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29/11/2017
1
Welcome!
#U858 Slido.com
#healthylungs
blf.org.uk
Why lung disease is still a
problem
Alison Cook, Director of Policy and
Communications
November 2017
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blf.org.uk © British Lung Foundation 2016
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blf.org.uk © British Lung Foundation 2016
The battle for breath
blf.org.uk © British Lung Foundation 2016
Mortality
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blf.org.uk © British Lung Foundation 2016
Mortality UK
blf.org.uk © British Lung Foundation 2016
Impact on hospital services
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blf.org.uk © British Lung Foundation 2016
Hospital Admissions for Lung
Disease:77% unrelated to smoking
non smokers smokers
blf.org.uk © British Lung Foundation 2016
Lung Disease Deaths:63%
unrelated to smoking
non smokers smokers
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blf.org.uk © British Lung Foundation 2016 blf.org.uk
blf.org.uk © British Lung Foundation 2016
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blf.org.uk © British Lung Foundation 2016
• 2,500 people each year die of
mesothelioma
• 2,000 asbestos-related lung
cancer deaths each year
• Hundreds with asbestosis and
non-malignant plural plaques
The impact of asbestos on the UK Relative risk of death from mesothelioma,
by local authority district, 2008-12
Source: Dr David Strachan, Respiratory Health of
the Nation, epidemiological study for the British
Lung Foundation
blf.org.uk © British Lung Foundation 2016
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blf.org.uk © British Lung Foundation 2016
Future trends in the UK
Source: Health and Safety Executive, UK
blf.org.uk © British Lung Foundation 2016
Carbon Nanotubes – a future threat?
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blf.org.uk © British Lung Foundation 2016
Next big challenge – air pollution?
blf.org.uk © British Lung Foundation 2016
A Taskforce for Lung Health
Source: Dr David Strachan, Respiratory Health of the Nation, epidemiological study
for the British Lung Foundation
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blf.org.uk
The aims of the Taskforce
• Develop and publish a new evidence-based respiratory health strategy
• Bring organisations and people together in a collective approach to cross-system leadership
• Develop realistic and outcome-driven approaches
• Work with NHS bodies to make the strategy workable
• Actively involve people living with lung disease, their carers and wider stakeholders
19
blf.org.uk
Scope of the
Taskforce
prevention diagnosis treatment long term quality of
life
palliative care
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blf.org.uk
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The Taskforce for Lung Health is
going to be leading the charge:
• influencing the next NHS Five
Year Forward View
• creating public demand for
change
blf.org.uk
Get involved
• Share best practice on prevention
• Ask your members to share their
experience
Get in touch: [email protected]
29/11/2017
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Occupational Lung Disease
Bakers Asthma in Supermarket
Scratch Bakeries
Doug Russell
Union of Shop Distributive and Allied Workers 0161249 2441
[email protected] www.usdaw.org.uk/healthandsafety
Bakers’ Asthma
Allergic reaction to flour dust or to
enzymes used as flour improvers
Associated with rhinitis, conjunctivitis
and skin symptoms
Sensitisation can occur at 0.5 to 1.0
mg/m3
In UK the WEL is 10 mg/m3
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Where workers are exposed
Plant bakeries and other food
manufacturing Highly automated, lower exposures but still issues e.g. when mixing
ingredients
‘Scratch’ bakeries in larger
supermarkets May be 10,000 workers, batch processing. Higher exposures when
weighing/mixing, shaping rolls and breads, cleaning
Craft bakeries Several thousand, many self-employed, increased demand for
artisanal breads. Likely to have higher exposures to flour dust
Supermarket bakeries
HSE/HSL study of large, medium and small bakeries (3 plant bakeries, 5 25-150 staff, 9 5-25 staff)
Good control and high awareness in plant bakeries
Absence of controls and little awareness of risk in small bakeries
Other study shows prevalence close to 10% in supermarket bakery workers
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Some good work in the past
2004-2005: HSE/HSL surveys of flour dusts exposure, prevalence of respiratory disease and awareness amongst industry workers of the risk associated with flour dust and enzymes
2006: HSE Respiratory Disease Programme initiative leading to awareness raising and inspections programme (also involving LA EHOs).
2006: Training initiative for local authority EHOs
2007: HSE/ LACORS ‘In Store’ Bakery initiative
2008: HSE Inspection Topic Pack: Small Bakeries 2 mg/m3 8Hr TWA ‘benchmark’ for control of flour and improver dusts in supermarket bakeries
But what did it achieve?
