Work Plan 2009 - 2012 WHO Global Network of Collaborating ...

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Work Plan 2009 - 2012 WHO Global Network of Collaborating Centres in

Occupational Health

COMPENDIUM OF PROJECTS June 30, 2011

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Work Plan 2009 - 2012 WHO Global Network of Collaborating Centres in Occupational Health

GPA Objective 1: To devise and implement policy instruments on workers' health - Claudina Nogueira

GPA Objective 2: To protect and promote health at the workplace - Stavroula Leka and Aditya Jain GPA Objective 3: To improve the performance of and access to occupational health services – Kaj Husman

and Leslie Nickels

GPA Objective 4: To provide and communicate evidence for action and practice - Jo Harris-Roberts and Edward Robinson

GPA Objective 5: To incorporate workers' health in to other policies - Wendy Macdonald GPA Objective 1: Devise and implement policy instruments on workers' health Manager: Claudina Nogueira ACTION AREAS: 6. National policy frameworks for workers’ health should be formulated taking account of the relevant international labour conventions and should include: enactment of legislation; establishment of mechanisms for intersectoral coordination of activities; funding and resource mobilization for protection and promotion of workers’ health; strengthening of the role and capacities of ministries of health; and integration of objectives and actions for workers’ health into national health strategies. 7. National action plans on workers’ health should be elaborated between relevant ministries, such as health and labour, and other major national stakeholders taking also into consideration the Promotional Framework for Occupational Safety and Health Convention, 2006. Such plans should include: national profiles; priorities for action; objectives and targets; actions; mechanisms for implementation; human and financial resources; monitoring, evaluation and updating; reporting and accountability. 8. National approaches to prevention of occupational diseases and injuries should be developed according to countries’ priorities, and in concert with WHO’s global campaigns. 9. Measures need to be taken to minimize the gaps between different groups of workers in terms of levels of risk and health status. Particular attention should be paid to high-risk sectors of economic activity, and to the underserved and vulnerable working populations, such as younger and older workers, persons with disabilities and migrant workers, taking account of gender aspects. Specific programmes should be established for the occupational health and safety of health-care workers. 10. WHO will work with Member States to strengthen the capacities of the ministries of health to provide leadership for activities related to workers’ health, to formulate and implement policies and action plans, and to stimulate intersectoral collaboration. Its activities will include global campaigns for elimination of asbestos-related diseases – bearing in mind a differentiated approach to regulating its various forms – in line with relevant international legal instruments and the latest evidence for effective interventions, as well as immunization of health-care workers against hepatitis B, and other actions addressing priority work-related health outcomes. PRIORITIES: Priority 1.1: Develop / update national profiles on workers’ health and provide evidence base for development, implementation and evaluation of national action plans on workers’ health Outputs: Comparative analysis of national strategies and action plans, national profiles, and reports on lessons learned

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Support: CC: Jovanka Bislimovska, Institute of OH, FYR of Macedonia WHO/HQ: Ivan Ivanov Priority 1.2: Develop and disseminate evidence-based prevention tools and raise awareness for the prevention of silica- and other dust-related diseases. Outputs: Evaluation of national programmes, packages of essential interventions and good practices, for dust control, exposure and diagnostic criteria for pneumoconiosis. Support: CC: Maria Lioce-Mata, Faye Rice and Catherine Beaucham, NIOSH US WHO/HQ: Ivan Ivanov Partner: Igor Fedotov, ILO Priority 1.3: Develop and disseminate evidence-based tools and raise awareness for the elimination of asbestos-related diseases. Outputs: Estimates of the burden of asbestos-related diseases, review of good practices for substitution of asbestos and prevention of exposure to asbestos, health surveillance of exposed workers. Support: CC: Ken Takahashi, Institute of Industrial Ecological Sciences, Japan WHO/HQ: Ivan Ivanov Partner: Igor Fedotov, ILO Priority 1.4: Conduct studies and develop evidence-based tools and information materials for the comprehensive protection and promotion of health for health care workers, emphasizing HBV immunization. Outputs: Tools, guidance documents, assistance to countries for implementing and evaluating programs, training on national programs Support: CC: Ahmed Gomaa and Maria Lioce-Mata, NIOSH, US WHO/HQ: Susan Wilburn PAHO: Marie-Claude Lavoie Partner: Julia Lear, ILO; Jorge Mancillas, PSI

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PRIORITY 1.1: Develop / update national profiles on workers’ health and provide evidence base for development, implementation and evaluation of national action plans on workers’ health

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FACILITING PROJECT (administrative) Work plan project number

GPA1.1: National Action Plans and Profiles Global Facilitating Project

Facilitating Project Title

National action plans and profiles on workers’ health: international evidence and policy options

GPA Objective GPA Objective 1: To devise and implement policy instruments on workers’ health

GPA Action 1.6,1.7,1.10

Resolution WHA 60.26 urged Member States of WHO "(1) to devise, in collaboration with workers, employers and their organizations, national policies and plans for implementation of the global plan of action on workers’ health as appropriate, and to establish appropriate mechanisms and legal frameworks for their implementation, monitoring and evaluation;" GPA "(6) National policy frameworks for workers’ health should be formulated taking account of the relevant international labour conventions and should include: enactment of legislation; establishment of mechanisms for intersectoral coordination of activities; funding and resource mobilization for protection and promotion of workers’ health; strengthening of the role and capacities of ministries of health; and integration of objectives and actions for workers’ health into national health strategies. (7) National action plans on workers’ health should be elaborated between relevant ministries, such as health and labour, and other major national stakeholders taking also into consideration the Promotional Framework for Occupational Safety and Health Convention, 2006. Such plans should include: national profiles; priorities for action; objectives and targets; actions; mechanisms for implementation; human and financial resources; monitoring, evaluation and updating; reporting and accountability… 10. WHO will work with Member States to strengthen the capacities of the ministries of health to provide leadership for activities related to workers’ health, to formulate and implement policies and action plans, and to stimulate intersectoral collaboration. The development of national action plans on workers' health is a priority indicator for measuring the success of WHO' work on workers' health under the WHO Mid-Term Strategic Plan 2008-2013. By 2013 national plans of action and policies in relation to GAP should be implemented in 15 countries with support from WHO.

Priority Area

Priority 1.1: Develop / update national profiles on workers’ health and provide evidence base for development, implementation and evaluation of national action plans on workers’ health

Purpose of Facilitating Project

The overall purpose of this project is to stimulate global and national action on workers' health based on solid evidence and good practices. The specific objectives of the project are to:

• establish a baseline and set of international and national indicators of achievement from implementing GPA

• build evidence base for global action on workers' health • develop, implement and evaluate national policy instruments for workers' health

(national policies and strategies, national plans of action, and national profiles, national OHS legislation)

GPA Manager Claudina Nogueira – NIOH, South Africa

CC Initiative Leader and contact information

Jovanka Bislimovska-Karadzinska [email protected] Institute of Occupational Health of RM, WHO CC The Former Yugoslav Republic of Macedonia

WHO responsible person

Ivan Ivanov, WHO-HQ [email protected]

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Collaborating Centre partners with separate contributing PROJECTS (List CC, project title, project number, project leader, and email)

Projects currently collaborating in this area: GPA1.6d Strengthening of health system to address occupational health risks: development of a national strategy on occupational health and safety - Serbian Institute of Occupational Health Dr Dragomir Karajović, Belgrade, Serbia (project leader Prof Dr Petar Bulat, [email protected]) GPA1.6f Epidemiological surveillance for occupational diseases (Provimep) - Asociación Chilena de Seguridad, Chile (project leader Dr Verónica Herrera, [email protected]) GPA1.6g The Australian National OHS Strategy 2002-2012, Safe Work Australia, (project leader Dr Peta Miller [email protected]) GPA1.6h National Harmonisation of OHS legislation across Australia, Safe Work Australia, (project leader Wayne Creaser [email protected]) GPA1.7d National action plan on prevention of occupational diseases and intervention measures - National Institute of Occupational & Environmental Health (NIOEH), Vietnam; (project leader Dr Tran Thi Ngoc Lan, Ministry of Health, [email protected]) GPA1.7e Evaluation of the effectiveness of national action plans on prevention of occupational diseases in Vietnam - National Institute of Occupational & Environmental Health (NIOEH), Vietnam (project leader Dr Tran Thi Ngoc Lan, Ministry of Health, [email protected]) GPA1.9a The draft of the National Occupational Disease Prevention and Control Programme in China 2005-2010 - National Institute of Occupational Health and Poison Control, Chinese Centre for Disease Control and Prevention, Beijing, China (project leader Tao Li, [email protected]) GPA1.10tt Development of international and national indicators of achievement for GPA - WHO/HQ (project leader Ivan Ivanov, [email protected]) New GPA1.7a Brazilian profile and national surveillance indicators in occupational health and safety – FUNDACENTRO, São Paulo Brazil (project leader Dr Rogério Galvão da Silva, [email protected]) New GPA1.7b Impact of non-health policies on occupational safety and health and public health: a systems dynamics analysis – Curtin University, Australia, in collaboration with IEA (project leader: Dr Yang Miang Goh, [email protected] New GPA1.6i Development of National Strategy for Safety and Health at Work Prof.dr Jovanka Karadzinska Bislimovska e-mail:[email protected] Institute of Occupational Health of RM, WHO CC, Skopje, Republic of Macedonia Macedonia

WHO Regional offices actively involved in this project (name and email)

AFRO: Thebe Pule AMRO: Maritza Tennassee EMRO Said Arnaout EURO: Rokho Kim SEARO: Salma Burton WPRO: Hisashi Ogawa ILO: Seiji Machida

Summary of the Facilitating Project (max 100 words)

The project will include the following activities: • review existing data on the current status and trends in workers' health worldwide,

taking into account globalization, equity, employment and economic considerations; • analysis of country data on workers' health, including surveys and national profiles; • collection and review of experience and lessons learned from elaboration of national

policy instruments; • developing good practices and benchmarking tools for national policy setting; • creating a repository of existing policy instruments and related information materials; • providing direct technical assistance to Member States in developing national action

plans on workers' health.

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A global Task Force will be established to facilitate work on developing national policy instruments for workers' health and to provide technical assistance to individual countries.

Anticipated deliverables by

Project GPA1.6d Strengthening of health system to address occupational health risks: development of a national strategy on occupational health and safety -

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2012 from Contributing Projects

Serbian Institute of Occupational Health Dr Dragomir Karajović, Belgrade, Serbia • The preparation of the National strategy on occupational health and safety which will

be adopted by Ministry of Health, Ministry of Labour, Occupational safety and Health Directorate and National government

• Developing/updating national legislation on occupational health and safety according to provisions set in national strategy on occupational health and safety

• International workshop with participation of SEE countries aimed at exchange of experience and discussing common problems and challenges regarding implementation of national strategies and the status of occupational health in the SEE region

• Making reports to WHO Regional Office for Europe on the current situation of occupational health and safety

• Technical assistance to national government in developing occupational health policies, systems and services

• Provision of information materials to national government and all other relevant levels of government

• Establishment of national mechanisms for social dialogue with regards to occupational health and safety

• Establishment of national programmes for training employers, workers representatives in enterprises and labour inspectors

Project GPA1.6f Epidemiological surveillance for occupational diseases (Provimep) - Asociación Chilena de Seguridad, Chile.

• To update the Provimep for workers exposed to Silica • To update the Provimep for workers exposed to Pesticides • To formulate the Provimep for workers exposed to High Altitude • To formulate the Provimep for workers exposed to Diving conditions • To assess the economics involved in the Achs Provimep • To implement preventive actions in specific high-risk and disabled populations • To implementation preventive actions in noise exposed populations according to

their willing to change attitude • To improve monitoring and measurement of specific Provimep processes. • To improve the integration of the Achs' information systems of prevention and

curative areas. • To develop information systems to offer Provimep information to companies

through the web site www.achs.cl • To implement health promotion strategies in the working population

Project GPA1.6g The Australian National OHS Strategy 2002-2012 - Safe Work Australia.

• Safe Work Australia has completed the second triennial review of the Australian National OHS Strategy 2002-2012.

• The Strategy remains an effective coordinating framework to improve OHS in Australia and will continue to be implemented until 2012.

• Ongoing commitment is reflected in the substantial suite of coordinated Australia-wide and cross jurisdictional OHS programs and campaigns that have occurred since the establishment of the National Strategy targets and priority areas.

• The National OHS Strategy Progress against targets is published on the Safe Work Australia website

• During 2011 the priorities and targets will be reviewed and a new National OHS Strategy will be developed by January 2012.

• The new strategy will be informed by evidence of the magnitude and severity of workplace death, injury and disease, emerging issues and the implementation of the harmonised model OHS legislation.

Project GPA1.6h National Harmonisation of OHS legislation across Australia – Safe Work Australia.

• The Council of Australian Governments (COAG) signed an Intergovernmental Agreement (IGA) for OHS Reform in July 2008.

• The IGA expresses the commitment of all governments to uniform OHS laws, complemented by nationally consistent approaches to compliance and enforcement. It also provided for the establishment of Safe Work Australia to drive the harmonisation process.

• The Workplace Relations Ministers responded to the recommendations from the

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Panel conducting the National Review into Model OHS Laws on 18 May and tasked Safe Work Australia to commence developing the legislation.

• The Parliamentary Counsel’s Committee (PCC) has commenced developing the model OHS legislation based on Drafting Instructions prepared by Safe Work Australia.

• Safe Work Australia Council members are progressively considering drafts of the model OHS legislation.

• The Workplace Relations Ministers Council ( WRMC) will consider an exposure draft of the model OHS legislation in September, 2009, before it is released for public comment

• The Workplace Relations Ministers Council hopes to formulate model OHS legislation to replace existing state and territory OHS laws by September 2009.

• The full suite of Regulations to support the Act are expected to be released by December 2011

• Safe Work Australia’s 2 top initiatives are to develop and implement National Model OHS Legislation and to continue to implement the National OHS Strategy 2002-2012.

Project GPA1.7d National action plan on prevention of occupational diseases and intervention measures - National Institute of Occupational & Environmental Health (NIOEH), Vietnam.

• 4 intervention models of prevention of specific occupational diseases have been already developed and applied in different provinces and industries (for occupational pneumoconiosis, skin diseases, noise induced deafness and hepatitis B)

• 3 occupational diseases have been on process added into the list of compensated occupational diseases in Vietnam

• Training curriculum on OSH and occupational disease prevention have been developed for OH staffs at District levels

• Some legislative documents have been developed and promulgated in order to strengthen OSH activities and occupational disease prevention in health care facilities

• National technical regulations on occupational health have been developed • National action plan on prevention of occupational diseases and intervention

measures will be accomplished • By 2012 to reduce by 10% the number of newly cases of occupational disease • By 2012 to ensure that more than 80% of workers in production units with a high

risk of occupational diseases have their health checked for occupational diseases • 100% of workers diagnosed with occupational accidents and occupational

diseases are treated, provided with health care and rehabilitation services by 2012.

• By 2012 to more than 80% of workers in sectors and jobs with strict occupational safety and health requirements and OSH officers are trained in OSH

• By 2012 to some additional occupational diseases will be added into the list of compensated occupational diseases in Vietnam

Project GPA1.7e Evaluation of the effectiveness of national action plans on prevention of occupational diseases in Vietnam - National Institute of Occupational & Environmental Health (NIOEH), Vietnam.

• Prevention model for some common occupational diseases will be developed and applied such as pneumoconiosis, noise-induced deafness, skin disease and infectious disease (hepatitis B)

• The rate of some common occupational diseases will be reduced by 10% • Capacities of environment monitoring and occupational disease diagnosis

and detection will be improved for OH practitioners • Training materials will be developed and disseminated • Legislative documents on occupational disease prevention will be reviewed,

supplemented, and promulgated Project GPA1.9a The draft of the National Occupational Disease Prevention and Control Programme in China 2005-2010 - National Institute of Occupational Health and Poison Control, Chinese Centre for Disease Control and Prevention, Beijing, China.

• To investigate the status of occupational disease prevention and control-completed

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• To analyze the obtained information and draw up the draft of National Occupational Disease Prevention and Control Program in China 2007-2015-completed

• To promulgate the National Occupational Disease Prevention and Control Program in China 2007- 2015

Project GPA1.10tt Development of international and national indicators of achievement for GPA - WHO/HQ.

• 2009 WHO country survey completed • List of indicators of achievement • GPA mid-term progress report

NEW - Project GPA1.7a Brazilian profile and national surveillance indicators in occupational health and safety – FUNDACENTRO, São Paulo, Brazil.

• Completion of concise national occupational safety and health profile by 2012 NEW – Project GPA1.7b Impact of non-health policies on occupational safety and health and public health: a systems dynamics analysis – Curtin University, Australia, in collaboration with IEA

• Research report on feasibility of using system dynamics analysis in occupational safety and health (OSH) and health impact assessment (HIA); computer simulation model to be made available to the public

• Longer term outcome will be a simulation game to educate regulators and managers on the potential impact on non-health policies on OSH and public health

NEW – Project GPA1.6i Development of National Strategy for Safety and Health at Work • Activities for intensifying of the process of harmonization on the national legislation to EU regulation in the field • Developing of national mechanisms for social dialogue with all key stakeholders ( employees and employers organizations, Governmental Ministries and Agencies) with regards to occupational health and safety • Implementation of National Action Plan for Safety and Health at Work (2011-2015) • Strengthening the capacity of Ministry of Health, Ministry of Labour and Social Policy State Labour Inspectorate as well as improving intersectoral collaboration in joint activities to improve the workers’ health

Critical Gaps to be filled by 2012 in order to fulfil GPA priorities (these lead to deliverables desired by 2012)

• Global evidence for action on workers' health • Systematic collection and analysis of national policies, action plans and profiles in

workers' health • Capacity for providing technical assistance to Member States in elaborating

national policy instruments • Capacities of the ministries of health to provide leadership for activities related to

workers’ health

Examples of deliverables desired by 2012 to adequately assist countries to protect and promote health of health care workers internationally

• Global workers' health outlook • Global repository of national policy instruments on workers' health • Guidance on the development, updating and use of national profiles on workers'

health • Policy options for elaboration, implementation and evaluation of national polices,

strategies and action plans on workers' health • New models and mechanisms for international and national policy action on

workers' health • Advance on implementing regional frameworks for workers' health • Global Task Force on policy instruments for workers' health

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2009-2012 Work Plan Number

GPA 1.6d

CONTRIBUTING PROJECT Title Work plan project number (to be added by WHO)

Strengthening of health system to address occupational health risks - development of National strategy on occupational health and safety

GPA Objective and Action

GPA Objective 1: To devise and implement policy instruments on workers' health Action 1.6-1.8

Priority Initiative

Priority1.1: Develop/update national profiles on workers’ health and provide evidence base for development, implementation and evaluation of national action plans on workers’ health

Responsible CC or NGO Name

Serbian Institute of Occupational Health “Dr. Dragomir Karajović“, Belgrade, Serbia

Project leader (contact name and email address)

Prof. Dr .Petar Bulat [email protected]

Network partners (CC name, country, email)

Andrija Stampar School of Public Health, School of Medicine University of Zagreb, Zagreb, Croatia-Prof. Dr Jadranka Mustajbegović [email protected] Institute of Occupational Health, WHO Collaborating Center, Skopje, Republic of Macedonia-Prof Dr Jovanka Karadžinska Bislimovska [email protected]

WHO Regions involved in this CONTRIBUTING project (contact name and email)

WHO Regional Office for Europe – Dr. Rohko Kim [email protected]

Barriers to success that must addressed

• Lack of methodologies for international comparative analysis of policy instruments in workers' health

• Insufficient expertise in political science among CCs • Changes in national political contexts • Lack of intersectoral collaboration and governmental stewardship

Possible projects for discussion in October 2009 (but none received by June 2010)

• European workplan for implementing GPA - WHO-EURO (project leader Rokho Kim, [email protected] )

• WHO/ILO African Joint Effort on Occupational Health - WHO-AFRO (project leader Thebe Pule, [email protected])

• Eastern Mediterranean plan of action on workers' health - WHO-EMRO (project leader Said Arnaout, [email protected])

• Development of national profiles on occupational health and safety in South East Europe - WHO-EURO (project leader Rokho kim, [email protected])

• Asian Framework for action on occupational health and safety - WHO- WPRO/SEARO(project leader Hisashi Ogawa, [email protected])

• Plan of action on workers' health in the Americas - AMRO-PAHO (project leader Maritza Tennassee, [email protected])

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Country ministries involved in this CONTRIBUTING project (contact name and email)

Serbian Ministry of Health, Dr. Elizabet Paunović [email protected] Serbian Ministry of Labour-Occupational Safety and Health Directorate, Vera Božić [email protected]

External partners for this CONTRIBUTING project (contact name, organization and email)

WHO Regional Office for Europe – Dr. Rohko Kim [email protected]

Summary of the project (max 100 words)

The purpose of this activity is to strengthen country’s capacities to develop and implement occupational health policy, legislation and action plans with the participation of social partners. National strategy on occupational health and safety will address important issues of OH&S: • Occupational diseases and accidents insurance; Guidance on risk assessment and

management; Abolition of the compensation approach to high-hazard workplaces; • Protection of vulnerable groups of workers; • Restructuring traditional medical services to multidisciplinary services incorporating risk

assessment and prevention; • New list of occupational diseases; • Reorganization of data collection system and reporting of occupational injuries and

occupational diseases; • Occupational health and safety promotion

Target group and/or beneficiaries

Workers, policy makers, occupational health and safety professionals, researchers, enterprise managers.

Events-opportunities for furthering the project

Meeting with other SEE OH experts at workshops, seminars and congresses etc.

Expected results of this project by 2012 (outcomes)

• The preparation of the National strategy on occupational health and safety which will be adopted by Ministry of Health, Ministry of Labour, Occupational safety and Health Directorate and National government

• Developing/updating national legislation on occupational health and safety according to provisions set in national strategy on occupational health and safety

• International workshop with participation of SEE countries aimed at exchange of experience and discussing common problems and challenges regarding implementation of national strategies and the status of occupational health in the SEE region

• Making reports to WHO Regional Office for Europe on the current situation of occupational health and safety

• Technical assistance to national government in developing occupational health policies, systems and services

• Provision of information materials to national government and all other relevant levels of government

• Establishment of national mechanisms for social dialogue with regards to occupational health and safety

• Establishment of national programmes for training employers, workers representatives in enterprises and labour inspectors

Indicators of achievement (impact)

The number of workers covered by OH. Adoption of national strategy. Implementation of national strategy

Major Milestones (list up to three dates and milestones)

The draft of the national strategy is expected by the end of year 2010. The adoption by national government and parliament is expected in 2010. The action plan for implementation of strategy is expected in 2011 Implementation 2012

Public health

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impact Funding source(s)

In addition to national funding (primarily from public sources) the opportunities for getting financial support such as EU pre accession funding, EU social Fund, South East European Health Network may be available.

List of outcomes already achieved by this project

• Assessment of current situation in Serbian Occupational Health has been done by Jorma Rantanen within Serbia-WHO BCA.

• Whole new concept on registration of occupational injuries is developed and presented on WHO meeting in Motovun (Croatia) July 4th, 2009.

• Draft version of software for registration of occupational injuries is already done. • Developed a new list and new concept for registration of Occupational diseases. • Work on criteria on Occupational diseases based on new EU list of occupational

diseases is in progress. • Draft regulation on protection of workers from the risks related to exposure to asbestos

at work is prepared in collaboration of Serbian Ministry of Labour-Occupational Safety and Health Directorate and Serbian Institute of Occupational Health.

Progress received by June 2010: In February 2010, the draft of the Occupational Health Strategy of the Republic of Serbia was translated into English. The Strategy document was prepared by the National Committee for Occupational Health, appointed by the Minister of Health, and is pending approval before it can be adopted by the government of the Republic of Serbia.

List of additional outcomes expected from this project by 2012


GPA 1.6f

GPA Objective GPA Objective 1: To devise and implement policy instruments on workers’ health Priority 1.1: Develop / update national profiles on workers’ health and provide evidence base for development, implementation and evaluation of national action plans on workers’ health

CC or NGO Name

Asociación Chilena de Seguridad

Project title Epidemiologic surveillance for occupational diseases (Provimep)

Keywords Epidemiologic surveillance

Project leader Email address

Dr. Verónica Herrera [email protected]

Partners (of the CC Network)

None

Other partners None

Funding Asociación Chilena de Seguridad Objective of the project

To contribute decisively to prevent occupational diseases under surveillance and to avoid the progression of those developed.

Project outcome(s) and deadline(s) for completion of the project

Surveillance programs for a variety of risk agents

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Chilean and Latin-American workers


The main activities that will be develop in the period are: • To update the Provimep for workers exposed to Silica • To update the Provimep for workers exposed to Pesticides • To formulate the Provimep for workers exposed to High Altitude • To formulate the Provimep for workers exposed to Diving conditions • To assess the economics involved in the ACHS Provimep • To implement preventive actions in specific high-risk and disabled populations. • To implementation preventive actions in noise exposed populations according to their

willing to change attitude. • To improve monitoring and measurement of specific Provimep processes. • To improve the integration of the ACHS' information systems of prevention and

curative areas. • To develop information systems to offer Provimep information to companies through

the website www.achs.cl • To implement health promotion strategies in the working population.

Dissemination PAHO's documents

Ciencia y Trabajo journal ACHS website Fundación Científica website Regional and International meetings

Impact (global or regional)

Regional


No progress report received by June 2010.



GPA 1.6g

PROJECT Title

The Australian National OHS Strategy 2002-2012

GPA Objective (e.g. GPA5) and GPA Action (e.g. Action 28)

GPA Objective 1: To devise and implement policy instruments on workers’ health

Priority Number (e.g. 5.3) and Area (if applicable) e.g. Agriculture

Priority 1.1: Develop/update national profiles on workers’ health and provide evidence base for development, implementation and evaluation of national action plans on workers’ health


Safe Work Australia

Project leader(s) (contact name

Dr Peta Miller [email protected]

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and email address) Network partners (CC name, country, email)

NA

WHO Regions involved in this project (contact name and email)

NA

Country ministries involved in this project (contact name and email)

NA

External partners for this project (contact name, organization and email)

NA


The Australian National OHS Strategy 2002-2012 provides a basis for developing sustainable, safe and healthy work environments and for reducing the number of people hurt or killed at work. The Strategy was agreed to by all Australian governments, the Australian Chamber of Commerce and Industry (ACCI) and the Australian Council of Trade Unions (ACTU). The Strategy provides the framework for collective efforts to improve Australia's OHS performance. It sets national targets to reduce the incidence of work-related injury fatalities by at least 20% and to reduce the incidence of workplace injury (including musculoskeletal disorders) by at least 40% by 30 June 2012. The Strategy sets five national priorities to achieve short-term and long term Improvements (reduce high incidence and high severity risks, improve the capacity of business operators and worker to manage OHS effectively, prevent occupational disease more effectively, eliminate hazards at the design stage, and strengthen the capacity of government to influence OHS outcomes). Six priority industries receive priority attention, selected because they have a combination of high incidence rates and high employment. They are agriculture, forestry and fishing, manufacturing, construction, transport and storage, and health and community services. Further, eight occupational disease categories have been selected for particular focus. They are work-related musculoskeletal disorders, mental disorders, noise-induced hearing loss; respiratory diseases, occupational cancers; contact dermatitis; infectious and parasitic diseases, and cardiovascular disease.


Asia and South Pacific


Review of priorities and targets of the National Strategy during 2011. Develop a new National OHS Strategy to come into force by January 2012. This is a core Safe Work Australia program and as such is ongoing.

Dissemination plan

The National OHS Strategy is published at: http://www.safeworkaustralia.gov.au/swa/HealthSafety/OHSstrategy/ The Safe Work Australia Council members (tripartite as well as representative of every State and Territory of Australia) disseminate and implement the National Strategy within their constituencies.

Funding source(s)

Safe Work Australia


Safe Work Australia has completed the second triennial review of the Australian National OHS Strategy 2002-2012. The Strategy remains an effective coordinating framework to improve OHS in Australia and will continue to be implemented until 2012. Ongoing commitment is reflected in the substantial suite of coordinated Australia-wide and cross jurisdictional OHS programs and campaigns that have occurred since the establishment of the National Strategy targets and priority areas. The National OHS Strategy Progress against targets is published on the Safe Work Australia website.

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Progress report received by June 2010: During the latter part of 2010 and in 2011 the priorities and targets will be reviewed and a new National OHS Strategy will be developed by January 2012. There are no deliverables yet for this project.


During 2011 we will review the priorities and targets and a new National OHS Strategy will be developed by January 2012. The new strategy will be informed by evidence of the magnitude and severity of workplace death, injury and disease, emerging issues and the implementation of the harmonised model OHS legislation.

Top two main OHS research areas / initiatives / topics

Safe Work Australia’s two top initiatives are to develop and implement National Model OHS Legislation and to continue to implement the National OHS Strategy 2002-2012.


GPA 1.6h

PROJECT Title

National Harmonisation of OHS legislation across Australia






Safe Work Australia

Project leader(s) (contact name and email address)

Wayne Creaser [email protected]


NA


NA


NA

External partners for this project (contact name,

NA

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organization and email)


Safe Work Australia Council members recognise the need to harmonise OHS legislation across Australia, including agreement on the core common elements for inclusion in any OHS legislation. This foundation work is informing the project to harmonise OHS legislation agreed to by the Council of Australian Governments (COAG) under the Intergovernmental Agreement for Regulatory and Operational Reform in Occupational Health and Safety (IGA). The National Review into Model Occupational Health and Safety Laws was completed in January 2009 and continues to inform the on-going development of nationally harmonised legislation.


Australia, South Pacific, Asia and potentially global


The development of model OHS legislation to replace existing state and territory OHS laws by August 2009, and further legislation (OHS Regulations) released by December 2011.

Dissemination plan

The Communiqué from the Australian, State, Territory and New Zealand Workplace Relations Ministers’ Council outlining the agreement to harmonise the OHS legislation is published on the Safe Work Australia website. Further information ill be published on the Safe Work Australia website and the Workplace Relations Ministers Council (WRMC) website as it comes to hand.

Funding source(s)

Safe Work Australia


Progress as at September 2009: • The Council of Australian Governments (COAG) signed an Intergovernmental

Agreement (IGA) for OHS Reform in July 2008. • The IGA expresses the commitment of all governments to uniform OHS laws,

complemented by nationally consistent approaches to compliance and enforcement. It also provided for the establishment of Safe Work Australia to drive the harmonisation process.

• The Workplace Relations Ministers responded to the recommendations from the Panel conducting the National Review into Model OHS Laws on 18 May and tasked Safe Work Australia to commence developing the legislation.

• The Parliamentary Counsel’s Committee (PCC) has commenced developing the model OHS legislation based on Drafting Instructions prepared by Safe Work Australia.

• Safe Work Australia Council members are progressively considering drafts of the model OHS legislation.

• The WRMC will consider an exposure draft of the model OHS legislation in September, before it is released for public comment.

Progress received by June 2010: On 11 December 2009, the Australian Workplace Relations Ministers' Council endorsed the Model Work Health and Safety (WHS) Act. The model WHS Act endorsed by Ministers was submitted by Safe Work Australia and incorporated a number of amendments proposed as a result of consideration by Safe Work Australia, input from the Parliamentary Counsel's Committee and public comment. The public comment period commenced on Monday 28 September and closed on 9 November 2009. The Act can be cited as the Work Health and Safety Act 2010. It does not commence until 1 January 2012, allowing jurisdictions more than 12 months to adopt the model Act and enact it through their parliamentary processes before the December 2011 deadline. Deliverables to date:

• The Model Work Health and Safety Bill was prepared by the Parliamentary Counsel's Committee and approved by the Workplace Relations Ministers' Council on 11 December 2009, and is available on request.

• The Model OHS Legislation Fact Sheet was completed and is available on request. • The Regulation Impact Statement for the model Occupational Health and Safety Act

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was finalized and is available on request.


The Workplace Relations Ministers Council hopes to formulate model OHS legislation to replace existing state and territory OHS laws by September 2009. The full suite of Regulations to support the Act is expected to be released by December 2011.

Top two main OHS research areas / initiatives / topics

Safe Work Australia’s two top initiatives are to develop and implement National Model OHS Legislation and to continue to implement the National OHS Strategy 2002-2012.


GPA1.7d Formerly AA2:NP17


CC or NGO Name

WHO Collaborating Centre for Occupational Health in Vietnam, National Institute of Occupational & Environmental Health (NIOEH)

Project title National action plan on prevention of occupational diseases and intervention measures

Keywords National action plan, occupational hazards, occupational risks, occupational diseases, silicosis, occupational hearing loss, asbestosis


Dr. Tran Thi Ngoc Lan, General Deputy Director, Vietnam Administration for Preventive Medicine and Environment, 138 A Giang Vo Str., Hanoi, Vietnam [email protected]


NIOSH

Other partners The University of Washington, USA

Funding

Vietnamese government

Objective of the project

To reduce the rate of occupational diseases by 10% in 2010 and to improve workers’ health at high risk in Vietnam.


The outcomes of the project: • To develop the national policy in prevention of occupational diseases (by 2008) • To develop the surveillance programs on prevention of each occupational disease

(2009) • To develop the control toolkit for each risk factor e.g. silica, noise, chemical, etc.

(2009) • To develop national action plan and intervention measures on prevention of

occupational diseases (2010)


Policy makers, occupational health and safety researchers, enterprise managers, workers at high risk


• A description of the current situation of occupational diseases in Vietnam • An analysis of how these occupational disease are influencing on workers’

health, their families, enterprises and national economy • The identification of control toolkit for management of each occupational risk

factor

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• The identification of actions and intervention measures to be taken • Development of national policy on prevention of each occupational disease

Dissemination National policy, WHO documents


National, regional and Global

Progress on Project (max 100 words)

The National Programme on labour protection and occupational safety and health was adopted by the Vietnamese government in October 2006 and many activities were implemented in 2007. These include the development of training courses on diagnosis of occupational disease; conducting a survey of occupational risk factors for pneumoconiosis, skin diseases, noise-induced deafness and infectious disease; evaluation of the situation of occupational disease examination, treatment, rehabilitation and expertise in the provinces and in industrial sectors; and development of plans of action for occupational disease prevention in health care workers, on injury prevention in the health care sector and on basic occupational health services. No report on further progress received by June 2010.


• 4 intervention models of prevention of specific occupational diseases have been already developed and applied in different provinces and industries (for occupational pneumoconiosis, skin diseases, noise induced deafness and hepatitis B)

• 3 occupational diseases have been on process added into the list of compensated occupational diseases in Vietnam

• Training curriculum on OSH and occupational disease prevention have been developed for OH staffs at District levels

• Some legislative documents have been developed and promulgated in order to strengthen OSH activities and occupational disease prevention in health care facilities

• National technical regulations on occupational health have been developed


• National Program will accomplish by 2010 • Reduce by 10% the number of newly cases of occupational disease; • Ensure that more than 80% of workers in production units with a high risk of

occupational diseases have their health checked for occupational diseases • 100% of workers diagnosed with occupational accidents and occupational

diseases are treated, provided with health care and rehabilitation services • More than 80% of workers in sectors and jobs with strict occupational safety and

health requirements and OSH officers are trained in OSH • Some additional occupational diseases will be added into the list of compensated

occupational diseases in Vietnam


GPA 1.7e


Evaluation of the effectiveness of national action plans on prevention of occupational diseases in Vietnam


GPA Objective 1: To devise and implement policy instruments on workers’ health Action 1.7

Priority Initiative




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Dr. Tran Thi Ngoc Lan, General Deputy Director, Vietnam Administration for Preventive Medicine and Environment, 138 A Giang Vo Str., Hanoi, Vietnam [email protected]



Southeast Asia Pacific


Ministry of Health in Vietnam



The national action plans on prevention of occupational diseases has been started in 2007 and will be evaluated after 5 years, in 2012. Several activities have been and will be implemented during 5 years to aim at reduce the rate of occupational diseases and to improve workers’ health at high risk in Vietnam. This action plan will be evaluated in several aspects and lessons will be drawn.


Policy makers, occupational health and safety practitioners, enterprise managers, workers at high risk of occupational diseases



• Prevention model for some common occupational diseases will be developed and applied such

• as pneumoconiosis, noise-induced deafness, skin disease and infectious disease (hepatitis B)

• The rate of some common occupational diseases will be reduced by 10% • Capacities of environment monitoring and occupational disease diagnosis and

detection will be improved for OH practitioners • Training materials will be developed and disseminated • Legislative documents on occupational disease prevention will be reviewed,

supplemented, and promulgated



• The rate of some occupational disease reduced by 10% • 80% of workers at high risk will be examined and detect occupational diseases


Public health impact

Workers’ health will be improved

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Funding source(s)

Vietnamese Government





GPA1.9a Formerly AA2:PM7


CC or NGO Name

National Institute of Occupational Health and Poison Control, Chinese Centre for Disease Control and Prevention, Beijing, China

Project Title The draft of National Occupational Disease Prevention and Control Program in China 2005-2010

Keywords Occupational disease, prevention, control, programme

Project leader Email Address

Tao Li [email protected]


WHO, ILO, HSL UK

Other partners Funding National finance support of China, WHO, ILO


To provide the draft of National Occupational Disease Prevention and Control Program in China 2005-2010


The draft of the National Occupational Disease Prevention and Control Programme in China 2005-2010


Policy makers, occupational health and safety researchers, enterprise managers, workers


By investigating the status of occupational disease prevention and control, this project will analyze the information and draw up the draft of National Occupational Disease Prevention and Control Program in China 2005-2010.

Dissemination WHO documents and National documents


Both global and national


We have finished the National Occupational Disease Prevention and Control Program in China 2007-2015 in Chinese version. It will be promulgated soon. No progress report received by June 2010.

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GPA 1.10tt

PROJECT Title

Development of international and national indicators of achievement of the Global Plan of Action on Workers' Health (GPA)


GPA Objective 1: To devise and implement policy instruments on workers’ health Actions 10 and 31


1.1. Indicators of achievement


WHO Global Occupational Health Programme


Ivan D. Ivanov, WHO [email protected]


t.b.d.


All Regional Offices


Chile, Bahrain, Thailand, Israel, Gambia, Vietnam


t.b.d.


Monitoring the implementation of GPA requires identifying the baseline and developing national and international indicators of achievement. The current project includes collecting data from the WHO Member States in 2009 and 2012 regarding their status vis a vis the actions under the GPA. The statistical analysis of the data will be followed by development of

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indicators achievements and testing in pilot countries. The results will allow for assessing the mid-term progress made in implementing GPA. Countries can use the indicators for monitoring their national action and for benchmarking their performance in workers' health.


Ministries of health and labour, employers and workers' organizations


1st country survey - August 2009 Report GPA baseline - September 2009 Indicators of achievement - March 2010 Second country survey - May 2012 GPA mid-term progress report - September 2012

Dissemination plan

WHO Regional and Country Offices, national focal points for occupational health, global and regional conferences

Funding source(s)

WHO regular budget


2009 WHO country survey completed No progress report received by June 2010


List of indicators of achievement GPA mid-term progress report


New Project GPA 1.7a

CONTRIBUTING PROJECT

Brazilian profile and national surveillance indicators in occupational health and safety

GPA Objective and GPA Action

GPA Objective 1: To devise and implement policy instruments on workers' health

Priority Number and Area



FUNDACENTRO – Brazil


Dr Rogério Galvão da Silva DPH, Division of Occupational Safety, [email protected]


Institute of Applied Economic Research (IPEA), Brazil and others to be defined in 2010.


To be defined during 2010.

Country ministries involved in this project (contact

Ministry of Labour and Employment, Ministry of Health and Ministry of Social Security. Contact names and emails will be defined in 2010.

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name and email)


To be defined during 2010.


The project is divided into three phases: a) Identification, analysis and selection of national surveillance indicators in OHS, based on the provisions of ILO instruments (C187 and R197) and recommendations of the Network of WHO Collaborating Centres in Occupational Health, b) Dialogue and engagement with stakeholders - dialogue on the importance, necessity, challenges and opportunities of developing the national OHS profile, c) Preparation of a concise national OHS profile, starting from a limited number of selected and relevant key descriptors and indicators, according to the needs and possibilities of the country.


Decision-makers within government authorities, social partners, training, education and information bodies, research institutions, and the general public.


Workshops to inform and engage stakeholders.


Concise national occupational safety and health profile completed.


Level of completeness of the national OHS profile.


• Selection of descriptors and indicators of the national OHS profile, Apr 2010. • Engagement of stakeholders, Nov 2010. • Article about national OHS profile published in national journal, Mar 2011. Progress received by June 2010: A preliminary literature review on the subject was prepared in 2009 to support the development of the project. In April 2010, the project was presented at a meeting of the Tripartite OHS Commission (Comissão Tripartite de Segurança e Saúde no Trabalho - CTSST) – presentation document in Portuguese is available on request. This commission has the responsibility of revising the National OSH policy, proposing the improvement of the national OSH system and developing the national OHS programs. Several results are expected for the current year, including the construction of a dedicated website (to be housed within the website of Fundacentro), containing information on the subject and ongoing progress on the project. The main information of this website will be available in English in due course, in order to provide transparency to stakeholders of the project.


Better evidence base for development, implementation and evaluation of national action plans on workers’ health.

Funding source(s)

FUNDACENTRO

Dissemination Government of Brazil, social partners, PAHO, ILO.

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New Project GPA1.7b

PROJECT Title

Impact of non-health policies on occupational safety and health and public health: A systems dynamics analysis


GPA Objective 1: To devise and implement policy instruments on workers' health Actions 1.6, 1.7



This project also contributes to other GPA Priorities (list them, if applicable).

Priority 2.1 – Develop practical toolkits for the assessment and management of OH risks (focus: chemical, physical, biological, psychosocial) Priority 5.3 – Implement toolkits for the assessment and management of OSH hazards in high risk industry settings (e.g. mining) and vulnerable worker groups


International Ergonomics Association (IEA)


Dr Yang Miang Goh; Curtin University, Australia [email protected]


Centre for Ergonomics & Human Factors, La Trobe University, Australia (A/Prof. Wendy Macdonald, Mike Moore) [email protected]


WPRO



WHO Collaborating Centre in Health Impact Assessment, Prof Jeff Spickett, [email protected]


This project aims to evaluate the complex interaction between non-health policies and occupational safety and health (OSH) and public health through system dynamics (SD) analyses. SD uses a range of diagramming tools and computer simulation models to facilitate analysis. This project will apply SD on different OSH and public health incidents, e.g. lead pollution and major accidents, to assess how non-health processes and variables (e.g. environmental licensing and production pressure) impact on OSH and public health. A SD simulation model will be developed to determine its usefulness in supporting health impact assessment (HIA) and risk assessment to prevent OSH and public health incidents.


Occupational safety and health regulatory agencies, companies developing or operating large plants and projects.

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1. Qualitative SD models of OSH and public health incidents (Early 2011) 2. Computer simulation models (Mid 2012) 3. Feasibility report on applying SD in HIA and risk assessment (Late 2012)

Dissemination plan

Through IEA, WHO, academic journals and conferences. Public seminars through Curtin University in Australia.

Funding source(s)

Curtin University of Technology. Additional possibilities are: Australian Research Council and Australian National Health and Medical Research Council


Journal article published in March 2010 (Goh, Y. M., H. Brown, and J. Spickett. 2010. Applying systems thinking concepts in the analysis of major incidents and safety culture. Safety Science 48: 302–309.) Journal article under review (Goh, Y. M., P. Love, H. Brown, and J. T. Spickett. 2010. Organizational Accidents: A Systemic Model of Production versus Protection.) Internal research grant (Goh, Y. M., J. T. Spickett, and D. Bertolatti. 2010. Developing system dynamics models of major health incidents: Esperance lead pollution case study. Curtin University of Technology. Funds Approved: AUD11, 551.)


Two peer-reviewed journal papers. Research report on feasibility of using system dynamics in occupational safety and health and HIA. Computer simulation model that can be distributed to public.

List of additional outcomes expected by 2016

Computer simulation game to educate regulators and managers on the potential impact of non-health policies on OSH and public health.

2009-2012 Work Plan Number New project – 1.6i

PROJECT Title

Development of National Strategy for Safety and Health at Work

GPA Objective (e.g. GPA5) and GPA Action (e.g Action 28)

GPA Objective 1: to devise and implement policy instruments on workers’ health

Priority Number (e.g. 5.3) and Area (if applicable) e.g Agriculture


Responsible CC or NGO Name Institute of Occupational Health of RM, WHO CC, Skopje, Republic of Macedonia


Prof.dr Jovanka Karadzinska Bislimovska e-mail:[email protected]


Andrija Stampar School of Public Health, School of Medicine University of Zagreb, Zagreb, Croatia-Prof. dr Jadranka Mustajbegović ([email protected]) Serbian Institute of Occupational Health “Dr. Dragomir Karajović“, Belgrade, Serbia- Prof.Aleksandar Milovanovic ([email protected]) and Prof. dr Petar Bulat ( [email protected] ) National Center for Public Health, Department of OM,Sofia, Bulgaria-Ass.Prof. dr Katya Vangelova

([email protected] ) WHO Regions involved in this project (contact name and email)

WHO Regional Office for Europe –Dr. Rohko Kim ([email protected])

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Ministry of Health of RM (MoH)-Prim.Dr Jovanka Kostovska, Head of Sector for Preventive HC Ministry of Labour and Social Policy of RM (MLSP)- Agim Shakiri,Head of Sector for S&H at Work, State Labour Inspectorate


• WHO Regional Office for Europe –Dr. Rohko Kim ([email protected]) • See Network on Workers Health


National Strategy for Safety and Health at Work as a strategic document, should present the main basis of the new National Program for Safety and Health at Work, with key directions concerning the development of health and safety at work, in R. of Macedonia. It should also help in fulfilling the objectives of the Community Strategy 2007-2012 on S&H at work, and WHO Global Action Plan on Workers Health on international level, as well as harmonization with EU directives in the field of OS&H in the process of EU accession. This process is conducted by the MoH and MLSP, and supported by the National Council for Safety and Health at Work (representatives of employers’ and employees’ organizations, academic and professional societies, and relevant authorities). The Institute of OH of RM, WHO CC has been invited to provide the main expert’s support in the preparation of the document.The primary goal of the Strategy is the prevention and sustained reduction of occupational diseases, work-related diseases and accidents at work. The main tasks of the Strategy were defined: strengthening and improving ( according to the EU Aquis) the national OH& policy; development and implementation of political and legal instruments in the practice; mobilization of human resources and capacity building in OH&S; development of OH services within the national OH system with special focus to the vulnerable groups of workers; more efficient prevention of occupational diseases and accidents at work; identification of new and emerging risks; development of education, training and research; strengthening of information system in OH&S; awareness raising, enabling promotion of social dialogue; development of partnership at national and international level.

Target group and/or beneficiaries Employees, employers, occupational health and safety professionals, policy makers, authorities


• Preparation of the Review of existing data on the current status and trends in workers’ health, 2010/2011 • Development of National Strategy for Safety and Health at work and adoption by the Government , 2011 • Development of the National Action Plan for Safety and Health at Work to implement the Strategy , 2012

Dissemination plan Web sites of the involved Ministries, media campaigns with political and experts’ support to raise the public awareness in the domain, workshops etc

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Funding source(s) Ministry of Health, Ministry of Labour and Social Policy, potential sources ( EU pre accession funding )


• Law for Safety and Health at Work , harmonized to EU Framework directive 89/391/ЕЕС and adopted by the Parliament, 2007 • “WHO-ILO Occupational Safety and Health profiles in South East Europe”, the project “National Country Profile on OS&H”, developed , 2007 • Established National Council for Safety and Health at Work, according to the Law for Safety and Health at Work, 2009 • OH Report on Mission Macedonia ( SEE Area) prepared by Prof. J Rantanen in consultation with Macedonian experts and authorities, 2010 ( in the process of WHO EURO edition)


• Activities for intensifying of the process of harmonization on the national legislation to EU regulation in the field • Developing of national mechanisms for social dialogue with all key stakeholders ( employees and employers organizations, Governmental Ministries and Agencies) with regards to occupational health and safety • Implementation of National Action Plan for Safety and Health at Work (2011-2015) • Strengthening the capacity of Ministry of Health, Ministry of Labour and Social Policy State Labour Inspectorate as well as improving intersectoral collaboration in joint activities to improve the workers’ health

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PRIORITY 1.2: Develop and disseminate evidence-based prevention tools and raise awareness for the prevention of silica- and other dust-related diseases


GPA1.2: Silica / Dust Global Facilitating Project (with projects organized by area of work)


Tools and best practices for prevention of silicosis and other pneumoconioses globally

GPA Objective


GPA Action 1.10

”WHO will work with Member States.... Its activities will include global campaigns… and other actions addressing priority work-related health outcomes” (ILO / WHO Global Programme to Eliminate Silicosis)

Priority Area

Priority 1.2: Develop and disseminate evidence-based prevention tools and raise awareness for the elimination of silica and other dust-related diseases


This Facilitating Project aims to coordinate the efforts in the Americas with those in other regions globally to substantially advance the ILO/WHO Global Campaign to Eliminate Silicosis (and other pneumoconioses) by 2012. All tools and materials will be organized in an electronic library for easy availability. The Americas Initiative is the first regional approach to advance the ILO/WHO Campaign. It aims at developing national and regional capacity in five areas needed to eliminate silicosis. Current projects with this aim have been grouped into these five areas: Area 1: Develop and augment partnerships with stakeholders including employers, employees, universities, insurance companies, ministries, and international organizations. Their goal is to increase awareness and to advance national and regional plans of action to eliminate pneumoconioses including silicosis. Area 2: Increase capacity of physicians and other medical personnel in the diagnosis, surveillance, and treatment of pneumoconioses including silicosis. Area 3: Enhance capability in laboratory analysis of crystalline silica and other mineral dusts. Area 4: Develop, implement, and evaluate control-focused strategies and user-friendly tools to prevent exposures to silica and other mineral dusts. Area 5: Increase technical knowledge and professional capacity in industrial hygiene and engineering to assess and manage exposures to silica and other mineral dusts.

GPA Manager

Claudina Nogueira – NIOH, South Africa


Catherine Beaucham (NIOSH) [email protected] Maria Lioce-Mata (NIOSH) [email protected] Faye Rice (NIOSH) [email protected]


Ivan Ivanov [email protected] Maritza Tennasee [email protected]

Collaborating centre partners with separate contributing PROJECTS (List CC, project title, project number, project

Projects are organized by area: Area 1: Develop and augment partnerships with stakeholders including employers, employees, universities, insurance companies, ministries, and international organizations. Their goal is to increase awareness and to advance national plans of action to eliminate pneumoconioses including silicosis. • GPA1.10u Global Silica Information Dissemination. Project Leader: Faye Rice

[email protected] NIOSH, USA.

30

leader, and email)

• GPA1.10j National programme on elimination of silicosis – Brazil (NPES-B) Project Leader: Eduardo Algranti [email protected] FUNDACENTRO, Brazil.

• GPA1.10z Identification of Global Pneumoconiosis Information Resources – Project Leader: Faye Rice [email protected] NIOSH, USA

• GPA1.7f Dissemination and implementation of the Policy and Action Plan for the eradication of Silicosis, Asbestosis and pneumoconiosis in Colombia – Project Leader: Maria Teresa Espinosa Restrepo [email protected]; Julietta Rodríguez Guzmán [email protected], Occupational Health Program/ El Bosque University OHP/UEB, Colombia

Area 2: Increase capacity of physicians and other medical personnel in the diagnosis, surveillance, and treatment of pneumoconioses including silicosis. • GPA1.10r Training programs and guidance materials for surveillance, diagnosis, and

treatment of silica exposed workers globally. Project leader: Joe Burkhart, DRDS ; [email protected]; Kristin Cummings [email protected]; Maria Lioce-Mata [email protected] NIOSH, USA

• GPA1.10x Revision of 1996 WHO monograph: Screening and surveillance of workers exposed to mineral dusts. Project Leader: Gregory R. Wagner [email protected] NIOSH, USA

• GPA1.7i Eradication of Silicosis. Project Leader: Gustavo Contreras [email protected] ACHS, Chile

• GPA1.10t Silica, Silicosis, and tuberculosis. Project Leader: David Rees [email protected] NIOH South Africa

• GPA1.10v Establishment and evaluation of surveillance programs for silicosis. Project Leader: Nguyen Duy Bao, [email protected] NIOEH Vietnam

Area 3: Enhance capability in laboratory analysis of crystalline silica and other mineral dusts. • GPA1.10e Best Laboratory practices globally for analysis of crystalline silica. Project

Leader: Rosa Key-Schwartz. [email protected] NIOSH, USA • GPA1.10p Promoting a Regional Diagnosis of exposure to silica. Project Leader: Juan

Alcaino [email protected]; Juan Ferruz [email protected] ISP Chile Area 4: Develop, implement, and evaluate control-focused strategies and user-friendly tools to prevent exposures to silica and other mineral dusts. • GPA1.10k Development and implementation of Silica Control Tool Kits for priority

exposure situations in the Americas. Project Leader: Catherine Beaucham [email protected], T.J. Lentz [email protected] and Aaron Sussell [email protected] NIOSH USA

• GPA1.10l Implementation of Control Banding Methodology for Silica Control. Project Leader: Juan Alcaino [email protected] ISP Chile

• GPA1.10i Development of Risk Management Toolkit for Silicosis in Small Silica Flour Milling Units. Project Leader: LJ Bhagia [email protected] SK Dave [email protected], Habibullah N Saiyed, [email protected] NIOH India

Area 5: Increase technical knowledge and professional capacity in industrial hygiene and engineering to assess and manage exposures to silica and other mineral dusts. • GPA1.10aa Respiratory Protection Program Development. Project Leader: Heinz Ahlers,

[email protected]. NIOSH, USA


PAHO; Maritza Tennasee [email protected] EURO: Rokho Kim; [email protected] SEARO: Salma Burton, [email protected] WPRO: Hisashi Ogawa [email protected] AFRO; Thebe Pule [email protected] ILO; Igor Fedotov [email protected]

Summary of the facilitating project (max 100 words)

This GPA 1.2 Silicosis / Pneumoconiosis Facilitating Project coordinates projects of the Americas Silica Initiative with projects from Africa, Asia, and Europe that will substantially advance the ILO/WHO Global Campaign to Eliminate Silicosis (and other Pneumoconioses). This is done by producing and disseminating useful accessible information and products. Projects include activities within regional and national plans, capacity building of professionals such as medical personnel, industrial hygienists, and engineers, enhancing laboratory analysis, and interventions for control of exposures.

Anticipated Area 1: Develop and augment partnerships with stakeholders including employers,

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deliverables by 2012 from contributing projects

employees, universities, insurance companies, ministries, and international organizations. Their goal is to increase awareness and to advance national plans of action to eliminate pneumoconioses including silicosis Project GPA1.10u Global Silica Information Dissemination. NIOSH USA. • NIOSH staff provided training and technical assistance to ISP Chile in 2006 and 2007.

COMPLETED. • Created Spanish website postings on the following topics: Silicosis, Mining, Elimination of

Silicosis in the Americas, and the NIOSH Spirometry training guide. Ongoing maintenance of pages is required. COMPLETED.

• A five member team presented “Sampling and Analysis for Silica and Heavy Metals” in Lima, Peru in September 2008. COMPLETED.

• Organization of all relevant NIOSH materials, courses, and guides for ease of access by international partners in an electronic library.

• Provide training and technical assistance to additional countries • Produce WHO Fact sheets on Silica and Pneumoconioses • Produce WHO/ILO Policy Paper on Pneumoconioses • Produce Industrial Hygiene Statistics Train the trainer course. • Product a Silica Control Toolkit for the construction industry. Project GPA1.10j National programme on elimination of silicosis. FUNDACENTRO, Brazil. • Memoranda of understanding of ministries and partners and program website

COMPLETED • Brazilian ban on sand as a blasting agent COMPLETED • Brazilian ban of dry finishing processes of ornamental stones COMPLETED • Brazilian ban of dry rock perforation in mining operations COMPLETED • Publishing of a hazard control manual for ornamental stone works COMPLETED • Creation of Sectoral Groups that address sectoral needs COMPLETED • Guidance for control of silica in mineral processing (ornamental stones), ceramic and

glass, and construction COMPLETED • Trainings in radiographic reading COMPLETED • Publishing of a hazard control manual for the ceramics industry • Certification programme for Brazilian physicians doing X-Ray readings • Trainings in radiographic reading at national and regional level • Enforcement of compulsory notification for diagnosed silicosis cases in Brazil • Enforcement of bans on sand as a blasting agent, dry perforation and dry finishing of

ornamental stones • Collaboration with other Portuguese speaking countries in the prevention of crystalline

silica exposure Project GPA1.10z Identification of Global Pneumoconiosis Information Resources. NIOSH USA.

• A multi-year project with deadlines to be determined for these anticipated outcomes: • Develop a draft list of resources for partner review by 2012 • Finalize resources list based on review by 2012 • Adapt product list for Internet access from PAHO, NIOSH, WHO, ILO and other partner

websites by 2012 • Obtain partners’ input and feedback at development and after dissemination to

evaluate and/or improve the product list Project GPA1.7f Dissemination and implementation of the Policy and Action Plan for the eradication of Silicosis, Asbestosis and pneumoconiosis in Colombia Occupational Health Program/ El Bosque University OHP/UEB, Colombia

• Colombia will issue the public policy and action plan aimed to reducing silicosis, asbestosis and pneumoconiosis in the long term.

• Strengthening OH professional diagnostic skills for physicians and exposure assessments for hygienists.

Area 2: Increase capacity of physicians and other medical personnel in the diagnosis, surveillance, and treatment of pneumoconioses including silicosis Project GPA1.10r Training programs and guidance materials for surveillance, diagnosis, and treatment of silica exposed workers globally. NIOSH, USA.

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• Radiologic reading training courses with partners in Chile for participants from Chile, Brazil, Peru, Zambia in 2006.

• Spirometry training and train-the-trainer courses in Chile, South Africa, Zambia in 2006. • NIOSH Spirometry Training course and Training Guide (translated into Spanish) available

at http://www.cdc.gov/niosh/docs/2004-154c/ • NIOSH B Reader Self-Study Syllabus (translated into Spanish and Portuguese) available

free for use by all http://www.cdc.gov/niosh/docs/2005-103c/default.html • Electronic availability of NIOSH radiographic reading and spirometry training courses and

guidance • Continued collaboration with ILO to make digital reading accessible globally • Digital Film Repository Library of well characterized digital images accessible for

submission and for use • Training Video for Teaching Spirometry, in English and Spanish • Guidance on use of longitudinal spirometry measures in surveillance and diagnostics, in

English, Spanish, and Portuguese • Guidance for surveillance of silica and silicosis • Assessment of usage and success of radiographic reading and spirometry training

courses

Project GPA1.10x Revision of 1996 WHO monograph: Screening and surveillance of workers exposed to mineral dusts. NIOSH, USA. • Preliminary review has been completed • New Project Leader has been appointed • By 2012 Revised monograph for publication by WHO Project GPA1.7i Eradication of Silicosis. ACHS, Chile. • Radiographic reading training courses • By 2012 Guidance for improved surveillance and treatment programs Project GPA1.10t Silica, Silicosis, and Tuberculosis. NIOH, South Africa • Curriculum and teaching materials for course for health and safety inspectors on Dust

Control and Measurement - COMPLETED • Resource on silicosis for health practitioners - Crystalline Silica: Health Hazards and

Precautions - COMPLETED • Guideline for isoniazid preventive therapy in workers with silicosis – Guidelines on

isoniazid preventive therapy (IPT) - COMPLETED • Handbook for quarry managers – Control of Dust in Resource Poor Quarries in Southern

Africa - COMPLETED • Guideline for the surveillance of silica exposed workers in resource poor settings with high

tuberculosis rates; • Dependant on copyright issues, adaptation of materials for workers, managers and health

and safety representatives to support silicosis elimination in mining: (1) Manual Preventing Silicosis – a guide for H&S representatives; (2) Deskpad – A Silicosis Information Resource – aimed at managers and occupational health practitioners

Project GPA1.10v Establishment and evaluation of surveillance programs for silicosis. NIOEH Vietnam. • By 2012 Implementation of national surveillance program for silicosis, a component of the

Vietnam National Plan Area 3: Enhance capability in laboratory analysis of crystalline silica and other mineral dusts. Project GPA1.10e Best Laboratory practices globally for analysis of crystalline silica. NIOSH, USA. • ISO work: Project leader for the ISO work on guidance has been agreed and draft

guidance is complete. COMPLETED. • ASTM work: Involvement with industry is proving successful in the development of

guidance and definitions related to air quality and bulk materials. COMPLETED • Training and QC schemes relating to analytical methods for exposure monitoring and

assessment have been implemented across South American countries using new equipment sourced for this purpose. Further agency cooperation is ongoing. COMPLETED.

• July 2007 NIOSH Analytical Methods for Silica, two-week hands-on training for ISP in

33

Santiago, Chile. COMPLETED. • September 2008, Week long workshop in Lima, Peru with CENSOPAS on Sampling and

Analysis of Silica. COMPLETED. • 2008 Translation of the NIOSH Analytical Method (Crystalline, Silica by IR 7602) into

Spanish, posted on the NIOSH website at http://www.cdc.gov/spanish/niosh/docs/pdfs /7602-sp.pdf COMPLETED.

• By 2012 to establish an inventory of best laboratory practices for precise and accurate exposure assessment in collaboration with national and international partners

• By 2012 to publish ISO/ASTM Guidelines for Quality Assurance and Method Selection for Crystalline Silica Analysis

• Continue to develop partnerships with other South American Countries (2009-2012).

Project GPA1.10p Promoting a Regional Diagnosis of exposure to silica ISP, Chile • ISP established a regional silica analytic laboratory in 2007, trains experts from other

countries in analytic methods, and provides assistance with laboratory inter-comparison program for respirable silica. COMPLETED.

• Collaboration with CENSOPAS has been continued; field training was provided; CENSOPAS is part of the actors proposing a National Plan for Elimination of Silicosis in Peru.

• Proposal of collaboration with Ecuadorian Institute of Social Security to provide training. Area 4: Develop, implement, and evaluate control-focused strategies and user-friendly tools to prevent exposures to silica and other mineral dusts. Project GPA1.10k Development and implementation of Silica Control Tool Kits for priority exposure situations in the Americas. NIOSH, USA • Technical assistance on development of ISP Chile silica toolkits for training on control

banding. COMPLETED • Collection and analysis of ‘control banding’ systems globally

http://www.cdc.gov/niosh/topics/ctrlbanding/ • Translation into Spanish (with ISP, Chile) of UK Silica Control Sheets and posting on ILO

website http://bravo.ilo.org/public/spanish/protection/safework/coshh_essentials_silica/index.htm COMPLETED.

• Expand the Training courses to other South American Countries • Evaluate the Control Banding Method (ECRES) developed by the Chilean ISP. Project GPA1.10l Implementation of Control Banding Methodology for Silica Control. ISP Chile. • A method for assessing exposure to silica risk was designed and validated; this method is

called ECRES (Spanish acronym for Qualitative Assessment of Risk of Exposure to Silica) Available in Spanish at http://www.ispch.cl/ COMPELTED

• ECRES guidelines were validated and delivered for 4 activities: - Aggregates companies (stone crushing) - Floor tiles factories - Ceramics factories - Dental labs

• Training of local health authority in the use of ECRES Guidelines COMPLETED ECRES guidelines for the most important activities with exposure to Silica, with focus on small and medium enterprises

• Evidence of use of these guidelines in at least two branches Project GPA1.10i Development of Risk Management Toolkit for Silicosis in Small Silica Flour Milling Units. NIOH, India • All of the mills at Godhra have installed control measures to reduce dust exposure.

COMPLETED • Continuous bagging is stopped in all of the units, thus exposure time for bagging is

reduced from 6-8 hours to one hour per shift. COMPLETED • Dr. Scott Clark from University of Cincinnati visited these plants in 2008. COMPLETED • Dust control devices having hoods at feeding of raw material and manual bagging has

been designed and installed at one of the ball mills. • Reduction in total dust is 89.04% to 96.90% and for respirable dust 77.5% to 84.91%. Area 5: Increase technical knowledge and professional capacity in industrial hygiene

34

Area 1: Develop and augment partnerships with stakeholders


GPA1.10u Formerly AA6:KTBP3


CC or NGO Name

National Institute for Occupational Safety and Health (NIOSH)

Project title Global Silica Information Dissemination

Keywords Silicosis, Information, Dissemination


Faye Rice, Epidemiologist [email protected]


• Institute of Public Health (ISP) (Chile) • International Labour Organization (ILO) • Pan American Health Organization (PAHO) • National Institute of Occupational Health (India) • World Health Organization (WHO) Headquarters • National Institute for Occupational Health (NIOH), South Africa (David Rees, Rob

Ferrie, Kevin Renton [email protected]; [email protected]; [email protected])

• Fundacentro, Brazil (Ana Maria Bom, Alcinéia Santos [email protected]; [email protected])

Other partners Silica experts throughout NIOSH

and engineering to assess and manage exposures to silica and other mineral dusts. Project GPA1.10aa Respiratory Protection Program Development. NIOSH, USA. • Respirator programs implemented to prevent toxic dust exposure in mining in at least two

South American countries. Current targets are Chile and Columbia.


• Coherent set of accomplishments in the Americas that could be modified and implemented in other regions

• Additional projects are needed in the area of pneumoconiosis and mineral dusts. • Projects describing national programs as models for countries considering them

Examples of deliverables desired by 2012 to adequately assist countries to substantially reduce silica and other dust-related diseases. It is these deliverables for which we will seek projects from CCs

• Promotion by ILO and WHO of model national programs (e.g. Brazil) • Electronic library of tools and information for all four areas related to silica • Electronic library of tools and information for pneumoconioses • Practical surveillance system models • Plan for expansion of successes to other regions and countries • Train-the-Trainer Programs for Radiographic Readers in X countries in Latin America • Model Spirometry Programs in place in X countries


• High rotation of personnel in the region • Acquiring funding for global projects

35

West Virginia University University of Cincinnati DIGESA CENSOPAS

Funding

NIOSH


To produce and disseminate NIOSH information products and provide training and technical assistance to prevent silica-related disease.


A multi-year project with deadlines to be determined for these anticipated outcomes: • review existing NIOSH materials on laboratory analyses, exposure assessment,

exposure control, diagnosis, and treatment • determine the form of NIOSH information products to best serve our international

partners • design and produce the information products • provide technical assistance to customers in developing countries • obtain feedback from partners to help evaluate and/or improve our products


NIOSH information products are disseminated worldwide. Partner countries without silica subject matter experts are a specific target of the project.


The purpose of this project is to aid the ILO/WHO and PAHO silicosis elimination campaign by producing and disseminating useful and accessible information products that will educate our global partners in the areas of laboratory analysis of crystalline silica, assessment and control of silica dust exposures, and diagnosis, treatment, and surveillance of silica-related diseases. Project staff includes silica subject matter experts that will address requests for information from developing countries and will work together to develop NIOSH information products from existing information. The experts may also provide training or other technical assistance to health professionals in partner countries.

Dissemination NIOSH information products, training, technical assistance


Global

PROGRESS ON PROJECT

• NIOSH staff provided training and technical assistance to ISP Chile in 2006 and 2007. • Create and maintenance of the Spanish website postings on the following topics, Silicosis,

Mining, Elimination of Silicosis in the Americas Page, and the NIOSH Spirometry training guide.

• A five member team presented “Sampling and Analysis for Silica and Heavy Metals” in Lima, Peru in September 2008.

• A three member team presented “Industrial Hygiene Statistics” course in Santiago, Chile in November 2008, to continue an established partnership with the Chilean Public Health Institute.

List of major outcomes already achieved by this project (as at June 2010)

• NIOSH staff provided training and technical assistance to ISP Chile in 2006 2007, and 2008.

• Create and maintenance of the Spanish website postings on the following topics, Silicosis, Mining, Elimination of Silicosis in the Americas Page, and the NIOSH Spirometry training guide.

• COSHH Silica Essentials translated into Spanish and posted on the ILO website. • A five member team presented “Sampling and Analysis for Silica and Heavy Metals” in

Lima, Peru in September 2008. • A three member team presented “Industrial Hygiene Statistics” course in Santiago, Chile

in November 2008, to continue an established partnership with the Chilean Public Health Institute.

• Provide training and technical assistance to additional countries: control banding, laboratory practices, and x-ray reading courses; Peru, Colombia, and Mexico.

• Produce WHO Fact sheets on Pneumoconioses. Drafted in 2009, in WHO review. • Produce Industrial Hygiene Statistics Train the trainer course. Course developed in 2008,

currently in peer-review. List of additional major

• Organization of all relevant NIOSH materials, courses, and guides for ease of access by international partners in an electronic library.

36

outcomes expected from this project by 2012 (as at June 2010)

• Produce WHO/ILO Policy Paper on Pneumoconioses.


GPA 1.10j Formerly AA3:S2


CC or NGO Name

FUNDACENTRO, Brazil

Project title National programme on elimination of silicosis – Brazil (NPES-B)

Keywords silica, silicosis, elimination


Eduardo Algranti MD, DPH, Division of Medicine [email protected]


NIOSH PAHO

Other partners Ministries of Labour and Employment, Health, Social Security, Department of Justice, PAHO and ILO/Brazil

Funding Fundacentro, Ministries of Labour and Employment, Health, Social Security, Department of Justice, PAHO and ILO/Brazil


To reach a significant reduction in incidence of silicosis by 2015 To eliminate silicosis as a public health problem by 2030


The NPES-B’s proposal involves a cooperative participation of the government, represented by the Ministries and the international organizations. The program is run by a Managerial Group, formed by a member of each of the participating institutions, by the consultants and managers of the Sector Groups described as follows:

Mining and mineral processing, ceramic and glass metallurgy, construction industry between 2005 and 2007 - we intend to consolidate the Sectoral Groups (SG). Each SG is going to establish a tripartite or quadripartite discussion with a view to selecting action-wise priorities, implantation of strategies and maximizing NPES-B action in different regions of Brazil. Sectoral agreements are our top priority and may be achieved through:

• Changes in legislation • Collective Agreements • Specific Research Educational Actions


Mining and mineral processing; ceramics and glass metallurgy; construction industry

37


The National Program for the Elimination of Silicosis, Brazil (NPES-B) started in mid 2002. The NPES-B has developed an array of actions under the designation of Policy and Legislation, Information, Education and Research tailored for application in the sectoral groups (see above) in observance of parameters of risk magnitude, sector awareness and priorities. The Sectoral Groups (SG) were established with the purpose of having NPES-B’s actions applied correctly, each one sector’s peculiarities taken into consideration, thus making possible necessary adaptation, since there is an understanding that the risk of exposure to silica is distinctive in those areas. Every SG has a manager who is in charge of coordinating the specific activities within each group. The main goals reached so far are: The signature of bilateral Memoranda of Understanding for technical cooperation between FUNDACENTRO and the Ministries of Labor and Employment, Health, Social Welfare and Public Counsel, and also with the ILO/Brazil An estimation of the potentially exposed population by economic sectors through a job exposure matrix method A ban on the use of sand as a blasting agent in the Brazilian territory The development of a programme website.

Dissemination The NPES-B brings a novel approach for silicosis elimination. We intend to disseminate our national experiences to other countries with similar profiles of limited resources (both human and material) but with a potential of implementing good work practices.

Impact (global or regional) Regional


• Meeting at the Instituto de Salud Publica, Chile in September 2006 with ISP and NIOSH to define forms and extent of collaboration

• (Meeting report probably made by NIOSH) • Training course in the ILO 2000 Classification of Radiographs. Fortaleza, 31st Oct –

2nd Nov. Participation of ILO. Attended by 25 physicians (22 from Brazil and 3 from Angola) with an international faculty from Brazil, USA, Germany and Switzerland.

• Contributing text for the NIOSH proposal of Silicosis Elimination in the Americas • The text focused on the situation of silica exposure and silicosis in Brazil, and

possibilities of collaboration within the American continent • Workshop on the Prevention and Control of Occupational Exposure to Dust (PACE)for

Portuguese speaking countries, with the participation of SENAC/Brazil, SESI/Brazil, INSA/Portugal and NIOH/South Africa. São Paulo, 5-6 Dec

• Upload of relevant publications in Portuguese dealing with silica and silicosis into the GEOLIBRARY

No report on further progress received by June 2010

List of major outcomes already achieved by this project

• Memoranda of understanding of ministries and partners and program website • Brazilian ban on sand as a blasting agent • Brazilian ban of dry finishing processes of ornamental stones • Brazilian ban of dry rock perforation in mining operations • Publishing of a hazard control manual for ornamental stone works • Creation of Sectoral Groups that address sectoral needs • Guidance for control of silica in mineral processing (ornamental stones), ceramic and

glass, and construction • Trainings in radiographic reading

List of additional major outcomes expected from this project by 2012

• Publishing of a hazard control manual for the ceramics industry • Certification programme for Brazilian physicians doing X-Ray readings • Trainings in radiographic reading at national and regional level • Enforcement of compulsory notification for diagnosed silicosis cases in Brazil • Enforcement of bans on sand as a blasting agent, dry perforation and dry finishing of

ornamental stones • Collaboration with other Portuguese-speaking countries in the prevention of crystalline

silica exposure


GPA1.10z


38

CC or NGO Name


Project title Identification of Global Pneumoconiosis Information Resources

Keywords Pneumoconiosis, Information, Dissemination


Faye Rice, Epidemiologist [email protected]


• International Commission on Occupational Health (ICOH) Scientific Committee on Respiratory Disorders

• International Labour Organization (ILO) • Pan American Health Organization (PAHO) • National Institute of Occupational Health (India) • World Health Organization (WHO) Headquarters • National Institute for Occupational Health (NIOH), South Africa (David Rees, Rob

Ferrie, Kevin Renton [email protected]; [email protected]; [email protected]

• Fundacentro, Brazil (Ana Maria Bom, Alcinéia Santos [email protected]; [email protected])

Other partners Other international experts on asbestosis, coal workers’ pneumoconiosis, silicosis, and other

pneumoconioses West Virginia University

Funding

NIOSH


To identify global information products and resources for control of exposures, training, surveillance, diagnosis, and treatment of pneumoconioses.


A multi-year project with deadlines to be determined for these anticipated outcomes: • Develop a draft list of resources for partner review by 2012 • Finalize resources list based on review by 2012 • Adapt product list for Internet access from PAHO, NIOSH, WHO, ILO and other

partner websites by 2012 • Obtain partners’ input and feedback at development and after dissemination to

evaluate and/or improve the product list


All organizations with objectives to eliminate pneumoconioses in the workplace.


The purpose of this project is to aid the global partners with prevention of work-related pneumoconioses by identifying existing useful and accessible information resources and products, including those available in languages other than English.

Dissemination Sources of information products


Global

PROGRESS ON PROJECT

No progress report received by June 2010


New Project 1.7f

PROJECT Title

Dissemination and implementation of the Policy and Action Plan for the eradication of Silicosis, Asbestosis and pneumoconiosis in Colombia


GPA Objective 1: To devise and implement policy instruments on workers’ health [ToR 1] Action 10: WHO will work with Member States to strengthen the capacities of the

39

ministries of health to provide leadership for activities related to workers’ health, to formulate and implement policies and action plans, and to stimulate intersectoral collaboration. Its activities will include global campaigns for elimination of asbestos‐related diseases – bearing in mind a differentiated approach to regulating its various forms – in line with relevant international legal instruments and the latest evidence for effective interventions.


Priority 1.2: Develop and disseminate evidence‐based prevention tools and raise awareness for the elimination of silica and other dust‐related diseases Area 1: Develop and augment partnerships with stakeholders including employers, employees, Universities, insurance companies, ministries, and international organizations. Their goal is to increase awareness and to advance national and regional plans of action to eliminate Pneumoconioses including silicosis. Area 2: Increase capacity of physicians and other medical personnel in the diagnosis, surveillance, and treatment of pneumoconioses including silicosis. Area 3: Enhance capability in laboratory analysis of crystalline silica and other mineral dusts. Area 5: Increase technical knowledge and professional capacity in industrial hygiene and engineering to assess and manage exposures to silica and other mineral dusts.

This project also contributes to other GPA Priorities

Priority 1.3: Develop and disseminate evidence‐based prevention tools and raise awareness for the elimination of asbestos‐related diseases (ARDs) Area 2: (Secondary Prevention) Develop, promote, share and transfer technologies for early and effective detection of ARDs combined with an introduction and maintenance of a surveillance system for ARDs. Core technologies for detection of ARDs include: i) chest X‐rayand CT techniques to detect asbestosis, pleural plaques and malignancies; ii) pathological 54/405 diagnosis of mesothelioma; iii) identification and quantification of asbestos fibers and asbestos bodies in lung specimen and broncho‐alveolar lavage fluid; iv) biomarkers for early detection of ARDs. Area 3: (Tertiary Prevention) Develop, promote, share and transfer technologies for effective treatment and just compensation of ARDs. Core technologies include new treatment and clinical management options for mesothelioma as well as design and implementation of just compensation schemes. Area 4: (Monitoring Progress) Compile and report NPEAD (ILO/WHO) with periodic review and report.


Occupational Health Program/ El Bosque University OHP/UEB

Project leader(s)

Maria Teresa Espinosa Restrepo [email protected] Julietta Rodríguez Guzmán [email protected]

Network partners NIOSH, USA, [email protected] , [email protected]

WHO Regions involved in this project

Dr. Carlos Corvalan (WDC) [email protected] Marie Claude Lavoie [email protected]

Country ministries involved in project

Ministry of Social Protection Ana Maria Cabrera Videla: [email protected]

External partners for this project

National OH Committees for the mining sector, the construction sector and for asbestos and other fibers. Jose del C almonacid C: [email protected]

Summary of the project

The project is aimed to contributing to the construction, implementation and dissemination of information about the public policy and action plan for eradication of Silicosis, Asbestosis and Charcoal Pneumoconiosis in Colombia. They should soon be issued by the government. The contribution of the Occupational Health Program/El Bosque University is aimed to leading the assessment process with the Ministry of Social Protection; disseminating information; training physicians for using ILO's international classification of radiographs of Pneumoconiosis; developing training programs in hygiene and silica dust control and developing exposure assessment criteria; and, following the results of the Colombian action plan.


Workers in the three sectors: mining, construction and asbestos & fibres.

40

Major Milestones Key implementation milestones are: March‐2011: project expects that the ministry officially adopts and issues the public policy and the plan April ‐2011: Course for training physicians for using ILO's international classification of radiographs of Pneumoconiosis, creating a teaching network January 2012: defining and conducting the research to determine exposure baselines for silica, asbestos and charcoal. June 2015: exposure levels and prevalence of these diseases should decrease; and surveillance systems will provide accurate information for policy decision makers.

Dissemination plan Information dissemination through: WHO/PAHO CCs Network and the Latin American OH Newsletter and by Ministry of Social Protection Scientific publications: Cancer Journal of the National Cancer Institute

Funding source(s) Ministry of Social Protection of Colombia Collaboration with NIOSH, National Institute of Health, National Cancer Institute OHP/EBU


1‐ Collective construction of the public policy and the plan for the eradication of Silicosis, Asbestosis and pneumoconiosis in Colombia with all stakeholders involved.

2‐ Definition of the contents of the public policy and the plan for the eradication of Silicosis, Asbestosis and pneumoconiosis in Colombia, by December 2010


1- Colombia will issue the public policy and action plan aimed to reducing silicosis, asbestosis and pneumoconiosis in the long term.

2- Strengthening OH professional diagnostic skills for physicians and exposure assessments for hygienists.


1‐ Increasing the availability of competent Occupational hygiene services in Colombia. 2‐ Having accurate information about the workers health, morbidity and mortality

caused by these pneumoconiosis in Colombia. 3‐ Decreasing silicosis, asbestosis and miners’ pneumoconiosis in Colombia.

Area 2: Capacity building in diagnosis, surveillance and treatment 2009-2012 Work Plan Number

GPA 1.10r Formerly AA4:CE4e


GPA Objective 1: To devise and implement policy instruments on workers’ health. Action 10. Its activities will include global campaigns…and other actions addressing priority work-related health outcomes.

CC or NGO Name


Project title Training programs and guidance materials for surveillance, diagnosis, and treatment of silica exposed workers globally

Keywords Silicosis, silicosis diagnosis, medical surveillance


Joe Burkhart, DRDS ; [email protected]; Kristin Cummings [email protected]; Maria Lioce-Mata [email protected] ; Margaret Kitt [email protected]


Institute of Public Health (ISP) (Chile) International Labour Organization (ILO) World Health Organization (WHO) Pan American Health Organization (PAHO) University of Michigan

Other partners

Silicosis experts in other NIOSH divisions; Occupational Health Management Board (OHMB) of the Zambian Ministry of Health; additional partners welcome

Funding NIOSH


To provide guidance and training concerning standardized diagnostic procedures for silicosis.

Project Increased capacity of partner countries to provide training to personnel in their respective

41

outcome(s) and deadline(s) for completion of the project

countries concerning the diagnosis of silicosis and increased awareness of occupation related medical surveillance. Guidance developed in this effort will be fed into dissemination efforts – see project titled: “Global Silica Information Dissemination”.


Partner countries and their medical community will have greater capabilities to serve their working populations. The information transferred during this project will in turn be transferred to other countries; this is especially true in the case of Chile which plans to aide other countries in the region.


The purpose of this project is to aid the ILO/WHO/PAHO campaign to prevent silicosis. This will be accomplished by helping to train physicians and medical technicians in partner developing countries in the provision of medical screening (pulmonary function tests and chest x-rays) of silica exposed workers.

Dissemination Through direct contract with personnel in the partner countries and though NIOSH information products.


Global

Progress on Project

Radiologic reading and spirometry courses were taught in Zambia and in Chile. No report on further progress received by June 2010


Radiologic course: Zambia (10 attendees, 2 passed the examination); Chile (23 attendees, 2 passed the examination) Spirometry Course: Zambia (12 attendees, 12 passed the examination); Chile (17 attendees; 17 passed the examination)


• Electronic availability of NIOSH radiographic reading and spirometry training courses and guidance

• Continued collaboration with ILO to make digital reading accessible globally • Digital Film Repository Library of well characterized digital images accessible for

submission and for use • Training Video for Teaching Spirometry, in English and Spanish • Guidance on use of longitudinal spirometry measures in surveillance and

diagnostics, in English, Spanish, and Portuguese • Guidance for surveillance of silica and silicosis • Assessment of usage and success of radiographic reading and spirometry training

courses


GPA1.10x Formerly 4.20l and AA 4: TM1a


GPA Objective 1: To devise and implement policy instruments on workers’ health. Action 10. Its activities will include global campaigns…and other actions addressing priority work-related health outcomes

CC or NGO Name

US National Institute for Occupational Safety and Health (NIOSH)

Project title Revision of 1996 WHO monograph: Screening and surveillance of workers exposed to mineral dusts

Keywords Silicosis, asbestos, coal, screening, surveillance, prevention, mineral dusts


Lee Petsonk, NIOSH; Anita Wolfe, NIOSH


WHO, ILO

Other partners Gregory R. Wagner MSHA

Funding NIOSH

42


Revise the 1996 WHO Monograph entitled “Screening and Surveillance of Workers Exposed to Mineral Dusts”


• Obtain reviews of the original document • Draft revised monograph • Complete final review/revision/publication by 2012


Public health and occupational physicians, ministries of health and labor, and others involved in the WHO-ILO Global Program for Elimination of Silicosis and international efforts at asbestos disease prevention.


The 1996 monograph “Screening and Surveillance of Workers Exposed to Mineral Dusts” has provided support and direction for the ILO/WHO Global Program for Elimination of Silicosis. It has been widely used in training courses and translated into at least 4 languages. This revision will incorporate recent scientific material and will respond to recommendations from users and reviewers, particularly among those in the developing world.

Dissemination This will result in a document, most likely published by WHO and will be distributed by the ILO & WHO as well as countries participating in the Global Program for Elimination of Silicosis.


Global

Progress on Project as of November 9, 2007

• Progress has been substantially delayed • Some reviewers have been identified and await electronic copies of the original text. • Updated literature relevant to monograph revision is being collected



• Preliminary review has been completed • New Project Leader has been appointed


• Publication and distribution of revision of the WHO Monograph


GPA1.7i

GPA Objective GPA Objective 1: To devise and implement policy instruments on workers’ health. Priority 1.2

CC or NGO Name

Asociación Chilena de Seguridad

Project title Eradication of silicosis

Keywords Silicosis


Dr. Gustavo Contreras [email protected]


Chilean Institute of Public Health

Other partners None Funding Asociación Chilena de Seguridad

Objective of the This project has two objectives. One regional oriented to collaborate with the Chilean National

43

project Silicosis Eradication Program. The other, international to collaborate with regional efforts to eradicate silicosis.


• Chest X-ray training courses • Research projects on silica exposed workers • New legal documents for Chilean workers


Chilean and Latin-American Workers


At national level starting in 2009 efforts will be made to: • To improve legal documents which define the diagnosis of silicosis and incapacity

evaluation provoked by silicosis • To improve the coverage of exposed workers under a surveillance programme. • To improve the quality medical centers which diagnose and treat workers affected by

silicosis • To continue delivering the training course on chest x-ray interpretation • To develop a research project on silicosis risk for construction workers

At international level starting in 2009 efforts will be made to:

• To continue delivering the training course on chest x-ray interpretation • To promote the implantation of a regional exam for physicians interpreting chest x-

rays Improving legal documents will decrease the uncertainty that workers affected by silicosis face today in Chile. Improving the coverage of exposed workers under surveillance program will move our country closer to the goal of eradicating silicosis. Improving the quality medical centers that diagnose and treat workers affected by silicosis will assure a better quality of life for those affected by the disease. The research project will provide information needed to formulate surveillance and prevention programs. New training course on chest x-ray interpretation will increase the number of physicians capable of diagnosing the disease in the region. The regional exam for physicians interpreting chest x-rays will contribute to the same goal.

Dissemination Impact (global or regional)

Regional

Progress (maximum 100 words)



• Annual chest X-ray training courses for physicians and technicians - Chile • Annual chest X-ray proficiency exam for physicians - Chile


• Working on analysis of a cohort of workers with silicosis • Working in a new chest X-ray proficiency exam for physicians • Modification of disability evaluation for silica exposed workers


GPA1.10t Formerly AA4:CE1


CC or NGO Name

National Institute for Occupational Health (NIOH), South Africa

44

Project title Silica, silicosis and tuberculosis

Keywords Practical solutions, dust control, prevention of tuberculosis, training materials, managers, workers, practitioners, inspectorate


Prof. David Rees [email protected]


NIOH, South Africa

Other partners 1. University of the Witwatersrand, South Africa 2. Occupational Health Management Board, Zambia 3. Eduardo Mondlane University, Mozambique 4. National Institute for Public Health, Sweden

Funding

The project is funded through the Swedish International Development Cooperation Agency and is a component of the Work and Health in Southern Africa (WAHSA) Programme, and supported by the NIOH, South Africa.


Develop education, training and technical materials for: • The reduction of silica dust exposure in key industries in the region • Improved prevention of tuberculosis in silica exposed workers


• A training course for OHS inspectors on the measurement and control of dust by mid-2006. Presented in 3 countries by end 2006

• A costed and tested set of practical solutions for dust control in the quarry industry appropriate for the region by end 2007.

• Information materials for workers, managers and practitioners by end 2007 • Information materials on chemoprophylaxis for silica exposed workers for practitioners

by end 2007. •


Silica exposed population, occupational health and safety practitioners and inspectors, enterprise managers.


Silica exposure with its attendant diseases, particularly tuberculosis, is a major issue in the southern African region. A multi-faceted approach is needed to reduce exposure and prevent disease. This project aims to improve the capacity of the health and safety inspectorates by developing and presenting a course on dust measurement and control, to develop practical dust control solutions in a key sector (the quarry industry) which will serve as a model and be widely disseminated, to improve knowledge of the key stakeholders (workers, managers and practitioners) through information materials appropriate for the region, to promote appropriate practice on tuberculosis prevention through expert group meetings and dissemination of consensus statements.

Dissemination Worker and enterprise meetings and associations, professional associations, WHO/ILO documents; regional Departments of Labour and Health, as well as appropriate electronic dissemination.


Southern African region primarily but useful for developing countries in general.

Progress on Project

Programs conducted throughout the SADC region included: (1) Workshops/courses/ seminars on Dust Control and Measurement; (2) Dust control intervention introduced at three quarries – in Zambia, Mozambique and Lesotho; (3) A regional Expert Group Meeting – “Preventing TB in silica-exposed workers” formulation of guidelines for treating silica-exposed workers; and (4) development materials for practitioners, workers and managers (WAHSA and other programmes in the SADC Region):

Resource on silicosis for health practitioners Document from the expert group meeting – Guidelines of isoniazid preventive therapy

(IPT) Handbook for quarry managers – Control of Dust in Resource Poor Quarries in

Southern Africa


45


Curriculum and teaching materials for course for health and safety inspectors on Dust Control and Measurement Resource on silicosis for health practitioners - Crystalline Silica: Health Hazards and Precautions; Guideline for isoniazid preventive therapy in workers with silicosis – Guidelines on isoniazid preventive therapy (IPT) Handbook for quarry managers – Control of Dust in Resource Poor Quarries in Southern Africa


Guideline for the surveillance of silica exposed workers in resource poor settings with high tuberculosis rates; Dependant on copyright issues, adaptation of materials for workers, managers and health and safety representatives to support silicosis elimination in mining: (1) Manual Preventing Silicosis – a guide for H&S representatives; (2) Deskpad – A Silicosis Information Resource – aimed at managers and occupational health practitioners


GPA1.10v


Establishment and evaluation of surveillance programs for silicosis



Priority Initiative

Priority 1.2: Develop and disseminate evidence-based prevention tools and raise awareness for the prevention of silica- and other dust-related diseases




Dr. Nguyen Duy Bao, Director, National Institute of Occupational & Environmental Health (NIOEH), 1B Yersin Str., Hanoi, Vietnam [email protected]






External partners for this CONTRIBUTING

46

project (contact name, organization and email) Summary of the project (max 100 words)

Surveillance program for silicosis is one activity of the national action plan on prevention of occupational diseases. Projects include interventions for control of exposures and diagnosis of diseases.


Policy makers, occupational health and safety practitioners, enterprise managers, workers at high risk of silicosis



• Prevention model for silicosis will be developed and applied • The rate of silicosis will be reduced by 10% • Capacities of environment monitoring and silicosis diagnosis and detection will

be improved for OH practitioners • Training materials will be developed and disseminated • Legislative documents on silicosis prevention will be reviewed, supplemented,

and promulgated


• The rate of silicosis reduced by 10% • 80% of workers at high risk of silicosis will be examined and detect

occupational diseases




Workers’ health will be improved

Funding source(s)

Vietnamese Government


Area 3: Best Laboratory Practices for Silica


GPA 1.10e Formerly AA2:NP13

GPA Objective GPA Objective 1: To devise an implement policy instruments on workers’ health

CC or NGO Name


Project title Best laboratory practices globally for analysis of crystalline silica

Keywords Crystalline silica analysis, exposure assessment, silicosis


Dr Rosa J. Key-Schwartz, Ph.D. [email protected]


WHO, ILO, PAHO, ISP (Chile), NIOH (South Africa), CENSOPAS (Peru), FUNDACENTRO CC Programme - Ana Maria T. Bom [email protected]

Other partners International Standards Organization (ISO), ASTM International Standards (ASTM), U.S. Occupational Safety and Health Administration (OSHA), U.S. Mine Safety and Health

47

Administration (MSHA), Wisconsin Occupational Health Laboratory (United States)

Funding

NIOSH


This project will establish best laboratory practices for precise and accurate exposure assessment for crystalline silica in collaboration with national and international partners.


• To provide standardized guidelines to developing countries for exposure assessment studies used in silicosis prevention initiatives (by 2010)

• To assist laboratories in developing countries in implementing quality assurance programs and in applying for laboratory accreditation (beginning in 2006)

• To train laboratory chemists in running standardized analytical methods for crystalline silica exposure assessments (beginning in 2006 in Chile) Continue to develop partnerships with other South American Countries (2009-2012).

