The landscape and nature of work in the United States has changed remarkably over the past several decades. Yet occupational safety and health (OSH) surveillance approaches have generally not evolved to address these shifts in the changing nature of work.

A new report from the National Academies of Sciences, Engineering, and Medicine recommends a number of actions aimed at improving the coordination and cost-effectiveness of the OSH surveillance system. It looks specifically at areas such as injury and illness recording enhancement, interagency coordination, and state-based OSH surveillance programs.