Wiking Husberg

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Northern Dimension PartnershipHealth at Work
Strategy

• Wiking Husberg
• ILO

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Global Estimates
Global workforce 2.8 billion Work related
fatalities 2.2 million Occupational
accidents 270 million Work-related
diseases 160 million Global GDP (income) 30
000 billion USD Lost GDP in accidents/diseases
4 Illiterate 1000 million People in
poverty 1000 million Child workers 246
million
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Second Page
Life expectancy at birth, in years Source
WHO/Europe, HFA Database, January 2005
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Towards systematic approach

• 1981 ILO Convention 155
• 1985 ILO Convention 161
• 1989 EU Framework Directive 391
• 2001 ILO-OSH 2001
• 2003 ILO Global Strategy on OSH
• 2006 ILO Convention 187 on Promotional OSH
• 2007 EU Strategy on OSH 2007-12
• 2007 WHO Global Plan of Action 2008-17

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WHO Global plan of action on workers health 2008
- 2017

• Policy instruments (national policy framework,
  national action plan
• Protect at the work place (define essential
  interventions, primary prevention)
• Access to occupational health services
• Surveillance of workers health accurately
  identify and control hazards
• Inclusion of workers health in other sector
  policies

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EU Community strategy 2007-2012 on health and
safety at work

• Aims for a 25 reduction of occupational
  accidents
• EU strategy 2002-06 decrease 17 , absence rate
  fallen by 20
• But still
• 28 of workers suffer non-accident problems
• 35 feel that their job put them on risk

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EU Community strategy 2007-2012 on health and
safety at work (2)

• Develop national strategies policy coherence
  (public health, social cohesion, employment)
  implement EU Directives
• Changes in the workplace, change of behaviour,
  especially SMEs
• Identifying and evaluating risks (risk
  assessment)
• Education and training programmes
• Improving health and promoting awareness

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New ILO Convention 187 - 2006
Article 2

• NATIONAL OSH POLICY
• NATIONAL OSH SYSTEM
• NATIONAL OSH PROFILE
• NATIONAL OSH PROGRAMME

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Health and Work
International strategies and collaboration
Societal support systems
Employment relations
Work
OSH system
Health
Occupational hazards and strains
Employability
Primary health care system
Some problems- social dialogue- variation and
polari- sation of health- access to service-
access to info- non-coherence of actions-
costs and resources
Life style Habits
Work ability
Health behaviour
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Target population and work
Population

Micro companies SMEs
Non-active population
Informal work
Formal empl.
Unemployed
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Commonalities WHO, ILO, EU

• Right to health and safety
• Right to health services
• Right to know
• Right to work
• Raising awareness, building preventative OHS
  culture
• Full coverage and access to quality, affordable
  services
• Collaboration and cooperation intercountry,
  regional, national
• Incorporation of health and safety in all policies

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Commonalities WHO, ILO, EU (2)

• National systematic level
• Government leadership
• Tripartite participation
• National OSH profiles and indicators
• National OHS strategy and plan
• Enforcement of legislation
• Institutional framework health systems
  development, centres of excellence on OHS labour
  inspection

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Commonalities WHO, ILO, EU (3)

• Tools and mechanisms
• Human resource capacities
• Basic and applied research
• Evidence based practices guidelines
• Simple tools for practice
• Information dissemination experts/workplaces/publ
  ic internet
• Mainstreaming OSH into trainig and education
• Follow-up and evaluation of progress

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Healthy life healthy work Forum

• WHO
• the silent worker
• Informal sector, migrant workers, working
  children
• Keep up the political momentum
• Provide evidence based facts
• Combine public health and occupational health
• ILO
• Systematic approach Conv 187
• Profile, programme, system
• Safety culture
• Awareness raising (ILO estimates, World Day 28
  April)
• Tri-partism access to work places

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Healthy life healthy work Forum

• EU
• The community OSH strategy 2003 2007 has led to
  results
• Decrease of fatalities 17
• Decrease of absenteeism 20
• Increased practical implementation of the
  Directives
• Cope with demographic change
• Ageing work force
• Lack of work force
• Cooperation MinHealth MinLabour
• ICOH
• Broad concept of health social determinants of
  health
• Global pandemics (SARS, avian flu) work related
• 50 of Europeans not covered, inequity, high
  risk areas
• Several options for occ health services ? BOHS

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Healthy life healthy work Forum