• To publish ISO/ASTM Guidelines for Quality Assurance and Method Selection for Crystalline Silica Analysis (by 2012)


Laboratories in developing countries and national laboratories seeking to comply with ISO standards and guidelines (e.g., the European Union) for analysis of crystalline silica for exposure assessments studies.


To collate data on laboratory practices in order to reach consensus on best practices for precise and accurate exposure assessment for crystalline silica in support of silicosis prevention programs. Specific aims include:

• Development and publication of evidence-based guidelines for best laboratory practices (complete) and analytical method selection via the mechanisms of ISO and ASTM

• Facilitating exchange of information and resources through international linkages (e.g., coordinated videoconferencing, developed and developing countries “twinning)

• Developing print and electronic resources (NIOSH web page, CD-ROM) to provide analytical laboratory information and utilizing networks and partnerships for translating and disseminating materials to a broader audience.

Dissemination Dissemination will be accomplished through multiple routes including: • ISO Guidelines • ASTM Guidelines • ASTM symposium • IOHA presentations • NIOSH web site for silica will include information on analytical methods and quality

assurance programs


Global and regional


ISO work: Project leader for the ISO work on guidance has been agreed and draft guidance is complete.

ASTM work: Involvement with industry is proving successful in the development of guidance and definitions related to air quality and bulk materials.

Training and QC schemes relating to analytical methods for exposure monitoring and assessment have been implemented across South American countries using new equipment sourced for this purpose. Further agency cooperation is ongoing.

July 2007 NIOSH Analytical Methods for Silica, two-week hands-on training for ISP in Santiago, Chile

September 2008, Week long workshop in Lima, Peru with CENSOPAS on Sampling and Analysis of Silica.

2008 Translation of the NIOSH Analytical Method (Crystalline, Silica by IR 7602) into Spanish, posted on the NIOSH website.



SEE ABOVE FOR OUTCOMES ALREADY ACHIEVED.

48


To provide standardized guidelines to developing countries for exposure assessment studies used in silicosis prevention initiatives (by 2010)

To continue assistance to laboratories in developing countries in implementing quality assurance programs and in applying for laboratory accreditation

To train laboratory chemists in running standardized analytical methods for crystalline silica exposure assessments (beginning in 2006 in Chile) Continue to develop partnerships with other South American Countries (2009-2012).

To publish ISO/ASTM Guidelines for Quality Assurance and Method Selection for Crystalline Silica Analysis.


GPA1.10p Formerly AA4:CE3i

GPA Objective GPA Objective 1: To devise and implement policy instruments on workers’ health CC or NGO Name

Instituto de Salud Publica de Chile

Project title Promoting a Regional Diagnosis of exposure to silica.

Keywords Diagnosis, silica, exposure, evaluation


Juan Alcaíno - [email protected] Marcela González - [email protected]


Other partners Andean community. Institutions responsible for the health of workers in the region Andean community.

Funding



To make technological transference to the countries of the Region for the elaboration of a national diagnosis of exposure to silica.


To train in topics like criteria and strategies of sampling, chemical analysis of samples, to offer the participation in laboratory inter-comparison program for respirable free silica samples, bibliographical support, statistical analysis. All this will be made in period 2006-2010.


Countries of the region.


Instituto de Salud Publica de Chile offers an apprenticeship to the countries of the region interested in the elaboration of a national diagnosis of exposure to silica. Instituto de Salud Publica support bibliographical items, in country traveling, training and sample shipment for the inter-comparison programme. Tickets (to Chile) and per diem should be financed by the interested countries.

Dissemination Offering the course to countries of the Region.


Regional

Progress on Project

Two ISP experts went to CENSOPAS, belonging to the Peruvian National Institute of Health, to give a training course in chemical agents, focusing on silica and asbestos. This training was directed to personnel of CENSOPAS and Peruvian OSHA. One person from CENSOPAS visited ISP for a apprenticeship about silica and chemical agents in hospitals. No report on further progress received by June 2010

List of major outcomes already achieved by this

Collaboration with CENSOPAS has been continued; field training was provided; CENSOPAS is part of the actors proposing a National Plan for Elimination of Silicosis in Peru. Proposal of collaboration with Ecuadorian Institute of Social Security to provide training.

49

project List of additional major outcomes expected from this project by 2012

Profile of exposure to silica in at least two countries of the Region

Area 4: Control-focused Strategies and Tools


GPA1.10k Formerly AA3: S3

GPA Objective GPA Objective 1: To devise and implement policy instruments on workers health

CC or NGO Name


Project title Development and implementation of Silica Control Tool Kits for priority exposure situations in the Americas

Keywords Control banding, risk management, intervention effectiveness, controls, silica, silicosis, Americas


Catherine Beaucham [email protected] TJ Lentz [email protected], IOHA Dave Zalk [email protected]


Instituto de Salud Publica (ISP) Chile and WHO and PAHO and ILO, Fundacentro, IOHA

Other partners Health ministries in region: Chile, Brazil, Colombia, Argentina, Peru, Venezuela and Mexico

Funding NIOSH and partner countries


To assist countries in the Americas focus scarce occupational health resources where they can be most effective in reducing hazardous silica exposures in high-risk industries. This will enhance global safety and health through international collaborations and increase the capacity of health ministries in the region to evaluate and control silica hazards. The project will also show the effectiveness of the control banding approach in developing countries.


Assist Chile to select high-risk industries and common processes within those industries for control banding intervention (by 2006) Assist Chile to assess the baseline silica exposure levels in those processes (beginning in 2006). Assist Chile to develop and implement an industry-specific Silica Toolkit for risk management in three targeted industries – mining and quarries (beginning in 2006) then dental labs and stone art craft (beginning 2007). Assist Chile and other countries in the region to develop technical capability to evaluate controls and intervention effectiveness (starting 2006). Evaluate the effectiveness of implementation of the Silica Control Toolkit in Chile and modify it based on results (by 2009). Replicate the Silica Control Toolkit in other industries in Chile and in other countries in collaboration with health ministries in the region (by 2010).


All enterprises in mining and quarries – especially those where expertise is missing such as SMEs. Ministries of health in the Andean region. Other countries with similar exposure situations.


Silicosis remains a persistent public health problem. In the Americas, millions of workers are at risk of developing the disease due to uncontrolled exposures. This project is designed to increase technical knowledge and professional capacity in participating government Health Ministries for silica exposure assessment, industrial hygiene, and implementation of effective controls. The project is directly related to WHO, ILO, PAHO and NIOSH strategic goals.

Dissemination Publication of a Silica Toolkit that will present control banding approaches for high-risk silica exposures in the Americas.

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Impact (global or regional) Global


September 2006 – Control Banding Training Course and Technical Assistance for dust control at selected work sites.

July 2007 – NIOSH Co-organized with ISP a 3-day Control Banding Workshop for Chilean, Brazilian, and Peruvian Experts.

September 2007 – a NIOSH team made a series of visits to observe processes and work activities around Santiago focusing on general industry and mining.

September 2008 – a 5-person NIOSH team presented a week long seminar in Lima, Peru on Sampling and Analysis for Silica and Heavy Metals, including a 1 day workshop on Control Banding.

November 2008 – a 3-person NIOSH team presented a 3-day workshop on Industrial Hygiene Statistics, including a section on evaluation of control banding interventions.

February 2009 – NIOSH completed and certified the translation to Spanish of the HSE’s Silica COSHH Essentials and posted them on the ILO Control Banding Website.

June 2009 – NIOSH delivered a course on Control Banding and Ventilation at the Colombian Congress.

Progress received by June 2010 March 2010 – NIOSH delivered a presentation on Control Banding at the 3rd Pan-

American Congress in Mexico. May 2010 - NIOSH attended the 3rd Latin American Summit for the Elimination of Silicosis,

and delivered several presentations and a 1 day workshop on Control Banding and its utility in the eradication of silicosis.


SEE ABOVE FOR OUTCOMES ALREADY ACHIEVED.


Evaluate the current Chilean ECRES sheets for the three industries; aggregate crushing and stabilization, ceramics and tile making, and dental works. Provide feedback to the Instituto de Salud Publica

Evaluate the effectiveness of implementation of the Silica Control Toolkit in Chile and modify it based on results

Assist in the dissemination of the Silica Control Toolkit to other developing countries Create a training toolbox for Silica in Construction

Additional major outcome received by June 2010 Create a “Train-the-trainer” Introduction to Control Banding CD-Rom and make it available in Spanish and English


GPA1.10l Formerly AA3:S4


CC or NGO Name Institute of Public Health, Chile

Project title Implementation of Control Banding Methodology for Silica Control

Keywords silica, silicosis, control banding


Juan Alcaino – [email protected] ; Cristian Fuentes – [email protected]


NIOSH, USA

Other partners Comunidad Andina. Instituciones responsables de la salud de los trabajadores de los países de la región. (Institutions responsible for health of workers in the region)

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Funding Instituto de Salud Pública; NIOSH (USA)

Objective of the project To implement new qualitative assessment methodologies and silica control

Project outcome(s) and deadlines for the completion of the project

• To train Chilean professionals in control banding (2006) • To train employers and workers involved in the project (2006-2007) • To develop an implementation manual for silica control banding (2006-2007) • To contact other countries of the region interested in implementing control

banding (2007) Target group and/or beneficiaries

Workers exposed to silica dust


To contact, select and recruit factories (business) willing to participate in the project, take videos from that factories (business) and send them to NIOSH. NIOSH will review the videos, make decisions on target processes and formulate, together with Instituto de Salud Publica, the Silica Tool Kit for Chile. NIOSH teaches Control Banding Methodology in Chile, ISP take air samples prior to and post application of the methodology to study the effect. This is a two-year project: first year focused on mining and quarries and second year on dental labs and stone art craft.

Dissemination Training course for Chilean professionals and, later on, for other interested countries.


Regional


Instituto de Salud Publica has worked on (until May 2007): • Translating into Spanish of HSE silica guidance sheets • Visiting industries of pilot project (stone crushing station) • Designing and application of a qualitative diagnostic sheet related to the exposure to

silica in stone crushing station. This methodology will be validated with NIOSH. In this point, ISP is designing control sheets for stone crushing station

• Training of employers and employees about respiratory protection • Coordinating the second Control Banding Course in Chile



1) A method for assessing exposure to silica risk was designed and validated; this method is called ECRES (Spanish acronym for Qualitative Assessment of Risk of Exposure to Silica)

2) ECRES guidelines were validated and delivered for 4 activities: - Aggregates companies (stone crushing) - Floor tiles factories - Ceramics factories - Dental labs 3) Training of local health authority in the use of ECRES Guidelines


• ECRES guidelines for the most important activities with exposure to silica, with focus on small and medium enterprises

• Evidence of use of these guidelines in at least two branches


GPA1.10i Formerly AA3:S1


CC or NGO Name National Institute of Occupational Health, Ahmedabad India.

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Project title Development of Risk Management Toolkit for Silicosis in Small Silica Flour Milling Units

Keywords Silicosis, Silica Flour Mills, Technology, Toolkit


Dr L J Bhagia [email protected] Project Manager NIOH and Dr S K Dave [email protected] Director, NIOH. Dr Habibullah N Saiyed, (Past Director, NIOH) [email protected]


CC: Dr Andy Cecala National Institute of Occupational Safety and Health (NIOSH) (Pittsburgh Laboratory) USA. Dr Richard W. Niemeier, Education and Information Division NIOSH (Cincinnati)

Other partners Prof Scot Clark - University of Cincinnati USA Department of Labour Govt of Gujarat Department of Labour Govt of Rajasthan Association of silica flour manufacturers.

Funding Ministry of Health Govt of India (First year) Indian Council of Medical Research (2nd and 3rd year) National Institute of Occupational Safety & Health USA (for the visit of US scientists)

Objective of the project To develop toolkit for control of silica dust for small silica flour mills.

Project outcome(s) and deadline(s) for completion of the project Target group and/or beneficiaries

• Development of a toolkit for dust control for small silica flour mill units that will be readily usable by 2008.

• Disseminate the information to the beneficiaries through pamphlets, internet etc. after successful development of the toolkit, by 2009.

• Small silica flour mill units in India initially and subsequently similar units in the other developing countries in the region.


NIOH studies have shown that about 50% of the young workers develop accelerated silicosis/silico-tuberculosis within 2-3 years of exposure. With the local expertise, we devised dust control techniques which could reduce the airborne silica dust by up to 95%. Under the Indo-US collaborative research programme we are now developing silica control tools which are suitable for the small silica flour mills in India and other developing countries. The intervention measures based on the toolkit will be implemented in a few selected factories. There will be periodic monitoring and modification based on the feedback.

Dissemination State the method of disseminating the project outcomes. For example: WHO/ILO documents; university studies; worker and enterprise meetings


Region


Indo-US workshop on Practical methods of silica dust Control was organized at Beawar, India from 17-18 January, 2006 where factory owners, supervisors and factory Inspectors from Gujarat and Rajasthan states participated. US team was represented by Dr. Clark, Dr. Rice from Cincinnati and Mr. A Cecala from NIOSH. A workshop was followed by an awareness programme for workers. A booklet giving details of silicosis and its control and general work practices in Hindi was published and distributed to all participants and workers. Later on,CDs of all the presentations and recommendations of the workshop were sent to the participants. After the workshop, one mill owner at Godhra (Gujarat) was encouraged with the help of Director, Industrial Health and Safety (DISH ), Gujarat and he volunteered for new set-up including most of the recommendations of the workshop. New set-up will have ramp, hopper, crusher with dust control, covered conveyor belts. All dust generation points like hammer mill, magnetic separator, rotary screen etc. will be connected to bag filter and fan with duct work. Installation will be completed by September 2007. Dust monitoring will be carried out after September 2007. No report on further progress received by June 2010

53


There are two types of silica mills in India namely Hammer type and ball mill type. In hammer type of mills product mesh size is less than 100 mesh where as in ball mills product mesh size is 100-500.Ther are 17 hammer type of mills at Godhra (Gujarat). All the mills at Godhra have installed control measures like isolation of processes and dust control devices covering all dust generation points like hammer mill, magnetic separator, rotary screen. Some of the mills have installed ramp, hopper and separate dust control at the crushers while others have isolated crushers. Continuous bagging is stopped in all the units. Instead they have silos where the product is collected. Silo can be unloaded within an hour. Thus, exposure time for bagging is reduced from 6-8 hours to one hour per shift. Dr. Scott Clark, University of Cincinnati, USA, has visited these plants in 2008. There are many ball mills at Beawar (Rajasthan). Exposure occurs while feeding of raw materials and manual bagging of product. Dust control device having hoods at these two points, fan and reverse pulse jet type bag filter has been designed and installed at one of the ball mills. The device was inaugurated on 16thJune, 2009 in presence of Principle secretary, Labor department, Govt. of Rajasthan and Dr. P. K. Nag, director, NIOH. About 150 mill owners attended the function. Dr. Clark also attended the function. Reduction in the total dust by dust control device is 89.04% to 96.90% and the same for respirable dust varied from 77.50% to 84.91%.


The tenure of the project expires on 31st July, 2009.

Area 5: Increase technical knowledge and capacity in industrial hygiene


GPA1.10aa

PROJECT Title

Respiratory Protection Program Development


GPA Objective 1: To devise and implement policy instruments on worker health


Priority 1.2: Develop and disseminate evidence-based prevention tools and raise awareness for the prevention of silica- and other dust-related diseases


NIOSH


Heinz W Ahlers, NIOSH [email protected]


Mutual Seguridad, Chile Alejandro Morales, [email protected] ISP, Chile Manuel Parra IPSC [email protected]


Country ministries involved in this

Chile ISP, Colombia [email protected]

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CONTRIBUTING project (contact name and email) External partners for this CONTRIBUTING project (contact name, organization and email)


Many industries in the Americas rely on half facepiece particulate respirators to protect the workers from exposures to dust. This is particularly prevalent for silica dust exposures in mining. For the successful use of respirators a respiratory protection program need to be in effect to properly train workers, select respirators, evaluate respirator fit and assure proper respirator maintenance. This program will adapt the current US program covering all respirators to a simple program covering the use of particulate respirators only intended for translation into Spanish and modified for the specific need of the target population.


Small business operators in the Americas using particulate respirators to protect against toxic dust exposure, especially silica dust


• October 15, 2009: Preparation of Final US draft • June 1, 2010: peer review of English version • August, 2010: Availability of Spanish version for workplace testing


Dissemination plan

Funding source(s)

NIOSH, USA


Respirator programs implemented to prevent toxic dust exposure in mining in at least two South American countries. Current targets are Chile and Columbia.

PRIORITY 1.3: Develop and disseminate evidence-based tools and raise awareness for the elimination of asbestos-related diseases

55


GPA1.3: Asbestos-Related Diseases Global Facilitating Project (with projects organized by area of work)

Facilitating Project title

Strategies and programmes for elimination of asbestos-related diseases (ARDs)

GPA Objective


GPA Action 1.10

WHO will work with Member States to strengthen the capacities of the ministries of health to provide leadership for activities related to workers’ health, to formulate and implement policies and action plans, and to stimulate intersectoral collaboration. Its activities will include global campaigns for elimination of asbestos-related diseases - bearing in mind a differentiated approach to regulating its various forms - in line with relevant international legal instruments and the latest evidence for effective interventions, as well as immunization of health-care workers against hepatitis B, and other actions addressing priority work-related health outcomes.

Priority Area

Priority 1.3: Develop and disseminate evidence-based prevention tools and raise awareness for the elimination of asbestos-related diseases (ARDs)


This Facilitating Project aims to establish synergies between the on-going global, regional and country efforts on elimination of asbestos-related diseases, such as the Asian Asbestos Initiative [AAI] to substantially advance the ILO/WHO Global Campaign to Eliminate Asbestos-Related Diseases (ARDs) as set forth by: i) the 13th Session of the Joint ILO/WHO Committee on Occupational Health in 2003; ii) WHO Recommendations from 2006 on Elimination of Asbestos-Related Diseases and iii) the WHO/ILO Outline for the Development of National Programmes for Elimination of Asbestos-related Diseases from 2007. The Asian Asbestos Initiative (AAI) is an on-going regional approach to advance the ILO/WHO Campaign. It aims at the sharing and transferring of core preventive technologies among concerned parties, eg, academicians and administrators, for the elimination of ARDs. It strives to develop and augment partnerships with stakeholders including employers, workers, international organizations, ministries, universities, research institutes, and NGOs. All on-going regional projects with similar goals as AAI will be integrated and grouped into four areas, three of which correspond to the three levels of preventive activities, and the fourth of which is designated to monitor progress of the entire spectrum of preventive activities: Area 1: (Primary Prevention) Develop, promote, share and transfer technologies for abatement and substitution of asbestos as well as for reduction of exposure. Core technologies for exposure reduction include measurement of fibre concentration in work environment and asbestos-containing products, and industrial hygienic methods such as containment, local exhaust systems and use of protective masks. Area 2: (Secondary Prevention) Develop, promote, share and transfer technologies for early and effective detection of ARDs combined with an introduction and maintenance of a surveillance system for ARDs. Core technologies for detection of ARDs include: i) chest X-ray and CT techniques to detect asbestosis, pleural plaques and malignancies; ii) pathological diagnosis of mesothelioma; iii) identification and quantification of asbestos fibers and asbestos bodies in lung specimen and broncho-alveolar lavage fluid; iv) biomarkers for early detection of ARDs. Area 3: (Tertiary Prevention) Develop, promote, share and transfer technologies for effective treatment and just compensation of ARDs. Core technologies include new treatment and clinical management options for mesothelioma as well as design and implementation of just compensation schemes. Area 4: (Monitoring Progress) Compile and report NPEAD (ILO/WHO) with periodic review and report.


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Ken Takahashi; [email protected] Department of Environmental Epidemiology, IIES, University of Occup & Environ Health, Iseigaoka 1-1, Yahatanishiku, Kitakyushu City JAPAN 807-8555 TEL: +81-93-601-7324 FAX:+81-93-601-7324


Ivan Ivanov [email protected] Hisashi Ogawa [email protected]

Collaborating centre partners with separate contributing PROJECTS (List CC, project title, project number, project leader, and email)

Projects are organized by area: Area 1: (Primary Prevention) Develop, promote, share and transfer technologies for abatement and substitution of asbestos as well as for reduction of exposure. Core technologies for exposure reduction include measurement of fibre concentration in work environment and asbestos-containing products, and industrial hygienic methods such as containment, local exhaust systems and use of protective masks. • GPA1.10g Establishment of infrastructure to evaluate risk of asbestos exposure. Project

Leader: Hyunwook Kim [email protected] Catholic Industrial Medical Centre (CIMC), Korea

• GPA1.10o Training on asbestos and its identification. Project Leader: James Ian Phillips [email protected] National Institute for Occupational Health (NIOH), South Africa

• GPA1.10q Support in the methodology to train workers involved in asbestos removal activities. Project Leader: Juan Alcaino Lara [email protected] Instituto de Salud Publica de Chile

Area 2: (Secondary Prevention) Develop, promote, share and transfer technologies for early and effective detection of ARDs combined with an introduction and maintenance of a surveillance system for ARDs. Core technologies for detection of ARDs include: i) chest X-ray and CT techniques to detect asbestosis, pleural plaques and malignancies; ii) pathological diagnosis of mesothelioma; iii) identification and quantification of asbestos fibers and asbestos bodies in lung specimen and broncho-alveolar lavage fluid; iv) biomarkers for early detection of ARDs. • GPA1.10a Establishment of malignant mesothelioma surveillance system. Project

Leader: Hyoung Ryoul Kim [email protected] Catholic Industrial Medical Centre (CIMC), Korea

• GPA1.10d Detection of impaired lung function in early stages of asbestosis by means of gas diffusion parameters. Project Leader: Alexandra Preisser [email protected] Institute of Occupational Medicine and Maritime Medicine, Hamburg, Germany

• GPA1.10f Lung function reduction associated with different levels of occupational exposure to asbestos particles. Project Leader: Lenka Rychla [email protected] Center for Occupational Health at the National Institute of Public Health, Prague, Czech Republic

Area 3: (Tertiary Prevention) Develop, promote, share and transfer technologies for effective treatment and just compensation of ARDs. Core technologies include new treatment and clinical management options for mesothelioma as well as design and implementation of just compensation schemes. • Currently not directly applicable but 1.10c has a component in this area Area 4: (Monitoring Progress) Compile and report NPEAD (ILO/WHO) with periodic review and report. • GPA1.10b The national strategic plan and action for prevention and control of asbestos

related diseases in Thailand. Project Leader: Somkiat Siriruttanapruk [email protected] Bureau of Occupational and Environmental Diseases, Ministry of Public Health, Thailand

• GPA1.10c Asian Asbestos Initiative. Project Leader: Ken Takahashi [email protected] University of Occupational and Environmental Health, Japan • GPA1.10bb Sound management of priority industrial carcinogens, incl. asbestos in

Thailand, Indonesia and Sri Lanka. Project Leader: Ivan Dimov Ivanov [email protected] World Health Organization

• New - GPA1.10cc Regional Asbestos Atlas of the Americas. Project Leader: Dr Luz Maritza Tennassee [email protected] PAHO

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• New - GPA1.10dd Epidemiological surveillance system for the ARDS: operative tools for monitoring and prevention. Project Leader: Alessandro Marinaccio [email protected] and Alessandra Binazzi [email protected] ISPESL – National Institute for Occupational Prevention and Safety, Italy

• New – GPA1.10yy Development of toolkit for elimination of asbestos related diseases. Project Leader: Ken Takahashi [email protected] and Seong-Kyu Kang [email protected] UOEH – University of Occupational and Environmental Health, Japan

• New – GPA1.10w AFRICA Fibre Counting Scheme. Project Leader: Dr Alan Jones [email protected]; Institute of Occupational Medicine (IOM), UK


PAHO; Maritza Tennasee [email protected] EURO: Rokho Kim; [email protected] SEARO: Salma Burton, [email protected] WPRO: Hisashi Ogawa [email protected] AFRO; Thebe Pule [email protected] ILO; Igor Fedotov [email protected]


This GPA 1.3 Asbestos-Related Diseases Global Facilitating Project coordinates ongoing efforts in Asia (eg, Asian Asbestos Initiative [AAI]) with projects from Africa, Europe and Americas that will substantially advance the ILO/WHO Global Campaign to Eliminate Asbestos-Related Diseases (ARDs). Academia and administrators will take the lead and collaborate with other concerned parties. Projects include activities within regional and national plans to share and transfer core preventive technologies for the elimination of ARDs at all three levels of prevention, improved estimation of the global burden of ARDs and the active formulation of NPEAD by countries.

Anticipated deliverables by 2012 from contributing projects

Area 1 (Primary Prevention) Develop, promote, share and transfer technologies for abatement and substitution of asbestos as well as for reduction of exposure. Core technologies for exposure reduction include measurement of fibre concentration in work environment and asbestos-containing products, and industrial hygienic methods such as containment, local exhaust systems and use of protective masks. Project GPA1.10g Establishment of infrastructure to evaluate risk of asbestos exposure. Catholic Industrial Medical Centre (CIMC), Korea • Support Ministry to create provision, training, etc for asbestos demolition, clearance, etc.

In progress. • Submit report to Ministry of Labor recommending expertise, guidance, training and ban

on use/import of asbestos products. Use and import of all forms of asbestos is now banned in Korea, effective from Jan 2009.

• Design microscopy course for analysts and establish quality control schemes. Courses have been designed and are being offered by KOSHA and NIER. Quality control schemes are being offered through KOSHA and will be offered by NIER also in the near future.

• Establish educational institute for asbestos. Educational programs for workers, supervisors and contractors are being offered by two private institutes and KOSHA.

• Establish training laboratories dealing with asbestos and making accreditation system. There are now over 50 labs participating QC schemes of KOSHA which will be accredited if they pass the QC rounds.

• Develop substitute for asbestos • Collaborate with other WHO partners Project GPA1.10o Training on asbestos and its identification. National Institute for Occupational Health (NIOH), South Africa • Develop training materials and training course content (2006) • Implement training courses (2007) • Establish a regional reference and training centre in conjunction with the Occupational

Hygiene Section of the NIOH (2008) • Disseminate information to SADC region and associations of occupational and

environmental hygienists Project GPA1.10q Support in the methodology to train workers involved in asbestos removal activities. Instituto de Salud Publica de Chile. • Disseminate training manual in hard copy and CD and conduct phone conferences to

58

support and train workers involved in asbestos removal activities • Coordinate efforts between other national and regional institutions responsible for

workers health Area 2: (Secondary Prevention) Develop, promote, share and transfer technologies for early and effective detection of ARDs combined with an introduction and maintenance of a surveillance system for ARDs. Core technologies for detection of ARDs include: i) chest X-ray and CT techniques to detect asbestosis, pleural plaques and malignancies; ii) pathological diagnosis of mesothelioma; iii) identification and quantification of asbestos fibers and asbestos bodies in lung specimen and broncho-alveolar lavage fluid; iv) biomarkers for early detection of ARDs. Project GPA1.10a Establishment of malignant mesothelioma surveillance system. Catholic Industrial Medical Centre (CIMC), Korea. • Support screening system of ARDs in Indonesia [where factories moved to from Japan

and Korea] (Dec 2009) • Designation of special acts for compensation for environmental ARDs (Dec 2010) • Prediction of peak time of the mesothelioma epidemic in Korea (Dec 2012) • Development of homepage or blog to assist ARD patient and to communicate with

other researchers Project GPA1.10d Detection of impaired lung function in early stages of asbestosis by means of gas diffusion parameters. Institute of Occupational Medicine and Maritime Medicine, Hamburg, Germany. • Development of sensitive diagnostic tool for asbestos-induced plaques and asbestosis

at early stages as well as evidence-based recommendations for detecting early stages of benign ARDs.

• Objectify functional impairment of pleural plaques and initial parenchymal fibrosis by means of DL, CO, the new analyzing method DL, NO, and the alveolar-arterial PO2 difference in the exercise test (spiroergometry)

• Compare data with spirometry, compliance, CXR/CT and estimated cumulative dose of asbestos

• Dissemination of findings as ISO guidelines, ASTM guidelines, IOHA presentations, NIOSH website, etc.

Project GPA1.10f Lung function reduction associated with different levels of occupational exposure to asbestos particles. Center for Occupational Health at the National Institute of Public Health, Prague, Czech Republic. • Selection of study subjects from database of former workers occupationally exposed to

asbestos (2006) • Data-entry and processing of follow-up data from lung function tests and chest films

(2007-2009) • Statistical analysis of data and final assessment of reduction of selected lung function

parameters in study groups. Integration of results to estimate post-exposure progression of lung function damage (2009-2010)

• Dissemination of findings as meeting reports, publications and WHO documents Area 3: (Tertiary Prevention) Develop, promote, share and transfer technologies for effective treatment and just compensation of ARDs. Core technologies include new treatment and clinical management options for mesothelioma as well as design and implementation of just compensation schemes. Area 4: (Monitoring Progress) Compile and report NPEAD (ILO/WHO) with periodic review and report. Project GPA1.10b The national strategic plan and action for prevention and control of asbestos related diseases in Thailand. Bureau of Occupational and Environmental Diseases, Ministry of Public Health, Thailand. • Description of asbestos situation at national and local levels • Implementation of control methods, e.g. • Labelling of warning signs on asbestos-containing products (2009) • Development of ARD surveillance system (2010) • Cut use of asbestos by 25% (2012)

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Project GPA1.10c Asian Asbestos Initiative. University of Occupational and Environmental Health, Japan • Sharing and transferring of core technologies in preventing ARDs through development

of training tools and organization of international seminars • Development of training tools for expert training on prevention of ARDs, e.g. video

COMPLETED • Elaboration of national profiles on asbestos use and ARDs (2010) • Initiate surveillance system of asbestos exposure and ARDs (2011) • Organization of annual international seminars (2008 completed, 2009 scheduled in

Thailand, 2010 scheduled in Japan) Project GPA1.10bb Sound management of priority industrial carcinogens, including asbestos in Thailand, Indonesia and Sri Lanka. WHO Global Occupational Health Programme, Bureau of Occupational and Environmental Diseases, Ministry of Public Health of Thailand, Directorate for Occupational Health, Ministry of Health of Indonesia, Department of Public Health Services, Ministry of Health of Sri Lanka. • Draft national programme on elimination of ARDs prepared in Thailand COMPLETED • National programme on elimination of ARDs finalised in 3 countries by 2012 • Development of national profiles of industrial carcinogens (May 2010); Priority setting

(September 2010); Development of national report on proposed preventive interventions (May 2011)

NEW - Project GPA1.10cc Regional Asbestos Atlas of the Americas. PAHO Individual countries need to inventory their use of asbestos and asbestos products:

• Contact the key people who will write the history (e.g., on asbestos use as well as recognition and management of ARDs) of their countries

• Submit letters to the Ministries of Health, Labour and Economy to inform about the project and to facilitate the gathering of information

• Follow up on progress during the process It is hoped that this project will contribute to the Global Elimination of ARDs by overcoming known barriers such as:

• In some of the countries, the access to asbestos data is very challenging and difficult• Asbestos must be given a higher profile on the regional health agenda • Coordination of efforts with diverse regional stakeholders will contribute to the

elimination of ARDs across the Americas Region as well as global partners in other Regions

NEW - Project GPA1.10dd Epidemiological surveillance system for the ARDS: operative tools for monitoring and prevention. ISPESL - National Institute for Occupational Prevention and Safety, Italy

• Review of existing ARDs surveillance systems worldwide [2010] • Comparison of methodologies applied and standardisation of procedures [2010] • Availability of tools from the Italian mesothelioma surveillance system (territorial

organization of the Register, national guidelines establishing standardised methods of cases collection and diagnostic criteria, standardised questionnaire for retrieving occupational and residential histories and lifestyle habits, catalogue of economic sectors with asbestos exposure) [2011]

• Development of methodologies and procedures for ARDs surveillance to be applied in developing countries [2012]

NEW – Project GPA1.10yy Development of toolkit for elimination of asbestos related diseases. UOEH - University of Occupational and Environmental Health, Japan

• Compilation of collected and newly developed information and technical materials into a comprehensible and usable toolkit

• The toolkit will be developed as a joint effort of concerned partners collaborating on the existing platform of the Asian Asbestos Initiative (AAI)

• Submission of toolkit product to a funding agency, after completion • Strengthening of networks and promotion of the application of the toolkit

New – Project GPA1.10w AFRICA Fibre Counting Scheme. Institute of Occupational Medicine (IOM), UK

• The operation of the schemes is being re-launched after a period when operation had lapsed due to resourcing issues. There has been a high level of response among past and potential new participants of the AFRICA (asbestos

60

Area 1: (Primary Prevention) Develop, promote, share and transfer technologies for abatement and substitution of asbestos, and reduction of exposure


GPA1.10g Formerly AA2:RS5

GPA Objective


CC or NGO Name

Catholic Industrial Medical Centre (CIMC), Korea

Project title Establishment of infrastructure to evaluate the risk of asbestos exposure

Keywords Asbestos, Infrastructure

Project leader Hyunwook Kim, PhD

scheme) and the scheme is re-launching this summer. • The outcomes by 2012 are expected to be regular operation of the schemes

core function during 2009, reviews of general patterns of international comparability within the scheme during 2010, 2011 and 2012 with assessment of progress.

• There has been a sequence of contacts with other National PT schemes, including visits from those organisations to IOM. We anticipate those will continue.

• Our expectation is that membership of the scheme is likely to grow from its current level by 2012 due to the ongoing concern about control of exposure to asbestos internationally and especially in the developing economies.


o Additional projects are needed in the area of tertiary prevention, i.e. effective treatment and just compensation of ARDs

o Formulate a regional model based on accomplishments in Asia (i.e. priority region in terms of needs) to translate and implement in other regions

o Develop practical tools for control of exposure to asbestos o Assess health and environmental impacts of continuing use of asbestos o Collect evidence on the effectiveness of asbestos substitution

Examples of deliverables desired by 2012 to adequately assist countries to substantially reduce silica and other dust-related diseases. It is these deliverables for which we will seek projects from CCs

o Complete and update NPEAD for representative countries o Construct and maintain specific website for NPEAD for other countries to follow o Improve estimation of global burden of ARDs o Compile good practices for substitution and exposure reduction o Review national status on health surveillance of exposed in combination with early

detection of ARDs o Promotion by ILO and WHO of model national programs (e.g. Thailand, Vietnam) o Electronic library of tools and information for the elimination of ARDs o Involve international organizations in addition to WHO/ILO, e.g. UNU, UNEP o Increase number of countries adopting: i) ILO Asbestos Convention; ii) ban on asbestos

use; iii) roadmap towards ban


o Account for differences in national/regional phases on use of asbestos and status of ARDs

o Give the issue a higher place on the global health agenda and acquire grants for global projects from a wider range of funding organizations, including those dealing with global health

o Coordinate efforts with on-going activities by grass-roots and other organizations o Insufficient national capacities for sound management of hazardous chemicals and

substances

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Email address [email protected]


Morimoto Y, Japan: UOEH

Other partners

Funding

- Research and grant proposal - Governmental assistance - Contracts with companies


Prevent asbestos related disease through educating risk of asbestos and establishing infrastructure to control asbestos exposure.


• Establishing educational institute for asbestos • Training laboratories dealing with asbestos and making accreditation system 44/59 • Development of substitute for asbestos to prohibit the use of all asbestos • Deadline date: December 2009


Workers exposed to asbestos and general population in the face of environmental exposure of asbestos.


This project is conducted to minimize and prevent asbestos-related disease in Korea. We estimated the increase of these kinds of diseases, like asbestosis and mesothelioma. Our estimation became true as many cases of mesothelioma are being reported in Korea. First of all, we considered establishing infrastructure for asbestos as the most important action to solve this problem. Now we collaborate with the Korean government (Ministry of Labor) on this project.

Dissemination • Results will be submitted to relevant journals for publication • Presentation at relevant conferences and meetings • Reports


Global


• Report submitted to the Ministry of Labour recommending expertise, guidance, training and ban on use/import of asbestos products (to be actioned in Korea by 2009)

• Ministry to create provision / training / etc in 2006 for asbestos demolition / clearance workers

• Microscopy course designed for analysts and quality control scheme established. Grant proposals submitted to support (due March, 2007).

• Steps taken to collaborate with other WHO partners. No report on further progress received by June 2010.


Submission of report to Ministry of Labour recommending expertise, guidance, training and ban on use / import of asbestos products. Use and import of all forms of asbestos is now banned in Korea, effective from Jan 2009.


• Support Ministry to create provision, training, etc for asbestos demolition, clearance, etc. – in progress

• Design microscopy course for analysts and establish quality control schemes. Courses have been designed and are being offered by KOSHA and NIER. Quality control schemes are being offered through KOSHA and will be offered by NIER also in the near future.

• Establish educational institute for asbestos. Educational programs for workers, supervisors and contractors are being offered by two private institutes and KOSHA.

• Establish training laboratories dealing with asbestos and developing accreditation system. There are now over 50 labs participating in QC schemes of KOSHA which will be accredited if they pass the QC rounds.

• Develop substitute for asbestos

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• Collaborate with other WHO partners


GPA1.10o Formerly AA 4: CE3e

GPA Objective


CC or NGO Name

National Institute for Occupational Health (NIOH), South Africa

Project title Training on asbestos and its identification

Keywords asbestos, microscopy, identification, crocidolite, amosite, chrysotile, tremolite-actinolite


Dr. James Ian Phillips [email protected]


HSL, UK

Other partners

University of the Witwatersrand, School of Public Health, South Africa Relevant partners as required

Funding

NIOH


To increase knowledge and capacity to identify asbestos in the SADC region


• Develop training materials and training course content (during 2006) • Present the training courses (2007) • Establish a regional reference and training centre in conjunction with the Occupational Hygiene Section of the NIOH (2008)


Occupational and Environmental Hygienists


Because of the potential of asbestos to cause adverse health effects, there is a need to identify asbestos in the workplace and the environment. The techniques used at the NIOH are of international standard. The capacity to perform asbestos analysis is not available in all parts of the region. Simpler, less costly methods can be useful in determining the presence of asbestos and determining its type. The workshop aims to increase the capacity to identify asbestos in the region.

Dissemination - SADC Region - Associations of occupational and environmental hygienists



Agreement has been reached by the cooperating centres – NIOH and HSL to conduct a workshop in September/October 2008. The workshop will be held at the NIOH Johannesburg and a representative from the HSL, Barry Tylee will be coming to Johannesburg to assist with the workshop. A smaller, local workshop is being piloted on the 8th November 2007. It is hoped that feedback from this workshop will assist in the content of the WHO collaborative w/s. No report on further progress received by June 2010.


63


Tentative summary by CC Initiative Leader, but pending confirmation from Project Leader • Establish a regional reference and training centre in conjunction with the

Occupational Hygiene Section of the NIOH • Disseminate information to SADC region and associations of occupational and

environmental hygienists


GPA1.10q Formerly AA4:CE4d

GPA Objective


CC or NGO Name


Project title Support in the methodology to train workers involved in asbestos removal activities

Keywords Asbestos, asbestosis, mesothelioma, qualification, removal


Juan Alcaíno Lara [email protected]


Other partners

Institutions responsible for health of workers in countries in the region

Funding

Delivering of the original manual (hard copy), manual in CD, telephone conferences, and any support via fax and e-mail will be paid by the Instituto de Salud Publica.


To impart sufficient knowledge to asbestos removal workers to do theses activities in a safe manner


• To establish coordination with institutions indicated in “Other Partners” • To make effective the offering (2006-2010) • To give advice through the indicated ways (2006-2010)


Workers of the region working in asbestos removal activities.


Firstly, Instituto de Salud Publica de Chile establishes communications with interested countries. After that, they are given the manual for workers involved in removal activities and the CD. Bilateral coordinations settle down to specify forms and timetable. Chilean professionals could give in-field assistance but interested countries should fund this.

Dissemination Institutional communications


Regional


No update No progress report received by June 2010.


List of additional major

Tentative summary by CC Initiative Leader but pending confirmation from Project Leader • Disseminate training manual in hard copy and CD and conduct telephone

conferences to support and train workers involved in asbestos removal activities

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outcomes expected from this project by 2012

• Coordinate efforts between other national and regional institutions responsible for workers’ health

Area 2: (Secondary Prevention) Develop surveillance and early detection of ARDs


GPA1.10a


Establishment of malignant mesothelioma surveillance system



Priority Initiative

Priority 1.3: Develop and disseminate evidence-based prevention tools and raise awareness for the elimination of asbestos-related diseases


Catholic Industrial Medical Centre (CIMC), Korea


Hyoung Ryoul Kim, M.D. PhD [email protected]


KOSHA (Korea Occupational Safety & Health Agency), Seong-Kyu Kang, Korea: [email protected]


SEARO


Labour Ministry, Korea Jungyeon Kim [email protected]

External partners for this CONTRIBUTING project

Dewi Rahayu, Indonesia OSHA [email protected]

65

(contact name, organization and email) Summary of the project (max 100 words)

We already established a malignant mesothelioma (MM) surveillance system. About 50 cases are reported by pathologists in Korea(less than 1/million). However, MM is expected to increase considering the former use of asbestos in Korea. We will try to estimate the peak time for prevention and making proper policy. And we will make special acts for compensation in the patients who can’t verify their work-relatedness. In Indonesia, asbestos textile factories are operating now. These factories were moving from Korea and Japan. We have a plan to support the screening system of asbestos-related disease in Indonesian workers. And we also try to support the innovation of 38/59 the workplace environment.


General population, former high exposed group, the patient having asbestos related disease

Events opportunities For furthering the project

Information about the scheme will be made available through various channels including the IOM website and conferences.


• Making Special acts for compensation in the patient who can’t verify their work-relatedness

• Estimation of the peak time in malignant mesothelioma


Publication of the report and article


• DEC 2009: supporting the screening system of asbestos related disease in Indonesian workers

• DEC 2010: Making special acts for compensation for environmental asbestos related disease

• DEC 2012: Estimation of the peak time of MM in Korea


Informing the public of the risk of asbestos

Funding source(s)

KOSHA

Dissemination • Results will be submitted to relevant journals for publication • Presentation at relevant conferences and meetings • Reports




• Support screening system of ARDs in Indonesia [where factories moved to from Japan and Korea] (Dec 2009)

• Designation of special acts for compensation for environmental ARDs (Dec 2010) • Prediction of peak time of the mesothelioma epidemic in Korea (Dec 2012) • Development of homepage or blog to assist ARD patients and to communicate with

other researchers


GPA1.10d

CONTRIBUTING PROJECT Title

Detection of impaired lung function in early stages of asbestosis by means of gas diffusion parameters

66

Work plan project number (to be added by WHO) GPA Objective and Action


Priority Initiative



Institute of Occupational Medicine and Maritime Medicine, Hamburg, Germany


Alexandra Preisser, MD [email protected]


Centre for Occupational Health at the National Institute of Public Health, Prague, Czech Republic


Europe


Ministry of Health, Germany


Not at all


Lung fibrosis and pleural plaques are frequent findings in asbestos workers. Asbestosis results in a restrictive ventilation pattern with decreases of diffusion capacity and lung compliance. The effect of pleural plaques on the gas diffusion, measured as CO diffusion capacity (DL,CO) is controversially discussed. Our aim is to objectify functional impairment of pleural plaques and initial parenchymal fibrosis by means of DL,CO, the new analyzing method DL,NO, and the alveolar-arterial PO2 difference in the exercise test (spiroergometry). The data will be compared with results from spirometry, compliance, chest X-ray (CT, when available) and the estimated cumulative asbestos dose.

Target group and/or

Workers previously occupationally exposed to asbestos in shipyards and other industries

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beneficiaries Events opportunities For furthering the project

Development of a sensitive diagnostic tool for asbestos-induced plaques and asbestosis at early stages


Description of the best method for measurement of impaired gas diffusion in the lung already detecting initial changes in lung function


Evidence-based recommendations for detecting early stages of asbestos-related benign lung disorders


• Examination of 100 former asbestos-exposed workers with lung function analysis and chest x-ray (2009)

• Statistical analysis of the data (2010) • Analysis and publication of the data and recommendations (2012)


Global

Funding source(s)

No funds

Dissemination Results and recommendations will be published in workshops and international journals




• Development of a sensitive diagnostic tool for asbestos-induced plaques and asbestosis at early stages as well as evidence-based recommendations for detecting early stages of benign ARDs

• Objectify functional impairment of pleural plaques and initial parenchymal fibrosis by means of DL, CO, the new analyzing method DL, NO, and the alveolar-arterial PO2 difference in the exercise test (spiroergometry)

• Compare data with spirometry, compliance, CXR/CT and estimated cumulative dose of asbestos

• Dissemination of findings as ISO guidelines, ASTM guidelines, IOHA presentations, NIOSH website, etc.


GPA1.10f Formerly AA2:RS4

GPA Objective

Objective 1: to devise and implement policy instruments on workers’ health

CC or NGO Name

Center for Occupational Health at the National Institute of Public Health, Prague, Czech Republic

Project title Lung function reduction associated with different levels of occupational exposure to asbestos particles

Keywords asbestos, occupational exposure, lung functions


Dr. Lenka Rychlá [email protected]


Other WHO CC engaged in the same topic

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Other partners

1. Department of Occupational Medicine, 1st Faculty of Medicine, Charles University, and General Teaching Hospital, Prague 2. Department of Biostatistics and Informatics, National Institute of Public Health, Prague

Funding

State budget and grant projects


To study development of lung function changes following exposure to asbestos


• Selection of study subjects from the database of former workers occupationally exposed to asbestos by beginning of occupational exposure (2006)

• Entry and processing of follow-up data from lung function tests and chest films (2007-2009)

• Statistical analysis of data and final assessment of reduction of selected lung function parameters in study groups. Integration of results for estimate of post exposure 43/59 progression of lung function damage (2009-2010)


Retired and former workers occupationally exposed to asbestos in an asbestos processing plant in the Czech Republic under different conditions of particulate matter air pollution: • Group 1: workers occupationally exposed to asbestos since 1975 • Group 2: workers occupationally exposed to asbestos since 1976 – 1996 Groups 1 and 2 were selected so as to reflect conditions prior to and after the implementation of effective measures against airborne particulate matter at the asbestos processing plant, respectively.


Assessment of changes in selected lung function parameters in workers occupationally exposed to asbestos at an asbestos processing plant in the Czech Republic who started their job under different conditions of particulate matter air pollution at workplaces. Estimate of the progression of lung function damage in these workers over post exposure years. The results obtained would be a key to the implementation of preventive measures for reducing occupational risk and follow-up check-ups in the occupations and countries where asbestos has still been processed.

Dissemination WHO documents, scientific meetings and publications


Both regional and global


Over 2006, records of 615 persons were studied for the purpose of this work. From this, 331 subjects have been investigated for whom at least 2 lung function examination results were obtained at an interval of not less than 1 year. These subjects were then divided into 2 groups to reflect the conditions prior to and after the implementation of effective measures against airborne particulate matter at the asbestos processing plant: Group 1: workers occupationally exposed to asbestos until 1975 Group 2: workers occupationally exposed to asbestos from 1976 to 1996. Data has been entered into an appropriate statistical program throughout 2006 for analysis. No report received on further progress by June 2010.


Pending confirmation from Project Leader


Tentative summary by CC Initiative Leader but pending confirmation from Project Leader • Selection of study subjects from database of former workers occupationally exposed

to asbestos (2006) • Data-entry and processing of follow-up data from lung function tests and chest films

(2007-2009) • Statistical analysis of data and final assessment of reduction of selected lung

function parameters in study groups. Integration of results to estimate post-exposure progression of lung function damage (2009-2010)

• Dissemination of findings as meeting reports, publications and WHO documents

69

Area 3: (Tertiary Prevention) Develop effective treatment and compensation of ARDs Submission of projects to this area will assist with filling gaps Area 4: Monitoring Progress - Compile and report NPEAD (ILO/WHO) with periodic review


GPA1.10b


The national strategic plan and action for prevention and control of asbestos-related diseases in Thailand


GPA Objective 1 :To devise and implement policy instruments on workers’ health, Action 1.10

Priority Initiative



Bureau of Occupational and Environmental Diseases, Ministry of Public Health, Thailand


Dr. Somkiat Siriruttanapruk [email protected]


UOEH (Japan), KOSHA and CUK (Korea), NIOEH (Vietnam)


WHO (SEARO and Geneva)


Ministry of Public Health, Ministry of Labour, Thailand

External partners for this CONTRIBUTING project (contact name,

70

organization and email) Summary of the project (max 100 words)

Thailand is currently the world’s fourth largest importer of asbestos. This will be one of the most important public health problems in the country in the near future. The aims of this project are to implement and support the national strategic plan and action for prevention and control of asbestos-related diseases in Thailand. Asbestos has been imported to Thailand for more than 40 years for use by several industries. In 2006, the amount of imported asbestos was approximately 39/59 140,000 tons. There were at least 16 asbestos-using factories with 1,800 exposed workers in the country. With the support of international agencies, such as ILO and WHO, Thailand has already set up and developed the national strategic plan and action for control and ban of asbestos / elimination of asbestos-related diseases. The plan consists of 4 main topics: 1) Workers and public protection 2) Prevention, control, and ban of asbestos use in industries 3) Collaboration among relevant organizations at all levels 4) Improvement of disease diagnosis and surveillance


Workers who are exposed to asbestos in their working environment, the public who use asbestos containing materials


National and international meeting


1. Description of the asbestos situation at national and local level 2. Implementation of some control measures


Reduction of asbestos use in the country


• 2009: Labelling of warning sign on asbestos containing products • 2010: Development of asbestos related disease surveillance system • 2012: Number of asbestos used dropped by 25%


Prevent and control of asbestos related diseases for high risk workers and public

Funding source(s)

Thai government budget, WHO (Thailand)

Dissemination Thailand and Internationally




Tentative summary by CC Initiative Leader but pending confirmation from Project Leader • Description of asbestos situation at national and local levels • Implementation of control methods • Labelling of warning signs on asbestos-containing products (2009) • Development of ARDs surveillance system (2010) • Cut use of asbestos by 25% (2012)


GPA1.10c

71


Asian Asbestos Initiative


GPA Objective 1: To devise and implement policy instruments on workers’ health, Action 1.10

Priority Initiative



Institute of Industrial Ecological Sciences (IIES), UOEH, Japan


Ken Takahashi [email protected]


National Institute of Occupational & Environ Health, Vietnam; Catholic University of Korea, KOSHA; Ministry of Public Health, Thailand


WPRO (Dr. Hisashi Ogawa [email protected]) SEARO (Dr Salma Burton [email protected])


Occupational Safety and Health Research Institute, Korea (Dr Seong-Kyu Kang); Ministry of Public Health, Vietnam (Dr Tran Thi Ngoc Lan); Ministry of Public Health, Thailand (Dr Somkiat Siriruttanapruk); National University of Singapore (Dr David Koh [email protected]); United Nations University, IIGH, Malaysia (Dr Syed Aljunid)


ILO (Dr. Igor Fedotov [email protected]) Liaoning Province CDC, China Srinakarinwilot University, Thailand National University of Malaya (UKM), Malaysia


Identify and share technologies for prevention of asbestos diseases at all three levels of prevention in recognition of the variable national phases in terms of asbestos use and recognition of asbestos diseases. In particular, produce training materials (e.g. toolkit in the form of CDs, web information, reference video) for the effective expert training of relevant experts at all three levels of prevention. Formulate a model from which other parts of the world can benefit.

Target group Beneficiaries are countries (practitioners and administrators) currently depending on

72

and/or beneficiaries

asbestos use which should be expecting an unfolding of asbestos diseases soon.


Annual National Seminars (AAI1 - 2008 done in Kitakyushu; AAI2 - 2009 done in Thailand; AAI3 - 2010 planned in Fukoka).


• Development of training tools for prevention (e.g. video) • Holding of International Seminars • International Training Sessions


Surveillance system of asbestos exposure and ARDs installed


• By 2010, assist countries to complete national profiles on asbestos use and ARDs • By 2011, assist countries to initiate surveillance system of asbestos exposure and

ARDs


Prevention of asbestos diseases and transition to asbestos-free societies

Funding source(s)

Japan Society for the Promotion of Sciences (JSPS)

Dissemination Training materials (e.g. toolkit with digitalized content; reference video)


• Development of training tools for expert training on prevention of ARDs, e.g. video - COMPLETED

• Organisation of annual international seminar (AAI1 - 2008 COMPLETED) • Organisation of annual international seminar (AAI2 - 2009 COMPLETED)

Progress report as at June 2010 Asian countries are trying to cooperate to tackle the severe health risk caused by asbestos exposure. To this end a regional meeting – the Second Seminar of the Asian Asbestos Initiative (AAI) – was held in Bangkok, Thailand on 21-23 December 2009. The meeting of health ministries and experts from 15 Asian countries highlighted the need for joint action to tackle the problem of ARDs. Japan and Korea have already imposed a total ban on asbestos (Singapore ceased use de facto); however, the use of asbestos is on the rise in many developing economies in Asia. Experts confirmed that the region accounts for half of the world’s total consumption of asbestos; this could have grave consequences for many Asian countries.


• Sharing and transferring of core technologies in preventing ARDs through development of training tools and organization of international seminars

• Elaboration of national profiles on asbestos use and ARDs (2010) • Initiate surveillance system of asbestos exposure and ARDs (2011) • Organization of annual international seminars (2009 scheduled in Thailand, 2010

scheduled in Japan)

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GPA1.10bb

PROJECT Title

Sound management of priority industrial carcinogens, incl. asbestos, in Thailand, Indonesia and Sri Lanka




Priority 1.3: National programmes for elimination of asbestos-related diseases


WHO Global Occupational Health Programme, Bureau of Occupational and Environmental Diseases, Ministry of Public Health of Thailand, Directorate for Occupational health, Ministry of Health of Indonesia, Department of Public Health Services, Ministry of Health of Sri Lanka


Ivan Dimov Ivanov, WHO [email protected]


Department of Occupational and Environmental Diseases, Ministry of Public Health of Thailand, Somkiat Siriruttanapruk [email protected]


WHO Regional Office for South East Asia, Dr Salma Burton [email protected]


Ministry of Public Health of Thailand, Ministry of Health of Indonesia, Ministry of Health of Sri Lanka


UNEP - SAICM, ILO SafeWork


The project aims to strengthen the capacities of Thailand, Indonesia and Sri Lanka to address health and environmental problems arising from continuous use of certain priority industrial carcinogens, such as asbestos. In particular the project will support the assessment of the current situation with regard to uses and exposures of industrial carcinogens and set priorities for action in the short and mid-term. It will also assist countries to identify appropriate preventive technologies, for example substitution and regulatory control and to develop national programmes for elimination of asbestos-related diseases.


Ministries of health, labour, environment, industry, SAICM focal points, employers and workers' representatives, public interest groups, academics

Major Milestones

• May 2010 - development of national profiles of industrial carcinogens • September 2010 - priority setting

74

(list up to three dates and milestones)

• May 2011 - development of national report on proposed preventive interventions • October 2011 - development of national programmes for elimination of asbestos-

related diseases

Dissemination plan

National, regional and global networks, web-portal

Funding source(s)

SAICM Quick Start Programme


• Draft national programme on elimination of asbestos-related diseases prepared in Thailand



• National programmes for elimination of asbestos-related diseases finalized in three countries


New project GPA1.10cc

PROJECT Title

Regional Asbestos Atlas of the Americas (This project contributes to Area 4 of the Asbestos Facilitating Project: Strategies and programmes for elimination of asbestos-related diseases (ARDs) Area 4: Monitoring Progress- compile and report NPEAD (ILO/WHO) with periodic review




Priority 1.3: Develop and disseminate evidence-based prevention tools and raise awareness for the elimination of ASBESTOS-related diseases


To be identified


Dr. Luz Maritza Tennassee [email protected]


To be identified


PAHO; Dr Luz Maritza Tennassee [email protected]

Country ministries involved in this project (contact name and

75

email)



The Asbestos Atlas Project for the Americas coordinates with specific contacts in each one of PAHO’s Member States. It aims to substantially advance the ILO/WHO Global Campaign to Eliminate Asbestos-Related Diseases (ARDs) in the Americas Region. The project includes the gathering of core information to share and transfer on the use of asbestos and ARDs and for the countries that have already banned asbestos it provides the history, challenges and economic results on the basis of the national economy of the countries. PAHO will work with specific contacts in each Member State on collecting information on general topics, including: production, consumption, marketing, regulation and use of products containing asbestos (in industry and construction); compensation for asbestos related diseases, asbestos-free alternative products (in construction materials and vehicle brake pads) and government plans and / or industry to address or promote the shift to substitutes.


Events opportunities for furthering the project


Individual countries need to inventory their use of asbestos and asbestos products:

• Contact the key people who will write the history (e.g., on asbestos use as well as recognition and management of ARDs) of their countries

• Submit letters to the Ministries of Health, Labour and Economy to inform about the project and to facilitate the gathering of information

• Follow up on progress during the process


• List of collaborators for the Region of the Americas for the Asbestos Atlas • Compile the experience of more than 8 countries for the report • Translate the information into English and Spanish


Dissemination plan

Funding source(s)


List of additional outcomes expected

It is hoped that this project will contribute to the Global Elimination of ARDs by overcoming known barriers such as:

• In some of the countries, the access to asbestos data is very challenging and difficult• Asbestos must be given a higher profile on the regional health agenda

76

from this project by 2012

• Coordination of efforts with diverse regional stakeholders will contribute to the elimination of ARDs across the Americas Region as well as global partners in other Regions.


New project GPA1.10dd

PROJECT Title

Epidemiological surveillance systems for the ARDs: operative tools for the monitoring and prevention.




Priority 1.3: Develop and disseminate evidence-based prevention tools and raise awareness for the elimination of ASBESTOS-related diseases


ISPESL – National Institute for Occupational Prevention and Safety. Italy


Alessandro Marinaccio [email protected] Alessandra Binazzi [email protected]


To be identified





The massive development of asbestos use in industrialised countries was followed since the 1950s by a substantial and regular increase in the incidence of asbestos-related diseases (ARDs) epidemic. As a result of the consistently delayed asbestos consumption trend, compared with other industrialised states (Scandinavian countries, UK and USA) where prevention measures have been earlier implemented, Italy is carrying out a permanent malignant mesothelioma epidemiological surveillance through a national Register (ReNaM). The aim of the project is to generalize the ReNaM structure and tools in order to define common objectives and methods looking at a future international ARDs surveillance

77

cooperation.


Occupational health services and institutions aimed to implement an epidemiological surveillance system for ARDs

Events opportunities for furthering the project




• Review of existing ARDs surveillance systems worldwide (2010) • Comparison of methodologies applied and standardisation of procedures (2010) • Availability of tools from the Italian mesothelioma surveillance system (territorial

organisation of the Register, national guidelines establishing standardised methods of cases collection and diagnostic criteria, standardised questionnaire for retrieving occupational and residential histories and lifestyle habits, catalogue of economic sectors with asbestos exposure) (2011)

Dissemination plan

Guidelines (including individual structured questionnaire), classification of occupations at risk, reviews of national surveillance system currently in operation, reported in English on the ISPESL website.

Funding source(s)

Self-funding



• Development of methodologies and procedures ARDs surveillance to be applied in developing countries (2012)

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New Project GPA1.10yy


Development of Toolkit for Elimination of Asbestos-Related Diseases



Priority Initiative



(Lead institution) Institute of Industrial Ecological Sciences (IIES), University of Occupational and Environmental Health (UOEH), Japan (Co-lead institution) Occupational Safety and Health Research Institute, KOSHA, Korea


Ken Takahashi [email protected] ; Seong-Kyu Kang [email protected]


The two responsible CCs are WHOCCs, but partner institutions span both CCs and non-CCs which include the following: United Nations University, International Institute for Global Health (UNU-IIGH); The Chinese University of Hong Kong; Okayama Rosai Hospital, Japan, Hiroshima University, Japan; Fukui Medical University, Japan; Japan Occupational Safety and Health Center. National University of Singapore; Ministry of Health, Vietnam, National Institute of Occupational & Environ Health, Vietnam; Catholic University of Korea, KOSHA; Ministry of Public Health, Thailand


WPRO (Dr. Hisashi Ogawa [email protected]) SEARO (Dr. Salma Burton [email protected]) WHO-HQ (Dr. Ivan Ivanov [email protected])


Ministry of Health, Vietnam (Dr. Tran Thi Ngoc Lan); Ministry of Public Health, Thailand (Dr. Somkiat Siriruttanapruk); Ministry of Human Resources, Malaysia (Dr Amin Faridah)


ILO (Dr. Igor Fedotov [email protected]) Stated above in the box for Network partners. Partner institutions span both CCs and non-CCs and contribute in the respective capacities not necessarily bound to status of WHOCC.

Summary of the

Commissioned by the Rotterdam Convention Secretariat in close coordination with the WHO and ILO, the project aims to develop a universally accessible toolkit for the elimination of

79

project (max 100 words)

asbestos-related diseases (ARDs). The focus will be on Asian countries, while attempting to formulate a regional model from which other parts of the world may also benefit. The toolkit will be developed as a joint effort of concerned partners collaborating on the existing platform of the Asian Asbestos Initiative (AAI). The timeframe of developing the stated toolkit is from September 2010 to end of July 2011


Primary beneficiaries are administrators, academicians and practitioners of developing countries currently using asbestos in its raw form and asbestos-containing products (ACPs).


Relevant discussion will be held during the Third AAI International Seminar (AAI-3) on November, 2010 in Fukuoka, Japan.


As stated, the development of the toolkit will be accomplished by end of July 2011.


Compilation of the collected and newly developed information and technical materials into a comprehensive and usable toolkit.


• By the end of AAI-3, complete needs assessment, role and chapter assignment. • By the end of July 2011, complete development of toolkit and submit product to

funding agency


Developing countries currently using asbestos will acquire knowledge and technologies related to the prevention and elimination of ARDs and will embark on transition to asbestos-free societies

Funding source(s)

Secretariat for the Rotterdam Convention

Dissemination Toolkit will be integrated into print, electronic media (CD-ROM) and website, accounting for suitability of media.



• By the end of July 2011, complete development of toolkit and submit product to funding agency

• The Project to develop the toolkit, upon completion, could be leveraged by strengthening networking and promoting application of the toolkit. Such sequelae to project will be discussed during the development stage.


GPA1.10w (New project Jan 2010)


AFRICA Fibre Counting Scheme



Priority Initiative Priority 1.3: Develop and disseminate evidence-based prevention tools and raise awareness for the elimination of asbestos-related diseases


Institute of Occupational Medicine (IOM), UK

Project leader Dr Alan Jones

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(contact name and email address)

[email protected]


We will seek to include the Catholic Institute of Industrial Medicine (Korea); National Institute for Occupational Health (South Africa), and other WHO CCs; but this is not yet in place.


See above


Several of the participating laboratories are government labs and so are linked to relevant ministries or regional government, e.g. in Belgium, Spain, Korea, Hong Kong, Italy.


There are currently about 30 laboratories worldwide, mostly in Europe, participating in the AFRICA scheme. Clearly, the project is not viable without them, but with respect to the WHO GPA, these are passive, not active, partners, i.e. they signed up for AFRICA, not for the WHO GPA as such.


“AFRICA” is an international proficiency testing scheme for laboratories that measure airborne asbestos fibre concentrations using the phase contrast optical microscopy counting method. The scheme enables participating laboratories to compare their counting levels with those of other laboratories and with reference counts, in order to assist them in quality control of their counting performances. Testing proficiency in fibre counting process is crucial to the reliability of measurements of asbestos concentrations in air. Without it, huge differences can arise between laboratories. Reliability of measurements of concentrations of asbestos is an important element in combating the international epidemic in asbestos related diseases.


Immediate: Laboratories internationally who engage in fibre counting (Asbestos or MMMF), and their clients Indirect: People exposed to asbestos, whose protection depends on valid assessment of their exposures


Information about the scheme will be made available through various channels including the IOM website and conferences.


The operation of the schemes is being re-launched after a period when operation had lapsed due to resourcing issues. There has been a high level of response among past and potential new participants of the AFRICA (asbestos scheme) and the scheme is re-launching this summer. The outcomes by 2012 are expected to be regular operation of the schemes core function during 2009, reviews of general patterns of international comparability within the scheme during 2010, 2011 and 2012 with assessment of progress. There has been a sequence of contacts with other National PT schemes, including visits from those organisations to IOM. We anticipate those will continue. Our expectation is that membership of the scheme is likely to grow from its current level by 2012 due to the ongoing concern about control of exposure to asbestos internationally and especially in the developing economies.


Immediate: The number and distribution of participating laboratories (i) overall; (ii) that demonstrate proficiency in counting


December 2009: completion of first round of re-launched scheme. Summer 2010: review of progress in comparability. Summer 2011: publication of peer review paper on outcomes at that stage.


Reliable measurement of asbestos exposures is necessary for proper risk management and so for control of risks, notably of cancer (lung, mesothelioma)

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Funding source(s) The participating laboratories

Dissemination (i) The proficiency status of participating labs is made public on the IOM website; (ii) Reports on the operation of the scheme will be published from time to time (iii) As appropriate, methodological advances will be published in the scientific journals


GPA1.10w follows on from GPA1.10h which had to be discontinued following transfer to HSL of the UK proficiency schemes. The AFRICA scheme was re-launched and is once again running well, with six-monthly exchanges (‘Rounds’) of slides being assessed by the participating laboratories, with reports from IOM to each laboratory and web-published summary reports about the scheme as a whole. By AFRICA Round 42 (June-October 2009), 31 laboratories were registered and 27 took part. Round 43 (Jan-May 2010) has also been completed and reported; reporting of Round 44 is in progress. The scheme is designed not only to monitor performance, but to help laboratories achieve and maintain improvements in fibre counting.


• Enable participating laboratories to compare their counting levels with those of other laboratories with reference counts, for quality control

o In place, and will be ongoing • Regular operation of scheme’s core function of 2009

o In place, and will be ongoing • Formulate reviews of general patterns of international comparability (2010-2012)

o Will be done • Increase membership to the scheme especially from developing countries

o We plan to do this, and expect to be successful. Alternatively, we will liaise with and support suitable Regional schemes in other parts of the world.

• Publish peer review paper on outcome, methodological advances, etc. o As and when we have suitable material from the AFRICA scheme.

• Maintain and strengthen the international connections made under GPA1.10h with WHO CCs internationally, especially in Africa and Asia.

o We are confident this will be possible

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PRIORITY 1.4: Conduct studies and develop evidence-based tools and information materials for the comprehensive protection and promotion of health for health care workers, emphasizing HBV

immunization


GPA1.4: Protection of Health Workers Global Facilitating Project Promotion of occupational safety and health among health workers globally

Facilitating Project Title Health worker occupational safety and health (HWOSH)


GPA Action 1.9 Specific programmes should be established for occupational health and safety of health care workers.

Priority Area Priority 1.4: Conduct studies and develop evidence-based tools and information materials for the comprehensive protection and promotion of health for health care workers, emphasizing HBV immunization.


This Facilitating Project aims to support the development and implementation of national policies and programmes (including occupational health services) to protect health workers. The project will coordinate international efforts to assess risks, develop and implement practical tools for prevention, and evaluate their impact. Successful tools and lessons learned will be shared. Current projects with this aim have been grouped into these areas: Area 1: Biological hazards: bloodborne (HIV, hepatitis, etc) and airborne (influenza, TB, SARS, etc) Area 2: Musculoskeletal disorders / Ergonomics Area 3: Psychosocial hazards and work organization / Workplace violence Area 4: Pharmaceutical and chemical risks Area 5: Comprehensive programmes including Risk Assessment / Risk Management tools and information



Maria Lioce-Mata, NIOSH, USA [email protected] Ahmed Gomaa, NIOSH, USA [email protected]

WHO responsible person Susan Wilburn [email protected]


Projects are organized by area: Area 1: Biological hazards: bloodborne (HIV, hepatitis, etc) and airborne (influenza, TB, SARS, etc) • GPA1.9l Risk Assessment for Health Care Workers. Project Leader: Tao Li

[email protected] NIOH, China. • GPA1.9n Protecting Health Care Workers in International Settings. Project Leader:

Ahmed Gomaa [email protected] NIOSH, USA. • GPA1.9q Prevention of Needlestick Injuries in Health Care Workers. Project Leader:

Busisiwe Nyantumbu [email protected] NIOH, South Africa. • GPA1.9x Establishing health and safety programs for health care workers in

Vietnam. Project Officer: Nguyen Duy Bao [email protected] NIOEH, Vietnam. • GPA1.9z Protecting health care workers from needlestick injuries in Afghanistan.

Project Officer: Margaret Kitt [email protected] NIOSH, USA • New GPA1.9dd Joint WHO-ILO Policy Guidelines for improving health worker

access to HIV and TB prevention, treatment, care and support. WHO / ILO Switzerland, Project Leader: Susan Wilburn [email protected]

• New GPA 1.9gg Training program on occupational health surveillance and prevention of blood exposures among healthcare workers. International Healthcare Worker Safety Center (IHWSC), University of Virginia, USA. Project leader: Janine Jagger [email protected]

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Area 2: Musculoskeletal disorders / Ergonomics • GPA1.9c Controlling Occupational Safety and Health Hazards among Health Care

Workers. Project Leader: Masaya Takahashi [email protected] JNIOSH, Japan

• GPA1.9d (Project Completed) Prevention management program of musculoskeletal diseases using the participatory action oriented training (PAOT) in the health care workers. Project Leader: Jung-Wan Koo [email protected] CIMC, Korea

• GPA1.9e An ergonomics audit in South African public hospitals. Project Leader: Busisiwe Nyantumbu (previously Ms S Dyosi) [email protected] NIOH, South Africa

Area 3: Psychosocial hazards and work organization / Workplace violence • GPA1.9g Job stress surveillance in health care workers. Project Leader: Marisol

Concha [email protected] and Rodrigo Pezo [email protected] ACHS, Chile • GPA1.9t Countries in transition: how to promote health at work in health

organizations. Project Leader: Jadranka Mustajbegovic [email protected] and Jovanka Karadzinska Bislimovsk mk,[email protected] University of Zagreb, Croatia and IOH, Macedonia.

• GPA1.9u How to maintain health care workers workability and quality of life. Project Leader: Jadranka Mustajbegovic [email protected] University of Zagreb, Croatia.

• GPA1.9aa Changing world of work in nursing sector and migration: developing preventive strategies. Project Leaders: Sergio Iavicoli [email protected] and Antonio Valenti [email protected] ISPESL-Department of Occupational Medicine ITALY

Area 4: Pharmaceutical and chemical risks • GPA1.9h Occupational risks in Cuban health care workers: exposure assessment,

prevention, training and guidelines. Project Leader: Silvia Fustinoni [email protected] , M.E. Linares, H.Diaz [email protected] , and Patrizia Deitinger [email protected] Clinica del Lavoro, Italy and INSAT, Cuba.

• GPA1.9i Assessment of exposure to antineoplastic agents in pharmacy and hospital personnel. Project Leader: Rudi Schierl [email protected] University Munich, Germany.

• New GPA1.9cc Developing tools for the safe handling of hazardous drugs. Project Leader: Melissa McDiarmid [email protected]

• New Project GPA1.10ee Prevention and control of occupational hazards and risk in the healthcare sector. Project Leader: Melissa McDiarmid [email protected], UMD, USA.

Area 5: Comprehensive programmes including Risk Assessment / Risk Management tools and information • GPA1.9j Identification and prevention of occupational risks for health care workers.

Project Leader: Mary Ross [email protected] assisted by Claudina Nogueira [email protected] for NIOH, South Africa

• GPA1.9m Assessment of Environmental and Health Risks in a Mega Hospital (Cairo University Hospitals). Project Leader: Hussein abd el hay Ibrahim [email protected] NIOSH, Egypt.

• GPA1.9p (Project Completed) Video-Conference Seminar on usage of personal protective equipment for health care workers. Project Leader: Chia Sin Eng [email protected] National University of Singapore.

• GPA1.9r Latex Allergy and Asthma-Risk management programme for healthcare workers. Project Leader: Tanusha Singh [email protected] NIOH, South Africa.

• GPA1.9s Enhanced diagnosis and management of pulmonary tuberculosis: flow sheet for healthcare workers. Project Leader: Jill Murray [email protected] NIOH, South Africa.

• GPA1.9v Assessment of the present working conditions and specific features of promoting health, safety, and well-being in health sector in the Republic of Bashkortostan. Project Leader: Akhat B. Bakirov, Ufa Research Institute of Occupational Health and Human Ecology, Republic of Bashkortostan.

• GPA1.9w WHO/Trade Unions Network on Implementing Workers Health Initiatives. Project Leader: Peter Orris [email protected] Great Lakes Centers, USA.

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• GPA1.9y Training of trainers on the usage of respiratory protection for health care workers in Cambodia who work with suspected avian influenza patients. Project Leader: Sin-Eng Chia [email protected] NUS, Cambodia.

• GPA1.9bb The evaluation of immunodiagnostic tests for TB infection and determinants of such infection in a population of South African health care workers. Project Leader: Shahieda Adams [email protected] UCT, South Africa.

• New Project GPA1.9ee The comprehensive protection and promotion of health for health care workers in the UAE, emphasizing hepatitis B immunizations. Project Leader: Tar-Ching Aw [email protected], United Arab Emirates University, UAE

• New Project GPA1.9ff Prevention and control of occupational hazards and risk in the healthcare sector. Project Leader: Melissa McDiarmid [email protected], UMD, USA.

• New Project GPA1.10ee Partnering with the Ministry of Social Protection, WHO/PAHO and NIOSH/CDC for following up the commitments agreed during the second regional meeting held in Bogota /2010, including the designation of the National Commission on OH for the Health sector; and contributing and implementing in Colombia the Joint WHO/ILO global policy guideline for protecting health care workers and ILO’s WISE-health. Project Leader: Julietta Rodríguez Guzmán [email protected]; Marta Luz Bernal [email protected] ; Luis Ángel Moreno Díaz [email protected], Occupational Health Program/ El Bosque University OHP/UEB, Colombia

WHO Regional offices actively involved in this project

PAHO: EURO: Rokho Kim; [email protected] SEARO: WPRO: Sharon Salmon [email protected] EMRO: ILO:

This GPA 1.4 Protection and Promotion of Health Care Workers is intended to conduct studies and develop evidence-based tools and information materials for the comprehensive protection and promotion of health for health care workers, emphasizing HBV immunization. This is done by evaluating risks and producing and disseminating useful accessible information and products. Projects include best practices, tools and guidance that can be used in training, and information dissemination.


Area 1: Biological hazards: bloodborne (HIV, hepatitis, etc) and airborne (influenza, TB, SARS, etc) Project GPA1.9l Risk Assessment for Health Care Workers. NIOH, China.

• Conduct investigations at various institutions to study the risk of bloodborne pathogen injuries - COMPLETED

• Provide an opinion on a Bloodborne Pathogen Standard - in draft Project GPA1.9n Protecting Health Care Workers in International Settings. NIOSH, USA.

• Work with multidisciplinary teams to conduct baseline assessments and expert opinion to create the WHO tool kit; piloted the tool kit and launched at SIGN 2005 - COMPLETED

• Build a network of support for country policy on HCW safety - ongoing • Develop and disseminate Aide Memoire for HCW occupational health and safety • Expand project in Vietnam to consider all hazards to HCWs; share experience in

SE Asia and provide technical assistance to develop national HCW policy and programs

• Develop campaign to immunize HCWs against hepatitis B - ongoing • Explore needlestick prevention project implementation with EMRO • Consult on model health care waste management project between WHO and

UNEP • Publish two new booklets in the WHO Protecting Workers Health series

Project GPA1.9q Prevention of Needlestick Injuries in Health Care Workers. NIOH, South Africa.

• Pilot toolkit • Facilitate training of HCW using these materials

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• Incorporate the materials into the curricula for medical students • Produce information materials (posters and brochures)

Project GPA1.9x Establishing health and safety programs for health care workers in Vietnam. NIOEH, Vietnam.

• Conduct baseline studies on HCWs in Vietnam - COMPLETED • Develop evidence-based tools and information materials for comprehensive

protection, emphasizing HBV immunization

Project GPA1.9z Protecting health care workers from needlestick injuries in Afghanistan. NIOSH, USA.

• Appointment of MOPH Programme Manager – Hired March 2010 • Begin project implementation in Bamyan Province for 700 healthcare workers –

Completed.

NEW - Project GPA1.9dd Joint WHO-ILO Policy Guidelines for improving health worker access to HIV and TB prevention, treatment, care and support. WHO / ILO, Switzerland.

• Endorsement by ILO and WHO governing bodies of both documents (TB and HIV) • Substantial implementation of the guidelines in countries

NEW – Project GPA 1.9gg Training program on occupational health surveillance and prevention of blood exposures among healthcare workers. University of Virginia, USA.

• 2011- training in Croatia, and ongoing support for development in Ireland and China

• 2012- training in two sites TBD, and ongoing support for existing users.

Support of user network. Area 2: Musculoskeletal disorders / Ergonomics Project GPA1.9c Controlling Occupational Safety and Health Hazards among Health Care Workers. JNIOSH, Japan

• Evidence based information on ways to improve working conditions for HCWs in terms of work schedules, musculoskeletal disorders, and needlestick / sharps injuries

• Peer-reviewed publications on findings - five publications completed thus far • Production of guidance document

Project GPA1.9d (Project Completed) Prevention management program of musculoskeletal diseases using the participatory action oriented training (PAOT) in the health care workers. CIMC, Korea.

• 1st session of PAOT workshop - COMPLETED • 2nd-6th session to be held within same hospital • Possible expansion of PAOT to other hospitals

Project GPA1.9e An ergonomics audit in South African public hospitals. NIOH, South Africa.

• Pilot project in one of the public hospitals - COMPLETED • Prepare protocol for a full study to be conducted in public hospitals in all South

African provinces • Conduct full study • Develop a database on prevalence of musculoskeletal pain among SA nurses • Develop guidelines for prevention • Disseminate information through workshops and seminars, publication of

materials Area 3: Psychosocial hazards and work organization / Workplace violence Project GPA1.9g Job stress surveillance in health care workers. ACHS, Chile.

• Literature review - COMPLETED

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• Proposal development based on a two-step survey • Derive interventions based on data on stress levels • Evaluate impact of interventions • Disseminate findings

Project GPA1.9t Countries in transition: how to promote health at work in health organizations. University of Zagreb, Croatia and IOH, Macedonia

• Conduct cross-sectional study in four hospitals in Zagreb and data analyzed -COMPLETED

• Apply the tool for perceived workplace stressors in other health workforces. • Develop the tool for perceived workplace stressors among other health

workforce • List the mayor stressors in healthcare sector

Project GPA1.9u How to maintain health care workers workability and quality of life. University of Zagreb, Croatia

• Develop toolkit, action plan and regional cooperation network • Analyze data and publish results • Outreach to hospital management organizations • Reach out to hospital management (meetings, workshops) • Develop final guidance document on national and regional levels

Project GPA1.9aa Changing world of work in nursing sector and migration: developing preventive strategies. ISPESL, Italy.

• Questionnaire to identify gaps and needs in OSH for nursing sector; • Dissemination of results • Tools for information and prevention in nursing sector

Area 4: Pharmaceutical and chemical risks Project GPA1.9h Occupational risks in Cuban health care workers: exposure assessment, prevention, training and guidelines. Clinica del Lavoro, Italy and INSAT, Cuba.

• Published Italian Information on urinary levels of anaesthetic gases translated into Spanish and presented to Cuban colleagues - COMPLETED

• Develop assays for measuring airborne exposure to anaesthetic gases (ongoing) and thereby improving technical capacity of labs in Cuba

• Develop training programs • Publish guidelines on risk management

Project GPA1.9i Assessment of exposure to antineoplastic agents in pharmacy and hospital personnel. University of Munich, Germany.

• Wipe-kit for antineoplastic agents that can be used in hospitals and pharmacies was tested in 50 hospitals in Germany and a large hospital in Paris - COMPLETED

• Two publications in peer-reviewed journals on wipe-test sampling - COMPLETED

• Develop training courses for the wipe-test kit • Comparison of surface monitoring and biological monitoring (with INRS) • Helping South America to build up lab capacities (organized by University of

Maryland)

NEW - Project GPA1.9cc Developing tools for the safe handling of hazardous drugs. University of Maryland, School of Medicine

• Establish the ability to analyze wipe sample results for hazardous drugs in the Americas

• At least one hospital in the region will conduct wipe sampling to assess risks associated with the handling of hazardous drugs

• The number of hospitals in the Americas that establish and/or update policies and procedures related to identifying and addressing risks associated with the handling of hazardous drugs will increase

Area 5: Comprehensive programmes including Risk Assessment / Risk Management tools and information

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Project GPA1.9j Identification and prevention of occupational risks for health care workers. NIOH, South Africa.

• Collection of data on TB incidence and HIV infection in HCWs and collated for review -ongoing

• Finalize protocol for prospective study on Quantiferon to assess screening guidelines -ongoing

• Develop chapter on walk through for risk assessment in health care facilities for Malaysian Medical Association text - COMPLETED

• Develop pandemic ‘flu policy to assist business community; circulate to partners for comment-ongoing

• Pilot paper-based surveillance tool - COMPLETED • Develop electronic tool for occupational health surveillance – ongoing

Project GPA1.9m Assessment of Environmental and Health Risks in a Mega Hospital (Cairo University Hospitals). NIOSH, Egypt.

• Design and standardize the study tools - COMPLETED • Execute the environmental survey - ongoing • Execute health survey - ongoing • Use above to develop “Environment and health risk model” for large hospitals • Disseminate lessons learned through training workshops

Project GPA1.9p (Project Completed) Video-Conference Seminar on usage of personal protective equipment for health care workers. National University of Singapore.

• Develop lectures and record on a CD discussions on selection and use of PPE by HCWs dependent on the hazards present

Project GPA1.9r Latex Allergy and Asthma-Risk management programme for healthcare workers. NIOH, South Africa.

• Develop a screening questionnaire for latex allergy • Develop a poster on the step-wise approach to diagnosing latex allergy • Develop an information sheet on latex allergy in paper copy and electronic

version • Disseminate information on a comprehensive latex risk management programs

through workshops

Project GPA1.9s Enhanced diagnosis and management of pulmonary tuberculosis: flow sheet for healthcare workers. NIOH, South Africa.

• Update an existing flow sheet for diagnosing and managing pulmonary TB (especially in respect to anti-retroviral therapy) - COMPLETED

• Present updated tool at International Conference - COMPLETED • Use as an assessment tool of TB services in South Africa and UK – ongoing

Project GPA1.9v Assessment of the present working conditions and specific features of promoting health, safety, and well-being in health sector in the Republic of Bashkortostan. Ufa Research Institute of Occupational Health and Human Ecology, Republic of Bashkortostan.

• Obtain better knowledge of working conditions influencing work ability and individual risk factors

• Develop a toolkit using this information on prevention of occupational diseases in HCWs

• Develop methodological materials for publication Project GPA1.9w WHO / Trade Unions Network on Implementing Workers Health Initiatives. Great Lakes Centers, USA. In order to provide technical assistance to support collaboration between international groups:

• Resources of global unions will be enlisted to disseminate products of this collaboration to workplaces throughout the world to include elimination of asbestos related disease, prevention of chemical risks, HIV/AIDS, ICFTU’s national profiles, prevention of work related stress, and smoke and alcohol-free workplaces-ongoing meetings periodically conducted

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Project GPA1.9y Training of trainers on the usage of respiratory protection for health care workers in Cambodia who work with suspected avian influenza patients. NUS, Cambodia.

• Conduct 4 one-week pilot training of training course on respiratory protection, particularly for avian influenza

• Expand training to other facilities in Cambodia- 2 COURSES COMPLETED • Expand program to other countries in SE Asia and Africa • Expand to other industries requiring respiratory protection in need of education

Project GPA1.9bb The evaluation of immunodiagnostic tests for TB infection and determinants of such infection in a population of South African health care workers. UCT, South Africa.

• Baseline data of the prevalence of LTBI as detected by TST and IGRA- COMPLETED

• Completion of follow-up phase to evaluate interval change in LTBI status (500 healthcare workers screened for LTBI and TB)

• Documentation of associations between occupational and environmental risk factors of TB disease

• Evaluation of the predictive value of LTBI tests for development of active TB

NEW - Project GPA1.9ee The comprehensive protection and promotion of health for health care workers in the UAE, emphasizing hepatitis B immunizations. United Arab Emirates University, UAE

• Extension of the Hepatitis B immunization programme to other hospital healthcare staff in the UAE

New Project GPA1.10ee Partnering with the Ministry of Social Protection, WHO/PAHO and NIOSH/CDC for following up the commitments agreed during the second regional meeting held in Bogota /2010, including the designation of the National Commission on OH for the Health sector; and contributing and implementing in Colombia the Joint WHO/ILO global policy guideline for protecting health care workers and ILO’s WISE-health. Occupational Health Program/ El Bosque University OHP/UEB, Colombia

• Colombia will implement the public policy and the technical regulation on the protection of healthcare workers, covering priority regions.

• Strengthening OH risk identification, assessment and control in healthcare settings at the level of Bogota (biggest health regional service).


• Coherent set of accomplishments in protecting and promoting health of health

care workers internationally • Modification in WHO needlestick injury prevention toolkit based on experiences • Development of a step-by-step web-based tool where contributing projects can

integrate practical tools to replicate their projects • Strategy for projects to develop a global framework for national programmes and

occupational health services for health care workers • Cross-link with patient safety, as appropriate

Examples of deliverables desired by 2012 to adequately assist countries to protect and promote health of health care workers internationally.

• Promotion by ILO and WHO of model national programs • Electronic library of tools and information • Practical surveillance system models • Plan for expansion of successes to other regions and countries • Train-the-Trainer Programs

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Area 1: Biological hazards: bloodborne (HIV, hepatitis, etc) and airborne (influenza, TB, SARS, etc) 2009-2012 Work Plan Number

GPA1.9l Formerly AA3:H6

Project title Risk assessment for health care workers

Keywords risk assessment, health care workers

GPA Objective


CC or NGO Name

National Institute of Occupational Health and Poison Control, Chinese Centre for Disease Control and Prevention, Beijing, China




WHO, ILO

Other partners

Funding National finance support of China, WHO, ILO Objective of the project

To give occupational health standard of bloodborne pathogens prevention and control to protect the corresponding health care workers.


• Investigate the status about risks to health care workers especially for sharps injury • The regulation about sharps injury, such as where it happens often

Standard established for occupational health protection and control of bloodborne pathogens.


Policy makers, occupational health and safety researchers, enterprise managers, health care workers


Investigate the institution, such as research institution, medical institution, disease prevention and control institution, laboratory etc. To study the status of injury of bloodborne pathogens. To establish occupational health standard for bloodborne pathogens protection and control. Select different region, different scale institution as pilot departments carrying out the standard.

Dissemination WHO documents and national documents Impact (global or regional)

Global and national


We have investigated the institution, such as research institution, medical institution, disease prevention and control institution, laboratory etc and analysed the data about health care workers’ injuries. The opinion draft has been prepared.


• High rotation of personnel • Acquiring funding for global projects • Sufficient dedicated time on the parts of researchers • In health setting, patient safety comes first over worker safety and there is a

perceived (incorrect) conflict between patient and worker safety instead of recognition (and evidence) that programmes that improve worker safety also improve patient safety

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GPA1.9n Formerly AA4:CE2

PROJECT Title Protecting Health Care Workers in International Settings


GPA Objective 1: To devise and implement policy instruments on workers’ health Action: 1.10


1.4. Biological hazards: Bloodborne (HIV, hepatitis,etc) and airborne (‘flu,TB,SARS,etc)

This project also contributes to other GPA Priorities (List them, if applicable).

N/A



Project leader(s)

1- Ahmed Gomaa, MD, ScD [email protected] 2- Maria Lioce-Mata [email protected] 3- Walter A. Alarcon. [email protected]


WHO; PAHO; EMRO, WHO, Four Latin American countries


PAHO Region Americas, EMRO, AFRO

Country ministries involved in this project

Vietnam,Tanzania, South Africa, Venezuela, Peru, Colombia, Council for the Arab States of the Gulf (Kuwait, Saudi Arabia, United Arab Emirates, Bahrain, Oman, Yemen, and Qatar), Egypt, Pakistan and Afghanistan, Botswana, Kenya and Zimbabwe,


IAES Venezuela: Dra: Maria Martinez [email protected] DIGESA Peru: Yoan Mayta: [email protected] EsSalud Peru: Gerardo Arias [email protected] Ministerio Proteccion Social Colombia: Ana Maria Cabrera: [email protected]


This project advances the WHO’s efforts to reduce blood-borne pathogen infection due to needlestick injuries among health care workers in international settings. Findings will be disseminated relating to the risks encountered by individual workers. This project will adapt and translate a Toolkit, developed and tested by WHO in Asia and in Africa, to Latin America. The key tools are: Train-the-Trainer Program (CD Toolkit Prepares leaders in healthcare to prevent exposure to bloodborne infections, Surveillance System for needlestick injuries using the EPINet Program, Tool for evaluation of sharps with safety devices and Hepatitis B immunization of healthcare workers campaigns.


The world’s 35 million healthcare workers.

Major Milestones

Dissemination plan

Various approaches will be taken to announce the availability of products, as mentioned above. The availability of the Toolkit in Latin America will be announced on listservs in Spanish and English (Red de Seguridad y Salud de los Trabajadores, Duke Occupational and Environmental Medicine listserv), through the NIOSH eNEWS, and through PAHO, WHO and ILO email lists. The document will be available at the NIOSH, PAHO, and WHO Web sites and it should be identified in any search of “hepatitis”, “SIDA”, “inyecciones”, “herramientas” (Spanish for hepatitis, AIDS, injections, tools). Also, an overview will be presented at upcoming national and international public health meetings. Finally, two new booklets will be published in the WHO Protecting Workers Health series: 1)

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a summary of preventing needlestick injuries lessons learned and best practices and 2) a general summary of health hazards to health care workers and control measures

Funding source(s) NIOSH


From 2002-2006 • A multidisciplinary team of national health, injection safety, occupational health, and

national nursing organizations was formed in each of the 3 project countries. • WHO and ICN held an international planning meeting in Geneva followed by 3 national

workshops to develop country plans for implementation of the tool kit. • The project teams evaluated and recommended adaptation of the tools to incorporate

concepts of occupational health and the hierarchy of controls to protect workers from occupational hazards.

• Three countries conducted a baseline assessment of supplies, knowledge, skills, and behaviors prior to implementation of training tools and resources followed by a repeat assessment demonstrating an increase in knowledge of risk and controls, access to Post-exposure follow-up and prophylaxis, and in 2 of 3 countries use of sharps containers for the first time and use of safer needle devices for the first time.

• The resulting WHO tool kit was created and piloted by groups in 5 countries in southern Africa. This new resource: Preventing Needlestick Injuries and Occupational Exposure to HIV/AIDS recognizes the high risk procedures and devices not covered by injection safety tools endangered from the use of intravenous and phlebotomy (blood-filled) and incorporates broader principles of infection prevention and control and occupational health. The tool kit, which was launched at SIGN in 2005 includes: a revised assessment tool, key elements for occupational health programs, sharps injury log and anonymous survey to determine proportion of underreporting of incidents, and PowerPoint presentations for use as training tools and resources.

