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The health and safety of employees and contractors is a key consideration for any mining operation anywhere in the world. However, in a sustainable mining context these considerations cannot terminate at the front gate – the health and wellbeing of people in the communities surrounding mining operations are crucial for the success of the operations themselves. Critical health issues facing communities vary around the world and how these issues are addressed also varies. What is consistent is the need to consider how the projects are affected by the local environments and the impacts projects may have on communities. And this must be done at every stage of the project lifecycle, from early exploration to resettlement and decommissioning. Public health should be integral to any mining operation. The contexts in which projects are located generate health challenges that can have serious repercussions on the projects themselves, such as the current ebola outbreak in West Africa. At the same time, public health considerations should be the cornerstone of any corporate social responsibility (CSR) program. If well-conceived these programs can contribute to local development but often the existing health systems and regulations are not clearly understood
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BEYOND SAFETY
MINING AND PUBLIC HEALTH
Presenter: Francesca Viliani Head of Public Health Consulting Services and Community Health Programs – International SOS
SMI seminar series – 10 September 2014
Twitter: @fravili
2
Health, we all know is
important
"Health is a state of
complete physical, mental
and social well-being and
not merely the absence of
disease or infirmity."
Preamble to the Constitution of the World
Health Organization (WHO), July 1946
3
Health, we also know health (or lack of it) has an
economic value (€)
No incomeFamily
delivered
home careReduced
productivity
Absenteeism
Less taxes
Lost revenue
Net expenses
family work society
Additional
health
expenses
Hiring home
care
Workers
insurance
Supporting
health care
system
4
Health a measure of development…
Millennium Development Goals (MDGs) a clear
example that health is a yardstick of development
progress.
MDG 1: Eradicate extreme poverty and hunger
MDG 4: Reduce child mortality
MDG 5: Improve maternal health
MDG 6: Combat HIV/AIDS, malaria and other diseases
MDG 7: Ensure environmental sustainability
Agenda
• Inside and outside, really?
• Industry
• Context and impacts
• Examples of programs
• Case study on ebola
5
6
Inside and outside
The fence...
7
Community Health
Public Health
Medical department, CSR
dept. National Health
System, Communities,
NGOs
Workforce Health
Occupational Health
Medical services (private
and public)
Medial department, HR,
HSE & Health System
Strategic Health Management
System
Workers and communities
8
Determinants of health
10
Industry
HIA and the industry
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OGP Health Leading PI review
OGP - IPIECA 2012 data
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HIA potentially powerful, but still an orphan process
13
ICMM Health and Safety
Conference 2012
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ICMM Principle 5
Seek continual improvement of our health and
safety performance
One conclusion from the conference
Raising the profile of Health in the industry &
relating it to values
The Duty of Care continuum
15
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Context and impacts
Project
Impacts
Context
Risks
Health
Challenges
Inherent Risks Underlying Needs
• A project has inherent risks, and can create potential impacts on the local community
• A community has underlying health needs, which could impact the project
17
Unequal availability of resources
Delivery room
health centreEmergency Room
oil operator
18
Example of Public Health Programs
Workforce Health Programs
20
41.2
2.7
0.0
5.0
10.0
15.0
20.0
25.0
30.0
35.0
40.0
45.0
Rate
/10
0 m
an
ye
ars
Workforce malaria incidence
Project DRC, New cases/100 person years* (2008-2013) (-93%)
Incidence Trendline
- 93% in new
malaria cases
* Person year: the length of time of experience or exposure of a group of people who have been observed for varying periods of time. It is the sum total of the length of
time each person has been exposed, observed, or at risk.
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Strategic Community Investments
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77.05%
33.78%
22.62%
30.63%
37.01%
46.99%
41.13%37.96%
16.30%
0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
70.00%
80.00%
90.00%
May-07 May-09 Oct-09 May-10 Oct-10 May-11 Oct.11 May-12 Oct-12
Slid
e P
erc
en
t P
ositiv
eMalaria prevalence in children of school ageProject DRC Project A, Slide Positivity Rate (%) (2007-2012)
Prevalence rate Trendline
-78% in slides with
malaria parasites
in children
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Community Health Program Project Indonesia A
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22%
46%
72%
86%
10%
23%
34%
63%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
2008 2011
Pneumonia
in Children
Cough in
Children
Moderate –
Severe
Anemia in
Mothers
Moderate-
Severe Anemia in
Children
Pneumonia, cough, anemiaProject Indonesia A, Prevalence in children u-5 and women in
reproductive age (2008-2011)
At least -26% in
prevalence in all
groups
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Ebola case study
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Emerging Pandemic Threats Program
IDRAM Initiative
• To raise awareness of emerging infectious diseases of
zoonotic origin
• To encourage interaction between the companies and local
officials in a health response
• To promote on-going support to National Health Systems.
29
Thank you
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