Www.ilo.org/safework 11th World Congress of Public Health 8th Brazilian Congress of Collective Health (21-25 August 2006, Rio de Janeiro) ILO Policy Perspective

www.ilo.org/safework

11th World Congress of Public Health8th Brazilian Congress of Collective Health

(21-25 August 2006, Rio de Janeiro)

ILO Policy Perspective for Occupational Health

Igor Fedotov, MD, Ph.D.Senior Specialist on Occupational Health

International Labour Office - Geneva

[email protected]


• PROTECTION OF WORKERS HEALTH PROTECTION OF WORKERS HEALTH IS NOT HIGH ON POLITICAL AGENDASIS NOT HIGH ON POLITICAL AGENDAS

• LACK OF COHERENT NATIONAL LACK OF COHERENT NATIONAL SAFETY AND HEATH POLICIESSAFETY AND HEATH POLICIES


Safe and Healthy Work EnvironmentFundamental Human Right

“Protection of the worker against sickness, disease and injury arising out of his employment”

(ILO Constitution,1919)

“Everyone has the right to work, free choice of employment, to just and favourable conditions of work”

(Art.23, Universal Declaration on Human Rights, United Nations, 1948)

“Covenant recognises the right of everyone to enjoyment of just and favourable conditions of work which ensure safe and healthy working conditions”

(Art.7, Int. Covenant on Economic, Social and Cultural Rights, United Nations,

1976)


Global Estimates

Global workforce: 2.8 billionWork related fatalities: 2.2 millionOccupational accidents: 270 millionWork-related diseases: 160 millionGlobal GDP (income) 30 000 billion USDLost GDP in accidents/diseases 4 %Illiterate: 1000 millionPeople in poverty: 1000 millionChild workers: 246 million


Current Situation - Statistics

• 270 million work-related accidents• 350’000 fatal accidents

• 160 million occupational diseases• 30 - 40% lead to chronic diseases• 10% lead to permanent disability• 4-5% loss of GNP

Access to OH Services: 5-10% in developing and 20-50% in industrialized countries


Work-related Annual Deaths - World

17%

32%

8%

23%

18%

1%

0.4%

1%

Communicable diseases CancerRespiratory Diseases Circulatory diseasesMental Disorders Digestive systems diseasesGenitourinary system Accidents and violence

Deaths attributed to work


Decent Work Deficit

• Estimated work-related deaths in 2002:

2.2 – 2.4 million

« There can be no decent work« There can be no decent workwithout safe work »without safe work »Mr Juan SomaviaDirector General of the ILO


SOCIALSOCIAL• Lack of efficient national OSH infrastructures

for occupational health practice• Social inaqualities in coverage by OH practice

ECONOMICECONOMIC• Losses due to work-related injuries and

diseases (society, enterprise)• Low productivity, loss of qualified labour


Competitiveness and Safety

0

10

20

30

40

50

60

Fin

land

US

A

Net

herla

nds

Ger

man

y

Sw

itzer

land

Sw

eden U

K

Aus

tral

ia

Can

ada

Fra

nce

Bel

gium

Japa

n

Nor

way

Irel

and

Spa

in

Sou

th A

fric

a

Hun

gary

Kor

ea R

.

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Bra

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aysi

a

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iland

Chi

na

Mex

ico

Indo

nesi

a

Rus

sia

Rank

Competitiveness (World Economic Forum)

Fatal accidents/100 000 workers

Sources: World Economic Forum; ILO/SafeWork


Occupational Health - Globalization

PROMISEPROMISESustainable Economic DevelopmentBetter Living StandardsTHREATTHREATIncome InequalitiesWorker Protection SystemsPROBLEMPROBLEMEconomic and Social Development are not equalCHALLENGECHALLENGENew mechanisms for better labour protection


Protection of Health

• Children, young persons, elderly• Vulnerable groups, disabled persons• Public employees• Self-employed• Unemployed• Workers in organized sector• Workers in informal sector (SMEs)• Agricultural workers