By 2006-2010 1) WHO will identify occupational health professionals through ICOH, WHO Collaborating Centers, health care worker representative (unions), and professional associations; compile interests and resources and publish an annotated list of resources available globally. WHO will facilitate regional teleconferences between partners to share resources and build a network of support for country policy on health care worker safety. 2) An Aide Memoire for health care worker occupational health and safety will be developed and disseminated. 3) In Vietnam, the project will expand to consider all hazards to health care workers and develop occupational health services for health care worker health and safety. The experience in Vietnam will be shared widely in Southeast Asia and technical assistance provided to countries to develop national health care worker safety policy and programs. 4) WHO will explore the development of a campaign to immunize health care workers against Hepatitis B in collaboration with the WHO Hepatitis B immunization programs and the MOH Expanded Program of Immunizations (EPI). 5) WHO OHP and project staff will explore implementation of the needlestick prevention project in the Eastern Mediterranean Region in consultation with the newly appointed director of SIGN, Selma Khamassi, formerly of the EMRO office. 6) WHO Occupational health program will consult on health & safety education curriculum with the model health care waste management project between WHO, the UN Environment Program (UNEP). 7) The WHO Train-the-Trainer toolkit was adapted to Latin America. The approach seeks to achieve sustainable expertise within academic institutions, employers, frontline workers, and ministries. The pilot project started in 4 hospitals in Aragua State, Venezuela in 2007. Today, this Train-the-Trainer Program has reached 210 healthcare facilities and 8 universities in 12 states. It is estimated that about 30,000 healthcare workers have been reached. Recently, a surveillance system using EPINet has been added. In 2008, the project was implemented in Peru jointly with a national campaign to provide Hepatitis B immunizations to healthcare workers. To date, about 1,200 healthcare workers have been trained. About 75% of the 300,000 healthcare workers are immunized. In September 2009 the “First Regional Encounter for Latin America and the Caribbean: Health Protection of Health Care Workers” will take place in Venezuela. International representatives from Brazil, Canada, Cuba, Colombia, Ecuador, United States, Guatemala, Jamaica, Peru, Dominican Republic, Trinidad & Tobago will attend. 8) WHO and NIOSH have successfully translated and tested EPINet in Arabic. In cooperation with WHO/EMRO, the Council for the Arab States of the Gulf (Kuwait, Saudi Arabia, United Arab Emirates, Bahrain, Oman, Yemen, and Qatar) is working on protecting healthcare workers from infectious agents. A regional meeting will take place in August,

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2009. It will include Train-the-Trainer training on preventing needlestick injuries and exposures to occupational bloodborne pathogens and on utilizing the EPINet surveillance system The poorest countries in the region will not be able to attend. This project will extend the program to Egypt, Pakistan and Afghanistan. In Afghanistan, HHS/CDC/NIOSH has vaccinated over 3,500 healthcare workers in Kabul against hepatitis B and trained 700 rural health care workers. This project will be extended to health care workers in other provinces in Afghanistan. 9) The Southern Africa Development Commission (SADC) regional network of nurses and midwives for nursing educators trained approximately 5,000 health workers in 10 countries. As a result of this training the SADC health ministers adopted a resolution calling for the immunization of health workers in the region against hepatitis B, but lack of funding for the vaccine has prevented its wide-spread adoption. The local unions from Botswana, Kenya and Zimbabwe asked for assistance with additional training on needlesticks and with hepatitis B immunization of health workers in the public and private sectors.


GPA1.9q Formally AA 4: CE5d

Project title Prevention of Needlestick Injuries in Health Care Workers

Keywords Health, safety, needlestick, injury, health care workers, bloodborne diseases

GPA Objective


CC or NGO Name National Institute for Occupational Health (NIOH), South Africa


Ms Busisiwe Nyantumbu [email protected]


NIOH, South Africa WHO

Other partners

International Council of Nurses Democratic Nursing Organisation of South Africa Department of Health, South Africa SADC AIDS Network for Nurses and Midwives

Funding NIOH - as part of the overall project on health care workers Objective of the project Prevention of needlestick injuries and bloodborne infections in healthcare workers


• Produce piloted and tested materials from the WHO Injection Safety toolkit to educate and train health care workers (2006)

• Facilitate training of health care workers using these materials • Incorporate the materials into the curricula for medical students • Produce information materials (posters and brochures)


The world’s 35 million health care workers.


This project advances the WHO’s efforts to reduce blood-borne pathogen infection due to needlestick injuries among health care workers in international settings. Findings will be disseminated relating to the risks encountered by individual workers. This project will adapt and translate a Toolkit, developed and tested by WHO in Asia and in Africa, to Latin America.

Dissemination

Various approaches will be taken to announce the availability of products, as mentioned above. The availability of the Toolkit in Latin America will be announced on listservs in Spanish and English (Red de Seguridad y Salud de los Trabajadores, Duke Occupational and Environmental Medicine listserv), through the NIOSH eNEWS, and through PAHO, WHO and ILO email lists. The document will be available at the NIOSH, PAHO, and WHO Web sites and it should be identified in any search of “hepatitis”, “SIDA”, “inyecciones”, “herramientas” (Spanish for hepatitis, AIDS, injections, tools). Also, an overview will be presented at upcoming national and international public health meetings.

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Finally, two new booklets will be published in the WHO Protecting Workers Health series: 1) a summary of preventing needlestick injuries lessons learned and best practices, 2) a general summary of health hazards to health care workers and control measures



• The execution of the project has raised awareness of the risk of sharps related HIV, HBV and HCV transmission in healthcare workers.

• Training of healthcare workers using materials from the toolkit. • The prevalence of needlestick injuries has been detetmined. • The procedures and practices which put healthcare workers at risk of HIV, HBV and

HCV infection have been identified. • An article for publication has been written


• Assessment of policies related to needlestick injuries. • Increasing the coverage of healthcare workers trained using the material from the

toolkit.


• Incorporation of the materials from the toolkit in the curricula of medical students.

2009-2012 Work Plan Number GPA1.9x

CONTRIBUTING PROJECT Title Establishing health and safety programs for health care workers in Vietnam



Priority Initiative 1.4



Project leader

Dr. Nguyen Duy Bao, Director, National Institute of Occupational & Environmental Health (NIOEH), 1B Yersin Str., Hanoi, Vietnam [email protected]

Network partners

WHO Collaborating Centre for Occupational Health in Kytakyushu University of Occupational and Environmental Health, Japan

WHO Regions involved in this CONTRIBUTING project


Country ministries involved in this CONTRIBUTING project



WHO Collaborating Center in Singapore


The baseline studies were already conducted. Based on these results of the current situation of working conditions, occupational hazards, occupational diseases, work-related diseases in health care workers (HCW) in Vietnam, evidence-based tools and information materials will be developed for the comprehensive protection and promotion of health for HCW, emphasizing HBV immunization. Projects include guidance documents, implementing programs, and training on OSH for HCW.

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Policy makers, occupational health and safety practitioners, enterprise managers, HCW



• Prevention model for infectious diseases in HCW will be developed and applied • Training materials will be developed and disseminated • Health criteria for pre-employment and periodic examination for HCW exposed to

radiation and micro-organisms will be developed and promulgated Indicators of achievement (impact)

• 100% of HCW at the pilot health care facilities will be immunised hepatitis B and examined and detect occupational diseases

• 100% of HCW will be trained on OSH


• Prevention model for occupational hepatitis B in HCWs has been developed and applied in some health care facilities

• Training materials and training curriculum were already developed and are now printing and will be distributed to occupational health sections over the country

• The health criteria for pre-employment and periodic examination for HCW exposed to radiation and micro-organisms were already developed


• Prevention model for occupational hepatitis B in HCWs will be expanded to apply in different health care facilities and evaluation will be carried out

• The TOT training courses on OSH in health care facilities will be conducted for OH staffs at provincial and district levels and for HCWs in health care facilities

• The model for provision of BOHS (basic occupational health services) will also developed and piloted for HCWs in some provinces


• Evaluation of OSH program in health care facilities

2009-2012 Work Plan Number GPA1.9z


Protecting Healthcare Workers from Needlestick Injuries in Afghanistan



Priority Initiative

Priority 1.4: Conduct studies and develop evidence-based tools and information materials for the comprehensive protection and promotion of health for health care workers, emphasizing HBV immunization.

Responsible CC or NGO Name NIOSH, USA

Project leader

Margaret Kitt, HHS/CDC/NIOSH [email protected] Maria Lioce-Mata, HHS/CDC/NIOSH [email protected]



Eastern Mediterranean Regional Office WHO Afghanistan Office


Ministry of Public Health/Afghanistan Public Health Institute Kabul Province, Bamyan, Nangarhar, and Herat Provincial Health Directors Kabul Medical University (Chancellor Obide) Institute of Health Sciences (where nursing and midwifery training is housed)

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USAID UNICEF


Building on established relationships with the Afghanistan Ministry of Public Health and the health sector in Afghanistan, this project advances the WHO effort to reduce bloodborne pathogen infection due to needlestick injuries among health care workers in Afghanistan. The Department of Health and Human Services (HHS), through a grant from the CDC Foundation, has vaccinated health care workers in Kabul against hepatitis B. Basic needlestick prevention training was conducted alongside the vaccination program.


Health care workers in Afghanistan.



Advancing the National Campaign for the vaccination of healthcare workers beginning in Kabul in conjunction with the implementation of the Toolkit country-wide.


• Number of healthcare workers vaccinated • Number of healthcare facilities incorporated into the project • Number of training courses and workers trained on the toolkit • Implementation of needlestick injury surveillance; baseline information obtained

on number of needlestick injuries and a 50% reduction in needlesticks over one year

• Number of functioning facility health and safety committees

Major Milestones

• Appointment of Program Manager by MOPH (November 2009) • Provincial Health Directors appoint local lead (July 2009) • Needlestick surveillance initiated in MOPH maternity hospitals in Kabul and three

provinces (July-Dec 2009) • Toolkit training in MOPH maternity hospitals in Kabul where vaccinations

complete (July 2010) • Toolkit training and vaccinations in provinces (Begun July 2009)


• Protection of healthcare workers from hepatitis B infection • By preventing needlesticks, will also help prevent other bloodborne pathogen

infections such as HIV and hepatitis C infection, for which there is no current vaccine available

Funding source(s)

Immunizations will continue until funds from the CDC Foundation are expended; simultaneously will look for alternate sources of funding for vaccine and program management to work with MOPH

Dissemination Publication with Afghan co-authors in peer-reviewed publication List of outcomes already achieved by this project

• Vaccination program initiated in Bamyan Province August 2009 with target population of 700 healthcare workers and extended to other provinces.

• Almost 7,000 healthcare workers have been vaccinated as of December 2010 • Mini-training initiated with follow-up scheduled for October/November 2009


• Establishment of needlestick surveillance programs in select hospitals in Kabul and select provinces

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New Project GPA 1.9dd

PROJECT Title

Joint WHO-ILO Policy Guidelines for Improving Health Worker Access to HIV and TB Prevention, Treatment, Care and Support




Priority 1.4: Conduct studies and develop evidence-based tools and information materials for the comprehensive protection and promotion of health for health care workers, emphasizing HBV immunization

This project also contributes to other GPA Priorities.


WHO/ILO

Project leader(s)


Susan Wilburn, [email protected] Julia Lear, Lee-Nah Hsu


Occupational and Environmental Health Department of Public Health and Environment




This Policy Guideline for Improving Health Worker Access to HIV and TB Prevention, Treatment, Care and Support aims to:

• Reinforce the implementation of the best practices for health workers who are living with, or have been affected by HIV or TB, or with risk of exposure to HIV and TB at work

• Promote and protect the health of health workers and retain them in the workforce • Compile existing clinical and policy guidelines, and new evidence, into a coherent

set of recommendations to improve access for health workers to HIV and TB services


Health and labour departments, regional policy-makers, health facility managers, representatives of health workers, including unions and health professional associations, occupational health and infection control practitioners and all health workers

In progress The Joint WHO-ILO guidelines for improving health worker access to TB and HIV prevention, treatment and care and the Global Framework for Occupational Health of Health Workers were agreed during at Joint WHO/ILO Meeting for transmission to the ILO governing board and the WHO Global Research Council for approval. WHO OH CCs (or OH partners) represented include Croatia, Egypt, Colombia, US, Thailand, South Africa.

Major Milestones

Dissemination plan Widespread and systematic (distribution, orientation, training, monitoring and feedback)

Funding source(s)

List of outcomes

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already achieved by this project List of additional outcomes expected from this project by 2012

Endorsement by ILO and WHO governing bodies of both documents. Substantial implementation of the guidelines in countries.



GPA1.9gg New Project

PROJECT Title

Training program on occupational health surveillance and prevention of blood exposures among healthcare workers


GPA 1: To devise and implement policy instruments on workers’ health Action 1.9 …Specific programmes should be established for occupational health and safety of health care workers.


Priority Number 1.4 Conduct studies and develop evidence-based tools and information materials for the comprehensive protection and promotion of health and safety among healthcare workers…


Priority 1.1…provide evidence base for development, implementation and evaluation of national action plans on workers’ health


International Healthcare Worker Safety Center (IHWSC), University of Virginia, USA

Project leader(s)

Janine Jagger [email protected] Elayne Kornblatt Phillips [email protected]


NIOSH Ahmed Gomaa [email protected] Maria Lioce-Mata [email protected]


WHO HQ Susan Wilburn [email protected] PAHO Marie-Claude Lavoie [email protected] EMRO Said Arnaout [email protected] EURO Rohko Kim [email protected] AFRO Thebe Pule [email protected]

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Peru, Colombia, China



EPINet surveillance tool is available in 21 languages and has been utilized in 83 countries, facilitating the identification of practices and devices that put healthcare workers at risk of exposures to contaminated blood and consequent infections. In collaboration with WHO, NIOSH and Ministries of Health, the Center participates in in-country training conferences and fellowship training at the University of Virginia, working in WHO regions of EURO, EMRO, AFRO and AMRO. Training includes data collection and entry, report generation and interpretation, intended to improve worker safety. IHWSC maintains ongoing support with trainees and encourages network building among users.


Healthcare workers, hospitals, policy makers


2010- training in Peru and Colombia 2011- training in Croatia, and ongoing support for development in Ireland and China 2012- training in two sites TBD, and ongoing support for existing users. Support of user network.

Dissemination plan

Conference presentation and collaboration with colleagues in publication preparation.

Funding source(s)

WHO, PAHO, NIOSH, University of Virginia, participating countries


Training in WHO regions of EURO, EMRO, AFRO and AMRO. Training at University of Virginia for Fellows from Japan, China, Russia, Egypt, Zambia, India, and Uganda



Further expansion of EPINet, and ongoing support of users. Work with Ministries to improve the safety policy for healthcare workers. Assist with international collaborations

Area 2: Musculoskeletal disorders / Ergonomics 2009-2012 Work Plan Number

GPA1.9c Formerly AA2:RS7


Controlling Occupational Safety and Health Hazards among Health Care Workers


GPA Objective 1: to devise and implement policy instruments on workers’ health Action 1.10

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Priority Initiative

Priority 1.4: Conduct studies and develop evidence-based tools and information materials for the comprehensive protection and promotion of health for health care workers, emphasizing HBV immunization.

Responsible CC or NGO Name National Institute of Occupational Safety and Health, Japan (JNIOSH)

Project leader

Masaya Takahashi, PhD [email protected]

Network partners None


WPRO


Ministry of Health, Labour and Welfare, Japan


Derek R. Smith, Ph.D., WorkCover NSW Research Centre of Excellence, University of Newcastle, [email protected]


The objective of this project is to investigate the sleep problems associated with work schedules, musculoskeletal disorders and care equipment, preventive factors of needlestick and sharps injuries among health care workers (HCW) in hospitals and nursing homes. The results obtained will be made use of developing the educational and guidance documents to help improve the levels of occupational safety and health of HCW.


HCW in a variety of Asia-Pacific countries, especially those working in hospitals and nursing homes


Collaboration with a US NIOSH project to devise work schedule risk prevention training programs.


Number of peer-reviewed articles and guidance documents in plain language.

Major Milestones

Publication in peer-reviewed journals (at least one paper per year) and the guidance documents by 2012.


Improved occupational safety and health among HCW as direct impact and upgraded quality of health care service to the recipient as indirect impact.

Funding source(s) JNIOSH


Peer-reviewed scientific publications, conference abstracts, and guidance documents. Main deliverables or outcomes thus far:

• Takahashi M, et al. Musculoskeletal pain and night-shift naps in nursing home care workers. Occup Med (Lond). 2009 May; 59(3):197-200.

• Griefahn B, (Takahashi M), et al. Shiftwork and health impacts - A guidance for occupational health experts, employers and employees. (under review by WHO CC experts)

• Iwakiri K, et al. Development of "Checklist for Prevention of Low Back Pain in Health Care Workers" in the Ministry of Health, Labour and Welfare, Japan

• Smith DR, et al. Organizational climate and its relationship with needlestick and sharps injuries among Japanese nurses. Am J Infect Control. 2009; 37(7): 545-50.

Smith DR, et al. Hospital safety climate, psychosocial risk factors and needlestick injuries in Japan. Ind Health 2010; 48(1): 85-95.


• Evidence and the relevant materials to improve the working conditions for HCW in terms of work schedules, musculoskeletal disorders, and needlestick / sharps injuries.

List of additional

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outcomes expected by 2016 2009-2012 Work Plan Number

GPA1.9d (Project Completed) Formerly AA2:RS8

Project title Prevention management program of musculoskeletal diseases using the participatory action oriented training (PAOT) in the health care workers

Keywords Musculoskeletal disease, health care workers, prevention management program, PAOT (participatory action oriented training)

GPA Objective


CC or NGO Name Catholic Industrial Medical Centre (CIMC), Korea


Jung-Wan Koo, M.D., Prof. [email protected]


Toshiaki Higashi, Japan ; Kazutaka Kogi, Japan

Other partners

Funding

- Research and grant proposal - Contracts with companies


The objectives are to find out for themselves the improvement opinion of health care workers for prevention of work-related musculoskeletal diseases (WRMSDs) by participatory action oriented training (PAOT).


The participants accomplish the real action plans for improvement of their own hospitals by PAOT. And they have positive thinking for improvement of their wards and become good facilitators to be able to perform PAOT. – J Science of Labour 2006; 82(4): 151-156, Application of Action-Oriented Approach Programs (PAOAP) for Preventing Musculoskeletal Disorders in Health Care Workers


Health care workers


PAOT workshop consists of 6 technical sessions. In the first session, each action checklist item is explained and an on-site checklist exercise is carried out. In sessions two to six, good example pictures on five principles – treatment and management of medicines, medical instrument and equipment / patient care, work environment safety and job management, ward design, welfare facilities – and group discussions are carried out by the participants. In the sixth session in implementation of improvement, each participant is asked to present two to three short-term and long-term action plans for their own ward improvement. This study is assured that the PAOT program shows high potentials as an intervention program to prevent WRMSDs in hospitals.

Dissemination - Results will be submit to relevant journals for publication - Presentation at relevant conferences and meetings - Reports


Progress on Project

After participating in PAOAP workshop, work improvements have been achieved on the basis of their own ideas. A lot of improvements were helpful to prevent musculoskeletal disorders. This study so far has shown that the PAOAP had high potential as a useful program to prevent work-related musculoskeletal disorders (WRMSD) in hospitals. Now that the first stage of PAOT program at Uijeongbu St. Mary's Hospital is complete, the second stage is in preparation within the same hospital. This may also be applied to other hospitals in the future.

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GPA1.9e Formerly AA2:RS9

Project title An ergonomics audit in South African public hospitals

Keywords Nurses; patient handling tasks; ergonomic risk factors; work related musculoskeletal disorders

GPA Objective

Objective 1: To devise and implement policy instruments on workers’ health Action 1.10

CC or NGO Name National Institute for Occupational Health (NIOH), SA


Ms Busisiwe Nyantumbu (previously Ms S Dyosi) [email protected]


National Institute for Occupational Health, South Africa

Other partners Center of Ergonomics for Developing Countries, Sweden

Funding The study will be funded by the NIOH Objective of the project To prevent occurrence of musculoskeletal problems among nurses


1. To conduct a pilot project in one of the public hospitals (by June 2006) 2. To conduct this project among public hospitals in all South African provinces (by end

2009) 3. To develop a database with statistics on prevalence of musculoskeletal pain among

South African nurses (by 2009) 4. To develop guidelines for prevention of work related musculoskeletal disorders

associated with patient handling tasks for nurses working among public hospitals in developing countries (by end 2010)


Health care workers and managers


Musculoskeletal disorders (MSDs) may develop from exposure to ergonomic hazards. However, symptoms are multi-factorial. They include pain and numbness. Disability may arise if these disorders are not diagnosed at an early stage because they may remain asymptomatic for years before the symptoms manifest. Nurses are not exceptions. Tasks that involve manual handling of patients have been identified as the leading causes of MSDs among nurses but not in South Africa. This project aim is to determine the prevalence of musculoskeletal pain among nurses working in public hospitals and associated ergonomic risk factors in order to develop guidelines on their prevention.

Dissemination Workshops and seminars; conferences; brochures and booklets

Impact (global or regional) SADC Region

Progress on Project

The project has completed its first phase of the "Pilot". A protocol is currently being prepared for the full study, which is scheduled to be completed by end of 2009. The title of this project is due to change to account for development of an intervention tool in the form of guidelines for the healthcare workers. There are intentions to form project links with regard to data collecting tools, which will aim to allow us to generalize the findings worldwide.

Area 3: Psychosocial hazards and work organization / Workplace violence 2009-2012 Work Plan Number

GPA1.9g Formerly AA3:H1

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Project title Job stress surveillance in health care workers

Keywords Job stress, surveillance, work organization, health workers

GPA Objective


CC or NGO Name Asociación Chilena de Seguridad (ACHS)


Dr. Marisol Concha, [email protected] Sr. Rodrigo Pezo, [email protected]


Universidad Andrés Bello

Other partners

Funding Asociación Chilena de Seguridad (ACHS) Objective of the project

To develop a surveillance system in health care workers


A validated surveillance system for health care workers to be available one year from the starting point.


Health care workers


To develop a surveillance system based on self-administered questionnaires and organization data among others. Sensitivity and specificity of the system will be calculated. Data collection validation will be carried out in a sample of health workers. We will develop a quantitative scale to identify different degrees of stress in health workers. According to the workers stress level derivation to interventions will be carried out. Impact of the interventions will be evaluated using quantitative and qualitative methods. Identification and selection of interventions using evidence-based medicine will be carried out.

Dissemination Government, mutual, meeting, Labour and Health Ministries Impact (global or regional)

Regional


A literature review (general and specific) has been concluded and at the moment work is being carried out on the surveillance system design. The proposal, based on the bibliography, consists on a two-step survey system applied as a panel study at selected occupational sites. The instruments correspond to: a) short self- administered survey of high sensibility and b) interview survey of high specificity. The surveys will be administered sequentially at working places recognized for being stressors, in the literature. The proposal will be completed (first draft) in September.


GPA1.9t Formerly AA4:TM1e

Project title Countries in Transition: How to promote health at work in health organizations

Keywords Health care workers, health workforce, stress at work, burnout, mobbing, work ability index, human working index, risk assessment

GPA Objective


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CC or NGO Name

• Andrija Stampar School of Public Health, School of Medicine University of Zagreb, Zagreb, Croatia

• Institute of Occupational Health, WHO Collaborating Center, Skopje, Macedonia

Project leaders Email address

Prof Jadranka Mustajbegovic, MD, PhD [email protected] Prof Jovanka Karadzinska Bislimovska, MD,PhD [email protected]


Institute of Occupational and Radiological Health, Beograd-Serbia & Montenegro

Other partners

School of Medicine University of Tuzla, Department of Occupational and Environmental Health, Bosnia & Herzegovina

Funding Croatian and Macedonian Ministry of Science; Croatian and Macedonian Ministry of Health; Institute of Occupational Health, WHO CC, Skopje Macedonia; Croatian and Macedonian Medical Chamber; Social partners.


• To spread awareness, knowledge and skills in work-related stress within health care workers in tackling work-related stress

• To co-ordinate stress risk assessment • To educate workers and management in health organizations on how to work in

partnership to address work-related stress throughout the organization • To provide some solutions and directions • To develop train the trainer materials and documents


• To develop curriculum and toolkit to tackle work-related stress (by 2007) • To list the mayor stressors in healthcare workers (by 2008) • To assess stress and Work Ability Index (WAI) in the representative sample of

health care workers (by 2009) for international application or adaptation • To create the stress guidance pack – curriculum for training and education (by

2010) Target group and/or beneficiaries

All workers in health organizations, especially health workers and health managers


Globalization, processes of transition, and high rate of unemployment have emphasized the problem of work-related stress in transitional countries. Stress, mobbing and burnout are believed to be due to bad work organization in health care services. Activities are designed to explore the major determinants of work-related stress in health care workers using European Foundation for Living and Working Environment methodology for workplace surveys. Develop common set of indicators and develop national plans of action on work-related stress. Inter-country collaboration could take the form of regional fora: conferences, workshops in the particular area of stress at work with participation of the social partners.

Dissemination Meetings and workshops of health care workers, health managers, health and labour administration; WHO/ILO documents

Impact (global or regional) Regional (countries)

Progress on Project

A cross-sectional study was conducted in four clinical hospitals in Zagreb, over 6 months, ending January 2007. Self-reporting questionnaires about work-related stressors and WAI were completed by 395 physicians and 1086 nurses. Factor analysis classified the stressors into 7 groups: Work management and financial issues, public criticism, shift work, professional demands, interpersonal communication, professional health hazards, and job dissatisfaction. Physicians reported organization of work, financial issues, public criticism, law suits, shift work, professional and intellectual demands as very stressful. Nurses with secondary school education perceive all of the 7 groups of stressors more stressful than nurses with higher education. Hazard perception and dissatisfaction with jobs contribute to low (WAI<37), while professional and intellectual demands, and job satisfaction cause higher chance for a good and excellent work ability (WAI>37).

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• Development and evaluation of the measuring tool for perceived workplace stressors among hospital workers was done and published in the PhD thesis which presents the factor structure, reliability, validity and calibration of the Occupational Stress Questionnaire for Hospital Health Care Workers (OSQ-HHCW). The study included 2380 participants aged between 18 and 65 years who were employed as healthcare workers in 5 hospitals in Zagreb, Croatia. Factor analysis yielded six factors of relatively high reliability of inner consistency (all values of Cronbach α exceeded 0.7): Workplace Organization and Financial Issues, Public Criticism, Hazards at Workplace, Conflicts and Communication at Work, Shift Work, Professional and Intellectual Demands. The OSQ-HHCW is a suitable instrument for the recognition and quantification of occupational stress, thus having an important role in the development of evidence-based strategies that target at improving health and safety among hospitals healthcare workers.

• The 4th Symposium of Croatian Medical Chamber, organized together with WHO CC in Occupational Health in Croatia, held in March 2010, focused on the stress at work and quality of life of medical doctors

• Results of this work are recognized in the Region and the researchers are in the FP7 project- Call identifier: FP7-HEALTH-2009-single-stage, Proposal No: 242084, Acronym: ORCAB, “Improving quality and safety in the hospital: The link between organisational culture, burnout, and quality of care", has been favourably evaluated.

• Publications: o Golubić, Rajna; Milošević, Milan; Knežević, Bojana; Mustajbegović,

Jadranka. Work-related stress, education and work ability among hospital nurses. // Journal of Advanced Nursing. 65 (2009)

o Knežević, Bojana; Milošević, Milan; Golubić, Rajna; Belošević, Ljiljana; Russo, Andrea; Mustajbegović, Jadranka. Work-related stress and work ability among Croatian university hospital midwives (2009).

o Golubić, Rajna; Knežević, Bojana; Milošević, Milan; Radonić, Ana; Belak, Marin; Knežević, Predrag; Mustajbegović, Jadranka. Work-related stress among female staff in Croatian hospitals // Budapest Meeting Abstract. 2007. Cell Stress Chaperones online 12.

o Knežević, Bojana; Milošević, Milan; Golubić, Rajna; Belošević, Ljiljana; Matec, Lana; Mustajbegović, Jadranka. Work-related stress and gender differences among Croatian hospital physicians // Budapest Meeting Abstract. 2007. Cell Stress Chaperones, online 12.

o Milošević, Milan; Knežević, Bojana; Golubić, Rajna; Mustajbegović, Jadranka; Matec, Lana; Debeljak, Maja. Differences in stress perceptions between physicians in surgical and non-surgical specialities // Budapest Meeting Abstract. 2007. Cell Stress Chaperones online 12.


• To apply for perceived workplace stressors among other health workforce • To list the major stressors in healthcare sector


• To develop program in the community under draft title: “I care for my healthcare givers” trying to sensitize community for the work conditions of health workforce.

2009-2012 Work Plan Number GPA1.9u

CONTRIBUTING PROJECT Title How to maintain health care workers workability and quality of life



Priority Initiative


105


Andrija Stampar School of Public Health, School of Medicine University of Zagreb, Zagreb, Croatia

Project leader Professor Jadranka Mustajbegovic, MD, PhD [email protected]

Network partners

Institute of Occupational and Radiological Health, Beograd, Serbia; [email protected] Institute of Occupational Health, Republic of Macedonia, WHO CC; [email protected] School of Medicine University of Tuzla, Bosnia and Herzegovina; [email protected]


WHO/Regional/HQ lead: Dr Ivan Ivanov, [email protected] WHO/EURO Centre for Environment and Health: Dr Rokho Kim, [email protected] WHO Liaison Officer in Croatia: Dr Antoinette Kaic-Rak, [email protected]


Croatian Ministry of Health and social Welfare: Dr Dunja Skoko-Poljak, [email protected]


IBG Institut für Humanökologische Unternehmensführung GmbH, Dr Rudolf Karazman, [email protected]


Research into workplace stress, work ability and quality of life indicates worryingly high levels of poor psychosocial health in the health care population as a vulnerable group which is recognised by WHO. There is a need to build a health care system compatible with the psychological, social and physical characteristics of human beings, be they patients or health care professionals, in order to improve work ability, quality of life and quality of patient care. To achieve this goal we need to determine factors that are associated with changes and preservation of health care professionals’ work ability, quality of life and to what extent.


All workers in health organizations, especially health care workers / providers and health managers


Inter-country collaboration could take the form of regional cooperation, e.g. conferences and workshops in a particular area with participation of the social partners. Recognising these priorities on national and regional levels can have a significant impact on the promotion of health care workers’ mental health and on healthy workplaces, quality of patient care and patient safety.


The project will produce a guidance document which includes a range of successful initiatives adopted by the Croatian Ministry of Health and Social Welfare in order to improve health care workers’ work ability and quality of life.


Expected direct outputs will be a developed toolbox of workplace-related indicator system for adequate assessing of hospital healthcare providers’ work ability and quality of life. Concept of educational contents and programmes for sustainable work ability and quality of life, strategic hospital management and health care providers will be developed.


• 2009 - 2010: Developing toolkit, action plan and regional cooperation network, reaching hospitals, conducting surveys

• 2010 - 2011: Analyzing collected data, publication of results, developing a prevention plan

• 2011 – 2012: Reaching hospital management (meetings, workshops) and developing final guidance document on national and regional levels


Health of health care providers, personal development and life quality represent a high value not only for employers but also for the health care system, for countries’ democratic sustainability and social coherence based on human sustainable development. Recognising these priorities on regional and national levels can have great positive public health impact not only on health workers mental health preservation, but also on the improvement of patient safety.

Funding source(s)

Croatian Ministry of Science, Education and Sports; Croatian Ministry of Health and Social Welfare; Croatian Medical Chamber, Social partners.

Dissemination Workshops; Publications; WHO/ILO documents; meetings

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• To develop toolkit which intention is to assess and to maintain health care workers quality of life and their workability, research was done and results were presented as PhD thesis. This dissertation analyzes work ability, quality of life and salutogenic productivity of hospital health care workers employed in seven hospitals in Croatia. A cross-sectional study was conducted. The study population consisted of 1633 participants (267 men, 1366), aged 19-64 years. Different types of hospitals were included: 2 clinical, 4 general and 1 specialized hospital. The study was carried out in 2007 and 2008. Despite the methodological limitations, this study clearly shows the descriptive details of work ability, QoL and salutogenic productivity of hospital health care workers and points to the need to formulate and implement a workplace health promotion program that aims at maintaining work ability.

• The 4th Symposium of Croatian Medical Chamber, organized together with WHO CC in Occupational Health in Croatia, held in March 2010, focused on the stress at work and quality of life of medical doctors.

• Results of this work are recognized in the Region and the researchers are in the FP7 project- Call identifier: FP7-HEALTH-2009-single-stage, Proposal No: 242084, Acronym: ORCAB, “Improving quality and safety in the hospital: The link between organisational culture, burnout, and quality of care", has been favourably evaluated.

• Publications: o Golubić, Rajna; Milošević, Milan; Knežević, Bojana; Mustajbegović,

Jadranka. Work-related stress, education and work ability among hospital nurses. // Journal of Advanced Nursing. 65 (2009)

o Knežević, Bojana; Milošević, Milan; Golubić, Rajna; Belošević, Ljiljana; Russo, Andrea; Mustajbegović, Jadranka. Work-related stress and work ability among Croatian university hospital midwives (2009).

o Golubić, Rajna; Knežević, Bojana; Milošević, Milan; Radonić, Ana; Belak, Marin; Knežević, Predrag; Mustajbegović, Jadranka. Work-related stress among female staff in Croatian hospitals // Budapest Meeting Abstract. 2007. Cell Stress Chaperones online 12.

o Knežević, Bojana; Milošević, Milan; Golubić, Rajna; Belošević, Ljiljana; Matec, Lana; Mustajbegović, Jadranka. Work-related stress and gender differences among Croatian hospital physicians // Budapest Meeting Abstract. 2007. Cell Stress Chaperones, online 12.

o Milošević, Milan; Knežević, Bojana; Golubić, Rajna; Mustajbegović, Jadranka; Matec, Lana; Debeljak, Maja. Differences in stress perceptions between physicians in surgical and non-surgical specialities // Budapest Meeting Abstract. 2007. Cell Stress Chaperones online 12.


To develop toolkit for other health care workers.


• To develop program in the community under draft title: “I care for my healthcare givers” trying to sensitize community for the work conditions of health workforce.

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2009-2012 Work Plan Number GPA1.9aa


Changing world of work in nursing sector and migration: developing preventive strategies



Priority Initiative


Responsible CC or NGO Name ISPESL – Dept. of Occupational Medicine ITALY

Project leader Dr Sergio Iavicoli ([email protected]) Dr Antonio Valenti ([email protected])

Network partners

European Agency for Safety and Health at Work, Spain FIOH, Finland Swedish Work Environment Authority, Sweden


WHO - EURO




Nursing shortage is reported to be an increasing problem worldwide due mainly to early retirement from work and insufficient turnover of nurses coming from educational programmes. The shortage of nurses in Italy is 99.000 (OECD). Work flexibility by acquiring professionals through outsourcing (social cooperatives and work supply) and facilitation of migration flow of foreign nurses have been introduced to tackle the problem. In Italy, their presence in hospitals has tripled in the period 2002 – 2005. The project is aimed at identifying key priorities for developing strategies and tools for better work organization in the nursing sector with special focus on migration.


Health care sector (nurses and migrant workers)


International congresses (e.g. ICOH 2009 Cape Town, 22-27 March 2009) 9th Conference of the European Academy of Occupational Health Psychology, Pontifical Urbaniana University, Rome, 29 – 31 March 2010


• Questionnaire to identify gaps and needs in OSH for nursing sector • Publication of results • Tools for information and prevention in nursing sector



• 2009: Analysis of scientific literature on the subject, census of the sources and regulatory context. Identification of a representative sample of the population under study

• 2010: Production of a survey and critical analysis of results • 2011: Dissemination of results by targeted tools and events

Public health impact Regional

Funding source(s) Self-funding

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Dissemination Documents, guidelines, workshops


Developed fact-sheet for prevention of burnout in Latin American Countries “Etrés y burnout en profesionales de la salud”. ISPESL (National Institute for Occupational Safety and Prevention) – Department of Occupational Medicine, Rome, 2009 (ISBN 978–88–6230–060-5). Disseminated booklet “Stress and Burnout” (second edition) edited by Marta Petyx, Patrizia Deitinger, Benedetta Persechino, Antonio Valenti, Sergio Iavicoli. ISPESL (National Institute for Occupational Safety and Prevention) – Department of Occupational Medicine, Rome, 2009 (ISBN 88-978-88-6230-043-8)


Questionnaire to identify gaps and needs in OSH for nursing sector; Dissemination of results; Tools for information and prevention in nursing sector


Area 4: Pharmaceutical and chemical risks 2009-2012 Work Plan Number

GPA1.9h Formerly AA3:H2

Project title Occupational risks in Cuban health care workers: exposure assessment, prevention, training and guidelines

Keywords Exposure assessment; risks prevention; anaesthetic gases exposure; industrial hygiene; stress at work; psychosocial factors; health care workers; burnout

GPA Objective GPA Objective 1: To devise and implement policy instruments on workers’ health Action 1.10

CC or NGO Name

Clinica del Lavoro “Luigi Devoto”, Milano, Italy Istituto Nacionale de Salud de los Trabajadores (INSAT), LA HABANA – Cuba


Silvia Fustinoni, e-mail: [email protected] M.E. Linares, H. Diaz, e-mail: [email protected] Patrizia Deitinger e-mail: [email protected]


ISPESL, Rome, Italy

Other partners Fondazione IRCCS Ospedale Maggiore Policlinico, Mangiagalli e Regina Elena, Milano Associazione Italia-Cuba

Funding


• To conduct a study on exposure to anaesthetic gases in health care workers in Cuba and their outcome on workers’ health

• To improve technical capability of laboratories in Cuba dealing with environmental and biological monitoring of occupational exposure

• To develop training programs for physicians, and nurses, industrial hygienists, and all the subjects 80 involved in prevention

• To publish guidelines, booklets to address risk management and scientific articles to report the results of the studies


• Improvement of working and health conditions in Cuban health care workers • Improvement of know-how through educational courses for prevention operators • Training packages for operators of prevention (industrial hygienists, occupational

physicians, psychologists)

Target group and/or

Health care workers, occupational health physicians, nurses, industrial hygienists, laboratory technicians, psychologists, institutions for safety and prevention at work.

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beneficiaries


Assessment of exposure to anaesthetic gases and risk reductions: • Complete methods development • Apply methods to evaluate exposure and its neurobehavioral effects in health care

workers • Study solutions for the reduction of exposure and apply them in the polluted

environments • Test the efficacy of the adopted solution. • Education - Organization of specific frontal training packages on industrial hygiene

and biological monitoring and psychosocial risks in health care workers

Dissemination Guidelines for safety and prevention at work, booklets and training packages for workers and operators of prevention, scientific publications

Impact: global/regional Regional

Progress on Project

The Cuban colleagues are working on assays for measuring: • airborne exposure to anaesthetic gases in health care workers in Cuba • urinary levels of anaesthetic gases in occupationally exposed subjects

Italian experts from the "Clinica del Lavoro” provide Cuban colleagues with useful supplies and advice. ISPESL, Italy, translated into Spanish a booklet, originally edited in Italian, dedicated to health care workers. The booklet is titled: "Stress and burnout - how recognize symptoms and prevent risk". This booklet has been presented to the Cuban colleagues during the 2nd International Congress on Health and Work, Cuba, 2007.


GPA1.9i Formerly AA3:H3

Project title Assessment of exposure to antineoplastic agents in pharmacy and hospital personnel

Keywords Antineoplastic drugs, biological monitoring, wipe samples

GPA Objective GPA Objective 1: To devise and implement policy instruments on workers’ health Action 1.10

CC or NGO Name

Institute and Outpatient Clinic for Occupational and Environmental Medicine, University Munich

Project leader Email address Dr. Rudi Schierl, [email protected]


National Institute for Occupational Safety & Health (NIOSH), USA Centre for Environmental and Occupational Health, Porto, Portugal University of Maryland, USA INRS, France

Other partners

Funding Initial funding is secured from a German pharmacy network. Funding for the next years has to be applied for.


Examination of safe working conditions related to handling of antineoplastic drugs during drug preparation or administration in hospitals


• To test the wipe-kit that will be readily usable for different countries (by 2007) • To develop training courses for the wipe-kit (by 2009)


Pharmacy technicians, pharmacists, nurses, medical doctors

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There is a risk of adverse health effects for personnel with occupational exposure to antineoplastic agents. The study is aimed at identification, quantification and evaluation of potential health hazards of exposed personnel in pharmaceutical and oncological departments. Biological monitoring for important substances had produced evidence for uptake, but sources remained doubtful in many cases. Therefore we developed an environmental monitoring strategy in order to detect contamination and to improve working procedures. Within this scheme we are sending a wipe-sampling kit with detailed instructions to hospitals and pharmacies, where sampling is done by local staff. Analyses, evaluation and recommendations were carried out from our institution.

Dissemination Publications, university studies, reports Impact: global/regional Global

Progress on Project

“Wipe-Kit” which can be delivered to pharmacies and hospital units. A detailed instruction with photos is included. At present also a CD-ROM with a video (in German) is available. After sampling the parcel is sent back to Institute and Outpatient Clinic for Occupational and Environmental Medicine laboratory and analyses are performed. Finally, the Institute sends the results together with evaluation and recommendations. During the last year the "Wipe-Kit" was sent to about 50 participants in Germany in order to identify contamination in pharmacies and hospitals. There was also cooperation with a big hospital in Paris, where they did monitoring at several sites (publication under preparation). Publications: 1) Turci R, Sottani C, Schierl R, Minoia C: Validation protocol and analytical quality in biological monitoring of occupational exposure to antineoplastic drugs. Toxicol Lett 162 (2-3), 256-262 (2006) 2) Schierl R, Böhlandt A, Nowak D. Guidance values for surface monitoring of antineoplastic drugs in German pharmacies. Ann Occup Hyg 53, 703-711 (2009).


Meanwhile “guidance values” for good work practice are defined (see publication)


Comparison of surface monitoring and biological monitoring (with INRS) Helping South America to build up lab capacities (organized by University of Maryland)



New Project GPA 1.9cc

PROJECT Title Developing tools for the safe handling of hazardous drugs



Priority Initiative

Priority 4: Conduct studies and develop evidence-based tools and information materials for the comprehensive protection and promotion of health for healthcare workers Area 4: Pharmaceutical and chemical risks

Responsible CC or NGO Name University of Maryland, School of Medicine


Melissa McDiarmid, MD, MPH [email protected] Katherine Squibb, PhD [email protected] Joanna Gaitens, PhD, RN [email protected]

Network Institute of Occupational and Environmental Medicine, University of Munich

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partners (CC name, country, email)

Dr. Rudolf Schierl [email protected]


Pan American Health Organization (PAHO) Marie Claude Lavoie, MSPH [email protected]


Not applicable.


Not applicable.


The University of Maryland (UMD) will collaborate with other network partners and PAHO to develop tools for identifying and addressing occupational health risks associated with the administration and handling of hazardous drugs in the healthcare sector. Specifically, UMD will focus on expanding the section on chemical hazards in WHO’s Manual for Healthcare Workers and developing a tool that can be used “in the field” to identify and mitigate hazards related to hazardous drugs. UMD will also work with the University of Munich and laboratories in the Americas to provide guidance for interpreting wipe sample results.


Healthcare workers, especially those who administer or handle hazardous drugs.


1. Expansion of the WHO’s Manual for Healthcare Workers segment on chemical hazards, specifically hazardous drug handling by 2012. 2. Development of a two-page tool that can be used in the healthcare sector to identify and mitigate hazards related to hazardous drugs by 2010. 3. Identify laboratory partner in the PAHO region to analyze wipe sample results for hazardous drugs using approach of University of Munich and Dr. Rudy Schierl by 2012.

Dissemination plan

Inclusion of material developed in WHO’s Manual for Healthcare Workers. Integrate hazardous drug information into existing projects and proposals

Funding source(s) University of Maryland, PAHO, and possibly other network partners.

Deliverables by 2010

The ability to analyze wipe sample results for hazardous drugs will be established in the Americas and at least one hospital in the region will conduct wipe sampling to assess risks associated with the handling of hazardous drugs. Also, the number of hospitals in the Americas that establish and/or update policies and procedures related to identifying and addressing risks associated with the handling of hazardous drugs will increase.

Additional Major outcomes expected by 2012

The ability to analyze wipe sample results for hazardous drugs will be established in the Americas and at least one hospital in the region will conduct wipe sampling to assess risks associated with the handling of hazardous drugs. Also, the number of hospitals in the Americas that establish and/or update policies and procedures related to identifying and addressing risks associated with the handling of hazardous drugs will increase.

Area 5: Comprehensive programmes including Risk Assessment / Risk Management tools and information


GPA1.9j Formerly AA3:H4

Project title Identification and prevention of occupational risks for Health Care Workers (HCWs)

Keywords Risk Assessment, Health Care Workers, Prevention of occupational illness, Ergonomics, HIV and other infectious diseases


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CC or NGO Name

National Institute for Occupational Health (NIOH), SA


Prof Mary Ross ([email protected]) assisted by Ms Claudina Nogueira for NIOH [email protected]


OEHRU CC (University of Cape Town), SA Singapore CC (National University of Singapore) HSL CC (UK)

Other partners ICOH WGOIA, ICOH SC for HCWs, Health Protection Agency (UK), Center of Ergonomics for Developing Countries, Sweden, National Institute for Communicable Diseases (NICD), South Africa (WHO CC in Communicable Diseases), University of British Columbia (UBC)

Funding Funding from the National Health Laboratory Service, South Africa to develop surveillance system for laboratory workers (NIOH). Unsuccessful funding proposal for 2009 to CIDA for surveillance system and evaluation of surveillance system for public hospitals – support from SA provincial governments and UBC obtained.


Develop and pilot practical tools and methods for risk assessments in health care settings: primary and secondary preventive intervention.


Outcomes and deadlines of the project: • To develop a health care workers’ toolkit comprising: risk assessment tools, case

studies and materials for promotion of occupational health for HCWs (2011) • To develop training packages for the toolkit deliverable through e-learning and face-

to-face (by 2011) • Collection of data and case studies in South Africa on tuberculosis incidence and

HIV infection in HCWs (2011) • To develop a model for implementing the toolkit within a basic occupational health

service for HCWs (2012) • Obtain material s/ courses from partners e.g. Singapore, HPA, WGOIA (ongoing) • Training information on dealing with high risk situations (ongoing) • Occupational health surveillance system for health care workers (2012)


Health Care workers, particularly for developing countries.


The project will address the risk assessment and prevention of global occupational illness such as biological exposures (e.g. HIV, TB, HBV, HCV, avian flu), chemical (e.g. latex), physical (e.g. violence) exposures and ergonomics.

Dissemination Publications, reports Impact: global/regional Global

Progress on Project

To develop toolkit for risk assessment, case studies, materials: 1. Review of incidence of TB in NHLS laboratory workers commenced and other cases to

be collated in 2010 for partners to review. 2. Obtain materials from partners through ICOH WGOIA on best practices for HCWs on

infectious diseases. 3. Occupational health surveillance systems: NIOH implementing HCW surveillance tool

with electronic system to interface with personnel data.


1. Fact sheets on avian influenza and respirator fit (NIOH) 2007 2. Chapter on walk through risk assessment in health care facilities: Ferrie R, Ross MH.

Walk-through survey. Chapter 21 in: Gurusamy J, Masilamani R. eds, Occupational health for health care professionals – caring for the carers. Kuala Lumpur: Malaysian Medical Association, 2008 [available on request, from Ms Claudina Nogueira, NIOH]

3. Piloting and establishment of data collection system for health care workers in the NHLS in South Africa (2009)

4. Review of training materials for pandemics by WGOIA: identified best practice documentation from FOM in UK available on internet 2009

5. Handbook for health care workers on pandemic influenza by partner organisation NICD South Africa – available on internet. 2009 updated in 2010

List of additional outcomes expected from this project by

Balance of outcomes as listed in project outcomes.

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2012


Suggest terminating project in 2012 and co-ordinate efforts with SC for Health Workers of the ICOH and the ICOH WGOIA and other bodies engaged in the developmental work of toolkits for health care workers.


GPA1.9m Formerly AA3:H8

Project title Assessment of Environmental and Health Risks in a Mega Hospital (Cairo University Hospitals)

Keywords Environment, health, risk, infection, ergonomic, musculoskeletal, chemicals, radiation


CC or NGO Name National Institute for Occupational Safety and Health (NIOSH), Egypt


Dr. Hussein abd el hay ibrahim [email protected]


Other partners Kasr El-Aini Faculty of Medicine and Cairo University Hospitals (Cairo University)

Funding Egypt NIOSH (LE.20000) Objective of the project

Assessing various environmental and health risks present in Cairo University Hospitals and impacting the employees, patients, visitors, as well as the service itself.


Project outcomes (expected): • Have a clear "environment and health risk model" in large hospitals • Help the hospital management, through risk characterization report, to manage the

identified risks • Disseminate the outputs and lessons learnt through training workshops targeting

managers of hospitals and health care centers affiliated to the Ministry of Health and Population

Deadline for completion of the project: December 2010 Target group and/or beneficiaries

Health care workers (physicians, nurses, technicians and workers) at the Cairo University Hospitals


The main objective of the project is to assess the various environmental and health risks present in Cairo University Hospitals and impacting the employees, patients, visitors, as well as the service itself. The project started in July 2007, at the Cairo University Hospitals (6000 beds and a variety of supporting facilities and utilities) and is executed through a team of research physicians, hygienists, and engineers from both the NIOSH and Cairo University Hospitals. The project methodology depends on applying a series of formats, checklists (derived from US-EPA and similar agencies), and measuring tools for various hazards identified in the hospital including infection, ergonomic, musculoskeletal, chemicals, radiation, and others. The methodology also constitutes a health survey of a large representation of the workforce at the hospital.

Dissemination Ministry of Health and Population related departments Impact (global or regional)

Help the hospital management, through the risk characterization report, to manage the identified risks

Progress on Project

1. Design and standardize the study tools (forms, checklists, measuring tools, etc.) 2. Obtaining all related permissions for executing the study 3. Execution of about one-half of the environmental survey, including measurements of

workplace environmental concerns (chemicals, radiation, etc.)

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4. Execution of health survey on about one-third of the target workforce


GPA1.9p (Project Completed) Formerly AA4:CE3g

Project title Video-Conference Seminar on Usage of personal protective equipment for health care workers

Keywords Video-conference teaching, personal protective equipment, health care workers


CC or NGO Name WHO CC - National University of Singapore


Dr. Sin Eng Chia [email protected]


WHO CC, University of Occupational and Environmental Health, Japan (responsible person Dr Ken Takahashi) National Institute for Occupational Health (NIOH), South Africa

Other partners

National Cheng Kung University and Medical Center, Taiwan (responsible person Dr Leon Guo)

Funding Funded by respective WHO CCs.


• To assist participants from developing countries on the different types of personal protective equipment (PPE) that could be used to protect health care workers

• To enable participants to choose the correct type of PPE and the right way of wearing it

• To set an example for other WHO CC to use this method (video-conferencing) to reach out to large numbers of participants without them having to travel extensively for the training

• Builds on experience of 2005 in implementing tele-conferencing in occupational health among several of the above institutions


Project Outcomes • HCW will know what type of PPE to use to protect themselves against different

types of hazards at their workplace and how to wear them correctly • The lectures and discussion will be recorded in a CD and this will be given to the

participants and any other WHO CCs who need the training • Other WHO CCs will also adopt this method of training for some education

packages Deadlines: We plan to have a one-day seminar in 2006 with a possible repeat in 2007 if there is a demand for it. The CD of the Seminar should be ready within a week of the date of the seminar.


Health care workers, particularly from developing countries.


This Video-Conference Seminar includes lectures, forum and panel discussion with experts in this field, from Singapore, South Africa, Japan and Taiwan. Speakers and delegates will participate in the lectures, forum and panel discussions via video-linked with the respective countries. The Seminar will be recorded in CD and made available to all interested WHO CCs.

Dissemination Via WHO CC channels Impact (global or regional)

Global as participants will be coming from different countries with a large portion from the developing countries.

Progress on Project

Prof Mary Ross, the director of the National Institute for Occupational Health (NIOH), South Africa has resigned. We are trying to re-establish contact again. Counterparts at National Cheng Kung University and Medical Center, Taiwan have left the university for National Taiwan University (NTU). We have established links with NTU. The International Society for Respiratory Protection (ISRP) has agreed to join us. It would provide valuable assistance in producing a training package on the use of respiratory equipment and perhaps sponsor some N95 respirators for use in developing countries.

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GPA1.9r Formerly AA 4:TM1b

Project title Latex Allergy and Asthma – Risk management programme for health care workers

Keywords Latex, allergy, asthma, health care workers

GPA Objective GPA Objective 1: To devise and implement policy instruments on workers’ health CC or NGO Name National Institute for Occupational Health (NIOH), South Africa


Ms Tanusha Singh [email protected]


NIOH: South Africa University of Cape Town (UCT): South Africa

Other partners BGFA (Germany)

Funding The project will be partially supported by NIOH, UCT


To develop a comprehensive latex risk management programme in public health care settings


• To develop a screening questionnaire for latex allergy (by end 2006) • To develop a poster of the stepwise approach to diagnosing latex allergy (by end

2006) • To develop an information sheet on latex allergy and its prevention directed at

employees and employers, available both electronically and in hard copy (by end 2007)


Health care facilities, clinics and dental institutions and laboratories, particularly in rural settings


The promulgation of health and safety regulations requiring employers to provide protective measures for their employees has led to an increased demand for latex gloves resulting in increasing incidence of latex allergy. Latex allergy has serious personal and health service consequences including potential work restriction and morbidity. This project aims to educate hospital management and exposed workers about latex allergy through implementing a latex awareness programme which includes an approach to diagnosis and management of latex allergy and asthma within public sector health services and laboratories in southern Africa.

Dissemination Through workshops with health service representatives and employees. Impact (global or regional) Global – the intention is for the project to be a model for use in other countries.


• To develop an information sheet on latex allergy and its prevention directed at employees and employers, available both electronically and in hard copy


GPA1.9s Formerly AA 4:TM1c

Project title Enhanced diagnosis and management of pulmonary tuberculosis: flow sheet for health care workers

Keywords PTB, diagnosis, performance review


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Prof Jill Murray [email protected]


Other partners Medical School, University of the Witwatersrand (South Africa) Funding Objective of the project To update and ‘fine-tune’ the existing flow sheet for use internationally.


An improved internationally applicable one-page evidence based flow sheet for the enhanced diagnosis and management of PTB – December 2007.


All occupational health practitioners


Earlier studies explored an effective method for improving the diagnosis and management of PTB by identifying, producing and distributing appropriate educational material for the implementation of best practice. Process review was identified to be an effective way of developing successful practice habits. Implementation of the program in the South African mining industry resulted in significant improvement in the diagnosis of PTB. This project seeks to update the tool and to implement its use internationally.

Dissemination Web based Impact (global or regional) Global

Progress on Project No update

Progress on Project

The tool has been updated to incorporate changes in management with respect to anti-retroviral therapy. The tool was presented in a workshop at the 38th Union World Congress on Lung Health in Cape Town in 2007 and currently is being used in an assessment of TB services in both South Africa and the UK.

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Please indicate whether this is a:

Existing project 1.9v


Assessment of working conditions and specificities of health, safety and wellbeing promotion of Bashkortostan health care workers

GPA Objective and Action GPA Objective 1 Priority Initiative Priority GPA1.4 Responsible CC or NGO Name Ufa Institute of Occupational Health and Human Ecology,

Russia Project leader (contact name and email address)

Prof. Bakirov, Director of the Institute [email protected]

Network partners (CC name, country, email) WHO Regions involved in this CONTRIBUTING project (contact name and email)


Bashkortostan Ministries of Health and Labour


Summary of the project (max 100 words) The studies on health care workers’ health promotion associated with occupational risks and living conditions are being conducted by the Institute staff. The actuality of the studies is determined by the work environment impact, a complex of psychosocial factors causing occupational and work-related diseases, syndrome of chronic tiredness and burnout among health professionals. Analysis of main noninfectious, occupational diseases prevalence, stress possibility, individual stress resistance and response as well as stress development prognosis makes it possible to develop a system of preventive measures aimed at optimizing working conditions, health promotion as well as activity of hepatitis immunization among health care workers. The development of recommendations on occupational mental health promotion will contribute to the organization of proper treatment of distress, and creation of the resource system for health care workers’ support.

Target group and/or beneficiaries Health care institutions, health care workers, OHS professionals, trade unions


Participation in the interagency meetings, conducting conferences and workshops that would give guidance on how to analyse and interpret the results obtained; national specific case studies to analyse risk management tools.


Improvement of working conditions and health status of workers and identifying individuals at risk

Indicators of achievement (impact) Development of a guidance and information materials, research publications.


To develop approaches to the assessment and management of occupational risks – 2010; The development of a guidance on assessment and improvement of working conditions – 2011; The project will lead to the development of a rehabilitation programme – 2012.

Public health impact Regional and national Funding source(s) Bashkirian Academy of Science, Ministries of Health and

Labour, self-funding. Dissemination Regional web-site, conferences, seminars, educational

pogrammes

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GPA1.9w Formerly AA6:SWI5

Project title WHO / Trade Unions Network on Implementing Workers Health Initiatives

Keywords Trade Unions, ICFTU, SustainLabour

GPA Objective GPA Objective 1: To devise and implement policy instruments on workers’ health CC or NGO Name

Great Lakes Centers, University of Illinois, Chicago, USA


Dr Peter Orris [email protected]


UIC GLC WHO HQ Public Health and Environment

Other partners SustainLabour, ICFTU, TUAD ISTAS (proposed) ILO, ISSA, IFCS, SAICM, EU, UNEP, and OECD as well as under the WHO Commission on Social Determinants of Health (proposed)

Funding In Kind from Partners Project specific fund raising proposed


Support of the growing collaboration WHO and Trade Unions in the area of occupational health and safety and the Environment as a follow up of WILL2006 facilitating the transmission of WHO health information resources to work places throughout the world on areas of concern to workers.


Specific collaboration between WHO and Trade Unions will be established in the short term on the following topics: • elimination of asbestos related diseases • prevention of chemical risks at the workplace • HIV/AIDS at the workplace • ICFTU’s national profiles for occupational health and safety • occupational health services • prevention of work-related stress • smoke-free and alcohol-free workplaces


Workers, their families, and communities


The project will coordinate the activities of interested Collaborating Centers with national and international trade unions and to participate in the growing WHO and other international organizations collaboration with global trade unions on issues of Health Safety and the Environment.

Dissemination The resources of the global unions will be enlisted to disseminate the products of this collaboration to workplaces throughout the world.


PROGRESS ON PROJECT

This project provides technical assistance to support collaboration between international groups. Progress includes the following: ASBESTOS: A strategy meeting was held in Brussels in the Fall of 2006 concerning the practical aspects of banning asbestos. MERCURY: The World Medical Association at its General Assembly in October of 2007 endorsed a resolution concerning removal of mercury from health care and referred it for discussion to the national medical associations for final passage at the 2008 General Assembly. Zero Waste / Recycling: Meetings were held in Geneva in October 2007 with Public Services International, an international trade union secretariat, concerning the development of an international trade union campaign in conjunction with environmental coalitions to promote recycling and a zero waste goal. WHO-ITUC: A meeting was held in April of 2006 between representatives of the International Trade Union Confederation and Sustain Labour with the leadership of the Public Health and the Environment Department of WHO. This resulted in an agreement for

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continuing collaborative work in the occupational and environmental arena.

2009-2012 Work Plan Number GPA1.9y


Training of trainers on the usage of respiratory protection for Health Care workers (HCW) in Cambodia who work with suspected avian influenza patients

GPA Objective and Action GPA Objective 1: To devise and implement policy instruments on workers’ health

Priority Initiative

Priority 1.4: Conduct studies and develop evidence-based tools and information materials for the comprehensive protection and promotion of health for health care workers, emphasizing HBV immunization Area 5: Comprehensive programmes including Risk Assessment / Risk Management tools and information

Responsible CC or NGO Name National University of Singapore (NUS)

Project leader Sin-Eng Chia, [email protected]

Network partners Catholic University, Korea, Prof Hyunwook Kim, [email protected]


WPRO Sharon Salmon, Technical Officer-Infection Control World Health Organisation [email protected]


Cambodia, Ministry of Health, Dr Sok Srun, [email protected]


Mr Simon Smith, International Society for Respiratory Protection (ISRP), [email protected] , Singapore International Foundation (SIF), Ms Phua Pei Pei, [email protected]


This pilot Respiratory Protection Program Training Course for Trainers course aims to:

1) make available a set of training material, contextualize to Cambodia, on the usage of respiratory protection among health care workers (HCW)

2) train group of trainers, selected by the Ministry of Health, CDC, on the usage of different types of respiratory protection and the correct way of wearing and maintaining them

3) provide the necessary type of respirator protection for the training course and a set of the respirators to be use when managing suspected avian influenza


Health care workers in Cambodia in designated hospitals for suspected avian influenza


After the pilot programme, the approach, modified according to the review, will be implemented in an expanding role as more trainers are engaged:

• Other health care facilities in Cambodia • Health care facilities in other countries – initial targets will be other south-east Asian

countries and Africa • Other industries requiring respiratory protection which are currently in need of

appropriate education Expected results of this project by 2012 (outcomes)

We aim to train all the trainers in Cambodia designated hospitals for suspected avian influenza.


HCW in the Cambodia designated hospitals for suspected avian influenza would have the correct respirators and would be wearing them correctly.

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Major Milestones

End May 2009 – start of pilot 1-week training course End May 2010 – 2nd 1-week Training course End Dec 2010 – 3rd 1-week Training course End May 2011 – 4th 1-week Training course


If the training courses are successfully implemented, HCW in the Cambodia designated hospitals for suspected avian influenza would be protected against infection with avian influenza. This preventive measure will empower the HCW to continue to provide health care services to the community which is so very important in a pandemic. There is the possibility that this program could also be replicated in other developing countries, with similar needs.

Funding source(s) ISRP

Dissemination A 2-day Training Program was conducted on11-12 May 2010 in Siem Reap, Cambodia.


32 Health Care Workers were trained. Majority were doctors from 24 provinces in Cambodia. Included in the participants were also official from Ministry of Health.



2009-2012 Work Plan Number GPA1.9bb


The evaluation of immunodiagnostic tests for TB infection and determinants of such infection in a population of South African health care workers



Priority Initiative



Occupational and Environmental Health Research Unit (OEHRU), University of Cape Town (UCT), South Africa

Project leader Dr Shahieda Adams [email protected]

Network partners

Occupational and Environmental Health Research Unit (OEHRU), UCT School of Public Health and Family Medicine, South Africa Academic supervisor: Prof Rodney Ehrlich [email protected]


AFRO

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Currently in negotiation with Provincial Health Department and local authorities for access to health facilities and collaboration with the study.


Lung Infection and Immunity Unit, Department of Medicine, UCT,South Africa Prof Keertan Dheda [email protected]


Mycobacterium tuberculosis infection in health care workers (HCWs) not been adequately studied in countries with a high prevalence and incidence of TB and HIV infection. The newer T-cell based immunodiagnostic tests for the diagnosis of TB infection may well have a role in screening programmes for improved detection of TB infection owing to greater specificity of these tests and less susceptibility to confounding factors such as BCG vaccination and NTM infection. Studies in high TB burden settings that evaluate the utility of these newer interferon based tests have been few and have produced varying results, highlighting the need for large well-conducted prospective trials to provide answers in this regard. The increased occupational risk of contracting TB, together with the recognition that HCWs represent a skilled and valuable human resource in South Africa, warrants further research into the performance and possible use of the newer immunodiagnostic tests for screening purposes in a population at high risk of developing TB disease.


Health care workers employed in the public sector


Good support and interest for the project from the OEHRU and The Lung Infection and Immunity Unit. Research Ethics Approval obtained from the UCT Research Ethics Committee.


• Documentation and comparison of the prevalence of LTBI as detected by tuberculin skin test (TST) and interferon-gamma assay (IGRA)

• Documentation of the associations between occupational and environmental risk factors and risk of TB disease


No of participants screened Prevalence of Latent TB infection Prevalence of active TB


• July 2010: completion of all baseline data • December 2010: completion of follow-up phase 1 to evaluate interval change in

LTBI status • July 2011: LTBI incidence (annualized rate of TB infection determined


It is anticipated that the data obtained will provide information on the performance and utility of employing the newer immunodiagnostic assays such as IGRA in TB screening programmes for HCWs employed in high burden (TB and HIV) settings.

Funding source(s)

Discovery Academic Fellowship Immunotech-sponsorship of IGRA test kits Cellestis-sponsorship of IGRA test kits Fogarty International Clinical Research Fellowship SATBAT (South African TB research and training ) grant

Dissemination

• To workers participating in the study • To health managers in the department of health and local authority health

department • Researchers in the field of TB and occupational health • Policy makers in the field of occupational health


>500 health care workers screened for LTBI and TB disease HCW with TB and /or HIV referred for further care and management Data generated for the determination of TB infection prevalence and associated

determinants

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Completion of follow-up phase which will generate data on changes in infection prevalence. Also exploring the possibility of performing an exposure assessment at selected research sites.


2009-2012 Work

New Project GPA1.9ee

PROJECT Title The comprehensive protection and promotion of health for healthcare workers in the UAE, emphasizing hepatitis B immunization



Priority Number) and Area (if applicable)



N/A


Department of Community Medicine United Arab Emirates University

Project leader(s)

Prof. Tar-Ching Aw [email protected]


National University of Singapore, Prof. David Koh Singapore [email protected]


Dr Amr Elahi Johri WHO Eastern Mediterranean Office [email protected] Dr Said Arnaout, EMRO


Health Authority of Abu Dhabi Dr Salim Adib [email protected]


Neima clinic (Tawam/Johns Hopkins hospital) Dr Saleh Wasfi [email protected]


Monthly consultations with the occupational health departments at the biggest local hospital (Tawam/Hopkins hospital) in Al-Ain, United Arab Emirates. The meetings include discussion on practical issues in regards to screening and immunization of healthcare staff for hepatitis B, and the development of preventive programs for healthcare workers. This includes prevention of blood-borne infections, reducing needlestick injuries, and hepatitis B immunization for all healthcare staff and medical students. Initially the programme will apply to staff at Tawam/Hopkins hospital. After evaluation and modification, the scheme can be extended to other hospitals in the city, and then to other emirates in the country.


All healthcare workers

Major Milestones (list

1. Dissemination of information of Hep B risks and benefits from Hep B immunization in city of Al-Ain (a major city in the UAE). Jan 2011

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up to three dates and milestones)

2. Ensure Hep B immunization of all healthcare workers in Tawam/Hopkins hospital Nov 2011

3. Extend Hep B immunisation program to healthcare staff in Al-Ain, Abu Dhabi and Dubai. July 2012

Dissemination plan Via CEO of hospitals in Al-Ain, and through Health Authority of Abu Dhabi contacts

Funding source(s) UAE University, Tawam / Hopkins Hospital


1. Increased awareness of hep B immunization at local hospital in Al-Ain 2. Formulation of policy for hep B immunization of healthcare staff 3. Identification of resources for purchase of vaccine and immunization equipment.


Extension of the hep B immunization programme to other hospital healthcare staff in the UAE


Near maximum uptake of hep. B immunization by all healthcare workers in the UAE

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New Project 1.10ee


GPA 1.9ff New project

PROJECT Title

Prevention and control of occupational hazards and risk in the healthcare sector

GPA Objective and GPA Action Objective 1: To devise and implement policy instruments on workers' health

Priority Initiative Priority 4: Conduct studies and develop evidence-based tools and information materials for comprehensive protection and promotion of health for healthcare workers.

Responsible CC or NGO Name University of Maryland, School of Medicine Project leader (contact name and email address)

Melissa McDiarmid, MD, MPH [email protected] and Joanna Gaitens, PhD, RN [email protected]


Guyana


Pan American Health Organization (PAHO) Marie Claude Lavoie, MSPH [email protected]


Guyana Ministry of Health.


Not applicable.


The University of Maryland will work with members of PAHO and the Guyana Ministry of Health to develop and deliver a workshop on health and safety issues within the healthcare sector. One goal of the workshop is to engage and obtain ‘buy-in’ from health officials from Guyana regional offices, hospital directors, and hospital CEOs on the need to strengthen occupational health and safety practices for healthcare workers. Another goal is to build the capacity of healthcare workers to address occupational health and safety issues through training. Training will emphasize identification of hazards, bloodborne pathogens/infection control strategies, and chemical hazards.

Target group and/or beneficiaries Health officials from Guyana regional offices, hospital directors, hospital CEOs, and healthcare workers in Guyana.


1. Development of training materials for healthcare workers focused on occupational health and safety issues in 2009. 2. Identification of priority hazards in the healthcare sector of Guyana and development/implementation of a plan to address the hazards by 2012.

Dissemination plan Workgroup meetings, train-the-trainer workshops, conference calls.

Funding source(s) University of Maryland and PAHO.

Major Outcomes already achieved 1. Development of training materials for healthcare workers focused on occupational health and safety issues in 2009. 2. Workshop on Health and Safety for Healthcare Workers held June 16-18, 2009 in Georgetown, Guyana. 3. Identification of three priority hazards in the healthcare sector of Guyana.

Additional Major outcomes expected by 2012

1. Development of new or improved policies and/or procedures aimed at protecting the health and safety of healthcare workers and addressing priority hazards.

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PROJECT Title

Partnering with the Ministry of Social Protection, WHO/PAHO and NIOSH/CDC for following up the commitments agreed during the second regional meeting held in Bogota /2010, including the designation of the National Commission on OH for the Health sector; and contributing and implementing in Colombia the Joint WHO/ILO global policy guideline for protecting health care workers and ILO’s WISE‐health.


GPA Objective 1: To devise and implement policy instruments on workers’ health [ToR 1] Particularly to Priority Action 9: Specific programmes should be established for occupational health and safety of health care workers.


Priority 1.4: Conducting studies and develop evidence‐based tools and information materials for the comprehensive protection and promotion of health for health care workers, emphasizing HBV immunization. Area 1: Biological hazards: Bloodborne (HIV, hepatitis, etc) Area 5: Comprehensive programs including risk assessment/risk management tools and information




Project leader(s)

Julietta Rodríguez Guzmán [email protected] Marta Luz Bernal [email protected] Luis Ángel Moreno Díaz [email protected]

Network partners NIOSH, USA, [email protected]



Country ministries involved in project



National OH Committee for the Health Sector (Once legalized) Francisco Tafur: [email protected]


The project is aimed to advance on increasing the protection of healthcare workers in Colombia by means of: following up the commitments agreed during the second regional meeting held in Bogota in 2010; helping for the designation of the members of the National Commission of OH for the health sector (Resolution No. 1478, April 27, 2010); contributing to the construction, implementation and dissemination of information about a public policy and action plan for protecting healthcare workers; preventing needle stick injuries; and advancing with the HBV vaccination campaign.


Colombian workers involved in the health sector, including OH workers.

Major Milestones Key implementation milestones are: May‐2011: final conformation and starting activities of the National Commission of OH for the health sector June ‐2012: implementation of the agreements done for prevention and reduction of needle stick injuries in Bogota. Jane 2013: Increasing coverage of HBV country wide. June 2014: Diagnosis and intervention program on HIV prevention on HCWs. June 2015: Implementation of the Health sector protection plan country wide.

Dissemination plan WHO/PAHO CCs Network, Latin American OH Newsletter English and Spanish server lists available, One publication

Funding source(s) Ministry of Social Protection of Colombia Collaboration with NIOSH, INS, ONUSIDA Colombia, OHP/EBU


3‐ Organization of the National Commission of OH for the health sector by means of Resolution No. 1478, April 27, 2010;

4‐ Draft document and definition of the contents of the public policy and the technical

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regulation on the protection of healthcare workers for in Colombia with all stakeholders involved by December 2010.


3- Colombia will implement the public policy and the technical regulation on the protection of healthcare workers, covering priority regions.

4- Strengthening OH risk identification, assessment and control in healthcare settings at the level of Bogota (biggest health regional service).


1- Colombia will implement the technical regulation on the protection of healthcare workers country wide.

2- Follow-up, evaluation and continuing improvement of the OH risk identification, assessment and control in healthcare settings at countrywide level.

WHO Work Plan 2009-2012 WHO Global Network of Collaborating Centers in Occupational Health

GPA Objective 1: To devise and implement policy instruments on workers' health - Claudina Nogueira GPA Objective 2: To protect and promote health at the workplace - Stavroula Leka and Aditya Jain GPA Objective 3: To improve the performance of and access to occupational health services - Kaj Husman and Leslie Nickels GPA Objective 4: To provide and communicate evidence for action and practice - Jo Harris-Roberts and Edward Robinson GPA Objective 5: To incorporate workers' health in to other policies - Wendy Macdonald GPA Objective 2: Protect and promote health at the workplace Managers: Stavroula Leka and Aditya Jain ACTION AREAS: 11. The assessment and management of health risks at the workplace should be improved by: defining essential interventions for prevention and control of mechanical, physical, chemical, biological and psychosocial risks in the working environment. Such measures include also integrated management of chemicals at the workplace, elimination of second-hand tobacco smoke from all indoor workplaces, improved occupational safety, and health-impact assessment of new technologies, work processes and products at the design stage. 12. Protecting health at the workplace also requires enacting regulations and adopting a basic set of occupational health standards to make certain that all workplaces comply with minimum requirements for health and safety protection, ensuring an appropriate level of enforcement, strengthening workplace health inspection, and building up collaboration between the competent regulatory agencies according to specific national circumstances. 13. Capacities should be built for primary prevention of occupational hazards, diseases and injuries, including strengthening of human, methodological and technological resources, training of workers and employers, introduction of healthy work practices and work organization, and of a health promoting culture at the workplace. Mechanisms need to be established to stimulate the development of healthy workplaces, including consultation with, and participation of workers, and employers. 14. Health promotion and prevention of noncommunicable diseases should be further stimulated in the workplace, in particular by advocating healthy diet and physical activity among workers, and promoting mental and family health at work. Global health threats, such as tuberculosis, HIV/AIDS, malaria and avian influenza, can also be prevented and controlled at the workplace. 15. WHO will work on creating practical tools for assessment and management of occupational risks, recommending minimum requirements for health protection at the workplace, providing guidance on development of healthy workplaces, and on promoting health at the workplace. It will also incorporate workplace actions in international programmes dealing with global health threats.

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PRIORITIES: Priority 2.1: Priority 2.1: Develop practical toolkits for the assessment and management of OH risks for: 2.1a Chemical hazards 2.1b Physical hazards 2.1c Biological hazards 2.1d Psychosocial hazards 2.1e Work-related hazards for Musculoskeletal Injuries Outputs: Tools, inventory, framework document, mapping of use and types of tools, evaluation, definition of common criteria of toolkits, network of active users Support: CC: David Zalk and Henri Heussen, IOHA; Wendy Macdonald, La Trobe University, Australia; Stavroula Leka and Aditya Jain, University of Nottingham, UK WHO/HQ: Evelyn Kortum, Susan Wilburn Priority 2.2: Healthy Workplace programmes and guidance to inform country frameworks Outputs: Review of effectiveness of existing programmes for healthy workplaces, tools for creating healthy workplaces including a health-promoting culture and OH&S principles Support: CC: Abeytunga, CCOHS, Canada Fernando Coelho, SESI, Brazil Partner: Valentina Forastieri, ILO WHO/HQ: Evelyn Kortum WHO/PAHO: Marie-Claude Lavoie Priority 2.3: Develop toolkits for the assessment and management of global health threats including HIV, tuberculosis, malaria, influenza, emphasizing vulnerable groups, in particular migrant workers Outputs: Tools, inventory, framework, mapping of use and types of tools, evaluation, and definition of toolkits Support: CC: Jadranka Mustajbegovic, Medical School University of Zagreb, Croatia WHO/HQ: Susan Wilburn

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GPA Objective 2: Protect and Promote Health at the Workplace FACILITATING PROJECT (administrative)

GPA 2.1a: Toolkits for chemical risks

Facilitating Project Title Toolkits and other resources to improve assessment and management of CHEMICAL risks at the workplace.

GPA Objective Objective 2: to protect and promote health at the workplace.

GPA Action

11. …the assessment and management of health risks at the workplace should be improved by: defining essential interventions for prevention and control of mechanical, physical, chemical, biological and psychosocial risks in the working environment. Such measures include also integrated management of chemicals at the workplace, elimination of second-hand tobacco smoke from all indoor workplaces, improved occupational safety, and health-impact assessment of new technologies, work processes and products at the design stage. 12. …protecting health at the workplace also requires enacting regulations and adopting a basic set of occupational health standards to make certain that all workplaces comply with minimum requirements for health and safety protection, ensuring an appropriate level of enforcement, strengthening workplace health inspection, and building up collaboration between the competent regulatory agencies according to specific national circumstances. 15. …work on creating practical tools for assessment and management of occupational risks, recommending minimum requirements for health protection at the workplace, providing guidance on development of healthy workplaces, and on promoting health at the workplace. …

Priority Area 2.1a: Develop practical toolkits for the assessment and management of OH risks (focus: chemical risks)

Purposes of facilitating project

Thirteen projects included here relate to management of chemicals, national implementation (including translation, adaptation), the International Chemical Control Toolkit (ICCT) and control banding. Two projects are aimed at the development of specific monitoring and risk assessment tools; this Facilitating Project will be particularly useful in coordinating these closely related activities. Projects are grouped into: (1) Projects to assess and manage chemicals; and (2) Analytic diagnostic tools

GPA Manager Stavroula Leka; Aditya Jain

CC Initiative Leaders and contact information Dave Zalk and Henri Heussen, IOHA

WHO responsible person Susan Wilburn

Collaborating centre partners with separate contributing projects

1: Projects to assess and manage chemicals GPA 2.15n Demonstration and evaluation of control banding applications nationally and globally. National Institute for Occupational Safety and Health (NIOSH), USA and IOHA. Project Leaders: T.J. Lentz [email protected], Catherine Beaucham [email protected], Rick Niemeier [email protected], Scott Earnest [email protected], Chris Gjessing [email protected] , IOHA -Dave Zalk [email protected] GPA 2.11c Development of the Chemical Control Toolkit (Korean version of web-based chemical hazard information and control measures) by modifying the HSE control banding and ILO tool kit. Korea Occupational Safety & Health Agency (KOSHA). Project Leaders: Seong-Kyu Kang ([email protected]), Byung-Gyu Kim ([email protected]) GPA 2.11d Implement International Chemical Control Toolkit (ICCT) In Portugal and in Some African Countries not yet identified. Environmental Health Department, National Institute of Health – Porto, Portugal. Project Leader: Joao Paulo Teixeira [email protected]

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GPA 2.11e Application and expansion of Control Banding of chemicals and dust on small and middle-scale enterprises (SMEs) in China. National Institute of Occupational Health and Poison Control, Chinese Centre for Disease Control and Prevention, Beijing. Project Leader: Tao Li [email protected] GPA 2.13c Risk Management of Chemicals: Chemical Toolkit Pilot-Project Implementation. FUNDACENTRO. Project Leader: Marcela Gerardo Ribeiro, [email protected] GPA 2.15q Demonstration and evaluation of control banding application in small scale enterprises (SSEs) Department of Occupational Health, Fudan University, Shanghai, China. Project Leader: Zhijun Zhou, [email protected] GPA 2.11b Sound Chemicals Management for a Healthier Environment in South and Southeast Asia. Department of Environmental Health Engineering, Sri Ramachandra Medical College & Research Institute, Chennai, India. Project leaders: Mr. Sankar Sambandam [email protected], Kalpana Balakrishnan [email protected]. GPA 2.15p Bakers allergy and asthma - Risk Management Toolkit. Occupational and Environmental Health Research Unit, University of Cape Town, South Africa. Project Leader: Mohamed F Jeebhay [email protected] GPA 2.13a Development of an advanced model for regulatory exposure assessment (Advanced REACH Tool - ART). TNO, Zeist, The Netherlands. Project Leader: Dr Erik Tielemans, [email protected] GPA2.11q Stoffenmanager 4.5: New and Extended Version. TNO, Gerard Zwetsloot, The Netherlands. Project Leaders: Maikel van Niftrik ([email protected]); Henri Heussen ([email protected]) GPA2.11r Stoffenmanager Construction Toolkit. IOHA. Project Leaders: Dave Zalk [email protected] and Henri Heussen [email protected] GPA2.11s Stoffenmanager Paint and Printing Ink Manufacturing Industry Toolkit. IOHA. Project Leaders: Dave Zalk [email protected] and Henri Heussen [email protected] GPA2.11t Development of Toolkits for Safe Solvent Use in Industry Sectors Involved with Carbon Tetrachloride (CTC) Phaseout. Sri Ramachandra University, India. Project leaders: Sankar Sambandam [email protected] and Kalpana Balakrishnan [email protected] See Silica Control Banding Toolkit Projects coded into GPA 1.2: GPA 1.10k, GPA1.10l, GPA1.10i, GPA1.10m See Nanotool Toolkit “Stoffenmanager Nano, version 1.0” coded to GPA 4.21at See two training projects for Control Banding in GPA3.2: Development and dissemination of introductory and advanced level training modules in Control Banding and its toolkits; and Capacity Building in Occupational Hygiene utilizing online capabilities 2: Analytic diagnostic tools GPA 2.11a New challenges and new methods in bio-monitoring. INRS, France. Project leader : Marie-Thérèse Brondeau (Jean-Marie Mur), marie-

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[email protected] GPA 2.11f Development of analytical diagnostic tools for occupational isocyanate asthma. Institute for Occupational and Maritime Medicine, Hamburg, Germany. Project leader: Lygia T. Budnik, Email: [email protected]


Summary of the project (max100 words)

The assessment and management of health risks at the workplace should be improved by defining essential interventions for prevention and control of chemical risks in the working environment. Such measures include also integrated management of chemicals at the workplace. Protecting health at the workplace also requires enacting and adopting a basic set of occupational health standards. Development of guidance on best practice OHS standards on chemical risks.The development of an evidence base on the impact and management of chemical risks including identification of new risk factors such as due to introduction of new technologies, processes of globalization, as well as changes in the work organization. Development of training materials and programmes on the assessment and management of chemical risks. CCs contribute to defining common criteria of toolkits, develop inventories, framework documents, mapping of use and types of tools, to assess and manage the identified new as well as existing risks. Advanced toolkits will be implemented and evaluated.

Actual and anticipated deliverables by 2012 from contributing projects

1: Toolkits to improve management of work-related chemical risks GPA 2.15n Development of a construction sector control banding toolkit to address hazards in the construction industry, a collaborative effort involving government agencies from the US (NIOSH, Lawrence Livermore National Laboratory), the Netherlands (TNO) and the UK (HSE) Continued provision of training and technical assistance through workshops and control-focused solutions for hazardous exposures (primarily silica) in South America Release and dissemination of a training DVD and hazard guidance sheets with control banding solutions for occupational exposures to glutaraldehyde in healthcare settings Control banding principles and solutions applied to the nanotechnology manufacturing industry Control banding approaches and control-focused solutions and guidance to address exposures to electromagnetic fields. Inclusion of control banding strategies into the National Occupational Research Agenda (NORA) sector goals. GPA 2.11c Web-based chemical hazard information and control measures Developing hazard information and control measures on 30 chemicals GPA 2.11d Implement International Chemical Control Toolkit (ICCT) In Portugal and in some African countries not yet identified. GPA 2.11e Extending training about Control Banding of chemicals GPA 2.13c Training employers, employees and OSH professionals, concerning the reasons to use the ICCT based guidelines and how to use it

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GPA 2.15q The experiences on control banding to be demonstrated and spread among small scale industrials in China. GPA 2.11b Note: this project was completed in June 2010. Outcomes include a White Book on “Sound Chemical Management for SMEs” prepared and disseminated to major local stakeholders including regulators and industry associations and a GTZ Chemical Management Guide, which was translated in 2 local languages with suitable customization and distributed to 80 local enterprises. GPA 2.15p Recommendations for dust control in low income settings. Training manual, Prototype lid for bakery mixer GPA 2.13a Fully validated and operational ART for inhalation and dermal exposure. Made freely available on the web. Beta version for the ingestion exposure model. GPA2.11q Release of the website based Stoffenmanager 4.5: New and Extended Version GPA2.11r International usage of the Stoffenmanager Construction Toolkit GPA2.11s International usage of the Stoffenmanager Paint and Printing Ink Manufacturing Industry Toolkit GPA2.11t Training Manual for the Toolkits for Safe Solvent Use in Industry Sectors Involved with Carbon Tetrachloride Phaseout 2: Analytic diagnostic tools GPA 2.11a Database on bio-monitoring methods and available laboratories GPA 2.11f Implement the immunological assay for the diagnosis of patient samples. Recommendations for the prevention of occupational asthma based on biomonitoring screening

Critical gaps to be filled by 2012

Organizing an electronic repository for toolkits and organizing a network of experts to work together. Implementation and evaluation of toolkits and sharing of results.

Examples of deliverables desired by 2012 Electronic repository for toolkits; network of experts.

Barriers to success that must be addressed

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Area 1: Projects to assess and manage chemicals 2009-2012 Work Plan Number

GPA2.15n Formerly AA3:Ch3

GPA Objective Objective 2: To protect and promote health at the workplace

CC or NGO Name National Institute for Occupational Safety and Health (NIOSH), USA and IOHA

Project title Demonstration and evaluation of control banding applications nationally and globally.

Keywords Control strategies, risk management


T.J. Lentz [email protected] Catherine Beaucham [email protected] Rick Niemeier [email protected] Scott Earnest [email protected] Chris Gjessing [email protected] IOHA -Dave Zalk [email protected]

Partners (of the CC Network) HSE (United Kingdom), BauA (Germany), IOHA, WHO, ILO

Other partners OSHA (United States)

Funding NIOSH and OSHA


This project explores the utility and applicability of control focused guidance strategies for addressing workplace exposures in collaboration with national and international partners. This objective is consistent with the Global Implementation Strategy for control banding drafted by the WHO/ILO International Technical Group (2004) and will also support the global harmonization system for classifying and labeling chemicals.


- To provide outreach and guidance using control-focused risk management strategies in demonstration projects in U.S. businesses (2006-2007) - To develop hazard control guidance materials consistent with the global harmonization system for classification and control of chemicals (through 2009) - To develop guidance and informational materials for implementing control-focused risk management tools (through 2012) - To assess progress towards goals of the WHO International Technical Group’s Control Banding Implementation Strategy (2004-2009) and to develop and ratify a new 5-year Strategy


Small and medium-sized enterprises (SMEs) and others where exposures to chemicals and other workplace hazards can be addressed using simplified risk-management toolkits


To initiate and develop control-focused strategies to meet specific occupational safety and health challenges for SMEs and others, this project will utilize approaches modeled after those developed by the U.K. HSE, the WHO/ILO, and the U.S. pharmaceutical industry. Specific aims include: 1) creating a cadre of safety and health practitioners to develop, implement, and evaluate control banding approaches for addressing exposures to chemicals and other workplace hazards; 2) facilitating research collaborations and exchange of information and resources through international linkages (e.g., memorandums of understanding, coordinated videoconferencing, and developed and developing countries “twinning”); 3) developing print and electronic resources (state-of-the-science critical review document, control guidance primer, NIOSH Web page, CD-ROM) to provide control banding information and resources, and utilizing networks and partnerships for translating and disseminating materials to a broader audience; 4) coordinating and fostering control banding research efforts throughout the Institute and its international partners; and 5) performing demonstration projects with selected industries and SMEs to evaluate the applicability and utility of control-focused approaches.

Dissemination Accomplished through multiple routes including: NIOSH print publications

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and Web postings; university studies; workshops and training seminars; professional groups and networks (WHO/ILO International Technical Group on Control Banding; IOHA; memorandum of understanding with NIOSH, OSHA, German BauA, U.K. HSE; Kentucky Safety and Health Network)

Impact: global/regional Global

Progress on Project

NIOSH Web Topic Page was established to describe Control Banding and disseminate information about this topic (see http://www.cdc.gov/niosh/topics/ctrlbanding/ (2005). Demonstration projects on Chemical Risk Management Training Workshop were completed with the Kentucky Safety and Health Network and two member universities (2006). NIOSH funded the University of Connecticut Health Center, to conduct workshops on Control Banding: A Chemical Risk Management Tool for Health and Safety Committees (2006-2007). Continued participation in an international technical group of subject matter experts to collaborate, promote research, and disseminate information about control-focused solutions to hazards in the workplace. (WHO/ILO ITG on CB) NIOSH completed a a comprehensive document characterizing the evolution and state-of-the-science of control banding, entitled Qualitative Risk Characterization and Management of Occupational Hazards: Control Banding (CB), published August 2009 (see http://www.cdc.gov/niosh/docs/2009-152/ ). Updating the Global Implementation Strategy for the WHO International Technical Group on Control Banding for 2009-2014 (completed in early 2009). Development of a construction sector control banding toolkit to address hazards in the construction industry, a collaborative effort involving government agencies from the US (NIOSH, Lawrence Livermore National Laboratory), the Netherlands (TNO) and the United Kingdom (HSE) (draft in development – September 2009). Provision of training and technical assistance through workshops and control-focused solutions for hazardous exposures (primarily silica) in South America (Chile 2006-2008, and Peru 2008, 2010). Development of a training DVD and hazard guidance sheets with control banding solutions for occupational exposures to glutaraldehyde in healthcare settings (draft under final revision –June 2010). Applying control banding principles to the nanotechnology manufacturing industry (ongoing), expanding to look at the concept of health hazard banding. Exploring a project to develop a control banding approach and control-focused solutions and guidance to address exposures to electromagnetic fields (ongoing). Exploring a strategic partnership with the American Industrial Hygiene Association (AIHA) to incorporate health hazard/control banding strategies into a formal plan and practices for controlling workplace occupational exposures to chemicals. Preparing and presenting various educational and technical presentations on Health Hazard/Control Banding including an AIHA Teleweb (February 2010) and a Live and virtual scientific roundtable session at the American Industrial Hygiene Conference (Denver, CO, USA, May 2010). Pursuing discussions with the U.S. Occupational Safety and Health Administration (OSHA) to determine the importance of control banding strategies in the context of current efforts to set occupational exposure limits.


Developed Status Report for initial 5-year plan (2004-2009) of the ITG on Control Banding Developed a revised 5-year Plan (2009-2014) of the ITG on Control Banding Published a comprehensive document characterizing the evolution and state-of-the-science of control banding, entitled Qualitative Risk Characterization and Management of Occupational Hazards: Control Banding (CB), published August 2009 (see http://www.cdc.gov/niosh/docs/2009-152/ ).

List of additional major outcomes expected

Development of a construction sector control banding toolkit to address hazards in the construction industry, a collaborative effort involving

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government agencies from the US (NIOSH, Lawrence Livermore National Laboratory), the Netherlands (TNO) and the United Kingdom (HSE) Continued provision of training and technical assistance through workshops and control-focused solutions for hazardous exposures (primarily silica) in South America Release and dissemination of a training DVD and hazard guidance sheets with control banding solutions for occupational exposures to glutaraldehyde in healthcare settings Control banding principles and solutions applied to the nanotechnology manufacturing industry Control banding approaches and control-focused solutions and guidance to address exposures to electromagnetic fields. Inclusion of control banding strategies and considerations in the National Occupational Research Agenda (NORA) Sector Goals, as well as discussions with OSHA and the AIHA.


2.11c Existing Project AA3:Ch6


Development of the Chemical Control Toolkit (Korean version of web-based chemical hazard information and control measures) by modifying the HSE control banding and ILO tool kit

GPA Objective Objective 2: To protect and promote health at the workplace Responsible CC or NGO Name Korea Occupational Safety & Health Agency (KOSHA)

Project leader Seong-Kyu Kang ([email protected]) Byung-Gyu Kim ([email protected])


IOHA, US NIOSH (for intervention) Any WHO-CCs that are interested in chemical control banding


WHO western pacific office Dr. Hisashi Ogawa


Ministry of Labor, Republic of Korea



Chemical Control Tool Kit is being developed via nation-wide survey for the handling, management and actual conditions of harmful chemical substances which have caused occupational disease in the latest 10 years in Korea. - The nation-wide survey is being executed on 6 chemicals per year in 2006 ~ 2010 - Web-based chemical hazard information and control measures are also being developed.


