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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

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



JUNE 2011 IN A STATE

Bureau of Occupational Health

Bureau of Injury Prevention


REALITY IN A STATE

Bureau of Occupational Health

Bureau of Injury Prevention

  • Separate locations

  • Disparate focus

  • Unique approaches


REALITY X2 IN A STATE

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


Creation of bureau
Creation of Bureau IN A STATE

  • 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


Bureau of Occupational Health & Injury Prevention IN A STATE

Asbestos Safety Training Certification

Industrial Hygiene & Intervention Services

Occupational Health Surveillance

Injury Prevention

 HALF GRANT FUNDED

ALL GRANT FUNDED


Bureau programs
Bureau Programs IN A STATE

  • 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


Approaches
Approaches: IN A STATE

INJURY

  • The 4 E’s:

    • Engineering

    • Enforcement

    • Education

      • Encouragement

    • Evaluation

Partner-ships


Approaches1
Approaches: IN A STATE

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


Approaches2
Approaches: IN A STATE

  • Applied research

    • Research to practice (R2P)

  • Prevention / Safety through Design

  • Use of evidence-based strategies

    • Proving and promising

  • Partnerships

  • Data driven


Injury prevention topic areas
Injury Prevention Topic Areas IN A STATE

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


Approaches to data
Approaches to Data IN A STATE

INJURY

OCCUPATIONAL

  • It’s GREAT!

    • Have 100% E-codes for injuries

  • It’s WRONG! –

    • Undercounts

    • Misclassifies


  • Joint partnership with DOH, DMV, HRI, GTSC and SED. IN A STATE 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


Sports safety
Sports Safety IN A STATE

  • 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?


 Workers IN A STATE


Fall prevention in elderly
Fall Prevention in Elderly IN A STATE

  • 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


Occupational health programs
Occupational Health Programs IN A STATE

  • 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


Bureau of Occupational Health & Injury Prevention IN A STATE

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


QUESTIONS? IN A STATE


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