as young migrant workers' exposure to pesticides, should also be undertaken.

  • NIOSH should collaborate with the National Center for Injury Prevention and Control at the Centers for Disease Control and Prevention, the National Center for Health Statistics, and other relevant agencies to enhance the collection of data on the work relatedness of injuries and illnesses. Particular attention should be directed to existing ambulatory care surveillance systems, such as the National Ambulatory Care Survey; the relationship of work to injuries sustained by youngsters should be specifically included as new state-level systems are developed using emergency department data.

  • The Fatality Assessment and Control Evaluation program of NIOSH should consider including young people's work-related fatalities on its list of fatalities targeted for in-depth investigations. If full field investigations of all incidents are not feasible, NIOSH should, at least, develop a supplement to its basic data collection instrument to gather key information pertinent to working youngsters.

  • State-based surveillance activities, particularly those supported by NIOSH, should be expanded to allow for combining all the sources of data on nonfatal injuries and illnesses sustained by young workers and to develop appropriate links of surveillance so that relevant data collection is designed to support local intervention efforts.

  • The Bureau of Labor Statistics should routinely publish tabulations of the available data from the Survey of Occupational Injuries and Illnesses and the Census of Fatal Occupational Injuries (CFOI) for individuals under the age of 18, by separate and appropriate age categories.

  • Existing data systems, including the Census of Fatal Occupational Injuries, the National Traumatic Occupational Fatality Surveillance System, the Survey of Occupational Injuries and Illnesses, and the National Electronic Injury Surveillance System, should be evaluated to assess the extent to which they capture and generate representative data on work-related injuries sustained by youngsters.

  • The Bureau of Labor Statistics, with the assistance of the Wage and Hour Division, should include information on violations of federal child labor laws in the CFOI database for fatal incidents involving individuals under the age of 18. Such information is important



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