California occupational safety and health surveillance, 2005-2010.
Harrison R; Flattery J; Materna B; Roisman R; Styles L
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-008468, 2010 Dec; :1-28
The Occupational Health Branch (OHB) of the California Department of Public Health (CDPH) conducted a Fundamental Program of public health activities that included the Occupational Health Indicators (OHI) supplemented by in-depth surveillance and intervention activities for three targeted areas (work-related asthma (WRA), traumatic fatalities, and occupational pesticide illness (OPI)). The aims of each of the four program areas were to 1) conduct surveillance of work-related injury and disease; 2) perform selected case-based investigations; 3) collaborate with a diverse range of stakeholders to develop and implement prevention strategies; 4) disseminate surveillance and case investigation findings to our target audiences; and 5) perform routine evaluation of our surveillance systems and program impact. This project has had significant impact on the risk of work-related injuries and illnesses in a number of high-risk industries and occupations in California. These include: 1. Increased awareness of the link between food flavoring chemicals and bronchiolitis obliterans, and enactment of the first national standard to protect workers against the risk of exposure to food flavorings. 2. Elimination of chemicals in cleaning agents that cause work-related asthma, and increased use of safer alternative products and practices in hospitals and schools. 3. Reduced exposure to silica during dry cutting of masonry materials, and enactment of the first OSHA process standard that requires wet methods or local exhaust ventilation. 4. Use of alternative methods for pest control in agricultural and residential settings. 5. Increase in safe work practices to prevent heat-related illness in high-risk occupations, and enactment of first comprehensive OSHA standard. 6. Reduction in health care worker exposure to aerosol transmissible diseases (ATDs), and enactment of the first comprehensive OSHA standard for health care employers. 7. Improved safety programs in solar energy companies to prevent falls and electrocutions. This program has demonstrated the value of establishing and implementing surveillance systems for work-related injuries and illnesses, followed by targeted investigations, outreach, and other dissemination efforts. The advent of electronic reporting systems has increased the efficiency and capture of work-related injury and illness data, although significant gaps remain for ascertaining chronic diseases. Findings from this project have been disseminated and used widely by a diverse audience.
Public-health; Respiration; Respiratory-system-disorders; Pulmonary-function; Pulmonary-system; Pulmonary-system-disorders; Pulmonary-disorders; Injuries; Traumatic-injuries; Pesticides; Diseases; Demographic-characteristics; Sociological-factors; Preventive-medicine; Workers; Work-environment; Worker-health; Food-additives; Chemical-properties; Bronchial-asthma; Exposure-levels; Silica-dusts; Masons; Materials-handling; Ventilation; Agriculture; Heat; Heat-exposure; Aerosols; Safety-programs; Solar-energy; Fall-protection; Electrical-safety; Chronic-exposure; Surveillance-programs
Robert Harrison, MD, MPH, California Department of Public Health, 850 Marina Bay Parkway, Building P, Third Floor, Richmond, CA 94804
Final Cooperative Agreement Report
NTIS Accession No.
National Institute for Occupational Safety and Health
Public Health Institute