Employers and employees in small and medium sized enterprises, occupational health professionals



Small and medium sized enterprise will have an easy path to access to the web-based chemical hazard information and control measures


Reduction in the (number of/ rate of) occupational diseases caused by harmful chemical substances listed in the Chemical Control Tool Kit


A nation-wide survey on total 30 chemicals: 5 years Developing hazard information and control measures on 30 chemicals : 5 years Providing web-based chemical hazard information and control measures: update every year until 2012


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Funding source(s) Public

Dissemination The ‘Chemical Control Tool Kit’ will be uploaded on the website, allowing anyone in need to access the information at anytime


GPA2.11d Formerly AA3: CH7


CC or NGO Name Environmental Health Department- National Institute of Health – Porto, Portugal

Project title Implement International Chemical Control Toolkit (ICCT) In Portugal and in some African countries not yet identified.

Keywords Risk management – Chemical exposure


João Paulo Teixeira Environmental Health Department Rua Alexandre Herculano, 321 4000-055 Porto, Portugal [email protected]


FUNDACENTRO NIOH South Africa NIOSH

Other partners University of Porto; OHS professionals; Business Association (cork industry; shoe manufacturing sector; wood furniture industry)

Funding INSA and Industrial sectors Associations financial support. Others not yet identified


- To test, eventually adapt, and implement the ICCT in selected small enterprises, namely: cork industry, shoe manufacturing and wood furniture industry - To establish cooperation in this respect with African Portuguese speaking countries


- Specific Toolkits for the selected branches, namely cork, shoe manufacturing and wood furniture manufacturing - Reports; brochures about specific ICCT applications Deadline: 2010


Small and Medium enterprises (Cork materials; Shoe manufacturing; Wood furniture) Occupational hygienists


- To prepare a brochure about chemical hazards, chemical risk management and ICCT (2006) - To selected 5 enterprises in each sector (cork, shoes, wood furniture) and train OHS professionals (2007) - To use ICCT (2007-2008) - To develop traditional occupational hygiene evaluation in order to validate the tool (2007-2008) - To prepare specific instructions for ICCT application to be used on training courses (2009-2010)

Dissemination Reports, technical and scientific meetings, meetings with representatives of the selected branches


Web-based hazard information and control measures are completed for 31 chemicals - A user-oriented tool for risk assessment has been provided on KOSHA homepage(www.kosha.net) - Guidance sheets are developed for 31 chemicals and 151 high risk processes - In addition, Hazard information sheets are developed for 716 chemicals (2 kind of sheets for employees and for managers)


Web-based hazard information and control measures in English will be developed on 35 chemicals by 2012 - Guidance sheets will be developed for 35 chemicals - Chemical hazard information sheets will be developed for 715 chemicals A user-oriented tool for risk assessment will be updated every year by 2012

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Impact: global/regional Global with regional emphasis on Portuguese speaking African countries

Progress on Project

Activities in 2006 - Pre-Congress Course: Chemical Risk Assessment. Practical Approaches (6 hours; 20 participants VI National Congress on Occupational Health (Póvoa do Varzim; 2-4 / Nov/ 2006 Course Summary: Chemicals in workplaces Exposure to chemicals and Health impact Exposure assessment (air monitoring and biological monitoring) Risk assessment. Terms and Concepts Chemical Control Tool Kit Case-study: CCTK application Activity plan in 2007: Validation of CCTK (Portuguese version) in some industrial sectors Contact with SME’s (cork; paint, varnishes and cleaning solvents; wood furniture and plastic) for implementation and validation of CCTK Meeting with occupational hygienists working in these industrial units (5 participants (May, 11 – 2007): training on CCTK application and selection of workplaces for validation of the tool. Participants performed the chemical risk assessment using CCTK in their units (May – September 2007). Traditional occupational hygiene risk assessment (air monitoring and if possible biological monitoring) ((June – September 1007) Meeting: analysis of data (September) Seminar: Proposal for an International Seminar on the Prevention of Occupational Diseases for Portuguese-speaking Countries to be organized by the WHO hosted by Centre of Environmental and Occupational Health, National Institute of Health, Porto to be held on 29-31st October. There was also contact with FUNDACENTRO in order to revised the Portuguese version of CCTK and validate the tool in different sectors.


Preventing Occupational Hearing Loss - A Practical Guide' . U.S. Department of Health and Human Services, Public Health service, Centers for Disease Control and Prevention - Nacional Institute for Occupational Safety and Health, October 1996- to Portuguese language; Organization of the "Prevention of Occupational diseases International Seminar" 30-31 October 2007, Porto, Portugal Organization of the " Occupational Exposure to Cytostatics " 12 November 2007- Porto, Portugal with the collaboration of Dr. Rudolf Schierl, Institute for Occupational and Environmental Medicine, University Munich, WHO Collaborating Centre for Occupational Medicine Validated the Portuguese version of "International Chemical Control Tool kit’’ in the wood furniture industry.


Validation of the Portuguese version of "International Chemical Control Tool kit’’ in the cork industry (end 2011). Organization of International Symposia in Toxicology and Environmental Health with a special topic in Prevention of Occupational Diseases (September 2011) Porto, Portugal. Establishing cooperation to implement International Chemical Control Toolkit (ICCT) in Angola (2010-2012).


GPA2.11e Formerly AA3: Ch9

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CC or NGO Name National Institute of Occupational Health and Poison Control, Chinese Centre for Disease Control and Prevention, Beijing

Project title Application and expansion of Control Banding of chemicals and dust on small and middle-scale enterprises (SMEs) in China

Keywords Application, control banding, chemicals, dust, small and middle-scale enterprises



Partners (of the CC Network) IOHA and NIOSH

Other partners Li chaolin, Le shuang, Ren jun, Zhang min, Chen qingsong

Funding National finance support of China, WHO, ILO

Objective of the project To build different industries models of occupational health (such as in shoemaking, quartz making, concrete making, storage battery making enterprises, etc.). To expand the successful experiences of Control Banding of Chemicals in SMEs.


Translation about the advanced Control Banding of chemicals into Chinese. Expansion of Control Banding of chemicals in SMEs. Some chemical toolkit.




Translate the advanced Control Banding of chemicals into Chinese. Investigate the occupational hazard risk of chemicals in different enterprises. Train the manager, health care workers, etc. about control banding of chemicals. Select some pilot enterprises using control banding of chemicals. Summarize and expand the experiences in pilot enterprises to other enterprises.

Dissemination WHO documents and National documents

Impact (global or regional) Both global and national

Progress on Project

We have finished translating the Control Banding of chemicals into Chinese. Then we trained the manager, health care workers, etc. about control banding of chemicals in some pilot county/district. They study the toolkit of control banding of chemicals and using it into construction projects assessment.


We have held some training course about Control Banding of chemicals. Then the manager, health care workers, etc. in the pilot county/district were trained. In additional, we included some content of the Control Banding of chemicals into the occupational health standards of china, and integrated into the assessment and management of occupational hazards in the workplaces. We also have developed the pilot program on the health education and promotion in workplaces in cities of 9 provinces, such as Beijing, Tianjin and Shanghai etc from 2007 to now. The 19 enterprises include pharmacy、machine、metallurgy、oil and chemistry、electric power and electron 7 industries. We have finished that the basic date of pilot enterprises were investigated and analyzed. The information of low and knowledge on the Control Banding of chemicals were also trained for workers in these enterprises.


We will further extending training about Control Banding of chemicals. Then, we will further making summary for training of Control Banding of chemicals

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in pilot county /district. Finally, we will recommend practice experience of the Control Banding of chemicals to other enterprises.


GPA2.13c Formerly AA3:Ch1


CC or NGO Name FUNDACENTRO

Project title Risk Management of Chemicals: Chemical Toolkit Pilot-Project Implementation

Keywords Pragmatic approach; Small and Medium Enterprises; Risk assessment; Control Banding.


Marcela Gerardo Ribeiro, PhD chemistry researcher, Occupational Hygiene Division [email protected]

Partners (of the CC Network) NIOSH

Other partners SESI/SP and SEBRAE Funding Fundacentro

Objective of the project The key objective of this project is to support small and medium-sized enterprises to focus their efforts on both assessment and control of hazards, using the International Chemical Control Toolkit, a user-friendly methodology that provide the user with guidance for controlling exposure to hazards.


Training small and medium-sized companies owners, employers and employees concerning the important reasons for which to use the toolkit and how to use it adequately. (by 2007). Quantitative evaluation to validate the Toolkit control strategies adopted by the enterprises involved in this research (by 2007). Development of a Chemical Toolkit website in Portuguese (by 2007)

Target group and/or beneficiaries Small and Medium Enterprises – Foundry and Printers


In Brazil, as observed in many other countries, problems regarding protection from hazards substances in small-sized enterprises are similar. Looking for a simple tool to assess and to control such exposures, FUNDACENTRO has started in 2005, a pilot-project to implement the International Chemical Control Toolkit to control chemicals in Foundries and Printers.

Dissemination Training (specific courses concerning about how to use the Toolkit), Meetings and Workshops.


Progress on Project

In order to reach the proposed goals, a broad range of activities has been developed. The main results are described bellow: ♦ Awareness raising about hazards prevention and control through diffusion of information, providing free access to the produced Toolkit Guidelines (foundries and printers), available to download from http://www.fundacentro.gov.br/CTN/pub_eletronicas.asp?D=CTN; ♦ Training employers, employees and OSH professionals, concerning the reasons to use the ICCT based guidelines and how to use it. This activity has comprised 05 oral presentations in OSH meetings and postgraduate courses and 03 short-duration training courses (02 in Brazil and 01 in Peru). A distance learning course will be held in august 2007 through the Fundacentro virtual platform.

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GPA2.15q Formerly AA3:Ch8


CC or NGO Name Department of Occupational Health, Fudan University, Shanghai, China

Project title Demonstration and evaluation of control banding application in small scale enterprises (SSEs)

Keywords Control banding, small scale enterprises Project leader Email address

Zhijun Zhou [email protected]

Partners (of the CC Network) IOHA and NIOSH

Other partners CDC in Wuxi and Nantong, Jiangsu Province, China CDC in Zhejian Province, China CDC in Jinhua City, Zhejian Province, China

Funding Seeking funding


The objective for this project is to apply control banding drafted by the WHO/ILO International Group (2004) in small scale enterprises(SSEs)


To provide a guideline for control banding in SSEs according to control banding drafted by the WHO/ILO International Group. To demonstrate and evaluate control banding in SSEs in China

Target group and/or beneficiaries small scale enterprises


According to control banding drafted by the WHO/ILO International Group (2004), we will prepare a guideline and demonstration of control banding in small scale enterprises (SSEs) in China.

Dissemination Control banding in SSEs in China will be published. Some scientific papers will be published.

Impact (global or regional) China

Progress on Project

Training information collected 1 review paper published in Chinese science journal Partners identified 2 factories agreed to take part in the program Related books and CD available to partners


Integrated with our research activities, we provide 8 factories with consultative service to help them setting up the suitable and cheap engineering measures against lead hazards and ergonomics problem in the process of storage battery production. We help the owner to re-organize the flow-chat. The lead pollution is significantly controlled. From such work, we noted that the knowledge of owner is very important; sometimes they do not know how to control the hazards in cheap way, particularly in the early stage when they do not want to put much money in this area. In China, the role of occupational health service agencies is not completely demonstrated.


The experiences on control of lad hazards with suitable engineering measures and reasonable organization can be summarized, demonstrated

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and spread among small scale industrials in China.

2009-2012 Workplan Number

GPA2.11b (THIS PROJECT HAS BEEN SUCCESSFULLY COMPLETED AS OF JUNE 2010) Formerly AA3:Ch2

GPA Objective Objective 2: To protect and promote health at the workplace CC or NGO Name Department of Environmental Health Engineering, Sri Ramachandra Medical

College & Research Institute, Chennai, India (Recognition as WHO CC in progress)

Project title Sound Chemicals Management for a Healthier Environment in South and Southeast Asia

Keywords Chemical hazards, control banding, chemical inventories, chemical management, environmental monitoring, pesticides, environmental health


Mr. Sankar Sambandam [email protected] Kalpana Balakrishnan ; [email protected]

Partners (of the CC Network) NIOSH, FIOH Germany

Other partners GTZ Convention Project Chemical Safety . VEPA (Vietnam Environment Protection Agency)/ Department of Natural Resources and Environment (DONRE) . University of Plymouth, Plymouth Marine Laboratories (PML), UK Possible other partners: respective institutions in countries without CC (especially Tamil speaking such as Sri Lanka, Malaysia and Indonesia)

Funding Collaboration between SRMC, GTZ, VEPA/DONRE and PML funded by EU commission grant, total project budget: 507.360,00 EUR Additional collaboration with further CCs and other institutions will need funding

Objective of the project To support local stakeholders in the development and implementation of an environmentally sound and sustainable management of industrial chemicals and pesticides in urban areas. To achieve high environmental standards in towns and cities through the exchange of best-practice, expertise and information between the European Union and Asia. To assist counterparts in India, Vietnam and eventually other Asian countries in the development of capacities for risk assessment, environmental monitoring and control for the reduction of chemical pollution. To focus on transport, storage and trade of pesticides, as well as transport, storage and handling of industrial chemicals in small- and medium-sized enterprises (SMEs). To facilitate establishment of an environmental monitoring system with rapid, simple and cost-effective techniques


New concepts and approaches for sound chemicals management issues integrated into sustainable development strategies. Concepts and methods for chemical safety introduced in selected areas. Introduction of measures for the safe and efficient use of industrial chemicals in SMEs. Establishment of environmental monitoring systems in local institutions


All enterprises, especially those where expertise and resources are missing such as SMEs. Employees due to improved working conditions. Community by protection of environment and natural resources


The project will contribute to the reduction of chemical contamination in urban areas as well as to the initiation of a dialogue between the main stakeholders on chemical safety. Environmental monitoring and risk assessment instruments will be introduced and implemented. Target groups include officials from municipalities, plant protection services and government environment agencies, universities, SMEs, pesticide formulators, distributors and dealers. Activities focus on transfer of best practices through strategy workshops and technical training courses on environmental monitoring, risk assessment, the development of policies for transportation and storage management of chemicals as well as introduction of chemicals management methodology in SMEs.

Dissemination WHO/ILO documents, publications in respective journals, university studies, training workshops Funded by EU: project website, training manuals in English, Tamil, Hindi and Vietnamese, standard procedures of environmental monitoring

Impact (global or Regional for Asia

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regional)


Within the last year four training workshops have been conducted on Implementation of the GTZ Chemical Management Guide, Developing rapid assessment methods for screening industrial chemicals in environmental media, Risk assessment for industrial hotspots and Safe Transportation and Storage of Chemical respectively in both India and Vietnam. 6 industrial units have been co-opted for on-site implementation of the Chemical Management Guide. The first draft of the White Book has been compiled and is currently under technical review. A national workshop to finalize the contents of the white book will be held in October 2007. Two local laboratories are piloting the routine use of the rapid assay methods. Experience with use of occupational risk management toolkits will be shared in a regional workshop on Control Banding Approaches.


The results of this project include:

(1) Two policy guidance documents, so called “white books”, for each country on chemical management in SMEs

(2) Improved understanding in chemical risk assessment methods for chemical transportation and storage issues in both countries

(3) Dissemination and application of improved methodologies for inventarisation of hazardous waste in more than 350 enterprises in Vietnam

(4) Incorporation of amendments into the legal framework on hazardous wastes in Vietnam

(5) Innovative and participatory chemical management training programme developed and pilot-tested in both countries

(6) Dissemination and adoption of sound chemical management practices in chemical intensive small and medium scale enterprises (SMEs) contributing to their improved environmental, health & safety performance and increased productivity; 40 SMEs directly supported in implementation of improved chemical management practices, 25 in Vietnam and 15 in India

(6) 100 local trainers trained in chemical management methodologies to support SMEs in both countries in the future; 10 master trainers trained in Vietnam and 8 in India

(7) Training methodology for SMEs anchored with one institution in each country

(8) SME’s training guide translated into three local languages (Vietnamese, Hindi, and Tamil)

(9) A network of local trainers to guarantee the anchorage of the training methodologoly of chemical management for SMEs established in 10 Vietnamese institutions

(10) Ten case studies of improved practices in Vietnamese companies prepared, describing situation before and after implementation of chemical management. These case studies were compiled and will serve as reference to other SMEs in Vietnam

(11) Biomarker methodology to be used as a cheaper and effective alternative to chemical environmental assessment methods pilot-tested and demonstrated in both countries. A “white book” not originally foreseen in this area, was compiled and made available on the project’s website

(12) Existing network of laboratories working in environmental monitoring reinforced in both countries

(13) Biomarker methodology anchored in one institution in each country

(14) A network of key stakeholders in the chemical safety sector established in both countries

(15) Stakeholder dialogue on chemical safety in SMEs initiated in both countries

(16) In India and Vietnam “environmental monitoring” workshops were introduced; fruitful discussions with more than 35 key stakeholders (in both

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countries) took place in the sector

(17) A strategy for awareness raising on chemical safety topics developed in Vietnam

(18) Recommendations for modification of hazardous waste classification developed to improve Vietnamese existing waste list and its interpretation

(19) Local waste consultants from both countries supported and guided in different project activities such as developing criteria for classification of hazardous waste, commenting on the Vietnamese draft technical guidelines for co-processing and the products, on the white books on chemical safety, on the strategy for an awareness raising campaign in the field of chemical safety in Vietnam, on comments to the hazardous waste legislation in India, on training aspects for chemical safety in SMEs, and on conceptualisation of the biomarker approach

(20) Specific recommendations formulated in India for improvement of legislation on hazardous waste; these comments have been submitted in December 2008 to the competent Indian authorities

(21)Project website established (http://www.chemicalmanagement.org) to allow for wider dissemination of documents on chemical and waste management as well as project results.


• SRU-EHE and CECT: To offer trainings/workshops on a self-sustaining base.

• GTZ will continue its support in the area of chemical safety in both countries according to partners’ priorities and capacities

• PML is considering the possibility of new activities within the two countries and in China and is looking for financial resources.

• GTZ has presented in February 2009 a new proposal on Improvement of Chemical and Hazardous Waste Management in Small- and Medium scale Enterprises to the SWITCH Program to upscale the experiences under this project and expand the concept to other countries.

• GTZ will support UNITAR for training in the globally harmonised system for classifcation and labelling of chemicals (GHS) in Vietnam, during 2009.

• In India: SRU-EHE will be assigned the role of a Competence Centre for Chemical Management, aiming at SMEs and specific sectors, and risk assessment techniques; staff will function as trainers for further dissemination.

• In Vietnam CECT / VEPA will be assigned the role of a Competence Centre for Chemical Management, aiming at SMEs and specific sectors, and risk assessment techniques; staff will function as trainers for further dissemination.

• The biomarker training component of this project has been replicated to provide environmental management tools in Costa Rica, Brazil, Thailand, Ukraine and Rumania. It is being tested now in South China.

• In Vietnam, VEPA and CETADS are working on establishing a network for environmental monitoring activities.

NOTIFICATION OF COMPLETION OF PROJECT June 2010

GPA2.11b

Center Name Department of Environmental Health Engineering, Sri Ramachandra University, Chennai, India

Project Deliverables

Concepts and methods for chemical safety introduced in selected areas. Introduction of measures for the safe and efficient use of industrial chemicals in SMEs. Establishment of environmental monitoring systems in local institutions

Completion date

Completed December 2009

Outcomes (ie: materials developed, delivered/disseminated, audience, number trained/disseminated)

A White Book on “Sound Chemical Management for SMEs” was successfully prepared and disseminated to major local stakeholders including regulators and industry

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associations A GTZ Chemical Management Guide was translated in two local languages with suitable customization and distributed to nearly 80 local enterprises.

Impact (policy change, programs sustained, reduction in injuries or illnesses)

- The white book recommendations were communicated to the Ministry of Environment and Forests Govt. of India in response to their call for modifications in the Hazardous Waste Management Rules.

- Nearly 20 new units have approached the CC for assistance with better chemical inventory management and handling

- Several enquiries following the web hosting of the manual for PPE recommendations from local units

- The project methodology was adopted by the German GTZ to prepare guidance documentation the CTC phase out programme of the Ministry of Environment and Forests, Govt. of India

Barriers to completion None Other 2009-2012 Work Plan Number

GPA2.15p Formerly AA3:As1


Bakers allergy and asthma - Risk Management Toolkit

GPA Objective GPA Objective 2 : Protect and promote health at the workplace


Occupational and Environmental Health Research Unit, University of Cape Town, South Africa

Project leader Assoc Prof Mohamed F Jeebhay Mohamed. [email protected]

Network partners Department of Environmental Health Sciences, University of Michigan, U.S.AWHO Regions involved in this CONTRIBUTING project

AFRO, EURO, AMERICA


No


Dr Monika Rauf-Heimsoth, Research Institute of Occupational Medicine of the Berufgenossenschaften (BGFA), Ruhr-University Bochum, Germany Tim Meijster, TNO/ IRAS (institute of Risk Assessment), Univ of Utrecht, Netherlands


Exposure to flour dust in bakeries is one of the most common causes of occupational asthma worldwide. Bread production has moved from large sale industrial bakeries to supermarkets and small scale traditional bakeries. Most of these bakeries have limited access to technology-informed interventions and relevant information to reduce the risk of bakers developing occupational allergies and asthma. The aim of this project is to evaluate different approaches in reducing exposure to flour dust in supermarket bakeries and in the process develop a risk management toolbox appropriate for supermarkets. The second aim is to develop a training manual for the use of this risk management toolbox.


All bakery enterprises – especially those located in supermarkets and SMME’s

Events-opportunities for furthering the None at this stage

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project Expected results of this project by 2012 (outcomes)

Recommendations for dust control in low income settings.

Indicators of achievement (impact) Reduced flour dust exposures and incidence of baker’s allergy and asthma


Training manual, Prototype lid for bakery mixer

Public health impact Global

Funding source(s) Partial funding has been secured from the National Research Foundation (THRIPP) and the Medical Research Council in South Africa

Dissemination WHO/ILO documents; university academic instruction; worker and industry meetings


2.13a New Project


Development of an advanced model for regulatory exposure assessment (Advanced REACH Tool - ART)

GPA Objective Objective 2: To protect and promote health at the workplace Responsible CC or NGO Name TNO, Zeist, The Netherlands

Project leader Dr Erik Tielemans [email protected]

Network partners

Dr Martie van Tongeren, Institute of Occupational Medicine (IOM), UK [email protected] Dr Nick Warren, Health and Safety Laboratories (HSL), UK [email protected]


N/A


N/A


Dr Thomas Schneider National Research Centre for the Working Environment (NRCWE) Denmark [email protected] Dr Martin Tischer Bundesanstalt fur Arbeidsschutz und Arbeidsmedizin (BAUA) Germany [email protected] Dr Hans Kromhout Institute for Risk Assessment Sciences (IRAS) The Netherlands [email protected]


The Advanced REACH Tool (ART) is an advanced, higher tier exposure model, for exposure assessments used for chemical safety assessment under REACH in Europe. Accurate exposure assessment is essential for chemical risk assessments and hence safe use of chemicals. ART incorporates a mechanistic model of exposure and an exposure measurement database from a wide variety of exposure scenarios and substances. Exposure estimates will be obtained using a Bayesian process combining the results of the model with analogous measured exposure data from the database. ART is currently being developed for inhalation exposure, but will in future also include dermal and ingestion exposure.

145


Immediate: Industry (manufacturer and importers of chemical agents and downstream users) and regulators (ECHA, REACH competent authorities). Distant: Workers


REACH: Registration and Beyond: Exposure Scenarios and safe handling advice; 2nd European Workshop & Conference. 30 September-1 October 2009. Brussels X2009 Sixth International Conference on Innovations in Exposure Assessment. August 17-20 2009, Boston, US


Fully validated and operational ART for inhalation and dermal exposure. Made freely available on the web. Beta version for the ingestion exposure model.


Acceptance of ART by wider scientific community and use of ART by industry and regulators.


December 2010 – Full ART (inhalation) made available on the web. December 2011 – Full ART (dermal) made available on the web. December 2012 – Beta version of ingestion model.

Public health impact Improved risk assessment for occupational exposure to chemicals, resulting in improved health of the EU workforce.

Funding source(s)

Dutch Government. Health and Safety Executive (UK) CEFIC – European Chemical Industry Council AFSSET – Agence francaise de sécurité sanitaire de l’environment et du travail (France).

Dissemination National and International Scientific and Professional Conferences ART website.

Please indicate whether this is: New project June 2010

GPA2.11q


Stoffenmanager 4.5: New and Extended

GPA Objective and Action GPA 2 To promote and protect health at the workplace. 11. …the assessment and management of health risks at the workplace should be improved by: defining essential interventions for prevention and control of mechanical, physical, chemical, biological and psychosocial risks in the working environment. Such measures include also integrated management of chemicals at the workplace, elimination of second-hand tobacco smoke from all indoor workplaces, improved occupational safety, and health-impact assessment of new technologies, work processes and products at the design stage. 12. …protecting health at the workplace also requires enacting regulations and adopting a basic set of occupational health standards to make certain that all workplaces comply with minimum requirements for health and safety protection, ensuring an appropriate level of enforcement, strengthening workplace health inspection, and building up collaboration between the competent regulatory agencies according to specific national circumstances. 15. …work on creating practical tools for assessment and management of occupational risks, recommending minimum requirements for health protection at the

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workplace, providing guidance on development of healthy workplaces, and on promoting health at the workplace

Priority Initiative GPA 2.1 Develop practical toolkits for the assessment and management of occupational health and safety risks (chemical, physical and biological focus)

Responsible CC or NGO Name TNO Quality of Life, Gerard Zwetsloot


Maikel van Niftrik ([email protected]) Henri Heussen ([email protected])


CC TNO Quality of Life in Hoofdorp, the Netherlands, IOHA



− Dutch Ministry of Social Affairs and Employment − Henri Geron, Dutch Ministry of Social Affairs and

Employability, [email protected]


− Michel van Wijk, BECO, [email protected] − Frans de Beer, Dutch Labor Inspectorate,

[email protected] − Albert Hollander, TNO Quality of Life,

[email protected]

Summary of the project (max 100 words) The first version of Stoffenmanager website was launched in 2003 as a risk banding tool aimed at SME working with hazardous substances. Since then the inhalation exposure model was calibrated and evaluated allowing the Dutch Labor Inspectorate to formally approve of Stoffenmanager as a tool through with Dutch SME may comply with occupational hygiene legislation.

This project entails further development of the Stoffenmanager website (www.stoffenmanager.eu) by:

− Implementing the GHS/CLP legislation − Development of first version of a risk prioritiziation

tool for nano particles − Improvement of the REACH module − Improved user friendliness of the skin risk module − Allignment with the ECHA Chesar tool The Stoffenmanager is being developed by Arbo Unie (Henri Heussen), BECO (Michel van Wijk) and TNO Quality of Life (Maikel van Niftrik)

Prioritization, evaluation and management of health risks posed by inhalation and dermal exposure to hazardous chemicals.

Target group and/or beneficiaries − SME working with hazardous substances


- An annual meeting for the Occupational Research Conference at Guadalajara, Mexico.

- A meeting with the Network Iberoamerican of Occupational Risk Psychosocial (RIPSOL) in Argentina and Ecuador (2011).

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- Release of version 4.5. of the website (Oct 2010) - Publications

Indicators of achievement (impact) - Amount of registered users is 20.000 in 2012 (currently 11.000)

- Regular user evaluation indicating a customer satisfaction of 4 out of 5.

- A SME user of Stoffenmanager is able to: - generate a complete and reliable risk

inventarisation and evaluation of x % of its substances, and

- interpret the results of the evaluation in a correct manner by comparing the exposure inhalation with a relevant threshold value, and

- Apply correct control measures based on the outcome of the risk evaluation.


- Sept 2010 – company evaluation of beta version of STM 4.5.

- Oct 2010 – release of STM 4.5. - First half 2011 – report conclusions on customer

evaluation

Public health impact - Health improvement of worker exposure to hazardous substances.

- Illness prevention due to reduced inhalation and skin exposure to hazardous substances

Funding source(s) Dutch Ministry of Social Affairs and Employment

Dissemination - Scientific papers - ECHA REACH Guidance document - Publications in HSE magazines - Through Stoffenmanager newsletter - Presentations and workshops at national and

international (scientific) meetings - Professional one-day courses

2009-2012 Work Plan Number (to be assigned by WHO) New project June 2010

GPA2.11r

PROJECT Title

Stoffenmanager Construction Toolkit


GPA Objective 2: To protect and promote health at the workplace. 11. …the assessment and management of health risks at the workplace should be improved by: defining essential interventions for prevention and control of mechanical, physical, chemical, biological and psychosocial risks in the working environment. Such measures include also integrated management of chemicals at the workplace, elimination of second-hand tobacco smoke from all indoor workplaces, improved occupational safety, and health-impact assessment of new technologies, work processes and products at the design stage. 12. …protecting health at the workplace also requires enacting regulations and adopting a basic set of occupational health standards to make certain that all workplaces comply with minimum requirements for health and safety protection, ensuring an appropriate level of

148

enforcement, strengthening workplace health inspection, and building up collaboration between the competent regulatory agencies according to specific national circumstances. 15. …work on creating practical tools for assessment and management of occupational risks, recommending minimum requirements for health protection at the workplace, providing guidance on development of healthy workplaces, and on promoting health at the workplace.


GPA 2.1 Develop practical toolkits for the assessment and management of occupational health and safety risks (chemical , physical and biological focus)


GPA1.1, GPA3.1,GPA 3.2, GPA5.3

Responsible CC or NGO Name IOHA


Dave Zalk (IOHA envoy) [email protected] Henri Heussen (IOHA envoy) [email protected]


TNO




- Arbouw ([email protected]) - Arbo Unie


A web-based internet tool was developed (www.stoffenmanagerbouwnijjverheid.nll, Dutch only) for assessing chemical exposure and identifying controls. With a starting grant from the Dutch Ministry of Social Affairs and employment the tool was completed for tilers and plasters. Advice for carpenters, bricklayers, joiners, and sealant applicators will be integrated in 2010 Other jobs to follow This toolkit provides customized advice to prevent exposure to hazardous substances in the construction industry.

Target group and/or beneficiaries Construction workers and employers Major Milestones (list up to three dates and milestones)

Advice for carpenters, bricklayers, joiners and sealant applicators integrated into existing toolkit in 2010.

Dissemination plan Funding source(s)


A web-based internet tool was developed (www.stoffenmanagerbouwnijjverheid.nll, Dutch only) for assessing chemical exposure and identifying controls


Inclusion of control banding principles and approaches in standards and legislation of range of countries. Brazil, Chile, China, Germany, Korea, India, Portugal, The Netherlands, Ukraine, UK, USA, Vietnam

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2009-2012 Work Plan New project June 2010

2.11s

PROJECT Title

Stoffenmanager Paint and Printing Ink Manufacturing Industry Toolkit


Objective 2: To protect and promote health at the workplace 11. …the assessment and management of health risks at the workplace should be improved by: defining essential interventions for prevention and control of mechanical, physical, chemical, biological and psychosocial risks in the working environment. Such measures include also integrated management of chemicals at the workplace, elimination of second-hand tobacco smoke from all indoor workplaces, improved occupational safety, and health-impact assessment of new technologies, work processes and products at the design stage. 12. …protecting health at the workplace also requires enacting regulations and adopting a basic set of occupational health standards to make certain that all workplaces comply with minimum requirements for health and safety protection, ensuring an appropriate level of enforcement, strengthening workplace health inspection, and building up collaboration between the competent regulatory agencies according to specific national circumstances. 15. …work on creating practical tools for assessment and management of occupational risks, recommending minimum requirements for health protection at the workplace, providing guidance on development of healthy workplaces, and on promoting health at the workplace.


Priority 2.1 Develop practical toolkits for the assessment and management of occupational health and safety risks (chemical, physical and biological focus)


Responsible CC or NGO Name IOHA




TNO




Dutch Painting and Printing Ink Manufacturing Organisation - Dutch trade unions - Arbo Unie

150


(www.stoffenmanagerverfendrukinktindustrie.nl, Dutch only) for assessing chemical exposure and identifying controls. The sector specific activities were linked to the EU-sector organisation (CEPE) REACH use descriptors and these descriptors were built in. Users were trained by the train the trainer principle. Further implementation will take place by providing a helpdesk, a yearly user evaluation day and updating the tool in line with regulatory changes. This project will guide (SME) users of this self-assessment tool towards a validated safe use of chemicals in the paint and printing ink production industry.

Target group and/or beneficiaries SMEs in paint and printing ink production industry Major Milestones (list up to three dates and milestones)

Dissemination plan Funding source(s)



Inclusion of control banding principles and approaches in standards and legislation of range of countries. Brazil, Chile, China, Germany, Korea, India, Portugal, The Netherlands, Ukraine, UK, USA, Vietnam


Continuous funding of the sector organisation to keep the tool up to date

2009-2012 Work Plan Number (to be assigned by WHO)

2.11t

PROJECT Title

Development of Toolkits for Safe Solvent Use in Industry Sectors Involved with Carbon Tetrachloride (CTC) Phaseout


GPA Objective 2: To protect and promote health at the workplace 11. …the assessment and management of health risks at the workplace should be improved by: defining essential interventions for prevention and control of mechanical, physical, chemical, biological and psychosocial risks in the working environment. Such measures include also integrated management of chemicals at the workplace, elimination of second-hand tobacco smoke from all indoor workplaces, improved occupational safety, and health-impact assessment of new technologies, work processes and products at the design stage. 12. …protecting health at the workplace also requires enacting regulations and adopting a basic set of occupational health standards to make certain that all workplaces comply with minimum requirements for health and safety protection, ensuring an appropriate level of enforcement, strengthening workplace health inspection, and building up collaboration between the competent regulatory agencies according to specific national circumstances. 15. …work on creating practical tools for assessment and management of occupational risks, recommending minimum requirements for health protection at the workplace, providing guidance on development of healthy workplaces, and on promoting health at the workplace.

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Priority 2.1 Develop practical toolkits for the assessment and management of occupational health and safety risks (chemical, physical and biological focus)


GPA 1.1, GPA3.1, GPA3.2, GPA4.1, GPA5.3

Responsible CC or NGO Name Sri Ramachandra University


Sankar Sambandam [email protected] Kalpana Balakrishnan [email protected]




Ozone Monitoring Cell Ministry of Environment and Forests, Govt. of India


GTZ-Proklima office of GTZ-India


Carbon Tetrachloride (CTC) an important class of ozone depleting substances is widely used as a solvent in many industrial sectors in India. Within the framework of the Multilateral Fund of the Montreal Protocol, the Governments of Germany and France have mandated GTZ-Proklima to provide technical assistance to CTC consuming industries in the India to phase out CTC. The SRU-WHO-CC provided assistance to GTZ for research and documentation on nearly 500 potentially hazardous substances that could be present in proprietary cleaning agents that were being considered as CTC substitutes. Following this SRU is conducting a systematic evaluation of exposures and identification of risks associated with selected CTC substitutes across a spectrum of client industries in order to provide specific recommendations for control in the respective industrial sectors using the chemical management toolkit approach.

Target group and/or beneficiaries All industry sectors involved with CTC Major Milestones (list up to three dates and milestones)

Job-Hazard Profiles for 8 industry sectors (December 2010) Control Guidance Sheets for Solvent use (March 2010) Dissemination June 2010

Dissemination plan Through Training Manuals and web-hosting of Control Guidance

Funding source(s) GTZ-India


Job-Hazard Profiles have been generated for 8 industry sectors that are involved in high volume CTC-use namely Oxygen, Refrigeration & Air Conditioning, Offset Printing, Jewelry, Electrical, Foundry, Textile and Metal Degreasing Control Guidance for all processes involving solvents in these sectors has been prepared Two dissemination workshops at the state and national level have been conducted


Development of a Training Module for routine administration by the Environmental Training Institute of the Tamil Nadu State Pollution Control Board for area industries involved with CTC

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Area 2: Analytic diagnostic tools 2009-2012 Work Plan Number

GPA2.11a Formerly AA2:NP12

GPA Objective Objective 2: To protect and promote health at the workplace CC or NGO Name INRS – FRANCE Project title New challenges and new methods in bio-monitoring

Keywords Occupational toxicology, bio-monitoring, symposium, methods, urine sampling disposal, internet


Marie-Thérèse Brondeau (Jean-Marie Mur) [email protected] F. Pillière, A. Leprince, P. Simon


FIOH (A. Aitio) – FINLAND IST (M. Bérode) – SWISS

Other partners Funding Self –funding

Objective of the project To stimulate discussion and to disseminate information and new tools in bio-monitoring


1-Database on bio-monitoring methods and available laboratories; 2-Development of a urine sampling disposal for on-field use; 3-Organization of a scientific symposium in 2008

Target group and/or beneficiaries Occupational physicians, industrial hygienists of most enterprises


1-A database, accessible on the INRS website, is being developed and implemented in order to disseminate in France, but also in the French speaking countries, recommended bio-monitoring techniques for the surveillance of exposed workers; 2-An original disposal is being developed in order to take samples of urine in exposed workers on a medium which can be easily sent by ordinary mail to a laboratory for analysis of toxic metabolites( this tool will be useful for the bio-monitoring of workers who are far from laboratories); 3-Organization of a scientific symposium in order to have a large overview on the present and future bio-monitoring methods for the surveillance of workers exposed to traditional and emerging chemical risks. Special attention will be assigned to simple bio-monitoring techniques, which can be used directly by occupational physicians.

Dissemination 1-Internet INRS Website 2-Marketting of a urine sampling disposal 3-Acts of the symposium


Progress on Project

1. The database BIOTOX is available on the INRS website. It is updated annually (last update in July 2007). A paper publication (in French) is also available (INRS ED 791). 2. A device to collect, transport and store urine samples, “URIPREL”, has been validated for six metabolites of substances (benzene, styrene, carbon disufide, PAH) and works are in progress for other substances (naphthalene, metals). A company has been contracted to market the device. At the same time, new analytical methods faster and easier to use have been developed and transferred to laboratories. The next step of the project aims to increase the number of applications and to develop reactive systems for an in-situ, semi-quantitative exposure assessment. The combined use of immunosorbents and molecular impregnated polymers for determination of traces of 3-hydroxybenzene, metabolite of B(a)P, has been studied. 3. The project to organize a symposium on biomonitoring has been postponed to 2010, an international event already took place in 2007 (7th International symposium on biomonitoring in occupational and environmental health, Beijing, September 2007).

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GPA2.11f New Project


Development of analytical diagnostic tools for occupational isocyanate asthma

GPA Objective Objective 2: To protect and promote health at the workplace Responsible CC or NGO Name Institute for Occupational and Maritime Medicine, Hamburg, Germany

Project leader Ass. Prof. Dr. Lygia T. Budnik, Prof. Dr. X. Baur Email: [email protected]

Network partners Institute and outpatient clinic for occupational and environmental medicine, Ludwig Maximilians University Munich, Germany; Email: [email protected]


Global


Ministries of occupational and environmental affairs in Europe


Prof. Dr. Rainer Bischoff, University of Groningen, Analysical Biochemistra and Mass spectrometry center, Groningen, NL; Email: [email protected] Dr. C. Lemière, Hôpital de Sacré Coeur, Montreal, Quebec, Canada Email: [email protected] Prof. Dr. D. Bernstein, Chincinnati Childrens Hospital Medical Center, University of Cincinatti, OH USA Email: [email protected]


Most frequent type of occupational asthma is the isocyanate asthma. Clinical diagnosis and differentiation of isocyanates as the cause of occupational asthma is difficult. The gold-standard test, specific inhalation challenge, is successfully used in our outpatient clinic. However with the increasing use of isocyanates worldwide a need for an efficient routine laboratory test has emerged. Due to the unsatisfactory serological IgE tests based on poorly characterized isocyanate-albumin epitopes, the available tests recognize only small proportion of affected workers. In order to characterize biomarker of exposure in a larger population of occupationally exposed workers we will characterize the reaction products of isocyanates and albumin with a help of mass spectrometry analyses.

Target group and/or beneficiaries Employer, worker representatives, OHS experts


Presentations of intermediate and final results at European and international scientific meetings. Initial meetings of CCs, national & international meetings on occup. and environm. health / follow up conferences on the topic as final events (EU)


Implement the immunological assay for the diagnosis of patient samples. Recommendations for the prevention of occupational asthma based on biomonitoring screening

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Toolkit 1: characterise the kinetic conditions for the simulation of workplace exposure under laboratory conditions and implementation of the results for the patient analysis Toolkit 2: characterise the isocyanate-serum-albumin epitopes from patient samples with mass spectrometry Toolkit 3: develop a sensitive laboratory diagnostic method for the isocyanate asthma


1. biomonitoring methods (2009-2010) 2. implementation of the antibody assay (2010-2011) 3. recommendations for the prevention of occupational asthma (2012)

Public health impact Development of new diagnostic tools for occupational isocyanate asthma. Effective interventions to manage and prevent the risks.

Funding source(s) German Research Council, DFG

Dissemination The results in international journals. Papers to conferences, workshops, new electronic media, fact sheets and recommendations, use channels of the EASHW, websites of CCs, WHO, ILO

FACILITATING PROJECT (administrative)

GPA 2.1b: Toolkits for physical risks

Facilitating Project Title Toolkits and other resources to improve assessment and management of PHYSICAL risks at the workplace.


GPA Action


Priority Area 2.1b: Develop practical toolkits for the assessment and management of OH risks (focus: physical risks)


The projects included here relate to the development of tools for the assessment and management of occupational risks related to physical hazards. This Facilitating Project will be particularly useful in coordinating these distinct physical risks. Projects are grouped into: (1) Noise and Vibration; (2) Projects related to Radiation Risks; (3) Projects related to injury hazards; and (4) Projects related to heat stress.





1: Projects related to Noise and Vibration GPA 2.15e Code of conduct for noise control in the music- and entertainment sector. Federal Institute for Occupational Safety and Health (BAuA), Germany. Project Leader: Georg Brockt, [email protected]

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GPA 2.12c Compendium on hearing conservation for professionals in music- and entertainment sector. Federal Institute for Occupational Safety and Health (BAuA), Germany. Project Leader: Georg Brockt, [email protected] 2: Projects related to radiation risks GPA 2.15u Assessing UV exposure: measurements and prediction of individual exposure. Institut universitaire romand de Santé au Travail (IST), Switzerland. Project Leader : Antoine Milon, [email protected] 3 : Projects related to injury hazards (none at this time) 4: Projects related to heat stress GPA2.11u Development of Toolkits for High Occupational Temperatures and Productivity Suppression. Sri Ramachandra University, India. Project leaders: Kalpana Balakrishnan [email protected] and Ayyappan Ramalingam



The assessment and management of health risks at the workplace should be improved by defining essential interventions for prevention and control of physical risks in the working environment. Such measures include improved occupational safety, and health-impact assessment of new technologies, work processes and products at the design stage Development of guidance on best practice OHS standards on physical risks. The development of an evidence base on the impact and management of physical risks including identification of new risk factors such as due to introduction of new technologies, processes of globalization, as well as changes in the work organization. Development of training materials and programmes on the assessment and management of physical risks. CCs contribute to defining common criteria of toolkits, develop inventories, framework documents, mapping of use and types of tools, to assess and manage the identified new as well as existing risks. Advanced toolkits will be implemented and evaluated.


1: Projects related to Noise and Vibration GPA 2.15e Code of conduct for noise control in the music- and entertainment sector GPA 2.12c Compendium on hearing conservation for professionals in music- and entertainment sector. 2: Projects related to Radiation Risks GPA 2.15u A web based user-friendly tool assessing the exposure of any body part according to the posture, the activity, the time spend outdoor 3: Projects relating to Injury Hazards (none at this time) 4: Projects related to heat stress GPA2.11u Completion of pilot study using a Toolkit for High Occupational Temperatures and Productivity Suppression

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Area 1: Projects related to Noise and Vibration 2009-2012 Work Plan Number

GPA2.15e Formerly AA2:RS3


CC or NGO Name Federal Institute for Occupational Safety and Health (BAuA), Germany

Project title Code of conduct for noise control in the music- and entertainment sector Keywords


Dr. Georg Brockt (2.6) [email protected]


Other partners A working group has been established involving all parties concerned. Funding




The guide helps workers and employers in the music and entertainment sector to meet their obligations regarding occupational safety and health.


The code of conduct will give information to protect employees in the music- and entertainment sector against the risks arising from sound exposure. It considers the risks for hearing impairment, the people affected and describes strategies for reducing the sound exposure and for hearing conservation in this specific sector. A first German version of this guide is scheduled for 2006. As this theme is not limited on a national scope, it is most likely that the guide will be translated into other languages. It is planned to discuss the issue within an European congress at the BAuA by the end of 2006.

Dissemination


The scope of the impact of the project is identified as global.

Progress on Project

The work of the German working group on the guidelines is in progress. Parts of this work have been implemented in the EU-Guide to support the new European Directive 2003/10/EC within the project AA2:RS2. A first completed German draft is planned for autumn 2007. In order to support this work, the BAuA arranged a European conference on hearing conservation in the music and entertainment sector (January 07) entitled “Music – Safe and Sound”. The conference program and the presentations are available on http://www.baua.de/en/Topics-from-A-to-Z/Noise/Safe-and-Sound.html__nnn=true. The publication of a book with extended articles of the referees is scheduled for autumn 2007.


The work on the German guideline is finished. In German language the guide is available for download from BAuA-webpage: http://www.baua.de/nn_7534/de/Publikationen/Fachbeitraege/Gd10.html?__nnn=true A printed version of the German guide can be ordered at BAuA: [email protected]


Projects that relate to the development of tools for the management of occupational physical risks, in addition to those already included projects related to injury risks are sought.

Examples of deliverables desired by 2012 An injury toolkit.


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To support this work, the BAuA arranged a European conference on hearing conservation in the music and entertainment sector in January 2007 entitled “Music – Safe and Sound”. The conference program and the presentations are available on http://www.baua.de/en/Topics-from-A-to-Z/Noise/Safe-and-Sound.html__nnn=true. As a result form the BAuA-conference in 2007 a compendium in English language has been published. The title is “Music - Safe and Sound, Hearing Conservation for Professionals in Music and Entertainment” and is distributed by bookstores. More information on http://www.baua.de/nn_49288/en/Publications/Expert-Papers/Music.html?__nnn=true


An English translation of the German guide is in progress. The English brochure will be provided as a free download from the BAuA-webpage.


2.12c New Project


Compendium on hearing conservation for professionals in music- and entertainment sector

GPA Objective Objective 2: To protect and promote health at the workplace Responsible CC or NGO Name

Federal Institute for Occupational Safety and Health (BAuA), Germany, (WHO-CC for Occupational Health)

Project leader Dr. Georg Brockt [email protected]

Network partners WHO Regions involved in this CONTRIBUTING project




The compendium shall give information and help on how to prevent hearing impairment of workers in the music- and entertainment industry. According to the requirements of the Directive 2003/10/EC the BAuA is working on a guideline on realising the principles of noise control and hearing conservation for this branch. In order to support this work the BAuA arranged a European conference on this topic in 2007.


Employees and employers as well as for freelancers or non professionals. The scope of affected people covers musicians, performers, DJ’s, technical service or security staff.



The publication will comprise extended articles of the experts who contributed to the BAuA conference “Music – Safe and Sound”. Up to now 15 authors from 6 countries intend to contribute to this publication. It will include topics as: risks of hearing impairment, technical and organizational sound reduction for different branches, room acoustics, hearing protection, medical hearing care. These themes are of fundamental interest for employees and employers as well as for freelancers or non professionals. The scope of affected people covers musicians, performers, DJ’s, technical service or security staff etc. As in this branch noise is no by-product but product itself, certain risks of hearing impairment are often neglected or underestimated. Only by information and training hearing loss prevention can be achieved. The compendium shall give a contribution to this.


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The date of publication is scheduled in 2010.


Funding source(s) BAuA

Dissemination The book will be published in English language. Area 2: Projects related to radiation risks 2009-2012 Work Plan Number

2.15u New Project


Assessing UV exposure: measurements and prediction of individual exposure

GPA Objective Objective 2: To protect and promote health at the workplace Responsible CC or NGO Name Institut universitaire romand de Santé au Travail (IST)

Project leader Antoine Milon, [email protected] Network partners WHO Regions involved in this CONTRIBUTING project



Laurent Moccozet, University of Geneva, Switzerland, [email protected]


This research project aims at developing and validating a predictive tool of individual exposure to solar UV. Exposure levels of body parts will be predicted on basis of ambient irradiation levels and information about postural activity. The tool will use existing techniques in the field of 3D numeric simulation and will be validated against individual dose measurements. The use of a numeric method should facilitate assessment of individual exposure and allow predictive scenarios (either prospective or retrospective). In the long run, a better quantification of exposures for specific occupational and leisure activities should assist in better targeting preventive actions.


Outdoor workers, public health



A web based user-friendly tool assessing the exposure of any body part according to the posture, the activity, the time spend outdoor

Indicators of achievement (impact) Interests of external parties, accuracy of the tool


Before June 09: Start of the user-friendly aspect Within the next 6months: use of the tool in the fields Within the next year: publications, scientific and popularized

Public health impact Increase of awareness of the risk towards sun exposure, reduction of the risk of skin cancer

Funding source(s) SUVA, Swiss National Accident Insurance Fund

Dissemination

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Area 3: Projects related to injury hazards (none at this time) Area 4: Projects related to heat stress 2009-2012 Work Plan Number New project June 2010

2.11u

PROJECT Title

Development of Toolkits for High Occupational Temperatures and Productivity Suppression


GPA Objective 2: To protect and promote health at the workplace


GPA2.1


GPA3.1, GPA3.2, GPA4.1, GPA5.3

Responsible CC or NGO Name Sri Ramachandra University


Kalpana Balakrishnan [email protected] Ayyappan Ramalingam



SEARO




In India intense hot work environments are a problem not only in organized industrial sectors such as automotives, chemicals, fertilizers, glass manufacturing and mines but also in non-industrial sectors such as agriculture. Against this backdrop of a well known occupational risk factor, there now looms an additional health threat from potential heat stress contributions related to global climate change. The ‘high occupational temperature health and productivity suppression’ programme (Hothaps) is a multi-centric health research and prevention programme aimed at quantifying the extent to which working people are affected by, or adapt to, heat exposure while working, and how global heating during climate change may increase such effects. This project represents the pilot phase of this study that will conduct heat monitoring of selected workplaces, qualitative assessment of perceived heat impacts and preventive interventions with the intention to facilitate future quantitative studies of impacts on health and productivity in relation to local impacts of climate change. During the course of this assessment several control guidance sheets and/or toolkits to minimize heat and ergonomic stressors are expected to be generated

Target group and/or beneficiaries All industry sectors Major Milestones (list up to three dates and milestones)

Yet to be formulated

Dissemination plan Yet to be Formulated

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Funding source(s) Pilot study funds received from WHO-SEARO


Pilot Study under Progress


To Be formulated


To be formulated

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FACILITATING PROJECT (administrative)

GPA 2.1c : (NOTE: All projects in GPA 1.4; 1.9l, 1.9n, 1.9q, 1.9x, 1.9z)

Facilitating Project Title Toolkits and other resources to improve assessment and management of BIOLOGICAL risks at the workplace.


GPA Action


Priority Area 2.1c: Develop practical toolkits for the assessment and management of OH risks (focus: biologic risks)


This facilitating project points to the location of toolkits addressing biologic risks at work in GPA Priority 1.4 (risks for healthcare workers). No additional toolkits are coded here that address biological risks.





Projects related Biologic Risks See Projects 1.9l, 1.9n, 1.9q, 1.9x and 1.9z coded into GPA 1.4: Risks of Healthcare workers



The assessment and management of health risks at the workplace should be improved by defining essential interventions for prevention and control of biological risks in the working environment. Such measures include improved occupational safety, and health-impact assessment of new technologies, work processes and products at the design stage Development of guidance on best practice OHS standards on biological risks. The development of an evidence base on the impact and management of biological risks including identification of new risk factors such as due to introduction of new technologies, processes of globalization, as well as changes in the work organization.


See Projects 1.9l, 1.9n, 1.9q, 1.9x and 1.9z coded into GPA 1.4: Risks of Healthcare workers

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More projects that relate to the development of tools for the management of occupational risks related to biological hazards, in addition to those already included.

Examples of deliverables desired by 2012

See Projects 1.9l, 1.9n, 1.9q, 1.9x and 1.9z coded into GPA 1.4: Risks of Healthcare workers


Priority 2.1d: Priority 2.1d: Develop practical toolkits for the assessment and management of OH risks for Psychosocial hazards Outputs: Tools, inventory, framework document, mapping of use and types of tools, evaluation, definition of common criteria of toolkits, network of active users Support: CC: Stavroula Leka and Aditya Jain, University of Nottingham, UK WHO/HQ: Evelyn Kortum FACILITATING PROJECT (administrative)

GPA 2.1d


Toolkits and other resources to improve assessment and management of psychosocial risks at the workplace.


GPA Action


Priority Area 2.1a: Develop practical toolkits for the assessment and management of OH risks (focus: psychosocial risks)


All the seven projects included here relate to the development of practical tools for assessment and management of psychosocial risks; this Facilitating Project will be particularly useful in coordinating these closely related activities.


CC Initiative Leaders and contact information

Stavroula Leka [email protected] Aditya Jain [email protected]

WHO responsible person Evelyn Kortum

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GPA 2.15t Psychosocial Risk Management Toolkit. Institute of Work, Health & Organisations, University of Nottingham, UK. Project leader: Stavroula Leka [email protected] GPA 2.15z Collaboration in the development of practical psychosocial risk management toolkit. Occupational Health Centre of the Municipal Institute of Health of Barcelona, Spain. Project Leader: Lucía Artazcoz, [email protected] GPA 2.11l Adaptation, validation and training in the use of a diagnostic tool to detect prevalence of psychosocial risk factors in the workplace. CINBIOSE, Canada. Project Leader: Katherine Lippel [email protected] GPA 2.13h Study of psychosocial risks in Malaysian context. University of South Australia Australia. Project Leader: Mr. Mohd Awang Idris [email protected] GPA 2.11p Psychosocial stress in the workplace with regard to burnout and gender. Institute of Occupational and Maritime Medicine, Hamburg, Germany. Project Leader: Ralf Wegner [email protected] GPA 2.15aa NEW Practical toolkits for assessment of work stress. Occupational Safety and Health Council, Hong Kong. Project leader: Jason Wong [email protected] GPA 2.15ab NEW Prevention of workplace violence via Do-It-Yourself (DIY) Kit, Training, and On-line risk assessment of workplace violence (English & Chinese). Occupational Safety and Health Council, Hong Kong. Project leader: Jason Wong [email protected] GPA 2.14b Threat to life and physical integrity at the workplace: consequences on mental health and prevention. Clinica del Lavoro “Luigi Devoto”, Milan, Italy. Project Leader: Giuseppe Paolo Fichera, [email protected] GPA2.15j Guidelines for bullying at work - Specific toolkits for the prevention of workplace bullying. Clinica del Lavoro “Luigi Devoto”, Milan, Italy. Project Leader: Silvia Punzi, [email protected] GPA 2.11x Psychosocial risk of health professionals: Identify psychosocial risk of health professionals in order to generate illness prevention and health occupational programs. Institute of Research in Occupational Health. University of Guadalajara, Mexico. Project Leader: Manuel Pando Moreno [email protected]



The assessment and management of health risks at the workplace should be improved by defining essential interventions for prevention and control of psychosocial risks in the working environment. Such measures include improved occupational safety, and health-impact assessment of new technologies, work processes and products at the design stage. Protecting health at the workplace also requires enacting and adopting a basic set of occupational health standards. Development of guidance on best practice OHS standards on psychosocial risks. Development of training materials and programmes on the assessment and management of psychosocial risk. The development of an evidence base on the impact and management of psychosocial risks including identification of new risk factors such as due to introduction of new technologies, processes of globalization, as well as changes in the work organization. CCs define common criteria of toolkits, develop inventories, framework documents, mapping of use and types of tools, to assess and manage the

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identified new as well as existing risks. Advanced toolkits will be implemented and evaluated.


GPA 2.15t To develop a psychosocial risk management toolkit that will be readily usable and user-friendly Develop international standards (Publicly Available Specification – PAS) on stress at work in order to promote harmonisation in the area of psychosocial risk management Develop training packages for the toolkit deliverable through e-learning and face-to-face Integrate the toolkit in the provision of basic occupational health services GPA 2.15z Translation into Spanish of 10 guidance sheets and the PRIMA-EF guide Spanish toolkit for psychosocial risk management at the enterprise level GPA 2.11l Translation and adaptation of instruments to evaluate psychosocial risk factors in the workplace Training workshops for OH inspectors GPA 2.13h To develop a tool for the assessment of psychosocial risk in an emerging economy context To develop materials to create work-life balance awareness training for managers and supporting staff GPA 2.11p Development of a WHO questionnaire to evaluate the psychosocial stress and strain including burnout phenomena by occupational and familial factors Worldwide survey in 2011 GPA 2.14b Training programmes for workers in order to prevent workplace violence To assess the efficacy of early psychological support program, and to extend the intervention among different workers victims of different workplace trauma GPA2.15j Training packages for prevention and intervention for health professionals, employers, employees GPA 2.11x Toolkit for Health Risk Psychosocial prevention. Occupational health programs to generate illness prevention among health professionals


• Rapid survey tool for developing countries • Raise awareness • Sector based tools and guidelines • Information sharing for the development of the regional/country specific tools • Better information on validity of existing tools • Develop a universally accepted glossary of terms


• Sector based tools and guidelines • Psychosocial risks addressed in Healthy Workplaces and i-BOHS • Development of Psychosocial Risk Management Network (PRIMA-Network)

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GPA2.15t Formerly AA3:P5


CC or NGO Name Institute of Work, Health & Organisations, University of Nottingham

Project title Psychosocial Risk Management Toolkit

Keywords Psychosocial issues at work, work-related stress, mental health at work


Dr Stavroula Leka [email protected]

Partners (of the CC Network) FIOH – Finland, BAuA – Germany, ISPESL – Italy, TNO – Netherlands, WHO, ILO

Other partners CIOP-PIB – Poland

Funding Funding for first phase has been secured through SALTSA (Sweden) and by the European Commission 6th Framework Programme


Development of a psychosocial risk management toolkit and framework to raise awareness and promote best practice in psychosocial risk management globally


To develop a toolkit that will be readily usable and user-friendly Develop existing knowledge in reviewing available methodologies to evaluate the prevalence and impact of psychosocial risks at work and work-related stress Develop international standards and indicators on stress and violence at work in order to promote harmonisation in the area of psychosocial risk management and enhance best business practice Develop detailed recommendations and evidence-based best-practice guidance on the management of these issues at the workplace to promote clarity that will enable stakeholders to put these in practice to improve the quality of working life To develop training packages for the toolkit deliverable through e-learning and face-to-face To integrate the toolkit in the provision of basic occupational health services


All enterprises – especially those where expertise is missing such as SMEs


Over the years, a need has been identified through the work of the WHO’s Network of CCs in OH for practical procedures and tools for the management of occupational health and safety at work. This project focuses on the development of a Psychosocial Risk Management Toolkit (PRIMAT) and a framework for psychosocial risk management with a special focus on work-related stress and workplace violence (including harassment, bullying and mobbing). This toolkit could form part of a wider Occupational Risk Management Toolbox that would address health and safety issues at work in a comprehensive manner.

Dissemination WHO/ILO documents; University studies, publications; worker and enterprise meetings; newsletters and press releases; websites


Progress on Project

A review of the current situation in relation to the changing nature of work and psychosocial risks has been conducted and the guiding principles that will drive the review of psychosocial risk management approaches throughout Europe have been agreed upon. Experts in psychosocial risk management in different European countries have been identified. An expert’s workshop was organised at the University of Nottingham and was attended by the project partners’ and representatives of the EC and SMEs representatives it aimed at defining the products to be developed and the methodology to be followed. During this workshop the project work plan drafted and the framework components and guiding principles were defined. In June 2007 a ‘Monitoring & Indicators Workshop’ is being organised to review available methodologies for evaluating the prevalence and impact of psychosocial

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risks at work and work-related stress, including physical and psychological workplace violence. In November 2008 the PRIMA-EF project concluded. Funding from EC was secured to develop elearning training material.


Developed existing knowledge in reviewing available methodologies to evaluate the prevalence and impact of psychosocial risks at work and work-related stress Developed detailed recommendations and evidence-based best-practice guidance on the management of these issues at the workplace to promote clarity that will enable stakeholders to put these in practice to improve the quality of working life Developed the Psychosocial Risk Management – European Framework (PRIMA-EF) PRIMA-EF guide, guidance sheets and book developed. Available at www.prima-ef.org


To develop a toolkit that will be readily usable and user-friendly (by 2012) Develop international standards (Publicly Available Specification – PAS) on stress and violence at work in order to promote harmonisation in the area of psychosocial risk management and enhance best business practice (by 2011) To develop training packages for the toolkit deliverable through e-learning and face-to-face (by 2011) To integrate the toolkit in the provision of basic occupational health services (beginning in 2011)


GPA2.15z Formerly AA3:P6


CC or NGO Name Occupational Health Centre of the Municipal Institute of Health of Barcelona

Project title Collaboration in the development of practical Psychosocial risk management toolkit

Keywords Psychosocial hazards, prevention, intervention, restructuring Project leader Email address

Lucía Artazcoz, [email protected]

Partners (of the CC Network) University of Nottingham

Other partners

Funding Occupational Health Centre of the Municipal Institute of Health of Barcelona and, potentially, EU (Budget heading 04.021000.00.11, Innovative measures under Article 6 of the European Social Fund Regulation: "Innovative Approaches to the Management of Change”)


To develop a tool for healthy restructuring of enterprises (it depends on funding by the EU) To develop the guidelines for management of workers with mental health problems from the occupational health services To contribute to de adaptation of the Psychosocial risk management toolkit to the Spanish context


Tool for healthy restructuring of enterprises (by 2008) Guidelines for management of workers with mental health problems from the occupational health services (by 2007). To contribute to the adaptation of the Psychosocial risk management toolkit to the Spanish context (by 2010)


Occupational health services and enterprises in general.


The Occupational Health Centre of the Occupational Health Centre of the Municipal Institute of Health of Barcelona is currently working on the development of the Guidelines for management of workers with mental health problems from the occupational health services in collaboration with the Catalonian Department of Health and the Catalonian Department of Labour.

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The project has been modified because, as we mentioned in our proposal, we applied for European funding in a collaborative project with other countries but our project was not approved. Therefore the objective of develop a tool for healthy restructuring of enterprises has been removed. The project aims at developing the guidelines for management of workers with mental health problems from the occupational health services. To contribute to the adaptation of the Psychosocial risk management toolkit to the Spanish context.

Dissemination Scientific articles, reports, internet Impact (global or regional) Global

Progress on Project

A report with the results of the Delphi study has been elaborated and the guide is expected to be finished by the end of summer. Group discussions and interviews with different social agents, professionals and workers have been conducted in order to better know their needs for correctly manage work-related health problems at the workplaces. Additionally a Delphi study with occupational health physicians working in occupational health services has been conducted, a report has been written and sent to all the participants. A working team with experts from the Occupational Health Centre, the Department of Labour and experts from other institution is now elaborating this guide addressed to occupational health workers of occupational health services.


The Occupational Health Department are translating into Spanish the 10 guidance sheets and the guide of the PRIMA-EF project. Moreover, PRIMA-EF leaders are exploring the possibility of applying to an open call for a second phase of PRIMA-EF and we are willing to participate in it. The translation will be completed by end-2010.


2010: Application to DG-Sanco 2010: Translation into Spanish of 10 guidance sheets and the PRIMA-EF guide 2010-2011: Development of the project 2012: Final product (toolkit at the enterprise level)


GPA2.11l Existing Project AA3:P8


Adaptation, validation and training in the use of a diagnostic tool to detect prevalence of psychosocial risk factors in the workplace

GPA Objective Objective 2: Protect and promote health at the workplace

Responsible CC or NGO Name CINBIOSE CANADA

Project leader Katherine Lippel [email protected]

Network partners

CINBIOSE Université du Québec à Montréal, Canada [email protected]/ via Katherine Lippel, University of Ottawa Centro de Estudios de la mujer, Chile [email protected], Departamento de Salud Ocupacional del Instituto de Salud Pública de Chile.



Unidad de Condiciones y Medio Ambiente del Trabajo, Dirección del Trabajo. Contact name: Ingrid Soto: [email protected]


Centro de Estudios de la mujer Michel Vézina Institut national de Santé publique du Québec, Québec, Canada. [email protected]


This project is part of a program of research «Araucaria project» whose objectives are to generate knowledge about mental health problems related to working conditions, to transfer and exchange knowledge between researchers and partners, and to disseminate information in order to sensitize policy makers

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and practitioners to psychosocial risks related to working conditions. The Project aims to develop a simple tool to evaluate psychosocial risk in work places and if it is relevant, to recommend more detailed research or interventions in order to reduce such risks. It integrates a gender perspective in the conception and application of the tool. This tool is directed to persons who intervene in occupational settings, such as inspectors, occupational health professionals and others.


Inspectors of health and labour ministries, academics, policy makers and workers

Dissemination Inspectors in occupational health in the Ministry of Labor Impact (global or regional) We have not as yet assessed the impact


The instrument is being validated in Chile by a panel of experts coordinated by the Department of Occupation Health of the Instituto de Salud Pública.


Translation and adaptation of instrument to evaluate psychosocial risk factors in the workplace Inspectors in occupational health were trained in the use of the instrument to evaluate psychosocial risk factors in the workplace (workshop: March 31 – April 2, 2009)


Validation of the instrument in Chile More training workshops for OH inspectors.


2.13h New Project


Project D: Study of psychosocial risks in Malaysian context


WHO Collaborating Centre for Work, Organisation and Psychosocial Factors, University of South Australia Australia

Project leader

Mr. Mohd Awang Idris [email protected]

Network partners University of Malaysia Sarawak University of South Australia


Western Pacific Dr Shigeru Omi P.O. Box 2932 1000 Manila Philippines Telephone: (+63 2) 528 8001 Fax: (+63 2) 521 1036 or 526 0279 For media inquiries, please contact: Tel: (+63 2) 528 9991 Fax: (+63 2) 528 9069 Email: [email protected]


Ministry of Higher Education, Malaysia



The study aims to understand psychosocial risks in Malaysian context and test the JD-R model. The study also emphasizes on definition of occupational stress among Malaysian employees, and examines on organization outcomes and life outcomes related to work. Data will be collected through survey from population samples in

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Malaysia Peninsular regions. Target group and/or beneficiaries

Public Sector and Private Sector Employees


ICOH 2009 Cape Town


To document the concept and meaning of occupational stress (by 2008) To validate the concept of job demands, resources and other related variables (by 2009) To examine the impact of job characteristic on employee life outcome and organization outcome (by 2009) by Malaysian employees (by 2009) To develop a tool for the assessment of psychosocial risk in an emerging economy context To develop materials to create work-life balance awareness training for managers and supporting staff (by 2010)



As above expected results

Public health impact Evidence base regarding work-family policies

Funding source(s) Ministry of Higher Education, Malaysia University Malaysia Sarawak University of South Australia

Dissemination University studies; newsletter in relevant ministry (Women and Family Development, Human Resources)


GPA2.11p New Project


Psychosocial stress in the workplace with regard to burnout and gender

GPA Objective Objective 2: To protect and promote health at the workplace Responsible CC or NGO Name Institute of Occupational and Maritime Medicine, Hamburg, Germany

Project leader Ralf Wegner Mail: [email protected]

Network partners University of Nottingham, Institute of Work, Health and Organisations WHO Regions involved in this CONTRIBUTING project

Europe




Institute of Work, Health and Organisation University of Nottingham


Psychosocial stress in the workplace increasingly causes mental disorders like burnout. Some of the presumed predictors are long working hours, parenting, especially for full-time working female employees, and conflicts with colleagues and/or superiors. Practical measures including intervention strategies for the prevention of disorders and the recommendations of therapies should be developed on the basis of existing and newly collected data on family status, working conditions, burnout status (Maslach-Burnout-Inventory) and data including medical, physiological and biochemical analyses of 100 volunteers during working and leisure time.

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Target group and/or beneficiaries Workers with psychosocial stress at work


Development of a WHO questionnaire to evaluate the psychosocial stress and strain including burnout phenomena by occupational and familial factors. Organizing workshops on this issue. Collaborating with clinical physicians/clinics concerning adequate therapy.


Description of the most important stress factors and evaluation of preventive strategies, such as better separation between work and leisure time, flexibilization of working time and/or organization of better childcare in companies, development of therapy recommendations in occupational medicine

Indicator of achievement (impact) Evidence-based recommendations for the prevention and treatment of burnout

Major Milestones (list up to three dates and milestones

Analysis of existing data by 2009 Development of a WHO questionnaire by 2010 Worldwide survey in 2011 Analysis and publication of the data and recommendations in 2012

Public health impact Global Funding source(s) No funds

Disseminations Results and recommendations to be published in workshops and international journals

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GPA 2.15aa New Project

Project Title

Practical toolkits for assessment of work stress


Objective 2: To protect and promote health at the workplace


Priority 2.1: Practical toolkits for the assessment and management of work stress


Objective 3 Priority 3.1: Provide technical assistance to countries for organization, delivery and evaluation of basic OH services


Occupational Safety and Health Council (Hong Kong)


Mr. Jason WONG (Senior Consultant) email: [email protected]


Professor Fu Hua (傅華) email: [email protected] Deputy Dean and Professor, School of Public Health Fudan University


N.A.


N.A.


Based on the result of research study commissioned by OSHC and conducted by Lingnan University, Department of Sociology and Social Policy, Professor Siu Oi-ling email: [email protected]


Occupational Safety and Health Council will work in collaboration with Fudan University to promote management of work stress in mainland China by utilizing the practical toolkit (bilingual in both Chinese and English). Industries prone to work stress and the Health Care Sector will be our first targeted industry. We will initially launch the promotion in Shanghai and subsequently to 2 other cities (planned Beijing and Guangzhou) in mainland China. Survey will be carried out to evaluate the effectiveness programme.

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Working population in health care sector.


Dec 2012- Promotion of use of work stress tool kit in health care sector in Shanghai Dec 2013- Promotion of use of work stress tool kit in health care sector in Beijing Dec 2014 –Promotion of use of work stress tool kit in health care sector in Guangzhou

Dissemination plan Through production of publications, organizing seminars, workshops and training courses on work stress.

Funding source(s) Self-funding by the council. The Council is the largest OSH course provider offering over 200 types of courses for various sectors in Hong Kong. OSHC has 67 full time staff and over 200 Part-time Lecturers from various professional disciplines. During 2009/10, OSHC has organized over 1,700 training programmes and seminars, with total participants over 52,000.


Had already distributed 2000 sets of the toolkits to various sectors and uploaded the toolkit onto OSHC’s web site for free access and usage.


A series of promotion programme of work stress in Shanghai health care sector should be done.


Results of the evaluation programme on the effectiveness of the work stress tool kit including its coverage, user friendly, appropriateness, etc. for enhancement of the toolkit.

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GPA 2.15ab New Project

Project Title

Prevention of workplace violence via Do-It-Yourself (DIY) Kit, Training, and On-line risk assessment of workplace violence (English & Chinese)


GPA Objective 3: To improve the performance of and access to occupational health services


Priority 3.2: Training materials and training for international capacity building in OH


GPA Objective 5 Priority 5.3: Implement sectoral toolkits for the assessment and management of OH risks in the most hazardous sectors and for vulnerable workers


Occupational Safety and Health Council (Hong Kong)- OSHC


Mr. Jason WONG (Senior Consultant) email: [email protected]


N.A.


N.A.


The Labour Affairs Bureau, a public department of the Macao Special Administrative Region Government


Based on the result of research study commissioned by OSHC and conducted by City University of Hong Kong, Department of Applied Social Studies, Professor T Wing LO email: [email protected]


Based on the result of research study on work stress and workplace violence, OSHC has developed the DIY Kit and On-line risk assessment of workplace violence (bilingual in Chinese and English) to assist organizations in risk assessment process and prevention of workplace violence. OSHC will promote the DIY Kit and On-line risk assessment of workplace violence to sectors prone and the Health Care and Services Industry will be covered in first stage and then followed by Social Service and Facility Management Sectors. We will initially launch the promotion of the Kit and On-line assessment in Hong Kong (first stage) and Macao (second stage) and survey be carried out to evaluate its effectiveness for enhancement.

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The working population in health care and services industry, and social services and facility management sectors.


Dec 2012- Promotion of use of workplace violence tool kit in health care and services industry in Hong Kong Dec 2013- Promotion of use of workplace violence tool kit in health care and services industry in Macao Dec 2014 –Promotion of use of workplace violence tool kit in social services and facility management sectors in Hong Kong and Macao health care and services industry in Hong Kong

Dissemination plan Through production of publications, organizing trainer seminars, workshops and training courses in workplace violence.

Funding source(s) Self-funding by the council. The Council is the largest OSH course provider offering over 200 types of courses for various sectors in Hong Kong. OSHC has 67 full time staff and over 200 Part-time Lecturers from various professional disciplines. During 2009/10, OSHC has organized over 1,700 training programmes and seminars, with total participants over 52,000.


Had already distributed 2000 sets of the toolkit to various sectors and upload the DIY Kit onto OSHC’s web site for free access and usage.


A series of promotion programme of workplace violence in health care, services industry, social services and facility management sectors should be done.


Results of the evaluation programme on the effectiveness of the workplace violence tool kit including its coverage, user friendly, appropriateness, etc. for enhancement of the toolkit.


GPA2.14b Formerly AA3:P2


CC or NGO Name Clinica del Lavoro “Luigi Devoto”, Milan

Project title Threat to life and physical integrity at the workplace: consequences on mental health and prevention.

Keywords workplace violence; trauma; prevention; mental health at work; health promotion.


Giuseppe Paolo Fichera [email protected]


University of Nottingham

Other partners To be identified

Funding ISPESL/ICP Consortium for the WHO Collaborating Centre University of Milan


- To identify relations between workplace trauma (accidents and violence) and its effects on workers’ mental health. - To implement prevention and health promotion strategies at the workplaces.


- Practical toolkits for health promotion and protection from psychological distress following workplace violence and accidents (2008). - Guidelines to protect workers’ mental health and wellbeing (2008).

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Employers, health professionals, decision makers, managers, human resources directors, legal community, unions and workers


The worker, whatever his occupation and wherever the occupation is performed, is always at risk for traumatic events of various type. Severe accidents are frequent and, especially if unexpected, can cause severe psychological distress. Attention should be also paid to physical violence in the workplace (e.g. robbery related assaults) both for its frequency and its pathogenic potential. The expected outcomes are practical toolkits for health promotion and protection from psychological distress following workplace violence and accidents and guidelines to protect workers’ mental health and well-being. The aims of the project are to identify relations between workplace trauma (accidents and violence) and its effects on workers’ mental health, and to test and implement new secondary prevention strategies to reduce psychological distress following workplace trauma.

Dissemination WHO documents; worker and enterprise meetings; scientific seminars


Progress on Project

Recent Project outcomes Practical toolkits for health promotion and protection from psychological distress following workplace violence and accidents Guidelines to protect workers’ mental health and wellbeing ‘In-progress’ Activities Recruitment of a sample of workers victims of workplace trauma from different work environments to assess predictors of psychological distress Testing a new approach and methodology of secondary prevention based on “post-trauma interviews” to reduce post-traumatic symptoms


Training programmes for workers in order to prevent workplace violence were provided Psychological distress after robbery in the workplace was assessed among bank employees Early psychological support program for bank employees victims of robbery was tested in order to reduce post-traumatic symptoms.


To assess the efficacy of early psychological support program, and to extend the intervention among different workers victims of different workplace trauma.


GPA2.15j Formerly AA3:P1


CC or NGO Name Clinica del Lavoro “Luigi Devoto”, Milan Project title Bullying at work: practical tools for prevention

Keywords Psychosocial issues at work, bullying at work, mobbing, mental health at work


Silvia Punzi [email protected]


University of Nottingham

Other partners To be identified

Funding ISPESL/ICP Consortium for WHO Collaborating Center University of Milan

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• To identify the most frequent negative actions occurring in bullying at work, also in relation with victims and enterprise features. • To detect health consequences on victims, also in relation with frequency, type of negative actions and victims characteristics. • To identify specific groups of workers and enterprises particularly at risk for bullying at work


• Specific toolkits for the prevention of workplace bullying (by 2008) • Guidelines for bullying at work (by 2009) • Training packages for prevention and intervention for health professionals (by 2010)


Employers, health professionals, decision makers, managers, human resources directors, legal community, unions and workers


Bullying at work has been recognized as a serious psychosocial risk. It can have consequences on health and quality of life of the victims but also on enterprise and society. Prevention is the most effective strategy to reduce this occupational risk. The objectives of this project are to identify the groups of workers and enterprises more at risk. The expected outcome is the development of practical toolkits for the prevention of bullying at work and intervention addressed to all players involved. The aims of the project are to identify the most frequent negative actions occurring in bullying at work, to detect health consequences on victims and to identify specific groups of workers and enterprises particularly at risk for bullying at work. These information will be essential to develop strategies and toolkit for prevention. Subjects were selected among patients examined at the Department of Occupational Health (“Clinica del Lavoro Luigi Devoto” in Milan) for stress-related disorders from 1997 to 2003 (N=2455): - examination of clinical records was conducted to select subjects reporting a bullying situation - patients reporting a bullying situation were described for gender, age and diagnosis - a representative sample, for gender and age, was selected within patients reporting a bullying situation

Dissemination WHO documents; worker and enterprise meetings; scientific seminars


Progress on Project

Recent project outcomes: - Description of the population of patients reporting a mobbing situation for age, gender and diagnosis (N=1919) - Selection of the representative sample (226 subjects) Expected outcomes: Description of the most frequent negative actions and antecedents of bullying Description of health outcomes Identification of groups of workers and enterprises particularly at risk Specific toolkits for the prevention of workplace bullying Guidelines for bullying at work Training packages for prevention and intervention for health professionals ‘In-progress’ Activities Analyses of clinical records of 226 subjects Choice of the variables to analyse Creation of a database


- Description of the most frequent negative actions and antecedents of bullying, health outcomes and personality profiles of the victims -Training packages for prevention and intervention for health professionals, employers, employees

List of additional major outcomes expected from this project by

- Examination of the role of organizational structure in favouring workplace bullying - Guidelines for bullying at work - Specific toolkits for the prevention of workplace bullying

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2012


GPA2.11x NEW PROJECT


Objective 2: To protect and promote health at the workplace


Institute of Research in Occupational Health. University of Guadalajara, Mexico

PROJECT Title

Psychosocial risk of health professionals: Identify psychosocial risk of health professionals in order to generate illness prevention and health occupational programs


- Chairman of Directive staff of Instituto Internacional de Investigación Social,

Ambiental y de Salud Ocupacional (IIISASO) Institute international of Social

research, Environmental and Occupational Health,

- Cahirman of Instituto de Investigación en Salud Ocupacional (IISO). Institute of

Research in Occupational Health. University of Guadalajara, Mexico.

Tel y fax: (+5233)36 17 99 35,

Manuel Pando Moreno

email: [email protected]


- Norito Kawakami, Department of Mental Health, School of Public Health University of Tokyo Graduate School of Medicine, Japan [email protected] Sergio Milano, Universidad Nacional Experimental de Guayana Venezuela, e-mail: [email protected] - Ma. Angels Carrión, Asociación de Expertos en Psicosociología Aplicada (AEPA) España, e-mail: [email protected] - Walter Varillas, Sociedad de Salud y Trabajo, Lima, Perú; e-mail: [email protected]. - Carolina Reynaldos, Universidad Católica Del Maule, Talca, Chile , e-mail: [email protected] - Jorge Román, Instituto Nacional de Salud en el Trabajo, La Habana, Cuba, e-mail: [email protected]. - David Olivares, Centro de Estudios Transdisciplinarios y de RIPSOL, Bolivia y Ecuador, e-mail: [email protected] - Liliana Parra Osorio, Universidad Libre Seccional Cali, Colombia, e-mail: [email protected] - Idier Torres, Universidad de Antoquia, Colombia, email [email protected] - Pablo Garaño, Universidad Nacional de Lanús, Argentina, e-mail: [email protected] - Georgina Espinal, Instuto Tecnológico de Santo Domingo, República Dominicana, e-mail: [email protected] - Engels Borjas, Sociedad de Medicina del Trabajo, Honduras, e-mail: [email protected] - Virginia Alicia Leon Cordoba, Panamá, e- mail: [email protected] - Carlos Martín Alvarado, Facultad Médica, Centro Médico de Trujillo Alto, Puerto Rico, e mail: [email protected]


Japan, Venezuela, Spain, Chile, Cuba, Peru , Bolivia, Ecuador, Colombia, Argentina, Republic Dominican, Honduras, Panama and Puerto Rico

Country ministries involved in this

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CONTRIBUTING project (contact name and email) External partners for this CONTRIBUTING project (contact name, organization and email)

Red Iberoamericana de Riesgos Psicosociales Laborales (RIPSOL). Network Iberoamerican of Occupational Risk Psychosocial. University of Guadalajara, Mexico.


Objective: Identify psychosocial risk of health professionals in order to generate illness prevention and health occupational programs.

Strategies: • Create a line research for the study of work psychosocial risk. • Generate illness prevention and health occupational programs. • Academic education, counselor and management for the generation of

healthy occupational spaces. Target group and/or beneficiaries

Workers in a vulnerable situation


- An annual meeting for the Occupational Research Conference at Guadalajara, Mexico. - A meeting with the Network Iberoamerican of Occupational Risk Psychosocial (RIPSOL) in Argentina and Ecuador (2011).


- Research report - Publications - Toolkit for Health Risk Psychosocial prevention.


Improvement of health professionals psycho epidemiology profiles


2010 - Study beginning with different kind of health workers. 2011- Study conclusion. December 2011 - Toolkit for Health Risk Psychosocial prevention.

Public health impact - Health improvement of health professionals in a vulnerable situation. - Illness prevention caused by psychosocial risks in occupational spaces.

Funding source(s) Red Iberoamericana de Riesgos Psicosociales Laborales - RIPSOL Network Iberoamerican of Occupational Risk Psychosocial University of Guadalajara, Mexico.

Dissemination Publications with the network members, assistance to national and international scientific meetings, toolkits advertisement.

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Priority 2.1e: Priority 2.1: Develop practical toolkits for the assessment and management of work-related hazards for Musculoskeletal Injuries Outputs: Tools, inventory, framework document, mapping of use and types of tools, evaluation, definition of common criteria of toolkits, network of active users Support: CC: Wendy Macdonald, La Trobe University, Australia; Stavroula Leka and Aditya Jain, University of Nottingham, UK WHO/HQ: Evelyn Kortum FACILITATING PROJECT (administrative)

GPA 2.1e

Facilitating Project Title Toolkits and other resources to improve management of work-related musculoskeletal disorder (MSD) and other OSH risks


GPA Action

11. …the assessment and management of health risks at the workplace should be improved by: defining essential interventions for prevention and control of mechanical, physical, chemical, biological and psychosocial risks in the working environment. Such measures include also integrated management of chemicals at the workplace, elimination of second-hand tobacco smoke from all indoor workplaces, improved occupational safety, and health-impact assessment of new technologies, work processes and products at the design stage. 15. … work on creating practical tools for assessment and management of occupational risks, recommending minimum requirements for health protection at the workplace, providing guidance on development of healthy workplaces, and on promoting health at the workplace. …

Priority Area 2.1e: Develop practical toolkits for the assessment and management of OH risks (focus: ergonomics)


Four of the six projects included here relate to the development of toolkits to reduce the risk of work-related musculoskeletal disorders (MSDs); this Facilitating Project will be particularly useful in coordinating these closely related activities. Projects are grouped into: (1) MSDs risk management; and (2) Other.



Wendy Macdonald: [email protected]



GPA 2.11h Hazard surveillance to manage musculoskeletal disorder (MSD) risk. Centre for Research & Teaching in Occupational Ergonomics, Health & Safety, La Trobe University, Australia. Wendy Macdonald: [email protected] GPA 2.11k Toolkits for managing the risk of musculoskeletal injuries and disorders (MSDs). International Ergonomics Association. Wendy Macdonald: [email protected]; Enrico Occhipinti: [email protected]; [email protected]; David Caple: [email protected] GPA 2.11n Prevention of WMSDs: observational tools for the assessment and management of occupational physical risks for the musculoskeletal system, focusing on difficult working sectors. CC-OMS Clinica del Lavoro L. Devoto, University of Milan. Enrico Occhipinti: [email protected]; [email protected] GPA 2.15r Ergonomics and musculoskeletal disorders. National Institute for Occupational Health (NIOH), South Africa. Ms Busisiwe Nyantumbu, [email protected]; Ms Nthabiseng Monareng, [email protected]

WHO Regional offices

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actively involved in this project (name and email)


Most of these projects focus on the development of toolkits to assist in managing the risk of work-related musculoskeletal injuries and disorders – particularly in environments where both the risk and the need for OSH support is greatest. The other two projects focus on development of toolkits addressing a wide variety of OSH risks.


GPA 2.11h • Report reviewing evidence-based conceptual frameworks to support MSD risk management, and current risk assessment / control procedures • a physical and psychosocial hazard surveillance and MSD risk assessment procedure trialled and validated in four Australian workplaces representing two high-risk industry sectors (manufacturing, warehousing) • a half-day seminar for staff of the Sri Ramachandra University, Dept of Environmental Health Engineering in Chennai, India • application of parts of the psychosocial hazard surveillance procedure as part of the industry-based PhD research of a student at Sri Ramachandra University, Chennai, India • various presentations to national and international conferences, including one at the 2009 Beijing Congress of the International Ergonomics Association • a physical and psychosocial hazard surveillance and MSD risk assessment procedure for use in controlling MSD risk in Malaysia’s agriculture sector (developed and validated in either tea plantations or palm oil plantations) – including related guidance documentation intended for subsequent use by OHS professionals in Malaysia • one or more published journal articles reporting the procedure and results validating it GPA 2.11k • A report presenting: (a) a conceptual model of hazards affecting the risk of work-related musculoskeletal injuries and disorders (MSDs); and (b) general requirements for effective MSD risk management • One or more ‘toolkits’ for use in managing MSD risk, designed for initial implementation (with further development as needed) and evaluation within one or more high risk industry sectors, including that of an industrially developing country (such as Thailand). GPA 2.11n • Updates and improvements in tools like NIOSH Lifting Index and OCRA index with reference to multitask analysis. • Procedures for application in some difficult sectors (ie. agriculture, building) Updates and improvements reported in a ISO TR (under development as ISO CD 12259): Application document for ISO 11228 series. • Presentations to international conferences • Reports to ISO CD • Training courses in developing countries GPA 2.15r • presentations as part of the Continued Education Unit program at the National Health Laboratory Service (NHLS). • a toolkit to be used in education and training of office and laboratory workers • Train the trainer courses in application of the toolkit for H&S reps Information materials (posters, brochures, etc)

Critical gaps to be filled by 2012 None


Tools and related resources to be used in constituting one or more toolkits for the management of all types of hazard affecting the risk of work-related musculoskeletal injuries and disorders.

Barriers to success that must be addressed Nothing specific to this priority.

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GPA2.11h Formerly AA3: E3

GPA Objective Objective 2: To protect and promote health at the workplace CC or NGO Name

Centre for Research and Teaching in Occupational Ergonomics, Health & Safety, La Trobe University, Australia

Project title Hazard surveillance to manage cumulative musculoskeletal disorder (MSD) risks associated with repetitive work

Keywords Musculoskeletal disorders, repetitive work, ergonomics, psychosocial hazards, guidance

Project leader Email address Dr Wendy Macdonald [email protected]


Dr Hyunwook Kim, Head, Department of Occupational Hygiene, Graduate School of Occupational Health, The Catholic University of Korea, Seoul, Korea Institute for Occupational Physiology, University of Dortmund, GERMANY: Dr Mathias Jaeger Nofer Institute of Occupational Medicine, POLAND: Dr Zbyszek JóĨwiak Asociacion Chilena de Seguridad. CHILE: Dr Marisol Concha-Barrientos Office of the Australian Safety & Compensation Council, Department of Employment and Workplace Relations, AUSTRALIA Institute for Work, Health and Organisations, University of Nottingham, UK International Development Committee of the International Ergonomics Association (Dr Halimahtun Khalid, Chair)

Other partners Dr Shyam Pingle, Medical & Occupational Health Services, Reliance Industries Ltd, INDIA

Funding Funding for the first and second stages has been secured through the Office of the Australian Safety & Compensation Council, Dept of Employment and Workplace Relations, Canberra, Australia


The purpose is to develop, implement and evaluate a flexible procedure for use in physical and psychosocial hazard surveillance to reduce the risk of cumulative MSDs for people performing repetitive work. This procedure will be supported by one or more guidance documents (as proves necessary to ensure practical usability), suitable for use by non-experts in diverse environments (various high-risk industry sectors; various countries). Aims of project stages are: 1. to review and report on current approaches to assessing and controlling all relevant hazards 2. working collaboratively with industry and WHO CC partners, to formulate and implement a flexible procedure for hazard surveillance and control, including assessment of associated levels of worker wellbeing (various measures) 3. to evaluate effectiveness of the preceding stage, and to produce one or more guidance documents to support use of this procedure by non-experts. Procedures currently being developed in Australian workplaces will be adapted, implemented and evaluated in India and other countries as agreed with project partners. Funding will be sought, collaboratively with partners where appropriate, to support extension of Stage 2 to a broader range of environments in Stage 3.


A report on current approaches to assessing and controlling work-related hazards for cumulative musculoskeletal disorders associated with repetitive work (August 2006). A physical and psychosocial hazard surveillance and control procedure to reduce the risk of MSDs associated with highly repetitive work, and associated guidance document(s) to support its use, that will be usable and user-friendly in Australian high-risk environments by 2008 and in India by 2010.


Those responsible for the occupational health of people performing repetitive work, including workers, union representatives and employers as well as occupational health professionals and students.


This project addresses the need for more effective means of reducing the risk of cumulative MSDs associated with highly repetitive work. The first stage entails review and reporting on current approaches to assessing risk and controlling work-related MSD hazards. Stage 1 has been completed and a full report is now available. The second and third stages entail field work to formulate, implement and evaluate hazard surveillance and control procedures, including review of changing levels of worker wellbeing, and to produce associated guidance documentation. Stage 2 is now underway in Australia.

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To date we have: formulated a draft set of procedures to address both the physical and psychosocial hazards for cumulative MSDs at both task-specific and overall-job levels, including information about individual exposure levels. Copies of the current versions of these questionnaires are attached, along with a summary of the content and rationale for each. recruited several large, multi-site enterprises within which we are now implementing the procedures. These enterprises represent two high-risk industries identified as ‘high priority’ by the Australian National OHS Strategy: Storage; and Manufacturing.

