Choi B C, Tennassee L M, Eijkemans G J
Centre for Chronic Disease Prevention and Control, Population and Public Health Branch, Health Canada, Tunney's Pasture, PL#1918C3, Ottawa, Canada K1A 0K9.
Rev Panam Salud Publica. 2001 Dec;10(6):376-81. doi: 10.1590/s1020-49892001001200002.
An objective of the Workers' Health Program at the Pan American Health Organization (PAHO) is to strengthen surveillance in workers' health in the Region of the Americas in order to implement prevention and control strategies. To date, four phases of projects have been organized to develop multinational workplace health and hazard surveillance in the Region. Phase 1 was a workshop held in 1999 in Washington, D.C., for the purpose of developing a methodology for identifying and prioritizing the top three occupational sentinel health events to be incorporated into the surveillance systems in the Region. Three surveillance protocols were developed, one each for fatal occupational injuries, pesticide poisoning, and low back pain, which were identified in the workshop as the most important occupational health problems. Phase 2 comprised projects to disseminate the findings and recommendations of the Washington Workshop, including publications, pilot projects, software development, electronic communication, and meetings. Phase 3 was a sub-regional meeting in 2000 in Rosario, Argentina, to follow up on the progress in carrying out the recommendations of the Washington workshop and to create a Virtual Regional Center for Latin America that could coordinate the efforts of member countries. Currently phase 4 includes a number of projects to achieve the objectives of this Center, such as pilot projects, capacity building, editing a compact disk, analyzing legal systems and intervention strategies, software training, and developing an internet course on surveillance. By documenting the joint efforts made to initiate and develop Regional multinational surveillance of occupational injuries and diseases in the Americas, this paper aims to provide experience and guidance for others wishing to initiate and develop regional multinational surveillance for other diseases or in other regions.
泛美卫生组织（PAHO）工人健康计划的一个目标是加强美洲区域工人健康监测，以便实施预防和控制战略。迄今为止，已组织了四个阶段的项目，以在该区域开展跨国工作场所健康与危害监测。第一阶段是1999年在华盛顿特区举办的一次研讨会，目的是制定一种方法，用于确定并优先列出要纳入该区域监测系统的三大职业哨点健康事件。制定了三项监测方案，分别针对致命职业伤害、农药中毒和腰痛，这些在研讨会上被确定为最重要的职业健康问题。第二阶段包括一些项目，用于传播华盛顿研讨会的结果和建议，包括出版物、试点项目、软件开发、电子通信和会议。第三阶段是2000年在阿根廷罗萨里奥举行的一次次区域会议，以跟进落实华盛顿研讨会建议的进展情况，并创建一个拉丁美洲虚拟区域中心，该中心可协调成员国的工作。目前第四阶段包括一些实现该中心目标的项目，如试点项目、能力建设、编辑光盘、分析法律制度和干预战略、软件培训以及开发一门关于监测的网络课程。通过记录为启动和开展美洲区域职业伤害和疾病跨国监测所做的共同努力，本文旨在为其他希望启动和开展针对其他疾病或在其他区域的区域跨国监测的人提供经验和指导。
