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51.7%
21.4%
10.3%
6.0% 4.7%
Injury by type 2014–2015
WorkCover Queensland data 2014-2015
51.7%
21.4%
10.3%
6.0% 4.7%
Dr Robert McCartney
Rob is a physician who has specialised in the field of Occupational and Environmental Medicine for over 20 years. His career goal is to maximise the health, wellbeing and productivity of working people.
He is a Fellow of the Australasian Faculty of Occupational and Environmental Medicine with the Royal Australian College of Physicians and past president of the Australian and New Zealand Society of Occupational Medicine. He has been an adjunct associate professor at Griffith University School of Human Services and Social Work.
A passionate and highly experienced doctor with a track record of managing risk and solving problems at the worker/workplace interface. He has extensive experience in the diagnosis and management of occupational injury and illness as well as assisting individuals in returning to the workforce after health problems.
Rob is a seasoned presenter and his well-developed interpersonal communication skills enable him to translate highly complex issues into readily digestible information for a wide range of audiences.
MSD
Musculoskeletal disorders
Injuries or disorders of: Muscles Nerves Tendons Joints Cartilage Nerves Tendons Supporting structures
MSD
2nd greatest global* cause of years lived with disability (YLD) 45% increase in YLD from MSD between 1990 and 2010 driven largely by population growth and ageing Highlights the important implications for health systems globally >30% of Australian population - More prevalent than any other National Health Priority Areas (NHPAs) with billions health expenditure *And in nearly all regions Lancet 2012; 380; 2163-96
MSD
In
Aust
Most common workers’ compensation claims Very significant social and economic burden for Australians. 76,000 claims representing 43% of all injury and disease claims* “Body stressing” is most common mechanism of injury Sprains and strains are 42% of all serious claims
Legislation
And Codes
WHS Regulation 60: A person conducting a business or undertaking must manage risks to health and safety relating to a musculoskeletal disorder associated with a hazardous manual task. Hazardous manual tasks – Code of Practice 2011
Body stressing due to: Repetitive movements
Muscle loading
Muscular stress with no objects being handled
Muscular stress while lifting, carrying or putting down objects
Muscular stress while handling objects other than lifting, carrying or putting down
The Usual Suspects
Informing about risk factors
Design work and work environment
Information materials and training programmes
Risks of physical loadings, dangerous to health or unnecessarily fatiguing
So…..
Prevention
Of
MSD
Influencing actions of employers and behaviour of workers
Chronic Disease
Psychological Disorder
Sleep Disorders
Sedentary Work
Beyond traditional risk management
for musculo-skeletal injuries
Integrated health and
safety
Smoking and AOD
Physical inactivity
Tobacco smoking
Sedentary lifestyle
Alcohol and other drugs
Poor diet and nutrition
Lifestyle risk factors
Tran
spor
t Co
nstr
uctio
n M
anuf
actu
rer
Min
ing
Whi
te c
olla
r Bl
ue c
olla
r Alcohol Obese Overweight Inactivity Inadequate diet Smoker
Productivity Absenteeism/ Presenteeism
Staff turnover/ early retirement
Risk reduction
Workers’ compensation costs
Income protection claims
Rationale
Obesity Smoking
Sedentary work
Diabetes
Physical inactivity
Psychological
Sleep disorders
Alcohol and Other Drugs (AOD)
Most relevant health
problems
Obesity and OHS
Musculoskeletal disorders
Hip, knee, hand arthritis Low back pain and sciatica Soft tissue conditions Acute lower extremity sprains and strains Fibromyalgia
Ill health and mortality from all causes
Cardiovascular disease
Colon and breast cancers
Type-2 Diabetes
Poor mental health
Musculoskeletal symptoms and injury
Obesity / overweight
High blood pressure
Australian Institute of Health and Welfare 2015
Physical inactivity Physical inactivity
of the day office workers sit
76% Increases risk of: Cancer Cardiovascular disease Type-2 diabetes Death
Sedentary behaviour
Type 2 diabetes
Diabetes and musculoskeletal disorders
Musculoskeletal disorders With diabetes Without diabetes
Adhesive capsulitis 11-30% 2-10%
Limited joint mobility 8-50% 0-26%
Dupuytren’s contracture 20-63% 13%
Carpal tunnel syndrome 11-16% 125/100000
Flexor tenosynovitis 11% <1%