Dissemination Industry and WHO/ILO documents; professional and academic meetings and publications; worker and enterprise-level meetings

Impact (global or regional) Both global and regional


a report on current approaches to assessing and controlling work-related hazards for cumulative musculoskeletal disorders, available at: http://www.safeworkaustralia.gov.au/swa/AboutUs/Publications/ResearchReports/ResearchonthepreventionofworkrelatedmusculoskeletaldisordersStage1LiteratureReview.htm a physical and psychosocial hazard surveillance and MSD risk assessment procedure for use in controlling MSD risk has been trialled and validated in four Australian workplaces representing two high-risk industry sectors (manufacturing, warehousing) a half-day seminar for staff of the Sri Ramachandra University, Dept of Environmental Health Engineering in Chennai, India application of parts of the psychosocial hazard surveillance procedure as part of the industry-based PhD research of a student at Sri Ramachandra University, Chennai, India various presentations to national and international conferences, including one at the 2009 Beijing Congress of the International Ergonomics Association


a physical and psychosocial hazard surveillance and MSD risk assessment procedure for use in controlling MSD risk in Malaysia’s agriculture sector (developed and validated in either tea plantations or palm oil plantations) – including related guidance documentation intended for subsequent use by OHS professionals in Malaysia one or more published journal articles reporting the procedure and results validating it


GPA 2.11k New Project


Toolkits for managing the risk of musculoskeletal injuries and disorders (MSDs)

Keywords Toolkits, ergonomics, musculoskeletal, risk management GPA Objective and Action

GPA Objective 2 : Protect and promote health at the workplace

Responsible CC or NGO Name International Ergonomics Association (IEA)

Project leader

Wendy Macdonald: [email protected] (Co-Chair, IEA MSDs Technical Committee) Enrico Occhipinti: [email protected]; [email protected] (Chair, IEA MSDs Technical Committee) David Caple; [email protected] (IEA Immediate Past President)

Network partners Centre for Ergonomics & Human Factors, La Trobe University, Australia CC-OMS Clinica del Lavoro L. Devoto, ISPESL, Italy IOHA, ILO


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National Institute for the Improvement of Working Conditions and Environment, Bangkok (Ms Sudthida Krungkraiwong)


Existing models of work-related determinants of MSD risk will be reviewed, taking account also of the Prima-EF project on psychosocial hazard management, and a comprehensive conceptual framework for MSD risk management will be formulated. Also, existing MSD risk assessment procedures that may be suitable for non-expert users will be collated and reviewed. On that basis, a toolkit will be formulated, trialled and amended as necessary for use within one or more industry sectors where there are high levels of MSD risk. If possible, this process will include trials in one or more industry sectors in Thailand.


All organisations and national/international entities, with particular emphasis on industrially developing countries and SMEs


IEA, ICOH and other major international conferences


2010: A report presenting: (a) a conceptual model of hazards affecting the risk of work-related musculoskeletal injuries and disorders (MSDs); and (b) general requirements for effective MSD risk management 2012: One or more ‘toolkits’ for use in managing MSD risk, designed for initial implementation (with further development as needed) and evaluation within one or more high risk industry sectors, including that of an industrially developing country (such as Thailand).


Produce one or more toolkits for use by non-experts in managing the risk of work-related musculoskeletal injuries and disorders (MSDs), in accord with current WHO guidelines on the nature and structure of risk management ‘toolkits’.


2010: A report presenting: (a) a conceptual model of hazards affecting the risk of work-related musculoskeletal injuries and disorders (MSDs); and (b) general requirements for effective MSD risk management 2012: One or more ‘toolkits’ for use in managing MSD risks


Funding source(s) Initially, basic activities supported by the institutions of those involved. Additional funding may be sought at a later stage.

Dissemination Professional associations, universities, WHO/ ILO publications, international conference presentations, academic journal articles


2.11n New Project X by CC-OMS Clinica del Lavoro L. Devoto


Prevention of WMSDs: observational tools for the assessment and management of occupational physical risks for the musculoskeletal system, with special focus in difficult working sectors (i.e agriculture, fishing , construction) and their transfer in training materials for OSH operators in developing countries.


GPA Objective 2 : Protect and promote health at the workplace

Responsible CC or NGO Name PierAlberto Bertazzi

Project leader Enrico Occhipinti [email protected]; [email protected]

Network partners IEA and its TC on MSD

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David Caple – IEA President : [email protected] Enrico Occhipinti – Chair IEA TC on MSD: [email protected]


Europe - South America



CERPIE (Centre Específic de Recerca per a la millora i Innovació de les Empreses )- Universitat Politecnica de Cataluna- Barcelona- Spain. Pedro Mondelo ([email protected]) and Aquiles Hernandez ( [email protected]) also connected with ACHS – Chile (see http://chile.upcplus.com/) . INSAT (Instituto Internacional Saude no Trabalho) Curitiba- Brazil. Ruddy Facci: [email protected] DART ( Division of Applied Research and Technology - NIOSH-Cincinnati-USA . Thomas Waters : [email protected] Contacts are possible also with INDIA : Maharana Pratap University of Agriculture and Technology, Udaipur (Rajasthan), INDIA. REKHA VYAS [email protected] AND/OR with Cuba Higher Technical University “Jose Antonio Echeverría” (CUJAE)- Department of Industrial Engineering. YANIEL TORRES MEDINA: [email protected]


The project aims at reviewing and improve practical tools, suggested by international standards(ISO 11228 series), for the risk assessment and management of occupational risks for the musculoskeletal system (manual materials handling, repetitive movements and exertions, awkward postures) considering a fundamental comprehensive model (physical, organizational and psychophysical risk determinants) for their prevention. Improvements will be specially focused on analysis of multiple/variable tasks also considering exposures where tasks rotate on a long term period. They will be adapted for use in special settings (agriculture, transport and goods distribution, constructions, hotels, etc) as well as in the healthcare sector (patients manual handling). In such sectors a database of “pre-evaluated” tasks could be created. The database and relevant softwares for the application of the tools will be freely available for potential users. Training courses (in English, Spanish, Italian and Portoguese) are already available and will be executed in Europe as well as in Central and South America developing countries (Chile, Brazil, Cuba).


Occupational health professional (medicine and ergonomics, nursing, industrial hygiene and engineering, safety); work system designers; workers representatives.


Conferences: IEA 2009 (Beijing) ; http://www.iea2009.org/ ORP 2009 (Santiago de Chile); http://www.orpconference.org/2009/ AHFE 2010 (Miami-Florida) http://www.ahfe2010.org/ Premus 2010 (France) ORP 2010 (Spain) IEA 2012 (Recife- Brazil) ICOH 2012 (Mexico) Ad hoc group within IEA (connected with IEA TC on MSD) Training courses scheduled in 2009-2010 in Italy, China, Spain, Chile, Brazil, Cuba


Updates and improvements in tools like NIOSH Lifting Index and Ocra index with reference to multitask analysis. Procedures for application in some difficult sectors (ie. agriculture, building) Updates and improvements reported in a ISO TR (under development as ISO

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CD 12259): Application document for ISO 11228 series.


Updates reported in an international conference Updates reported in ISO CD Organization of courses in developing countries


Definition of updates- End of 2009 Publication of updates – End of 2010 Opening of one or more web sites (in collaborating centers official website) where user can freely access methods, software and training materials- End of 2011

Public health impact Improvement of risk management capacity with regard to WMSDs prevention along lines defined with a comprehensive model and in accordance with international standards on the matter

Funding source(s) National or EU agencies; Sponsorship from major manufacturing companies; Self-funding from educational and training activities.

Dissemination Workshops, training courses and conferences


GPA2.15r Formerly AA 4: CE5a



Project title Ergonomics and musculoskeletal disorders

Keywords Ergonomics, ergonomic risk factors, musculoskeletal disorders


Ms. Busisiwe Nyantumbu [email protected] Ms. Nthabiseng Monareng [email protected]


Other partners

Funding National Institute for Occupational Health (NIOH)

Objective of the project Prevent musculoskeletal disorders and thereby improve working life.


1. Produce a toolkit to be used in education and training of workers 2006 2. Train the trainers in the application of the toolkit. 2007 3. Produce information materials (posters and 2010 brochures)

Target group and/or beneficiaries Office workers, computer users, laboratory workers


Musculoskeletal problems are a huge problem in many developed countries. Although there is dearth of information about musculoskeletal problems in the developing world, it is expected to be worse because of lack of infrastructure and resources. The prevention of musculoskeletal disorders by applying ergonomic principles and also training the workers is important. This will prevent the pain, suffering, disability and possible early retirement caused by these disorders. Also cost saving benefits due to medical treatment and compensation. In this project education and training of workers utilizing an ergonomic toolkit for computer and laboratory work will be done. The project will be conducted at the National Health Laboratory Service (NHLS) laboratories which will be used as a model to be applied to other computer workstation and laboratory settings in

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South Africa and SADC countries.

Dissemination Presentations at meetings and workshops of unions, worker organizations and professional societies


Regional

Progress on Project

The health and safety representatives have been identified as the target group for training. They will then train the workers in their respective work areas. Information to be used in the toolkit is being collected. One of the project leaders attended the Work With Computing Systems (WWCS) conference in Stockholm, Sweden on 21-24 May 2007 to get current information on the use of computers, development of musculoskeletal disorders and their prevention. This information is going to be used in the development of the toolkit.


Information on office and laboratory ergonomics to be used in the toolkit has been collected. This information has been included in the presentations done for the Continued Education Unit programme at the National Health Laboratory Service (NHLS).


The collected information need to be compiled into a toolkit, brochures and posters.

Priority 2.2: Healthy Workplace programmes and guidance to inform country frameworks Outputs: Review of effectiveness of existing programmes for healthy workplaces, tools for creating healthy workplaces including a health-promoting culture and OH&S principles Support: CC: Abeytunga, CCOHS, Canada Fernando Coelho, SESI, Brazil Partner: Valentina Forastieri, ILO WHO/HQ: Evelyn Kortum WHO/PAHO: Marie-Claude Lavoie


GPA 2.2: Healthy Workplace programmes to develop country frameworks and guidance Facilitating Project (with projects organized by areas of work).


Development of a country frameworks and guidance on healthy workplaces.


GPA Action

2.13 :”Capacities should be built for primary prevention of occupational hazards, diseases and injuries, including strengthening of human, methodological and technological resources, training of workers and employers, introduction of healthy work practices and work organization, and of a health-promoting culture at the workplace. Mechanisms need to be established to stimulate the development of healthy workplaces, including consultation with, and participation of, workers and employers.” 2.15: “WHO will work on creating practical tools for … providing guidance on

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development of healthy workplaces, and on promoting health at the workplace”. Priority Area

Priority Area 2.2: Healthy Workplace programmes to develop country frameworks and guidance

This Facilitating Project aims to coordinate global efforts to develop and pilot a healthy workplace model for voluntary countries, including a country framework and guidance based on the global framework. Current projects that relate to aspects of comprehensive healthy workplace programmes have been grouped into five areas:

Area 1: Projects that relate to piloting, implementation, and/or evaluation of programmes dealing primarily with occupational health and safety hazards in the physical work environment, as a component of a comprehensive healthy workplace programme. Area 2: Projects that relate to piloting, implementation, and/or evaluation of programmes dealing primarily with organization of work and organizational culture issues in the psychosocial work environment, as a component of a comprehensive healthy workplace programme.

Area 3: Projects that relate to piloting, implementation, and/or evaluation of programmes dealing primarily with health promotion in the workplace, as a component of a comprehensive healthy workplace programme.

Area 4: Projects that relate to piloting, implementation, and/or evaluation of programmes dealing primarily with private sector involvement in community health and safety issues as a component of a healthy workplace.

Purpose of facilitating project

Area 5: Projects that relate to piloting, implementation, and/or evaluation of a comprehensive approach to a healthy workplace (e.g., OHS management systems) that includes all the above components, and which is implemented using a continual improvement and evaluation management system.

GPA Manager Stavroula Leka ([email protected]); Aditya Jain ([email protected])


Abeytunga, CCOHS, Canada: [email protected] Fernando Coelho, SESI, Brazil: [email protected]

WHO responsible person and contact information

Evelyn Kortum: [email protected] Marie-Claude Lavoie: [email protected]


Area 1 2.11j Development of an OSH Performance Rating System. Occupational Safety and Health Division, Ministry of Manpower, Singapore. Project Leader Dr. Ho Sweet Far [email protected] 2.11o National model enterprises for occupational disease prevention and control. National Institute of Occupational Health and Poison Control, Chinese Centre for Disease Control and Prevention, Beijing. Project Leader: Tao Li [email protected] 2.13l Occupational safety and health services in small scale industries in Japan. National Institute of Occupational Safety and Health, Japan. Project Leader: Shigeki KODA [email protected] 2.14f Promoting and Protecting Mental Health - Supporting Policy through Integration of Research, Current Approaches and Practices. Federal Institute for Occupational Safety and Health (BAuA), Germany. Project Leader: Katrin Zardo [email protected], Dr. Karl Kuhn [email protected]

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Area 2 2.15l Flexible working hours as a tool for increasing workers’ health and well-being. Clinica del Lavoro “Luigi Devoto”, Milan, Italy. Project Leader: Prof. Giovanni Costa [email protected] 2.13j SWING: Stress prevention project. Institute of Management, School of Buisness, Switzerland. Project Leader: Dr. Voelker Schulte [email protected] Area 3 2.15d Increasing physical activity: designing and testing a workplace intervention. Health and Safety Laboratory, UK, in collaboration with Leeds University. Project Leader: Jennifer Lunt [email protected] 2.13i Inventory of national guidance documents on job stress management and health promotion. Korea Occupational Safety & Health Agency (KOSHA). Project Leaders: Jungsun Park [email protected] and Jung-Keun Park [email protected] 2.14c Workplace health promotion demonstraton program in different types of enterprises in Shanghai. Fudan University School of Public Health, Shanghai, China. Project Leader: Feng Li [email protected] Area 4 2.13p Corporate Social Responsibility and Occupational Safety and Health: a potent contrivance to achieve the Millennium Development Goals. Institute of Work, Health & Organisations, University of Nottingham. Project Leader: Aditya Jain [email protected] Area 5 2.13n Global framework and global guidance on healthy workplaces. WHO Global Occupational Health Programme. Project Leader: Evelyn Kortum, [email protected] 2.15a Occupational safety and health system management: the challenge of global diversity. Centre for Research and Teaching in Occupational Ergonomics, Health & Safety, La Trobe University, Australia. Project Leader: Dr. Wendy Macdonald [email protected] 2.11i Effectiveness evaluation system in occupational health management (EES). European Institute of Health and Social Welfare, Madrid. Project Leader: Dr. Manuel Peña [email protected] 2.13d Pilot project on WHP for SME with a focus on small enterprises. Institute of Management IFU, School of Business, Switzerland. Dr. Volker Schulte [email protected] 2.13e Enhancement of Occupational Health and Safety in Mexican Industry. Industrial Accident Prevention Association, (IAPA), Canada. Project Leader: Leonard Sassano, [email protected] 2.13f Enhancement of Occupational Health and Safety in Brazilian Industry. Industrial Accident Prevention Association, (IAPA), Canada. Project Leader: Leonard Sassano, [email protected] 2.13g Guidelines for shiftwork. IfADo – Leibniz Research Centre for Working Environment and Human Factors at TU Dortmund University. Project Leader: Prof. Barbara Griefahn [email protected] 2.12b Health promotion programs for selected groups in Central America. Central American Institute for Studies on Toxic Substances (IRET), Costa Rica. Project

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Leader: Dr. Catharina Wesseling [email protected] 2.13k Aged persons and their occupational skills: development of methods for the prevention of impairments. IfADo - Leibniz Research Centre for Working Environment and Human Factors at TU Dortmund University. Project Leader: Prof. Barbara Griefahn [email protected] 2.13m Implementation of a comprehensive health, safety and well-being workplace program within PAHO. University of Maryland, School of Medicine, Occupational Health Program. Project Leader: Melissa McDiarmid [email protected] and Joanna Gaitens [email protected] 2.13o SESI – Healthy Industry Program. SESI – Industrial Social Service National Department, Brasilia. Fernando Coelho Neto [email protected]


Other partners for this Facilitating Project (employers, trade unions, other)


The implementation of the Global Plan of Action requires interventions at international, national and workplace levels. Countries will have their national frameworks of healthy workplaces in accordance with their governance systems and OHS legislation. Workplace interventions should be planned and delivered in an integrated way bringing together health protection and health promotion Add to an inventory of case studies of good practice in the development of healthy workplaces Add to the inventory of tools for creating healthy workplaces including the physical and psychosocial working environment, health promotion and enterprise interventions in the community. Identify which models and programmes exist and how they are implemented. Identify indicators for the evaluation of the programmes and evaluation based on the defined indicators. Develop regional and country guidance for implementing health workplaces based on the global guidance (prepared through WHO project). Development of training programs to assist enterprises with implementation of the healthy workplace framework.


Additions to the inventory of good practice and experiences in the development of healthy workplaces Inventory of healthy workplace implementation and evaluation tools that are readily accessible to enterprises Country draft Guidance booklets for developing healthy workplaces (countries to be identified at the CC meeting) Pilot in at least three countries Training packages to assist enterprises in implementing the healthy workplace framework

Critical Gaps to be filled in order to fulfil deliverables

Except for the last two project mentioned above (2.13m, 2.13o) none of the projects fully conform to the healthy workplace framework being developed by WHO (2.13n). The framework was presented at the CC meeting in the healthy workplaces working group and it is hoped that more comprehensive projects will emerge to develop country guidance in the next workplan. Pilot sites are needed to implement and evaluate the framework. An evaluation method must be developed to evaluate the pilot projects CCs must agree to take on the projects of writing the national guidance documents for healthy workplace programmes CC must agree to take on the development and piloting of the training packages in their respective countries (target: 3). There are currently no projects that deal with implementing or evaluating the “communities” Avenue of Influence (Area 4 above). However, this is not critical;

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what is really needed are comprehensive projects that include this Avenue, rather than solely focussing on this one Avenue. As CCs become more familiar with the WHO model and framework, it would be appropriate to drop the “one focus” projects such as those described above in Areas 1, 2, 3, and 4, and only include those that fit into Area 5, unless CCs can partner on incomplete projects and combine approaches satisfactorily. Projects are needed that implement and/or evaluate the country frameworks in various sizes of enterprise, various sectors, and various countries (both developed and developing).


Lack of understanding by the CCs about the comprehensive nature of a healthy workplace as defined by the WHO framework. Lack of appreciation by the CCs for the importance of the continual improvement process used in the model Possible lack of willingness on the part of the CCs and enterprises to take on something as broad as the framework may appear to be, rather than just dealing with one small factor at a time (e.g., physical activity, flexible work).

Area 1


GPA2.11j Formerly AA2:PM2


CC or NGO Name Occupational Safety and Health Division, Ministry of Manpower, Singapore

Project title Development of an OSH Performance Rating System

Keywords Occupational safety and health performance measurement tool, Universal Assessment Instrument (UAI), standardised sectorial profile


Dr Ho Sweet Far [email protected]

Partners (of the CC Network) University of Michigan-Ann Arbor – USA (Steven P. Levine)

Other partners

Funding Occupational Safety and Health Division, Ministry of Manpower, Singapore

Objective of the project The objective is to develop a national OSH Performance Rating System that is able to provide sectoral profiles of the OSH performance in different sectors that will help enhance OSH standards in Singapore.


To develop a contractor safety rating system to help raise the OSH performance of the construction industry (by 2008) To establish a national OSH Performance Rating System that will help profile the OSH situation in various sectors for the purpose of promoting and raising OSH standards (by 2010)

Target group and/or beneficiaries Employers, employees, government agencies and OSH professionals


The OSH Performance Measurement Tool developed earlier based on the UAI, comprises 21 measurement criteria under five driving factors - management commitment, employee participation and training, OSH systems and practices, OSH expertise and line ownership. Following a pilot study in the chemical industry, the tool will be adapted for the construction sector with a view to establishing a contractor safety rating system to help raise the OSH performance of this industry. If found feasible, the system will be extended and promoted to all sectors.

Dissemination WHO/ILO documents; Ministry reports and website; conferences and seminars

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Global

Progress on Project

A contractor safety rating system (ConSASS) was developed with Dr Charles Redinger to raise OSH performance in the construction industry. The second round of validity testing is in progress which includes: - Validity tests on small and large sites and comparison of injury rates with ConSASS results. - Reliability tests using two auditors on the same site using ConSASS to compare results. - Verification of the success of rectifications made after the first pilot test. Results have been positive for the validity and reliability tests, showing that sites with higher injury rates, score lower in the ConSASS. The two auditors also reflected consistency in their scoring of the sites. Feedback to further refine the system in providing more specific instructions on its use and provide definition of terms will be incorporated. A Guide has been developed to instruct auditors on the usage of ConSASS.


ConSASS was launched on 16 Nov 2007. A user guide was also published to provide clear instructions on using the audit tool. Since its launch, a number of stakeholders like property developers, auditors as well as building contractors voiced support for the system and their commitment to adopt ConSASS at their worksites. The tool is available for use on the following website: http://app.wshc.gov.sg/cms/WSHC/ConSASS/tabid/68/Default.aspx


Following the completion of ConSASS, a broad-based OSH Performance Tool, with the objective of enabling companies to conduct self-assessment of their workplaces will be developed.


GPA2.11o Formerly AA2:PM8



Project Title National model enterprises for Occupational Disease Prevention and Control Keywords Model enterprises, occupational disease, prevention, control Project leader Email Address


Partners (of the CC Network) WHO, ILO, HSL UK


Objective of the project To build national model enterprises for Occupational Disease Prevention and Control


Manual for how to build national model enterprises for Occupational Disease Prevention and Control. Standard established for national model enterprises. Build national model enterprises for Occupational Disease Prevention and Control. Spread the successful experiences and models to other enterprises.



Summary of the project Establish a standard for national model enterprises to carry out the law of occupational disease prevention and control of P.R.C. Write a manual to guide enterprises how to build national model enterprises. By examining the

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enterprises about occupational disease prevention and control, select several good examples by different industries as national model enterprises.

Dissemination WHO documents and National documents Impact (global or regional) Both global and national

Progress on Project

We have finished writing a manual to guide enterprises how to build national model enterprises. By using the manual to examining the enterprises about occupational disease prevention and control, we have established a standard for national model enterprises to carry out the law of occupational disease prevention and control of P.R.C. with first draft. Also some enterprises are summarizing their models by different industries




GPA2.13l New Project


Occupational safety and health services in small scale industries in Japan

GPA Objective Objective 2: To protect and promote health at the workplace Responsible CC or NGO Name National Institute of Occupational Safety and Health, Japan (JNIOSH)

Project leader Shigeki KODA, M.D., Ph.D., [email protected] Network partners None WHO Regions involved in this CONTRIBUTING project

WPRO


Ministry of Health, Labour and Welfare, Japan


Akizumi Tsutsumi (University of Occupational and Environmental Health, Japan, [email protected]), Akiyoshi Ito( University of Occupational and Environmental Health, Japan, [email protected]) and Kunio Hara (Kurume University School of Medicine, Japan, [email protected])


Small scale industries have a lot of occupational safety and health issues at workplaces, and effective and practical tools for the assessment and management of occupational risks should be introduced into small scale industries. We have provided training sessions of assessment and management of occupational risks for them, and the aim of this project is to examine the impact in occupational safety and health activities and to evaluate the indices of occupational safety and health conditions among small scale industries’ workers.

Target group and/or beneficiaries small scale industries, local governmental offices


Academic meetings and workshop with project researchers and employers of small scale industries


Action checklist of occupational risk for small scale industries, effective occupational safety and health management system for small scale industries


The rates of occupational injuries and diseases Evaluation of occupational safety and health activities


Booklets of Improvements for working conditions and environments at workplaces (-2010) Action checklist of occupational risk for small scale industries(-2011) Proposal effective occupational safety and health management system for small scale industries (-2012)

Public health impact Improvements for occupational safety and health indices of small scale industries.

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2.14f New Project

CONTRIBUTING PROJECT Title Work plan project number

Promoting and Protecting Mental Health - Supporting Policy through Integration of Research, Current Approaches and Practices



Project leader Katrin Zardo, Dr. Karl Kuhn [email protected] [email protected]




http://www.mentalhealthpromotion.net/?i=promenpol.en.partners


The ProMenPol project (funded by the EU) is being undertaken by partners from Germany, Austria, Ireland, Finland, Estonia, Greece and Belgium and coordinated by the Federal Institute for Occupational Safety and Health (BAuA). It aims to support the practices and policies of mental health promotion in the three settings of schools, workplaces and residential homes for older people over the 2007-2009 period by: developing a database of mental health promotion tools assisting practitioners in implementing such tools providing research-based policy support Each year ProMenPol runs a practitioners conference that is followed by a policy workshop for national and European policy makers. These activities allow for the mutual exchange of information concerning positive mental health between experts and for timely feedback to those responsible for designing services and policies.




Database of mental health promotion tools in the three settings of interest with English, German, Finnish, Estonian and Dutch tools. Field trials and documentation of results.



01.01.2007 - 31.12.2009; the final report and possible follow-up articles will be published in 2010.


Funding source(s) The project is a Co-ordination Action funded by the European Commission under the 6th Framework Programme.

Dissemination Through three annual conferences and policy workshops; the website (http://www.mentalhealthpromotion.net); the 9 project partners and their networks.

Funding source(s) JNIOSH

Dissemination Action checklists of occupational risk, checklists of occupational safety and health activities

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Area 2


GPA2.15l Formerly AA3: P7


CC or NGO Name Clinica del Lavoro “Luigi Devoto”, Milano, Italy

Project title Flexible working hours as a tool for increasing worker’s health and well-being

Keywords Working hours, shiftwork, work/non work conflicts, occupational stress, sleep

Project leader e-mail address

Prof. Giovanni Costa [email protected]

Partners (of the CC network)

Coronel Institute for Occupational and Environmental Health, Amsterdam, Netherlands Finnish Institute of Occupational Health, Helsinki, Finland Fundacentro, Sao Paulo, Brazil

Other partners Jagellonian University, Krakow, Poland Karolinska Institute, Stockholm, Sweden

Founding Fondazione IRCCS Ospedale Maggiore Policlinico, Mangiagalli e Regina Elena, Milano


- To analyse better the interactions between work load, flexible work hours and health, and to support intervention studies with careful control of the effects; -To establish links and exchange of information among people in charge of work organisation (employers, managers, work councils, labour inspectorates) and social partners about the use of time and related effects, for a good integration of working and non working hours; - To extend individual flexibility as a tool (a) for companies to improve their economic efficiency (optimize manning), (b) for improving worker’s autonomy and control on her/his working conditions, (c) for thus improving her/his working and living conditions, (d) for adding social value to the quality of life in general.


-To review legislation on working hours and the scientific literature concerning “flexible working hours” dealing with health and wellbeing (by 2008) - To collect practical examples of innovative flexible work hours and evaluate them according to ergonomic criteria (by 2008) -To develop methods for the evaluation of the impact of flexible working hours on workers’ health (by 2010); -Guidelines on good arrangements of FWH according to ergonomic principles, throughout participatory planning and publishing "best practice" examples showing that is possible (by 2010)

Target group and/or beneficiaries Industrial, healthcare and communication workers


The increasing interest in “temporal flexibility” is in relation to policies concerning working time reduction and employment on the one hand, and, on the other hand, to a progressive transfer of attention from the quantitative to the qualitative aspects of work and social activities, among which working times represent the most important interrelated factor. There are different points of view about “labour flexibility” between employers and employees; also the society is interested in flexible working hours, as many advantages can derive from a more flexible arrangement of social activities and services. The main objectives are: - To analyse better the interactions between work load, flexible work hours and health, and to support intervention studies with careful control of the effects;

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- To establish links and exchange of information among people in charge of work organisation (employers, managers, work councils, labour inspectorates) and social partners about the use of time and related effects, for a good integration of working and non working hours; - To extend individual flexibility as a tool (a) for companies to improve their economic efficiency (optimize manning), (b) for improving worker’s autonomy and control on her/his working conditions, (c) for thus improving her/his working and living conditions, (d) for adding social value to the quality of life in general.

Dissemination WHO documents, booklets and training packages for workers and operators of prevention, scientific publications.

Impact Global

Progress on Project

Are still in the preliminary stage of contacting all people interested and planning a meeting to share common targets and specific contributions. We presume to be able to define a more detail plan of activities and a time schedule of outcomes by the end of this year. Obviously the contribution of any other group interested on this topic is welcome.


- Reviewed legislation on working hours and the scientific literature concerning “flexible working hours” dealing with health and well-being - Collect practical examples of innovative flexible work hours and evaluate them according to ergonomic criteria (by 2008)


- To develop methods for the evaluation of the impact of flexible working hours on workers’ health (by 2010); - To write a booklet of guidelines on good arrangements of FWH according to ergonomic principles, throughout participatory planning and publishing "best practice" examples showing that is possible (by 2010)


GPA2.13j New Project


SWING: Stress Prevention project: Develop tools, interventions, best practice examples, economic indicators, impact analysis approaches and recommendations for a psychosocial risk management toolkit including an online questionnaire.

GPA Objective Objective 2: to protect & promote health at the workplace Responsible CC or NGO Name Institute of management, school of Business, Switzerland

Project leader Dr Volker Schulte [email protected]

Network partners Dr Stavroula Leka, Instiute of Work, Health and Organisations, University of Nottingham, UK, [email protected]


Europe


Health Promotion Switzerland, Luca Weber, [email protected]


Swiss Insurance Association, Heinz Roth, Head of Prevention [email protected]


Health Promotion Switzerland and the Swiss Insurance Association (SIA) are jointly conducting interventions for health promotion in the workplace in a wide range of companies. This involves an analysis of the impact of the interventions with regard to the reduction of the negative consequences of stress, a study of economic indicators and making general recommendations and arguments supporting the broad implementation of OH interventions. The project is based on the products and experience of sme-vital www.kmu-vital.ch

Target group and/or Employees in various industries

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beneficiaries


Valorisation and international dissemination of project’s results gibt es Fora, Conferences, etc. die du hier nennen kannst?). a conference could be organised in co-operation with the WHO CC Network


Developed project tools for analysis survey of staff members) and implementation (OH interventions with emphasis on stress) are set up and made available to interested companies (for free!)?. In addition, guidelines, arguments, recommendations and examples of best practices are drawn-up and disclosed to decision makers and specialists in the areas of health, economics, politics and administration.


The tools used impact positively on all levels: 1. Organisational framework conditions (structure and organisation) 2. Working conditions (work structuring – ergonomics and work content – and social conditions) 3. Individual behaviour (coping with stress) Thus, the following results are achieved: a. Healthier and more efficient design of work processes b. Improvement of health, well-being and job satisfaction of individual staff-members c. Increase in performance capacity, performance readiness, motivation and individual coping abilities of staff members d. Improvement of corporate culture e. Improvement of company image (internally and externally) which contributes to improvement of competitiveness and location advantage


Survey of staff members 12/08 Implementation of tools 12/09 Finalization evaluation 06/10

Public health impact Reduction of presenteeism, reduction of absenteeism

Funding source(s) Health Promotion Switzerland Swiss Insurance Association

Dissemination Throughout social partners and health ministries Area 3



GPA Objective Objective 2: To protect and promote health at the workplace CC or NGO Name Health and Safety Laboratory (in partnership with Leeds University) Project title Increasing physical activity: designing and testing a workplace intervention

Keywords Physical activity, physical exercise, well-being, occupational health, health promotion

Project leader Email address [email protected]

Partners (of the CC Network) Collaborating with Leeds University

Other partners Funding BUPA foundation grant

Objective of the project To develop and evaluate a flexible and problem-based work place intervention to promote physical activity that requires no previous experience and could be implemented in any organisation.


Main Outcome: Intervention tool-kit to support development, implementation and evaluation of increased physical exercise in any work place context. Changes are intended to be easily assimilated into existing habits and practices rather than a radical overhaul of lifestyles. The project is due to complete October 2009.


Any employer and their employees regardless of industry sector, work conditions or scale of operations.


The sample comprises 1500 participants from a Local Authority, NHS Trust and Transport Company within a cluster randomised controlled trial. Baseline, process and 12 month follow-up measures will be undertaken using self-report outcomes and physiological indicators of health and fitness. The intervention tooI-kit will be developed using ‘intervention mapping’ and will be based on the

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latest behavioural change research. Key barriers will be identified through a series of focus groups. The intervention will be delivered on site by a nominated local facilitator. The range of work contexts represented within the sample should enhance transferability of findings to most work settings.

Dissemination A communication plan has been set up for promoting the work and disseminating the tool. Links with the UK Government’s Health, Work and Well-Being Strategy and the BUPA foundation will be utilised to ensure far-reaching dissemination across UK employers.

Impact (global or regional) UK workplaces

Progress on Project

As of September 2007, the intervention tool-kit has been drafted and the project is now at the end of the planning and preparation stage. The test-phase will commence in October 2007. Planning has entailed recruiting participant companies (requiring commitment from senior management), obtaining ethics approval, conducting focus groups to identify barriers, setting up procedures and protocols, identifying and specifying appropriate physiological measures, designing the intervention, producing a communication plan, and other supporting activities. Baseline evaluation will occur from October 2007 to April 2008 (inclusive of the test phase) with follow up physiological evaluation occurring 12 months later.


The health checks have been completed and the data is being compiled.


Seven publications are planned and a final report on the intervention is in progress.


2.13i New project


Inventory of national guidance documents on job stress management and health promotion

GPA Objective Objective 2: To protect and promote health at the workplace Responsible CC or NGO Name Korea Occupational Safety & Health Agency (KOSHA)

Project leader Jungsun Park ([email protected]) Jung-Keun Park ([email protected])

Network partners Catholic University (Korea) National Institute of Occupational Safety and Health, Japan (JNIOSH) Finnish Institute of Occupational Health (FIOH)


Dr. Hisashi Ogawa, WHO western pacific office





Conducting the project to develop guidelines for job stress management and health promotion through reviewing the existing projects as shown below. - Development of the management index for work-related cardiovascular diseases - Organizational and cultural characteristics of risk factors in occupational health - Health condition and management for temporary construction workers in petrochemical industry - Establishing and operating surveillance systems for occupational injuries or illnesses including needle stick injury and leukemia

Target group and/or Workers and OSH practitioners

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beneficiaries Events-opportunities for furthering the project

Presentations at conferences or workshops which are domestically and internationally held in western pacific countries


A set of guidelines as well as relevant research papers will be produced


Improvement of effects of the guidelines on both job stress and health promotion in workplaces when utilizing those guidelines


12-31-2009: Completion of a set of proposals or plans to conduct the project 12-31-2011: Development and test of guidelines covering the different existing projects (they will be terminated by 2010) 3-1-2012: Dissemination of the guidelines to workplaces to be implemented accordingly. Verification may be explored as necessary.

Public health impact The guidelines may be extensively utilized in educational/ training programs for the general population


Dissemination The guideline will be disseminated in workplaces and technical support will be provided accordingly.


Four studies were conducted in 2010. These studies contain management and guidelines to protect and promote worker’s health.

1. A study on worker’s health promotion in workplaces 2. Musculoskeletal disorder and job stress risk factors in hospital nurses 3. Establishment and operation of a surveillance system on needle stick

injury in healthcare personnel Establishment and operation of a surveillance system on occupational blood and bone marrow cancers


In 2011, a study on exposure to low back pain risk factors will be conducted in wholesale and retail workers. For surveillance on needle stick injury, a following study will be undertaken as well.

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GPA2.14c Formerly AA5:4f

GPA Objective Objective 2: To protect and promote health at the workplace CC or NGO Name Fudan University School of Public Health, Shanghai, China

Project title

Workplace health promotion demonstration program in different types of enterprises in Shanghai

Keywords Workplace health promotion, Shanghai


Feng Li [email protected]


Other partners Fudan University School of Public Health, Shanghai

Funding Each collaborating partner is responsible for its respective costs


Health promotion strategies in workplaces and integrated intervention including smoking control, physical activity promotion, healthy food, safety workplace will be implemented in some demonstration enterprises in Shanghai.


The expected outcome: models of workplace health promotion suitable for different types of enterprises are expected to be developed. The deadline: December 2008.


Enterprises


Two enterprises from each one of 4 types of ownership enterprises (nation-ownership, domestic private ownership, foreign invested ownership and domestic and foreign co-invested) will be selected. Health promotion strategies in workplaces will be employed and integrated intervention including smoking control, physical activity promotion, healthy food, safety workplace will be implemented in these demonstration enterprises.

Dissemination

Publishing papers and project reports.

Impact; global/regional

China


One master student has passed his dissertation and one paper has been published in Chinese academic journal.



Area 4


GPA2.13p New Project


CONTRIBUTING Project Title

Corporate Social Responsibility and Occupational Safety and Health: a potent contrivance to achieve the Millennium Development Goals

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GPA Objective and Action 2 Priority Initiative 2.2 Healthy Workplaces Responsible CC or NGO Name

Institute of Work, Health & Organisations, University of Nottingham


Aditya Jain [email protected]


TNO, Netherlands


AFRO



Dr Bill Buenar Puplampu, University of Ghana, [email protected] Dr Peter Kamuzora, University of Tanzania, [email protected]


While the potential of CSR for occupational health and safety is being increasingly researched in the developed world, not much is being done to tap its huge potential in Africa or the rest of the developing world. This project will address these issues and review the role played by government and increasingly by companies (under the aegis of CSR) .As enterprises have the potential to solve problems by acting responsibly and the project will develop guidance (in collaboration with WHO) to create awareness and tools demonstrate how this is possible in the local and regional context. It will also focus on developing capacities of the partner institutions by developing relevant material that can be incorporated into the current curriculum for training managers as well as OSH professionals in the HEIs. The project is intended to be the first step towards enhancing the capacities of companies in Africa (and the developing world) to include OSH provision in their business activities by developing guidance and creating awareness. The project will also demonstrate how occupational health can help alleviate poverty and help in achieving the MDGs by promoting OSH through CSR. The three broad aims are:

1. Demonstrate the role corporate social responsibility can play in the promotion of Occupational Safety and Health and build capacities by raising awareness and delivering training.

2. Explore the organisational cultures and leadership which facilitates

CSR and particularly paying attention to OSH issues; this is critical for dealing with outcomes at the stakeholder level

3. Establish the case for Occupational Safety and Health and clarify

its link with the Millennium Development Goals


Higher education institutions, employers, policy makers


Meeting with other experts at workshops, seminars and congresses etc.


Tools and guidance that demonstrate the link OSH and CSR and steps to implement complimentary programmes Developing capacities of the partner institutions by developing relevant material that can be incorporated into the curriculum for training managers as well as OSH professionals in the HEIs.

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Development of guidance and Indicators Training of managers Development of HEI curriculum


First workshop (West African Region) Accra, Ghana – Nov/Dec 2010 Second Workshop (East African Region) – Dar es Salam, Tanzania – Nov 2011 Dissemination conference – October 2012

Public health impact Highlight the potential of CSR and Soft policy in the promotion of OSH and take the first step towards tapping that potential in the developing world

Funding source(s) British Council (DelPHE programme)

Dissemination Workgroup meetings, conferences, academic and professional publications Area 5


GPA 2.13n

Project title

Global framework and global guidance on healthy workplaces

GPA Objective

Objective 2: to protect and promote health at the workplace.

GPA Action

.Action 2.13: “Capacities should be built for primary prevention of occupational hazards, diseases and injuries, including strengthening of human, methodological and technological resources, training of workers and employers, introduction of healthy work practices and work organization, and of a health-promoting culture at the workplace. Mechanisms need to be established to stimulate the development of healthy workplaces, including consultation with, and participation of, workers and employers.”

Responsible WHO Global Occupational Health Programme

Project leader Evelyn Kortum, [email protected]


AFRO: Thebe Pule: [email protected] AMRO: Marie-Claude Lavoie: [email protected]; James Hospedales: [email protected] EMRO: Said Arnaout: [email protected] EURO: Rokho Kim : [email protected] SEARO: Salma Burton : [email protected] WPRO: Hisashi Ogawa: [email protected]


t.b.d.

Internal partners Social determinants for health, non-communicable diseases, tobacco initiative, violence and injury, mental health, water sanitation and health, substance abuse and alcohol, disability, gender

External partners

International Labour Organization World Federation for Occupational Therapists Industrial Occupational Hygiene Association World Economic Forum International Employers Organization

Summary of the facilitating project

The implementation of the Global Plan of Action requires interventions at international, national and workplace levels. Workplace interventions should be planned and delivered in an integrated way bringing together health protection and health promotion. This project involves the following activities: undertake literature review on Healthy Workplace models in all 6 regions develop a global inventory of case studies of good practice and tools for creating healthy workplaces including the physical and psychosocial working environment, health promotion and enterprise interventions in the community develop a global inventory of comprehensive models and programmes and their implementation methods

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identify and develop global indicators for the evaluation of healthy workplace programmes collect evaluation approaches based on defined indicators develop an international expert group develop a global framework on healthy workplaces that includes the common denominators across all six regions Pilot and evaluate the framework in all 6 regions (min. 2 countries per region) develop global guidance material for developing healthy workplaces programmes identify and develop training modules to assist enterprises with implementation of the global healthy workplace framework and the guidance collaborate with CCs on the development of country guidance for frameworks for various sizes of enterprise, various sectors, and various countries (both developed and developing)


Global Framework for Healthy Workplaces (Background document and Executive Summary) Inventory of good practice and experiences in the development of healthy workplaces Inventory of healthy workplace implementation and evaluation tools that are readily accessible to enterprises Evaluation of the framework based on pilots in the six regions in 2 countries minimum per region Draft Guidance booklet in the Protecting Workers' Health Series for developing healthy workplaces, based on the pilot evaluation(s) Training packages to assist enterprises in implementing the healthy workplace framework and guidance


Governments, employer associations, civil society bodies, businesses of all sizes

Major milestones

October/November 2009 - Identification of pilot countries/businesses (min. 2 per region) November 2009 - global report including global framework (peer-reviewed by all involved) May 2010 - first draft of the global guidance document January 2011 - global guidance document published in the Protecting workers' health series March 2011: undertake pilots of the framework based on indicators and evaluation tools finalized August 2011 : evaluation of pilots and guidance February 2012: first draft of training packages for implementation of global, country and sector specific guidance December 2012: guidance finalized

Dissemination plan WHO Global and regional launches on 28 April 2013 on the occasion of the world day for workers injured and killed at work; WHO/HQ, WHO Regional and ILO websites


GPA2.15a Formerly AA1:4


CC or NGO Name Centre for Research and Teaching in Occupational Ergonomics, Health & Safety, La Trobe University, Australia

Project title Occupational Safety and Health System Management: the challenge of global diversity

Keywords OSH system management, guidelines, legislative framework, safe communities, networks, risk perception, participation


Dr Wendy Macdonald [email protected]


Dr Kaj Elgstrand and others in the AA1 group IEA International Development Committee: Dr Halimahtun Khalid (Committee Chair), Dr Kazutaka Kogi, and others as arranged through Dr Khalid

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Vietnam Administration for Preventive Medicine, VIETNAM: Dr Nguyen Thi Hong Tu WHO/AFRO: Dr Thebe A. Pule

Other partners

Dr Shyam Pingle, Medical & Occupational Health Services, Reliance Industries Ltd, INDIA Mr Ian Eddington (ICOH Board Member), Australian Graduate School of Business, University of Southern Queensland, AUSTRALIA Dr Louise Waite, School of Geography, University of Leeds, UK

Funding Baseline funding will be provided by the La Trobe University Centre for Ergonomics and Human Factors. External funding will also be sought to support field data collection during the later stages of the project.


The objective is to evaluate the utility of a globally standardised approach to OSH management, represented by the ILO guidelines for OSH Management Systems (OSH-MSs), and to develop and implement alternative means of achieving some of the key functions of a formal management system in one or more environments where the standard approach is of very limited utility. The process of developing alternatives will entail a high degree of stakeholder/worker participation, and may utilise elements of WHO ‘safe communities’ / ‘healthy cities’ programs. The focus will be on workers in the informal sector or in very small organisations, both in Australia and in other localities as arranged with partners. Factors likely to affect the utility of standard guidelines include: extent of OSH legislation and enforcement; working hours and worker status (e.g. self-employed, casual/ permanent, part/full-time, local/migrant); types of hazards and risk profile; diversity of workers’ own resources and vulnerabilities (e.g. chronic illness, age- and gender-based differences, malnourishment), and individual perceptions of the relative utilities of potential risk control options.


A report that: (a) documents systemic deficiencies in the current management of OSH for a small but diverse sample of work environments; (b) critically evaluates the utility within these work environments of a standardised, global approach to system management, i.e. the 2001 ILO guidelines for OSH-MSs; (c) identifies some potential solutions to identified problems (deadline: 2007) One or more sets of OSH-MS guidelines tailored to meet the needs of particular groups/environments, following those developed for the Japanese Construction and Manufacturing industries (by 2008*). One or more reports documenting process and outcome evaluations of the implementation of at least one set of the tailored guidelines: process evaluations by 2012; outcome evaluations by 2015.


Those responsible for designing and implementing OSH-MSs at both national and organisational levels; the ILO SafeWork program; occupational health professionals and students; workers directly affected by implementation of tailored OSH system guidelines.


Based on current research at La Trobe University on the core functions of OSH-MSs, survey content will be developed for use in documenting how and the extent to which these functions are being performed within different types of work environment. Potential target groups/environments and means of obtaining the required information (existing data sources, questionnaires, focus groups, individual interviews; translation requirements) will be determined on the basis of discussions with project partners. Finally, tailored versions of the ILO OSH-MS guidelines will be drafted, participatively fine-tuned, implemented and evaluated in one or more of the environments studied (scale dependent on available funding).

Dissemination Professional and academic meetings and publications; ILO-sanctioned tailored guidelines (to be discussed with the ILO, who will be invited to become a partner)

Impact Both global and regional.

Progress on Project

Work has proceeded at two levels. First, ongoing theoretical work using systems diagrams to model key requirements for effective operation of OSH-MSs has continued, and a first report on this work is near completion. Second, principles from this work have been applied to a needs analysis and subsequent development of an OHS-MS suitable for small/medium ‘hospitality

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industry’ businesses; this work was conducted as part of a project of the Queensland Hotels Association (QHA). The output here will be a user-friendly, simplified management system that will be freely available via a website of the Queensland Government and/or of the QHA.


A simplified, web-based management system customized for use by SMEs within the hospitality industry sector – see http://www.qha.org.au/content/WHS_ManagementSystem.asp


A report and journal articles which: (a) identify key functional requirements for OHS Management Systems and conclusions concerning the structure and functionality of an ideal system; and (b) report on use of audit data from a diverse sample of work organisations to validate the ideal system model.


GPA2.11i Formerly AA2:PM1

GPA Objective Objective 2: To protect and promote health at the workplace CC or NGO Name European Institute of Health and Social Welfare, Madrid Project title Effectiveness Evaluation System in occupational health management. ( EES)

Keywords Occupational health evaluation system, management of occupational health, effectiveness management approach.


Dr. Manuel Peña [email protected]


Other partners Funding European Institute of Health and Social Welfare, Madrid

Objective of the project To develop, agree and implant a common effectiveness evaluation system useful for workers, enterprises and other governmental and no governmental institutions.


To develop a single and common evaluation tool. To integrate the evaluation system in the occupational health services.


All enterprises.


The aim of this project is to develop a single effectiveness evaluation system through a multi question protocol, adapted to the actual legal and practical requirements in the occupational health management. This could serve as a comparative tool among several enterprise and national policies and improve our knowledge to get an accurate optimisation of resources.

Dissemination The EES could be published by WHO in CD or electronic support ( Internet) Impact (global or regional) Global.

Progress on Project

With this ‘Effectiveness Evaluation System’ every enterprise can measure the efficiency of the management system. This tool can give an evaluation about each important theme inside the occupational health management system. In this Effectiveness Evaluation System we can find: Occupational Health and Safety Risk Evaluation Team Work Individual Protection Team Learning Emergencies Measures Hard and Imminent Risks Information, Doubts and Workers Participation Company Activities Coordination Workers Contracted Temporarily Quantity and Work Organization Occupational Health Surveillance Active and Reactive Controls Planning

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Documents Results This Evaluation System is used every day by the enterprise to evaluate the management system efficiency. The result is translated into values and percent to make a better system.


The questionnaire has been elaborated by a group of experts of the European Institute of Health and Social Welfare. Moreover, it was sent to the WHO collaborating centres selected for their interest in the topic. Commentaries of respective experts were collected and then integrated into the protocol.


Development of an assessment tool through a protocol in the form of a questionnaire adapted to the actual legal and practical management requirements of occupational health.


GPA2.13d New Project


Pilot Project on WHP for SME with a focus on small enterprises

GPA Objective Objective 2: to protect & promote health at the workplace Responsible CC or NGO Name Institute of Management IFU, School of Business, Switzerland

Project leader Dr Volker Schulte [email protected]


Europe


Cantonal Health Department Lucerne Cantonal Health Department Aargau Cantonal Chambers of Commerce

External partners for this CONTRIBUTING project Funding guaranteed


Develop of a coaching manual for craftspeople. Implementation of a “health workers’ approach” on a community level: In co-operation with the regional chambers of commerce and the cantonal health departments we will employ specialists for workplace health promotion and corporate development in selected communities. They will coach local owners of small companies in health management and corporate culture. Owners of small companies have to deal with problems on many levels simultaneously. Advice directed at small businesses should therefore not focus only on absenteeism or accident prevention but should try to develop a multidimensional concept which combines advice on health and safety aspects with other operational functions – quality, corporate image, business climate, organisational optimization and well-being of their employees.


Small and micro enterprises


Realising an international workshop in Switzerland with colleagues from CC and international experts for WHP SME.


Evidence based manual for SME, development and implementation of adopted behavioral oriented skills

Indicators of achievement (impact) Participation of craftspeople and communities


Project preparation 03/09 – 09/09 Contracting/community twinning activities 12/09 Implementation 01/10-12/11

Public health impact Reduction of psycho social and musculoskeletal risks

Funding source(s) Cantons and HP Switzerland

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Dissemination Cantonal health departments, regional chambers of commerce


GPA2.13e Formerly AA5:2a


CC or NGO Name The Industrial Accident Prevention Association, (IAPA), Canada a WHO Collaborating Centre for Workplace Injury and Illness Prevention

Project title Enhancement of Occupational Health and Safety in Mexican Industry

Keywords Integrated management system Occupational health & safety


Leonard Sassano, Director, Strategic Alliances [email protected]

Partners (of the CC Network) IAPA

Other partners Mexican Ministry of Labour: Direccion General De Seguridad Y Salud En El Trabajo (DGSST) Secretaria Del Trabajo Prevencion Social (STPS)

Funding Funding provided by the Mexican government.


The Mexican government is committed to promoting the integration of HS&E into Mexican industries through its voluntary compliance program known as the SASST programme program (Systema de Administration Salud y Seguridad en el Trabajo). The objective is to apply SASST within workplaces to improve the health and safety of workplaces and working conditions for all workers. It is realized that Mexican workplaces require to engage a managed approach and adopt a management system to successfully apply SASST. The project will focus on the development and engagement of a managed system to successfully integrate the SASST compliance programme.


Completed May 2003: Developed and delivered a four day training program on SASST programme implementation to 40 STPS assessors and DGSST inspectors from across Mexico. Completed October 2003: Presentations on SASST and OHS Management Systems completed at two major OHS conferences in Mexico and at regional workshops across Mexico involving government, employers and worker groups. Completed November 2003 – December 2004: A Consultant Certification process was developed to enable Mexican assessors to provide services to enterprises enrolled in the SASST programme. September 2005: To deliver consultant certification to assessors. December 2007: Pilot applications and evaluate results of interventions. Make necessary modifications and refinements based of results. Apply nation wide. Completion by 2008.


The Mexican government will benefit by having a roster of qualified consultants who can assist enterprises to develop and implement a quality health and safety program, using an integrated management system with proven effectiveness. All enterprises will benefit by having access to qualified consultants to assist them to comply with SASST, in a manner that is of high quality and consistency.


The project will achieve a number of results: The achievement of healthier and safer workplaces for Mexican workers. The development and implementation of an OHS Management System to successfully apply the SASST voluntary compliance programme. This will lead to improvement of working conditions and reduction of injuries and illnesses within the workplace. The empowerment of workers, and improved communication and cooperation

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between management and workers through the successful engagement of SASST and a managed approach towards HS&E. To contribute towards sustainability and building capacities among STSP, DGSST, and independent assessors to lead the successful integration of SASST together with a managed system’s approach into Mexican workplaces.

Dissemination

The project outcomes will be disseminated by the increasing numbers of qualified Mexican assessors and certified consultants, who will coach and train Mexican enterprises. The project outcomes will also be published in IAPA’s various communications vehicles, (magazine, website) and discussed at national and international conferences.

Impact (global or regional) National (Mexican) and regional (Americas)

Progress on Project This project should be considered dormant, due to the change in the Mexican Government last year. We have had no indication that the new government wishes to continue this project. If it becomes active again in the future, we will inform you.


Developed and delivered a four day training program on SASST program implementation to 40 STPS assessors and DGSST inspectors from across Mexico. Presentations made on SASST and OHS Management Systems at two major OHS conferences in Mexico and at regional workshops across Mexico involving government, employers and worker groups. Consultant Certification process developed to enable Mexican assessors to provide services to enterprises enrolled in the SASST programme.


Given its dormant state we cannot predict additional outcomes


GPA2.13f Formerly AA5:2b


CC or NGO Name The Industrial Accident Prevention Association, (IAPA), Canada a WHO Collaborating Centre for Workplace Injury and Illness Prevention

Project title Enhancement of Occupational Health and Safety in Brazilian Industry Keywords Integrated management systems, occupational health and safety Project leader Email address

Leonard Sassano, Director Strategic Alliances [email protected]


IAPA Canadian Centre for Occupational Health and Safety (CCOHS)

Other partners

Canadian Partners: Marsha McEachrine Mikhail, Ryerson University, Toronto, [email protected] Occupational Health & Safety Research Institute Robert-Sauvé (IRSST) Ontario Service Safety Alliance (OSSA) Ontario Forestry Safe Workplace Association (OFSWA) BRI International Brazilian Partners: SESI- Industrial Social Service National Department, Brasilia Fundacentro International Partners: PAHO ILO

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Funding

The project is co-funded by the Canadian International Development Agency (CIDA) and ABC Transfer of Technology Fund for Brazil.


The purpose of the project is to strengthen the capacity of small and medium sized enterprises (SME’s) within selected sectors in the participating states for integrating workplace health and safety into their organizational culture, performance goals and management systems, and to reduce illnesses, injuries and fatalities for all workers. Furthermore, the project aims to enhance the capacity of participating industries and their SESI Occupational Health and Safety Departments to effectively address challenges in the development, implementation, management and evaluation of OHS services and programs for all workplace participants.


Needs assessments & stakeholder engagement Completed April 2005. Training of individuals that have responsibility for the development of the information system and web portal. Completed December 2005 Develop consulting skills and begin the development of the SESI management system framework. December 2005 Support SESI in the design and development of an Epidemiological Information System. By 2009 Development of a OHS web portal to enhance SESI’s capacity to use OHS technical knowledge and information as a strategy to improve OHS within work environment of SME’s. By 2009 Development and implementation of OHS management systems within SME’s. To develop and deliver enhanced SESI managed OHS technical and management services to SME’s. By 2009


Brazilian industrial workers in SMEs are the target, and will benefit by achievement of greater health and safety equity, and the reduction of injuries, illnesses and fatalities. SESI will benefit from the combined expertise and experience of a consortium of highly credible Canadian organizations.


Project Results will include: The achievement of healthier and safer work environments for Brazilian workers. An increase in the number of SMEs implementing effective and efficient OHS programs that comply with Brazilian OHS legislation and international standards. The establishment of an effective SESI managed OHS Information System to identify needs, set priorities, and evaluate industry programs, as well as inform SESI service delivery to address identified OHS issues including workplace related injuries, illnesses and deaths. Strengthening the ability of men and women to exercise equally, their recognized fundamental right to know. Improved attention to gender specific health and safety issues. The empowerment of workers, and improved communications and co-operation between management and workers, through increased OHS awareness and education, and the formation of joint OHS committees within participating industries.

Dissemination

The project outcomes will be disseminated by the Brazilian partners, who will continue the work after the project is completed. The project outcomes will also be published in IAPA’s various communications vehicles, (magazine, website) and discussed at national and international conferences such as the National Safety Council (US) and the World Congress on OH&S.

Impact (global or regional) National (Brazil) and regional (the Americas)

Progress on Project

Training of SESI consultants in managed systems and consulting skills is in progress and is to be completed March 2009. Some of this training is being done in Brazil, and some in Toronto, Ontario, Canada. Pilot projects are being carried out in 6 regions with 18 enterprises to develop and implement occupational health and safety management systems (OHSMS) utilizing OHSAS 18001 as the underlying system. The pilot project is to be completed March 2009.

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Workers in each of the 18 enterprises are actively participating in the development and implementation of the OHSMS. Workplace gender and diversity considerations are being addressed throughout the development and implementation of the OHSMS. A key principle underlying the pilot project is building capacity and capability of each enterprise to continue the maintenance and enhancement of their OHSMS. (Much more detail on this project is available in IAPA’s Annual Report to WHO/PAHO for 2006.) (Note that project AA2:NP7 is part of this overall project, but it is being carried out by IRSST, another partner in the Canadian consortium.)


Training of SESI consultants has been completed in November 2008. The project will be completed in September 2009. Pilot project completed. Implementation of managed systems in 8 enterprises with worker involvement in each of them Some regions in the pilot are offering Occupational Health & Safety consulting services as a result of their experience.


SESI will offer Occupational Health & Safety consulting services throughout the organization. It will be rolled out to other regions as well and will become a formal part of SESI’s services in all its regional offices.


2.13g Existing Project AA4:TM1l


Guidelines for Shift work Brochure: Shiftwork and health impacts. A guidance for occupational health experts, employers and employees.



IfADo – Leibniz Research Centre for Working Environment and Human Factors at TU Dortmund University (Institut für Arbeitsforschung an der TU Dortmund)

Project leader Barbara Griefahn, Professor, MD, [email protected]

Network partners

Beate Beermann, PhD Federal Institute of Occupational Health (FIOH), Federal Republic of Germany, [email protected] Thebe Pule, WHO/AFRO, [email protected] Wendy Macdonald MD, La Trobe University, Melbourne, Australia, [email protected] P.K. Abeytunga, MSc, PhD, Canadian Centre for Occupational Health and Safety, Canada, [email protected]; Masaya Takahashi, Ph.D., National Institute of Occupational Safety and Health, Japan, [email protected] Stanislaw Tomaszunas MD, Institute of Maritime & Tropical Medicine, Godynia, Poland, [email protected]


Africa [email protected] Australia [email protected] Asia [email protected] North America [email protected] Europe [email protected]


none


Janusz.Pokorski, MD, PhD, Jagiellonian University, Krakow, Poland [email protected], Dr. Ulrike Hellert, Moderne Arbeitszeiten, Dortmund, [email protected] Hellert


The guidance is organized in 8 chapters concerning the current situation, the various types of shift work and their effects on social behaviour, physiological functions, and long-term adverse effects, such as cardiovascular diseases. The guidance identifies vulnerable persons and conditions. Based on this the guidance focuses on preventive measures to be applied by administration, management and the workers themselves. Generally available measures such as a suitable temporal organization of the day (sleep times, exercise, light management, nutrition, stimulating substances) are in the fore, but treatment with sophisticated measures (e.g. bright light) are mentioned as well.

Target group and/or Shift workers, employers and managers

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beneficiaries Events-opportunities for furthering the project Meeting with other experts at congresses etc.


Dissemination of the completed brochure



The first draft of the brochure was sent out for evaluation and several comments will be respected for the next draft

Public health impact global Funding source(s) in place Dissemination WHO document


GPA2.12b Formerly AA5:4e

GPA Objective Objective 2: To protect and promote health at the workplace CC or NGO Name Central American Institute for Studies on Toxic Substances (IRET), Costa Rica Project title Health promotion programs for selected groups in Central America

Keywords Central America, Health promotion, Safety promotion, Prevention, Social context


Dr. Catharina Wesseling [email protected] With subproject coordinators

Partners (of the CC Network) PAHO

Other partners

National Institute of Public Health (Sweden); Central American Universities and Institutes for Social Security; Central American Integration System; Universidad San Carlos de Guatemala; Universidad de Panamá; Universidad de El Salvador; Universidad Nacional Autónoma de Nicaragua; Instituto Tecnológico de Costa Rica; Belizean Sugar Industries; Universidad Autónoma de Honduras; four hospitals in Guatemala and Panama; local community and health authorities; local ILO and IMO offices; associations of coffee producers in Costa Rica; indigenous communities; human rights associations.

Funding Sida and collaborating institutions

Objective of the project Promotion of worker and community health in priority populations in Central America.


Diagnostic phase to be completed for all subprojects by November 2007 at latest. Impact evaluations of first full-scale interventions completed by Nov 2007 at latest.


Workers, their families and communities; target industries; community, district and national health and labor authorities; trade unions; health care providers.


These programs are undertaken in three overlapping phases: (i) assessment of priorities; (ii) implementation of interventions; and (iii) continuous evaluation. They will be implemented in construction workers (safety promotion only); sugarcane workers; hospital workers; workers in hotels and restaurants; migrant coffee workers; and urban informal-sector communities. Rapid priority assessment will be followed by evaluated intervention. Interventions take the form of workplace and community health promotion and will be defined with the workers, community members and the social context, within the constraints of available resources.

Dissemination Local, national, regional and wider dissemination has been designed, using a large variety of channels and media, and a variety of modes (interactive/popular/technical/scientific).


Local impact will be disseminated nationally, regionally and globally for the diffusion effect of successful interventions. A regional worker health promotion policy will be outlined.

Progress on Project Construction workers. Safety training and interventions have been

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implemented in Honduras. Improvement of pertinent legislation has been negotiated with a Government agency. Sugarcane workers. Health risk assessments and workplace interventions have been conducted in worksites in Belize, El Salvador, Nicaragua and Costa Rica. Hospital workers. Risk assessments have been conducted in three hospitals in Guatemala and Panama. Interventions have been started on vaccinations, diet, stress management and workplace exposures. Informal sector. Health risks have been assessed for 10,000 migrant coffee pickers in Costa Rica, and interventions started on living conditions. The migrants will be brought into a social security program that guarantees health care services. Health risk assessment and medical interventions are underway in street vendors in Honduras.


Construction workers. Participatory identification of risks, and training of workers in enterprises was implemented in Honduras and El Salvador. Links were established with education programs inclusion of construction and occupational health courses in various study curricula, graduation theses. In Costa Rica a self sustaining training program in construction safety for engineers was implemented. In Panama training of labor inspectors was carried out and interchange on experiences in safety in mega construction projects. Sugarcane workers. Six sugar mills and 2 cooperatives were involved in 4 countries (Belize, Costa Rica, El Salvador and Nicaragua). Occupational safety and health committees were established or strengthened in the enterprises. Training was provided for more than 300 occupational workers, supervisors and health workers. The participatory identification of more than 400 health hazards and their solutions led to implementation of more than 50% of the solutions. There has been improved reporting of accidents in enterprises with a reduction in accidents by over 20% in 5 enterprises. Long-term hazards (noise, dust and heat) were measured in three countries. Hospital workers. Feasibility studies in 2 hospitals in Panama and one in Guatemala were published. Health promoting activities are being carried out with participatory identification of priorities jointly with workers and interventions to reduce occupational and life-style risks in two hospitals. In the National Oncological Institute in Panama and Occupational Health Office was created. Informal economy workers. In Costa Rica, the migrant coffee pickers’ project best reflects the SALTRA development model, integrating participatory action and interaction among multiple actors (80 contributors from different organizations), promoting integrated community and occupational health, interdisciplinary approaches with quantitative (surveys, a census, environmental water quality monitoring, georeferenciation of the area, measurements of harmful workplace exposures, calculation of isolation indices, multivariate epidemiological analyses of effects on health) and qualitative (workshops, focus groups, observations, training, anthropological approaches to the social and economic context, analyses of psychosocial factors, observation of housing infrastructure, migration routes) assessments of risks and intervention impacts, communications and training at all levels of social actors, and reaching beyond the local level to the migrant route. In Honduras, methods were developed with South - South collaborations based on the project in Costa Rica. A Census was carried out on labor and living conditions of some 100 vendors prioritizing 19 occupational and environmental health risks. Health promotion days and OH training have been implemented. A coalition between local social actors was established and health of workers in the informal economy was placed on the country’s political agenda.


Sida funding for the Program on Work and Health in Central America, which was the context of the projects in this component, has been prematurely ended and continuation of activities will be defined by new funding opportunities, which are only partially secured at this moment.

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For construction workers, efforts will aim at regionalization of the training program in construction safety for engineers. For sugarcane workers, in Costa Rica, exposure to bagasse and its health impact, heat stress and social issues of migrant workers, whereas continuation in Belize, El Salvador and Nicaragua is uncertain. For hospital workers, there will be collaboration with PAHO in health promoting training programs for health personnel. For workers in the informal economy, the project in Costa Rica with integrated interventions at pilot farms to improve housing and working conditions, as well as access to health care for indigenous migrant coffee pickers. In Honduras, no continuation is planned.


GPA2.13k New Project


Aged persons and their occupational skills. Development of methods for the prevention of impairments. First phase development of a Network


IfADo – Leibniz Research Centre for Working Environment and Human Factors (Institut für Arbeitsforschung an der TU Dortmund)


Network partners

Project leaders of the IfADo: Michael Falkenstein, Barbara Griefahn, Herbert Heuer, Gerhard Rinkenauer, Klaus-Helmut Schmidt, Edmund Wascher The project should be integrated into the network initiated by WHO on aged workers. If this initiative is not realized at the start of the next GPA the following institutes (most of which have expressed their interest in contributing to the WHO-initiative) will be asked for co-operation: Centre for Occupational and Health Psychology (Andy Smith), Cardiff University, UK Coronel Institute of Occupational Health (Judith Sluiter), University of Amsterdam, NL Institute for Work and Health (Brigitta Danuser), Lausanne, CH National Centre of Hygiene (Emilia Ivanovich), Sofia, Bulgaria National Institute of Public Health (Pavel Urban), Prague, CZ Finnish Institute for Occupational Health (Juhani Ilmarinen, Mikko Härmä), Helsinki, Fi LaTrobe University (Wendy McDonald), Melbourne, Australia JNIOSH (Shin-ichi Sawada, Masaya Takahashi), Tokyo, Japan


Australia Asia Europe Bonn Rokho Kim


-



Persons above the age of 50 years are systematically investigated in the IfADo with respect to cognition/ performance (attention, response preparation, motor skills) indicators of strain, age diversity, age adapted human-machine interfaces and shift work. The final goal is to define conditions that facilitate the work of the elderly and to develop methods/instruments for the prevention of (premature) impairments.

Target group and/or beneficiaries Workers above 50 years of age

Events-opportunities for furthering the project Meeting with other experts at workshops, seminars and congresses etc.

Expected results of this project by 2012 Development of training programs for elderly workers. Publications

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(outcomes) Indicators of achievement (impact)


Depends on the success of the WHO initiative but by 2012 there should be a network for concerted actions towards better integration of aged persons in the working process

Public health impact global

Funding source(s) in place

Dissemination Publication in international journals


GPA2.13m New Project


Implementation of a comprehensive health, safety and well-being workplace program within PAHO.

GPA Objective Objective 2: To protect and promote health at the workplace. Responsible CC or NGO Name University of Maryland, School of Medicine, Occupational Health Program

Project leader Melissa McDiarmid, MD, MPH [email protected] and Joanna Gaitens, PhD, RN [email protected]


IAPA, Canada Dr. Elaine Posluns [email protected]


Pan American Health Organization (PAHO) Dr. Luz Maritza Tennassee [email protected] and Marie Claude Lavoie, MSPH [email protected]


Not applicable.

External partners for this CONTRIBUTING project Not applicable.


PAHO has created a campaign to promote to health, safety, and wellness for its employees. The University of Maryland will work with Dr. Tennasseee, PAHO’s Regional Advisor for Workers’ Health, and other members of PAHO’s Health, Safety and Well-being Committee to develop a comprehensive health, safety, and wellbeing program. The University will provide content expertise in areas of occupational safety and health and assist in the development of trainings that use a ‘train-the trainer’ approach. Training topics will include: identifying the role of safety committees, ergonomic solutions to musculoskeletal injury prevention, health and wellness while on travel and stress reduction.


Members of PAHO’s Health, Safety and Wellbeing Committee and all PAHO Employees.


PAHO Health, Safety, and Wellbeing Committee held inaugural training March 3-5, 2009. Ongoing committee and workshops and trainings planned.


1. Establishment of a comprehensive occupational health, safety, and wellness program to address the needs of all PAHO employees. 2. Creation of Health, Safety, and Wellbeing Committees within all PAHO country offices. 3. Implementation of a surveillance system (e.g., electronic database) to track health, safety, and wellbeing indicators.


1. Improvement in employee health and wellbeing. 2. Decreases in the number of work-related injuries and illnesses for PAHO employees. 3. Increased compliance with recommended and required vaccinations for PAHO employees who travel.


1. Define the role and function of PAHO’s Health, Safety, and Well-being committee by July 2009. 2. Draft a health, safety, and wellbeing plan to be presented to PAHO Director and management staff by November 2009. 3. Identification and implementation of an electronic database to track key health and safety indicators by 2012.

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Public health impact Regional: Improvement of the health, safety, and wellbeing of all PAHO employees. Decreases in the number of preventable illnesses and injuries.

Funding source(s) University of Maryland and PAHO.

Dissemination Workgroup meetings, train-the-trainer workshops, conference calls.


GPA2.13o New Project

GPA Objective Objective 2: To protect and promote health at the workplace CONTRIBUTING Project Title

Healthy Industry Program

GPA Objective and Action 2 Priority Initiative 2.2 Healthy Workplaces Responsible CC or NGO Name

SESI –Social Service of Industry / National Department


Fernando Coelho Neto [email protected] Phone: +55 61 33179478


I-WHO Canadian Centre for Occupational Health and Safety (CCOHS) - Canada; Industrial Accident Prevention Association (IAPA) – Canada; Fundacentro - Brazil


AMRO (PAHO)



European Agency for Safety and Health at Work (OSHA) – EU; Organización Iberoamericana de Seguridad Social (OISS); United Nations Population Fund (UNFPA); United Nations Office on Drugs and Crime - UNODC ; Joint United Nations Program on HIV/AIDS – UNAIDS; Ryerson University – Canada; Ministry of Health – Brazil


General Objective To improve the quality of life of industry workers through the promotion of healthy workplaces. Specific Objectives - to promote the occupational health and safety at the industry; - to incentive the worker to have a healthy lifestyle. - to support a responsible social management at the industrial company; - The Program is focused on building a work environment which allows the worker to adopt a safe, healthy and productive lifestyle, being able to efficiently contribute to the maximization of productivity and competitiveness of Brazilian industries. - 2012 1. Development of access to knowledge services 1.1. Expansion of the Pro-SST website; 1.2. Development of 50 e-learning courses; 1.3. Development of educative materials on OHS and health promotion; 1.4. Publishing of 8 panoramas on OHS; 1.5. Publishing of 3 researches about related themes; 2. Development of risk assessment methodologies 2.1. Health and lifestyle:

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a) development of methodology and instruments; b) attend 1 million workers in 8 thousand industries; c) publishing of case studies / scientific articles; 2.2. Safety at work and ergonomics: a) development of methodology and instruments; b) publishing of case studies / scientific articles; 2.3. Organizational climate: a) development of methodology and instruments; b) publishing of case studies / scientific articles; 2.4. Sustainability at work: a) development of methodology and instruments; b) publishing of case studies / scientific articles; 3. Consultancy & assistance 3.1. development of integrated solutions based on the results of the risk

assessment a) consultancies on OHS; b) consultancies on Health Promotion & Healthy Lifestyle;

4. Health promotion services 4.1. active leisure: a) development of methodology, instruments and publishing of case studies / scientific articles on: * workplace workout; * work-related physical exercises programs; * healthy-life events management; * sports competition for workers; * theater sketches based on social and educational Themes; 4.2. alcohol and drugs prevention: a) development of methodology and instruments; b) publishing of case studies / scientific articles; 4.3. NCDs monitoring programs: a) development of methodology and instruments; b) publishing of case studies / scientific articles; 4.4 Adaptation and translation of all available campaign materials on the Healthy Industry Program; 5. Medical and dental assistance a) development of methodology and instruments; b) publishing of case studies / scientific articles; 6. Psychosocial work environment 6.1. adaptation of PRIMA framework in the Brazilian context; 6.2. focus on sector and development of psychosocial risk assessment

tools; 6.3. development of training packages and guidance for service

providers, employers and employees; 6.4. roll out of psychosocial risk assessment and management program

in Brazil;

7. Piloting of the comprehensive model in Brazilian industries a) select participating industries; b) establish metrics and indicators. c) to execute d) evaluate; e) publish results in Portuguese, Spanish and English.


Brazilian industries and their workers.



- Expansion of the Pro-SST website; - Development of 50 e-learning courses; - Development of educative materials on OHS and health

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Promotion; - Publishing of 8 panoramas on OHS; - Publishing of 3 researches about related themes; - Development of methodology and instruments on Health & Lifestyle, Safety at Work & Ergonomics, Organizational Climate and Sustainability at Work; - Attend 1 million workers in 8 thousand industries; - Publishing of the data about the integrated solutions based on the results of the risk assessment (OHS and Health Promotion & Healthy Lifestyle), attending industries; - Publishing and dissemination of methodology and instruments on Active Leisure; Alcohol and Drugs prevention; NCDs monitoring program; - Publishing and dissemination of the adapted and translated campaign materials on the Healthy Industry Program; - Publishing and dissemination of the methodology on Medical and Dental Assistance; - translation and implementation of the methodology on psychosocial work environment; - publishing and piloting of the adapted WHO’s methodology on Healthy Workplace in Brazilian industries.


- increase in the productivity of the industrial companies through actions that promote workers’ quality of life by: . the reduction of accidents and diseases related to work; . the reduction of absenteeism; . the reduction of presenteeism; . the control of health services’ costs; . the prevention of fiscal and judicial penalties;


Annual evaluation: 2010 – 2011 - 2012

Public health impact Improvement on life quality for the industry workers. Funding source(s) SESI – Social Service of Industry / National Department.

Dissemination Publishing OHS information on websites and free didactic material for the

industries; consulting and advisement to the industry companies regarding the management and evaluation of the offered services as well as the diffusion of projects like the OHS and health promotion programs.

Priority 2.3: Develop toolkits for the assessment and management of global health threats including HIV, tuberculosis, malaria, influenza, emphasizing vulnerable groups, in particular migrant workers Outputs: Tools, inventory, framework, mapping of use and types of tools, evaluation, and definition of toolkits Support: CC: Jadranka Mustajbegovic, Medical School University of Zagreb, Croatia WHO/HQ: Evelyn Kortum 2009-2012 Work Plan Number

2.14e New Project


PREVENTION OF HIV/AIDS AMONG MIGRANT WORKERS

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GPA Objective GPA Objective 2: to protect and promote health at the workplace Responsible CC or NGO Name

Department for Environmental & Occupational Health Andrija Stampar School of Public Health, School of Medicine University of Zagreb, Croatia

Project leader Professor Jadranka Mustajbegovic, MD, PhD [email protected]

Network partners

ASSPH Collaborative WHO Centre for Capacity Building in the Second Generation HIV/AIDS Surveillance, Zagreb, Croatia; [email protected] Institute of Occupational Health, Skopje, Republic of Macedonia; [email protected] Institute of Occupational and Radiological Health, Beograd, Serbia; [email protected]


WHO/Regional/HQ lead: Evelyn Kortum; [email protected] WHO/EURO Centre for Environment and Health: dr.Rokho Kim, [email protected] WHO Liaison Officer in Croatia: dr. Antoinette Kaic-Rak, [email protected]


Ministry of Health and Social Welfare Republic of Croatia Dr. Dunja Skoko-Poljak, [email protected]


International Organization for Migration (IOM), Zagreb, Croatia; Dr. Nina Greiner, [email protected]


Education of health workers in Occupational Medicine, employers’ representatives and workers’ representatives in order to create and execute an efficient preventive HIV programme at the workplace. The education will be implemented by organising workshops for specific groups raising awareness about migration as a risk factor for the infection while fighting against the stigma and discrimination against HIV at the workplace. Education of migrants on HIV/AIDS and other sexually transmitted diseases with the aim of imparting knowledge, attitudes and preventive behaviours as a part of the medical preparation for a migrations abroad or within the home country for longer period.


Occupational health specialist, safety specialist, migrant workers, employers


Recognising regional cooperation, e.g. conferences and workshops is a key issue for HIV/AIDS prevention among migrant workers on national and regional level.


The project will produce a guidance documents and education materials which include a range of successful initiatives in order to create and execute an efficient preventive HIV programme among migrant workers.

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1. Number of workshops 2. Number of workshop-participators 3. Number of created educational materials 4. Number of migrants reached by research (every two years) on knowledge about HIV/AIDS, attitudes and sexual behaviour


2009.-2010. Developing toolkit, action plan and regional cooperation network, reaching and education of occupational medicine specialists dealing with migrant workers 2010.-2012. Education of migrant workers by trained occupational health specialists, with the obligation of 4 lectures a year, including distribution of educational materials and individual consultation.

Public health impact Family doctors/General practitioners need to be involved in the education and cooperation with Occupational Medicine for expanding the existing tracking and evaluation system for preventive activities relating to HIV infection.

Funding source(s) Croatian Ministry of Science, Education and Sports; Croatian Ministry of Health and Social Welfare; Social partners.

Dissemination Workshops; Publications; WHO/ILO documents; meetings;


2.12f New Project

CONTRIBUTING PROJECT Title Work plan project number (

SWIFT– Sustainable Waste Management Initiative For A Healthier Tomorrow - A Comprehensive, Sustainable Approach Focused On The Determinants Of Social Exclusion, Poverty And Health In The Roma, Ashkali And Egyptians In Belgrade, Serbia

GPA Objective GPA Objective 2: to protect and promote health at the workplace

Priority Initiative Priority 2.3:Develop toolkits for the assessment and management of global health threats including HIV, tuberculosis, malaria, influenza, emphasizing vulnerable groups, in particular migrant workers

Responsible CC or NGO Name WHO Country Office in Serbia

Project leader Gerry McWeeney ( [email protected])

Network partners Institute Of Occupational and Radiological Health “Dr Dragomir Karajović“, Belgrade, Serbia, Dr Martin Popevic ( [email protected])




Serbian Ministry of Health, Dr. Elizabet Paunović ([email protected]) Serbian Ministry of Labour-Occupational Safety and Health Directorate, Vera Božić ([email protected])



Social exclusion and poverty are extensive, well documented for the Roma population in Serbia. Multiple determinants can be identified for health, exclusion and poverty. In order to start addressing these issues, a comprehensive and multifaceted approach is required.

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Informal recycling of materials from waste represents an important survival strategy for Roma in Belgrade. Adults and children can be seen rummaging through communal waste bins, dumping areas, without protection, exposed to occupational health hazards. This “scavenging” is a large scale operation, occurring throughout Belgrade. Objective of the project is to convert current Roma waste “scavenging” into an effective and safer means of income whilst tackling health and human rights issues. The second objective is to devise and implement policy instruments on workers’ health.


Roma population Health care workers and policy makers Occupational physicians Social services and educators




Health System Health System development and assessments during this and the following BCA period, focusing on: BOHS (particularly vulnerable workers) Hazardous employment ”Direct to Worker” Assessment and report on the Occupational health hazards and injuries suffered by the informal waste collectors Formal training and certification (Probable UK NVQ) and educational awareness building with the informal waste collectors based on the assessment findings and report. SWIFT Recycling Centre – Health and safety Training


Report of the assessment and occupational health hazards and injuries suffered by the informal waste collectors Formal proposal of occupational health policy, legislation and action plans with the participation of social partners SWIFT Recycling Centre – Health and safety Training


Assessment and report on the Occupational health hazards and injuries suffered by the informal waste collectors (2009/2010) Formal training and certification of the informal waste collectors based on the assessment findings and report (2010/2011) SWIFT Recycling Centre – Health and safety Training (2011/2012)


Funding source(s) SWIFT Project (BCA 2008-9 and BCA 2010-11) funded from the Norwegian Ministry of Foreign Affairs

Dissemination Project reports will be disseminated through WHO to related health authorities and stakeholders. Findings will be presented at relevant international/ national conferences and/or meetings. Possible publication in international journal.

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GPA Objective 1: To devise and implement policy instruments on workers' health - Claudina Nogueira GPA Objective 2: To protect and promote health at the workplace - Stavroula Leka and Aditya Jain GPA Objective 3: To improve the performance of and access to occupational health services - Kaj Husman and Leslie Nickels GPA Objective 4: To provide and communicate evidence for action and practice - Jo Harris-Roberts and Edward Robinson GPA Objective 5: To incorporate workers' health in to other policies - Wendy Macdonald GPA Objective 3: To improve the performance of and access to occupational health services Managers: Kaj Husman, FIOH and Leslie Nickels, NIOSH ACTION AREAS: 16. Development into national health strategies, health-sector reforms and plans for improving healthsystems performance; determining standards for organization and coverage of occupational health services; setting targets for increasing the coverage of the working population with occupational health services; creating mechanisms for pooling resources and for financing the delivery of occupational health services; ensuring sufficient and competent human resources; and establishing qualityassurance systems. Basic occupational health services should be provided for all workers, including those in the informal economy, small enterprises, and agriculture.

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17. Core institutional capacities should be built at national and local levels in order to provide technical support for basic occupational health services, in terms of planning, monitoring and quality of service delivery, design of new interventions, dissemination of information, and provision of specialized expertise. 18. Development of human resources for workers’ health should be further strengthened by: further postgraduate training in relevant disciplines; building capacity for basic occupational health services; incorporating workers’ health in the training of primary health care practitioners and other professionals needed for occupational health services; creating incentives for attracting and retaining human resources for workers’ health, and encouraging the establishment of networks of services and professional associations. Attention should be given not only to postgraduate but also to basic training for health professionals in various fields such as promotion of workers’ health and the prevention and treatment of workers’ health problems. This should be a particular priority in primary health care. 19. WHO will provide guidance to the Member States for the development of basic packages, information products, tools and working methods, and models of good practice for occupational health services. It will also stimulate international efforts for building the necessary human and institutional capacities. PRIORITIES: Priority 3.1: Develop working methods, provide technical assistance to countries for organization, delivery and evaluation of basic OH services in the context of primary health care, with particular focus on underserved populations and settings with constrained resources Output: Good practices and demonstration projects for organization and delivery of OH services, evaluation of service delivery, international knowledge networks of service providers, website clearinghouse of information materials for OH practice Support: CC: Kaj Husman, FIOH, Finland and Norbert Wagner, University of Illionis at Chicago Partner: Igor Fedotov, ILO and WHO/HQ: Ivan Ivanov Priority 3.2: Adapt and disseminate curricula, training materials and training for international capacity building in OH 3.2a Learning Repository and 3.2b iBOSH Output: Model materials and courses for BOHS, inventory, technical support for delivery of international courses and on-line training, national training programmes in low- and medium-income countries, introduction of OH into professional education Support: CC: Jonny Myers UCT, Linda Grainger ICOH, Frank van Dijk, Coronel Institute of Occupational Health and John Harrison, Imperial College Healthcare NHS Trust WHO/RO: Rokho Kim

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FACILITATING PROJECT (administrative) Work plan project number

GPA 3.1: Organization and delivery of occupational health services in primary health Facilitating Project


Organization and delivery of occupational health services in primary health

GPA Objective

Objective 3: to improve the performance of and access to occupational health services

GPA Action 16

Improve coverage and quality of occupational health services including: linkage to national health strategies and health sector reforms standards for organization and coverage mechanisms for pooling resources and financing of the delivery sufficient and competent human resources quality assurance systems Provide access for all workers to basic occupational health services

Priority Area

Priority 3.1: Develop working methods, provide technical assistance to countries for organization, delivery and evaluation of basic OH services in the context of primary health care, with particular focus on underserved populations and settings with constrained resources


This Facilitating Project aims to coordinate international efforts on setting up and improving occupational health services. It is closely connected to the GPA 3.2 activities aiming at building institutional and professional capacity. Current projects with this aim are divided into four areas: Area 1: Linkage to national health strategies and health sector reforms Area 2: Standards for organization and coverage Area 3: BOHS pilots Area 4: Quality assurance This division is based on the main focus of the project. Many of the projects have aspects belonging to more than one areas and most of them have also a strong training component.

GPA Manager Kaj Husman, Leslie Nickels CC Initiative Leader and contact information

Kaj Husman; [email protected]


Ivan Ivanov; [email protected]


Projects are organized by area: Area 1: Linkage to national health strategies and health sector reforms 3.17d; Occupational Health Latin-American Forum; Project leader: Manuel Peña, [email protected], European Institute of Health and Social Welfare, Spain 3.17f; Policy advice, training of trainers, support pilot projects and provide practical guidelines for BOHS; Project leader: Project leader Jorma Rantanen, [email protected], ICOH 3.19u; Occupational health and primary health care; Project leader: Ivan D. Ivanov, [email protected], WHO Global Occupational Health Programme 3.19f; Blind spot in health care for work-relatedness ̶ Revitalizing Ramazzini’s legacy; Project leader: Peter Buijs, [email protected], TNO Quality of Life / Work & Employment, The Netherlands Area 2: Standards for organization and coverage 3.16i; East Asian Network for Development of Occupational Health Research and Services Model; Project leader Toshiaki Higashi, [email protected]

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u.ac.jp, Institute of Industrial Ecological Sciences (IIES), UOEH, Japan Area 3: BOHS pilots 3.16j; SHERQ programme for the Public Health Service in South Africa; Project leaders: Spo Kgalamono, David Rees and Barry Kistnasamy, [email protected] , [email protected], [email protected], National Institute for Occupational Health (NIOH), SA 3.16p; SHERQ programme for the National Health Laboratory Service (NHLS) in South Africa; Project leaders: Spo Kgalamono, David Rees and Barry Kistnasamy, [email protected], [email protected], [email protected], National Institute for Occupational Health (NIOH), SA 3.16k; Development an expansion of a pilot project for occupational health services in China; Project leader: Li Tao, [email protected], National Institute of Occupational Health and Poison Control, Chinese Centre for Disease Control and Prevention, China 3.16l; Development of innovative models for organization and provision of occupational health services in South East Europe; Project leader: Jovanka Karadzinska Bislimovska, [email protected], [email protected], Institute of Occupational Health, FYR of Macedonia 3.16r; Integration of occupational health services into primary health care system in Turkey; Project leader: Dr. Buhara Önal [email protected] – MoLSS and Dr. Tahir Soydal [email protected] – MoH 3.18o; Development and integration of Basic Occupational Health Services into Primary Health Care in Southern India; Project leaders: Jayachandran Paulsamy; [email protected] and Kalpana Balakrishnan, [email protected], Department of Environmental Health Engineering, Sri Ramachandra University, Chennai, India 3.18q; The Development of Basic Occupational Health Service (BOHS) model for underserved working population in Thai Primary Care Units; Project leader: Somkiat Siriruttanpreuk, [email protected], Bureau of Occupational and Environmental Diseases, Thailand 3.18t; Organization and delivery of BOHS for underserved populations in Vietnam; Project leader: Nguyen Duy Bao, [email protected], National Institute of Occupational & Environmental Health (NIOEH), Vietnam 3.16q; Workers health project; Project leader: Tran Thi Ngoc Lan, [email protected], General Department of Preventive Medicine and Environmental Health (GDPMEH)- Ministry of Health of Vietnam 3.16n; Development and Implementation of a Basic Occupational Health Service Intervention Program in Indonesia; Project leader: Norbert Wagner, [email protected], Great Lakes Centres for Occupational & EnvironmentalGreat Lakes Centres for Occupational & Environmental Safety and Health, School of Public Health, University of Illinois at Chicago (UIC), School of Public Health, U.S.A Area 4: Quality assurance 3.16a; Good practice in occupational health services; Project leader: Arve Lie, [email protected], The National Institute of Occupational Health, Dept of Medicine and Epidemiology; Norway

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3.18p; Occupational Health and Safety Quality Assurance for Primary Health Care Unit; Project leader: Somkiat Siriruttanpreuk, [email protected], Bureau of Occupational and Environmental Diseases, Thailand

WHO Regional offices actively involved in this project (name and email) and other international organisations

PAHO: Maritza Tennasee; [email protected] EURO: Rokho Kim; [email protected] SEARO: Salma Burton; [email protected] WPRO: Hisashi Ogawa; [email protected] AFRO: Thebe Pule; [email protected] ILO: Igor Fedotov; [email protected] ICOH: Jorma Rantanen; [email protected] ICFTU: Lucien Royer; [email protected] ? WHO/Trade Unions Network on Implementing Workers Health Initiatives; Peter Orris; [email protected]


By networking and pooling resources this project aims at comprehensive protection and promotion of health for workers, emphasizing vulnerable groups. This is done by evaluating and improving national OH delivery systems, building capacities of OH services, providing technical support, and producing and disseminating useful accessible information and products. Projects include national profiles, pilots on BOHS, best practices, tools and guidance that can be used in training, and information dissemination.


Targeted OH programmes and standards for the coverage of OH services Area 1: Linkage to national health strategies and health sector reforms 3.17f: 1) Production of BOHS Guidelines and a Manual. 2) Introduction of a BOHS field measurement kit for priority exposures. 3) 10 Countries have introduced BOHS, training of trainers has been organized, Pilot projects implemented and evaluated, readiness for moving to next step (up-scaling) is there. 4) 31.12 2009 National surveys completed in 10 countries. 5) 31.12.2010 Training of trainers courses implemented in 10 countries 31.12.2011. 6) Pilot projects implemented in 10 countries. 7) 31.12.2012 Countries decided on next steps in BOHS implementation. 8) 31.12.2012 The role of BOHS in Primary Health care system has been clarified and well established. 9) 31.12.2012 Countries have included BOHS into their national health strategies. 3.19u: 1) Global report "Occupational Health in Primary Health Care". 2) National programmes for development of occupational health services established with WHO technical assistance in ten countries. 3.19f: Blind spot in health care for work-relatedness -booklet ready and distributed as agreed. Area 2: Standards for organization and coverage 3.16i: 1) Publications of guideline: End of 2011. 2) Membership scheme of involved institutions: 2012. 3) The effective and evidence based occupational health service Model in East Asian countries which has similar situation in cultural background and rapid aging society. 4) The data base, guide which are available for evidence based occupational health services and prevent international threat for human health. 5) MSDs, Health Promotion and Improvement of Work environment will be edited up to 2012 on the basis of Japan /China/ Korea joint conference network. Area 3: BOHS pilots 3.16j: 1) Referral system and OHS in place for public health care sector. 2) Surveillance system in place in the public health care sector. 3) 300 trained SHERQ personnel.

