Occupational Health & Safety Surveillance Advisory Committee

Thursday, November 10, 20111:00-3:00 PM

Agenda1:00-1:10 Welcome/Introductions1:10-1:50 Program Updates & Input on

Activities◦ Efforts to enhance surveillance data◦ Policy: Board of Health Rule Change for

Lead Reporting ◦ Capacity building

1:50-2:00 Break2:00-3:00 Priority Planning

◦ Multiple priority setting frameworks◦ Opportunities for data evaluation

PROGRAM UPDATES

OHI ReportHospitalizations reportBRFSS Occupational poisoningsLocal/Regional EffortsLead reporting policyCapacity building efforts

Occupational Health Indicators

Colorado Report Online: http://www.cdphe.state.co.us/dc/OH/OHI%20Report_090711_Final.pdf

Dec 1: All State Data on CSTE website http://www.cste.org/dnn/ProgramsandActivities/OccupationalHealth/OccupationalHealthIndicators/tabid/85/Default.aspx

Hospitalization Report…Soon

Occupational PoisoningsNew staff: Amanda Tran (MPH in 2012)Phase 1: Analysis & summary of

Colorado NPDS dataPhase II: Evaluate lead (Pb) cases

◦ Characterize occupation data in text field◦ Linkage with CDPHE lead surveillance

Phase III:◦ Feedback/training for RMPDC call center staff◦ Evaluate other sources of poisoning data (WC,

hospital admissions and ER visits)

BRFSS Questions in 2012If the response to Question 12.9 is one of the following: 1

Employed for wages, 2 Self-employed, 4 Out of work for less than 1 year, then ask these two questions:

  1. What kind of business or industry do you work in? (for

example, hospital, elementary school, clothing manufacturing, restaurant)

 [Record answer] _________________________________99 Refused

 2. What is your job title? (for example, registered nurse, janitor,

cashier, auto mechanic)If no job title, ask “What kind of work do you do?”

 [Record answer] _________________________________99 Refused

Public Health Improvement PlanLocal/Regional public health services

and indicator dataOSH indicators to be included:

◦ Unemployment rates◦ Lost-time Workers’ Comp Claims◦ Fatalities (CFOI vs. Workers’ Comp?)◦ Hospitalizations (WC as the payer)

Denver Public Health, Community Health Assessment

BLS, Census of Fatal Occupational Injuries (CFOI)Currently in Vital Statistics

SectionMoving to our program in 2012<$30K annually, One part-time

staffFatalities validated by two

sources:◦Death certificate◦WC claims◦OSHA reports◦Other (i.e. Media, SSDI, NVDRS,

FARS)

Lead (Pb) Surveillance & Rule MakingCoordinating ABLES/EPHT reporting2009: Exposed workers in Colorado

◦ Source: BLS Occupational Employment Statistics

◦ Estimated 65,300 (VT methods) to 99,500 (Haz-Map.com) workers

2009: Surveillance data◦ 808 persons: 55 =10-24 ug/dL ; 24 ≥ 25

ug/dL Proposal to BOH to require reporting of

adult lead tests ≥ 10 ug/dL Outreach to labs/employers regarding

testing

Capacity Building EffortsMAP ERC Pilot Project

◦Not funded◦Proposal to evaluate poisoning

experiences among pesticide applicators◦May still collaborate with Dept of Ag/CSU

CSTE Fellow Application (2 yrs, 2012-14)◦Occupational health disparities◦Develop training curriculum for refugees◦Apply for OSHA Susan Hardwood training

grant

PRIORITY PLANNING

Program Activities & Priority Setting Framework

Multiple Priority CriteriaStakeholder interests NIOSH priority areas Defines public health burden “Low-hanging fruit” CDC’s/Colorado’s Winnable Battles

Strategic Plan Available interventions

Colorado’s 10 Winnable BattlesClean Air Clean Water Infectious Disease PreventionInjury Prevention Mental Health and Substance Abuse Obesity Oral Health Safe Food Tobacco Unintended Pregnancy

Priority Grid DiscussionInitial ranking by Program staffDiscussion with Committee

members◦Activities missing◦Opinions on ranking◦Making use of OHI data to inform

priorities

Thank you!Review action itemsTimeline for next meeting