
Page last reviewed: April 12, 2019
Content source: National Institute for Occupational Safety and Health Education and Information Division