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New project3.16p: 1) Referral system and OHS in place for NHLS in 75% of laboratories and all national institutes. 2) Surveillance system using SLIDE or similar tool across NHLS. 3) 100 trained SHERQ personnel within the NHLS. 3.16k: 1) Continuing Training of Trainers (ToT) Courses. 2) Extension of new Pilot Projects to additional Provinces and Counties. 3) Providing direct-reading field measurement BOHS kits for most hazardous exposures. 3.16l: 1) Recommendations on national policy and capacity building in new models of OHS, through BOHS approach focused on vulnerable workers, underserved population and high risk sectors. 2) Development of the health surveillance and information system following EU regulations. 3) Participation in the i-BOHS community network and sharing online learning and educational materials on evidence-based knowledge for OHS. 4) Establishment of the training center for OH and PHC doctors on BOHS (training of trainers, i- library) through SEE Network on Workers Health 3.16r: Implementation and evaluation of pilot projects conducted collaboratively by Ministry of Health and Ministry of Labor; establishment of Community Health Centers specialized in occupational health services; improving the model of community health centers and expanding the model within the country. 3.18o: 1) Based on continued interactions with the State Public Health Departments, we anticipate being able to train personnel in at least 5 districts. 2) Once recommendations of the current pilot are accepted, we anticipate the WHO India office to facilitate policy level follow-ups including the requirements to create BOHS centers in all district level hospitals. 3) Inputs from hazard identification at health care facilities are expected to be translated into implementation of controls through interactions with relevant departments that are expected to be facilitated by the WHO country office. 4) Training of PHC physicians to be BOHS providers for local industry will likely be achieved in districts with large industry clusters. 5) Creation of a occupational disease surveillance mechanism through integration with on-going integrated disease surveillance efforts will likely be in place. 3.18q: 1) 2010: Best practices in the primary care units and delivery of BOHS for workers in informal economy and underserved populations such as children workers, women workers, migrant workers. 2) 2012: Best practices in the primary care units and delivery of BOHS for target working populations 3.18t: 1) BOSH delivering models at district level for underserved populations will be developed and implemented. 2) Trainings on BOSH organisation and delivery will be conducted for OSH practitioners. 3) Training materials will be developed and disseminated New project3.18t; 1) Report on real situation implementation of basic occupational health services in Vietnam. 2) Report on ratification of ILO Convention 161 on occupational health services in Vietnam. 3) Developing standard materials on basic occupational health services for provincial level. 4) Assess implementation on basic occupational health services in four provinces: Thanh Hoa, Bac Ninh, Thua Thien Hue, Dong Nai. 5) Share experiences on project implementation results in international conferences. New project3.16n; 1) Evaluation of past BOSH initiatives in Indonesia finished by end 2010. 2) Qualitative and quantitative analysis of current problems and success factors with key stakeholder finished by spring 2011. 3) Training modules for village health workers and other public health officials finished by summer 2011. 4) Training of primary health care workers and other PHC levels started by fall 2011. Area 4: Quality assurance 3.16a: 1) 10 new models of good practice cases per year. 2) Continued training

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Area 1: Linkage to national health strategies and health sector reforms 2009-2012 Work Plan Number

3.17d Formerly AA6:KTBP2

GPA Objective Objective 3: To improve the performance of and access to occupational health services

CC or NGO Name European Institute of Health and Social Welfare, Madrid Project title “Occupational Health Latin-American Forum” Keywords Occupational safety and health, Latin- American forum, Project leader Email address



Asociacion Chilena de Seguridad - Chile (Marisol Concha [email protected]) IRET – Costa Rica (Caterina Wesseling; Patricia Monge [email protected]; [email protected]) Senac (National Service for Commercial Education) Jabaquara Training Unit, São Paulo – Brazil (Rosangela Gonçalves Ribeiro; Tatiana Pincerno Ribeiro [email protected]; [email protected]) NIOH - South Africa (Claudina Nogueira [email protected])

Other partners

Ministries of Health, and Labour of the Governments which will take part. Centre of Environmental & Occupational Health, National Institutes of Health Dr. Ricardo Jorge, Port, Portugal (Olga Mayan [email protected]) Department of Occupational Health, National School of Public Health, New University of Lisbon, Portugal (Antonio de Sousa Uva [email protected])

Funding Fund would be set by Governments NGO and CC themselves.

Objective of the project Create a discussion forum for Latin-American countries in order to share scientific information and other experiences in local/national projects


To enhance effective communication among Spanish-speaking countries. To integrate and make dynamic multi country information To identify, promote and integrate actions to be taken.


2000 copies of the Forum Publication distributed in Spanish-speaking countries; At least one project of Euro-American cooperation identified.


“Occupational Health Euro-American Forum” The aim of this project is to enhance the effective union of the Latin-American countries implicated in the Global CC Network Plan, through a multi country and

of OHS. 3) Assessment of impact on OHS. 4) New Good OHS 2012 to fit the new certification of OHS in Norway. 5) Revision and production of professional OHS guidelines 3.18p: Standard guideline for occupational health service activities in primary care units.


Strategy to develop a global framework for national programmes on occupational health services Adequate policy and technical consultations Development of a step-by-step web-based tools to integrate BOHS in PHC Cross-links with PHC and labour safety

Examples of deliverables desired by 2012 to adequately assist countries to protect and promote health of workers internationally.

National, regional and sectoral OSH profiles and programmes for establishing and strengthening occupational health services Practical BOHS delivery models ongoing Programs of grass-root level training of occupational health and safety Programs of post-graduate training Train-the-Trainer Programs Electronic library of tools and information


Political commitment Funding for global projects Time allocation of experts

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multi disciplinary forum and promote Euro-American collaboration in occupational health. Establishment of BOHS and improving the delivery of BOHS will be one of the topics to be discussed during this Forum. It will involve several social, political and academic institutions and could be an important opportunity to establish action lines to involve the political authorities.

Milestones Elaboration of the programme by the Scientific Committee (March 2010); Invitation of the participants June (2011); Forum (November 2011); Forum Publication (1st Quarter 2012).

Dissemination Forum consensus report. WHO bulletins and Internet. Impact (global or regional) Multi-country

Progress on Project as of 1 OCTOBER 2007

The Occupational Health Latin-American Forum will be celebrated in November 2009, in Madrid (Palacio de Congresos de Madrid). This forum will take place inside the 9th SALUSLABORIS Fair. We are working with partners and are preparing the framework for the meeting. Different people (WHO collaborating centres representatives, enterprise directors, social speakers, experts, and people responsible of Environment, Quality and Occupational Health Management), will be invited to form an Organizing and a Scientific Committee. We are in contact with the follow partners (of the CC Network): Asociación Chilena de Seguridad- Chile, and IRET –Costa Rica for the preparation of dossiers about the following subjects, which will be included in the meeting´s agenda: Work and aging, tobacco and spaces without smoke; mental load and migraines, occupational cancer, vaccination, occupational stress, mobbing and burnout. The meeting will be financed by sponsors, public and private enterprises.




3.17f New Project


Policy advice, training of trainers, support pilot projects and provide practical guidelines for BOHS



Priority Initiative

Priority 3.1: Develop working methods, provide technical assistance to countries for organization, delivery and evaluation of basic occupational health services in the context of primary health care, with particular focus on underserved populations and settings with constrained resources

Responsible CC or NGO Name ICOH

Project leader Jorma Rantanen [email protected]; [email protected]


CDC China, Ministry of Health and National Institute of Occupational Health, Vietnam, Institute of Public Health Albania, Andrija Stampar School of Public Health, University of Zagreb, Croatia, Institute of Occupational Health, FYR Macedonia, University of Podgorica, Montenegro and Association of Occupational Medicine, UNMIK Kosovo, Institute of Occupational Health and Radiation Protection and University of Belgrade, School of Public Health, Serbia


WHO/EURO Rokho Kim, Rokho Kim [[email protected]] WPRO, Hisashi Ogawa. [email protected], WHO Country Office, China, WHO Country Office, Vietnam, WHO Country Office, Albania, WHO Country Office, Croatia, WHO Country Office, FYR Macedonia, WHO Country Office, Montenegro, WHO Country Office, Serbia and WHO Office, UNMIK Kosovo. ILO Country Office, China, ILO Regional Office for Asia and the Pacific ,

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Bangkok, Thailand , ILO Decent Work Technical Support Team and Country Office for Eastern Europe and Central Asia, Moscow, Russian Federation


Ministry of Health (MoH) Albania, Burundi, China, Croatia, Finland, Russia Karelia, FYR Macedonia, Montenegro, Serbia, UNMIK Kosovo, Thailand, Vietnam, Ministry of Labour (MoL) in Burundi, Kenya, Russia Karelia, Rwanda, SAWS China, Tanzania, Thailand, Uganda,


WHO Global Occupational Health Programme, ILO Safe Work, ILO Decent Work Programme


The Basic Occupational Health, BOHS, approach was developed for expanding coverage of occupational health services for underserved workers and workers without access to occupational health services so far. Basic occupational health services will be implemented in collaboration with Member Countries, their CCs and other Health Institutions, including Professional Associations. The main target groups will primarily be the workers in small-scale enterprises, agriculture, self-employed and informal sector and other underserved groups. The BOHS will use, support from primary health care organizations, where appropriate. The BOHS development will be supported by providing policy and strategy advice, drawing up national OHS Profiles, training of trainers courses, supporting pilot projects and providing practical guidelines for BOHS. A special learning platform including BOHS learning materials, will be generated as a separate project (see ).


Policy decision-makers, Social Partners, Trainers and educators in occupational health, Professional Associations, OHS personnel. All so far underserved groups and populations of workers, particularly small enterprises and their workers, agricultural workers, informal sector workers, migrant workers


National Strategy and National Programme projects, National surveys and Profiles of OHS situation. National high level seminars, expert seminars and training of trainers courses, training courses, pilot projects, evaluation projects and services provision development projects. International Congresses like ICOH 2009 and 2012.


Inclusion of BOHS into National Strategies and Programmes, Produced OHS Profiles, Numbers of Seminars and Courses, Numbers of trained trainers, Numbers of course participants, Numbers of completed and evaluated pilot projects


Inclusion of BOHS into National Strategies and Programmes Access to services for target groups and for underserved sectors and groups of workers. Workers constitute over half of the population in any country and in many countries more than half of them work in hazardous conditions, without access to preventive and protective services. Their health and work ability will be improved by organizing effective occupational health services at grassroots level. OHS needs of agricultural workers and migrant workers in particular will be considered.

Funding source(s) For smaller part WHO and WHO Regional Offices/Country Offices Target Countries, MoHs

Dissemination

Periodic regional or global traning courses and seminars will be organized to share experiences and evaluate the outcomes. Reports on national strategies, programmes and pilot projects will be published. Countries may decide on expansion of BOHS beyond pilot areas.


1) BOHS has been included in the formally approved National Strategies and Programmes in South East Asian Regional Strategy, in National Health Strategy of Albania, China, FYR Macedonia, Montenegro, Russian Karelia, Serbia, Thailand and Vietnam.

2) National OHS Profiles have been prepared for Albania, China, Croatia, Finland, FYR Macedonia, Montenegro, Serbia and UNMIK Kosovo. A Sub-Regional BOHS Profile has been produced for the South-East European Sub-region. National BOHS Surveys have been reported from Burundi, Kenya, Rwanda, Tanzania and Uganda.

3) Altogether 6 Countries in Africa, 8 Countries in Europe 6 Countries in Asia carry out or prepare for BOHS activities including training of BOHS. BOHS guidelines have been translated into national languages, e.g. Albanian, Chinese, Macedonian, Serbian, Turkish, Russian, Lithuanian and Thai languages

4) 15 BOHS presentations from four continents were delivered in the ICOH 2009 Congress, Cape Town.

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5) BOHS training courses and seminars 5 Countries reported in WHO Santiago Global Consultation on Occupational Health in Primary Health Care in April 2009.

6) Several Pilot Projects for integrating BOHS with Primary Health Care are ongoing. Plans for continuing or initiating BOHS Pilot Projects prepared for 8 European (Albania, FYR Macedonia, Montenegro, Serbia, Kosovo, Karelia, Finland and Turkey) and 5 African Countries (Burundi, Kenya, Rwanda, Tanzania, Uganda).

7) BOHS Pilot Projects reported from India Chennai, China Bao Gan and China 19 Counties, and from Thailand.

8) BOHS for unemployed workers currently going on in Macedonia and prepared for migrant workers in Montenegro.

9) BOHS Surveys carried out in 5 East African Countries and in 6 SEE Countries plus in China, Thailand and Vietnam.


1) Production of BOHS Good Practice Technical Guidelines and a BOHS Manual.

2) Generating a special learning platform for OHS learning, including learning material for BOHS ( A separate Project)

3) Introduction of a BOHS field measurement kit for priority exposures. 4) Continuation of BOHS, training of trainers courses. 5) Continuing and expanding the current BOHS Pilot Projects and initiating new

Projects. 6) Evaluations of the BOHS Pilot projects implemented so far. 7) Organization of a BOHS Special Session in the ICOH 2012 Congress. 8) Piloting BOHS services for unemployed workers (Macedonia), agricultural

workers (Macedonia) and migrant workers (Montenegro) 9) Establishment of the South East European Workplace Academy, SEEWA in

June 2011 and introduction of BOHS Courses in the Academy Programme.


3.19u New Project

Project Title

Occupational health and primary health care

GPA Objective and GPA Action GPA 3, action 19

Priority Number 3.1.

Responsible WHO Global Occupational Health Programme

Project leader(s) Ivan D. Ivanov, WHO, [email protected]

Network partners FIOH, Finland; TNO, Netherlands; BOED, Thailand, ISP Chile, ISPESL, Italy; NIOH, South Africa; ICOH, ILO SafeWork

WHO Regions involved in this project WPRO, SEARO, EURO


MoH UK, MoH China, MoH Saudi Arabia, MoH Spain, MoH Brazil, MoL Mauritania, MoH Sri Lanka, MoH Indonesia, MoH Vietnam, MoH Oman

External partners for this project Wonca


In 2008, WHO launched a set of reforms to provide primary health care to all citizens. This process provides ample opportunities to scale up occupational health services using the values and principles of primary health care. This project aims to summarize the experience gained so far in integrating occupational health into primary health care and to outline policy options for scaling up occupational health services. In particular, the project will collect and review case studies from different countries and regions in linking occupational health to primary health care and will develop methodological basis for assessing the performance of national health systems in the area of workers' health.

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Target group and/or beneficiaries Ministries of health, occupational health and primary care providers


Global consultation on occupational health and primary health care - May 2009 Scoping report - January 2010 Countries' case studies - September 2010 Global report "Occupational Health in Primary Health Care" - April 2011

Dissemination plan Launch global report on April 28, 2011; Presentation of case studies and global report at ICOH and Wonca conferences; Publication in WHO Bulletin

Funding source(s) WHO regular budget; US NIOSH award FY 2009 "Implementing the WHO Global Plan of Action on Workers' Health"


Global Consultation on Occupational Health in Primary Health Care, Santiago de Chile, 4-7 May 2009


Global report "Occupational Health in Primary Health Care" National programmes for development of occupational health services established with WHO technical assistance in ten countries


3.19f Formerly AA4:TM1h


CC or NGO Name TNO Quality of Life / Work & Employment

Project title Blind spot in health care for work-relatedness ̶ Revitalizing Ramazzini’s legacy

Keywords Attending physicians; blind spot; work-relatedness; health care Project leader Email address

Dr. PC Buijs [email protected]


NIOSH: dr Max Lum Arbetslivetinstitutet:dr Mikael Sjoberg INRS: dr Bernard Siano ISPESL: dr Sergio Iavicoli University Singapore:dr Chia Sin Eng IACT: dr Alberto Zucconi Nofer Institute of Occupational Medicine, Lodz: dr Stanislaw Tarkowski

Other partners University of Belo Horizonte, Brasil: dr René Mendes; University of Casablanca, Morocco: dr El Kohlti

Funding

TNO already did a blind spot project, funded by the Dutch Department of Social Affairs and Employment, and supported by an international e-mail working party. In the proposed WHO-project, we will disseminate results of this former project, to be funded by TNO Quality of Life.

Objective of the project To inform attending physicians and other health care professionals about possible work-relatedness of complaints and diseases of patients, and about taking this relatedness into account in diagnosis, advice and treatment.

Project outcome and deadline for completion

WHO brochure, deadline 2010

Target group or/ and beneficiaries Attending physicians, practitioners in health care


An important WHO principle for Global Action is: “coordinated response by all parts of the health system with regards to workers health issues.” However, there seems to be a blind spot for work-relatedness in healthcare, widely spread globally, leading to insufficient care for workers and endangering their work ability. So the results and outcomes of an international TNO-project on 'Blind Spot' will be translated in a brochure text informing health care workers about in/outs of work-relatedness of complaints and diseases.

Dissemination Brochures to partners of the CC network. Further distribution by the partners and by internet.


Global

Progress on Project On a global scale (S and N-America, Asia (China), Africa and Europe) experts have confirmed or been asked to contribute to the booklet. A template is almost ready. Jorma Rantanen (ICOH) and Chris van Weel (WONCA) will write the

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Preface, and Gerry Eijkemans will provide the 'WHO- view' on the "BLind Spot issue". Final drafts: autumn 2009. Final editing: begin 2010


Dedicated meeting and two special sessions at ICOH 2009 First drafts of most chapters of the booklet are available


Blind spot in health care for work-relatedness -booklet ready and distributed as agreed.

Area 2: Standards for organization and coverage 2009-2012 Work Plan Number (to be assigned by WHO)

3.16i Existing Project


East Asian Network for Development of Occupational Health Research and Services Model

GPA Objective and Action(e.g. GPA 3)

To improve the performance of and to access to occupational health services

Priority Initiative Number (e.g. 3.1) and Area (if applicable) e.g Agriculture

1.Establish and evaluate basic occupational health services that are relevant, accessible, acceptable, affordable and of good quality(Action.3.16)


Establish and evaluate basic occupational health services that are relevant, accessible, acceptable, affordable and of good quality(Action.3.16)


Institute of Industrial Ecological Sciences (IIES), UOEH, Japan


Toshiaki Higashi [email protected] thigashiAkira Ogami [email protected]


WHO CC, Catholic Medical University, School of Public Health, Korea (responsible person Dr Lee Se-Hoon),Beijing University, School of Medicine, China (responsible person Dr Wang Sheng)


As an advisor WPRO(Dr Hisashi Ogawa : [email protected])


Not applicable


Wenzhou Medical College, School of Public Health, China (responsible person Dr Chenping Huang), Dokkyo University, School of Medicine ( responsible person Dr Takashi Mutoh: [email protected])


The model of OH services (OHS) werewas developed through the research on the contents and system of institutions in each countries and market research for employers and employees. Through the participation of voluntary researchers from KJCJC members and collaborating institutions, effective and suitable OHS system model for workers including SMEs will be proposed. And evidence based service contents and procedures for eastern Asian society will be submitted to common database for OHS. Evaluation and audit is performed by KJCJC and ACOH meeting and those affiliated committee meeting.


Harmonization of OHS among Eastern Asian countries which have close cultural and geographical relationship.

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Events-opportunities for furthering the projectMajor Milestones (list up to three dates and milestones)

Evaluation and audit is performed by KJCJC and ACOH meeting and those affiliated committee meeting.1. organize the WS on practices in Health Promotion(WSHP) at KJC June,2010 2. edit and submit the reports on WS HP March, 2011 3. Publish the results of WS topics in KJCJC June, 2012

Indicators of achievement (impact)Dissemination plan

Number of involved organizations, publication, presentation on this matterEvaluation and audit is performed by KJCJC and ACOH meeting and those affiliated committee meeting.

Public health impact Quality assurance of occupational health services in east Asian countries

Funding source(s) Funding from private sectors and operation fund for international conferences sponsored by external funding organization

DisseminationList of outcomes already achieved by this project

Submission of reports and manuals and presentation at KJCJC and ACOH Annual Proceedings of KJCJC and special reports on Work Related Musculoskeletal Disorders in Industrial Health 2008 Workplace improvement educational DVD for retail industry (Japanese version only but translate to English)

List of majoradditional outcomes already achieved by expected from this project by 2012

Databases and Guide: End of 2010 for the first comprehensive version, each parts of major 3-4 topics Workplace improvement of MSDs (Publications of guideline: End of 2011 Membership scheme of involved institutions: 2012 The effective and evidence based occupational health service Model in East Asian countries which has similar situation in cultural background and rapid aging society. The database, guide which are available for evidence based occupational health services and prevent international threat for human health Annual Proceedings of KJCJC and special topicsreports on WS in Industrial Health 2008) Workplace improvement educational DVD for retail industry (Japanese version only but translate to English)or other academic journals


Publications of guideline: End of 2011 MembershipEstablish collaboration study scheme of involved institutions: 2012 The effective and evidence based occupational health service Model in East Asian countries which has similar situation in cultural background and rapid aging society. The database, guide which are available for evidence based occupational health services and prevent international threat for human health MSDs, Health Promotion and Improvement of Work environment will be edited up to 2012 on the basis ofamong Japan /China/, Korea joint conference network.and China on (1) aging workforce, (2) Best Occupational Practices, (3) Mental stress.

Area 3: BOHS pilots


3.16j Formerly AA5:4c

PROJECT Title SHERQ programme for the Public Health Service in South Africa

GPA Objective

GPA Objective 3: To develop a model of occupational health service delivery within the public health service GPA Action: 18. Development of human resources for workers’ health should be further strengthened by: Further postgraduate training in relevant disciplines; building capacity for basic occupational health services; Incorporating workers’ health in the training of primary health care practitioners and other professionals needed for occupational health services;

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Encouraging the establishment of networks of services and professional associations. Attention should be given not only to postgraduate but also to basic training for health professionals in various fields such as promotion of workers’ health and the prevention and treatment of workers’ health problems. This should be a particular priority in primary health care.

Priority Number and Area (if applicable)

Priority Number 3.1

Responsible CC or NGO Name NIOH, South Africa

Project leader(s) Spo Kgalamono , David Rees, Barry Kistnasamy [email protected], [email protected], [email protected]

Network partners Possibly NIOSH and FIOH

WHO Regions involved in this project AFRO


Department of Public Service & Administration (DPSA) and selected provincial and national departments within the government of South Africa



This project will begin pilot SHERQ projects within public sector departments in South Africa. The public sector (national and provincial government) comprises approximately 1.2m employees and local government a further 500 000 employees. The NIOH will be supporting the DPSA in its quest for policy inputs, strategic and operational plans as well as implementing a SHERQ programme in the public sector. The project consists of sensitization workshops with stakeholders, providing training for SHERQ personnel, assessing epidemiological data as well as sickness and absenteeism records, conducting risk assessments and clinical assessments as well as setting up surveillance systems for injuries and diseases. An Occupational Health Service (OHS) for the public sector will be set up and includes a referral system based at facility / district, provincial and national levels. The pilot phase will be over the next 6 months with scaling up over the next 5 years (2010 to 2015).

Target group and/or beneficiaries Public health service employees in South Africa


Sensitization workshops (by October 2009) Project team set up (by October 2009) Enhanced injury surveillance system (by March 2010) Pilot OHS at facility / district level by March 2010 Development of curriculum for mid level SHERQ personnel (by March 2010)

Dissemination plan

Funding source(s) NIOH and DPSA of South Africa


Initial consultative workshop held (September 2009) Injury surveillance tools (SLIDE by NIOH in place & Department of Health pilot tool at a provincial hospital) piloted since 2008 Political support in place through cabinet resolution (March 2009)


Referral system and OHS in place for public health care sector Surveillance system in place in the public health care sector 300 trained SHERQ personnel


Provide technical support to DPSA for establishment of occupational health services for the public service Establish standards for Basic Occupational Health Services in the public sector Set up referral system for public health service

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Completion date 2015


• To identify all stakeholders that need to be involved in the establishment

of a Healthy Workplace within the Public Service (done May 2010)

• To conduct a policy review of all Occupational Health and Safety

Policies within the 146 departments of the DPSA

• Strengthen human resources for workers’ health by postgraduate

training and SHERQ personnel training

• To establish an Occupational Health and Safety Task Team for the

Public Service (done May 2010)

• To develop an Occupational Health and Safety Policy that encompasses

all the Public Service departments (in process)

• To determine what Occupational Health and Safety Services are

available to Public Service employees and who is providing these

services (formal research project in progress )

• To establish a standard of what constitutes basic Occupational Health

and Safety Services within the Public Service

• To develop a model for the delivery of Occupational Health and Safety

Services within the Public Service

• To establish an information management system (IMS) that will assist

with Occupational Health and Safety surveillance system within the

Public Service (being piloted at one public hospital)

• To identify a funding model for the Occupational Health and Safety

Services for the Public Service

• To develop a Monitoring and Evaluation System for the Public Service

Occupational Health and Safety Services


Capacity building for basic occupational health services in South Africa Strengthening of human resource for workers’ health. Contribution to overall occupational health of public servants and building sustainable systems for reduction in work-related injuries and diseases in all public servants but particularly in health workers Development of a national policy for public occupational health service delivery

Barriers to completion

Budget constraints for human resources Some of the outcomes dependant on other departments so not entirely under NIOH control

Other


3.16p New Project

236

PROJECT Title

SHERQ programme for the National Health Laboratory Service (NHLS) in South Africa

GPA Objective

GPA Objective 3: To develop a model for occupational health service delivery within the NHLS GPA Action 16. Coverage and quality of occupational health services should be improved by: integrating their development into NHLS strategies, health-sector reforms and plans for improving health systems performance; determining standards for organization and coverage of occupational health services; setting targets for increasing the coverage of the working population with occupational health services; creating mechanisms for pooling resources and for financing the delivery of occupational health services; ensuring sufficient and competent human resources; and establishing quality assurance systems. Basic occupational health services should be provided for all workers within the NHLS.

Priority Number and Area (if applicable) 3.1

Responsible CC or NGO Name NIOH, South Africa

Project leader(s)

Spo Kgalamono, David Rees, Barry Kistnasamy [email protected] [email protected], [email protected]

Network partners Possibly NIOSH and FIOH

WHO Regions involved in this project AFRO

Country ministries involved in this project Ministry of Health



This project will begin pilot SHERQ projects within the NHLS in South Africa. The NHLS comprises approximately 6 500 employees in 284 pathology laboratories across South Africa and 3 National Institutes (National Institute for Communicable Diseases, National Institute for Occupational Health and the National Cancer Registry). The NIOH is tasked with developing the SHERQ programme for the NHLS - policy inputs, strategic and operational plans as well as implementing SHERQ in the NHLS. The project consists of sensitization workshops with stakeholders, providing training for SHERQ personnel, assessing epidemiological data as well as sickness and absenteeism records, conducting risk assessments and clinical assessments as well as setting up surveillance systems for injuries and diseases within the NHLS. An Occupational Health Service (OHS) for the NHLS will be set up and includes a referral system. The pilot phase will be over the next 6 months with scaling up over the next 3 years (2010 to 2013).

Target group and/or beneficiaries Laboratory and laboratory support employees in South Africa

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Sensitisation workshops (by December 2009) Project team set up (by December 2009) Enhanced injury surveillance system (by June 2010) Pilot OHS at facility / district level (by June 2010) Development of training programme for SHERQ personnel in laboratories (by June 2010)

Dissemination plan

Funding source(s) NHLS in South Africa


Strategic plan of NHLS incorporates section on SHERQ programme (July 2009) Injury surveillance tool (SLIDE by NIOH in place) piloted since 2008 Preliminary discussions around models for SHERQ programme implementation (July 2009)


Referral system and OHS in place for NHLS in 75% of laboratories and all national institutes Surveillance system using SLIDE or similar tool across NHLS 100 trained SHERQ personnel within the NHLS


NHLS compliance with South African occupational health legislation Protection of the health of NHLS employees



1. Revise and adopt an Occupational health and safety policy for the NHLS (done February – March 2010)

2. Revise and adopt an immunization policy for the NHLS (done March 2010)

3. Strengthen Risk Assessment and Control of hazards (in progress).

4. Strengthen Occupational Medicine Services, including routine medical evaluations and ergonomics (done – additional staff employed, routine medical evaluations underway and new programmes to be developed)

5. Improve implementation of surveillance of workplace incidents, injuries and diseases through SLIDE (in progress – a public service tool, OHASIS, being interfaced with current NHLS IT system)

6. Improve waste management (in progress)

7. Strengthen the NHLS HIV/AIDS programme. Do a KAP survey (in developmental stages)

8. Support effective Occupational Health and Safety Committees (in progress)


NHLS policy in alignment with National Occupational Health Laws and DPSA Occupational Health services for NHLS strengthened – leading to protection of NHLS employees’ health


Budget constraints re human resource recruitment (5 of the initial 10 posts funded)

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3.16k Formerly AA5:4d


CC or NGO Name

National Institute of Occupational Health and Poison Control, Chinese Centre for Disease Control and Prevention, Beijing

Project title

Development an expansion of a pilot project for occupational health services in China

Keywords

Expansion, pilot project, occupational health services


Li Tao [email protected]


WHO, ILO, University Illinois, USA

Other partners

Funding

National finance support of China, WHO, ILO


To train the health care workers at county and township levels the ability of occupational health services (OHS), so that they could provide basic occupational health services (BOHS) for workers in small and middle-scale enterprises (SMEs). To develop the model of occupational health service for the immigrant workers.


Manual for health care workers about how to provide BOHS for workers in SMEs. Training course for health care workers in villages and township, levels on OHS. Spread the successful experiences and models to immigrant workers, other villages and towns.




Select 10 provinces and 18 counties to be investigated. It will be involved 540 towns and 600 health care workers. Compile a manual of occupational protection and prevention for workers in SMEs. To train health care workers in villages and township levels about OHS. Spread the successful experiences and models to immigrant workers, other villages and towns in China.

Dissemination

WHO documents and national documents.


Both global and national.

239

Progress on Project Organizing a national strategy for BOHS in China, drawing up profiles and implementing 19 provincial, county and a local level pilot projects, manuals for BOHS implementation.


Translation of Six BOHS Guidelines into Chinese language 2 Presentations in ICOH 2009 Congress on BOHS in China Evaluation of 19 Counties BOHS Pilot Projects in 10 Provinces Drawing up a Guideline for Joint OSH-OHS National Profile (WHO/ILO Collaboration) National Seminars on Basic Occupational Health Services in 2007 and 2008 Drawing up National Profiles on Occupational Safety and Health and Occupational health


Continuing Training of Trainers (ToT) Courses Extension of new Pilot Projects to additional Provinces and Counties Providing direct-reading field measurement BOHS kits for most hazardous exposures


3.16l Formerly AA5 :1d


CC or NGO Name Institute of Occupational Health, WHO Collaborating Center, Skopje, Republic of Macedonia

Project title Development of innovative models for organization and provision of occupational health services in South East Europe

Keywords occupational health services, development, sub-regional, social dialogue

Project leader(s) Email(contact name and email address)

Prof Dr Jovanka Karadzinska Bislimovska, MD, PhD occhemed@on. net. mk [email protected]

Partners (of the CC Network)Network partners (CC name, country, email)

Institute of Occupational Health and Radiological Protection, « Dr Dragomir Karajovic »BelgradeHealth, Beograd, Serbia; Prof.Petar Bulat ( [email protected] ) Department of Environmental and Occupational Health , WHO CC, School of Public Health ”Andrija Stampar” Medical Faculty,Andrija Stampar School of Public Health, School of Medicine University of Zagreb, Zagreb, Croatia;,Prof. Jadranka Mustajbegovic ( [email protected]) NCPHP,WHO CC, Sofia, Bulgaria, Prof. Emilia Ivanovich ([email protected] ) FIOH, Finland, Dr Kaj Husman ([email protected] )

Other partners WHO Regions involved in this project (contact name and email)

Ministry of Health, Republic of Macedonia; Croatian Institute of Occupational Health, Zagreb, Croatia; Department of Ecology and Occupational Health, Medical Faculty, Tuzla, Bosnia and HerzegovinaWHO/EURO Rokho Kim, Rokho Kim [[email protected]]

Funding Country ministries involved in this project (contact name and email)

Institute of Occupational Health, WHO CC, Skopje Macedonia for the first stage, BCA Macedonia, possible further on funding : TAIEX, FP7 and others.Ministry of Health, Dr Jovanka Kostovska ([email protected]) Ministry of Labour and Social Policy , Agim Shaqiri ( [email protected]

Objective of the External partners for this project (contact name, organization and email)

Situation analysis which will give a picture of how the ongoing transition is influencing the infrastructure, quality and relevance of occupational health services and improve our knowledge and understanding, identification of problems Identification of needs for establishing and developing functional and accessible

240

occupational health services, adaptable for local conditions, especially for underserved sectors Development of system of quality assurance for OHS Provision of review of the situation and the progress made and benchmarking between the individual SEE countries and some other countries from the European region. Participation of social partners , collaboration and identification of actions to be taken for establishing new models of OHS Strengthening governmental stewardship function, i.e. legislation, program for development and support of services. Dissemination of information, experiences and approaches Department of Occupational Health, Medical Faculty, Podgorica, Montenegro, Prof. Ljiljana Kezunovic ( [email protected] ) Department of Ecology and Occupational Health, Medical Faculty, Tuzla, Bosnia and Herzegovina Prof.Nurka Pranjic ([email protected] ) Ministry of Labour and Social Security,OH&S Institute, Ankara, Turkey, Dr Buhara Onal ([email protected] ) OH Unit, PH Institute, Tirana, Albania, Dr Hajdar Luka ( [email protected] ) OH Office, Authority of PH MB, Dr Liliana Rapas ([email protected] ) SEE Network on Workers Health

Project outcome(s) and deadline(s) for completionSummary of the project (max 100 words)

Strengthening capacities of the health system to address occupational health risk factors in SEE countries through National programs for occupational health services (2008) Elaboration and modification an essential package for provision of basic occupational health services (2009) Sustainable development of OH system with integration of Basic Occupational Health Services into PHC especially for underserved, vulnerable and high risks sectors through PH approach - Pilot project (2010-2011) Training of OH experts in organization and methods of work in basic occupational health services on SEE sub-regional level (2010-2012)The countries in SEE are experiencing a transitional process, following the global economical crisis, with high rate of unemployment, fragmentation of enterprises, increased number of SMEs, self employed and growth of informal sector. Changing work life demands to redefine and further develop OHS concerning their infrastructure, models and quality. The proposed model of BOHS as a part of an integrated infrastructure of national public health network on OHS should enable provision of OHS for all workers specially vulnerable groups, and on all levels- from basic function at PHC to the more sophisticated functions, with multidisciplinary approach at the national level. The main goal of this project is the development of OH system increasing accessibility, availability, efficiency of OHS provision through the established national health network, Collaboration and social dialogue between Governments, employers, workers, OH professionals should strengthen national policies, clarify priorities and enable control and surveillance.


Enterprises, ( especially small and medium sized ), all workers (especially women, young people, aging workers, agriculture, informal sector, self employed), OH experts

Summary ofEvents-opportunities for furthering the project

The countries in SEE are experiencing a transitional process with high rate of unemployment, fragmentation of enterprises, increased number of SMEs, and self employed, growth of informal sector and parallel economics as well as increased employment insecurity and a reduction in the coverage of labor protection system. Changing work life brings pressure for changes in occupational health services for this region and it is the crucial moment to establish or redefine and further develop OHS concerning their infrastructure and quality from passive and disease oriented towards new comprehensive models - specialized, multidisciplinary, risk oriented and active. Collaboration and social dialogue between Governments, employers, workers, service provision professionals should strengthen national policies, clarify priorities and enable control and surveillance. National and SEE Network seminars, expert seminars and courses

241

Dissemination Major Milestones (list up to three dates and milestones)

Conferences and technical workshops in particular areas of common interests with participation of the social partners; WHO documents

• Elaboration and modification an essential package for provision of basic occupational health services (2009)

• Sustainable development of OH system with integration of Basic Occupational Health Services into PHC especially for underserved, vulnerable and high risks sectors through PH approach ( national program)- (2010-2011)

• Training of OH experts in organization and methods of work in basic occupational health services on SEE sub-regional level (2010-2012)

Impact: global/regional Dissemination plan

RegionalSeminars, workshops, training materials

Progress on Project Funding source(s)

In 2006, Institute of OHOccupational Health, WHO CC, Skopje, RM, initiated the establishment of the SEE Network on Workers Health for joint actions in the further development of OHS system in SEE. During 2007-2008, within the regular meetings, SEE Network participants collaborated in the regional implementation of GPA 2008-2017 objectives and BCA activities, strongly supporting the capacity building and development of OHS in the region. The implementation of the National Strategy of OH&S is followed by the development of the Draft-document National Program on OHS, with promotion of new models of OHS especially for underserved, vulnerable and high risks sectors through BOSH approach. The establishment of National public health network of OHS at municipality level, coordinated by the designated National Institute of OH, WHO CC is essential for the strengthening of OH system in the country. In the frame of the established OH system, preventive OH programs supported by the Governmental Budget and focused on unemployed and agricultural workers are realized under Institute’s leadership. The results and recommendations of the performed National survey on identification and assessment of vulnerable groups and sectors in occupational health in RM, were presented and discussed at the National Workshop on vulnerable workers and Forth SEE Network meeting on OHS for the vulnerable workers. Macedonian MoH


Draft version of National Program for Occupational Health Services, December 2007 Designation of the national Institute ( Government’s decision) -Institute of Occupational health of RM, WHO Collaborating Center, 2008 Established National PH Network of Occupational Health Services within the Health Centers ( in 6 cities –major municipalities in the country), Proposal of an essential package for provision of basic occupational health services, BOHS National survey on identification and assessment of vulnerable groups and sectors in occupational health in RM , 2008 National Workshop on vulnerable workers with national key stakeholders and Forth SEE Network meeting on OHS for the vulnerable workers, November 24th-25th, 2008 Assessment of current situation in Macedonian Occupational Health has been done by Prof. Rantanen within MKD-WHO, BCA 2008-2009National survey on identification and assessment of vulnerable groups and sectors in occupational health in RM ,2009 Submission of the paper ( national survey evaluation) to the scientific journal, 2010 ( Med.Lav.) OH Report on Mission Macedonia ( SEE Area) prepared by Prof. J Rantanen in consultation with Macedonian experts and authorities, 2010 ( in the process of WHO EURO edition)


Recommendations on national policy and capacity building in new models of OHS, through BOHS approach focused on vulnerable workers, underserved population and high risk sectors Development of the occupational health surveillance and information system ( evidence-based OH indicators) following EU regulations. Participation in the iBOHS community network and sharing online learning and educational materials on evidence-based knowledge for OHS. Establishment of the training center for OH and PHC doctors on BOHS (training of trainers, i- library) through SEE Network on Workers Health

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GPA3.16r New

PROJECT Title

Integration of occupational health services into primary health care system in Turkey


Objective 3: To improve the performance of and access to occupational health services


Priority 3.1: Develop working methods, provide technical assistance to countries for organization, delivery and evaluation of basic occupational health services in the context of primary health care, with particular focus on underserved populations and settings with constrained resources


GPA1.1

Responsible CC or NGO Name Occupational Health and Safety Institute (İSGÜM) Turkey


Dr. Buhara Önal [email protected] – MoLSS Dr. Tahir Soydal [email protected] - MoH


South East Europe (SEE) Network partners


WHO Europe Dr. Rokho Kim [email protected]


Ministry of Health (MoH) Seracettin Ç[email protected] Ministry of Labour and Social Security (MoLSS) Kasım Özer- [email protected]


Dokuz Eylül University, İzmir, Turkey Dr. Alp Ergör - [email protected] Turkish Society of Public Health Specialists-OH WG Dr. Ali Naci Yıldız- [email protected]


As soon as Occupational Health and Safety Institute (ISGUM) from Turkish Ministry of Labour and Social Security (MoLSS) joined the Second SEE Network Meeting, Dubrovnik, Croatia, November 2007 for the first time, many developments have occurred in the field of OHS in Turkey. A national OHS network was created by ISGUM and the network participants were the representatives of Ministry of Health (MoH) and the other related Ministries, universities, social partners, professional organizations and related NGO’s. Recently the coordination between MoH and MoLSS has been more strengthened and the “Cooperative Agreement on OHS” was signed between them. ISGUM which has been in the designation period of WHO-CC on OHS has actively participated in almost all SEE Network meetings and recently ISGUM and MoH have started to participate in the Network meetings together.

National profile and national strategy have been developing in close cooperation with the MoH and MoLSS. Recently the Draft OHS Law has been submitted to the related parties for their comments and the sub-regulation on OHS Services has been revised within the framework of integration of BOHS by the Joint Committee consisting of representatives MoH, MoLSS and the

243

universities. Meanwhile, the current subregulation on OH services was revised and amended by MoH and MoLSS together last week.

First it is planned to conduct the Pilot Projects (PPs) related to BOHS with the collaboration of the MoH and MoLSS in 2010-2011. Then according to the results of the PPs which would be evaluated in-depth, the Community Health Centers would be organized as the service providers of BOHS.

Target group and/or beneficiaries Vulnerable working population who can’t access the basic occupational health services (BOHS)


- Implementation of the Pilot Projects (PPs) 2010

- Evaluation of the results of the PPs 2011 - Establishment of the Community Health Centers

(CHCs) specialized on OHS in different regions 2011-2012

Dissemination plan According to the pilot project results, the integration of the OHS into the PHC will be spread all over the country upon the characteristics of the regions.

Funding source(s) Government budget and WHO BCA


- Results of the Pilot project - Model of the OHS units integrated into the Family

Health System (FHS) in Turkey - Specialized Community Health Center within the

FHS - Revised National Policy on OHS - Revised National Action Plan on OHS


- Improving the model of CHC


- Expanding the model within the country


3.18o Formerly AA5:4a


CC or NGO Name Department of Environmental Health Engineering, Sri Ramachandra University, Chennai, India

Project title Development and integration of Basic Occupational Health Services into Primary Health Care in Southern India

Keywords Basic Occupational Health Services, Primary Health Care, training, education, informal sector, rural sector


Jayachandran Paulsamy; [email protected] Kalpana Balakrishnan ; [email protected]


National Institute of Occupational Health Ahmedabad, India Finnish Institute of Occupational Health, Finland Bureau of Occupational and Environmental Diseases, Thailand

Other partners None

Funding Funding for a Phase I Pilot project provided by WHO India Office


The project will provide a training needs assessment for OSH for PHC [primary health care] staff who serve mainly rural communities and the informal

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sector develop a set of OSH training modules for health care workers (PHC workers, nurses, doctors) in PHC settings practical tools for hazard recognition and intervention by PHC workers conduct and assess training effectiveness of BOHS related modules amongst PHC staff in Southern India provide a comparative qualitative risk assessment on hazards for workers in this (health systems) sector and guide risk management through prioritization of hazards create a framework for implementation of BOHS within the the current health system administrative network provide OHS services for the health care workers involved with the health systems while at the same time sensitize PHC medical professionals for providing BOHS services to other occupational sectors expand the scope of BOHS to include OHS needs of local work environments to increase level of access to OHS services for local communities


A core group of trainers will be created to build capacities of PHC staff for implementation of a BOHS program Appropriate educational materials in local languages will be made available such as: (a) Educational material for PHC workers in OSH (b)Trainers' and participant course handbook for routine BOHS relevant training (c)General information material for use in villages and for quasi-illiterate populations to inform local communities about the availability of BOHS facilities and encourage their routine use (d)Training materials for general medical practitioners to serve as 'first providers' (e) Sector specific hazard listings available in the form of a rolling compendium Articles of "good practice" examples and models of introducing OSH into PHC settings will be published in peer-reviewed literature Functional BOHS units will be created in select districts of Southern India with the technical back up of the CC with these units serving as “cluster center” for a group of workplaces/ communities etc. The project is planned for 3 years from start of funding


Primary health care physicians, social workers and other first line health care personnel working in areas where there is no professional OHS service available.


The overall goal of the project is to develop strategies, models and appropriate material to integrate OSH into the delivery of primary health care (PHC) and to gain experience in the possibilities and difficulties in training the PHC providers in principles of prevention of occupational & environmental diseases. In India, OSH services are only available for approximately 0.5% of the workforce. Nearly 90 % of the workforce is not covered under the current regulatory framework and have no access to OSH services. The selection of occupational & environmental health topics, development of training materials and creation of a framework for integrating Basic occupational Health services in Public Health Care are to be developed in close co-operation with the PHC staff.

Dissemination

The educational satellite portals available to SRU through its telemedicine networks will be used to generate awareness in the rural areas. In the peri-urban areas fliers and or booklets may be used along with on-going health promotion campaigns being currently undertaken by the PHCs. The CC website will also serve as a centralized repository of information for assessments and training materials that will be freely available for downloading.


Progress on Project as of July 2007

SRU is organizing a two –day workshop in November 2007 for initial discussions with stakeholders. A draft training plan is expected to be finalized at the meeting. SRU has requested the Department of Public Health, Govt. Of Tamil Nadu to collaborate in this activity and funds are being sought through the WHO India office.


A pilot project that seeks to demonstrate the BOHS framework for health care workers in rural health systems was formulated and funding secured from The WHO India office A detailed hazard profile and management plan has been drawn up based on

245

on-site assessments carried out on a range of work locations across a representative set of health care facilities in one district of Tamil Nadu in Southern India. Results of the assessment are being used to create an implementation framework for BOHS in Tamil Nadu, India Training modules and a manual for hazard recognition and control have been prepared Follow-up proposals for securing additional funding are being prepared


Based on continued interactions with the State Public Health Departments, we anticipate being able to train personnel in at least 5 districts. Once recommendations of the current pilot are accepted, we anticipate the WHO India office to facilitate policy level follow-ups including the requirements to create BOHS centers in all district level hospitals Inputs from hazard identification at health care facilities are expected to be translated into implementation of controls through interactions with relevant departments that are expected to be facilitated by the WHO country office Training of PHC physicians to be BOHS providers for local industry will likely be achieved in districts with large industry clusters. Creation of a occupational disease surveillance mechanism through integration with on-going integrated disease surveillance efforts will likely be in place


- Provision of a training needs assessment for OSH for PHC [primary health

care] staff who serve mainly rural communities and the informal sector - Development of OSH training modules for health care workers (PHC

workers, nurses, doctors) in PHC settings - Provision of a comparative qualitative risk assessment on hazards for

workers in this (health systems) sector and guide risk management through prioritization of hazards

- Creation of a framework for implementation of BOHS within the current health system administrative network

Completion date Completed December 2009


A Job Hazard Profile with associated risk rankings and control recommendations for the primary health system health care facilities in the state of Tamil Nadu has been prepared in consultation with the Directorate of Public Health. A training needs assessment as well as a policy framework for creation of BOHS in the state has been provided


Two workshops that included all health officers from two districts (~100 ) were sensitized with information available in the report, including the need for acquiring additional training to recognize and control hazards


The project was completed as planned but actual impact was far below expected impacts. Barriers for achieving sub-optimal impacts include

a. Limited ability for public health system officials to engage in a programmatic framework with BOHS in the absence of a legal directive

b. Competing demands on limited human resources in the public health system who are already overburdened with multiple targets for immunization, nutrition, ante-natal care etc., resulting in limited involvement beyond project period

c. Hazard profiling in some ways did not adequately accomplish risk communication. Many of the health officers wanted health impact estimates which the project was not designed to do. Since impacts on neither performance nor health could be documented within the project framework, immediate action on project recommendations seems unlikely. This is closely related to the absence of regulation and requirements for compliance to the same.

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Other

The hazard profile and the accompanying control guidance sheets are available and can be used for uploading in the Geolibrary or as training materials for primary health care workers


3.18q New Project


The Development of Basic Occupational Health Service (BOHS) model for underserved working population in Thai Primary Care Units


Objective 3: Improve the performance of and access to occupational health services, Action 3.16

Priority Initiative yes Responsible CC or NGO Name

Bureau of Occupational and Environmental Diseases, Ministry of Public Health, Thailand

Project leader Dr. Somkiat Siriruttanapruk [email protected]


NIOHPC and Fudan University (China), UOEH (Japan), KOSHA and CUK (Korea), NIOEH (Vietnam)


WHO SEARO


Ministry of Public Health, Thailand


-


In Thailand, more than half of the working population are agricultural, informal, or self-employed workers. They are unable to get access to OH services because of their work characteristics e.g. scattering work site, frequent mobilization, and less budget for OSH investment. The Ministry of Public Health recognized the situation and co-operated with the ILO/WHO to develop BOHS for those underserved workers in term of feasibility and suitable OH services. The desirable BOHS model should be integrated into existing primary health care services with no need to have extra investments or develop any new system. The aims of the project are to conduct a pilot study on BOHS model development in Thai primary care units (PCUs) in target provinces during 2004-2012. The activities included setting the BOHS guidelines, development of training curriculum for health officers, and pilot provision of BOHS for workers in informal economy and other underserved population such as children workers, women workers, and migrant workers. In addition, the quality assurance of the OH services will be implemented.


Primary Care Units, Workers in informal economy


Host international forum on the establishment of BOHS


Number of primary care units that can provide BOHS Number of high risk population who can access to the BOHS

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Public health impact The practical BOHS model for workers in informal economy at the primary care units in Thailand and other developing countries

Funding source(s) Thai government budget, Thai Health Promotion Fund Dissemination Thailand and Internationally List of major outcomes already achieved by this projectProject Deliverables

2009: Practical modelConducting a pilot provision of BOHS at primary care units Occupational health situation of some high risk for workers e.g. fishermen, constructionin informal economy and other underserved population such as children workers, farmwomen workers, taxi drivers, and hairdressers for model development of OH services and migrant workers. Setting curriculum and building capacity for health officers on BOSH. Developing Basic Occupational Health Service (BOSH) guidelines for Primary Care Units (PCUs) in order to be able to carry out Occupational Health (OH) services to underserved working population.

List of additional major outcomes expected from this project by 2012Completion date

2010: Best practices in the primary care units and delivery of BOHS for workers in informal economy and underserved populations such as children workers, women workers, migrant workers. 2012: Best practices in the primary care units and delivery of BOHS for target working populations


1) Objective 1: - Pilot project of the practical model of BOSH for workers in informal sectors in particular high risk worker such as farmers, fishermen, construction workers, taxi drivers, and hair dressers was completed. - 10 PCUs in 5 provices were participated in the pilot project - Practical model of BOSH at PCUs in Thailand was developed. 2) Objective 2: - Health care providers at PCUs and local health offices were strengthened capacity on the provision of BOSH for workers in informal economy. 3) Objective 3: - Developing standard guideline on BOSH for PCUs was completed. - Practical model and standard guideline of BOSH for workers in informal economy was implemented in 336 PCUs throughout the country. - 779,254 workers in informal sectors were assessed occupational health and risk factors in their home/working environment. - Host and share experiences in international forum on the establishment of BOSH model for workers in informal economy at the Thai PCUs.


Impact on workers in informal economy which account for more than half of the working population. Contribute to reduction of occupational diseases and injuries. Impact on policy implication. The BOSH services at PCUs was adopted to be one of the Key Performance Indicators for Health Care Providers at the Ministry of Public Health.


Budget, staff, and time constrains.

Other

None


3.18t New Project


Organization and delivery of BOHS for underserved populations in Vietnam

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GPA Objective 3 :Improve the performance of and access to occupational health services Action 3.16

Priority Initiative



Project leader Dr. Nguyen Duy Bao, Director, National Institute of Occupational & Environmental Health (NIOEH), 1B Yecxanh Str., Hanoi, Vietnam Email address: [email protected]

Network partners WHO Collaborating Centre for Occupational Health in Kytakyushu University of Occupational and Environmental Health, Japan







The baseline study on BOSH will be conducted over the country. Based on these results, different models for delivering BOSH to different target groups will be developed and implemented in pilot in some provinces, focusing on underserved populations such as household business, small and medium scale enterprises, agriculture, traditional villages workers, workers at high risk of occupational diseases, etc.


Policy makers, occupational health and safety practitioners, enterprise managers, underserved workers



100% of underserved workers at the pilot district will be provided BOSH 100% of OSH practitioners at district level will be trained on BOSH delivery

Public health impact Workers’ health will be improved Funding source(s) Vietnamese Government

Dissemination National policy, studies, workshop, training materials, WHO documents


Two training courses on WHO guidelines on provision and principles of BOHS; BOHS delivery current activities and future plan, legislative documents, etc. have been organized for OH practitioners over the country The proposal of baseline survey on BOHS has been approved and will be conducted in the last quarter of 2009 Training materials have been started to develop and will be completed at the end of 2009


BOSH delivering models at district level for underserved populations will be developed and implemented Trainings on BOSH organisation and delivery will be conducted for OSH practitioners Training materials will be developed and disseminated


Developing and implementing BOHS at district level for underserved populations. Training on BOHS organization and delivery will be conducted for OSH practitioners. Developing and disseminating training materials.

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Two training courses on WHO guidelines on provision and principles of BOHS delivery current activities and future plan, legislative document , etc. have been organized for OH practitioners over the country. The baseline survey on BOHS was conducted in the last quarter of 2009 and the final report was submitted to WHO. Investigation on BOHS quality will be conducted in 2010 Training materials have been developed and completed at the end of 2009. Based on this training material, the training curriculum and package will be developed in 2010 and a pilot training will be conducted for OH practitioners in some provinces implementing BOHS models Outcomes expected form the project by 2012: Developing and delivering BOHS models for specific workers’ groups, e.g. agricultural, traiditional village, health care workers and workers exposed to asbestos Training on BOHS organization and delivery for OSH practitioners, especially at District levels Developing and disseminating training materials.


Impact on policy makers, OSH practitioners, enterprise managers, underserved workers. Contribute to reduction in injuries or illnesses; National program on OSH will be developed stable.


Budget constrain

Other

None


3.16q New Project

PROJECT Title

Worker’s health protection project

GPA Objective

GPA 3.1; action 3.16 Developing basic occupational health services in order to promote activities of occupational accidents and diseases prevention at all levels. Improving capacity on monitoring working environmental and occupational diagnose asbestos-related diseases. Promoting occupational health and occupational diseases in health care worker.

Priority Number and Area (if applicable

3.1


General Department of Preventive Medicine and Environmental Health (GDPMEH)- Health Environment Management Administration -Ministry of Health of Vietnam

Project leader(s) Tran Thi Ngoc Lan, MD, PhD, Deputy Director of GDPMEH, Project Director. Email: [email protected]

250

Network partners

WHO Regions involved in this project Dr. Ogawa Hiashi- WPRO


- Ministry of Health - Ministry of Labour, Invalid and Social Affairs - Ministry of Construction - Ministry of Trade and Industry...

External partners for this project - Ministry of Labour, Health and Social Affairs, Japan


Specific objectives: Developing basic occupational health services in order to promote activities of occupational accidents and diseases prevention at all levels. Improving capacity on monitoring working environmental and occupational diagnose asbestos-related diseases. Promoting occupational health and occupational diseases in health care worker.


- Employees - Occupational Health Practionners


Dissemination plan

Funding source(s) List of outcomes already achieved by this project


Expected outcomes of Specific Objective 1: Report on real situation implementation of basic occupational health services in Vietnam. Report on ratification of ILO Convention 161 on occupational health services in Vietnam. Developing standard materials on basic occupational health services for provincial level. Assess implementation on basic occupational health services in four provinces: Thanh Hoa, Bac Ninh, Thua Thien Hue, Dong Nai. Share experiences on project implementation results in international conferences. 2. Expected outcomes of Specific Objective 2: Completed asbestos related diseases into the national list of occupational diseases compensated. Assessed relationship between mesothelioma and lung cancer and occupational exposure to asbestos among patients to Oncology hospital in Hanoi and Ho Chi Minh city. Developed national profile on occupational health related to asbestos in Vietnam Capacity building for health staff for surveillance and prevention of asbestos-related disease through training courses, IEC and support equipments. Share experiences on project implementation results in international conferences. 3. Expected outcomes of Specific Objective 3: Defining real situation occupational health and risk factors in the health sector in Vietnam through surveys and researches. Health staff strengthened capacity on occupational health and safety and occupational diseases prevention. Results implementation occupational disease prevention for health care worker in project provinces. Rising awareness on occupational health and safety and occupational disease prevention for health care worker through IEC activities. Share experiences on project implementation results in international conferences.

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Developing BOHS in order to promote activities of occupational accidents and diseases prevention at all levels. Improving capacity on monitoring working environment and diagnose occupational asbestos related diseases. Promoting occupational health and occupational disease in health care workers.



1) Objective 1: Report on real situation implementation of BOHS in Vietnam was completed and submited to WHO. Report on ratification of ILO 161 on occupational health services in Vietnam was completed and submited to WHO. Developing standard materials on BOHS for provincial level was completed. Assess implementation on BOHS in 4 provinces. Share experiences on project implementation results in international conferences. 2) Objective 2: Completed asbestos related diseases in to the list of compensated occupational diseases Assessed the relationship between mesothelioma and lung cancer and occupational exposure to asbestos among patients to oncology hospital in Hanoi and Ho Chi Minh city . Developed national profile on occupational health related to asbestos in Vietnam. Capacity building for health staff for surveillance and prevention of asbestos related diseases through training courses and IEC and support equipments. Share experiences on project implementation results in international conferences. 3) Objective 3: Defining real situation occupational health and risk factors in the health sector in Vietnam through surveys and researches. Health staff strengthened capacity on OSH and occupational disease prevention. Results implementing of occupational disease prevention for health care workers in project provinces. Rising awareness on OHS and occupational disease prevention for health care workers through IEC and activities. Share experiences on project implementation results in international conferences.


Impact on employees and practitioners. Contribute to reduction in injuries or illnesses; National program on OSH will be developed stable.


Time and budget constrains Cooperation between different organisations in implementing this project

Other

none


3.16n New Project

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PROJECT Title

Development and Implementation of a Basic Occupational Health Service Intervention Program in Indonesia

GPA Objective

Priority 3.1: Develop working methods, provide technical assistance to countries for organization, delivery and evaluation of basic OH services in the context of primary health care, with particular focus on underserved populations and settings with constrained resources GPA Action 16 Improve coverage and quality of occupational health services Provide access for all workers to basic occupational health services


3.1


University of Illinois at Chicago (UIC) School of Public Health

Project leader(s) Norbert Wagner, [email protected]

Network partners

Bureau of Occupational and Environmental Diseases, Thailand, Somkiat Siriruttanpreuk, [email protected] Department of Environmental Health Engineering, Sri Ramachandra University, Chennai, India , Kalpana Balakrishnan ; [email protected]

WHO Regions involved in this project SEARO, New Delhi, Salma Burton; [email protected]

Country ministries involved in this project Dr. Untung, Ministry of Health, Government of Indonesia (requested)


Hanifa M. Denny, Department of Occupational Health & Safety, Faculty of Public Health, Diponegoro University, Semarang, Indonesia, [email protected] Tom Bernard, Department of Occupational & Environmental Health, College of Public Health, University of South Florida, [email protected]


The project aims at facilitating the implementation of a basic occupational health service program (BOHS) in Indonesia. To this aim, it will evaluate the past initiatives of the Indonesian Government in basic occupational health service provision; identify the factors of success and failure with the involvement of key stakeholders and the targeted communities; develop an improved intervention program for primary health care providers and field-test the intervention in districts and provinces


Direct beneficiaries: workers and their families, specifically informal and agricultural sector workers in villages Indirect beneficiaries: public health service employees and other government employees by receiving training in BOSH, improved management and planning skills


- Finalize project plan by April 2010 - Obtain funding for project by October 2010 - Start project by Jan 2011

Dissemination plan Publication of articles, production of manuals for trainers and village health workers

Funding source(s) - Scholarship of Indonesian Government for project collaborator (HD) (obtained in Aug 2009) - Research funds by Indonesian Government (will be requested in 2010)


none


- evaluation of past BOSH initiatives in Indonesia finished by end 2010 - qualitative and quantitative analysis of current problems and success factors with key stakeholder finished by spring 2011 - training modules for village health workers and other public health officials finished by summer 2011

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- training of primary health care workers and other PHC levels started by fall 2011



None in June 2010 according to project plan. Project starts in fall 2010.


None as planned


Other

Area 4: Quality Assurance 2009-2012 Work Plan Number

3.16a New Project


Good practice in occupational health services

GPA Objective and Action 3:1

Priority Initiative WHO Responsible CC or NGO Name

Project leader Arve Lie, Dr Med, PhD, Dept of Medicine and Epidemiology, [email protected] Network partners WHO Regions involved in this CONTRIBUTING project



OHS Interest Organization in Norway, The Norwegian Confederation of Trade Unions, The Confederation of Norwegian Enterprises, Labour Inspectorate, University of Bergen, Dept of Medicine and Epidemiology. Norwegian Health Informatics (NHI) Contact: [email protected]


Evaluation of OHS. Development of and training in the use of an evaluation tool (Good OHS 2007). Collection of experience and ‘best practice’ examples from Norway. Development of OHS professional guidelines.


Companies (employers and employees), OHS-sector, Government, Medical doctors and health-workers, the general population.


Basic and advanced training courses for OHS personnel at NIOH Norway General training of OHS-personnel in Norway. Domestic and international conferences on OHS.

Expected results of Publications (app 10/year)

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this project by 2012 (outcomes)


Numbers of people knowing about Good OHS 2007 Numbers of users of Good OHS 2007 Practical experience on the use of Good OHS 2007 The published articles/documents/reports. Number of new and revised professional guidelines.


Evaluation by the end of each year


Focus on and improving the OHS is expected to have impact on public health indicators: The prevention of sickness absence, The promotion of early return to work, The promotion of employing functionally impaired workers, Workplace Health Promotion, Assessment and improvement of work environment, The handling and prevention of work related accidents and disorders, The handling and prevention of alcohol and drug abuse in the workplace.


Published 812 models of good practice cases: http://www.stami.no/?nid=35929 Training of the GOHS concept in 4 different training courses for OHS in 2009. 50 revised and 6 new professional guidelines for OHS.


10 new MOGP cases per year. Continued training of OHS. Assessment of impact on OHS. New Good OHS 2012 to fit the new certification of OHS in Norway. 20 new and 150 revised professional OHS guidelines being a part of the Norwegian Electronic Medical Handbook (NHI)


3.18p Formerly AA5:4b


CC or NGO Name Bureau of Occupational and Environmental Diseases, Thailand

Project title Occupational Health and Safety Quality Assurance for Primary Health Care Unit

Keywords Occupational Health Services, Primary Health Care Unit, Underserved working group


Dr.Somkiat Siriruttanpreuk [email protected]

Partners (of the CC Network) Sri Ramachandra Medical College & Research Institute, Chennai, India

Other partners

Funding International Labour Organization and Governmental budget


1. To develop guidelines for OHS quality assurance for primary healthcare unit 2. To develop quality of OHS services at primary healthcare level


- Manual of guidelines for OHS quality assurance for primary healthcare unit - Manual describe process of OHS quality assurance for primary healthcare unit


Health officers, occupational health professional, policy makers, informal sector, Thai National Health Security Office


The project aims to develop guidelines for OHS quality assurance for primary healthcare unit that will help increasing the quality of OHS services at primary healthcare level in the country.

Dissemination Manual of guidelines for OHS quality assurance for primary Health care unit, national documents, ILO documents

Impact: global/regional Regional

Progress on Project - Training of health officers at pilot primary care units - Develop guideline and tools - Interview and evaluate of health services

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- Focus group interview for target population to assess the occupational health problems and occupational health services need


Draft of standard guideline for occupational health service activities in primary care units


-1) Objective 1: Tool and guideline of OHS quality assurance (Self-Assessment) for PCUs was developed as a first draft. The revision of OHS quality assurance guideline is an on going process. 2) Objective 2: The implementation of the quality assurance guideline to the PCU level has not been completed yet.


Impact at regional level (when project completed)


Budget, staff, and time constrains. Lack of effective communication between upper management level and practical/healthcare provider at lower level. Some PCUs especially those that are not the alliances of the Bureau of Occupational and Environmental Diseases were not interested in participating in this project.

Other

This project is to be continued. The expected date of completion is in 2012.

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FACILITATING PROJECT (administrative) Work plan project number

GPA 3.2a: Capacity building Facilitating Project


Education and Training Facilitating Project: Capacity building through training and education

GPA Objective


GPA Action

Priority Area

Priority 3.2: Adapt and disseminate curricula, training materials and training for international capacity building in OH


The purpose of this facilitating project is to create a network of educators and an electronic library of OHS education and training materials and practice tools to support buildingbuild professional capacity and to strengthen occupational health services for workers. This would be particularly valuable for use in resource constrained (low and medium) countries. The network will include as a social networking aspect, a global network of educators using and producing the materials. Current projects which could contribute to the creation of the learning repository have been grouped as follows: Level 1: Discrete learning resources; Level 2: Self contained learning units comprising discrete learning resources; Level 3: Whole systematic programmes which combine courses for professional learning; and Level 4: Meta-learning materials.

GPA Manager Kaj Husman [email protected] Leslie Nickels [email protected]


Jonny Myers [email protected] University of Cape Town Linda Granger [email protected] ICOH/University of Cape Town


Ivan Ivanov [email protected]

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Level 1: Discrete learning resources 3.16e Development of core curriculum in occupational health. Project leaders: Brigitta Danuser, [email protected] and Petar Bulat,[email protected] Institute for Work and Health, Lausanne, Switzerland and Institute of Radiological Health, Belgrade, Serbia 3.16h Utility of competencies acquired during specialization training in occupational medicine - evaluation an self-evaluation tool. Project leader: Andrzej Boczkowski, [email protected] Nofer Institute of Occupational Medicine, Lodz, Poland 3.19a NetWoRM – Netbased training of work-related medicine. Project leaders: Katja Radon, [email protected] , Stefanie Kolb, [email protected] and Laura Wengenroth, [email protected] Institute and Outpatient Clinic for Occupational and Environmental Medicine, University of Munich, Germany 3.19b Electronic lesson on evidence-based medicine for occupational health professionals. Project leader: Frank van Dijk, [email protected] Coronel Institute of Occupational Health AMC, University of Amsterdam, The Netherlands Project 3.19s NEW Contemporary Occupational health and occupational medicine, a reference book to professionals and allied personnel. Project Leader: Taiyi JIN, Professor: [email protected] Fudan University School of Public Health, Shanghai Project 3.19t NEW Basic Toxicology a textbook for higher education to public health students Project Leader; Zhijun ZHOU, Professor: [email protected] Fudan University School of Public Health, Shanghai Level 2: Self contained learning units comprising discrete learning resources 3.18c Developing capacity in biological monitoring in occupational and environmental health. Project leader: Inakshi Naik, [email protected] National Institute for Occupational Health (NIOH), South Africa 3.18d E-training in occupational risk prevention for prevention organisers in Africa. Project leaders: Martine Plawner, INRS Training Division, [email protected] , Paul Guenoun, and Annie Leprince, [email protected] INRS, France 3.18e METROnet: joint training programme. Project leaders: Sergio Iavicoli, [email protected], and Fabio Boccuni, [email protected] ISPESL, Dept. of Occupational Medicine, Italy 3.18i Short/intensive course curriculum in occupational health (various topics). Project leaders: Sarah A. Felknor, [email protected], and George L. Delclos, [email protected] Southwest Center for Occupational and Environmental Health, The University of Texas School of Public Health, USA 3.18j Workplace first aid educators and instructors training. Project leaders: Annie Leprince, [email protected], Eric Durand, [email protected], and Paul Guenoun. INRS, France 3.18m Development of training packages for the Psychosocial Risk Management toolkit, deliverable through e-learning and face-to-face. Project leader: Stavroula Leka, [email protected] Institute of Work, Health & Organisations, University of Nottingham, UK

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3.18n GeoLibrary: Database of teaching materials and practice tools. Project leader: Joseph Zanoni, [email protected], UIC,USA 3.18r Technical assistance & training program for developing countries in Asia. Project leaders: Jungsun Park, [email protected], and Wook Kim, [email protected], [email protected] Korea Occupational Safety & Health Agency (KOSHA), Korea 3.18v Interdisciplinary courses for occupational and environmental health professionals. Project Leaders: Donna Mergler, [email protected] and Catharina Wesseling, [email protected] Center for Interdisciplinary Studies in Biology, Health, Environment and Society (CINBIOSE) University of Quebec at Montreal, Canada 3.18w Two phases approach to update formal professional training of occupational health & safety in Egypt and the Arab world. Project leaders: Adel Zakaria, [email protected], and Faten Nofal, [email protected] Occupational Health Department, High Institute of Public Health. Alexandria University, Egypt. 3.19c Integral management in environment, quality and occupational health. Project leader: Manuel Peña, [email protected] European Institute of Health and Social Welfare, Madrid, Spain Project 3.18z NEW Capacity Building in Occupational Hygiene utilizing online capabilities. Project Leaders: Roger Alesbury [email protected] and Steve Bailey [email protected] and David Zalk [email protected], IOHA Project 3.18aa NEW Development and dissemination of introductory and advanced level training modules in control banding and its toolkits. Hans Thore Smedbold ([email protected]),David Zalk ([email protected]), Mark Hoover ([email protected]), Thomas J. Lentz ([email protected]),Roger Alesbury ([email protected]) IOHA, NIOSH. 3.18ab Training for international capacity building in occupational health. United Arab Emirates University, UAE 3.18ad NEW Public health surveillance capacity building training program. Project leader: O.C. Elci, [email protected] and Praveen Durgampudi, [email protected] and Shantel Peters, [email protected] St. George University, Grenada. Level 3: Whole systematic programmes which combine courses for professional learning 3.16d Education and training in risk assessment and risk analysis at a master level. Project leader: Angelo Moretto, [email protected] International Centre for Pesticide Safety and Health Risk Prevention, Italy 3.17b Human resource development in occupational health and safety project: training of nurses specialized in occupational health and safety in Benin Republic and African francophone countries. Project leader: Benjamin Fayomi, [email protected] CC URESTE/LUSTE University of Abomey-Calavi. Benin 3.17e International training of occupational and environmental health experts. Project leader: Ken Takahashi, [email protected] Institute of Industrial Ecological Sciences (IIES), UOEH, Japan 3.18g Professional capacity building in occupational health and safety. Project leaders: Vitor Gomes Pinto, [email protected], Fernando Coelho Neto, [email protected], Vilma Oliveira, [email protected], and Antonino Germano, [email protected] SESI- Industrial Social Service

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National Department, Brasilia 3.18h Fundamentals of occupational health and safety. Project leaders: Leslie Nickels, [email protected], Lorraine Conroy, [email protected], and Steve Lacey, [email protected] Great Lakes Centers for Occupational and Environmental Health, University of Illinois at Chicago, USA 3.18s Organizing and conducting courses for health workers, technicians and public health workers on assessment and management of occupational risks in Vietnam. Project leader: Nguyen Duy Bao, [email protected] WHO Collaborating Centre for Occupational Health in Vietnam, National Institute of Occupational & Environmental Health (NIOEH) 3.18x Distance learning in ergonomics for Portuguese speaking countries in Africa. Project leader: Anabela Simoes, [email protected] National Institute of Health, Porto High Institute for Education and Science / Instituto Superior de Educação e Ciências (in Portuguese) – ISEC 3.19n International Occupational Health Practice Certificate Program: On-line short courses. Project leader: Norbert Wagner, [email protected] / [email protected] University of Illinois at Chicago School of Public Health, USA 3.19r Translate portable digital course modules in OEH from English into both Spanish and Portuguese and secure mechanisms for delivery of modules to resource limited academic institutions in Latin America. Project leader: Thomas Robins, [email protected] University of Michigan, USA 3.18yNew project – number to be assigned Basic occupational health services in Afghanistan. Project leaders: Margaret Kitt, [email protected], and Maria Lioce-Mata, [email protected] NIOSH, USA Level 4: Meta-learning materials 3.19j Access to occupational safety & health information in the SADC Region and in Portuguese-speaking countries (Portugal, Brazil, Mozambique). Project leader: Claudina Nogueira, [email protected] National Institute for Occupational Health (NIOH), South Africa


Other partners for this Facilitating Project (employers, trade unions, other)

The SADC initiative for elearning including a list of major partners in the Southern African countries as well as non WHO CC SA partners e.g. University of Kwa Zulu.


To develop a community of educators for increasing access to occupational health education and training. Commence the network by including those WHO CCs and the strong occupational health institutes who are working on educational and training materials and practice tools. The social networking aspect will comprise a global educators’ network where members may benefit from assistance in the use, production and adaptation of open educational and training resources. Structure, functions and timeline will be developed during a special workshop held in Geneva in October 2009 linked to the WHO CC meeting.


Creation of repository space, population of this space with existing E&T materials, and the development of an (educators) community of practice. Materials to include content in IH, OM, OHN, and Safety in at least 2 languages with participation of at least 15 educators in the community/network Level 1: Discrete learning resources

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Project 3.16e Development of core curriculum in occupational health Complete manual concerning workplace risk analyses by end 2009 Present first outlines at the meeting in October 2009 in Geneva Project 3.16h Utility of competencies acquired during specialization training in occupational medicine - evaluation an self-evaluation tool Develop readily usable and user-friendly evaluation and self-evaluation tools Develop evaluation packages for the above tools deliverable through e-learning and face-to-face Integrate the evaluation tools into the provision of basic occupational health services Project 3.19a NetWoRM – Netbased training of work-related medicine Broadening the network of NetWoRM partners Implementation of tools to sustain the NetWoRM project in the long run Project 3.19b Electronic lesson on evidence-based medicine for occupational health professionals Further dissemination to a wider group of users in postgraduate schools for occupational health and to individual professionals Dissemination to medical and other students When funded: support of use and updating of the lesson Analysis how to spread relevant evidence to basic occupational health services (BOHS) Project 3.19s Contemporary Occupational health and occupational medicine, a reference book to professionals and allied personnel Project 3.19t Basic Toxicology a textbook for higher education to public health students Level 2: Self contained learning units comprising discrete learning resources Project 3.18c Developing capacity in biological monitoring in occupational and environmental health A full range of POP and organochlorine metabolites assays to be established by 2010. Possible establishment of biological monitoring laboratories in India Introduction of a 5-day certificate course on “Biological monitoring of chemical exposures in occupational and environmental health” in South Africa and India E learning on biological monitoring Project 3.18d E-training in occupational risk prevention for prevention organisers in Africa Causes for student drop-out to be considered Increase the number of persons trained year initially Identify the most susceptible to become coach, in order to multiply the number of trainees Project 3.18e METROnet: joint training programme “Advanced training course Keeping Employees At Work: the Contribution Of Workplace Health Promotion”, 27-30 October, 2009. INSHT – CNCT Barcelona, Spain. “State of the Art on repro-toxicity”, edited by METROnet, 2010. “Advanced training course on Movement Analysis Techniques in Occupational Health”, 2010. ISPESL – Research Centre, Italy. Project 3.18i Short/intensive course curriculum in occupational health (various topics) Continue to deliver short courses (topics, number of offerings and dates are determined jointly with our collaborators and vary from year to year) Project 3.18j Workplace first aid educators and instructors training Continue to train instructors and educators in order to develop and

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disseminate first aid at the workplace in Africa and to set up resource centres. Project 3.18m Development of training packages for the Psychosocial Risk Management toolkit, deliverable through e-learning and face-to-face Develop training packages for the toolkit deliverable through e-learning and face-to-face (by 2011) Project 3.18n GeoLibrary: Database of teaching materials and practice tools List for focus on most relevant curricula through the iBOSH and Learning Repository facilitating projects (2012) Evaluation of use, relevancy and reach of GeoLibrary for capacity building (2012) Project 3.18r Technical assistance & training program for developing countries in Asia Provide occupational health training programs for occupational health practitioners from developing Asian countries every year until 2012. Project 3.18v Interdisciplinary courses for occupational and environmental health professionals Produce educational material Provide new courses in 14 universities Project 3.18w Two phases approach to update formal professional training of occupational health& safety in Egypt and the Arab world. Complete preparation of Arabic material essential to update training of factory inspectors and OHS specialists in Egypt Distribute material in the Arab world. Project 3.19c Integral management in environment, quality and occupational health Complete the design of the training material Disseminate the training material for developing countries professionals Project 3.18z develop and load training modules and create an online discussion forum. Project 3.18aa Develop and begin loading the CB training modules onto the website. Create an online CB discussion forum. Project 3.18ab Training for international capacity building in occupational health UAE Project 3.18ad Train sufficient surveillance development workforce for the region. Level 3: Whole systematic programmes which combine courses for professional learning Project 3.16d Education and training in risk assessment and risk analysis at a master level Share and provide e-learning and distant-learning materials Integration into the European system of training of risk assessors Offer the masters degree every year from 2009 Project 3.16g Supplementary modular development of postgraduate study in occupational and environmental health Identify and to contribute to the collection of southern African learning and training materials in an electronic open learning repository by 2012 Contribute to a global network of educators integrated with the learning repository by 2012 Project 3.17b Human resource development in occupational health and safety

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project: training of nurses specialized in occupational health and safety in Benin Republic and African francophone countries Offer occupational health and safety training for nurses in Benin, Ivory Coast and Togo Project 3.17e International training of occupational and environmental health experts Within the ODA project framework, 6-7 participants from developing countries will be trained every year Project 3.18f Post-graduate training in occupational medicine in Nicaragua None, funding for project cancelled. Project 3.18g Professional capacity building in occupational health and safety Continue and enhance the existing work lines Deliver new courses to professionals from Brazil, Portuguese-speaking African countries and Latin American countries Develop new courses and seminars or short- and medium-term modular knowledge Establish new agreements with the Federal University of Bahia, OISS and the WHO Collaborating center (in designation) of Senac Sao Paulo Project 3.18h Fundamentals of occupational health and safety Course offered in Johannesburg, South Africa September 2009, Hyderabad, India February 2010 Train the trainer course for 20 participants (2010) Impact evaluation of 2 India courses and 1 South Africa course (2011) Adapted courses available through GeoLibrary Translated components of curricula through the Learning Repository Process (2011) Project 3.18s Organizing and conducting courses for health workers, technicians and public health workers on assessment and management of occupational risks in Vietnam Complete and disseminate training materials and curriculum for OH staffs at different levels and health workers at enterprises on assessment and management of occupational risks in Vietnam Complete and disseminate some specific training materials and curriculum, such as on BOSH, OSH management in health care facilities and for asbestos exposure Conduct different TOT training courses Project 3.18x Distance Learning in ergonomics for Portuguese speaking countries in Africa Edit the manual and corresponding learning materials - 2010 Dissemination of the course The target population will be reached so that the distance learning course will start no later than 2011. Project 3.19n International Occupational Health Practice Certificate Program: On-line short courses 2 fundamental courses for a total 40 participants 2 management courses for a total of 30 participants 2 occupational disease courses for a total of 30 participants Evaluation report on successes and barriers to implementation Project 3.19r Translate portable digital course modules in OEH from English into both Spanish and Portuguese and secure mechanisms for delivery of modules to resource limited academic institutions in Latin America Before being put into final format, modules will be tested to ensure that they are culturally appropriate, use language familiar to the target audiences and address the key Occupational Health issues relevant to the region. At the point translations are completed, it is expected that the University of Texas will take the lead responsibilities for dissemination of the materials to appropriate audiences and venues.

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Delivery of modules within existing or newly established degree program in resource-limited academic institutions in selected Latin American countries will assist in establishing the infrastructure necessary for successful full degree programs or specialist stream MPH programs in OEH. New project: Basic occupational health services in Afghanistan Development of in-country expertise by training Occupational Health Officers within APHI that will work with Kabul Medical University, Institute of Health Sciences, and the veterinary community to build occupational safety and health capacity in Afghanistan Level 4: Meta-learning materials Project 3.19j Access to Occupational Safety & Health Information in the SADC Region and in Portuguese-speaking countries (Portugal, Brazil, Mozambique) Efficient coordination of outputs from OSH programmes and initiatives in the SADC region for better dissemination and use, through established information repositories and dissemination avenues, and possibly new networks (e.g. the NIOH website / Clearing House) as a regional resource for information materials. Link with OSH training and capacity-building initiatives for target audiences such as factory inspectors, provincial coordinators and health care workers Further development of the Portuguese-speaking network of occupational health practitioners through continued collaborative training activities

Critical gaps to be filled in order to fulfill deliverables

Identifying a platform for sharing, disseminating and interacting around materials needs to be done. In addition identifying materials that can be placed in the repository and establishing mechanisms for regular communication among the educators needs to be addressed. It is intended to fill critical gaps that relate to the educational needs for key competencies for the various OH disciplines. A list of priorities will be developed for 2012


Development of a community of practice that will result in contribution to and growth of the repository and most importantly the use of the repository. Includes interaction between contributors and users; capacity building in use, adaptation and development of eLearning materials. Technological aspects related to the repository – platform, standards, formats, metadata, tools. Access to E&T materials (identification, obtaining faculty / support for lodging them in the repository, IPR aspects (e.g. licencing). Materials must be : 4.1. suitable for use in the qualifications desired by professionals especially but not exclusively in LDCs ranging from community based agents through generalist practitioners to specialists i.e. level and discipline/ competency; 4.2. of local and regional relevance and based on existing materials and expertise. Mechanism for monitoring and sustaining the quality of materials. (Determination of criteria for what constitutes ‘quality’, establishment of a peer review/editorial system, versioning). Financial resources to house, maintain and develop learning materials and learning activities, and to make these sustainable, eg. The operation of an open OER) learning repository integrated with a global online platform for associated educators.

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Level 1: Discrete learning resources 2009-2012 Work Plan Number

3.16e Formerly AA4: TT3e


CC or NGO Name Institute for Work and Health, Lausanne, Switzerland (IURST) Institute of Occupational and Radiological Health (IORH), Belgrade, Serbia and Montenegro

Project title Development of core curriculum in occupational health Keywords Core competencies, Core curriculum, Harmonization Project leader Email address

Prof. Brigitta Danuser, MD, PhD IURST [email protected] Prof. dr Petar Bulat, IORH, [email protected]


IORH, Occupational Health Department, Faculty of Medicine, University of Belgrade, Belgrade, Serbia and Montenegro, Institut universitaire romand de Santé au Travail (IST), Lausanne, Switzerland, Department of Occupational Medicine

Other partners Faculty of Medicine, University “Sts. Cyrill and Methodius” - Skopje, Macedonia, Department for Environmental and Occupational Health, Andrija Stampar School of Public Health, University of Zagreb, Croatia

Funding Swiss National Science Foundation Bern (Switzerland) granted 90.000 Swiss francs.

Objective of the project Harmonization of occupational medicine curriculum in Eastern European countries and improvement of the occupational health knowledge transfer to other stakeholders in work and health


Identification of the common core competencies required for occupational specialists (physicians, hygienists, inspectors) in Eastern Europe (by 2008) Development of a core curriculum for education and training in occupational health (by 2009)

Target group and/or beneficiaries Occupational specialists (physicians, hygienists, inspectors)


The proposed activities are divided into two groups: (1) Development of core curriculum in occupational health and (2) Building-up of a database of case studies. The first set of activities includes workshops for situation analysis and needs assessment, development of core curriculum and preparation of teaching materials. The second set of activities includes preparation of guidelines for case studies, collection, review and publishing of the case studies. The database is seen as a dynamic, searchable and updatable tool for improvement of access to study materials and of the efficiency in occupational health education and training.

Dissemination Workshops, Regional Summer Schools, Partner Country Meetings, Teaching materials


Progress on Project

All partners met in Zagreb in January 2006. The following approach has been decided: Agreement on the general topic: analyses of risks. To organise workshops with the local stakeholders and practitioners to assess their needs. A structure in order to collect case studies was set up: http://studiorum.org.mk/BlueLeaves/case-index.html During 2006 the three eastern European partners organised workshops inviting all relevant stakeholders in the field, including academic community, governmental bodies and occupational health practitioners. In September 2007 all partners visited Switzerland and the structure and content of the Winter School which will be organised in Macedonia end of January 2008 was planned.


End of January 2008 a Winter School concerning the topic of workplace risk analyses have taken place with 42 participants consisting of two more theoretical days and 1 day field visits were organised to practice the approach.

List of additional major outcomes expected from

We are preparing a manual concerning workplace risk analyses. It will be available at the end of the year 2009, ev. first outlines will be presented at the

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this project by 2012 meeting in October in Geneva. June 2010 waiting to hear from partners. No current updates.


3.16h Formerly AA4:A2f


CC or NGO Name Nofer Institute of Occupational Medicine, Lodz, Poland

Project title Utility of competencies acquired during specialization training in occupational medicine - evaluation an self-evaluation tool

Keywords occupational medicine/health; specialization training; utility of competencies; evaluation of competencies


Andrzej Boczkowski, PhD [email protected]


Other partners University of Glasgow Funding

Funding for first phase will be secured through Nofer Institute of Occupational Medicine

Objective of the project Elaboration and validation of evaluation and self-evaluation tools for occupational medicine physicians concerning utility of their competencies


To develop the evaluation and self-evaluation tools that will be readily usable and user-friendly (2007) To develop evaluation packages for the above tools deliverable through e-learning and face-to-face (2008) To integrate the evaluation tools in the provision of basic occupational health services (2009)


Physicians - specialists in occupational medicine/health; centers of the training in occupational medicine/health


The cognitive and practical aim of the project is objective identification and description of anachronisms, faults and inadequacies existing in the specialists' training programs in the field of occupational medicine/health as well as obtaining from practicing occupational/health physicians their postulates concerning the contents of these training programs. The research and consultations cycles are provided to develop and validate in practice the evaluation and self-evaluation tools and procedures enabling collection of data among occupational/health specialists and the flow of information to the training centers.

Dissemination Training materials and documents; occupational/health physicians meetings Impact (global or regional) Regional

Progress on Project

In the second part of 2006 the sociological survey was realized aiming at questions mentioned above. A structured questionnaire was mailed to over 840 Polish occupational physicians (a random sample of physicians certified as specialists in occupational medicine, with the response rate over 35%. Results have concerned the problems as follows: motivations to specialize in occupational medicine; benefits from such a specialization; the impact of being specialized in OM on professional career; the assessment of the effectiveness of specialist education/training; the assessment of the professional usefulness of the specialist training program; the assessment of the applicability (in Polish conditions) of an anticipated European training program in OM; the assessment of the occupational physicians prestige.




3.19a Formerly AA4:TT1a

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CC or NGO Name Institute and Outpatient Clinic for Occupational and Environmental Medicine, University of Munich, Ziemssenstr. 1, D-80336 Munich

Project title NetWoRM – Netbased Training of Work-Related Medicine

Keywords web-based learning – case-based training – international programme – teaching - virtual patients


Prof. Dr. Katja Radon MSc, Dr. Stefanie Kolb, Laura Wengenroth [email protected]


Finish Institute for Occupational Health Helsinki; Institute for Work and Health (IOHS) Lausanne; Institute of Occupational Health, University of Birmingham; National Institute for Occupational Safety & Health (NIOSH); ACHS Santiago de Chile.

Other partners Schools/Institutes for Occupational Medicine in: Austria, Poland, Romania, France, Great Britain, Belgium, Spain, Finland, Switzerland, Croatia, USA, Canada, Columbia, Israel, India, South Africa, Chile, Brazil

Funding

EU Minerva Programm; Klaus Tschira Foundation gGmbH; Virtual University of Bavaria; Lieselotte und Dr. Karl Otto Winkler Foundation; German Academic Exchange Service (DAAD); German Association for Occupational and Environmental Medicine (DGAUM); IAS-Foundation

Objective of the project Creation and dissemination of virtual patients in occupational medicine, sharing of multimedia material


So far, about 50 virtual patients are available in different languages (English, Spanish, French, Portuguese, Polish, Finish, Romanian). All cases have been adapted to the local requirements. Peer-review is done by at least two experts after case creation and after translation/adaptation of the cases. In addition, users evaluate the cases. (www.casus.net; login: “who-ce”; password: “occupation”). In addition to cases for under- and postgraduate medical training and training of nurses in occupational medicine, virtual patients for CME and for pupils and vocational trainees are developed.

Target group and/or beneficiaries Medical students; health care professionals learning occupational medicine


Occupational medicine has a wide range of aspects, and prevention is a major topic. In order to enhance the learning experience and to integrate patient-oriented and practical knowledge, we developed a web-based distance-learning tool based on virtual patients. This was implemented in our regular training (lectures, small group sessions, factory visits) and offered to other German universities. The web-based training programme in occupational medicine, primarily developed for medical students, has been adapted for training of health care professionals and the international use. The international network has started within the Socrates programme of the EU and was expanded to Latin America and Asia. In addition, virtual patients are used in continuing medical education and in secondary schools and vocational schools.

Dissemination www.networm-online.eu


Better knowledge about occupational medicine and occupational safety for medical students and physicians.

Progress on Project

By now, 26 cases have been developed in a standard English version, and more than 10 cases each are now available for the local situation in 10 developing and industrialized countries covering a broad range of training for OM at the under- and postgraduate level. The user evaluation showed that it is easy to work with the cases, that they well accept the cases, and were interested in working with them. For dissemination the project has been presented at scientific conferences and scientific papers have been published. New funding has been found (EU, DAAD) and new partners involved. At the moment, a center specific business model is developed by all European partners and strategies for sustainability are established. Furthermore, the implementation of the cases in a blended learning diploma on basic occupational health services for Latin America is currently built up.

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Kolb S, Wengenroth L, Hege I, Praml G, Nowak D, Cantineau J, Cantineau A, Gonzalez M, Monso E, Pauncu EA, Dev Vellore A, Godnic-Cvar J, Radon K; NetWoRM Group. Case based e-learning in occupational medicine--a European approach. J Occup Environ Med. 2009 Jun;51(6):647-53. Kolb S, Reichert J, Hege I, Praml G, Bellido MC, Martinez-Jaretta B, Fischer M, Nowak D, Radon K; NetWoRM group. European dissemination of a web- and case-based learning system for occupational medicine: NetWoRM Europe. Int Arch Occup Environ Health. 2007 May;80(6):553-7. Radon K, Kolb S, Reichert J, Baumeister T, Fuchs R, Hege I, Praml G, Fischer M, Nowak D. Case-based e-learning in occupational medicine--The NetWoRM Project in Germany. Ann Agric Environ Med. 2006;13(1):93-8. Hege I, Radon K, Dugas M, Scharrer E, Nowak D. Web-based training in occupational medicine. Int Arch Occup Environ Health. 2003 Feb;76(1):50-4.


Broadening the network of NetWoRM partners; implementation of tools to sustain the NetWoRM project in the long run.


So far, about 60 virtual patients are available in different languages (English, Spanish, French, Portuguese, Polish, Finish and Romanian). Learning targets have been identified for each virtual patient. In addition virtual patients for under- and postgraduate medical training and training of nurses in occupational medicine, for continuing medical education (CME) and for pupils and vocational trainees are developed. Good acceptance has been seen especially in Chile and Brazil where e-learning provides the opportunity to overbear large distances. In Curitiba (Brazil), Santiago and Valdivia (Chile) virtual patients are being used for medical and nursing students. The students rated the virtual patients very effective and would like to use more e-learning cases more often. Similar attempts are planned in further countries in Latin America as well as in Africa. Website: www.networm-online.eu


The project focuses on better knowledge about occupational medicine and occupational safety for medical students and physicians. Hereby the project strengthens the international dimension in education at all levels and facilitate wide trans-national access to educational resources worldwide, promoting equal opportunities throughout education. At the same time it increases co-operation and mobility in the field of education, in particular by encouraging and fostering exchanges between educational institutions, promoting open and distance learning.


Long-term sustainability is the current stage of the project including the development of successful business models.Center specific business models have been developed by all European partners and strategies for sustainability are established. These strategies are in a pilot phase at the moment.


3.19b Formerly AA4: TT1b


CC or NGO Name Coronel Institute of Occupational Health AMC, University of Amsterdam, The Netherlands

Project title Electronic lesson on evidence-based medicine for occupational health professionals

Keywords Evidence-based medicine, occupational health, distant learning, electronic lesson, training material


Prof. Dr. Frank van Dijk [email protected]

Partners (of the CC Network) FIOH Helsinki Finland

Other partners Netherlands School of Public and Occupational Health (NSPOH) Amsterdam, The Netherlands; European Association of Schools of Occupational Medicine, EASOM; Manchester University

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Funding

Development, translation and evaluation of the electronic lesson has been organized by the Coronel Institute and NSPOH, and sponsored by the Dutch Ministry of Social Affairs and Employment and the University of Manchester. The lesson is available in English and Dutch language. Funding for updating and concrete support in using the lesson is not yet available and is in discussion.


Dissemination and implementation of the evaluated English version of the electronic lesson on evidence-based medicine for occupational health (Introduction). The lesson can be used to increase the impact of the WHO publication ‘How to use research information to improve the quality of occupational health practice’. Protecting Workers’ Health Series; WHO Occupational and Environmental Health Program (2006, Verbeek, Van Dijk)


Informing and supporting postgraduate schools for professional training of professionals in occupational health (among them WHO collaborating centres) in the use of this lesson in their curricula and in CME/CPD (2009-2012). Targets: use of the lesson by 20 schools in 2010 and by 30 schools in 2011. Informing occupational health professionals as individuals about the lesson (2009-2012). Improved access and exposure by the planned WHO learning repository is an important tool. Updating of the existing electronic lesson ‘Introduction in evidence-based practice for occupational health’. Distribution to more centers and professionals to facilitate information finding and evidence-based practice in occupational health and safety. The lesson is already available (free access) at: http://www.nspoh-on-line.nl/ebm-who. Evaluation studies are very positive.


1. Occupational health professionals, especially occupational physicians but also other disciplines such as occupational hygienists, toxicologists, occupational psychologists, ergonomists, occupational health nurses, safety experts 2. Experts, scientific institutes, guideline offices, panels of experts for companies or government who are not experienced in organizing evidence-based knowledge or information. 3. Medical and other students use the lesson to support literature searching for a paper on an occupational health topic. 4. The usefulness for basic occupational health services (BOHS) has to be explored and new applications can be developed when needed.


