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Document ID (ISN)59336
CIS number 93-118
ISSN - Serial title 0096-1736 - Journal of Occupational Medicine
Year 1992
Convention or series no.
Author(s) Strader C.H., Petersen G.R.
Title Evaluating strategies for health surveillance - Health event ascertainment at a nuclear facility
Bibliographic information Jan. 1992, Vol.34, No.1, p.45-52. Illus. 22 ref.
Abstract The US Department of Energy's Health Surveillance System is a pilot project to design, implement, and evaluate a system of routine morbidity surveillance based on routinely collected occupational medical data at participating Department of Energy facilities. At the Hanford Site (Richland, Washington), most health events were ascertained using a 21-day threshold-of-absence criterion. This provisional threshold, established under the assumption that it would capture all important morbidity, has been criticised as potentially omitting morbidity of interest. A review of all health-event absences occurring over a one-year period revealed that the efficacy of the 21-day threshold varies widely by diagnosis and that absence-based eligibility criteria are not useful for all morbidity of interest. Future development will require supplementation of health-event ascertainment by other, diagnosis-based criteria to ensure completeness of ascertainment.
Descriptors (primary) morbidity; sickness absenteeism; safety and health documentation; nuclear power stations; health service records; accident absenteeism
Descriptors (secondary) USA; classification; diagnosis
Document type D - Periodical articles
Country / State or ProvinceUSA
Subject(s) Occupational pathology
Broad subject area(s) Occupational medicine, epidemiology
Browse category(ies) Power generation and distribution
Safety and health information
Economic aspects
Occupational health services