Helen Marucci-Wellman is with the Center for Injury Epidemiology, Liberty Mutual Research Institute for Safety, Hopkinton, MA, and the School of Health and Environment, University of Massachusetts, Lowell. David H. Wegman, Tom B. Leamon, and David Kriebel are with the School of Health and Environment, University of Massachusetts, Lowell. Tom B. Leamon is also with the Harvard School of Public Health, Boston, MA. Ta Thi Tuyet Binh and Nguyen Bich Diep are with the National Institute for Occupational and Environmental Health, Hanoi, Vietnam.
Am J Public Health. 2013 Nov;103(11):1989-96. doi: 10.2105/AJPH.2013.301304. Epub 2013 Sep 12.
Developing nations bear a substantial portion of the global burden of injury. Public health surveillance models in developing countries should recognize injury risks for all levels of society and all causes and should incorporate various groups of workers and industries, including subsistence agriculture. However, many developing nations do not have an injury registration system; current data collection methods result in gross national undercounts of injuries, failing to distinguish injuries that occur during work. In 2006, we established an active surveillance system in Vietnam's Xuan Tien commune and investigated potential methods for surveillance of work-related injuries. On the basis of our findings, we recommend a national model for work-related injury surveillance in Vietnam that builds on the existing health surveillance system.
发展中国家承担了全球大部分的伤害负担。发展中国家的公共卫生监测模型应认识到社会各阶层以及各种原因造成的伤害风险，并应包括各个工人群体和行业，包括自给农业。然而，许多发展中国家没有伤害登记制度；当前的数据收集方法导致对伤害的全国性严重漏报，未能区分工作期间发生的伤害。2006 年，我们在越南宣田公社建立了一个主动监测系统，并调查了监测与工作有关的伤害的潜在方法。根据我们的调查结果，我们建议在越南建立一个基于现有卫生监测系统的与工作有关的伤害监测国家模式。
