summarized here do not necessarily reflect the views or opinions of the committee, although they may have influenced the deliberations that led to the committee’s conclusions.

HHE Program Improvements
Strategic Planning
  • Improve the connection between NIOSH management and the front-line science staff to allow the program to become more science oriented;

  • Prioritize hazards to be studied, balancing larger issues with other issues needing to be addressed;

  • Conduct targeted investigations within certain industries, such as poultry and food service; and

  • Establish rapid response teams to encourage timeliness in response to HHE requests.

Interaction with the Occupational Health Community
  • Communicate better with safety professionals in industry;

  • Market the value of HHEs through collaborations with relevant professional associations and employer or business groups (e.g., National Business Group on Health);

  • Partner with community institutions, worker advocate groups, faith-based centers, and day labor organizations to relate to immigrant workers;

  • Improve the visibility of the HHE Program to employers, unions, occupational medicine physicians and nurses, health departments, and workers to make the program more accessible;

  • Encourage state-based programs to make referrals for HHEs;

  • To assist local health department occupational health professionals, consult with local experts in nearby field offices in order to clarify procedures related to the advisability of referrals to the HHE Program (Determining which of the federal, state, and local agencies responsible for responding to specific issues is difficult);

  • Work with OSHA to communicate particularly with small- and midsized organizations and encourage employers with an evaluation program to use the OSHA consultation program;

  • Develop partnerships with the Centers for Disease Control and Prevention and the Environmental Protection Agency to collaborate with the federally designated pediatric environmental health specialty units to conduct HHEs in day cares and schools;

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