Unlike other occupational asthmas, the
incidence of bakers asthma increased over
the same period and remains high for retail
bakers
Tripartite meeting in 2008 to agree
standards for control of flour dust in
supermarkets but no clear standards agreed
No evidence of enforcement action or
regulator interventions at present
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We know the risks
The average exposure levels in supermarkets
are estimated to be well below the WEL but
there are periods of higher exposure
When emptying flour sacks
Mixing ingredients
Throwing down flour when shaping product
Sweeping up dust
South Africa mixer lid with inlet flap
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HSL Exposure visualisation tools
How do we control them?
Engineering controls – LEV, lids on mixers, use of low-dust flour
Safer working practices – handling of flour sacks, use of dredgers to sprinkle flour, use of dividing oil instead of flour, vacuum cleaning
Education and awareness-raising
Stricter WEL to reflect level of risk
Better use of health surveillance to identify local issues
Targeted intervention by LA EHOs
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The LOCHER Project
Joanne Shepherd GradIOSH
Health and Safety Manager Blackpool and The Fylde College
Bob Rajan OBE JP PhD CChem FRSC FFOH SIIRSM
HSE
Early beginnings
• Formulated as a unique way to involve students in understanding the health aspects of the industries in which they were training to work
• The first pilot at South Essex College on paint spraying and isocyanates in the automotive industry
• Further two pilots at Preston’s College and Coleg Gwent on wood dust, RPE and welding. Staff and students were encouraged to share their findings and work on social media #LOcHER
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Blackpool and The Fylde College
Blackpool and The Fylde College
• Became involved in 2016
• Project run as competition
• 10 curriculum areas entered
Topics included:
• Keyboard grime
• COSHH in the kitchen
• Cross contamination
• Dust ‘n’ Boots
• Healthy eating
• Interactive-health and safety
• Smoking and professionalism
• Safe DSE use
• Itching time over
• Office yoga
Competition judged by:
• Anne Foster HSE
• Karren Hoskins, IBIS Solutions Ltd
• Jeff Lambert of South Ribble Borough Council and chair Central Lancs IOSH group
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The winners of the competition came from our Construction
team
Since the competition they have performed at:
• IOSH Central Lancashire meeting
• Cheshire and Merseyside Construction group meeting
Feedback included:
• “Your approach was a great way of getting the message
across.”
• “Well done - you will make a difference in preserving health
and life.”
• “Those that couldn’t attend missed one of the best evenings
we’ve put on.”
Dust ‘N’ Boots
Dust ‘N’ Boots
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Findings
What students and employers gained:
• Confidence
• Employability skills
• Engagement in their own learning process
• Opportunities within the wider health and safety community
• Also: the use of the words health and safety and fun used in
the same sentence
Findings
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• Get involved
• Spread the word
• Get your apprentices to undertake a LOcHER project of their
own
• Employ a student who has LOcHER on their CV
• Trust the future!
The future
Any questions?
LOcHER Showcase
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43 BAE SYSTEMS PROPRIETARY
BAE SYSTEMS PROPRIETARY Unpublished Work Copyright 2017 BAE Systems. All Rights Reserved.
Danny Martland, Management of significant workplace health risks
Danny Martland Director, Safety, Health & Environment BAE Systems
Management of significant workplace health risks
44 BAE SYSTEMS PROPRIETARY
BAE SYSTEMS PROPRIETARY Unpublished Work Copyright 2017 BAE Systems. All Rights Reserved.
Danny Martland, Management of significant workplace health risks
Introduction
At BAE Systems, we provide some of the world’s most advanced, technology-led defence, aerospace and security solutions and employ a skilled workforce of some 83,400 people in over 40 countries. Working with customers and local partners, we develop, engineer, manufacture and support products and systems to deliver military capability, protect national security and people and keep critical information and infrastructure secure. Key facts
• International capability • One of the worlds leading defence companies • A world leading innovator • Over 83,000 employees worldwide • Customers in more than 100 countries • 2016 sales of £19billion • Working with universities worldwide (over 30 in the UK) • £70m+ invested annually in education and skills globally • £9bn+ spent with over 33,000 suppliers globally
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45 BAE SYSTEMS PROPRIETARY
BAE SYSTEMS PROPRIETARY Unpublished Work Copyright 2017 BAE Systems. All Rights Reserved.
Danny Martland, Management of significant workplace health risks
BAE Systems - Safety Journey
46 BAE SYSTEMS PROPRIETARY
BAE SYSTEMS PROPRIETARY Unpublished Work Copyright 2017 BAE Systems. All Rights Reserved.
