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户外工作者的热病预防计划的结果:一个9年的概述
William B Perkison1, Caroline M Schaefer, Judith Green-McKenzie
1From the Department of Epidemiology, Human Genetics and Environmental Sciences, Southwest Center for Occupational and Environmental Health, University of Texas Health Science Center, Houston, School of Public Health, Houston, Texas (W.B.P., R.W.R.); Department of Management, Policy, and Community Health, University of Texas Health Science Center, Houston, School of Public Health, Houston, Texas (C.M.S.); Division of Occupational and Environmental Medicine, Department of Emergency Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania (J.G.-M.); Department of Emergency Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania (F.S.); and Concentra, Medical Surveillance Services, Irwindale, California (R.S.M.).
从热病预防计划 (HIPP) 中删除医疗监测导致户外工作者中与热有关的疾病 (HRI) 略有增加. 这表明医疗监测对于有效预防HRI至关重要.
科学领域:
- 职业健康 职业健康 职业健康
- 环境医学 环境医学
- 公共卫生 公共卫生
背景情况:
- 热相关疾病 (HRI) 对户外工作者构成重大风险.
- 热病预防计划 (HIPP) 对于减轻这些风险至关重要.
- 特定程序组件的影响,如医疗监测,需要评估.
研究的目的:
- 评估从HIPP中删除医疗监视对HRI率的影响.
- 在程序修改后分析HRI频率和工人赔偿成本的变化.
主要方法:
- 对329名户外工作者 (2011-2019) 的回顾性队列研究 (2011-2019).
- 综合性HIPP下的HRI比率与没有医疗监督的修改HIPP (mHIPP) 的HRI比率的比较.
- 分析工人的薪酬数据.
主要成果:
- 在最初的HIPP期间,HRI率显著下降 (每1000名工人19.5至1.01).
- 在mHIPP中取消医疗监视后,HRI率增加到每1000名工人7.6人.
- 虽然HRI病例的增加很小,但表明取消医疗监督可能会产生潜在的影响.
结论:
- 医疗监测可能是热病预防计划的关键组成部分.
- 从HIPP中删除医疗监测可能会导致与热有关的疾病的增加.
- 需要对HIPP组件进行持续评估,以优化工人安全.
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