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

2. Agenda 1:00-1:10 Welcome/Introductions 1:10-1:50Program Updates & Input on Activities ◦ Efforts to enhance surveillance data ◦ Policy: Board of Health Rule Change for Lead Reporting ◦ Capacity building 1:50-2:00Break 2:00-3:00Priority Planning ◦ Multiple priority setting frameworks ◦ Opportunities for data evaluation

3. PROGRAM UPDATES OHI Report Hospitalizations report BRFSS Occupational poisonings Local/Regional Efforts Lead reporting policy Capacity building efforts

4. Occupational Health Indicators Colorado Report Online: http://www.cdphe.state.co.us/dc/OH/OHI %20Report_090711_Final.pdf 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/ProgramsandActi vities/OccupationalHealth/OccupationalH ealthIndicators/tabid/85/Default.aspx http://www.cste.org/dnn/ProgramsandActi vities/OccupationalHealth/OccupationalH ealthIndicators/tabid/85/Default.aspx Hospitalization Report…Soon

5. 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)

6. BRFSS Questions in 2012 If 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] _________________________________ 99Refused 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] _________________________________ 99Refused

7. 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

8. 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)

9. 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

10. 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

11. PRIORITY PLANNING Program Activities & Priority Setting Framework

12. 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

13. 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

14. 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

15. Thank you! Review action items Timeline for next meeting