• Case of new EU Member State - Lithuania
• Differing trends in the EU 25
• Case shows lower indicators negative trends
• Challenges in system and in resources
• Improvement process started
• Strategy 2008 12
• Baseline survey
• Based on intl strategies
• Clear plans for improvement
• Although open indicators

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Healthy life healthy work Forum

• Healthy Workplace Initiative of the Bilbao
  Agency
• The economies are changing, new demographic
  phenomena rapid ageing of the population If we
  want to be high on the political agenda, we have
  to work for keeping people healthy up to the
  retirement age and beyond
• in the complex situation in the workplace work
  across the borders of jurisdictions is a
  necessity
• 167,000 fatalities attributed to work-related
  accidents and diseases in the EU-27
• importance of having reliable statistical data
  has an effect on identifying the priorities
• safety in societies will result in better
  productivity and competitiveness
• Healthy workplace initiative SMEs as a target
  point other tools such as OSH Week needs to be
  harnessed to support this activity 36 seminars
• media should be used for disseminating
  information to the general public

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Healthy life healthy work Forum

• Reports on regional OSH projects
• ILO OSH Project in North-West Russia
• Created and adapted new methodologies
• Practical testing of ILO-OSH 2001
• Multiplying in other countries
• Coop with Partnership
• South East European Network on Workers' Health
• Establishment of SEE Network
• Cooperation with the BSN OSH network and the
  Partnership SIHLWA/OSH network
• Baltic Sea Network on Occupational Health and
  Safety
• Established networking and collaboration
• Joining forces with Partnership SIHLWA/OSH

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Healthy life healthy work Forum

• Broadening traditional occupational health to
  lifestyle-related issues with a work aspect
• alcohol and work/ Sweden
• Alcohol still is a delicate issue to be
  discussed? NO!
• Alcohol toxication as a cause for occupational
  accidents
• Screening methodologies, voluntariness
• Workplace to be used as an arena for
  interventions
• alcohol and work (2007-2010)/ Finland
• Training of OH doctors, part of occ health
  services
• Material (guidebook, drinking diary)
• Early identification (screening), brief
  interventions
• Workplace is a good setting to prevent alcohol
  problems
• HIV/AIDS at workplaces
• Workplace programme for HIV/AIDS
• Link HIV/AIDS work with the OSH organisation

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Partnership Health at Work Strategy

• Based on
• the WHO Global Plan of Action on Workers' Health
  20082017,
• the ILO Global Strategy on Occupational Safety
  and Health (2003) and
• the ILO Convention No. 187,
• the European Strategy for Safety and Health at
  Work 20072012,
• the new EU Health Strategy, 'Together for Health
  A Strategic Approach for the EU 2008-2013'
• the new EU Second Programme of Community action
  in the field of Health 20082013

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Partnership Health at Work Strategy

• The Partnership notes
• work and health are closely inter-related
• all adverse health effects and injuries are
  preventable
• health and safety at work require a systematic
  approach and strong leadership by the
  Governments
• major inequities great variations in working
  conditions, in the health of the workers, and
  variation in access occupational health services
• underserved workplaces and workers need basic
  occupational health services, the basic
  conditions for high productivity
• public health and occupational health are closely
  related and need to be developed in parallel
• the improvement of workers' health is also
  strongly related to lifestyle issues, such as
  nutrition, smoking, alcohol consumption, physical
  exercise, etc.

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Partnership Health at Work Strategy

• The Partnership resolves
• the multifaceted interactions of work and health
  health should be integrated in all policies
• the strategies on occupational health and safety
  of WHO and ILO, as well as of the EU for the EU
  member countries, are to be implemented
  effectively
• the ILO Convention No. 187 on Promotional
  Framework adopted and implemented in full
• Actively diminishing the inequity in health
  between and within countries
• joint activities in the field of workplace health
  promotion to reduce communicable and
  non-communicable diseases
• allocating sufficient resources to projects and
  to development of occupational health service
  systems
• a closer collaboration between primary health
  care and occupational health services, including
  the need for competence and capacity building.