Danny Martland, Management of significant workplace health risks
What got my attention
• Statistics show that in 2013/2014 133 workers died in accidents at work and approximately 13,000 people died from work related diseases. Meaning 99% of deaths caused by work can be attributed to ill health
• HSE Strategy
• Conversation with HSE 2014 - what can we do?
• Breathe Freely Campaign construction - simple, powerful messages
• We, BAE Systems, are the largest engineering company in the UK comprising many legacy companies
29/11/2017
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47 BAE SYSTEMS PROPRIETARY
BAE SYSTEMS PROPRIETARY Unpublished Work Copyright 2017 BAE Systems. All Rights Reserved.
Danny Martland, Management of significant workplace health risks
Health & Safety
• Safety issues tend to be the burning issues
• Injuries are obvious however, long latency health effects aren't
• Safety practitioners are generalists in their field
• They don’t tend to understand hygiene in any detail
• Senior managers only tend to ask about safety
• Therefore safety generally is seen as a priority
48 BAE SYSTEMS PROPRIETARY
BAE SYSTEMS PROPRIETARY Unpublished Work Copyright 2017 BAE Systems. All Rights Reserved.
Danny Martland, Management of significant workplace health risks
• Health seen as surveillance via Occupational Health Department, not control of workplace health risks
• Few (weekly monthly) indicators for Occupational Hygiene, near miss reporting, first aid etc..
• RIDDOR reportable occupational diseases tend to be few and far between
• All assessments in place; monitoring and statutory checks OK
• So we haven't got a problem!
Health & Safety
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49 BAE SYSTEMS PROPRIETARY
BAE SYSTEMS PROPRIETARY Unpublished Work Copyright 2017 BAE Systems. All Rights Reserved.
Danny Martland, Management of significant workplace health risks
Discussion with the Board
• Significant health Risks
• Carcinogens, Mutagens, Reprotoxins, and Sensitisers
• Not COSHH!
• The strategic aim is to systematically move up the hierarchy of controls to remove our employees from risk to their health, with a drive towards moving away from the need to use Personal Protective Equipment
“We aspire to create a workplace where our employees have no direct exposure to carcinogens, reprotoxins, mutagens and sensitisers”
50 BAE SYSTEMS PROPRIETARY
BAE SYSTEMS PROPRIETARY Unpublished Work Copyright 2017 BAE Systems. All Rights Reserved.
Danny Martland, Management of significant workplace health risks
Carcinogens, Mutagens, Reprotoxins, Sensitisers
Trichloroethylene degreasing
Chromated primers spraying / touch up
Chromic acid treatment bath / touch up
Cadmium Oxide corrosion (mutagen) Leksol degreasing / cold cleaning
Chrome VI treatment bath / touch up
Chromated Primer Sanding
CN20 Gun wash solvent (Teratogen)
Nickel drilling/countersinking of carbon
Epoxy resin adhesives / fillers
Metalworking fluids / coolants
Welding / Soldering
Health hazards
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51 BAE SYSTEMS PROPRIETARY
BAE SYSTEMS PROPRIETARY Unpublished Work Copyright 2017 BAE Systems. All Rights Reserved.
Danny Martland, Management of significant workplace health risks
Focus Areas
• Health Risk Management Strategy
• Health Steering Board
• Deployed Health Risk Leading Indicators – mix of strategic and operationally specific
• Training for SHE generalists
• Running BOHS certificate in house to enhance core skills x 14 new Occupational Hygienists
• Moving towards Hygienists becoming the Strategist, specialist advisors rather than measurers!
• Assurance to the ‘more competent’ SHE generalists
• Identified top ten hazardous substances, carcinogens, mutagens, reprotoxins, sensitisers
• Detailed risk assessments
• Comprehensive awareness sessions to convey health effects, controls required and how to use, monitoring? health surveillance?
52 BAE SYSTEMS PROPRIETARY
BAE SYSTEMS PROPRIETARY Unpublished Work Copyright 2017 BAE Systems. All Rights Reserved.
Danny Martland, Management of significant workplace health risks
• Partnering with BOHS, EEF, HSE and other industries to facilitate campaign
• Support working group to develop material and guidance
• Provide speakers for roadshows
Breathe Freely
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53 BAE SYSTEMS PROPRIETARY
BAE SYSTEMS PROPRIETARY Unpublished Work Copyright 2017 BAE Systems. All Rights Reserved.
