Schnitzer P G, Shannon J
Department of Family and Community Medicine, University of Missouri-Columbia, 65211, USA.
Public Health Rep. 1999 May-Jun;114(3):242-8. doi: 10.1093/phr/114.3.242.
The authors describe the growth from 1987 through 1996 of the Occupational Pesticide Poisoning Surveillance Program at the Texas Department of Health. The program was initially based on a Sentinel Event Notification System for Occupational Risks (SENSOR) model, using sentinel providers to report cases, supplementing the passive reporting by physicians that was required by law. The model was evaluated after five years, and significant changes were implemented to improve case ascertainment. Current active surveillance methods emphasize collaboration with a number of agencies and organizations for identification of cases and follow-up. The number of confirmed occupational cases increased from 9 workers in 1987 to 99 workers in 1996. The evolution from a passive system to an active surveillance program expanded the number of reported cases and strengthened inter-agency collaborations.
作者描述了1987年至1996年期间得克萨斯州卫生部职业农药中毒监测项目的发展情况。该项目最初基于职业风险哨兵事件报告系统（SENSOR）模式，利用哨兵医疗机构报告病例，以补充法律要求医生进行的被动报告。五年后对该模式进行了评估，并实施了重大变革以改进病例确诊工作。当前的主动监测方法强调与多个机构和组织合作以识别病例并进行随访。确诊的职业病例数从1987年的9例增加到1996年的99例。从被动系统到主动监测项目的演变增加了报告病例的数量，并加强了机构间的合作。