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Health at Work Strategy

• The Partnership recommends
• Policies and programmes
•  
• 1. Each Partner Country, whenever feasible, to
  draw up a national occupational safety and health
  profile according to the guidance provided by the
  ILO as the basis for the national programme on
  occupational health and safety. Such profiles
  should be used for the identification of the most
  urgent needs for action and for the follow-up of
  the progress made.
•  
• 2. Each Partner Country, whenever feasible, to
  draw up a national policy and programme for the
  development of work life, health and safety at
  work and the development of working conditions
  conducive to health and well-being, as described
  in the ILO Convention No. 187. This task is
  recommended to be carried out in collaboration
  with other relevant ministries and stakeholders.
•  
• 3. Each Partner Country, whenever feasible, to
  prepare a special national programme for the
  development of occupational health services for
  all working people. Where appropriate, the Basic
  Occupational Health Services approach is used for
  providing services particularly to the currently
  underserved groups in the formal and informal
  employment sectors.

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Health at Work Strategy

• The Partnership recommends
•  
• Specific actions
•  
• 4. Special joint and national actions to be
  instituted for the elimination of the most
  dangerous hazards at work in the sectors and
  branches of economy at highest risk, by utilizing
  successful experiences from the Partner Countries
  and by sharing information, knowledge and good
  practices in such preventive work.
•  
• 5. The Partner Countries to organize audits of
  occupational health and safety. The nature of the
  audits should be informational and they should
  promote learning rather than resemble
  inspections. Sharing the results of the audits
  will be used for learning from the partners.
•  
• 6. Partner Countries may organize specifically
  targeted actions for the management of special
  occupational health and safety problems
  recognized as priority issues for a part or for
  the whole Region, such as the improvement of
  occupational health and safety in the transport
  sector.

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Health at Work Strategy

• Capacity building
• 7. Partner Countries to organize region-wide
  joint seminars, courses and symposia for sharing
  experiences and for training experts working in
  authorities and in services in the field of
  health and safety.
•   
• Information
• Organized efforts for sharing information through
  the web to be enhanced by utilizing the existing
  information systems, such as the NDPHS Database,
  the Baltic Sea Network on Occupational Health and
  Safety, various newsletters and other media.
  Existing networks will be used for effective
  sharing of good practices. Simultaneously, the
  establishment of national and sectoral networks
  is encouraged to support the effective
  implementation of activities.
•   The Partner Countries to organize joint
  information campaigns for awareness raising among
  the public at large and among the interested
  parties in particular on the importance of
  occupational health and safety for the
  development of the Region. For this purpose, the
  information support of the ILO, WHO and the
  European Agency for Safety and Health at Work
  should be fully utilized.
•  
• Partnership to organize study tours for
  decision-makers, authorities and experts of
  individual countries to share experiences and
  learn from the neighbours.
•  
• Follow-up and evaluation
• 9. The Partnership to organize a follow-up
  activity enabling the evaluation of achievement
  of the above activities by the end of 2011.

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Background for the joint Plan of Action

• Recently endorsed OHS strategies (ILO, WHO, EU)
• (discussed in Bonn, October
  30,2007 Vilnius, November 14,2007)
• Analysis of OHS status in the countries
• (draft reports of BSN
  network countries are available)
• NDPHS Strategy on Health at Work
• (prepared by NDPHS OSH
  expert group during 2007 to be further
• discussed by the Pre-PAC
  Forum on November 15,2007)
• Project proposal developing occupational health
  services, and preventing work-related ill-health
• (based on the discussions
  within the BSN and SIHLWA-OSH expert
• groups and eleborated by
  FIOH)
• Plan of Action will be translated into practical
  activities
• (BSN and SIHLWA OSH will
  be utilized for coordination and guidance)

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Project outline for implementation start
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Cooperation between WHO, ILO and EU with BSN-OSH
network and Northern Dimension Partnership on
Health and Social Wellbeing (NDPHS), 14 Nov,
Vilnius

• - provide joint assistance for basic occupational
  health systems development
• sharing of information
• risk assessment
• best practice
• awareness raising (WD 28 April, Safety week,
  Health Day)
• support Partnership Health at Work strategy
  based on ILO, WHO and EU OSH strategies, and
• give full approval of the Project concept for
  implementing the Partnership strategy

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Healthy life healthy work Forum

• recommends
• to enhance the process of cooperation between
  WHO, ILO and EU, and between sub-regional
  networks
• to utilise WHO, ILO and EU OSH strategies to
  prepare national occupational health and safety
  systems
• at the national level increase cooperation to
  utilise all health and safety resources
• consider links between public health,
  occupational health and life style issues within
  a work place context
• the adoption of the Partnership Health at Work
  Strategy
• support the outline for a project to implement
  the Strategy

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