Author(s): V Garca Lpez
BACKGROUND: To evaluate the Sentinel Surveillance Program in Occupational Health in Navarre for the 1998-2007 period, identify factors that facilitate its implementation and describe the socioeconomic characteristics of the notified cases.
METHOD: An analysis was made of all occupational sentinel events reported by primary care between 1998 and 2005. All of these were followed through to 2007.
RESULTS: In the whole period 2,055 cases were notified; 1,223 with personal identifications and 832 without (59.5% and 40.5%). These included 1,192 elbow tendinitis, 354 carpal tunnel and 417 dermatitis cases. This represents an incidence rate of 332.8 per 100,000 workers in 2005. Only 21% took sick leave and 10.5% had come to primary care after being refused attention by occupational medical insurers. The positive predictive value was 70% (confirmed as occupational). 41% of those work-related diseases were officially notified, 51% received official notification first and the remaining 49% received notification after being seen by a doctor in the public health system.
CONCLUSIONS: The Sentinel Surveillance Program in Occupational Health in Navarra is a good experience in obtaining an information system that connects the public health system and the occupational compensation system in Spain, but it requires close monitoring and coordination.