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Sentinel Event Strategies in Environmental Health

Sentinel Event Strategies in Environmental Health In 1979, 1980, and 1981, the three Yves Biraud Seminars in Talloires, France, explored developments in the relatively new field of environmental epidemi­ ology. Since those early conclaves, the field has advanced considerably, yet the evolution of new technologies, specific to the purpose, have been slow (5, 25). Many of the research methods used for environmental epidemiology have been borrowed from infectious disease investigations or from occupa­ tional studies. This chapter describes the application of a specific public health monitoring technique, borrowed from occupational epidemiology-surveil­ lance for sentinel health events (53). Disease surveillance has been defined as a "state of continuing watchful­ ness" (60). The salient characteristic here is watchfulness, which is the objective of detecting a meaningful change of state, i.e. disease incidence. A surveillance system has been defined as the systematic collection, analysis, and dissemination of data. Many industries began to develop company-based surveillance systems in the 1970s as a response to the Occupational Safety and Health Administration (OSHA) legislation and the need for more data to study potential health effects from occupational exposures. 0163-7525/93/0510-0205$02. 00 ALDRICH & LEAVERTON A similar process is now occurring for environmental exposures with the implementation of federal legislation under "Superfund" http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Annual Review of Public Health Annual Reviews

Sentinel Event Strategies in Environmental Health

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Publisher
Annual Reviews
Copyright
Copyright 1993 Annual Reviews. All rights reserved
Subject
Review Articles
ISSN
0163-7525
eISSN
1545-2093
DOI
10.1146/annurev.pu.14.050193.001225
pmid
8323587
Publisher site
See Article on Publisher Site

Abstract

In 1979, 1980, and 1981, the three Yves Biraud Seminars in Talloires, France, explored developments in the relatively new field of environmental epidemi­ ology. Since those early conclaves, the field has advanced considerably, yet the evolution of new technologies, specific to the purpose, have been slow (5, 25). Many of the research methods used for environmental epidemiology have been borrowed from infectious disease investigations or from occupa­ tional studies. This chapter describes the application of a specific public health monitoring technique, borrowed from occupational epidemiology-surveil­ lance for sentinel health events (53). Disease surveillance has been defined as a "state of continuing watchful­ ness" (60). The salient characteristic here is watchfulness, which is the objective of detecting a meaningful change of state, i.e. disease incidence. A surveillance system has been defined as the systematic collection, analysis, and dissemination of data. Many industries began to develop company-based surveillance systems in the 1970s as a response to the Occupational Safety and Health Administration (OSHA) legislation and the need for more data to study potential health effects from occupational exposures. 0163-7525/93/0510-0205$02. 00 ALDRICH & LEAVERTON A similar process is now occurring for environmental exposures with the implementation of federal legislation under "Superfund"

Journal

Annual Review of Public Health – Annual Reviews

Published: May 1, 1993

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