Occupational Health & Safety Surveillance Advisory Committee

Occupational Health & Safety Surveillance Advisory Committee Thursday, November 10, 2011 1:00-3:00 PM

Agenda • 1:00-1:10 Welcome/Introductions • 1:10-1:50 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 Break • 2:00-3:00 Priority Planning • Multiple priority setting frameworks • Opportunities for data evaluation

OHI Report Hospitalizations report BRFSS Occupational poisonings Local/Regional Efforts Lead reporting policy Capacity building efforts Program Updates

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 Poisonings • New staff: Amanda Tran (MPH in 2012) • Phase 1: Analysis & summary of Colorado NPDS data • Phase 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 2012 If the response to Question 12.9 isone 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 Plan • Local/Regional public health services and indicator data • OSH 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 Section • Moving to our program in 2012 • <$30K annually, One part-time staff • Fatalities validated by two sources: • Death certificate • WC claims • OSHA reports • Other (i.e. Media, SSDI, NVDRS, FARS)

Lead (Pb) Surveillance & Rule Making • Coordinating ABLES/EPHT reporting • 2009: 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 Efforts • MAP 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

Program Activities & Priority Setting Framework Priority Planning

Multiple Priority Criteria • Stakeholder 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 Battles • Clean Air • Clean Water • Infectious Disease Prevention • Injury Prevention • Mental Health and Substance Abuse • Obesity • Oral Health • Safe Food • Tobacco • Unintended Pregnancy

Priority Grid Discussion • Initial ranking by Program staff • Discussion with Committee members • Activities missing • Opinions on ranking • Making use of OHI data to inform priorities

Thank you! • Review action items • Timeline for next meeting

Occupational Health & Safety Surveillance Advisory Committee