Danny Martland, Management of significant workplace health risks
Summary
• SHE community tend to overlook or underestimate the health risks
• Health for many is seen as health surveillance and wellbeing – not risk management
• Subjects like COSHH can be seen in some areas to be too big and in other areas quite trivial
• Hazardous substances such as CARCINOGENS, MUTAGENS, REPROTOXINS and SENSITISERS get management attention
• Create a high impact campaign
• It’s not a numbers game…accidents
• It’s about identifying and articulating health risk
• Think ALARP – not only “measurement below WEL”
• More focus on Occupational Hygiene strategy, communication, raising awareness and overall competency
54 BAE SYSTEMS PROPRIETARY
BAE SYSTEMS PROPRIETARY Unpublished Work Copyright 2017 BAE Systems. All Rights Reserved.
Danny Martland, Management of significant workplace health risks
Thank you Any Questions?
Restrictions on use: The information in this document contains proprietary information of BAE Systems. Neither this document nor any of the proprietary information contained therein shall be (in whole or in part) published, reproduced, distributed, disclosed, adapted, displayed, used or otherwise made available or accessible (in each case, in any form or by any means) outside of BAE Systems without the express written consent from the document originator or an approved representative of BAE Systems.
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Month 00, YYYY - Title of presentation 55
Lauren Kyle Head of Cleaning
UK & Ireland
A
G
E
N
D
A
Sodexo at a Glance
Safety Moment Global ‘Have a Safe Day’ approach Focus areas for Sodexo UK & Ire
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Sodexo At A Glance
57 –
€19.8bn of consolidated
revenues
420,000 employees
19 th
largest employer
worldwide
75 million consumers
per day
80 countries
World leader in
Quality of Life
Services
ENERGY &
RESOURCES
CORPORATE
SERVICES
HEALTHCARE
GOVERNMEN’T
SCHOOLS
UNIVERSITIES
SPORTS &
LEISURE
Global commitment to health & safety
On-going communication & awareness campaign
Have a Safe Day aims to:
• embed a zero accident mindset
• encourage collective responsibility for health & safety
• encourage employees to speak up when we feel unsafe
• encourage health & safety conversations and raise awareness
29/11/2017
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Safety Moment
59 –
An estimated 500,000 people work in cleaning in the UK
• The use of chemicals is a key health & safety topic in
the industry
• PPE is only part of the answer!
Three focus areas to reduce lung disease
60 –
Cleaning
Horticultural Services
Fleet Management
29/11/2017
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Cleaning
61 –
Engineered water
‘The product is amazing – I’m very happy with it. It’s
replaced a number of chemical products, so I’m no longer
breathing in chemicals. Our client staff like it too when I
explain that it’s cleaning and decontaminating surfaces
without the use of chemicals’
Mary - Sodexo cleaning colleague at Shell UK
Air purification systems
Ozone / UV technology
Improvement in air quality
Eliminates need for artificial air fresheners
Horticultural Services
62 –
Reduce pesticide use with biological controls
Increased cultivation
Reduce frequency of application
Trial alternatives e.g. hot foam weeding
Battery powered blowers and strimmers
Reduce air pollution
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Fleet Management
63 –
Cleaner engine technology
Purchased 100 new vehicles with
Euro6 engines
new updated GPS fleet tracking
device for efficient routing
40% of company cars are hybrid
Electric vehicles
Bunzl electric vehicle introduced 2010
Home Service – electric vehicles used
to deliver hot meals
Defence – electric catering vans used
Month 00, YYYY - Title of presentation 64
Thank you
29/11/2017
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UNITE Tackling Workplace
Lung Disease
Bud Hudspith
Unite National H&S Adviser
2017
40 years of Safety Reps
A force for good H&S Safety Representatives and
Safety Committees Regs 1977
29/11/2017
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Workers are the
solution, not the
problem!
UNITE - lung disease
• Asbestos
• Diesel fumes
• RCS (Respirable Crystalline Silica)
Supporting
• HSE
• IOSH – No time to lose
• BOHS Breathe Freely
29/11/2017
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Asbestos
• Publications
• Submissions
• Asbestos register
29/11/2017
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Diesel engine exhaust
emissions can cause cancer
Diesel Exhaust Fumes
• Unite conference motion
• Guidance
• Diesel Register
• HSE publication – Implementation?
29/11/2017
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Respirable Crystalline Silica
• Unite guidance
• NEPSI
• Former Advisory Committee on Toxic
Substances
• Inadequate Controls
• Can cause lung cancer without silicosis
• IndustriALL/USW
29/11/2017
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Supporting action
against lung disease
• HSE – Healthy Lung Partnership
• IOSH – No time to lose
• BOHS – Breathe Freely
• Welding
Unite is committed to improving health
and safety in all workplaces
Union organised workplaces are safer
than non-organised workplaces