Knowledge is basic for all professionals engaged in occupational health care and support. Finding information in scientific articles, reviews and e.g. evidence-based practice guidelines is crucial. The skills in professional practice and even in expert centers of occupational health, to find and appraise the quality of sources are still underdeveloped. In the Netherlands an electronic lesson has been developed as an introduction on evidence-based medicine, tailor-made for occupational health. The English version has been evaluated by participants in three different continents as well feasible and very useful. The lesson is available for free through Internet. Dissemination can be supported by more public relations and by concrete support to users. Funding for support and updating has to be found.

Dissemination

The lesson is used by OH schools in Lausanne, Chicago, Manchester, Australia, Finland and the Netherlands. EASOM had a successful EBM OH Summer school in 2008. The lesson is available at: http://www.nspoh-on-line.nl/ebm-who Further dissemination by the website of WHO, the new learning repository of WHO, iBOHS, ICOH meetings and congresses, EASOM canals, announcements in professional journals.


Progress

Results of the evaluation study are submitted in 2009 to a peer-reviewed journal. A related study on available knowledge infrastructure in various countries has been published as an Open Access publication, accessible for free (Hugenholtz NI, Nieuwenhuijsen K, Sluiter JK, van Dijk FJ. Do knowledge infrastructure facilities support evidence-based practice in occupational health? An exploratory study across countries among occupational physicians enrolled on Evidence-Based Medicine courses. BMC Health Serv Res. 2009 Jan 30;9:18). In 2009 – 2012 more effort will be spend to updating, dissemination and

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support. List of major outcomes already achieved by this project

Development and dissemination of electronic lesson (English language) on evidence-based practice for occupational health professionals. Evaluation as a feasible and useful lesson by participants in different continents.


Further dissemination to a wider group of users in postgraduate schools for occupational health and to individual professionals. Dissemination to medical and other students. When funded: support of use and updating of the lesson. Analysis how to spread relevant evidence to basic occupational health services (BOHS). Nowadays the lesson is used in Manchester, Lausanne, Amsterdam and Chicago in national and international courses. The lesson will be used in 2010 in Latin America (2010-2012) in a Masters course given by Munich and will be promoted for South East Europe in June 2010. An updated electronic lesson will be available end 2010. Funds for updating are available. Targets: use of the lesson by 10 schools in 2010 and by 20 - 30 schools in 2011.


Use of this course will promote the access to good knowledge: articles, reviews and guidelines, and thus promote prevention of occupational diseases and accidents.


Manpower that can be made free to coordinate updating and promoting the use by marketing. Updating will be completed in 2010. Funds are available now. Improved access and exposure by the planned WHO learning repository as a part of the WHO platform (project 3.17 g) is an essential tool for dissemination worldwide.

Other

Translation in Spanish is into consideration, in connection with a course given in Latin America. The lesson is available (free access) at: http://www.nspoh-on-line.nl/ebm-who. Evaluation studies are very positive.

2009-2012 Work Plan Number New 6-2010

3.19s New project 6-2010

PROJECT Title

Contemporary Occupational Health and Occupational Medicine, A reference book to professionals and allied personnel.


GPA 3.2a Capacity building Facilitating Project


3.2



Fudan University School of Public Health, Shanghai


Taiyi JIN, Professor: [email protected]


Department of Occupational Health, Fudan University. 5 professors in health and occupational medicine across the country are invited as the co-editors.


Dr. Ogawa Hiashi- WPRO

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Ministry of Education, P.R. China


People’s Medical Publishing House


This book offers the definitive overview of common topics in occupational health and occupational medicine, covering basic concepts, theories, and diagnosis and treatment-plus preventive and remedial measures to occupational illness in the workplace and community. With its practical format and emphasis on fundamental topics, this book is just as essential for graduate students and continuing education as it is for practicing professionals.


Graduate students, personnel seeking continuing education and professionals practising in the field of occupational health and occupational medicine.


Initiated in Sept of 2009 Manuscript submission in Jul of 2010 Publish in Oct of 2010

Dissemination plan Reference book to graduate student and continuing education Funding source(s) People’s Medical Publishing House





3.19t New project 6-2010

PROJECT Title

“Basic Toxicology”, a textbook for high education to public health student


GPA 3.2a Capacity building Facilitating Project


3.2



Fudan University School of Public Health, Shanghai


Zhijun ZHOU, Professor: [email protected]


Department of Occupational Health, Fudan University. 10 professors in occupational toxicology across the country are invited as the co-editors.


Dr. Ogawa Hiashi- WPRO


Ministry of Education, P.R. China


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The book begins with a review of the history of toxicology and followed by an explanation of basic toxicological principles, agents that cause toxicity, target organ toxicity, and toxicological testing methods including many of the test protocols required to meet regulatory needs. The book examines each method or procedure from the standpoint of technique and interpretation of data and discusses problems and pitfalls that may be associated with each.


Undergraduates of high education in public health schools, professions seeking continuing education


Application-June, 2010 Developing text-Oct, 2010 Ready to publisher-Jan, 2012

Dissemination plan Publisher’s education network Funding source(s) （Proposed） Ministry of Education, or Fudan University, or other sources


The previous edition of this text book (Chief Ed: Zhijun ZHOU) was published in January of 2008.



Level 2: Self contained learning units comprising discrete learning resources 2009-2012 Work Plan Number

GPA3.18c AA 4:CE3a



Project title Developing Capacity in Biological Monitoring in Occupational and Environmental Health

Keywords biological monitoring, biological markers, chemical exposures Project leader Email address

Ms. Inakshi Naik [email protected]


NIOH: South Africa Health and Safety Laboratory (HSL) UK

Other partners Arbo Unie, Netherlands Nyati International, Hyderabad, India

Funding

By paid delegates for the Biological Monitoring Courses The research project to establish baseline reference values will be

supported by NIOH

Objective of the project To develop capacity in biological monitoring in occupational and environmental health in South Africa, Southern Africa countries and India

To set baseline reference range in metals for the general unexposed population in South Africa.


To establish baseline metal levels in unexposed populations in South Africa from rural, informal, urban and semi urban areas (pilot project by end of 2007 main study 2010)

To train scientists from SADC countries and India, at NIOH laboratories, to measure chemical exposures (metals and solvents) in biological samples (2006-2010)

To organize and present a comprehensive five-day course: “Biological Monitoring in Occupational and Environmental Health” for South African and SADC participants (early 2010)

To develop an information sheet/poster for employees, on the prevention of chemical exposures in the workplace

To develop guidelines on biological monitoring of chemical exposures in the workplace, for employers (end 2007)

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Occupational health care professionals Scientists with limited laboratory training, from SADC countries, will be

trained to measure chemical exposures in biological samples Employers and employees from industries there are possible chemical

exposures Summary of the project (max 100 words)

There is no formal training in biological monitoring in occupational health in South Africa, SADC and India and therefore this project aims to build capacity through presenting an in depth course for health care professional on biological monitoring and providing in-service laboratory training to scientist from southern African countries. Reference values of environmental exposure in the general, non-occupationally exposed population are needed, for comparison to occupationally exposed individuals. No reference values exist in South Africa, hence laboratories are currently using reference values established in the UK, USA or Germany. It is therefore the responsibility of the NIOH to identify reliable reference values for the population.

Dissemination Publish finding of baseline values in local and international journals. Disseminate information to the Departments of Labour and Health. Using various means - courses, workshops, posters, pamphlets, CDs - to inform employers and employees. Advertise the in-service laboratory training at NIOH in “African Newsletter on Occupational Health and Safety”


South Africa, SADC and India

Progress on Project One of the objective of this activity was to establish baseline levels for metals in unexposed populations in South Africa from rural, informal, urban and semi urban areas by end of 2007. This task was done in two stages. A pilot study was conducted in which 100 blood and urine samples were collected from unexposed office workers, employed in a electricity supplying company from an urban setting in Witwatersrand. Trace metals were measured which includes aluminium, cadmium, chromium, cobalt, copper, lead, manganese, mercury, and nickel. The paper is in the process of being written and will be submitted 2010. Blood and urine samples from 2000 unexposed subjects are collected from urban, rural, deep rural and informal sector from the North West Province, South Africa to establish baseline metal levels. The estimated completion time for the full project will be will be approximately the end of 2011. Another objective was to develop guidelines on biological monitoring of chemical exposures in the workplace, for employers. An information brochure has been written on “Biological Monitoring in the Workplace” for employers.


Capacity building projects: 1 A two days in-depth course on Biological Monitoring of Chemical Exposures in the Workplace“ was conducted in Johannesburg on 20-21 October and in Durban on 23- 24 October 2008. The course was conducted jointly with HSL, UK, Arbo Unie, Netherlands and Analytical Services, NIOH. A total of 130 delegates attended the course between the two venues. 2. A lectures on “Biological Monitoring of Chemical Exposures in the Workplace- a Valuable Tool “ was given at the:

• 57th conference of the Indian Association of Occupational health ( IAOH) in Chennai, India, February 2007.

• A lecture on “Biological Monitoring of Chemical Exposures in the Workplace- at the Chettinad Hospital and Research Institute Chennai, India, February 2007

• A lecture on “Use of Biological Monitoring of Chemical Exposures in the Workplace” at the Jamnagar IAOH regional branch to a group of occupational health doctors.

• A lecture on Biological Monitoring of Chemical Exposures in the Workplace” at the “Fundamentals in OH course in Hyderabad, India, February 2008.

• A mini seminar at the 59th IAOH conference in Jamnagar, India on Biological Monitoring.

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Training: Analytical Services Section trained three scientist from India in May 2008 from the Department of Environmental Health Engineering of Sri Ramachandra University (A WHO CC in OH and an ILO-CIS Information Centre), Chennai, India, for three weeks at the NIOH. In October 2008 Trained three scientist from the Muhimbili University of Health and Allied Sciences, School of Public Health and Social Sciences, Community Health Department, Tanzania were trained for three weeks in the Analytical services, NIOH. During their stay they were all trained in the laboratory techniques to measure chemical exposures in biological and environmental samples for occupational and environmental health assessments for the purpose of biological monitoring. This activity was initiated so that the first “Biological Monitoring laboratory can be established in India and Tanzania. E-learning: A DVD for e-learning was created by recording the Biological Monitoring seminar that was held at the “7th Conference in toxicology in developing countries” in Sun City, South Africa on 5th September 2009. Analytical Capacity: A full range of POP and organochlorine metabolites assays are established in the pesticide laboratory 300 biological samples are analysed to determine current use pesticides levels E learning of biological monitoring.


Training course on “ Management of chemical exposures in the workplace” in 2011-2012


3.18d AA4:CE3b


CC or NGO Name INRS – FRANCE

Project title E-training in occupational risk prevention for prevention organisers in Africa

Keywords e-training, multidisciplinarity, prevention organisers, Africa,


Martine Plawner, INRS Training Division [email protected] Paul Guenoun, Annie Leprincemailto:[email protected]


URESTE (Unité d’enseignement et de recherche en santé au travail et environnement), Cotonou, Bénin (Pr Benjamin Fayomi)

Other partners Funding INRS and trainee’s institutions or enterprises

Objective of the project Training of prevention organisers in French speaking Sub-Saharian African Countries, with the aim of developing a multidisciplinary approach of occupational risks and prevention.


The project has already been developed successfully in France. A tool (CD-ROM with Internet access) and a network of coaches are already available. It would be possible to train about ten persons each year at first, and secondly to identify the most susceptible to become coach, in order to multiply the number of trainees


Prevention organisers in Institutions involved in occupational risks prevention and in enterprises.


The training centres around four general objectives: 1. Acquisition of a prevention approach: knowing the basic principles of prevention; appraising the current situation at work place in terms of health and safety; detecting and assessing risks; initiating, carrying out, and monitoring actions. 2. Application of this prevention approach to specific risks: physical activity,

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biological agents, chemical agents, thermal environment, noise, etc. 3. Discovery of prevention organizer’s tasks through case studies. 4. Availability of references.

Dissemination French speaking African Sub-Saharian Countries Impact (global or regional)

To enhance occupational risks prevention in Sub-Saharian French Speaking Africa.

Progress on Project

The training tool previously developed by INRS was examined with regard to its applicability to African countries. It was fairly appropriate, only a few adaptations were necessary. The training is built to lasts 6 months, with exchange with a coach by internet. URESTE was in charge of selection and registration of trainees who should have a appropriate IT equipment and an internet access. It was possible to retain only three, located in Benin, Mali and Cameroon. The training started in January 2007. At the end of the training, one of the trainees has finalised the course successfully, the other two gave up before the end for unknown reason. The causes for this failure will be considered in the next step of the project.


3.18e AA4:CE3d


METROnet: joint training programme

GPA Objective and Action 3.18

Priority Initiative

Priority 3: Adapt and disseminate curricula, training materials and training for international capacity building in occupational health, including development of model courses for basic occupational health services and introduction of occupational health into professional education (Action 3.18). Projects include technical assistance to countries, organizing and conducting international courses and on-line training, and establishment of national training programmes in low and medium income countries.


Project leader

Dr Sergio Iavicoli ([email protected]) Dr Fabio Boccuni ([email protected])

Network partners INRS France WHO Regions involved in this CONTRIBUTING project



INSHT - Instituto Nacional de Seguridad e Higiene en el Trabajo Spain ACT - Autoridade para as Condições do Trabalho Portugal


Main objective of the project is the training for Occupational Safety and Health professionals to develop prevention of emerging and traditional occupational risks. The courses are organized on international basis. They consist of presentations followed by a discussion with the speakers and practical sessions. The first advanced course was organized in 2005 on occupational cancer and chemical risk. The second in 2006 on occupational exposure to nanoparticles. The third advanced course on biological hazard has been finalized on November 2007. All the training activities are organized in joint effort with the other partners in this project: INRS from France, INSHT from Spain and ACT from Portugal.

Target group and/or beneficiaries Physicians, Hygienists, Risk Assessment Experts, Managers and Researchers

Events-opportunities for furthering the project Meetings and Working Groups

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Advanced courses will be organized each year.


The evaluation questionnaires filled by the attendants will be analysed in order to identify gaps and needs and to improve the future activities.


Advanced training course on “Keeping employees at work: the contribution of workplace health promotion” (2009) Advanced training course on “Posture and movement analysis” (2010)

Public health impact Regional

Funding source(s) Self-funding

Dissemination Courses, presentations, fact-sheets, documents


“Advanced Course on Occupational Cancer and Chemical Risk”, February 21-24, 2005. ISPESL Research Center, Parma, Italy. “White Book on Biological Hazards”, edited by METROnet, October 2005. “Advanced Training Course on the Risks Relating to Occupational Exposure to Nanoparticles”, April 11-14, 2006. INRS – Centre of Paris, France. “Advanced Training Course on Occupational Exposure to Biological Agents”, November 20-23, 2007. INSHT Barcelona, Spain.


“Advanced training course Keeping Employees At Work: the Contribution Of Workplace Health Promotion”, 27-30 October, 2009. INSHT – CNCT Barcelona, Spain. “State of the Art on repro-toxicity”, edited by METROnet, 2010. “Advanced training course on Movement Analysis Techniques in Occupational Health”, 2010. ISPESL – Research Centre, Italy.


3.18i Formerly AA4:CE3p


CC or NGO Name Southwest Center for Occupational and Environmental Health The University of Texas School of Public Health

Project title Short/intensive course curriculum in occupational health (various topics)Keywords continuing education ; short course Project leader Email address

Sarah A. Felknor, DrPH, MS ([email protected] ) and George L. Delclos, MD, MPH, PhD ([email protected] ).


Other partners

Costa Rica: Instituto Tecnológico de Costa Rica/IRET Nicaragua: Universidad de León Colombia: Universidad Javeriana/Centro de Estudios en Ergonomía Venezuela: Centro de Estudios en Salud de los Trabajadores, Universidad de Carabobo (Maracay)

Funding Fogarty International Center ITREOH Training Grant

Objective of the project Development, delivery and evaluation of 2 to 5 day courses on a variety of occupational health topics.


These courses have been developed (and continue to be developed) and delivered on an annual basis, since 1995.


Collaborating institutions, through our Fogarty ITREOH training grant, in Venezuela, Costa Rica, Nicaragua and Colombia. Occupational health professionals and students in these same countries.


2 to 5-day (16 to 30 hour) short courses developed, delivered and evaluated by our faculty, in partnership with our collaborators, to build a repository of courses in the collaborating country. Examples (since 2005): - Spirometry - Occupational asthma - Hospital-based occupational health services - Survey development - Psychosocial risk factors

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Dissemination Spanish-speaking universities and academic institutions. Course materials will be entered into the GeoLibrary.

Impact (global or regional) Regional (Latin America)

Progress on Project as of December 07

These courses have been developed and delivered on a regular, annual basis since 1995 (and continue to do so). New courses for 2008 include: Ethics in occupational health (Venezuela) Certificate program in industrial hygiene (a hybrid course, i.e., face-to-face plus distance learning) (Colombia)


Regular delivery of these short courses, upon request by our collaborating partners, on a yearly basis. Most of these courses are being delivered in Colombia, Costa Rica, Nicaragua and Venezuela.


To continue to deliver short courses (topics, number of offerings and dates are determined jointly with our collaborators and vary from year to year).


3.18j Formerly AA4:CE4a


CC or NGO Name INRS – FRANCE Project title Workplace First aid educators and instructors training Keywords First aid, training, work accident, emergency


Annie Leprince, Eric Durand, INRS [email protected] [email protected] Paul Guenoun, INRSmailto:[email protected]


URESTE (Unité d’enseignement et de recherche en santé au travail et environnement), Cotonou, Bénin (Pr Benjamin Fayomi)

Other partners IAPRP (Interafricaine de prévention des risques professionnels); CRAM d’Alsace Moselle, France (Jacques Pachod) ; USAT (Unité de Santé au travail), Casablanca, Maroc.

Funding INRS and trainee’s institution

Objective of the project Training of first aid educators and instructors, in order to implement specific first aid training at the workplace in African enterprises, with the aim of reducing work injuries consequences.


The training program has already been used in France for several years. Tools are available for a specific training adapted to the work place and could be easily used in Africa with regards to the local situation. So this project could be implemented very soon.


African Institutions involved in occupational risks prevention and African enterprises and workers.


The aim of the project is to train instructors and educators in order to develop and disseminate first aid at the workplace in Africa and to set up resource centres. The specific INRS program is focused on occupational risks and is also a good introduction to risk assessment in enterprises. The program is based on first aid and resuscitation international guidelines. The pedagogy is specially targeted at workers and based on practical cases. It is easily accessible to all workers, because the step by step procedure is very easy to understand and follow. At the end of the learning process, the trainee is able to provide appropriate first aid when needed.

Dissemination French speaking African Countries Impact (global or regional)

Wide spreading of this specific training should decrease the consequences of work injuries and promote preventive behaviour.

Progress on Project

In Benin, two people (occupational nurses) have been trained to be instructors. The administrative system has been implemented. A company has provided dummies free of charge. The training programme is now under review in collaboration with the Urgency Medical services in Cotonou in order to check its applicability to the African countries, and it will be possible to begin the training soon. In parallel, the training already in place in Morocco is going on.

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3.18m Formerly AA4:CE5b


CC or NGO Name Institute of Work, Health & Organisations, University of Nottingham

Project title Development of training packages for the Psychosocial Risk Management toolkit, deliverable through e-learning and face-to-face

Keywords Training package, psychosocial risk management toolkit



Partners (of the CC Network) FIOH – Finland; BAuA – Germany; ISPESL – Italy; TNO - Netherlands

Other partners CIOP – Poland Funding

Funding has been secured through the European Commission’s Leonardo Da Vinci programme

Objective of the project Development of comprehensive training packages to support the psychosocial risk management toolkit that will be developed by the same group


To develop training packages for the toolkit deliverable through e-learning and face-to-face (by 2011)

Target group and/or beneficiaries All enterprises – especially those where expertise is missing such as SMEs


Dissemination WHO/ILO documents; University studies, publications; worker and enterprise meetings; newsletters and press releases; websites


Global

Progress on Project Materials will be developed from November 2009 onwards. List of major outcomes already achieved by this project


Completion date

Training package to be developed by 2011 and project to be complete by mid-2012


The project aims at the development of comprehensive training packages to support the psychosocial risk management. The blended learning training programme (e-learning and face-to-face) is targeted at all enterprises – especially those where expertise is missing such as SMEs.


The project is expected to create more awareness of psychosocial risks at the workplace and at the macro level. It will also provide the necessary guidance to help enterprises manage and prevent psychosocial risks in-house.


3.18n Formerly AA 4: TT3h


CC or NGO Name Great Lakes Center for Occupational and Environmental Safety and Health University of Illinois at Chicago School of Public Health

Project title GeoLibrary: Database of teaching materials and practice tools Keywords Curriculum, training, technical materials Project leader Joseph Zanoni, [email protected]

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Email address Partners (of the CC Network)

NIOSH, University of Texas Houston, FIOH

Other partners All CC Funding UIC, CDC, NIOSH, Abbot

Objective of the project To create a library of occupational health education, training and technical materials


Data base of education, training and technical materials that is searchable in multiple languages. The library can house an unlimited number of materials. Expected date of completion Dec 2006 2007-2009 work with all CC to add materials to library, provide information for “marketing” the library to potential users, evaluate use and update.

Target group and/or beneficiaries Occupational health educators, workers, employers, and health providers.


Geolibrary.org is an electronic library of occupational and environmental health training materials. This library contains training materials which are in the public domain and which are available to the user free of charge. The training materials contained in this library come from a wide variety of sources, including international organizations, governmental institutes and agencies, academic institutions, corporations, unions, and non-governmental organizations.

Dissemination Via the internet and CDROM, presentations at conferences Impact (global or regional)

Increased access to training and technical materials related to occupational health

Progress on Project

New active partner at Fundacentro Brazil, European Institute of Health and Social Welfare, Coronel Institute of Occupational Health, Curtin University of Technology and US Environmental Protection Agency. Presentation at international conferences, 500 occupational health materials in library, accessed by individuals in over 30 countries. Materials most often viewed: Occupational Health a Manual for Primary Health Care Workers; Introduction to Occupational Health; Community Based Participatory Research; and Introduction to Ergonomics.


The GeoLibrary currently includes over 1700 occupational health materials including a link for “hot topics” which includes 140 materials on H1N1. A specialty library on road safety was recently added. Additionally 39 individuals from 12 countries have been trained to be local administrators.


List for focus on most relevant curricula through the iBOSH and Learning Repository facilitating projects (2012) Evaluation of use, relevancy and reach of GeoLibrary for capacity building (2012)

Completion date ongoing

Outcomes There are currently almost 2000 materials in the GeoLibrary. In 2009-2010 project worked with PAHO to create 2 “hot topics” sections to the library 1) H1N1 and 2) Environmental Disaster-Haiti.

Impact There are an average of approximately 400 visits per month to GeoLibrary materials with the range being 200-1200.


3.18r New Project


Technical Assistance & Training Program for Developing Countries in Asia

GPA Objective and Action Objective 3, Priority 3, Action 3.18

Priority Initiative Adapt and disseminate curricula, training materials and training for international capacity building in occupational health, including development of model courses for basic occupational health services and introduction of occupational health into professional education

Responsible CC or NGO Name Korea Occupational Safety & Health Agency (KOSHA)

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Project leader Jungsun Park ([email protected]) Wook Kim ([email protected], [email protected])

Network partners CCs of developing Asian countries in WHO western pacific region (Vietnam, Mongolia, Cambodia, etc.)







Providing short-term training to the occupational health practitioners from developing Asian countries invited through WPRO to share knowledge and experience Contents of training Occupational health management system Chemical exposure monitoring and evaluation Diagnosis/investigation of occupational diseases Musculoskeletal disorder/ergonomic design Job stress and health promotion, etc.

Target group and/or beneficiaries Occupational health practitioners in developing Asian country



Improved Occupational Health & Safety in Developing Asian Countries

Indicators of achievement (impact) Evaluation Report


Nomination of participants from WPRO Invitation to the training Providing short-term (about two weeks) training. * The training will be provided every year.



Dissemination Provide technical assistance and training programs to the experts in developing Asian countries


In 2010, KOSHA conducted International Seminar for prevention of pneumoconiosis from 23 March to 26 March in 2010 and invited 3 participants who were nominated by WHO/WPRO. Two participants are from Mongolia and one from Vietnam. o Contents of Seminar - Introduction of pneumoconiosis - Situation and diagnosis of pneumoconiosis in Korea - Standard of diagnosis of silicosis, asbestosis, black lung

- Training of interpreting X-ray, etc. List of additional major outcomes expected from this project by 2012

We will provide occupational health training program for occupational health practitioners from developing Asian countries every year until 2012.


3.18v New Project


Interdisciplinary courses for occupational and environmental health professionals


Objective 3 : Improve the performance of and access to occupational health services

Priority Initiative Adapt and disseminate curricula, training materials and training for international

280

capacity building in occupational health Responsible CC or NGO Name CINBIOSE

Project leader

Donna Mergler : [email protected] Catharina Wesseling :[email protected]

Network partners

Center for Interdisciplinary Studies in Biology, Health, Environment and Society (CINBIOSE) University of Quebec at Montreal. [email protected] Instituto Regional de Estudio en Sustancias Tóxicas (IRET). Universidad Nacional Costa Rica [email protected]




Centro de Estudios de la Mujer (CEM), Chile, Julia Medel: [email protected] Centro de Desenvolvimento Sustentável et the Universidade de Brasíia (CDS-UnB), Brasilia, Brazil , Frédéric Mertens : e-mail : [email protected] Fundação Saúde, Ambiente e Desenvolvimento (FUNSAD), Quito, Ecuador [email protected] Instituto nacinal de salud pública (INSP) Mexico. Horacio Riojas : e-mail: [email protected]


This project seeks to integrate global, ecosystem approaches to human health into occupational health curricula in order to broaden occupational health practice and intervention and better link occupational and environmental health issues. Working through the Community of Practice on Ecosystem Approaches to Human Health to reduce Toxic exposure in Latin America and the Caribbean (CoPEH-TLAC), (http://www.insp.mx/copeh-tlac/esp/inf/), COPEH-TLAC members will design and deliver new, interdisciplinary courses for occupational and environmental health professionals. COPEH-TLAC will likewise support the Escuela Conitinental whose objective is to offer a more integrated Ecohealth training jointly to professionals and civil society


Physicians, nurses, other occupational health professionals, public health professionals, civil society


COPEH-TlAC has regularly meetings between the members of the coordinating committee and general meetings. Important South-South links are being developed.


Educational material; new courses in 14 universities

Indicators of achievement (impact) Number of courses, trainees, social network communication analysis of success


April, 2009: obtention of 4 years of funding from IDRC June, 2011: interim reports from members on course delivery success June 2012: results of social network communication analyses to assess the depth of change.


Through these new curricula we will contribute to dissemination and application of ecosystem approach among health professionals in occupational and environmental health, with a view to provide global and viable solutions to reduction of toxic exposures. Furthermore, this curricula will contribute to articulate approaches and professionals from environmental and occupational health, who actually work separately one from another

Funding source(s) IDRC Canada

Dissemination The new curricula will be disseminate in different countries through the focal nodes of the 5 regions in Latin America and the Caribbean: Mexico, Central America and the Caribbean, Andean region, Brazil and the Southern Cone


3.18w Formerly AA4:TM3

GPA Objective Objective 3: Improve the performance of and access to occupational health services

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CC or NGO Name Occupational Health Department, High Institute of Public Health. Alexandria University, Egypt.

Project title Two phases Approach to Update Formal Professional Training of Occupational Health& Safety in Egypt and the Arab World.

Keywords Occupational Health and Safety, Formal Professional training, factory inspectors& OHS specialists in Arab region.


Adel Zakaria; [email protected] Faten Nofal; [email protected]


National Institute of Occupational Health and Safety, Cairo, Egypt and Institute of Occupational Health and Safety, Tunis

Other partners

Expected partners: 1-Ministry of Manpower and Immigration, Egypt. 2-Arab Labor Organization. 3-Faculty and Experts of Occupational Health& Safety in Arab World.

Funding Negotiation with expected partners 1&2 is ongoing.


Phase 1: To develop and implement two levels (basic and advanced) one week face to face training program for all factory inspectors (about 2000) of Ministry of Manpower and Immigration in Egypt. Phase 2: To update the Arabic syllabus used in formal obligatory training of occupational health and safety specialists in Egypt.


Phase 1: - Establish a documented and well defined formal training program for factory inspectors considering the common features of the Arab region (by 2008). - The program is aimed to be valid in the Arab Countries and easily adapted to the local regulations (application in Egypt as an example). - Develop and update occupational health and safety knowledge, attitude and practice of factory inspectors in the Arab Countries. Phase 2: - Documentation of an Arabic syllabus, equivalent to resembled international syllabus, for formal training of occupational health and safety specialists in the Arab Region (2008-2010). - Improve the formal training of occupational health and safety specialists in the Arab countries leading to enhance OHS practice in these countries.


Phase1: Factory inspectors in Egypt and Arab countries. Phase2: Occupational health and safety specialists in Egypt and Arab countries.


This project address the problem of nonexistence of formal update training program for factory inspectors (in phase1) and the obsolete Arabic syllabus of OHS specialists formal professional training (in phase2).The main goal of the project is to establish a competitive tailor-made training program for factory inspectors in Egypt which would be valid for other Arab countries. Also the formulation of a comprehensive Arabic syllabus for formal training of OHS specialists in the Arab region. The highly qualified Arab faculty and experts in the field will be invited to participate in achieving that goal followed by continuous coordination and collaboration with WHO-EMRO and ALO. A competent and high qualified official OHS Arabic specialist capable of risk assessment and management of work environment according to international and local standards and regulations is the strategic target of the project.

Dissemination Hard copy, power point presentations, CDROM, workshops, WHO/ ILO/ ALO publications.


Regional

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Prepartion of some major topics material,e.g.,chemical hazards,physical hazards,safety appraisal,emergency plan in Arabic. Searching available Arabic resources in OHS training in WWW (very rare). Communicating some faculties and experts to share their material. Continuing negotiation to get financial support for the project unfortunately, no progress was achieved).


Complete preparation of Arabic material essential to update training of factory inspectors and OHS specialists in Egypt, and distribute it in the Arab world. June 2010 reported no change in activities.


3.19c Formerly AA4:TT3c


CC or NGO Name European Institute of Health and Social Welfare, Madrid, Spain Project title Integral Management in Environment, Quality and Occupational Health Keywords Integration elements, Common procedures, Measure and optimising. Project leader Email address



Other partners Funding European Institute of Health and Social Welfare

Objective of the project Dissemination of training material for developing countries professionals. Specially for Quality, Environment and Occupational Health managers. Languages: English, French and Spanish


To include the training material is in GEO Library. The training material is accepted and used by the professionals. A common model is used to guarantee an integral management.

Target group All professionals.


This training material is a course that deals with: integration of the management through documentation system, common procedures and integration elements, manager’s compromise, responsibility, authority and communication. It is a global proposal management based in a recognised and international normative.

Dissemination Through GEO Library Impact (global or regional) Global.

Progress on Project

The project is in process of design. We collaborated with Chile CC and with Geolibrary for the project´s dissemination. We have completed the index and 80% of the syllabus and pedagogic guides. We are working now on the follow contents: -Concept of Integral Management -Needs and Benefits of the Integration -Main Features of a Management System of Occupational Health -Management of Quality and the process of continue improvement -Management Environment -Organization Model of Integral Management -Certification and Normalization of Integral Management System -Indicators of Good manners in Management of Environment, Quality and Occupational Health. -Direction Abilities -Corporate Social Responsibility


3.18z New Project


Capacity Building in Occupational Hygiene utilizing online capabilities

GPA Objective Objective 3.2: Adapt and disseminate curricula, training materials and training for international capacity building in OH

Responsible CC or NGO IOHA

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Name

Project leaders Roger Alesbury ([email protected]) Steve Bailey ([email protected]) David Zalk ([email protected])


IOHA, UIC, US NIOSH Any WHO-CCs that are interested in developing Occupational Hygiene training capabilities


Lawrence Livermore National Laboratory, USA Others to be determined


In an effort to promote learning in Occupational Hygiene a website has been developed to serve as an international platform as part of a global effort to build capacity for the prevention of work-related disease and illness. This website capability provides a framework of global training materials and qualifications for providing training on a local, national, and international basis. This website will provide a single portal to access to access training materials, details about international qualifications, links to training providers, and contact information for participating organizations and associations. This training will provide personnel in those locations around the world that have the need to acquire the skills to recognize, evaluate, and control workplace hazards to protect and enhance the health off workers. It is intended that this training capability will be available at three levels: foundation, intermediate, and advanced, each according to the needs of the users based on local and national capacity requirements. Initial modules will focus on 'hands on' face-to-face training to deliver the necessary practical skills at foundation and intermediate levels.


All international, national, and local, associations, universities, institutions and organizations that are seeking the development of Occupational Hygiene training and integration of prevention for work-related disease and illness


U.S. and other Occupational/Industrial Hygiene national conferences in 2010 and 2011 IOHA 2010 International Occupational Hygiene Scientific Conference


- To bring online the website training capabilities and communicate internationally both its availability and utility. - To develop and load training modules onto the website with a special emphasis on building intermediate level modules - Develop platform for communication of Occupational Hygiene national organizations, local contacts, and informational links - Create an online discussion forum to allow expert and non-expert interaction to address crucial topics of interest - Begin building a professional Occupational Hygiene expert base to provide trainings, module development, and quality control. - Implement pilot projects to begin the development of necessary criteria through training opportunities in multiple countries - target 12 countries by Q4 2011


(1) The utility and use of the website will be tracked through the monitoring of website ‘hits’ that will include the number of hits, the length of website time per hit, and the national locations of website usage.

(2) The number of complete modules developed at each level. (3) The number of trainings completed. (4) The number of countries with completed links to communicate national

Occupational Hygiene status and capabilities.


• The launch of the OHLearning.com website (May 2010) • Development of 8 intermediate and one foundation training modules

(2011) • Completion of 20 training courses in countries where the growth of

Occupational Hygiene capabilities is necessary (Q4 2011). 50 planned by 2012.


Tremendous potential to build the knowledge base for the prevention of work-related disease and illness can be attached to this project. The potential is greater amplified by its availability globally to achieve capacity building in Occupational Hygiene in countries with needs due to the increasing growth of hazardous work and void of capable experts.

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Funding source(s) Public and private

Dissemination The dissemination of both the website and its capabilities will be made through national and international conferences as well as through online listserves, universities, and member of the WHO CCs.


3.18aa New Project


Development and dissemination of introductory and advanced level training modules in Control Banding and its toolkits

GPA Objective Objective 2.1: Develop practical toolkits for the assessment and management of OH risks

Responsible CC or NGO Name IOHA, NIOSH

Project leader

Hans Thore Smedbold ([email protected]) - IOHA David Zalk ([email protected]) - IOHA Mark Hoover ([email protected]) - NIOSH Thomas J. Lentz ([email protected]) - NIOSH Roger Alesbury ([email protected]) - IOHA


IOHA, UIC, US NIOSH Any WHO-CCs that are interested in developing or utilizing Control Banding training capabilities


AIHA Control Banding Working Group Lawrence Livermore National Laboratory, USA Other IOHA occupational hygiene societies and International partners to be determined


Utilize the capacity building project (3.2) to promote learning in Occupational Hygiene OHLearning.com To deliver through this website introductory and advanced level expert training in Control Banding. The capacity building project (3.2) that will build an international platform provides an excellent opportunity to disseminate expert Control Banding training to assist in the prevention of work-related disease and illness. The training modules to be developed will be an introductory level course and a 5-day advanced course in the history, evolution, expansion, and future of the Control Banding strategies. This course on Control Banding’s practical primary prevention capability across the occupational safety, health, and hygiene professions will assist in the growth of Control Banding experts internationally. It will also assist numerous GPA objectives, serving in the communication, implementation, evaluation, validation, and future growth of Control Banding toolkits, toolboxes, and health and safety management systems. This practical emphasis on qualitative occupational risk management will be essential in the development of capabilities to achieve the reduction of work-related illness, disease, and injuries internationally. This process will also help to:

• Develop an active network of CB experts. • Assist in capacity building in Occupational Hygiene • Initiate the development of an electronic resource for CB tools. • Begin the framework for developing a single point resource for SME

managers to obtain CB toolkits and expert advice.


All international, national, and local, associations, universities, institutions and organizations that are seeking the development of Control Banding training and integration of prevention for work-related disease and illness


U.S. and other Occupational/Industrial Hygiene national conferences in 2010 and 2011 IOHA 2010 International Occupational Hygiene Scientific Conference


• To review existing OHLearning.com website CB material and monitor it for its quality and applicability.

• To develop a framework of what content is necessary for a intermediate level CB training course.

• To develop and begin loading the CB training modules onto the website. Create an online CB discussion forum to allow expert and non-expert interaction to address needs and topics of interest.

• To implement a pilot training in at least one country.

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(5) The completion of the CB training module (6) The number of trainings completed


• Compile expert base to develop training (December 2010) • Development of CB module framework (February 2011) • Completion of CB training module (June 2011) • Implementation of CB training in 1+ country (February 2012)

Public health impact CB’s practical primary prevention will assist in building the knowledge base for the prevention of work-related disease and illness can be attached to this project. This will also assist in greater compiling a network of CB experts and begin building a single point source for CB.

Funding source(s) Public and private

Dissemination The dissemination of the CB course development and availability will be made through national and international conferences as well as through online listservers, universities, and members of the WHO CCs.


3.18ab

PROJECT Title

Training for international capacity building in occupational health


GPA 3


3.2 Occupational health training


N/A


N/A


Prof. Tar-Ching Aw [email protected] Dr John Schneider [email protected]


National University of Singapore, Prof. David Koh Singapore [email protected]


Dr Amr Elahi Johri WHO Eastern Mediterranean Office [email protected]


Health Authority of Abu Dhabi Dr Salim Adib [email protected]


Faculty of occupational medicine, Ireland Dr. Ken Addley [email protected]


The project aims to increase the number of trained professionals in occupational health in the UAE, and to improve the skills and competency of health and safety practitioners. A two-pronged approach has been initiated. First the training and assessment of occupational physicians with award of a certificate of competency from an international organization (The Faculty of occupational medicine, Ireland). Secondly the updating of knowledge and skills for all categories of occupational health practitioners through multi-disciplinary training days and via international video-conferencing. For academic training, an MPH with an option for occupational health and a PhD program will start in 2010

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All healthcare workers


Regular international video-conferences with Faculty of occupational medicine, Ireland – open to all occupational health practitioners 6-monthly since 2008 Periodic updates in occupational health, with international guest speakers. 2009 to present Training courses in spirometry and occupational lung disease, audiometry and noise-induced hearing loss. 2009 to present

Dissemination plan Via Website hosted by the Dept of Community Medicine, Faculty of Medicine & Health Sciences, UAE University

Funding source(s) UAE University, Faculty of Occupational Medicine, Royal College of Physicians of Ireland, Commercial sponsors


Training and assessment of several occupational medicine practitioners – completed in May 2010, with similar annual projects planned. Four seminars in occupational health 2009 – 2010. One more planned for late 2010 A priority ranking exercise for occupational health needs for the UAE. organized in 2009 with recommendations for further action to the Health Authority


1. Extension of training of occupational physicians with annual increase in candidates to be assessed for competency and awarded certification.

2. Start of an option for specialization in occupational health under the new MPH program at UAE University.


3. Several graduates on a new PhD program in occupational health expected by 2016


GPA 3.18ad New Project

PROJECT Title

Public health surveillance capacity building training program.


GPA Objective 3: to improve the performance of and access to occupational health services


Priority 3.2: Adapt and disseminate curricula, training materials and training for international capacity building in OH


Responsible CC or NGO Name Department of Public Health and Preventive Medicine School of Medicine, St. George's University, Grenada


Dr. O. C. Elci, [email protected] Dr. Praveen Durgampudi, [email protected] Ms. Shantel Peters, [email protected]



Dr. Eldonna Boisson, [email protected] PAHO, Caribbean Epidemiology Centre (CAREC)


Grenada and other Eastern Caribbean Ministries of Health


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This training program is intended primarily for health practitioners and program managers and those who wish to obtain the broader knowledge in principles and application of surveillance systems. The program provides an overview of the key aspects of surveillance: occupational health surveillance, chronic disease surveillance, infectious disease surveillance (endemic/epidemic diseases, STI surveillance) and behavioral surveillance. The program structure will be based on the principle that the purpose of surveillance is to enable evidence-based development of prevention and control programs, and to promote the most effective use of health resources. Surveillance is built upon dynamic and flexible principles of careful resource allocation, the best response to the current epidemic state, use of biological and behavioral data, and integration of various data sources. As an example, trained practitioners would be able to develop surveillance systems to evaluate health risks among tourism service workers, one of the highly important yet neglected occupational groups in the Caribbean region.

Target group and/or beneficiaries Public health practitioners, occupational health workers and technicians, nurses, physicians, health care professionals.


Proposal development, April 2010 Trainer training at Emory University School of Public Health, June 2010

Dissemination plan Project is in development phase aiming to be disseminated to all Eastern Caribbean Countries

Funding source(s)


NA


Train sufficient surveillance development workforce for the region.


Establish surveillance systems for chronic and occupational diseases in the region.

Level 3: Whole systematic programmes which combine courses for professional learning 2009-2012 Work Plan Number

3.16d Formerly AA4:A2c


CC or NGO Name International Centre for pesticide Safety and Health Risk Prevention

Project title Education and Training in Risk Assessment and Risk Analysis at a Master level

Keywords Risk assessment, risk analysis, chemicals, biocides, pesticides


Professor Angelo Moretto, International Centre for Pesticide Health and Risk Prevention (ICPS). [email protected]


WHO, Geneva WHO, ECEH-Rome

Other partners WHO, Geneva; WHO, ECEH-Rome; EFSA, Parma; EC-Joint Research Centre, Ispra; National Public Health Institute of Finland; University of Milan-Bicocca – Italy; University of Insubria – Italy; University Hospital “L. Sacco”, Milan – Italy; University Hospital “S. Paolo”, Milan - Italy

Funding The participating Universities and partners

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To provide a qualification in human and environmental risk assessment and risk analysis of chemicals, in particular pesticides, biocides, persistent toxicants and other substances representing a risk for workers, the food chain, the consumers, and the environment in general.


Graduate and post-graduate training of risk assessors Development of a risk assessment curriculum at European level. Involvement and networking of European Universities, and International Organizations (WHO, IPCS, EFSA) and private companies. Development of learning/technical materials (presentations, lectures, articles, case-studies, supplementary study material, reference-books, textbooks). Share and provision of e-learning and distant-learning materials. October 2006- December 2006: lessons January 2007- June 2007: practical training in national/international organisations both public and private (JRC, WHO ECEH, ICPS, Hospital L. Sacco, University of Insubria, National Public Health Institute of Finland; Bayer)

Target group and/or beneficiaries People with a degree in medicine, chemistry, physics, engineering, biology


The Master aimed to provide a qualification in human and environmental risk assessment and risk analysis of chemicals, in particular pesticides, biocides, persistent toxicants and other substances representing a risk for workers, the food chain, the consumers, and the environment in general. The educational curriculum was the following: basic sciences, toxicology, ecotoxicology, bio-statistics and epidemiology, human risk assessment of chemicals, environmental risk assessment of chemicals, biological risk assessment, physical risk assessment, risk management and communication. Special focus was to the applications of Risk Assessment and Risk Management to: occupational exposure, indoor and outdoor pollutants, water and soil pollutants, pesticides and biocides, food additives and contaminants, chemicals in consumer products, emergent biological hazards, genetically modified organisms.

Dissemination Dissemination and adaptation of the educational and training programs and the technical materials (UE legislation, WHO documents, national documents, etc.) will be developed at regional level throughout collaboration with WHO CCs

Impact: global/regional European-Global

Progress on project

A practical training (March - July 2007) took place in national/international organizations both public and private. A thesis was prepared in collaboration with the Master partner during the practical training and was finally defended in July 2007. The Master created technicians with a broad expertise in risk assessment. Many of them are now employed in national and international organizations involved in the frame of risk assessment and Risk management. This will enforce risk assessment activities both at the national (Italian) and International level (UE). Outcomes include so far a website dedicated and a detailed report of the second edition as well as the written thesis.


A risk assessment curriculum at European level has been developed. Graduate and post-graduate training of risk assessors has been carried out. European Universities, International Organizations, and private companies have been involved and a network has been built. Learning/technical materials (presentations, lectures, articles, case-studies, supplementary study material, reference-books, textbooks) are now electronically available.


Share and provision of e-learning and distant-learning materials. Integration in the European system of training of risk assessors. Run another edition of the master every year from 2009

Completion date

November 2009- March 2010: lessons March 2010- July 2010: practical training in national/international organizations

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both public and private (Agrifutur, University of Milan, Alterra (Wageningen, the Netherlands), JRC Mario Negri (Milan, Italy); FOS ( Geneva, Switzerland) July 2010: Final exam


Graduate and post-graduate training of risk assessors has been carried out A practical training (March-July 2010) in national/international organizations both public and private is now on track. A thesis will be prepared in collaboration with the Master partner during the practical training and will be finally defended in July 2010. European Universities, International Organizations, and private companies have been involved and a network has been built. Learning/technical materials (presentations, lectures, articles, case-studies, supplementary study material, reference-books, textbooks) will be electronically available soon.


The impact is foreseen to be European/ global As for the previous editions one of the goal is the sharing and provision of e-learning and distant-learning materials. The project include so far a website dedicated and a detailed report of the third edition as well as the written thesis.


3.17b Formerly AA4:CE3h


CC or NGO Name CC URESTE/LUSTE University of Abomey-Calavi (Benin)

Project title Human resource development in occupational health and safety project: training of nurses specialized in occupational health and safety in Benin Republic and African francophone countries

Keywords Formation à distance, Infirmier,Santé et sécurité au travail


Fayomi, Benjamin Professeur Unité de Recherches et d’Enseignement en Santé au Travail et environnement/LUSTE ; Faculté des Sciences de la Santé, Université d’Abomey-Calavi Bénin [email protected]


Droz, Pierre-Olivier PhD, PD Institut universitaire romand de Santé au Travail Suisse

Other partners 1-Jean-Sylvain BONNY, Dr en Médecine, Professeur de médecine du trail, UFR/Santé au travail, Université d’Abidjan Cote d’Ivoire

Funding

Objective of the project Promouvoir la sécurité et la santé des travailleurs dans toutes les branches de l’activité économique


Le renforcement des capacités des infirmiers intervenant en milieu de travail, aboutira à la formation de 180 infirmiers spécialistes en sécurité et santé au travail sur une période de cinq ans à raison de 20 infirmiers par an à partir de la fin de la deuxième année après le début de la formation. La capacité annuelle de recrutement est de 20 infirmiers. Deadline : Mars 2006

Target group and/or beneficiaries Infirmiers du Bénin, de la Cote d’Ivoire et du Togo


Dans le souci de lutter efficacement contre la pauvreté, Le Bénin a opté pour une agriculture intensive et à une industrie moderne en vue d’accroître les revenus. De ce fait il aspire à une croissance économique rapide. La protection de la santé des travailleurs, principaux acteurs de développement constitue aujourd’hui une préoccupation majeure de l’Etat qui depuis les années 90 est en train de consentir d’innombrables efforts pour la promotion de la sécurité et de la santé au travail. Son champ d’application ne concerne pas encore tous les travailleurs. Ainsi, les actions de sécurité et de santé au travail s’étendront-elles à tous ces acteurs de la vie économique nationale qui sont exposés à d’innombrables facteurs de nuisances. Ce qui accroît aujourd’hui l’importance des conséquences des risques professionnelles.

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Les multiples actions en SST ont eu un impact limité sur la promotion de la sécurité et santé au travail, en raison de l’insuffisance de formations spécialisées en matière de sécurité et santé au travail et du nombre limité de spécialistes en sécurité et santé au travail. A ce titre, le Bénin compte au 30 novembre 2005 dix huit (18) médecins du travail et six infirmiers spécialistes en santé au travail. C’est pour ces raisons et pour mieux assurer la prise en charge de la santé des travailleurs que le présent projet de mettre en place un programme national de formation des Infirmiers spécialistes en sécurité et santé au travail a été initié.

Dissemination Bien être des travailleurs


Le renforcement des capacités des infirmiers intervenant en milieu de travail, aboutira à la formation de 180 infirmiers spécialistes en sécurité et santé au travail sur une période de cinq ans à raison de 20 infirmiers par an à partir de la fin de la deuxième année après le début de la formation. La capacité annuelle de recrutement est de 20 infirmiers.

GPA3.17b Formerly AA4:CE3h


CC or NGO Name CC URESTE/LUSTE University of Abomey-Calavi (Benin)

Project title Human resource development in occupational health and safety project: training of nurses specialized in occupational health and safety in Benin Republic and African francophone countries

Keywords Distance learning, nurse, occupational health and safety workers


Fayomi, Benjamin, Professeur, Unité de Recherches et d’Enseignement en Santé au Travail et environnement/LUSTE ; Faculté des Sciences de la Santé, Université d’Abomey-Calavi Bénin [email protected]


Droz, Pierre-Olivier, PhD, PD, Institut universitaire romand de Santé au Travail, Suisse

Other partners 1-Jean-Sylvain BONNY, Dr en Médecine, Professeur de médecine du trail, UFR/Santé au travail, Université d’Abidjan Cote d’Ivoire

Funding

Objective of the project Promote workers health and safety in all the sectors of economic activities


20 nurses will be trained per year starting from the second year after the beginning of the program. Deadline : Mars 2006


Nurses from Benin, Ivory Coast and Togo


To efficiently fight poverty and increases resources, Benin has turned an intensive agriculture and a modern industry. The country expects a rapid economic growth. The protection of the worker’s health is nowadays a major issue for the government. Indeed, since they are the major actors of the country’s development, the government is promoting occupational health and safety. Unfortunately, the scope of action has not reached all the workers. The question is to know whether occupational health and safety actions will extend to all the actors of the national economic exposed to many factors. This increases the importance of the professional risks impact. The numerous SST actions have had a limited impact on the promotion of occupational health and safety because of the limited of number of specialists and specialized training on the topic. Indeed as at 2005, only 18 occupational health specialists and 6 nurses were employed in Benin. For above reasons and to better take care of the health of workers, a national occupational health and safety training for nurses has been initiated.

Dissemination Workers well being

291


To reinforce the capacity of the nurses in work environment, 180 nurses specialized in occupational health and safety will be trained over 5 years. 20 nurses will be trained per year starting from the second year after the beginning of the program.

Progress (maximum 100 words)

1. We have started a training of 12 nurses, specialized in occupational are 11 Benines and 1 Togolese 2. Côte d’Ivoire is on the way to start to.

2009-2012 Work Plan Number 3.17e


International Training of Occupational and Environmental Health Experts

GPA Objective and Action 3: Improve the performance of and access to occupational health services

Priority Initiative 3: Adapt and disseminate curricula, training materials and training for international capacity building in occupational health, including development of model courses for basic occupational health services and introduction of occupational health into professional education (Action 3.18)

Responsible CC or NGO Name Institute of Industrial Ecological Sciences (IIES), UOEH, Japan

Project leader Ken Takahashi, [email protected]

Network partners National University of Singapore, Director of WHOCC for Occupational Health (Dr. Sin Eng Chia, [email protected])


WPRO (Dr. Hisashi Ogawa, [email protected]), SEARO


Ministry of Health, Labor and Welfare (Japan); Ministry of Foreign Affairs (Japan)



This ODA group training course, with a track record of 24 yr implementation, is currently held under the title of “Occupational and Environmental Health Management for Sustainable Development.” It has trained over 250 participants from 55 developing countries: practitioners, administrators and researchers in the field of occupational and environmental health. Although primarily a university effort, it has recently added a new component to collaborate with other WHOCCs (eg, NUS) in its implementation by inviting external lecturers. It also has a series of tele-conference lecture connecting with overseas institutes.



Plan to invite external lecturers to take charge of workplace assessment in an international context


Within the ODA project framework, 6-7 participants from developing countries will be trained every year

Indicators of achievement (impact) Training of professionals in developing countries in the field of OEH

292


Training of professionals in developing countries in the field of OEH

Public health impact Training of professionals in developing countries in the field of OEH

Funding source(s) Japan International Cooperation Agency (JICA)

Dissemination


Within the ODA project framework and under the said title and objective of the training course, training (both didactic and practical) will be provided to the participants (6-7 participants from developing countries every year) lasting for a 3.5 month period (in-house training). Training materials in English are provided to the participants.


Training of professionals in developing countries in the field of OH.


Sustainability beyond 2012


3.18g Formerly AA4:CE3n


CC or NGO Name SESI- Industrial Social Service National Department, Brasilia

Project title Professional Capacity Building in Occupational Health and Safety

Keywords Occupational Safety, training, distance education

Project Leader Email Address

Dr. Vitor Gomes Pinto (55.61.33688106) [email protected] Dr. Fernando Coelho Neto (55.61.33179478) [email protected] Prof. Vilma Oliveira (55.61.33179308) [email protected] Dr. Antonino Germano – (55.51.33478586) [email protected]

Partners (Of the CC Network)

Centre for Research and Teaching in Occupational Ergonomics, Health & Safety, La Trobe University, Australia; Senac (National Service for Commercial Education) Jabaquara Training Unit – São Paulo.

Other Partners Confederação Nacional das Indústrias (National Industry Confederation) - CNI/UNISESI; Universidade Federal da Bahia - UFBA

Funding SESI – Industrial Social Service – National Department


Develop competences that enable the professionals who work with Health and Occupational Safety (SST) to improve the management, programming, execution and evaluation of the SST processes. Provide the basic understanding of the issues which involve SST. Enable them to understand the SST processes in general, especially those that involve the characteristics of a globalized world. Provide a modern view of people management and business competitivity.

293

Project Outcome(s) And deadline(s) for completion of the project

To increase the quality in the development of SST processes, considering the globalized world and business competitivity. To offer courses, seminars, workshops, video conferences etc. to Latin America, Caribe and other Portuguese-speaking countries, in order to promote the improvement of quality in the SST processes. 2010

Target Group and/or beneficiaries

Professionals who work with SST (physicians, engineers, phonoaudiologists, chemists, social assistants, psychologists, dentists, nutritionists, nurses, among other professions), in institutions and in companies of the industrial sector.


To specialize professionals in a new professional profile in the health and occupational safety area, developing an integrated management based on evidences, information production, communication and negotiation, legislation and, when necessary, systems of SST certification.

Dissemination Didactic material electronically available and publications to be accessed on the Internet, assistance to institutions in order to share knowledge.

Impact (global or regional) Global.

Progress on Project

OHS Specialization Course to 60 trainees (150 enrolled) Extension courses (10 courses attended by 382 of the 857 trainees enrolled) Regular training to professionals from six Brazilian states, developed in Canada as part of the Project on OHS Strengthening in the Brazilian Industry, supported by the Canadian government, CIDA and Ryerson University of Toronto. Training to six SESI’s professionals in Spain, at the Master Course on Social Services and OHS Management of the Organización Iberoamericana de Seguridad Social – OISS in 2007. As future scenarios of work by the end of 2007 and in 2008-2010, the project intends to keep and enhance the existing work lines; deliver new courses to professionals from Brazil, Portuguese-speaking African countries and Latin American countries; new courses and seminars or short- and medium-term modular knowledge. To achieve that, the project foresees new agreements with the Federal University of Bahia, OISS and the WHO Collaborating center (in designation) of Senac Sao Paulo. Update June 2010 Datailed report sent. Human resource development included promotion and prevention in OHS –in 2009 SESI produced 14 development and launch of 14 free, self-instructional, distance education courses about OHS that are avaialbe to all industries in Brazil.


GPA3.18h AA 4:CE3o


CC or NGO Name Great Lakes Centers for Occupational and Environmental Health University of Illinois at Chicago

Project title Fundamentals of Occupational Health and Safety Keywords Industrial hygiene, occupational medicine, introductory course


Lorraine Conroy [email protected] Steve Lacey [email protected] Leslie Nickels, NIOSH, [email protected]


NIOH South Africa Ina Naik Department of Environmental Health Engineering, Sri Ramachandra Medical College & Research Institute, Chennai, India

Other partners Nayati International, India Funding NIOH, Nayati International

Objective of the project This project advances WHO’s efforts to increase capacity to anticipate, recognize, control and prevent workplace hazards

294


Between 2006-2010 the following outcomes are planned: WHO Modules will be adapted to address mining, chemical and petroleum industries. Course will be offered for public health sector, mining, and others in South Africa September 2009 Course was offered in Hyderabad, India February 2008 Course will be adapted and offered as a train the trainer course in 2010 All adapted curricula will be entered into the GeoLibrary


The WHO Modules in occupational health, hygiene and safety are designed to provide education for those who are charged with the responsibility of protecting the health of workers: public health officers, physicians, nurses, policy makers, labor inspectors, and worker health and safety advocates.


The materials are organized into three 16-hour, case based modules for a multidisciplinary audience, by economic sector: agriculture, manufacturing, and service. Occupational health encompasses many disciplines-- toxicology, epidemiology, industrial hygiene, and safety. It employs the methods of hazard/risk identification, characterization, and evaluation and touches on issues related to policy and ethics. We have used the "economic sector" as an organizing format; classroom exercises are built around cases related to each sector and cover each of the occupational health disciplines in one classroom. The instructor may choose to re-organize the content to fit a different student group. For example, the hygiene-related exercises may be pulled out and re-assembled to educate a group of physicians in exposure assessment.

Dissemination Partners have organized venue and preliminary agenda. GLC is applying for a translation research grant in 2010 to support evaluating the impact of the program. Materials will be housed on the GeoLibrary and information about the course will be disseminated at conferences.

Impact (global or regional) India, South Africa

Progress on Project Course has been scheduled in India for February 2008 and in South Africa in September 2009. A second advanced version of the course is planned for India February 2010. Impact evaluation grant applied for and was not funded. Reapplication due in February 2010.


Courses offered in Hyderabad, India (60 participants)


Course offered in Johannesburg, South Africa September 2009, Hyderabad, India February 2010 Train the trainer course for 20 participants (2010) Impact evaluation of 2 India courses and 1 South Africa course (2011) Adapted courses available through GeoLibrary Translated components of curricula through the Learning Repository Process (2011)

Outcomes One train the trainer course was held for 90 participants in Johannesburg September 2009. 10 additional courses were offered for more than 400 participants. Project is now in evaluation phase.

Impact Part of national strategy for training “implementers” in government departments and compliments national strategy for increasing workplace health and safety in government agencies.

Barriers Conent area expertise available at the state level. 2009-2012 Work Plan Number

3.18s New Project


Organizing and conducting courses for health workers, technicians and public health workers on assessment and management of occupational risks in Vietnam


GPA Objective 3 :Improve the performance of and access to occupational health services Action 3.16

Priority Initiative

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Project leader Dr. Nguyen Duy Bao, Director, National Institute of Occupational & Environmental Health (NIOEH), 1B Yecxanh Str., Hanoi, Vietnam Email address: [email protected]

Network partners WHO Collaborating Centre for Occupational Health in Kytakyushu; University of Occupational and Environmental Health, Japan







Develop and disseminate curricula, training materials and trainings for national and international capacity building in occupational health, including development of model courses for basic occupational health services and introduction of occupational health into professional education. Project includes technical assistance to organizing and conducting national and international courses, trainer courses for experts and training providers for implementing courses on assessment and management of occupational risks at different levels


Occupational health and safety practitioners, health workers at enterprise



Training models at different levels for OSH practitioners will be developed and implemented Training curricula and training materials will be developed and disseminated National and international courses, trainer courses for experts and training providers for implementing courses on assessment and management of occupational risks at different levels will be conducted



Public health impact Workers’ health will be improved Funding source(s) Vietnamese Government Dissemination National policy, studies, workshop, training materials, WHO documents


Training materials and program on OSH management in general including occupational risk assessment and management and workers’ health surveillance for OH staffs at different levels and health workers at enterprises have been developed and several training courses for trainers have been conducted Training materials on OSH management and occupational disease prevention in health care facilities were already developed and trainings for trainers have been just conducted for OH staffs over the country. In addition, training program for health care workers was also developed and disseminated for provincial trainers. These materials will be printed and distributed to different OSH organizations and health care facilities in Vietnam

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Training materials on working environment monitoring and workers’ health surveillance for asbestos exposure have been developed. Several practical training courses will be conducted in September 2009 for OH staffs at provincial level over the country BOSH training materials and curriculum are on process developed in this year. Two pilot training courses have been conducted.


Training materials and curriculum for OH staffs at different levels and health workers at enterprises on assessment and management of occupational risks in Vietnam will accomplish and disseminate Some specific training materials and curriculum such as on BOSH, OSH management in health care facilities and for asbestos exposure will also accomplish and disseminate Different TOT training courses will be conducted


3.18x Formerly AA4:TT3a

GPA Objective Objective 5: To incorporate workers' health in to other policies

CC or NGO Name National Institute of Health, Porto High Institute for Education and Science / Instituto Superior de Educação e Ciências (in Portuguese) – ISEC

Project title Distance Learning in ergonomics for Portuguese speaking countries in Africa

Keywords Ergonomics, distance learning. Project leader Email address Anabela Simoes, [email protected]


Other partners University of Nottingham, UK Funding Self funding

Objective of the project To translate and update an existing respected Distance Learning program from English into Portuguese for use in Africa


Formalise the agreement between the IEA and both universities by December 2005. Complete the first draft of the translation into Portuguese by September 2006. Pilot the program in Mozambique or Angola by April 2007.


Worker representatives, students and supervisors


The development of a basic introductory training program in ergonomics is not available in Portuguese suitable for developing countries. The University of Nottingham has developed and offered a distance learning course which they have offered for translation. This will then enable countries in Africa to utilise the course. An expectation exists that a proportion of the students would continue with further studies leading to formal qualifications

Dissemination National Institute of Health, Porto High Institute for Education and Science / Instituto Superior de Educação e Ciências

Impact (global or regional) Africa

Progress on Project

The agreement with the University of Nottingham to translate the manual of Ergonomics for distance learning education involves 3 partners: ISEC, the University of Nottingham and the International Ergonomics Association (IEA). The IEA promoted the project and the relevant actions to get the signature of the different partners. After the IEA Council meeting on July 2005, the agreement was accepted and was finalized in early 2006. After the signature, the manual was received in Portugal to be translated. This action required a first lecture of the manual and the identification of missing contents and update needs. As the first edition of the manual was issued in 1997, those needs were reported to the IEA President and an agreement for the necessary adjustments was obtained. Then, a new table of contents composed of 14 chapters was defined. A team of seven experts was selected to carry out

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the work. At this stage, the first draft of the manual is expected to be delivered on December 2007 to be submitted to the IEA Standing Committee on International Development. After the approval by the IEA board, the manual will be edited, the relevant training materials will be developed and the contacts with Mozambique will be carried out to allow the pilot test for the project evaluation and validation of the training program, which is expected to be running during the second semester of 2008. So far, the following units of the manual’s table of contents have been written and will be ready very soon for final review: Introduction to Ergonomics Anthropometrics Workstations design Work-related musculoskeletal disorders Manual materials handling Work and ageing Environmental factors Human error The missing 6 chapters will be finalised until the end of 2009.



It is expected that the manual will be edited in 2010 together with the corresponding learning materials. Then, the course will be ready to be disseminated. It is expected as well that the target population will be reached so that the distance learning course will start no later than 2011.


3.19n Ongoing Project


"International Program in Occupational Health Practice" Certificate Online Program


GPA Objective 3 :Improve the performance of and access to occupational health services

Priority Initiative Priority 3: … training for international capacity building in occupational health


Great Lakes Centres for Occupational & Environmental Safety and Health University of Illinois at Chicago School of Public Health


Norbert Wagner , [email protected]


FIOH, Finland, Kaj Husman, [email protected] IOHA, David Zalk, [email protected]

WHO Regions involved (contact name and email)

Global

Country ministries involved (contact name and email)

none

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Danielle Landis, College of Public Health, University of South Florida, [email protected]


Goals: The program focuses on teaching skills and competencies, which are necessary and useful for medical personnel of Occupational Health services in a company. It teaches practical, company-level skills to provide preventive occupational health services to the workforce and to participate in company management activities (e.g. health risk assessments, implementation of integrated HSE management systems). Delivery mode: 100% online, asynchronous, instructor-led. Around 350 hours of learning, delivered over nine months. First cohort started in August 2009. Structure: Three courses:

• Foundations of Occupational Health Practice • Clinical Occupational Medicine and Medical Surveillance • Management in Occupational Health Practice

Info: http://www.uic.edu/sph/glakes/ce/IntPrgOHP.html Target group and/or beneficiaries

This program is specifically designed for company doctors, occupational health nurses, medical technicians and managers of occupational health programs who do not have a sufficient opportunity to get advanced education in Medical Occupational Health in their countries We hope to receive scholarships for participants from trade unions, NGOs and governments in low-resource countries



Course program is developed and starts in Aug 2009 (achieved) Expected by summer 2012 − 3 fundamental courses for a total 40 participants − 3 management courses for a total of 30 participants − 3 occupational disease courses for a total of 30 participants Evaluation report on successes and barriers to implementation


- Number of successful participants - Impact assessment by participants - Improvement of skills documented in self- and external assessments - Indirect: reports of quality of preventive services in companies are improved


Program developed and uploaded July 2009 Program started in August 2009 and cohort will successfully pass in May

2010 Second cohort enrolled and started in Aug 2010, and in each consecutive

year

Public health impact Quality of preventive services in companies are improved Single, qualified individuals are trained, some of them in multiplier

positions such as governments, trade unions

Funding source(s) Tuition fees from participants, often sponsored by companies Scholarships for NGO or government participants provided by UIC, School

of Public Health Scholarships provided by institutions and companies (in future)

Dissemination Flyers at conferences Website http://www.uic.edu/sph/glakes/ce/IntPrgOHP.html Email info distribution through list servers


Program started in August 2009 with 18 participants Ten scholarships to participants from NGOs, trade unions, governments

granted by UIC in Aug 2009 Received requests for scholarships from around the world (Asia, Africa,

Latin America) UPDATE as of June 2010:

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Twenty Participants from 16 countries Twelve scholarships for government, trade union and other NGO

participants Seventeen participants finished successfully


(see Milestones above) • Program started in August 2009 and cohort will successfully pass in May

2010 • Second cohort enrolled and started in Aug 2010, and in each consecutive

year • Expansion of program and addition of more specialized online training

courses (e.g. in surveillance techniques such as audiometry, spirometry or emergency preparedness)

• Reception of scholarships from industry and institutions to support participants without financial means


Expected by summer 2012 − 3 fundamental courses for a total 40 participants − 3 management courses for a total of 30 participants − 3 occupational disease courses for a total of 30 participants − Evaluation report on successes and barriers to implementation


− Quality of preventive services in companies are improved − Single, qualified individuals are trained, some of them in multiplier positions

such as governments, trade unions − Some policy changes, procedure changes and teaching activities of

participants reported Barriers to completion Funding is always critical


3.19r New Project


Translate portable digital course modules in OEH from English into both Spanish and Portuguese and secure mechanisms for delivery of modules to resource limited academic institutions in Latin America.


These capacity building activities directly respond to Objective 3 of the Global Plan of Action for Workers Health: “adapt and disseminate curricula, training materials and training for international capacity building in occupational health, including development of model courses for basic occupational health services and introduction of occupational health into professional education (Action 3.18)”.

Priority Initiative

Priority 3: Adapt and disseminate curricula, training materials and training for international capacity building in occupational health, including development of model courses for basic occupational health services and introduction of occupational health into professional education (Action 3.18). Projects include technical assistance to countries, organizing and conducting international courses and on-line training, and establishment of national training programmes in low and medium income countries.

Responsible CC or NGO Name University of Michigan

Project leader Dr. Thomas Robins [email protected]

Network partners University of Cape Town, National Institute for Occupational Health in Johannesburg, South Africa.


PAHO, Dr. Maritza Tennassee, [email protected] AFRO, Thebe Pule, [email protected]


None at this moment

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University of Texas School of Public Health, Professor Sarah Felknor [email protected]


Working closely with Sarah Felknor at the University of Texas, the 8 OEH modules (roughly 2/3 of a masters degree) which already exist in English, together with the addition of modules to be developed in English during current cycle of Fogarty grant will be translated into both Spanish and Portuguese. Subsequently they will be distributed and used widely in Latin America.


Individuals in Latin America who are seeking to complete a Masters of Public Health degree in occupational and environmental health through a long distance learning program.


-----


Before being put into final format, modules will be tested to ensure that they are culturally appropriate, use language familiar to the target audiences and address the key Occupational Health issues relevant to the region. At the point translations are completed, it is expected that the University of Texas will take the lead responsibilities for dissemination of the materials to appropriate audiences and venues. The portable materials and distance learning methods developed under auspices of the UM grant to date clearly indicate that this modality teaching and training is strongly accepted by both teaching faculty and trainees. This strongly suggests that either the use of the portable materials itself or the distance learning methods could be used to address the graduate training challenges faced in Latin America. We expect that the delivery of these modules within existing or newly established degree program in resource limited academic institutions in selected Latin American countries will greatly assist in establishing the infrastructure necessary for successful full degree programs or specialist stream MPH programs in OEH.


Level of use of modules in Latin America in degree programs and other venues; evaluation of usefulness by instructors and students.


By January 2011, modules will have been used in at least 4 venues in 2 countries in Latin America.

Public health impact Strengthen capacity in OH by strengthening quality of masters degree and other programs through increased access to appropriate didactic materials.

Funding source(s) Support for this project will come from the Fogarty International Centre grant with additional support from Jonathan Myers on-going work at the University of Cape Town and Rajen Naidoo at the University of Kwa Zulu Natal.

Dissemination

The results of the translated electronic materials use and success will be presented in annual reports to the Fogarty International Centre and in presentations at the Biennial UM/IFC. Similar venues and methods will be used under the University of Texas leadership in Latin America to disseminate results. These materials are available at no cost to non-profit organizations and institutions with the proviso that they not be used for commercial or profit-making purposes. With this proviso, the materials will be shared globally via the WHO Global Environmental and Occupational Library.

2009-2012 Work Plan Number 3.18y


Basic Occupational Health Services in Afghanistan

GPA Objective and Action Improve the Performance of and Access to Occupational Health Services

Priority Initiative

Priority 3: Adapt and disseminate curricula, training materials and training for international capacity building in occupational health, including development of model courses for basic occupational health services (BOHS) and introduction of occupational health into professional education (Action 3.18).

Responsible CC or NIOSH

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NGO Name

Project leader Margaret Kitt, HHS/OGHA ([email protected]) Maria Lioce-Mata, HHS/CDC/NIOSH ([email protected])


Eastern Mediterranean Regional Office WHO Afghanistan Office


Afghanistan Ministry of Public Health (MOPH)/Afghanistan Public Health Institute (APHI) Kabul Medical University Institute for Health Sciences


American College of Occupational and Environmental Medicine (Potential) American College of Occupational Health Nursing (Potential)


Building on established relationships with the MOPH, this project advances the WHO effort to build capacity in occupational health in Afghanistan. The project will aim at developing in-country expertise in occupational health in medicine and nursing;


Primary care physicians and nurses and future occupational safety and health professionals



Development of in-country expertise by training Occupational Health Officers within APHI that will work with Kabul Medical University, Institute of Health Sciences, and the veterinary community to build occupational safety and health capacity in Afghanistan.


Number of primary healthcare providers trained in BOHS principles. Number of medical, nursing, and ancillary service students trained in BOHS. Number of healthcare professionals with additional training in occupational safety and health Number of personnel trained in industrial hygiene and safety engineering


Development of short course to teach occupational safety and health to primary care nurses and doctors (train the trainer course) (Aug 2009) Selection and training of healthcare professionals for additional training (November 2009) Development of occupational health officers (2) within APHI (Mar 2010)

Public health impact Capacity building in occupational safety and health to protect and care for the Afghanistan workforce

Funding source(s) Funds are being requested through HHS/OGHA as part of HHS’ more comprehensive programs in the health sector in Afghanistan

Dissemination WHO Best Practices Example; Peer-reviewed publication with Afghan co-authors

Barriers 2010 delayed due to hiring barriers,visa issues, and security .

Level 4: Meta-learning materials 2009-2012 Work Plan Number

3.19j Formerly AA6:WBD2

GPA Objective

Objective 3: To improve the performance of and access to occupational health services

CC or NGO Name

National Institute for Occupational Health (NIOH), SA

Project title

Access to Occupational Safety & Health Information in the SADC Region and in Portuguese-speaking countries (Portugal, Brazil, Mozambique)

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Keywords

electronic networks, OSH information, dissemination, coordination


Ms Claudina Nogueira [email protected]


1. NIOH, South Africa 2. IACP, Italy (Alberto Zucconi [email protected]) 3. University of Cape Town (UCT), South Africa (Mohamed Jeebhay

[email protected]) 4. NIOSH, USA (Max Lum; Marilyn Fingerhut [email protected];

[email protected]) 5. CCOHS, Canada (P. K. Abeytunga [email protected]) 6. HSL, UK (Andrew Curran [email protected]) 7. Fundacentro (Jorge Duprat Figueiredo Foundation of Occupational

Safety and Medicine), Brazil (Alcinéia Santos [email protected] and Gilmar Trivelato [email protected]; [email protected])

8. FIOH, Finland (Suvi Lehtinen; African Newsletter [email protected])

Other partners

1. Worker’s Health Programme, University of Kwazulu-Natal, SA

2. Occupational Health Management Board, Zambia 3. Sida-WAHSA Resource Complexes in Tanzania 4. Mozambique – Centre for Industrial Studies, Safety and Environment

(CEISA), Eduardo Mondlane University, Maputo (Custódio Muianga [email protected])

5. Mozambique - Ministries of Health and Labour 6. Senac (National Commercial Training Service), Brazil (Berenice

Goelzer [email protected] and Regina Helena Ribeiro [email protected])

Funding

Part of this project is funded through the Swedish International Development Cooperation Agency (Sida) and is a component of the Work and Health in Southern Africa (WAHSA) Programme, and supported by the NIOH, SA. Close collaboration with Sweden is an integral part of the WAHSA Programme. This project has the endorsement and support of the WHO, and OSH meetings held thus far for Portuguese-speaking countries have received some sponsorship from the WHO.


Comprehensive OSH information to be established at the NIOH Clearing House, and to be made readily available in all Southern African Development Community (SADC) countries, and Portuguese-speaking countries (Portugal, Brazil, Mozambique). This will include information on professional training, research programmes, international development programmes and practical solutions to dust control and the elimination of silicosis, relevant laws and policies. A comprehensive electronic network of OSH professionals in the SADC member states (including Mozambique and Angola), Portugal and Brazil will be established to support the Clearing House and to promote the dissemination and exchange of OSH information in Portuguese-speaking countries.


• Recommendations for improving the NIOH Clearing House to be

established and implemented, following an evaluation of the information functions of the NIOH in December 2005. The recommendations will include ways that SADC and member countries can promote the collection and dissemination of pertinent information as well as ways to enhance its use to support OSH in the Region (early 2006)

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• A follow-up audit to be conducted by the Sida-WAHSA Regional Programme Director and experts from the NIWL, after the recommendations have been presented and the process of implementation starts. This audit will include an assessment of the Clearing House functions by clients of the Clearing House, as well as an evaluation of the electronic network of practitioners (mid 2007)

• Training courses to be offered by NIOH Clearing House on access to OSH information to OSH information officers in various SADC countries (2010 – 2012)

• A network of Portuguese-speaking countries is to be established, for the promotion of OSH – inter-country dissemination of teaching and training materials, research findings, brochures, and any relevant OSH information in Portuguese


Clients of the NIOH Clearing House, in the SADC Region (OSH professionals and institutions, enterprises, trade unions, governmental agencies), international agencies supporting the Clearing House e.g. ILO and WHO, Resource Complexes that are in the SADC Region, and are collaborators of the Sida-WAHSA Programme, NIOH staff members. Another target group will be the OSH professionals, practitioners and trainers at various institutions in Portugal and Brazil, and it is envisaged that more Portuguese-speaking countries in Africa, beyond the SADC member states, will be included in the near future.


Adequate access to information is a basic principle of OSH – practitioners and social partners require the technical information to recognize and control workplace hazards. The right information is also required to promote coordination and to avoid duplication in the planning of research projects and actions for change. Despite this very real need, the Southern African region has inadequate access to information on many aspects of OSH. SADC has recognized this need, and requested that an OSH Clearing House be established at the NIOH to serve the SADC member states. The process of establishing the Clearing House at the NIOH was started following a meeting in 2000, but a number of changes and improvements are required to correspond to the functions originally attributed to the Clearing House, to serve the SADC region. A network of professionals active in OSH in the public and private sectors and in organizations supporting the social partners and communities will be established and maintained. Another function will be the standardization of format for regional web-based projects – this will provide international compatibility and linkage with other WHO CC Activity Areas / GPA Objectives.

Dissemination

Worker and enterprise meetings and associations, professional associations, academic and training institutions, WHO/ILO documents; regional Departments of Labour and Health. Links to related websites. OSH journals: “Occupational Health, Southern Africa” and “African Newsletter on Occupational Health & Safety”.


SADC Region, Brazil, Portugal and other Portuguese-speaking countries in Africa - AFRO; AMRO; EURO

PROGRESS ON THE PROJECT, as at 8 June 2010

• The development of the SADC Clearing House at the NIOH is an

ongoing initiative, which needs much work.

• The proposed consolidation of all three libraries of the National Health Laboratory Service (NHLS) is yet to happen, but the library services across the NHLS (including the NIOH and the National Institute for Communicable Diseases [NICD]), have made the acquisitions of E-Journals a priority and a focus area over the past year. The libraries now have a number of electronic holdings which are used by scientific and technical staff across the NHLS.

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• Phase I of the Swedish-funded WAHSA Programme has officially

come to an end, and no further alternative funding has been secured to date for a possible Phase II. A number of information and training materials were developed as part of the WAHSA Programme – information about obtaining these materials is available from the NIOH; some of the materials can be obtained directly from the Mine Health and Safety Council (MHSC) in South Africa – www.mhsc.org.za

• The work towards developing the network of occupational health and safety links within Portuguese-speaking countries – particularly Brazil, Portugal and Mozambique – is ongoing. Some new projects were submitted by Brazil to the current WHO CC in OH Global Network Plan (2009-2012) after the WHO CC in OH meeting was held in Geneva in October 2009. Brazil is very active in developing training materials, which are shared with the NIO. The NIOH, in turn, shares the materials with Mozambique as part of its OHS capacity-building and outreach core function in the SADC Region.


Phase I if the WAHSA Programme (2004-2008) has come to an end. A number of information materials were developed as outcomes of most projects of WAHSA, especially for the three main action and intervention projects carried out in the SADC Region: Project 7 – Action on Silica, Silicosis and TB; Project 8 – Action on health impact of pesticides; Project 9 – Action on the informal sector. The information materials are available on the website www.wahsa.net under each project. Other main achievements of the WAHSA Programme include:

• Identification of OSH needs and challenges in the SADC Region • The establishment and strengthening of Resource Complexes in three

SADC countries: Zambia, Tanzania and Mozambique • Development of South-South collaborations • Capacity-building through training and intervention programmes in the

Region – improved capacity to measure and control dust (with a focus on the quarry industry) and pesticide exposures; development of OSH in the informal sector

• Contribution to and partial regional coordination of the Silicosis Elimination Programme

• Improvement of TB prevention and case finding • All projects have included a strong information dissemination

component • A publication was released in September 2008 “Work and Health in

Southern Africa 2004-2008: Findings and outputs of the WAHSA Programme” and can be requested through the contacts on the WAHSA website

• A number of activities have been carried out which have strengthened and anchored the Portuguese-speaking network of occupational health practitioners


The WAHSA programme had initially been proposed as a long-term activity (three phases of four years each). Economic constraints experienced towards the end of the first four years have resulted in no further phases being funded, but Phase I of WAHSA has contributed to paving the way for future OSH action, intervention, advocacy and awareness-raising in the SADC Region. A number of other OSH programmes and initiatives are currently underway in the SADC Region. Major outcomes expected by 2012:

• The outputs from the aforementioned programmes need be coordinated efficiently for better dissemination and use in the Region and beyond. It is envisaged that this will be possible by making use of established information repositories and dissemination avenues, and possibly proposing new networks for this purpose - like the NIOH website / Clearing House – as a regional resource for information materials

• South Africa drives a number of OSH training and capacity-building

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programmes in the Region, with a special focus on the development of OSH key players in government, such as the Departments of Health and Labour. This project can be linked with OSH training initiatives planned for target audiences such as factory inspectors, provincial coordinators and health care workers, for example

• Further development of the Portuguese-speaking network of occupational health practitioners is envisaged through continued collaborative training activities

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GPA3.2b: Capacity building through IBOSH Facilitating Project


Internet Basic Occupational Health Services (iBOSH)

GPA Objective GPA 3: to improve the performance of and acess to occupational health services

GPA Action

GPA Action 17: Core institutional capacities should be built at national and local levels in order to provide technical support for basic occupational health services, in terms of planning, monitoring and quality of service delivery, design of new interventions, dissemination of information, and provision of specialized expertise.

Priority Area

Priority Area 3.2: Adapt and disseminate curricula, training materials and training for international capacity building in OH.


Training of various professionals e.g. in primary of public health care in delivering basic occupational health services (BOHS) where there is no, or very little, occupational health provision. iBOHS will build a community network and provide concrete support for existing and new initiatives on capacity building for BOHS. BOHS initiatives are usually in parts of the world or for working populations with no or limited prevention of accidents, occupational and work-related diseases, and work disability. In addition iBOHS will support access to reliable knowledge on OHS.

GPA Manager Kaj Husman Leslie Nickels


Frank van Dijk, Coronel Institute AMC, Amsterdam, the Netherlands John Harrison, Imperial College Healthcare NHS Trust, London, UK



316m Cochrane Occupational Health Field 3.16o Occupational Health Service Support for small enterprises (SSE) to promote their ability to enhance health status of workers; Department of Occupational Health, Korea Occupational Safety and Health Agency (KOSHA), Republic of Korea 3.17g An online platform for capacity building for the BOHS; Center for Occupational Diseases/ Coronel Institute of Occupational Health AMC, Amsterdam, The Netherlands 3.18k OHS capacity development , Research, training, and service, University of Cape Town 3.19i Module of continuous training for occupational health physicians; Institute of Occupational Health and Safety, ISST, Tunisia 3.19m Support of peer-reviewed, Spanish-language Scientific Occupational Health Journals University of Texas, USA 3.19o Training trainers to provide better occupational health services to blue-collar working populations in the province of Riau, Indonesia; NUS, Singapore 3.19p International education and training in occupational health psychology, Univesrity of Nottingham During future meetings in Geneva we will decide on the usefulness of dividing the projects in subgroups e.g.: iBOHS 1 on materials: providing information and materials such as courses, curricula, modules, BOHS core curriculum, e-lessons, etc. iBOSH 2 on technical aspects; (inks to) technical support, innovations, etc IBOSH 3 on strategic topics: consultancy on iBOH models, services, policies, implementation, maintenance, etc iBOHS 4: on access to reliable knowledge such as : materials and training in evidence-based practice in OHS; repository of or links to evidence-based knowledge.

WHO Regional offices actively involved in this WHO/RO Europe, Rokho Kim

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3.16m Formerly AA6:SWI3


CC or NGO Name Finnish Institute of Occupational Health; COHF Project title Cochrane Occupational Health Field Keywords knowledge transfer, evidence, Cochrane collaboration


Jos Verbeek [email protected]


Coronel Institute, Amsterdam, the Netherlands Office of the Australian Safety and Compensation Council, Department of Employment and Workplace Relations (Peta Miller, Anh-Thu Stuart [email protected]; [email protected]) National Institute for Occupational Health, NIOH – SA (Danuta Kielkowski [email protected])

Other partners All WHO CCs wishing to contribute to the reviewing

Funding Finnish Ministry of Social Affairs and Health, FIOH, Australian SCC, Dutch Ministry of Social Affairs

Objective of the project To collect and summarize evidence on occupational health interventions


For the time period 2006-2010 there will be 20 reviews of occupational health and safety interventions available through the Cochrane Library. During every year of the time period about 5 reviews will be finished. The titles of reviews to be finished can be found on the website of the Cochrane Occupational Health Field at www.cohf.fi


Cochrane reviews are made in a global context. The target groups that can benefit from occupational health reviews are policy makers who can make more informed decisions. Next, occupational health professionals can benefit in making decisions about which interventions to apply in practice. Professional associations can use the information to provide better clinical practice guidelines.

project (name and email) Other partners for this Facilitating Project (employers, trade unions, other)

ICOH Board and many ICOH scientific committees especially on Education and Training; on Development; on OHS Research and Evaluation; on Communication.


In a growing number of countries Basic Occupational Health Services projects are being carried out to meet the huge need for capacity building and availability of expertise and materials. An international coordinating effort might have a great potential to foster existing and to support new initiatives. The iBOHS facilitating project will have the form of community network building and sharing online learning materials (lessons, iBOHS modules, iBOHS core curriculum) , organizing mutual concrete support mainly using the internet. iBOHS will also offer advices and learning materials on how to find reliable information on occupational health and safety, especially evidence-based materials in collaboration with the Cochrane Field Occupational Health.


Platform for internet based technical assistance on capacity building for primary / public health care and for occupational health services which includes availability of educational materials (learning objects) e.g. core BOHS curriculum and modules, a network of experts for assistance, advices how to do, mutual support between iBOHS community network participants, advices and materials on evidence-based knowledge for OHS.

Critical Gaps to be filled in order to fulfil deliverables

Networking just started and has to be building up using ICOH and WHO networks and e.g. EASOM (European Association of Schools of Occupational Medicine). Collaboration/integration with WHO facilitating project Education and Training Repository has to be determined. We might choose to develop a core group of iBOHS participants who take a share in developing facilities, and a more wide stakeholders group.


Funding is needed for manpower, for development and maintenance of web based digital facilities, and for face to face meetings.

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The aim of the Occupational Health Field is to gather the evidence on the effectiveness of occupational health interventions and to stimulate the completion of systematic reviews on these interventions. The scope of the Field covers all interventions related to the prevention or treatment of occupational or work-related diseases, injuries and disorders. Trials that include a comparison group will be considered as evidence. Occupational health interventions are activities aimed at reducing exposure to health hazards, worker behaviour that is unfavourable to health, occupational or work-related diseases, injuries or disorders, or occupational disability and avoidable sickness absence.

Dissemination To this end the Field will maintain a database of controlled trials and systematic reviews on the effectiveness of occupational health interventions and make the results available to all those who are working in Occupational Health through their website www.cohf.fi


The project aims at improving the quality of occupational health activities at a global level

PROGRESS ON PROJECT

The Cochrane Occupational Health Field is a well established entity in the Cochrane Collaboration. Six reviews have been published in the Cochrane Library which is available in most countries free of charge, through www.thecochranelibrary.org. Protocols for another 9 reviews have been published and it is expected that these will become available during the next year. Another 8 titles have been registered and it is envisaged that these will also progress into full reviews. The topics of the reviews cover a wide range, from injury prevention to pre-employment examinations and return to work after depression. Thus, the project is on schedule according to the initial proposed planning.


3.16o Formerly 5.2b


Occupational Health Service Support for small enterprises(SSE) to promote their ability to enhance health status of workers

GPA Objective and Action Objective 2, Priority 1, Action 2.11

Priority Initiative Develop practical tools for the assessment and management of occupational risks Responsible CC or NGO Name Korea Occupational Safety & Health Agency (KOSHA)

Project leader Jungsun Park ([email protected]) Min Yoo ([email protected])

Network partners Finnish Institute of Occupational Health (FIOH), Catholic University (Korea), National Institute of Occupational Safety and Health, Japan (JNIOSH)







Free technical support through professional occupational health organizations is provided to workplaces with less than 50 employees for the prevention of occupational diseases and improvement of workers’ health. In particular, workplaces with employees less than 10 are provided with free basic occupational health services including work environment measurements and special health examinations.


Employers, employees in small and medium sized enterprises, Occupational health practitioners

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Enhanced health status of workers in small and medium sized enterprises


Improvement of working condition Decrease rate of smoking workers Increase rate of workers with normal BMI, normal cholesterol level and normal blood pressure level


Establishment of project plan : March Providing technical support : April to December Evaluation of achievement : February (next year) * This project will be repeated every year



Dissemination Include the service in the training program for developing Asian countries Provide the model and the outcomes of this service to WHO CC networks


Activities in 2009> 1. Technical assistance of the workplaces with less than 50 employees o Number of workplaces : 14,000

- manufacturing workplaces : 8,500 - non-manufacturing workplaces(service, transportation, etc) : 5,500 o Assistance by occupational nurse/hygienist in local occupational health service

centers through visiting 4 times(average) annually - support the work environment management in workplaces by managing

chemicals and inspecting local ventilation system - help workers quit smoking, reduce drinking, and manage stress

- counseling on health management, exercise prescription - measure worker’s blood pressure, blood sugar, and cholesterol level

2. Providing work environment measurement and special medical examination for manufacturing workplaces with less than 10 employees o work environment measurement : 4,495 workplaces o special medical examination : 1,349 workplaces(3,418 workers) * Through this assistance, workplaces’ general performance of observing the Occupational Safety and Health Act was improved

3. Introduce worker’s health indices as achievements of activity by providing simple check-ups(blood pressure, blood sugar, cholesterol level, etc)level, etc)

* Outcome of project after assistance(decrease rate of risk group) Division

(Risk group) Before

assistance After

assistance Decrease

rate Smoking workers 38.7% 30.3% -8.4%P

BMI(>25kg/m2) 29.8% 24.1% -4.8%P

Blood pressure level (systolic>140, diastolic>100mmHg)

34.9% 25.5% -9.4%P

Total cholesterol level(>200mg/dL) 21.4% 14.9% -6.5%P

Total blood sugar level(>126mg/dL) 25.3% 20.6% -4.7%P

<Activities in 2010 : in progress> 1. Technical assistance of the workplaces with less than 50 employees o Number of workplaces : 25,000

- manufacturing workplaces : 15,000 - non-manufacturing workplaces(service, transportation, etc) : 10,000 2. Providing work environment measurement and special medical

examination - Supporting work environment measurement : over 5,473 workplaces

Supporting special medical examination : over 52,934 workers


Technical and financial assistance for worker of small enterprises will be continued.

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3.17g New Project


iBOHS, online platform for capacity building for the Basic Occupational Health Services


GPA Objective 3 : to improve the performance of and access to occupational health services

Priority Initiative Priority 3.2: Adapt and disseminate curricula, training materials and training for international capacity building in OH


Professor Monique Frings- Dresen, Director Coronel Institute Contact: Prof. Frank van Dijk Coronel Institute of Occupational Health, AMC Meibergdreef 15, 1105 AZ Amsterdam, the Netherlands Tel: +31-20-56 65 325 Fax: +31-20-6977161 E-mail: [email protected] Second contact: Dr. D Spreeuwers [email protected]

Project leader

Prof. Frank van Dijk Shared leadership with Prof. John Harrison Clinical Director Organisational Health and Wellbeing Imperial College Healthcare NHS Trust Hammersmith Hospital Du Cane Road London W12 0HS, UK Tel: 00 44 208 383 1514

Network partners

FIOH, Helsinki, Finland FIOH Kuopio, Cochrane Field Occupational Health Great Lakes Centres for Occupational & Environmental Safety and Health, University of Illinois School of Public Health, USA Networm, Munich, Germany


Most contacts in Europe and North America Contacts with e.g. UOEH in Kitakyushu Japan


Not yet


ICOH Board initiative to stimulate BOHS and education


In a growing number of countries such as in China, Russia, Vietnam, several African and South East European countries so-called BOHS projects are being carried out. Given the huge need for capacity building and the availability of expertise and materials that are already developed, an international coordinating effort might have a great potential to foster existing initiatives for capacity building and to enrich and support existing ones. Such a coordinating initiative, we call this a platform, can operate largely online using the internet. The main aim of the project is to contribute to capacity building for the BOHS initiative. BOHS addresses the need for occupational health provision, usually in parts of the world where there is no, or very little, occupational health provision – either accident prevention or the prevention and management of occupational / work-related diseases and of work disability. Delivery of BOHS will require suitable training of practitioners and good access to knowledge and sources of information to underpin practice. The creation of a global curriculum will define the required competencies for delivering BOHS. It is envisaged that the curriculum will include high priority core modules whose relevance will be independent of geography and modules that will be specific for identified occupational hazards

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and the socio-political conditions that pertain to different parts of the world. Access to knowledge sources is important and will be fostered (Cochrane library, development of evidence-based practice).


