You may add to the many "silo problems" facing those who wish to use health data to its full potential the fragmentation of health and safety data in the typical American workplace. Yet, the two are interdependent and some of the nation's most prominent experts in occupational medicine say it is time to begin coordinating and quantifying the effort to improve the nation's health at work.

"Safety and health interact, and we know that people who have injuries at work tend to have more of them and more severe ones when they are unhealthy, and that unsafe workplaces tend to have more people who are unhealthy," said Robert McLellan, M.D., medical director of occupational and environmental medicine at Dartmouth-Hitchcock Medical Center in Lebanon, N.H..  "Over the past few years, there has been an increasing recognition of this interaction."

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