Occupational Health Practice

• Wide spectrum of activities• Multidisciplinary and multisectoral• Commitment – society, enterprise, individual• Systematic development at all levels• Continuous quality improvement• Primary, secondary and tertiary prevention• Administrative, organizational, operative

systems


THE WAY FORWARDTHE WAY FORWARD


Strategy - Investment in Health

• New Concept of Productivity• Impact – Health, Environment, Quality of Life• Balance – Economic and Social Goals• Health - Total Quality Management• Corporate Social Responsibility - CSR• Good Health is Good Business • Reduced social costs of work-related illnesses• Healthy workforce – sustainable economy• Priority for disease prevention


HealthHealth

RecoveryRecovery

ImpairmentImpairment

DEATHDEATH

Pre-clinicalPre-clinicalAbnormalityAbnormality

ManifestManifestDiseaseDisease

DISEASE PREVENTION STRATEGY

PrimaryPrimaryPreventionPrevention

SecondarySecondaryPreventionPrevention

Tertiary PreventionTertiary PreventionTreatmentTreatmentRehabilitationRehabilitation


HealthHealthRecoveryRecovery

ImpairmentImpairment

DEATHDEATH

Pre-clinicalPre-clinicalAbnormalityAbnormality

ManifestManifestDiseaseDisease

DISEASE PREVENTION STRATEGY

PrimaryPrimaryPreventionPrevention

SecondarySecondaryPreventionPrevention

Tertiary PreventionTertiary PreventionTreatmentTreatmentRehabilitationRehabilitation


Investment in Health - Approaches

Institutional arrangements optimized

Total Health – preventive and curative health careCoverage - disease prevention, health promotion,

rehabilitation, compensationAim – better integration of OH & PHC systemsEmphasis – quality and effectiveness of servicesEvaluation – relevance and managementCoordination – financing and providing health care


Occupational Health in Socio-economic Development

• Added value in Sustainable Development• Indicators of Success in Social Policy • Comprehensive National Policy on OSH• Development of Occupational and Public

Health Services• Equity, Affordability and Accessibility • Priority - Disease Prevention, Health

Promotion• CSR to include Safety & Health at Work


Globalize Social Progress

Decent Work must be safe workCreate quality jobsIncrease social protection Comprehensive health care

preventive and curative

Decrease social costswork-related injuries and diseases

Better Protection for All


New ILO Framework Convention for OSH – the way forward

Policy – National Program – Safety Culture – Systems Approach – Plan – Do – Monitor – Steady improvement of OSH Structure

Promotional Convention - All ILO member States could ratify

Strategic country objectives: measurable, time bound, regularly reviewed

21

www.ilo.org/safeworkwww.ilo.org/safework

Information Information CollaborationCollaboration EnforcementEnforcement

Standards and codesStandards and codes

Values and principlesValues and principles

Strategic Approach for Strengthening ofNational OSH System through the National Programme

National Safe Work Programme- Promote Safety Culture- Strenghten OSH System- Targeted action:

Construction, SME’s, Agriculture, Chemicals etc.

NA

TIO

NA

L T

RIP

AR

TIT

E A

DV

ISO

RY

BO

DY

ILO Conventions/Recommendations/Codes/Guides should be used as the basis for

programme formulation and System improvements

OCCUPATIONAL SAFETY & HEALTH SYSTEM

LEGISLATION INSPECTIONKNOWLEDGE,

SUPPORTSERVICES

PROMOTIONADVOCACY


REQUIRED ACTIONS

• Quality of working life and health of workforce• Intensifying decision- and policy- making • Socio-economic dimension – technical, social,

financial and institutional implications• Improvement of work environment and delivery

of OH Services• Public health interventions in OH Practice• Prevention, health promotion, rehabilitation,

compensation and return to work• Development of effective national OSH Systems


Main Conclusions

• Global alliance and partnerships• Protection of health – promotion of social justicesocial justice• Combat against sickness, unemployment, poverty• Better work conditions – better quality of life• Reduction in social costs due to prevention of

work-related illnesses• Increased economic growth and richer societies

through efficient labour protection


Message from UN Secretary General

““Safety and health at Safety and health at

work is not only a work is not only a

sound economic sound economic

policy, it is also a basic policy, it is also a basic

human right.”human right.”

Kofi AnnanKofi Annan

Secretary General of the Secretary General of the

United NationsUnited Nations


Thank You!

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Www.ilo.org/safework 11th World Congress of Public Health 8th Brazilian Congress of Collective Health (21-25 August 2006, Rio de Janeiro) ILO Policy Perspective