In order to develop local capability for the prevention of occupational disorders, a cooperative state/federal Sentinel Event Notification System for Occupational Risks (SENSOR) was proposed. The system would use a network of sentinel providers (individual practitioners, laboratories, or clinical groups) to recognize and report designated occupational disorders to a state surveillance center, usually the state health department. The surveillance center would receive reports from the sentinel provider network, analyze the data, and follow up reports of occupational disorders. Action taken on case reports would include individual case management recommendations, medical evaluation of coworkers of identified cases, and preventive measures in the workplace. The center would also be available for technical consultation. Target occupational conditions for SENSOR included carpal tunnel syndrome, lead (7439921) poisoning in adults, noise/induced hearing loss, occupational asthma, pesticide poisoning, and silicosis. Although other means of reporting would be used initially, computer technology for electronic transmission of data to the centers would be developed.
NIOSH, U.S. Department of Health and Human Services, Atlanta, Georgia