Diffuse idiopathic skeletal hyperostosis 13-49% 1.6-13%
Prevalence of musculoskeletal disorders in patients with or without diabetes
Psychological
experience a mental health
condition in their lifetime
45% experience a mental health condition this year
20%
Stress
Depression
Anxiety
Psychological
per year impacted of
mental health conditions
11B $5B in absenteeism
$6B in presenteeism
$146M compensation claims
Psychological
The environment Relationships Individual factors
Psychosocial factors
The nature of work
Alcohol and other
drugs (AOD)
of all accidental workplace deaths
4% of workers reported absences
3.5% work under the influence of drugs
2.5%
Smoking and MSDs higher risk in
back pain for daily smokers
80%
Increase joint cartilage loss and rotator cuff tears
Sleep loss effects work performance via:
Sleep disorders
Involuntary micro-sleeps
Unstable attention to intensive performance
Cognitive slowing with increased errors
Response time slows
Performance declines in short-term recall of working memory
Sleep disorders
70% more likely to be involved in an accident
Highly disturbed sleep plays a role in occupational fatalities
More likely to report industrial accidents or injuries
Twice as likely to be involved in workplace accidents
Sleep-related fatigue is an independent risk factor in work-related injuries and fatalities
Healthier, productive workplace
Improved working conditions
Healthier workforce
Improved productivity
Organisational culture
Business case
Absenteeism Turnover, recruitment and training
Insurance premiums
Workers compensation
Short and long-term disability
Employee disengagement
Reduced motivation
Business reputation
Business case
EMPLOYERS have much to gain from engaging with their workers’ health and well being
EMPLOYEES who are healthy, fit and resilient are less likely to suffer physical and mental illness
Awareness and knowledge
Behavioural and social
Environmental Project management and capacity building
Raise awareness Increase health issues/work health initiatives knowledge
Integrate messages in meetings
Integrate into communications
Provide health behaviours/ industry issues information
Awareness and knowledge
Behavioural and social
Environmental Project management and capacity building
Awareness and knowledge
Behavioural and social
Environmental Project management and capacity building
Develop skills supporting healthy workplace behaviours Activities supporting risk management
Integrate in injury prevention management
Assess/review task procedures, practices and equipment
Review return to work processes
Provide health risk assessments and refer at risk workers
Awareness and knowledge
Behavioural and social
Environmental Project management and capacity building
Lead to establishment of healthy choices and behaviours support environment
Remove cigarette vending machines and smoking areas
Provide facilities for workers welfare
Review industrial agreements
Awareness and knowledge
Behavioural and social
Environmental Project management and capacity building
Planning health promotion projects such as establishing needs, involving stakeholders and building skills
Consult with health/safety representatives or committee
Review/integrate drug, alcohol and no smoking policies
Review OHS policies and processes
Work health planning guide characteristics
Assists to improve health/wellbeing of workers in a workplace setting
Improve safety performance, productivity and workplace culture
Supporting your workers
MANAGEMENT COMMITMENT
WELLNESS PLANNING
NEEDS ASSESSMENT
ACTION PLAN
EVALUATION
Work health planning guide characteristics
Executive buy-in/cultural implementation
Pre-employment assessments
Health management plans
Periodic health/ Workforce cross-sectional assessments
Data interpretation
The holistic integrated approach
The greatest analgesic, soporific, stimulant, tranquilizer, narcotic and to some extent even antibiotic….in short the closest thing to a genuine panacea known to medical science….is work
“ ” Thomas Szasz
Prof of Psychiatry
WORKPLACE INTEGRATION
Dr Rob McCartney Occupational Physician
HEALTH WELLBEING SAFETY
0402 261 524 [email protected]
Resources
• Visit worksafe.qld.gov.au for more on: – Musculoskeletal disorders – PErforM – Hazardous manual tasks – Slips, trips and falls – Work Health Planning Guide
Upcoming webinars
• Register for our next webinars in this series: – Drugs and alcohol, Wed 18 Nov, 11am – Psychological barriers to rehabilitation and return to
work, Wed 25 Nov, 11am