2023 Version 4: October 2019 NIOSH Strategic Plan: FYs 2019− Contents Introduction ............................................................................................................................................... 7 Strategic Goal 1: Reduce occupational cancer, cardiovascular disease, adverse reproductive outcomes and other chronic diseases. ................................................................................................................ 15 Agriculture Forestry and Fishing/Cancer, Reproductive, Cardiovascular Disease and Other Chronic Disease Prevention (AFFxCRC) .................................................................................................................... 15 Intermediate goal 1.1 (Pesticide Exposure and Neurologic Disorders): ............................................. 15 Intermediate goal 1.2 (Renal diseases): .............................................................................................. 16 Healthcare and Social Assistance/Cancer, Reproductive, Cardiovascular Disease and Other Chronic Disease Prevention (HSAxCRC) ................................................................................................................... 18 Intermediate Goal 1.3 (Adverse Reproductive Outcomes): ............................................................... 18 Intermediate Goal 1.4 (Work Organization and Cancer, CVD): .......................................................... 20 Manufacturing/CRC (MNFxCRC) ................................................................................................................. 22 Intermediate goal 1.5 (Exposure to carcinogens): .............................................................................. 22 Intermediate goal 1.6 (Adverse Reproductive Outcomes): ................................................................ 23 Intermediate goal 1.7 (Exposure to welding fumes and neurologic disorders): ................................ 24 Mining/CRC (MINxCRC) ............................................................................................................................... 26 Intermediate goal 1.8 (Hazardous airborne exposures and cancer): ................................................. 26 Public Safety/CRC (PSSxCRC) ....................................................................................................................... 28 Intermediate goal 1.9 (Exposure to carcinogens): .............................................................................. 29 Intermediate goal 1.10 (Risk factors for CVD): ................................................................................... 30 Services/CRC (SRVxCRC) .............................................................................................................................. 33 Intermediate goal 1.11 (Risk factors and burden of CVD): ................................................................. 33 Intermediate goal 1.12 (Adverse reproductive outcomes): ............................................................... 35 Transportation, Warehousing and Utilities/CRC (TWUxCRC) ..................................................................... 37 Intermediate goal 1.13 (CVD and obesity, work organization):.......................................................... 37 Strategic Goal 2: Reduce occupational hearing loss ............................................................................ 41 Construction/Hearing Loss Prevention (CONxHLP) .................................................................................... 41 Intermediate goal 2.1 (Engineering controls to reduce noise exposure): .......................................... 41 Intermediate goal 2.2 (Hearing loss prevention education for employers and workers): ................. 42 Manufacturing/Hearing Loss Prevention (MNFxHLP) ................................................................................. 45 Intermediate goal 2.3 (Exposure to hazardous noise and ototoxic chemicals): ................................. 45 HTML version is available at https://www.cdc.gov/niosh/about/strategicplan/ 1 Intermediate goal 2.4 (Hearing loss prevention education for employers and workers): ................. 46 Mining/Hearing Loss Prevention (MINxHLP) .............................................................................................. 48 Intermediate goal 2.5 (Noise control engineering and hearing loss surveillance): ............................ 48 Oil and Gas Extraction/Hearing Loss Prevention (OGExHLP) ...................................................................... 50 Intermediate goal 2.6 (Exposures to hazardous noise and ototoxic chemicals): ............................... 50 Services/Hearing Loss Prevention (SRVxHLP) ............................................................................................. 52 Intermediate goal 2.7 (Exposure to hazardous noise): ....................................................................... 52 Strategic Goal 3: Reduce occupational immune, infectious and dermal disease .................................. 55 Agriculture, Forestry, and Fishing/Immune, Infectious and Dermal Disease Prevention (AFFxIID) ........... 55 Intermediate goal 3.1 (Skin exposure to pesticides and total body burden): .................................... 55 Intermediate goal 3.2 (Infectious disease transmission): ................................................................... 56 Healthcare and Social Assistance/Immune, Infectious and Dermal Disease Prevention (HSAxIID) ........... 58 Intermediate goal 3.3 (Infectious disease transmission): ................................................................... 58 Intermediate goal 3.4 (Exposures related to asthma and other immune diseases): ......................... 60 Manufacturing/ Immune, Infectious and Dermal Disease Prevention (MNFxIID) ...................................... 62 Intermediate Goal 3.8 (Hazardous exposures and immune diseases): .............................................. 62 Oil and Gas Extraction/Immune, Infectious and Dermal Disease Prevention (OGExIID) ............................ 65 Intermediate goal 3.5 (Hazardous dermal exposures): ...................................................................... 65 Public Safety/Immune, Infectious and Dermal Disease Prevention (PSSxIID) ............................................ 66 Intermediate goal 3.6 (Infectious disease transmission): ................................................................... 66 Intermediate goal 3.7 (Hazardous exposures to illicit drugs): ............................................................ 68 Services/Immune, Infectious and Dermal Disease Prevention (SRVxIID) ................................................... 69 Intermediate Goal 3.9 (Hazardous exposures and immune diseases): .............................................. 69 Strategic Goal 4: Reduce occupational musculoskeletal disorders (MSDs) .......................................... 73 Agriculture, Forestry and Fishing/Musculoskeletal Health (AFFxMUS) ...................................................... 73 Intermediate goal 4.1 (Exposure to vibration and repetitive motion): .............................................. 73 Construction/Musculoskeletal Health (CONxMUS) .................................................................................... 76 Intermediate goal 4.2 (MSD interventions) ........................................................................................ 76 Healthcare and Social Assistance/Musculoskeletal Health (HSAxMUS) ..................................................... 79 Intermediate goal 4.8 (MSD interventions): ....................................................................................... 79 Manufacturing/Musculoskeletal Health (MNFxMUS) ................................................................................ 82 Intermediate goal 4.3 (MSDs and emerging technologies [e.g., robots, exoskeletons]): .................. 83 HTML version is available at https://www.cdc.gov/niosh/about/strategicplan/ 2 Mining/Musculoskeletal Health (MINxMUS) .............................................................................................. 84 Intermediate goal 4.4 (MSD risk factors): ........................................................................................... 84 Services/Musculoskeletal Health (SRVxMUS) ............................................................................................. 87 Intermediate goal 4.5 (Risk factors for back injuries): ........................................................................ 87 Wholesale and Retail Trade/Musculoskeletal Health (WRTxMUS) ............................................................ 88 Intermediate goal 4.6 (MSDs among older workers): ......................................................................... 88 Intermediate goal 4.7 (MSDs and emerging technologies [e.g, robots, exoskeletons]): ................... 90 Strategic Goal 5: Reduce occupational respiratory disease ................................................................. 92 Agriculture, Forestry and Fishing/Respiratory Health (AFFxRHP) .............................................................. 92 Intermediate goal 5.1 (Fixed airways diseases): ................................................................................. 92 Construction/Respiratory Health (CONxRHP) ............................................................................................. 94 Intermediate goal 5.2 (Exposure to mineral dusts): ..........................................................................