Project Summary The Illinois occupational surveillance program, now in its 11th year of funding, is seeking program renewal in order to continue to pursue population and case based occupational surveillance activities with the goal of proactively identify emerging hazards and promoting policies to protect workers. As the bona fide agent of the Illinois Department of Public Health, our research team at the University of Illinois Chicago, School of Public Health has taken on the role of building occupational health surveillance capacity in Illinois. We are applying for an expanded program comprising of a fundamental program and three expanded projects. We plan to continue to lead the effort in the state of Illinois to enhance occupational safety and health surveillance with the following programs: -Fundamental Illinois Occupational Surveillance Program: Conduct active surveillance of occupational injuries and illnesses in the State of Illinois utilizing recognized and new data systems with a particular focus on high risk industries, as well as underserved and precarious workers. We will expand health informatics capacity, organize statewide communications, and continue to build partnerships with stakeholders. - Expanded Project #1- Linking Occupational Surveillance Data, Work Practices and OSHA Enforcement Activities in Illinois: We aim to develop a “system of systems” through coordination with OSHA and other public health stakeholders in Illinois. The proposed program will (1) develop a real-time surveillance program to inform OSHA’s unprogrammed inspections, (2) analyze occupational injury and illness data captured in data systems not available to OSHA in order to identify high risk industries, employers with recurring severe injuries, and characterize emerging hazards to inform OSHA’s programmed inspections, (3) assess the reliability of employer reporting of severe injuries, and (4) strategically coordinate efforts between OSHA and other stakeholders. - Expanded Project #2 - Work-related Injuries in Chiropractors: Surveillance and Training: We will conduct occupational surveillance of ergonomic hazards and musculoskeletal health risks among chiropractors. We will also develop continuing education material, deploy a CE course through a partnership with the national association, and survey chiropractors about workplace hazards, knowledge regarding injury prevention and barriers to mitigating these ergonomic hazards. -Expanded Project #3 - Pesticide Related Illness Surveillance Program: Develop occupational surveillance system to monitor pesticide related illnesses and use these data to develop outreach and training among high risk workers. We will build a collaborative network of stakeholders to assess and engage workers with the goal of reducing pesticide related illnesses in Illinois.