Had the committee not been required to give an integer score, it might have rated the program between 4 and 5.

In another example, an HHE was performed for an employer who managed home care services through a California county office (10,000 home care workers, primarily representing workers from underserved populations) (NIOSH, 2004a). Representatives from the county office reported a successful partnering of the HHE Program with the Labor Occupational Health Program (LOHP) of the University of California, Berkeley (Ayala, 2008). LOHP developed follow-up training to assist in implementation of HHE recommendations, which also contributed to the creation of a Labor Management Committee that discussed health and safety, as well as other issues. In this example, the HHE Program took advantage of local resources to maximize the effectiveness of HHE recommendations.

A third example of HHE Program-state occupational health collaboration was provided in comments by an industrial hygienist working at the Massachusetts Department of Public Health Occupational Health Surveillance Program (OHSP), which receives NIOSH funding for its occupational asthma surveillance activities (Pechter, 2008).8 Over time, three referrals for investigation of potentially hazardous exposures associated with work-related asthma were identified, and the industrial hygienist contacted the HHE Program to conduct investigations at these worksites. New-onset asthma associated with exposure to a particular compound (3-amino-5-mercapto-1,2,4-triazole) was identified (NIOSH, 2003b; Hnizdo et al., 2004). As noted by the stakeholder: “The identification of a new asthmagen is important, not only for the protection of workers currently exposed, but also to the process of scientific inquiry about respiratory sensitizers and asthma prevention” (Pechter, 2008). The HHE Program had previously identified asthma in flock workers at one company site (NIOSH, 1998a), while the OHSP request led to the identification of hazards in a second plant (NIOSH, 2006a; see Box 3-3 for a more detailed description of flock and related HHE Program activities).


These comments reflect personal opinions and are not necessarily those of the Massachusetts Department of Public Health.

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