Overview

In October 2004, NIOSH and our partners sponsored the Steps to a Healthier U.S. Workforce symposium. The symposium marked the launch of a new initiative, based on a comprehensive view of worker safety and health, that explored all avenues that affect the health of workers. The Steps symposium brought together leaders from the occupational safety and health community with leaders from the health promotion community to explore ways in which an integrated approach could help improve the protection and promotion of worker health. The symposium was developed around the themes of research, practice, and policy related to the integration of health protection and health promotion. In planning the symposium, NIOSH commissioned three white papers to examine the state of the science, stimulate discussion, and improve communication between researchers and practitioners in the fields of worksite health promotion and occupational safety and health. These formative papers established the rationale for expanding research on the benefits of integrated programs to improve the health of workers and workplaces. They are widely cited and are considered seminal writings on the science and practice of integrating health protection and health promotion. In the 7 years that have elapsed, interest in integrated approaches to worker health and safety has mushroomed. Because of these developments, we asked the authors to update their papers and, as a service to NIOSH stakeholders, we have assembled them together into a single compendium to facilitate their dissemination and accessibility. In the past 7 years, NIOSH has remained steadfast in its commitment to advancing efforts to improve workplace health and safety through multi-faceted approaches. Following the Steps symposium, NIOSH implemented a WorkLife Initiative under which we funded three extramural Centers of Excellence to further explore and research these concepts. In 2011, we renewed funding for those three Centers and added a fourth. As we set our sights on future directions for 2012 and beyond, NIOSH has also begun building a comprehensive intramural and extramural research program for Total Worker Health that builds on the progress under the Steps symposium and WorkLife Initiative.

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