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Kitty Gelberg

MERGING OCCUPATIONAL HEALTH AND INJURY PREVENTION ACTIVITIES IN A STATE GOVERNMENT AGENCY New York State Department of Health Bureau of Occupational Health and Injury Prevention. Kitty Gelberg. AN Anthropological study of cultures. JUNE 2011. Bureau of Occupational Health.

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Kitty Gelberg

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  1. MERGING OCCUPATIONAL HEALTH AND INJURY PREVENTION ACTIVITIES IN A STATE GOVERNMENT AGENCYNew York State Department of HealthBureau of Occupational Health and Injury Prevention Kitty Gelberg

  2. AN Anthropological study of cultures

  3. JUNE 2011 Bureau of Occupational Health Bureau of Injury Prevention

  4. REALITY Bureau of Occupational Health Bureau of Injury Prevention • Separate locations • Disparate focus • Unique approaches

  5. REALITY X2 Injury Prevention Program Bureau of Occupational Health • Identity loss • Changes to procedures, administration • Too much oversight / too little management • Too little understanding of their work

  6. Creation of Bureau • Name merged after one year – July 2012 – Bureau of Occupational Health and Injury Prevention • Office moved in July 2012, but Injury Personnel didn’t join us until September 2012

  7. Bureau of Occupational Health & Injury Prevention Asbestos Safety Training Certification Industrial Hygiene & Intervention Services Occupational Health Surveillance Injury Prevention  HALF GRANT FUNDED ALL GRANT FUNDED

  8. Bureau Programs • Oversee PREVENTIONof occupational injuriesand illnesses • Quantifyand describethe occupational disease/injury burden in the state • Investigate and intervene in any situation with a continued riskof exposure / Provide training • Develop, implement and evaluateinterventions that will reduce the riskof exposures in the future • Monitor both the acute and chronic health effects of exposure • Increase the medical communities awareness about adverse health effects from occupational exposures

  9. Approaches: INJURY • The 4 E’s: • Engineering • Enforcement • Education • Encouragement • Evaluation Partner-ships

  10. Approaches: INJURY OCCUPATIONAL • The 4 E’s: • Engineering • Enforcement • Education • Encouragement • Evaluation • The 4 E’s: • Engineering • Offer potential solutions using hierarchy of control • Enforcement • Referralsto OSHA • Education • Evaluation Partner-ships

  11. Approaches: • Applied research • Research to practice (R2P) • Prevention / Safety through Design • Use of evidence-based strategies • Proving and promising • Partnerships • Data driven

  12. Injury Prevention Topic Areas Motor Vehicle • Child Passenger • Occupant Restraint • Teen Driver • Curriculum development • Older Driver • Drowsy Driving • Motorcycle Non-motorized Transport • Pedestrian • Bicycle • Scooter • Skateboard • In-line Skates Non-traffic • Shaken Baby Syndrome • Child maltreatment • Falls in Older Adults • Other • Poisoning • Childhood Unintentional Injuries • Fire • Drowning • Sports • Home Safety • Future? • Violence • Homicide • Suicide • Rape

  13. Approaches to Data INJURY OCCUPATIONAL • It’s GREAT! • Have 100% E-codes for injuries • It’s WRONG! – • Undercounts • Misclassifies

  14. Joint partnership with DOH, DMV, HRI, GTSC and SED. Newly added Motor Vehicles Carriers Assn. • Is Drivers’ Education effective? • Develop a model effective curriculum for NYS • Panel of experts in research, curriculum development, secondary education, behavior, insurance, driver education, industry • Update NYSED Guidelines from 1989 • Create a module for distracted driving • Pilot, get acceptance, incorporate into Guidelines, move forward

  15. Sports Safety • Concussion Management and Awareness Act signed into law in September 2011 • Athletes with a suspected concussion must be: • Removed from play immediately; • Symptom-free for at least 24 hours; and • Evaluated and cleared by a licensed physician before returning to play. • Applicable to workers? • Professional athletes • TBI among workers • Other sports related topics? Heat stress?

  16.  Workers

  17. Fall Prevention in Elderly • Currently implementing evidence-based programs to reduce falls in 3 counties. • Tai Chi: Moving for Better Balance • Community dwelling who can walk with ease • Stepping On • At risk of or have a fear of falling • Otago • High risk, 80+ years with a fall within the previous year • Steadi • Incorporate fall risk assessment and prevention into clinical practice • Add program for working elderly

  18. Occupational Health Programs • Surveillance Systems: • Heavy Metals • Lead, Mercury, Arsenic, Cadmium • Occupational Lung Diseases • Pesticide Poisonings • Census of Fatal Occupational Injuries • Research: • Employer Interviews for SOII Confirmation • Programs: • Fatality Assessment and Control Evaluation • Occupational Health Clinic Network • Young Workers

  19. Bureau of Occupational Health & Injury Prevention Asbestos Safety Training Certification Occupational Health Surveillance Injury Prevention Industrial Hygiene & Intervention Services Bureau of Occupational Health & Injury Prevention Asbestos Safety Training Certification Intervention, Outreach and Prevention Epidemiology and Surveillance Community Work CFOI Surveillance Audits Registries IT Home Enforcement

  20. QUESTIONS?

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