OHS and BOHS service providers in countries which have decided to implement the BOHS model


Start January 1st 2010, when possible. The duration of the pilot phase is 24 months, the duration of the total project is 48 months. We propose to start with the pilot phase of 24 months and to create a go/no go decision for the second phase of the project at the moment 20 months after the start. An appropriate procedure and evaluation criteria for success for the pilot phase and for the whole project are formulated in advance.


Pilot platform in the internet as a community of experts exchanging materials etc. Available training material for BOHS implementation in countries. Perspective for next step development of curricula with help of platform.

Indicators of achievement (impact) Availability of validated and feasibility-tested BOHS core curricula.


Start January 2010 Pilot project completed by 1 January 2012 High priority modules available by 31.12.2012

Public health impact Good working BOHS initiatives all over the world; elevated competence of BOHS providers

Funding source(s) Multiple national sources, International Organizations, Other international donors, National governments

Dissemination Through platform global dissemination is easily possible


In WHO and ICOH the idea of iBOHS has been widely accepted. Several international contacts to spread the idea are fruitful. During a workshop during the ICOH congress in Cape Town March 2009 experts agreed upon various activities that are regarded useful to support capacity building in basic occupational health care. A report is written on the results of a small questionnaire (n=15) filled in by these experts. First efforts started to find funding. In Geneva WHO meeting October 2009, fine tuning is planned with WHO CC projects and with learning repository initiatives from Linda Grainger/Jonny Myers. Finding seed money is important.


The establishment and successful functioning of iBOHS as an internet platform and concrete help for capacity building (training, education) needed to promote and build basic occupational health services. The form is connecting experts and initiatives to support the training of high quality human resources for BOHS, offering material, ideas, good practices elsewhere, educational advices, sharing of visions. Essential is the idea of forming a community of committed experts from various countries using WHO and ICOH networks and in addition other networks such as of ILO; of professional associations of occupational physicians, nurses, psychologists, hygienists, toxicologists, ergonomists; of existing strong regional educational networks for occupational health and safety.


The impact will be a global spreading of free accessible high quality learning materials, information and tools, expert consultancy. A cross-cutting task group will support the development of basic occupational health services worldwide. The platform will join existing WHO CC activities starting communities of practice and delivering concrete materials to those in need, especially useful for capacity building.


Funding and time/manpower to make a concrete start as soon as possible.

Other

Collaborating Centres in the proposal development are FIOH, Helsinki; Occupational and Environmental Health Research Unit University of Cape Town, South Africa; Great Lakes Centres for OESH, University of Illinois USA; LMU university Munich, Germany; Coronel Institute AMC Amsterdam the Netherlands. Many other WHO collaborating centers and many ICOH officers are supporting the initiative. Collaboration will be sought with ICOH, ILO and others in summer 2010.

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3.18k Formerly AA4:A2b


CC or NGO Name Occupational and Environmental Health Research Unit University of Cape Town, South Africa

Project title OHS capacity development , Research, training, and service

Keywords Education, training, capacity development in teaching research and service Project leader Email address

Professor J Myers [email protected]


University of Michigan School of Public Health

Other partners

Funding Funding is part of the normal University system apart from scholarship and bursary funding which may be sought from time to time for a number of training slots or for specific candidates.

Objective of the project Postgraduate training programme at Masters level (linked with a Postgraduate Diploma (DOH)) in occupational health (MPhil) and an occupational medicine specialist training programme (MMed)


To train 4 – 6 MPhils in over a 2 to 3 year period To train 4 MMeds over the next 4 years


Occupational and environmental health and other appropriately qualified professionals wishing to engage in serious study at the postgraduate level with a view to obtaining research, teaching and service provision skills. The MPhil will serve mainly as a vehicle for non-medical students while the MMed will cater exclusively to medical graduates.


Two new programmes will commence from 2006 for appropriately qualified typically medical and non-medical graduates seeking to enroll in postgraduate study at the University of Cape Town. The first is a Masters of Philosophy degree in Occupational Health which is a research masters with 50% dissertation requirement interlinked with a postgraduate Diploma programme and is aimed at occupational health professionals and managers in the public and private sectors. The second is a Masters of Medicine in Occupational Medicine aimed at medical graduates and at producing a specialist cadre in the region.

Dissemination A combination of formal face to face and distance learning in formal postgraduate programmes at the University of Cape Town


Progress on Project

The second round of the web-based postgraduate diploma in occupational health is in progress with 20 candidates, MPhil in Occupational Health 1 candidate, and 4 M Med registrars specializing in Occupational Medicine. A new web platform is being used for distance teaching. This is based on the global inter-institutional SAKAI open-source collaboration and is named VULA at the University of Cape Town. This has been most successfully used for distance teaching for students as far a field as Ghana, Zambia, Botswana and Angola.


3.19i Formerly AA4:TM4


CC or NGO Name Institute of Occupational Health and Safety - Tunisia -ISST

Project title Module of continuous training for occupational Health physicians Keywords Modulate formation - harmful noise -physiology at work- professional asthmas Project leader Email address

Dr. Nouaigui - Dr. Ben Laiba [email protected]

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Occupational Health Department, High Institute of Public Health, Alexandria University, Egyt

Other partners National experts in health and safety at work Funding Budget of the ISST


- To adopt a step diagnosis with respect to certain professional pathologies. - To develop the technical skills of occupational Health physicians , relating to the new techniques of prevention of occupational hazards.


- A better performance of occupational Health physicians and in particular within the framework of their practical activities . - Better control of workers presenting high levels of exposure to occupational hazards, by the occupational Health physicians - limiting Date: October 2008


- services of occupational Health physicians – trainee Doctors


This module is a training scheme intended for occupational Health physicians. It concerns specialized continuous training during which several topics will be examined about the daily activity of the occupational Health physicians. This continuous training aims at a development of knowledge of the occupational Health physicians in the field of prevention of professional pathologies, paraclinic exploration and the legal medical aspects....

Dissemination occupational Health departments, companies and universities of medicine Impact (global or regional) National

Progress on Project the start of the continuous training is envisaged on March 11-2008 2009-2012 Work Plan Number

GPA3.19m Formerly AA6:KTBP 7


CC or NGO Name Southwest Center for Occupational and Environmental Health The University of Texas School of Public Health, USA

Project title Support of peer-reviewed, Spanish-language Scientific Occupational Health Journals

Keywords peer review ; scientific journal ; Archivos de Prevención de los Riesgos Laborales ; Salud de los Trabajadores


Sarah A. Felknor, DrPH, MS ([email protected]) George L. Delclos, MD, MPH, PhD ([email protected])

Partners (of the CC Network) See note below re: Barcelona Center (pending designation).

Other partners

Centro de Estudios en Salud de los Trabajadores, Universidad de Carabobo, Maracay, Venezuela Occupational Health Research Unit, Universitat Pompeu Fabra, Barcelona, Spain – pending designation as a WHO CC Catalan Society for Occupational Medicine and Safety, Spain

Funding Fogarty International Center ITREOH Training Grant ; The University of Texas School of Public Health Division of Environmental and Occupational Health Sciences (discretionary funds) ; Catalan Society for Occupational Medicine and Safety


Dissemination of rigorously reviewed, up-to-date, scientific information in occupational and environmental health


This activity has been ongoing (and remains very active) since 1999. A major objective for the 2006-2010 period is to successfully obtain indexing in MEDLINE for at least one of our two supported journals.


Spanish-speaking occupational health professionals and students in Latin America and Spain.


Two journals are supported: Salud de los Trabajadores (Venezuela) and Archivos de Prevención de los Riesgos Laborales (Spain, with dissemination to Latin America). Support is in the form of: Financial (subscriptions to key institutions in Latin America) Editorial board membership Translation and quality control of all English abstracts

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Preparation of application for MEDLINE indexing Peer review of manuscripts

Dissemination Spanish-speaking universities and academic institutions Spanish-speaking professionals and students in occupational health

Impact (global or regional) Global (Latin America and Spain)

Progress on Project All of the activities described under Summary of project are in effect and ongoing. An application for MEDLINE indexing (for Archivos de Prevención de los Riesgos Laborales) has been submitted and is pending review


3.19o New Project


Training of trainers to provide better occupational health services to blue-collar working population in the province of Riau, Indonesia

GPA Objective and Action GPA Objective 3,

Priority Initiative Priority 3, Project B, C Responsible CC or NGO Name NUS

Project leader David Koh [email protected]

Network partners Ministry of Manpower, Singapore, Sweet Far HO [email protected]



Directorate of Occupational Health, Ministry of Health of the Republic of Indonesia, Ministry of Health Republic of Indonesia


Singapore International Foundation (SIF), Wen Yong Xing [email protected]


This is project aimed at enhancing the knowledge and skills of occupational health practitioners in the province of Riau Archipelago, Indonesia in providing better health services for the blue-collar working population in the province from education and prevention to diagnosis and treatment of occupational diseases.


40 occupational health practitioners, including 10 members of the core trainee team. These professionals are from the Directorate of Occupational Health, Batam Municipal Health Office, Health Department of the Riau Archipelago Province, diverse public health centres/polyclinics, hospitals, companies and private clinics in Batam, Bintan, Karimun and other islands in the province.


This project could also be extended to other province in Indonesia where occupational health would apply an important role in the community


As the participants will be required to transfer the skills they learn at the training sessions to other colleagues, it is projected that at least 605 occupational health practitioners from the 605 health centres and facilities (mostly public) providing services to workers throughout Batam (statistic obtained from Batam Municipal Health Office) will benefit from the cascading effect of the skills transfer. A further estimated 700 occupational health practitioners from the other islands, chiefly Bintan and Karimun, will also benefit indirectly.

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Participants (they) are able to demonstrate their understanding of general and specific ideas and concepts on occupational health to the trainers through the assignments given to them by the latter. They are able to deliver public talks, presentations and education seminars, among others, on topics and issues directly relating to occupational health in the province after the training They are able to demonstrate skills in diagnosis and management of occupational health problems and diseases. They are able to demonstrate skills in assessment of the workplace and implementation of preventive measures in the workplace.


End May 09 – completion of first training Course End Dec 09 – completion of 2nd training Course End May 10 – Trainers completed training in Singapore End Dec 10 – completion of 3rd training Course End May 11 – completion of 4th training Course


Approx 250,000 mostly blue-collar workers from 3102 companies (including factories and plants) in Batam - based on statistic from Batam Municipal Health Office - and a further estimated 200,000 workers on the other islands in the province, chiefly Bintan and Karimun will benefit from doctors who are better trained in the delivery of occupational health.

Funding source(s) NUS & MOM WHO CC and Singapore International Foundation Dissemination


3.19p Formerly AA4: CE2b

GPA Objective Objective 1: to devise and implement policy instruments on workers’ health CC or NGO Name Institute of Work, Health & Organisations, University of Nottingham Project title International education and training in occupational health psychology

Keywords Occupational health psychology, psychosocial issues at work, work-related stress, education, training, awareness




FIOH – Finland CCOHS - Canada NIOH – South Africa

Other partners

George Mason University – USA Colorado State University – USA EPUC - Chile University of Cyprus European Academy of Occupational Health Psychology US Society of Occupational Health Psychology

Funding Funding will be sought through the EC Erasmus Mundus programme Objective of the project

Development of international collaboration in education and training in occupational health psychology

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To develop a model core curriculum of occupational health psychology that will serve as the basis for the development of OHP courses on a global basis To establish a network of centres of excellence in OHP education and training that will be promoted through a website


All occupational health and safety organizations, associations, training institutions; Higher education institutions; occupational health and safety professionals; students


This project will promote occupational health psychology (OHP) across Europe and beyond it. This will be achieved through a network of institutions across the world, supported by the World Health Organization Network of Collaborating Centres in Occupational Health, the European Academy of Occupational Health Psychology (EA-OHP) and the US Society of Occupational Health Psychology (SOHP). The project will run over a two year period and will include the following phases: Review of OHP education and training provision across the world. This will be achieved though web-based searches, contacting and collecting information from higher education institutions, educational, training and relevant professional associations as well as public or private bodies active in the field of higher education. The review will identify lack of provision of OHP education and training and will serve as the basis for a subsequent awareness raising campaign. A network of OHP education and training institutions will be formed with the aim of promoting OHP across the world. A model OHP curriculum will be developed that will be used as the basis of OHP courses in countries where the discipline is not well-developed. An awareness raising campaign will take place that will include: the development of a website that will be promoted through the WHO, the EA-OHP and the SOHP seminars and workshops in different countries an OHP conference

Dissemination Website; seminars; workshops; conference; publications Impact (global or regional) Global

Progress on Project The first application for funding was not successful but we will apply again this year.

WHO Work Plan 2009-2012

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WHO Global Network of Collaborating Centers in Occupational Health GPA Objective 1: To devise and implement policy instruments on workers' health - Claudina Nogueira GPA Objective 2: To protect and promote health at the workplace - Stavroula Leka and Aditya Jain GPA Objective 3: To improve the performance of and access to occupational health services - Kaj Husman and Leslie Nickels GPA Objective 4: To provide and communicate evidence for action and practice - Jo Harris-Roberts and Edward Robinson GPA Objective 5: To incorporate workers' health in to other policies - Wendy Macdonald GPA Objective 4: To provide and communicate evidence for action and practice Manager: Jo Harris-Roberts and Ed Robinson, HSL, UK ACTION AREAS: 20. Systems for surveillance of workers’ health should be designed with the objective of accurately identifying and controlling occupational hazards. This endeavour includes establishing national information systems, building capability to estimate the occupational burden of diseases and injuries, creating registries of exposure to major risks, occupational accidents and occupational diseases, and improving reporting and early detection of such accidents and diseases. 21. Research on workers’ health needs to be further strengthened; in particular by framing special research agendas, giving it priority in national research programmes and grant schemes, and fostering practical and participatory research. 22. Strategies and tools need to be elaborated, with the involvement of all stakeholders, for improving communication and raising awareness about workers’ health. They should target workers, employers and their organizations, policy-makers, the general public, and the media. Knowledge of health practitioners about the link between health and work and the opportunities to solve health problems through workplace interventions should be improved. 23. WHO will define indicators and promote regional and global information platforms for surveillance of workers’ health, will determine international exposure and diagnostic criteria for early detection of occupational diseases, and will include occupational causes of diseases in the eleventh revision of the International Statistical Classification of Diseases, and Related Health Problems. PRIORITIES: Priority 4.1: Encourage practical research on emerging issues, including nano-materials and climate change Output: Research reports and communication strategies with low- and medium income countries on interventions to ensure workers' health Support: CC: Jo Harris-Roberts, Ed Robinson, Rosemary Gibson, HSL, UK WHO/HQ: Ivan Ivanov Priority 4.2: Further develop the global research agenda for workers’ health Output: Research report matrix to identify relevant gaps in research Support: CC: Jo Harris-Roberts, Ed Robinson, HSL, UK WHO/HQ: Ivan Ivanov Priority 4.3: Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD) to include occupational causes in the eleventh edition. Output: Occupational health and disease components added to ICD-11 Support: CC: Jo Harris-Roberts, Ed Robinson, HSL, UK WHO/HQ: Ivan Ivanov, Rokho Kim

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GPA 4.1: Encourage practical research on emerging issues, including nanomaterials and climate change. Nanotechnology projects are included in this Facilitating Project

Facilitating Project title Coordination of CC Nanotechnology Projects GPA Objective Objective 4: To provide and communicate evidence for action and practice

GPA Action

4.20 Systems for surveillance of workers’ health should be designed with the objective of accurately identifying and controlling occupational hazards. This endeavor includes establishing national information systems, building capability to estimate the occupational burden of diseases and injuries, creating registries of exposure to major risks, occupational accidents and occupational diseases, and improving reporting and early detection of such accidents and diseases. 4.21 Research on workers’ health needs to be further strengthened, in particular by framing special research agendas, giving it priority in national research programmes and grant schemes, and fostering practical and participatory research. 4. 22 Strategies and tools need to be elaborated, with the involvement of all stakeholders, for improving communication and raising awareness about workers’ health. They should target workers, employers and their organizations, policy-makers, the general public, and the media. Knowledge of health practitioners about the link between health and work and the opportunities to solve health problems through workplace interventions should be improved.

Priority Area

Priority 4.1a: Encourage practical research on emerging issues, including nanomaterials


Emerging issues brought about by nanotechnology represent global challenges with implications for public health. The aim of this facilitating project is to summarize and coordinate projects related to these issues, focusing particularly on their deliverables in the form of global reports and communication strategies with low- and medium income countries on interventions to ensure workers’ health

GPA Managers Jo Harris-Roberts, Ed Robinson


Rosemary Gibson; [email protected] Vladimir Murashov; [email protected]

WHO responsible person Ivan Ivanov


Emerging Area 1: Nanotechnology (Initiative Leaders: Rosemary Gibson; Vladimir Murashov) GPA4.21l. How to assess the adequacy of safety measures for manufactured nanoparticles. Project Leader: Michael Riediker; [email protected] Institute for Work and Health, Lausanne, Switzerland GPA4.21m. Best practices globally for working with nanomaterials. Project Leaders: Charles Geraci [email protected]; Vladimir Murashov [email protected]. National Institute for Occupational Safety and Health (NIOSH), USA. GPA4.21n. Nano-Comms: A Technical Observatory for the dissemination of information regarding nanoparticle health and safety issues. Project Leader: Rosemary Gibson; [email protected]. Health and Safety Laboratory, UK GPA4.21o. Assessing the Hazard of Nanomaterials. Project Leader: Lang Tran; [email protected]. Institute of Occupational Medicine, Edinburgh, UK GPA4.21p. NanOSH Italy. Project Leaders: Sergio Iavicoli ([email protected]); Fabio Boccuni ([email protected]). ISPESL – Dept. of Occupational Medicine ITALY. GPA4.21q. Development of database for individuals working with engineered nanomaterials. Project Leader: Judy Sng, [email protected] NUS, Singapore. GPA4.21v. Assessing the Hazard of Nanoparticles and Communicating the Risks: SAFENANO. Project Leader: Rob Aitken, [email protected]. Institute of Occupational Medicine (IOM), UK GPA4.21ao. Application of practical research to help ensure that the OHS

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Regulatory Framework and OHS management effectively covers issues associated with nanotechnology. Dr Howard Morris [email protected] Safe Work Australia GPA4.21av. New knowledge development on nanotechnologies. Mr. Claude Ostiguy, Chemist, Ph.D. in Inorganic Chemistry. Director of Research and Expertise Support Department, [email protected] GPA4.21as. Participation in ISO TC 229/WG 3 /PG 8 "Guidelines for occupational risk management applied to engineered nanomaterials based on a control banding approach". Dave Zalk (IOHA envoy) [email protected] enri Heussen (IOHA envoy) [email protected] GPA4.21at. Stoffenmanager Nano, version 1.0. TNO Quality of Life in Hoofddorp, the NetherlandsAlbert Hollander, TNO Quality of Life, [email protected] GPA4.22m. Sustainability and risk management for occupational safety - part 3 industrial hygiene. The International Ergonomics Association (IEA). Équipe de recherche en sécurité du travail (ÉREST) - K.J. Zink (U. de Kaiserslautern - Germany), [email protected]. Note: Institut universitaire romand de Santé au Travail (IST – Switzerland, [email protected]) and JNIOSH (Japan, [email protected]) are due to submit Nanotechnology related project templates for inclusion in due course. Details to follow in next project compendium updates.



The contributing projects summarized here are aiming to improve OSH in nanotechnology by conducting research and developing global reports and communication strategies with low- and medium income countries on interventions to ensure workers’ health.


Emerging Area 1: Nanotechnology: (Initiative Leaders: Rosemary Gibson; Vladimir Murashov) 4.21l. How to assess the adequacy of safety measures for manufactured nanoparticles. Project Leader: Michael Riediker; [email protected]. Institute for Work and Health, Lausanne, Switzerland guidelines for the assessment of safety measures used in production, 24/45 application, use and disposal of nanoparticles and nanoparticle-containing products. 4.21m. Best practices globally for working with nanomaterials. Project Leaders: Charles Geraci [email protected]; Vladimir Murashov [email protected]. National Institute for Occupational Safety and Health (NIOSH), USA. NIOSH “Current Intelligence Bulletin” on Working with Engineered Nanomaterials containing recommendations on health effects, exposure limits, exposure monitoring, personal protective equipment (PPE), respiratory protection, and engineering controls. ISO standards on nanotechnology occupational safety and health. OECD guidance documents on risk assessment and risk management for nanotechnology workplace 4.21n. Nano-Comms: A Technical Observatory for the dissemination of information regarding nanoparticle health and safety issues. Project Leader: Rosemary Gibson; [email protected]. Health and Safety Laboratory, UK network of international experts in the field of health and safety issues of nanoparticles. portal for the collection, production and dissemination of information regarding health and safety issues of nanoparticles. 4.21o. Assessing the Hazard of Nanomaterials. Project Leader: Lang Tran; [email protected]. Institute of Occupational Medicine, Edinburgh, UK. Recommendation of in vitro toxicology tests for nanoparticles and nanotubes. 4.21p. NanOSH Italy. Project Leaders: Sergio Iavicoli ([email protected]); Fabio Boccuni ([email protected]). ISPESL – Dept. of Occupational Medicine ITALY. Toxicological analysis Exposure assessment and analysis of at risk processes Qualitative evaluation with control banding methodology

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Model of workplace monitoring Validation of methodology. 4.21q. Development of database for individuals working with engineered nanomaterials. Project Leader: Judy Sng, [email protected]. NUS, Singapore. registry of persons working with Nanomaterials, documenting the type and nature of exposure, development of job exposure matrix and health surveillance protocol 4.21v. Assessing the Hazard of Nanoparticles and Communicating the Risks: SAFENANO. Project Leader: Rob Aitken, [email protected]. Institute of Occupational Medicine (IOM), UK. maintained and developed website. 4.21ao. Application of practical research to help ensure that the OHS Regulatory Framework and OHS management effectively covers issues associated with nanotechnology. Dr Howard Morris [email protected] Safe Work Australia: The development of a nationally coordinated approach to promoting workplace safety in the use of nanotechnology by 2012. 4.21av. New knowledge development on nanotechnologies. Mr. Claude Ostiguy [email protected] Production of state-of-the-art reviews on health effects, risks, and OHS prevention measures, as well as a good practices guide on the safe handling of nanoparticles. 4.21as. Standard technical guidance for developing control banding approach targeted at Manufactured Nano Objects. 4.21at. Release of version 1.0. of the website (Oct 2010), report, Scientific paper, Stoffenmanager Nano version 2.0 . 4.22m. Develop an aerodynamic behavior model for nanoparticles produced during a manufacturing process


Emerging risks in nanotechnology workplace pose a global challenge to safety and health community. Approaches to identify, mitigate and communicate these risks to low- and medium income countries are needed.

Examples of deliverables desired by 2012 to adequately assist developing countries. It is these deliverables for which we will seek projects from CCs

Global reports and communication strategies with low- and medium income countries on interventions for nanotechnology to ensure workers’ health.


Emerging Area 1: Nanotechnology Projects


GPA4.21l Formerly AA6:NM2

GPA Objective Objective 4: To provide and communicate evidence for action and practice CC or NGO Name Institute for Work and Health, Lausanne, Switzerland Project title How to assess the adequacy of safety measures for manufactured nanoparticles

Keywords Manufactured nanoparticles, exposure, safety, protective measures, production, application, use, disposal


Michael Riediker [email protected]


Federal Institute for Occupational Safety & Health (BAuA), Germany (Bruno Orthen [email protected]) National Institute for Occupational Safety and Health (NIOSH) (Charles Geraci; Vladimir Murashov [email protected]; [email protected]) Health and Safety Laboratory, UK (Rosemary Gibson [email protected]) Institute of Occupational Medicine, UK (Lang Tran

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[email protected])

Other partners To be defined (potential partners in Switzerland: EMPA, EPFL, ETHZ, PSI, SUVA)

Funding

To be obtained through grants from governmental and scientific research funding sources

Objective of the project To develop guidelines for the assessment of safety measures for the production, application, use and disposal of manufactured nanoparticles.


To identify work processes that involve manufactured nanoparticles To categorize the health risks associated with these processes with regard to particle type and quantity used To describe existing and new safety measures To develop guidelines for the assessment of safety measures used in production, application, use and disposal of nanoparticles and nanoparticle-containing products


All bodies dealing with occupational health risks related to nanoparticles (governments, insurances, industries)


Nanoparticles are a potential health risk and workers' exposure should be minimized. Current knowledge about types, frequencies and levels of nanoparticle exposures is very limited. Also many questions regarding the efficiency of current protective measures that were developed for larger particles are unanswered. This project aims at gathering information about exposures, health risks and existing and new safety measures, which will be used to develop a guide to safety and health experts. This guide will help them assess the adequacy of safety measures for manufactured nanoparticles.

Dissemination WHO and ILO-documents; research papers; direct communications to government agencies, industries, and health professionals; press releases.


PROGRESS ON PROJECT

The IST, in collaboration with the European CC Network partners and other research institutes started a research coordination network called NanoImpactNet - European Network on the Health and Environmental Impact of Nanomaterials (coordinator: Michael Riediker, IST). This network recently passed the evaluation for the 7th European Framework Programme. Contract negotiations are about to start. It is planned to begin activities in 2008. Some of the activities will also address protection measures with regard to the potential for unwanted exposures to nanoparticles. Most CC network partners are currently involved in some form of systematic assessments of work processes using nanoparticles, the description of safety measures and the development of guidelines. A very important activity (under the leadership of Vladimir Murashov, NIOSH) is the work on an ISO-technical document about safety practices in occupational settings related to nanotechnology (together with other international experts).



Simple but specific guidelines will be drawn up to outline safe working practices with Nano materials. Approaches described will be cost-effective and the correct application will have to be controllable with easy and simple methods.


GPA 4.21m Formerly AA6:NM3

GPA Objective Objective 4: To provide and communicate evidence for action and practice CC or NGO Name National Institute for Occupational Safety and Health (NIOSH) Project title Best practices globally for working with nanomaterials Keywords Nanotechnology, information, best practices, occupational exposure Project leader Email address

Charles Geraci; Vladimir Murashov [email protected]; [email protected]

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Institute for Work and Health, Lausanne, Switzerland, (Michael Riediker [email protected]) Federal Institute for Occupational Safety & Health (BAuA), Germany (Bruno Orthen [email protected]) Health and Safety Laboratory, UK (Rosemary Gibson [email protected]) Institute of Occupational Medicine, UK (Lang Tran [email protected])

Other partners

US Dept. of Labor/OSHA US Environmental Protection Agency US Organization Resource Counselors ISO Additional partners are welcome

Funding NIOSH and partners

Objective of the project This project will contribute to and disseminate best practices globally for minimizing occupational exposure to risks during the various phases of nanotechnology research, development, and production in collaboration with national and international partners.


Develop and maintain NIOSH best practice documents such as web-based “Nanotechnology Information Exchange” on safe approaches to nanotechnology (ongoing) Develop a NIOSH “Current Intelligence Bulletin” on Working with Engineered Nanomaterials in collaboration with national and international partners (2012). This will present NIOSH’s current knowledge and recommendations on health effects, exposure limits, exposure monitoring, personal protective equipment (PPE), respiratory protection, and engineering controls. Contribute to ISO standardized best practice guidelines and validated testing protocols for exposure assessment and protective equipment and provide them to developing nations with nanotechnology facilities (through 2012). Provide ongoing analysis of occupational health and safety issues and practices regarding nanomaterials (through 2012).


Researchers, workers and business owners in developed and developing countries engaged in the creation, development, manufacture and use of nanomaterials.


This project will analyze and share best practices for working with nanomaterials developed globally, and will produce and disseminate current best practices for minimizing occupational exposure risks during the various phases of nanotechnology research, development, and production. The types of products include: NIOSH Nanotechnology Information exchange on the Institute’s Web presenting the latest information on nanotechnology and providing viewers a means to provide feedback Technical reports and guidelines on best practices, validated exposure assessment and PPE/engineering control testing methods developed and published through ISO Linkages among institutions globally that are developing best practices

Dissemination

Dissemination will occur through multiple routes including: Posting information on the NIOSH web site. Sponsoring national and international symposia. Publications and tool kits from NIOSH and other partners. International standardization organizations such as ISO. Collaborations with government and professional organizations: AIHA, OSHA, EPA, UK HSE, IOHA, ICOH, and other national and international partners.


Progress on project

NIOSH has made significant progress in the development and dissemination of occupational safety and health information on nanotechnology. Specific accomplishments include: 1. NIOSH posted and updated the document "Approaches to Safe Nanotechnology: Managing the Health and Safety Concerns Associated with Engineered Nanomaterials" on its web site (http://www.cdc.gov/niosh/docs/2009-125/)

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2. NIOSH published "Progress Toward Safe Nanotechnology in the Workplace” in June 2007. This document is a compilation of NIOSH research results in ten critical areas of investigation. This document also serves as a summary of the 'state of the art' in occupational safety and health research needs, specific to nanotechnology (http://www.cdc.gov/niosh/docs/2007-123/) 3. Research reports and publications were released on NIOSH results, specific to the effectiveness of HEPA filters for collection of nanoparticles and a translation of those results to respirator efficiency studies. 4. Participation in global guideline development was achieved through NIOSH leadership and technical participation on the ISO/TC 229 WG 3 Project "Health and safety practices in occupational settings relevant to nanotechnologies", which was published in September 2008. 5. The international Organization for Economic Cooperation and Development (OECD) released three new reports in a series of papers and studies on the safety of engineered nanomaterials. The new reports reflect NIOSH leadership in the OECD committees and working groups that developed and sponsored the reports. The reports are: "Report of an OECD Workshop on Exposure Assessment and Exposure Mitigation: Manufactured Nanomaterials" "Comparison of Guidance on Selection of Skin Protective Equipment and Respirators for Use in the Workplace: Manufactured Nanomaterials" "Emission Assessment for Identification of Sources and Release of Airborne Manufactured Nanomaterials in the Workplace: Compilation of Existing Guidance" 6. NIOSH issued interim guidance for medical screening and hazard surveillance for workers potentially exposed to engineered nanoparticles (http://www.cdc.gov/niosh/docs/2009-116/).


See above


A review of national practices and experience gained from the initial years of occupational health research in nanotechnologies will be conducted

List of critical deliverables needed by 2012 to assist developing countries

A report identifying nanotechnology workplace risks and solutions and including a robust communication mechanism, specifically for low and medium-income nations.


GPA4.21n Formerly AA6:NM4

GPA Objective Objective 4: To provide and communicate evidence for action and practice

CC or NGO Name Health and Safety Laboratory, UK

Project title Nano-Comms: A Technical Observatory for the dissemination of information regarding nanoparticle health and safety issues

Keywords Nanoparticles, nanomaterials, nanotechnology


Rosemary Gibson [email protected]


FIOH Institute of Occupational Medicine, UK (Lang Tran [email protected]) Federal Institute for Occupational Safety & Health (BAuA), Germany (Bruno Orthen [email protected])

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Canadian Centre for Occupational Health & Safety (CCOHS; P. K. Abeytunga [email protected]) European Institute of Health and Social Welfare (Manuel Peña [email protected]) Institute for Work and Health, Lausanne, Switzerland (Michael Riediker [email protected]) National Institute for Occupational Safety and Health (NIOSH), USA, (Charles Geraci; Vladimir Murashov [email protected]; [email protected]) Office of the Australian Safety & Compensation Council, Department of Employment and Workplace Relations (Peta Miller; Anh-Thu Stuart [email protected]; [email protected])

Other partners ICOH IOHA

Funding In place


This project will help to coordinate the production, management and provision of information regarding the health and safety issues surrounding the development, manufacture and use of nanoparticles in collaboration with national and international partners.


To develop a network of international experts in the field of health and safety issues of nanoparticles To identify processes that involve manufacture of nanoparticles and may lead to exposure To review exposure modelling processes To Categorise and map Health Risks associated with exposure To assist the development of standards (including the best ways to communicate current evidence base) To engage with regulators, manufacturers, down-stream users and researchers to ensure communications meet the needs of the audience

Target group and/or beneficiaries Industry, research institutions, trade unions, NGOs


This project will develop a portal for the collection, production and dissemination of information regarding health and safety issues of nanoparticles

Dissemination Dissemination will occur through a number of routes including: Information posted on the HSL website Presentations at national/international meetings Provision of a Q&A service


Global

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Progress on project

Significant progress has been made in developing a network of international experts through: Participation in a Coordination Action submitted to EU Framework 7, coordinated by Michael Riediker (AA6: project 16), involving >80 researchers world-wide. Presentations at international conferences. HSL summarises the published literature on engineered nanoparticles in a NanoAlert bulletin (now available on HSE’s website), which has generated very positive global feedback. HSL has launched the Centre for Interdisciplinary Nano-Research (CiNR), with the aims of addressing the potential health and safety risks of nanoparticles and is engaging with nanomaterials trade associations (e.g. NIA, ENTA), and individual businesses.


Partner in NanoImpactNet Coordination Action (EU FP7). Workshop on “Strategies to assess occupational health effects of nanomaterials”, held in conjunction with the FP7 project NanoImpactNet, March 2009.


Report on “Strategies to assess occupational health effects of nanomaterials”. Report on risk assessment approaches for handling nanomaterials.


Development of strategy for sharing OH knowledge with professionals in 2nd world & developing countries.


GPA4.21o Formerly AA6:NM5

GPA Objective Objective 4: To provide and communicate evidence for action and practice CC or NGO Name Institute of Occupational Medicine, Edinburgh, UK Project title Assessing the Hazard of Nanomaterials Keywords nanoparticles, nanotubes, in vitro tests, toxicology


Dr Lang Tran [email protected]


Institute for Work and Health, Lausanne, Switzerland, (Michael Riediker [email protected]) Federal Institute for Occupational Safety & Health (BAuA), Germany (Bruno Orthen [email protected]) National Institute for Occupational Safety and Health (NIOSH), USA, (Charles Geraci; Vladimir Murashov [email protected]; [email protected]) Health and Safety Laboratory, UK (Rosemary Gibson [email protected]) - University of Edinburgh, UK - Napier, UK - GSF, Germany - NIOH, Denmark - University of Venice, Italy

Other partners Funding Funding for 1st phase already available through FP6 project PARTICLE_RISK


The project will seek to assess the hazard of nanomaterials generated by new, emerging sciences and technologies. Specifically, the project will seek to determine which nanoparticle attributes are most influential in driving toxicity on

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different target organs and species; to use results to inform a risk assessment framework for nanoparticles in an occupational setting. To disseminate the results to existing networks on nanomaterials health/safety issues.


The outcomes should be: Recommendation of in vitro toxicology tests for nanoparticles and nanotubes; Identification of nanoparticle/nanotube attributes which can be used in risk assessment. Dissemination of results at international conferences (2007) and in peer-reviewed journals (2008).


Professionals in Toxicology; Stakeholders: Governmental and NGO regulatory agencies; new and emergent sciences and technologies industry.


New and emerging sciences and technologies produce nano-scaled materials which could pose a hazard to the human and environment health. The mechanisms by which these materials cause the adverse effects are not clearly understood. In this project we will be investigating the toxic effects, of a panel of nanoparticles/nanotubes, on the body systems, e.g. pulmonary, central nervous, hepatic and cardio-vascular systems.

Dissemination international conferences international peer-reviewed journals specially held workshops bringing together stakeholders such as governmental and non-governmental agencies


PROJECT PROGRESS AT 1 OCTOBER 2007

The following project objectives have been achieved thus far: Implementation of the experimental protocols Recruitment and training of staff in working safely with NESTP Distributing funding to all partners Implementing the WP WP1 facilitated local and project meetings WP2 procured, distributed (to the corresponding partners) and characterised the NESTP WP3 performed in vitro and animal experiments WP4 performed in vitro and animal experiments WP5 constructed exposure assessment models WP6 arranged PARTICLE_RISK results, which were presented at the International Conference on Nanotoxicology, held in Venice (April 2007)


As above




4.21p Previously AA6:NM6

GPA Objective NanOSH Italy

CC or NGO Name 4.21

Project title Priority 1: Encourage practical research on emerging issues, including nano-materials and climate change (Action 4.21). Projects include communication with low and medium income countries of interventions to ensure worker health.

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Keywords ISPESL – Dept. of Occupational Medicine ITALY Project leader Email address

Sergio Iavicoli ([email protected]) Fabio Boccuni ([email protected])


Other partners Funding Italian Ministry of Health

Objective of the project Salvatore Maugeri Foundation of Pavia, Italy University of Rome “Tor Vergata”, Italy University of Parma, Italy National Institute of Physics (INFN), Italy


The limited knowledge on risk assessment and health effects of work-related exposure to nanomaterials (with specific focus on Carbon Nanotubes (CNT) highlights the importance to develop a methodology for work-related risk assessment in order to properly address the subsequent management and communication stages In the first stage, the project will be developed following two parallel lines. 1. Physical-chemical characterization of appropriately produced functionalized CNT and study of interactions with biological systems. 2. Assessment of work-related exposure to CNT and analysis of risk processes. In a second stage the results of the two project lines will be summarized in the development of a general model for risk assessment applicable to the work environments likely to be affected by CNT exposures. Later this model will be validated through an application on the territory.


Occupational Health and Prevention stakeholders, National Health System, Exposed Workers.

Summary of the project Meetings of Research Working Groups will be scheduled.

Dissemination

Nanomaterials production (2008) Characterization and functionalization (2009) Toxicological analysis (2009) Exposure assessment and analysis of at risk processes (2009) Qualitative evaluation with control banding methodology (2010) Model of workplace monitoring (2010) Validation of methodology (2010)


Definition of validated protocols of study. Scientific reports will be published each year.

PROGRESS ON PROJECT 1 OCTOBER

- To identify the production stages potentially at risk for workers and then assess number of workers potentially exposed in Italy (2008) - To strengthen collaboration in Italy through the creation of a Network involving the institutions more active in the sector at national level (2008) - To identify a monitoring system for the number of nanoparticles in the air exhaled by subjects exposed to CNT (2009) - To develop an innovative methodology for risk assessment to be used for prevention purposes in exposed subjects and for a correct risk management for health and environment (2009) - To start knowledge transfer and risk communication with relation to risk perception level by all the involved subjects (2010)


Summary of the key issues related to nanotechnology and OSH in terms of scientific knowledge level. In vitro study of genotoxic and oxidative effects induced on human bronchial cells by MWCNT. Identification of industrial sectors involved and potential occupational exposure to engineered nanomaterials in Italy. Risk assessment model of occupational exposure to nanomaterials. Development and set-up of a portable device to monitor airway exhalation and deposition of particulate matter. National Working Group on occupational exposure to nanomaterials.


White Paper on occupational exposure to engineered nanomaterials in Italy (2010). Analysis of OSH programs specific for nanotechnologies in Italian enterprises (2011) Development of a shared frame of knowledge, objectives and actions leading to constructive and practicable regulatory solutions for the responsible and sustainable development of Nanotechnologies at national level (2012)

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Practical tools for qualitative evaluation with control banding methodologies International cooperation for a sustainable development of nanotechnologies Tools for communication and knowledge transfer taking into account the workers risk perception


4.21q New Project


Development of database for individuals working with engineered nanomaterials

GPA Objective and Action GPA Objective 4

Priority Initiative Priority 1, A

Responsible CC or NGO Name NUS

Project leader Judy Sng, [email protected]

Network partners NIOSH, U.S.A., Prof Paul Schulte [email protected] NUS Environmental Research Institute, Singapore, A/Prof Liya Yu [email protected]





This project aims to: 1) Establish an exposure registry of workers exposed to nanomaterials from a representative group of companies to gauge the extent of nanomaterial exposure among workers in Singapore. We are targeting our university’s Nanotechnology Initiative researchers as the starting point. 2) Use the registry database as a possible stage to evaluate any possible medical surveillance that would be recommended by WHO, ILO or other international agencies


Initial : Researchers based in the National University of Singapore and other research institutions who are handling nanomaterials Subsequent: Workers in nanotechnology industries


After the university database is established, the knowledge & insights gained from this would be used to reach out to commercial nanotechnology industries in and around Singapore.


We aim to have a registry of persons working with Nanomaterials, documenting the type and nature of exposure. This will form an important basis for establishing occupational health and safety policies for this rapidly growing emerging industry.


Appropriate occupational health and safety measures will eventually be worked out and implemented in the nanotechnology industry while it is still in relatively early stages of development in many countries.


End Oct 2009 – Set up first exposure registry for researchers in NUS June 2010 – Open to researchers in other institutions, namely Agency for Science, Technology and Research (Institute of Materials Research and Engineering),

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Nanyang Polytechnic and Nanyang Technological University By end 2010 – Role out to major nanotechnology industries in Singapore


Nanotechnology is an emerging industry that is rapidly gaining in importance both in Asia and worldwide. The potential health impact on workers and consumers has yet to be documented, as the number of nanotechnology-enabled consumer products on the market increases every month. Exposure registries are an important starting point to monitor potential hazards, and have been of great usefulness in occupational and environmental exposure situations.

Funding source(s) Research grant from university

Dissemination


1) Online system for NUS researchers to log in details on nanomaterials use in their labs has been developed by the NUS Office of Safety, Health and Environment 2) Potentially high-risk labs in NUS have been identified for screening by end 2009


1) development of a Job Exposure Matrix for occupational groups exposed to engineered nanomaterials 2) development of protocol for health surveillance for persons exposed to engineered nanomaterials


health surveillance protocol for persons exposed to engineered nanomaterials


4.21v New Project


Assessing the Hazard of Nanoparticles and Communicating the Risks: SAFENANO

GPA Objective and Action 4

Priority Initiative 4.1 Responsible CC or NGO Name Institute of Occupational Medicine (IOM), UK

Project leader Dr. Rob Aitken [email protected]

Network partners - WHO Regions involved in this CONTRIBUTING project

-


Funding is provided by DIUS/Technology Strategy Board in the UK. The Project Officer is Mike Oldham [email protected]


Prof Vicki Stone, Edinburgh Napier University is a partner in the project. [email protected] A range of external partners contribute information to the site on an ad hoc basis including Andrew Maynard, Woodrow Wilson Project on Emerging Nanotechnologies Peter Hatto, Chair of ISO 229: Nanotechnologies Prof Ken Donaldson, Edinburgh University


SAFENANO is designed to capture and disseminate the emerging evidence on health, safety, toxicology and risks of manufactured nano-particles, using the SAFENANO website: http://www.safenano.org/, weekly bulletins and a community site. The need for accessible and up-to-date health and safety information is growing because emerging evidence is numerous, complex and often difficult to interpret. SAFENANO benefits from IOM’s extensive research collaborations and networks on nanotechnology risks, and our links with wider nano-technology

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websites such as those hosted by ICON, NANOWORK, OECD etc. SAFENANO also provides services to government and industry (review, measurements, testing) on a commercial basis.


The target audience is industry, policy leads and others involved in the manufacture and use of nanomaterials. It is however a publicly accessible website with open access.


As a website, the primary route of dissemination is through the web. We also send out weekly bulletins to more than 1000 recipients. We are also exploring the use of social network technology such as twitter.com. Many of SAFENANO’s outputs are public domain documents and are made available through SAFENANO, IOM’s and the sponsors’ website. We also present SAFENANO at national and international conferences and workshops (more than 20 times in the last year)


The SAFENANO ‘result’ is a continuity of accessible provision of up-to-date information; i.e. the result is a maintained and developed website. We will continue to provide this, through 2012 and beyond, as long as there is a need, and funding.


Number and distribution of ‘hits’; Number and distribution of signed-up members of the SAFENANO community


Establishment of an active website – achieved Establishment of regular commented bulletin – achieved Improved integration with other web based information services - 2011

Public health impact Impossible to quantify; but the underlying purpose of SAFENANO is to disseminate accurate information about the risks to health from manufactured nanoparticles and so to help with (i) assessment, control and management of the risks; (ii) inform the public debate about these risks

Funding source(s) Currently funded by the Technology Strategy Board of the Department of Innovation, Universities and Skills (DIUS) in the UK.

Dissemination SAFENANO is inherently a dissemination project List of outcomes already achieved by this project

Establishment of an active website – achieved Establishment of regular commented bulletin – achieved


Improved integration with other web based information services - 2011


2009-2012 Work Plan Number 4.21ao

PROJECT Title

Application of practical research to help ensure that the OHS Regulatory Framework and OHS management effectively covers issues associated with nanotechnology.

GPA Objective Objective 4: “To provide and communicate evidence for action and practice”: (Action 4.21)


Priority 1(a): Encourage practical research on emerging issues, including nano-materials

Responsible CC or NGO Name Safe Work Australia

Project leader(s) Dr Howard Morris [email protected]

Network partners NA

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WHO Regions involved in this project NA

Country ministries involved in this project NA


Safe Work Australia is active in a wide range of Australian & International Forums on this topic, including the ISO Nanotechnology Technical Committee (through the Standards Australia Nanotechnology Committee) and the OECD Working Party on Manufactured Nanomaterials (WPMN) project on Exposure Measurement & Mitigation.


Safe Work Australia is supporting development of a nationally coordinated approach to promoting workplace safety in the use of nanotechnology There are five focus areas in the Nanotechnology OHS Program: 1. Ensuring the Australian OHS regulatory framework can effectively protect workers from the potential health and safety impacts of nanotechnologies 2. Improving understanding of the hazardous properties of engineered nanomaterials 3. Developing nanoparticle measurement capability 4. Understanding the effectiveness of workplace controls 5. Providing support for nanotechnology organisations Projects include; reviews of toxicology, safety hazards and the effectiveness of workplace controls, examining the feasibility of group based exposure standards and control banding, fieldwork to evaluate workplace exposures and emissions and the effectiveness of workplace controls, examining options for substitution/modification to reduce potential toxicity, examining MSDS & labelling for nanomaterials, an intercomparison of measurement methods for various types of nanomaterials, and an examination of laser printer emissions. Specific projects related to carbon nanotubes include developing capability for detection of CNTs in the workplace, and examination of the durability and biopersistence of CNTs. Specific guidance will be developed targeting key areas such as handling carbon nanotubes, preparing MSDS and undertaking classification of engineered nanomaterials.


The Nanotechnology OHS Program aims to support regulators, manufacturers, importers, suppliers, and for researchers, employers, and employees in nanotechnology organisations working with engineered nanomaterials. The Program focuses on key issues globally associated with nanotechnology OHS globally, and is aligned with work of the OECD and ISO.


The development of a nationally coordinated approach to promoting workplace safety in the use of nanotechnology by 2012.

Dissemination plan Dissemination is through the Safe Work Australia website nanotechnology website and through the extensive networks and forums in which Safe Work Australia participates.

Funding source(s) The Australian Federal Government through the Department of Innovation, Industry, Science and Research, and Safe Work Australia.


Dr Morris and his team have developed links internationally through ISO and the OECD, and bilaterally with NIOSH (US), HSE & HSL (UK), and BAuA (Germany), and through the World Congress on Safety and Health. The project on durability & biopersistence of carbon nanotubes, supported by Safe Work Australia, involves collaborative research between CSIRO in Australia, and Edinburgh University and the Institute of Occupational Medicine in the UK. The team will be seeking to support collaborative research projects wherever possible. In Australia, Safe Work Australia participates number of forums to progress nanotechnology OHS issues: Safe Work Australia’s tripartite Nanotechnology OHS Reference Group (Dr Morris is the Chair of this group) Safe Work Australia’s Nanotechnology OHS Measurement Reference Group Federal Government’s Nanotechnology Interdepartmental Committee and Health, Safety & Environment Working Group Standards Australia’s Nanotechnology Committee and the Health, Safety & Environment sub-committee

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Australian Institute of Occupational Hygienists Conference (Dr Morris will coordinate a session on Nanoparticle Measurement at the 2009 conference) International Conference on Nanoscience & Nanotechnology Safe Work Australia also works with members of the NanoSafe Australia network, which is a network of academic risk assessors, occupational hygienists and toxicologists. Dr Morris is also a member of the Technical Program Committee for the Aerosol Society’s workshop and scientific conference on workplace aerosols including nanoscale aerosols in Karlsruhe, Germany in June/July 2010.


Development of an OHS regulatory response to the emerging issue of the use of engineered nanomaterials, which encompasses a whole-of-government approach, and is consistent with international systems and approaches. The development of evidence-based guidance material for manufacturers, importers, suppliers, and for researchers, employers, and employees in nanotechnology organisations working with engineered nanomaterials.


4.21av

PROJECT Title New knowledge development on nanotechnologies


GPA4 – To Provide and communicate evidence for action and practice


Priority 4.1 To encourage practical research on emerging issues, including nano-materials


Priority 1.2 Develop and disseminate evidence-based tools and raise awareness for the prevention of dust-related diseases (fine coarse dusts)


Mr. Paul-Émile Boileau, Scientific director


Mr. Claude Ostiguy, Chemist, Ph.D. in Inorganic Chemistry. Director of Research and Expertise Support Department, IRSST [email protected]


Partner : JNIOSH, Japan Anticipated partners : NIOSH, USA; HSL, UK;


Region of the Americas



Toan Vu-Khanh, École de technologie supérieure (Montreal, Canada) [email protected] - Project 1

Fariborz Haghighat / Université Concordia [email protected] - Project 2

Victor Songmene, École de technologie Supérieure (Montreal, Canada) [email protected] - Project 3

André Dufresne, Université de Montréal (Canada) [email protected] - Project 4

Charles-Anica Endo Nano-Québec [email protected]

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In the context of a partnership with NanoQuébec, the IRSST’s research program focuses specifically on the following avenues :

1. Evaluation of the effectiveness of means of control aimed at ensuring protection against the health effects related to exposure to different types of nanoparticles. Project 1 Development of a method for measuring nanoparticle penetration through glove materials under conditions simulating workplace use Project 2 Development of a procedure for measuring the effectiveness of filters for collecting nanoparticles

2. Characterization of nanoparticles and, in particular, the exposure of individuals to different types of nanoparticles (respiratory, cutaneous routes, etc.). Project 3 Procedure for measuring and controlling manufactured nanoparticles Project 4 Characterization and control of occupational exposure to nanoparticles


• Quebec employers, workers and researchers using, manufacturing or synthesizing nanoparticles.

• All workplaces and research centres around the world using, manufacturing or synthesizing nanoparticles.


Estimated deadline of deliverables for all projects : January 2011

Dissemination plan • Government of Canada - House of Commons Standing Committee on Health (June 2010)

• IRSST scientific reports (2011 – 2012) • International scientific conferences • PAHO/WHO documents

Funding source(s) IRSST (Montréal, Canada) Nano-Québec (Montréal, Canada)

List of outcomes already achieved by this project (in this area of interest)

Production of state-of-the-art reviews on health effects, risks, and OHS prevention measures, as well as a good practices guide on the safe handling of nanoparticles.

Health Effects of Nanoparticles - Second Edition, IRSST, 2008

Best Practices Guide to Synthetic Nanoparticle Risk Management, IRSST, 2009

Nanoparticles - Current Knowledge about Occupational Health and Safety Risks and Prevention Measures – Second Edition, forthcoming Summer 2010



There is a probability to produce state-of-the-art review updates on health effects, risks, and OHS prevention measures, as well as a good practices guide on the safe handling of nanoparticles.

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Work plan project number (to be added by WHO)

4.21as

Please indicate whether this is a: New Project


Participation in ISO TC 229/WG 3 /PG 8 "Guidelines for occupational risk management applied to engineered nanomaterials based on a control banding approach"

GPA Objective and Action Objective 4: To provide and communicate evidence for action and practice. Objective 2: To promote and protect health at the workplace.

Priority Initiative Priority GPA4.1 and GPA Priority 2.1 Responsible CC or NGO Name IOHA Project leader (contact name and email address)





Dutch Ministry of Social Affairs and Employment


Dutch Ministry of Social Affairs and Employment Arbo Unie

Summary of the project (max 100 words) Within the ISO Technical Committee 229 the standardisation of nanotechnoloyg in all its aspects takes place. In Working Group 3 HSE aspects are dealt with. Within this WG Control Banding is specifically adressed in Project Group 8. Several experts nominated by their national Standardisation Institutes are working on a technical guidance to provide approaches for control banding on manufactured nano objects. Participation will ensure high quality standard technical guidance for developing a control banding approach targeted at manufactured Nano objects.

Target group and/or beneficiaries SMEs



Standard technical guidance for developing control banding approach targeted at Manufactured Nano Objects

Indicators of achievement (impact) Major Milestones (list up to three dates and milestones)

Public health impact Funding source(s)

Dissemination ISO standard, IOHA, WHO CC Network Work plan project number 4.21at

Please indicate whether this is a: New Project

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CONTRIBUTING PROJECT Title Stoffenmanager Nano, version 1.0 GPA Objective and Action Objective 4: To provide and communicate evidence for action

and practice. Objective 2: To promote and protect health at the workplace.

Priority Initiative GPA 4.1 GPA 2.1

Responsible CC or NGO Name TNO Quality of Life, Gerard Zwetsloot Project leader (contact name and email address)

Maikel van Niftrik ([email protected])


TNO Quality of Life in Hoofddorp, the Netherlands Albert Hollander, TNO Quality of Life, [email protected] IOHA



− Dutch Ministry of Social Affairs and Employment − Henri Geron, Dutch Ministry of Social Affairs and

Employability, [email protected]


− Michel van Wijk, BECO, [email protected] − Jan Boonstra, Dutch Labor Inspectorate,

[email protected] − Henri Heussen. Arbo Unie, ([email protected])

Summary of the project (max 100 words) The potential hazard of and health risks after exposure to man-made nano objects are mostly unknown. Therefore the Dutch government decided in 2009 to only allow the industrial and professional use of nano objects if companies adhere to the precautionary principle.

To reduce the amount of uncertainty related to working with manufactured nano object a risk banding tool is being developed: Stoffenmanager Nano.

The first version of Stoffenmanager Nano will feature a hazard classification scheme, a qualitative inhalation exposure model and a risk matrix. By combining information on the hazard of a nano object with an qualitative inhalation exposure assessment a user of Stoffenmanager nano will get an indication of potential health risks in thee categories: high – medium or low.

Stoffenmanager Nano is being developed by Arbo Unie (Henri Heussen), BECO (Michel van Wijk) and TNO Quality of Life (Maikel van Niftrik)

Target group and/or beneficiaries SME working with manufactured nano objects


- Dutch symposium for occupational hygiene 2010, Woudschoten, the Netherlands;

- 6th International Control Banding Workshop (6ICBW) on 27 September 2010 at the Urbania University in Rome, Italy;

- IOHA Rome 2010; - Nanosafe congres, October 2010, France


- Release of version 1.0. of the website (Oct 2010) - Report - Scientific paper - Stoffenmanager Nano version 2.0

Indicators of achievement (impact) - Amount of registered users

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- Regular user evaluation indicating a customer satisfaction of 4 out of 5.

- A SME user of Stoffenmanager Nano is able to: - generate a complete and reliable risk inventarisation

and evaluation of x % of its substances, and - interpret the results of the evaluation in a correct

manner - Apply correct control measures based on the outcome

of the risk evaluation. Major Milestones (list up to three dates and milestones)

- Sept 2010 – company evaluation of beta version of STM 4.5.

- Oct 2010 – release of STM Nano - First half 2011 – report conclusions on customer

evaluation Public health impact - Health improvement of workers exposed to manufactured

nano objects. - Illness prevention due to reduced inhalation exposure to

manufactured nano objects. Funding source(s) Dutch Ministry of Social Affairs and Employment

Dissemination - Scientific papers - Publications in HSE magazines - Through Stoffenmanager newsletter - Presentations and workshops at national and international

(scientific) meetings 2009-2012 Work Plan Number 4.22m

New Project PROJECT Title Sustainability and risk management for occupational safety – part 3

industrial hygiene GPA Objective and GPA Action

GPA 4

Priority Number (e.g. 5.3-1) and Area (if applicable) e.g Agriculture

4.2


GPA4, priority 4.1 GPA5, priority 5.3

Responsible CC or NGO Name IEA Sub-committee « Sustainability and risk management » (Directed by S. Nadeau and B. Ateme-Nguema, Canada) of the “Human Factors and Sustainable Development » technical committee of the International Ergonomics Association (IEA) directed by K.J. Zink (U. de Kaiserslautern - Germany) et C.G. Drury (U. Buffalo – USA): www.iea.cc


S. Hallé, Eng.Jr., Ph.D. (ÉTS) F. Morency, K. Maghni (U. de Montréal) École de technologie supérieure (ÉTS) 1100 Notre-Dame West Montreal, Quebec, Canada, H3C 1K3 http://www.etsmtl.ca/zone2/recherche/labo/erest/ [email protected]


IRSST (CC under designation) G. Truchon (IRSST), Y. Cloutier (IRSST), J. Lavoie (Institut de recherche Robert Sauvé en santé et en sécurité du travail- IRSST)


Pan American Health Organization (PAHO)-Canada Expertise: occupational injury prevention and risk assessment Objectives: S03-S013 EURO –Germany and France

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Commission de la santé et de la sécurité du travail du Québec (CSST) Développement économique, innovation et exportation (MDEIE) Commission des partenaires du marché du travail (Gouvernement du Québec)


K. Maghni (Hôpital Sacré-Cœur de Montréal-HSC) TITNT «The International Team in NanosafeTy» directed by S. Hallé, K. Maghni and C. Emond, Canada: www.titnt.com O. Joliette (U. Michigan-USA), S. Hirano (National Institute for Environmental Studies, Japan), F. Schuster (Commissariat à l’Énergie Atomique-France), C. Rolando (U. Lille-France), A. Meyer-Plath (BAM-Germany) CSST, RRSSTQ, HSC, Ordre des ingénieurs du Québec (OIQ), Dessau Soprin


This project will 1) Study thermo-ventilation movements within buildings, with the aim of

developing optimal ventilation strategies to improve air quality, thermal comfort and bio-safety.

2) Study effects on health and means of controlling nano-aerosols and nanoparticles. More specifically, study the aerodynamic behaviour of nanoparticles (NPs), demonstrate the pulmonary toxicity of these particles through cellular models, and develop a model for the management of risks taking into account the strategic behaviours of stakeholders.


mining industry, manufacturing industry, aeronautic industry, hospitals.


April 2011 Develop a thermo-ventilation model of a bronchoscopy unit Jan 2012 Develop an aerodynamic behavior model for nanoparticles produced during a manufacturing process April 2012 Develop a flexible and dynamic tool for compiling and sharing detailed knowledge of the health risks associated with engineered nanoparticles

Dissemination plan WHO publications

Scientific journals

• the top journals in ergonomics and human factors;

o Journal of Occupational and Environmental Hygiene.

• related journals with a relatively high impact factor;

o Advances in Fluid Mechanics VII;

• basic journals with a relatively high impact factor

o European Journal of Immunology.

Scientific conferences

• IEA;

• Gesellschaft für Arbeitswissenschaft;

• Nordic ergonomics society (NES);

• Human Factors and Ergonomics Society Annual Meeting;

• RRSSTQ;

• Association québécoise pour l’hygiène, la santé et la sécurité du travail (AQHSST);

• Colloque interuniversitaire franco-québécois sur la thermique des systèmes;

• International Conference on Advances in Fluid Mechanics;

• International Conference on Nanotechnology: Fundamentals and Applications;

Practice communities : journals and conferences

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• Travail et santé;

• ÉREST-RRSSTQ conferences (ÉREST is in charge of a community of practice of 350 members);

• MBA-managers (UQAT) conferences.

Funding source(s) RRSSTQ, Fonds de la recherche en santé du Québec (FRSQ), Fonds de recherche sur la société et la culture (FQRSC), Fonds québécois de la recherche sur la nature et les technologies (FQRNT), IRSST, NanoQuébec, Développement économique, innovation et exportation (MDEIE), Commission des partenaires du marché du travail (Gouvernement du Québec), Canadian Institute of Health Research (CIHR), Natural Sciences and Engineering Research Council (NSERC), Canada Foundation for Innovation (FCI), U. du Québec, HSCM, ÉTS, CSST, Agence française de sécurité sanitaire de l’environnement et du travail (AFSSET)


We have already developed : 1. A model of airborne nanoparticles transport and dispersion in an

animal exposure chamber; 2. A model of thermo-ventilation movements within buildings; 3. A test based on basophilic strand for early identification of allergic

sensitization leading to occupational asthma.


1. Based on #1 in above section, models of airborne nanoparticles transport and dispersion in high speed machining, and in spray-atomization process

2. An improved model as in #2 of above section 3. Airway risk assessment of TiO2, quantum wells, multi-walled carbon

nanotubes; 4. An improved test as in #3 above



GPA 4.1: Encourage practical research on emerging issues, including nanomaterials and climate change. Climate change projects are included in this Facilitating Project

Facilitating Project title Climate change and Workers Health GPA Objective Objective 4: To provide and communicate evidence for action and practice

GPA Action

4.21 Research on workers’ health needs to be further strengthened, in particular by framing special research agendas, giving it priority in national research programmes and grant schemes, and fostering practical and participatory research.

Priority Area

Priority 4.1b: Encourage practical research on emerging issues, including climate change.


To collate and summarise current evidence of the potential effects of climate change on workers health to help inform future research on this important emerging topic area.



Jo Harris-Roberts ([email protected]) Ed Robinson ([email protected]) (HSL, UK)

WHO responsible person Ivan Ivanov Collaborating centre partners with separate contributing PROJECTS (List CC, project title, project number, project

Emerging Area 2: Climate change Federal Institute for Occupational Safety and Health (BAuA), Germany IGNIS - Income generation and climate by valorising municipal solid wastes in a sustainable way in emerging megacities (GPA4.21s)

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leader, and email)

Daniela Bleck [email protected] Safe Work Australia Emerging OHS issues associated with climate change (GPA4.21ap) Dr Peta Miller [email protected] Health and Safety Laboratory, UK The impact of climate change on workers health (GPA4.21ak) Dr Jo Harris-Roberts [email protected] IRSST, Canada Impact of climate change on occupational health and safety (4.21ar) Mr. Joseph Zayed SGU (St. George's University), Grenada Energy for Sustainable Development in the Caribbean Dr. H. Sealy [email protected] Note: JNIOSH (Japan, [email protected]) is due to submit a climate change related project template for inclusion in due course. Details to follow in next project compendium updates.


EURO


Climate change represents a key emerging issue that will have implications on global health and safety. The programmes of work within this facilitating project will contribute to the identification, colleciton and summary of current evidence of the potential effects of climate change on workers health, identify needs and gaps to help inform future research on this important emerging topic area.


GPA4.21s: In the competence and training centre the compiled results are spread and used. Special transfer studies will try to find out how aspects of IGNIS can be transferred to other Megacities and introduce, if necessary, a transfer of technology and information. The utilization of (part) aspects is held in an utilization plan. Flyer: http://www.emerging-megacities.org/(S(wibgz245hoxn5smduubwynn4))/download/flyer-hauptphase/flyer_future_megacities_addis_ababa.pdf GPA4.21ap: Raised awareness of the emerging OHS issues associated with climate change among Australian and South Pacific workers and persons conducting business undertakings, and the development of Australia OHS Regulations on the management of heat as a hazard. Our research also aims to assist OHS policy makers within Safe Work Australia and internationally to identify and implement climate change mitigation and adaptation measures and priorities for workers. GPA4.21aq: A clearer picture of the research needs on the topic with a focus on both developed and developing countries GPA4.21ar: Greater scientific knowledge of the impacts of climate change on OHS. Suggested avenues for future research. IRSST to become a reference centre for Climate Change research GPA4.21au: Energy for Sustainable Development in the Caribbean. Feasibility assessment for renewable energy (solar, wind, etc.) and energy efficient buildings in the region. Job satisfaction and work environment evaluations in office

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and public buildings after implementation of the project are planned for 2012. Reduce carbon footprint in the region. Other outcomes may arise from new contributing projects that may also provide valuable input into this theme.


Clear understanding of the issues facing workers of both developed and developing countries Knowledge of the previous and current research in the topic area


A position paper on the current situation regarding climate change and workers health. Guidelines for countries to take forwards that will provide a summary of potential hazards, examples of how this is being addressed elsewhere and recommendations for action to implement own strategies for addressing the issue of climate change.


Raising the profile of this topic and gaining the support of government departments, industry and academia to ensure the findings are acted upon

Emerging Area 2: Climate change 2009-2012 Work Plan Number

GPA4.21s



Project title IGNIS - Income generation and climate by valorising municipal solid wastes in a sustainable way in emerging megacities

Keywords


Daniela Bleck [email protected]


Other partners Funding Federal Ministry of Education and Research (BMBF)



Project duration 1. June 2008 - 31. March 2013



IGNIS aims at developing methods and tools for a sustainable continuous usage of waste to enhance climate and environmental protection in a megacity. Recycling techniques will be tested in pilot projects and scientifically evaluated in terms of technical, economical and social efficiency / performance. Also effects on climate and environment will be examined. The results will be included in a simulation tool, which allows both strategic planning and climate relevant calculations. The work programme covers structural and organisational activities (introduction to pilot project, fund raising etc.). The scientific technical work procedures include the compiling of guidelines, criteria check lists and databases, the analysis of the pilot projects, the application and modification of the simulation tool, as well as setting up and organising of a competence and training centre in Addis Ababa.

Dissemination Research

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Progress on Project



In the competence and training centre the compiled results are spread and used. Special transfer studies will try to find out how aspects of IGNIS can be transferred to other Megacities and introduce, if necessary, a transfer of technology and information. The utilization of (part) aspects is held in an utilization plan. Flyer: http://www.emerging-megacities.org/(S(wibgz245hoxn5smduubwynn4))/download/flyer-hauptphase/flyer_future_megacities_addis_ababa.pdf

2009-2012 Work Plan Number 4.21ap

PROJECT Title Emerging OHS issues associated with climate change.

GPA Objective This project is expected to sit under Objective 4: “To provide and communicate evidence for action and practice”


Priority 1(a): Encourage practical research on emerging issues, including nano-materials and climate change.


Project leader(s) Dr Peta Miller [email protected]

Network partners NA


Our research includes consultation with Dr Tord Kjellstrom who is currently working with both the Australian National University and the WHO Centre for Health Development. [email protected]


NA


Our research is informed in part by Dr Miller’s membership of the Australian National Adaptation Research Plan - Human Health (Climate Change) network at the National Centre for Epidemiology and Population Health, Australian National University, Canberra, Australia. Dr Liz Hanna, [email protected]


A State of the Science & Policy Discussion Paper will be prepared that outlines the occupational health and safety (OHS) policy issues associated with climate change. Based on the OHS policy challenges and gaps in research regarding climate change, this research will in particular focus on extreme weather events as well as exposure to heat and how it will impact on workers. This includes identifying the policy and regulatory implications for this emerging hazard.


Australian and South Pacific workers and persons conducting business undertakings but potentially global


Initial “hazard alert” completed by December 2009 OHS issues associated with climate change and extreme weather events by December 2010 Paper on the regulatory management of occupational heat exposure by December 2012.

Dissemination plan

Papers will be published on the Safe Work Australia website and the National Centre for Epidemiology and Population Health, Australian National University website for national and international perusal. The Safe Work Australian Council members (tripartite as well as representative of every State and Territory of Australia) also communicate and exchange research findings to their constituents.

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Funding source(s) Safe Work Australia List of outcomes already achieved by this project

This project is new


Raised awareness of the emerging OHS issues associated with climate change among Australian and South Pacific workers and persons conducting business undertakings, and the development of Australia OHS Regulations on the management of heat as a hazard. Our research also aims to assist OHS policy makers within Safe Work Australia and internationally to identify and implement climate change mitigation and adaptation measures and priorities for workers.

Top 2 main OHS research areas/initiatives/topics

Safe Work Australia’s 2 top initiatives are to develop and implement National Model OHS Legislation and to continue to implement the National OHS Strategy 2002-2012.


GPA4.21aq New Project

GPA Objective Objective 4: To provide and communicate evidence for action and practice CC or NGO Name Health and Safety Laboratory, UK Project title The impact of climate change on workers health Keywords Occupational health and safety, climate change, environment Project leader Email address

Dr Jo Harris-Roberts [email protected]


Other partners The Health and Safety Executive, UK Funding

Health and Safety Laboratory (HSL) and The Health and Safety Executive (HSE), UK


To understand the potential implications of climate change from an occupational safety and health perspective and identify research initiatives that exist.


Initial reporting due early 2010


Government departments, industry leaders, science and technology institutions and academic centres.


There is an increasing amount of government and academic activity concerned with climate impacts and adaptation (adaptation is now one of the top priorities for the Department for the Environment, Food and Rural Affairs, UK). But there has been no significant work to date looking at climate change adaptation and people’s working lives. As such, the work proposed here aims to:· Identify and collate information on climate change and workers’ health by engage with HSE and WHO (collaborating centre network) to determine current/future research and strategic positions on the topic Review the information and summarise the findings in a ‘position paper’ which will offer recommendations and opportunities for further work in the field Disseminate the findings to HSE, WHO and other government departments If deemed appropriate, suggest a plan for future research (Phase 2) to be conducted by HSL Note: The Centre for Workplace Health at HSL will lead this work in conjunction with input from the Futures Team and Information Services Engage with HSE, other UK government departments and WHO contacts (Collaborating Centre network) to establish the current position on climate change with regard to research activities and future strategies Identify and collate information on current activities in the field through a general literature/media search (Futures team and Library info services) Review the information collated to prepare a ‘position paper’ that summarises the key findings with respect to the major issues and threats to workers/employers,

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current research and strategies, gaps and opportunities for further work for HSL/HSE Disseminate and Communicate the findings to HSE and the WHO

Dissemination Initially through HSE (UK wide) and through the WHO (Global) Impact (global or regional) Global

Progress on Project New project


New Project


A clearer picture of the research needs on the topic with a focus on both developed and developing countries


4.21ar

PROJECT Title

Impact of climate change on occupational health and safety


GPA4 – To Provide and communicate evidence for action and practice


Priority 4.1 To encourage practical research on emerging issues, including climate change



Mr. Paul-Émile Boileau, Scientific director


Mr. Joseph Zayed, PhD in Public Health. Research leader of the "Chemical substances and biological agents" field, IRSST (Montreal, Canada)


HSL, UK; others to be identified


Region of the Americas (contact to be identified)



Audrey Smargiassi, Université de Montréal, (Canada) [email protected]

OURANOS (Montreal, Canada) Consortium that brings together 250 scientists and professionals from different disciplines. It focuses on two main themes: Climate Sciences and Impacts & Adaptation. [email protected]

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The main objective of this research is to explore avenues of research related to the impact of climate change on occupational health and safety (OHS) More specifically, this project will :

1) provide a general overview of links (analysis framework) between climate change and OHS;

2) develop a collaborative approach on national and international levels;3) identify emerging short- and longer- term priority issues; 4) propose institutional orientations and research avenues.


The groups of workers more sensitive to climate change (i.e. agriculture, forestry, construction, etc).


November 2010 : Analysis framework December 2010 : Identification of priority issues May 2011 : Final Report

Dissemination plan IRSST scientific reports, PAHO/WHO documents

Funding source(s) IRSST (Montréal, Canada) Université de Montréal (Canada)

List of outcomes already achieved by this project (in this area of interest)


This project will be an opportunity to gain greater scientific knowledge of the impacts of climate change on occupational health and safety.

In addition this scientific knowledge will be the subject of a reflection process within the IRSST in order to suggest priority avenues for future research.


One strategic objective of this project, in medium-term, aims to make IRSST a national reference centre with an interdisciplinary and multi-institutional research program on the impact of climate change on OHS.


4.21au

PROJECT Title

Energy for Sustainable Development in the Caribbean


GPA Objective 4 to provide and communicate evidence for action and practice.


Priority 4.1: Encourage practical research on emerging issues, including nano-materials and climate change



Department of Public Health and Preventive Medicine School of Medicine, St. George's University, Grenada


Dr. H. Sealy, [email protected] Dr. M. Akpinar-Elci, [email protected] Dr. D. Burkhardt, [email protected]

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Ministry of Natural Resources and the Environment Belize, Grenada Energy Division, St. Lucia Environmental Policy and Planning Division, St. Vincent& Grenadines, Trinidad & Tobago, Caribbean Community Climate Change Centre (5Cs)


Thomas Hamlin, [email protected] Technical Adviser - Energy, Transport and Climate Change UN Department of Economic and Social Affairs


Energy Efficiency in Buildings is a high priority in the current global strategy. While the most cost effective measures to be investigated will be improvements in efficiency of standby transformer loads, coefficient of performance in refrigeration equipment, high performance split air-conditioning equipment, efficient fans, replacement of slatted glass windows, roof insulation, solar water heating, consideration will also be given to renewable energy with local energy storage. Climate change can place higher demand on heating and cooling depending on the location however, the measures taken will reduce the impact of such changes. Should water availability be impacted by climate change, the sustainable building guidelines will reduce this risk since water saving is already considered. Office and public buildings will also be selected to implement energy efficiency and renewable energy, which will directly affect work environment of office workers.


Caribbean Islands; Belize, Grenada, St. Lucia, St. Vincent & Grenadines, Trinidad and Tobago


First step concept proposal approved, May 2010 UN technical advisor visit to Grenada, June 2010 Full proposal is going to be submitted, September 2010

Dissemination plan Project is in development phase aiming to be disseminated to Belize, Grenada, St. Lucia, St. Vincent & Grenadines, Trinidad and Tobago.

Funding source(s) The Global Environment Facility/Small Grants Programme (“GEF/SGP”) on behalf of the three GEF Implementing Agencies –United Nations Development Program (UNDP), United Nations Environment Program (UNEP) and the World Bank. (Pending)


NA


Feasibility assessment for renewable energy (solar, wind, etc.) and energy efficient buildings in the region. Job satisfaction and work environment evaluations in office and public buildings after implementation of the project are planned for 2012.


Reduce carbon footprint in the region.


GPA 4.2: Further develop the global research agenda for workers’ health

Facilitating Project title Global research Matrix GPA Objective Objective 4: To provide and communicate evidence for action and practice

GPA Action

4.21 Research on workers’ health needs to be further strengthened; in particular by framing special research agendas, giving it priority in national research programmes and grant schemes, and fostering practical and participatory research.

Priority Area Priority 4.2: Further develop the global research agenda for workers’ health

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To collate and summarise current strategies for occupational health and safety research from CC members within the WHO network and establish potential gaps and opportunities for further research.




WHO responsible person Ivan Ivanov


Projects currently collaborating in this area: GPA4.20j Creating awareness and training for the implementation and follow‐up of the Policy, Action Plan and Surveillance System for the prevention of Occupational Cancer in Colombia – Project Leader: Maria Teresa Espinosa Restrepo : [email protected]; Julietta Rodríguez Guzmán [email protected], Occupational Health Program/ El Bosque University OHP/UEB, Colombia GPA4.20k Creating and publishing the Colombian Cancer Index System ‐ Colombia CAREX – Project Leader: Maria Teresa Espinosa Restrepo : [email protected]; Julietta Rodríguez Guzmán [email protected], Jose Manuel Lopez, CIH: [email protected] Occupational Health Program/ El Bosque University OHP/UEB, Colombia


EURO


In order to assist the further development of the global research agenda into workers’ health, a clear understanding must first be obtained of the current (and historical) research topics that countries are(or have been) involved with. HSL will make best use of the WHO CC network to establish current topics of OHS research. This will lead to the development of a ‘matrix’ that summarizes the work to date in order to identify current gaps in research activities. This information will in turn be disseminated to the wider community to assist the future strategic direction of OSH research allowing for greater focus on topics that will have a greater, measurable impact on the workers health in both developed and developing countries.


GPA4.20j Creating awareness and training for the implementation and follow‐up of the Policy, Action Plan and Surveillance System for the prevention of Occupational Cancer in Colombia • Colombia will officially issue the public policy and action plan aimed to detect,

diagnose and register occupational cancer and its causes in the long term. • A continuous education line and a set of training modules and courses

about will occupational and environmental cancer will be created for the use of all the stakeholders of the OH and the WC Colombian systems, and other Latin Countries.

• Organizing and hosting two international training courses in occupational and environmental cancer in 2011 and 2012 respectively.

• Validated on-line course on "Occupational and environmental cancer, recognition and prevention" should become available in Spanish. Dissemination and follow-up of the users of the course for creating awareness in Colombia and Latin America during the next quatriennium should follow.

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GPA4.20k Creating and publishing the Colombian Cancer Index System ‐ Colombia CAREX • New and updated Manual of carcinogens of IARC’s groups 1 and 2A of

occupational interest for Colombia will be finished and published, being useful for medical surveillance, risk assessment, priority setting and governmental public decision makers..

• Research report matrix to indentify relevant gaps in research, and for prevention program prioritization.

• Experience will be available to sharing with other countries/regions. Critical Gaps to be filled by 2012 in order to fulfil GPA priorities (these lead to deliverables desired by 2012)

Clear understanding of the current research themes undertaken by relevant establishments in the field of occupational safety and health.


An overview of current research strategies and topics will also help to identify areas of work that are not currently supported or that don’t address the needs of the wider community. This will allow the research gaps to be identified which in turn will offer future direction to the decisions and strategies of occupational health and safety research agendas both in the developed and developing world.


Gaining the support of potential contributors to offer and share their research strategies in order to populate a research matrix.


GPA4.20a Formerly AA2: 45


CC or NGO Name Institute of Occupational Health and Safety Tunisia ISST

Project title Study of global health in the work environment: cardio vascular and mental health risk

Keywords Mental health- stress- cardio vascular risks – Work


-Dr. Miled –Dr. Nouaigui -Dr. Ben Laiba [email protected]


Other partners -Faculty of Medicine of Tunis(Department Epidemiology), autonomous departments of Occupational Health, Razi Hospital of Psychiatry in Tunis

Funding -ISST-Ministry of higher education, scientific research and technology


-to evaluate the prevalent individual factors of cardiovascular risk: tobacco, alcohol, obesity etc... -to evaluate the psychosocial factors at work responsible for genesis of cardiovascular pathologies -to identify professional exposure presenting a cardiovascular risk - to seek the link as regards the prevalence of cardiovascular diseases and socio-professional factors -to direct the actions of prevention according to various categories of population


-To supervise and try to control the principal factors at individual and professional levels -To put in place a suitable programme of prevention according to each professional category. -Date limit for the study: December 2009.

Target group and/or beneficiaries -workers exerting in various companies belonging to various branches of industry


-ISST proposed to carry out a survey to study the mental health of the Tunisian workers and to evaluate risk factors of cardiovascular diseases at individual and professional levels. The purpose of this study is to set up a suitable program of

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prevention. Thus a transverse research relating to approximately 1000 workmen, exposed to various occupational hazards (sedentariness, Shift work.) will be continued by an exploratory study to determine the incidence of cardiovascular pathologies according to psychosocial factors' in a group of workmen not presenting cardiovascular diseases the Stages of the study are as follows above: a questionnaire, a clinical examination and a biological evaluation. The transverse study will be realised over 2 years and the workmen not presenting cardiovascular diseases, Will be observed over 4 to 5 year period

Dissemination -specialized Wards -Ministry for public health - occupational health departments .

Impact (global or regional) -National


-Practical investigation was implemented, concerning a manpower of approximately 250 workers.




GPA4.20b Formerly AA2:NP2

GPA Objective Objective 4: To provide and communicate evidence for action and practice CC or NGO Name National Institute for Occupational Health (NIOH), SA

Project title Occupational disease surveillance and other indicators of occupational health practice

Keywords Occupational disease, surveillance, occupational health indicators Project leader e-mail address

Dr. Danuta Kielkowski [email protected]

Partners (of the CC network)

Andrew Curran (HSL) Other CCs to be identified

Other partners Government Departments of Labour including the Compensation Commissioner Other partners to be identified

Objectives of the project

To develop occupational disease surveillance and to review indicators of occupational health practice

Project outcomes(s) and deadline(s) for the completion of the project

To develop guidelines and reporting form for the compensable and non-compensable occupational disease (2006) Pilot the form among medical practitioners (2007) Review of occupational health Indicators for South Africa and the development of new indicators (2008) Establish and share the model of a surveillance system for developing countries

Target group and /or beneficiaries

Occupational health practitioners and occupational health clinicians, managers within occupational health activities and settings


Development of the surveillance scheme which is inclusive of all types of diseases which are work related, whether compensable or not. Establishing a network of reporting practitioners and testing the surveillance format guidelines. Presentation of the study results to the Labour Department for the implementation of the National Surveillance System. A forum of occupational practitioners will be convened to review and propose new indicators of occupational health practice in South Africa.

Dissemination Reports on surveillance of occupational diseases and indicators of occupational practice to government and other practitioners in the field of occupational health, in the SADC Region.


Regional - in particular to share experiences with SADC countries on surveillance and indicators for developing countries.

Progress on Project The surveillance guide materials were distributed among 200 occupational practitioners in April 2006. However a new strategy using electronic reporting

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scheme is being developed on the NIOH website A dedicated Surveillance system for reporting of occupational disease and injury for health care and laboratory workers has been developed with the University of British Columbia. This system will be piloted at the National Health Laboratory Service (NHLS). A review of current 16 occupational health indicators will commence in 2007/2008


As above



GPA4.20c AA2:NP6

GPA Objective Objective 4: To provide and communicate evidence for action and practice CC or NGO Name Central American Institute for Studies on Toxic Substances (IRET), Costa Rica Project Title Regional, national and local profiles and indicators Keywords Central America, Profiles, Indicators, Exposures, Surveillance

Project leader Email Address

Dr. Catharina Wesseling ([email protected]), Dr. Timo Partanen ([email protected]), Dr Patricia Monge ([email protected] With subproject coordinators


National Institute of Public Health (Sweden); Central American Universities and Institutes for Social Security; Central American Integration System (SICA); Central American and Caribbean Universities, Instituto Tecnologicio de Costa Rica (ITCR); ILO

Funding Sida and collaborating institutions Objective of the project

To provide evidence based policy making in occupational and environmental health in Central America


Continuous. A detailed proposal for Central American national and regional indicators for occupational health and safety expected by November 2007.


Regional, national and local authorities; international agencies; employers; workers; trade unions; NGOs; mass media; and general public.


Continuous activity. Indicator systems are being coordinated at IRET, ITCR and other collaborating Central American universities for occupational and environmental exposures and their determinants. These include (i) A Central American data bank of amounts, imports and human and environmental toxicity of pesticides; (ii) an estimation system of the extent of occupational carcinogenic and pesticide exposures (CAREX); (iii) an ad hoc study and feasibility for surveillance of fatal accidents in 7 countries, (iv) a feasibility assessment for a data base of hygiene measurements and improvement of surveillance on occupational accidents and occupational diseases in 2 countries in CA, and (v) seven national and one Central American OSH profile with a detailed proposal for national and regional Central American indicator system for occupational health.

Dissemination Technical and public reports. Mass media. Public lectures and discussion. Negotiations at Ministries


Progress on Project

Development of OHS profiles: The first national profiles are prepared and edited for each of the seven countries of the Central American region. Databank on Pesticide use: Developed capacity building in each of the 7 Central American countries. Sustainable methods have been established to aid surveillance. National databases integrated in a regional database. Estimation system for carcinogen and pesticide exposure (CAREX):

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System developed previously in Costa Rica. Has now been implemented across Nicaragua, HONDURAS and Panama. Registration of occupational health fatalities: Study of fatalities and feasibility report for surveillance in Central America. Registration of occupational health accidents: A feasibility study for improvement of registration of occupational accidents has been proposed. Registration of occupational health diseases: Currently integrating existing data into a unified system. A pilot study for national surveillance is under discussion.


As above




GPA Objective Objective 4: To provide and communicate evidence for action and practice CC or NGO Name SESI- Industrial Social Service National Department, Brasilia Project Title Information System in Occupational Health and Safety Keywords Information, SST, accidents, diseases, cost, indicators Project leader Email Address Vitor Gomes Pinto [email protected]

Partners (of the CC Network) Industrial Accident Prevention Association - IAPA

Other Partners Institut de recherche Robert-Sauve en sante et en securite du travail – IRRST, OPAS/Brasil, Instituto de Saude Coletiva - UFBa

Funding SESI (Industrial Social Service), CIDA/Canada, IRRST


To create an information system in SST, with external data from the Ministry of Social Security and Social Assistance, the Ministry of Health, the Ministry of Labour and Employment, the Brazilian Institute of Geography and Statistics (IBGE); and also with the data internally produced in SESI system, originated in the SST actions developed in industrial companies.


a) Information System concluded. b) Staff of professionals prepared to deal with the data and to produce information that contributes to decision-making, priorization and production of new services. c) information in SST about labour accidents, diseases, absenteeism, costs, and others.


CNI system (National Confederation of Industry), Industry Federations, Industrial companies of all sizes, workers, human resources and SST professionals, governmental institutions, labour unions.


The current project starts by mapping the data available on the Internet, internal and external to the SESI system, in order to analyze its quality. It also intends to periodically identify the data which is not available on the Internet, requesting the information to the areas in charge. To identify the figures to be considered, to build internal capacity to analyze the data and to produce studies, reports, research that will contribute to a better knowledge of the social and demographic situation of the Manufacture and Civil Construction industry workers, their work environment and their health.

Dissemination Through SST webpage (www.sesi.org.br/portalsst), SESI and OPAS’s journals, and brochures to employers and employees.


At first there is a national and regional impact, which can become an international impact, especially in Portugese and Spanish speaking countries.

Progress on Project

Relevant external information resources have been identified and variables considered. This data has now been published (Identification of Databases and Information Systems in Occupational Health and Safety Available in Brazil, and, Identification of Variables and Indicators of SESI’s OHS Model). 23 SESI System’s professionals have been trained to collect and analyze data, the

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website is active (www.sesi.org.br/pro-sst), and additional training has taken place in Canada on “OHS Services Delivery”. Next steps will include: further development of the IOHS systems using an external firm to access further databases. Dissemination of educational material to workers and entrepreneurs, to inform the OHS status in their respective industry, and supply of new services, virtual consultancy and e-learning courses on OHS to entrepreneurs and workers.


As above



GPA4.20e Formerly AA2:NP10


CC or NGO Name Centre for Occupational Health at the National Institute of Public Health, Prague, Czech Republic

Project title Czech National Occupational Health Profile. Indicators of Exposure and of Health Outcomes

Keywords Exposure to occupational risk factors, carcinogens, occupational diseases, country profile, indicators, registries, OHS policies, global burden of disease


Assoc. Prof. Pavel Urban, M.D., Ph.D. [email protected]


WHO Collaborating Centers in Occupational Health which participated in the Taskforce 15 of the previous Work Plan

Other partners ILO, EUROSTAT/EODS Funding State budget, grant projects


To survey indicators providing comprehensive description of exposure to occupational health risks and of their health outcomes To provide Czech national data for a multinational study of the global burden of occupational diseases On the basis of the results, to implement measures improving workers’ health


Czech country profile of exposure to various occupational health risk factors Incidence of occupational diseases as a measure of health impact of the exposure to occupational health risk factors Suggestion of preventive measures to improve the situation

Target group and/or beneficiaries Ministry of Health, Ministry of Labour, OHS specialists, Trade Unions


The Czech Republic meets prerequisites for comprehensive collection of valid data on occupational exposures and their health impact. The exposures are surveyed in the System for Categorization of Working Activities, covering the whole work force. A special interest is paid to carcinogens. As a health outcome, the incidence of occupational diseases is surveyed. The collected data are available for multicenter or multinational studies assessing the global burden of occupational diseases. The data can serve as an empirical base for decision makers to convert the knowledge into action and to introduce effective policies for improving workers’ health.

Dissemination WHO/ILO/EUROSTAT documents, research studies, the media Impact (global or regional)

National, potentially contributory to a global impact

Progress on Project

The collection of data on occupational exposures to risk factors and on occupational diseases has continued. The nationwide coverage includes all sectors of economic activity. The data are stored in three information systems: Categorization of Working Activities, Registry of Exposure to Occupational Carcinogens, and Registry of Occupational Diseases. In 2008, approximately 445 thousands persons (14,367/100,000 employees) were exposed to occupational hazards. A total of 1,403 occupational diseases

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(30.7/100,000 employees) were reported. The risk of cancer was increased in the health care providers (HR=1.49, 95% CI=(1.05-2.10), p=0.024) and in subjects simultaneously exposed to more than two carcinogens (HR=2.35, 95% CI=(1.15-4.83), p=0.019).


Annual reports on occupational diseases in the CZ in 2006, 2007, and 2008 were published in the Czech Journal of Occupational Medicine and on the internet: (http://www.szu.cz/publications-and-products/data-and-statistics/occupational). The data were also passed on the EUROSTAT, WHO, and ILO.


Annual Reports on Occupational Diseases in the CZ in 2009-12


GPA4.20f Formerly AA2:NP18

GPA Objective Objective 4: To provide and communicate evidence for action and practice CC or NGO Name International Centre for Pesticides and Health Risk Prevention

Project title Development Of Public Health Indicators For Reporting Environmental/Occupational Risks Related To Agriculture And Fishery (DIRERAF 2004-2007).

Project leader and email address National Kapodistrian University of Athens (Project Coordinator), Greece

Partners

-National Kapodistrian University of Athens (Project Coordinator), Greece -Medical University of Sofia, Bulgaria -Nofer Institute of Occupational Health, Poland -Charles University of Prague, Czech Republic -Institut Municipal d' Investigacio Medical (IMIM), Spain -Dresden University of Technology, Germany -Institute of Preventive Medicine, Environmental and Occupational Health (Prolepsis), Greece - Finnish Institute of Occupational Health Country: Finland -Erasmus University, Netherlands -Institute of Rural Health, Slovakia

Potential to involve additional partners

We foresee to involve other international experts in the field of Agricultural and Fishery OHS for the evaluation of the set of indicators.

Funding EU-DG Sanco Issues to be addressed Health and Safety policies and practices in the sectors of Agriculture and Fishery.

Project outcomes

To identify and review existing policies and practices regarding data collection for occupational and environmental health risks at the agriculture and fishery sectors. To identify and categorize production specific risks for different types of production in the agricultural and fishery sectors To develop a minimal set of public health risk indicators with regards to occupational and environmental risk and rural health To break down the above mentioned indicators by socioeconomic and demographic criteria. To apply indicatively some indicators and collect data on a pilot base so as to test their feasibility and adaptability. To evaluate the collected data and assess the results of the evaluation. To recommend the set of indicators as a policy tool at the national and European level.

Dissemination

Dissemination activities will include: communication of progress and results among the partners and the panel of experts; a project's web-site; presentation of the results from the application of the indicators (on a pilot base) on a public health scientific meeting; presentation of the results and parts of the final report in press conference, continuous press releases; scientific announcements to international congresses and publications at scientific journals; briefing with policy recommendations addressed to national and European policy-makers on the need to collect data according to the methodology proposed so that indicators can be estimated for all Member States

Impact Regional, National and European Level policies. Progress on Project WP2 "Identification and review of existing policies and practices among 25 EU MS":

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Data collection is complete and report written. Partners are progressing with WP3 and WP4. The DIRERAF project will be showcased in a recent article submitted to the Journal of Public Health with contributions from other partners. Further links are in progress and pending outcomes from other WP’s, the development of a list of indicators (WP5) will begin. The DIRERAF project ended December 2007.


Existing policies regarding data collection (for occupational and environmental health risks at the agriculture and fishery sectors) have been identified. A minimal set of public health risk indicators with regards to occupational and environmental risk and rural health has been identified. Some indicators have been applied and data have been collected on a pilot study. An article has been submitted to the Journal of Public Health with contributions from other partners


To evaluate the collected data and assess the results of the evaluation. To recommend the set of indicators as a policy tool at the national


GPA4.20g Formerly AA2:NP19

GPA Objective Objective 4: To provide and communicate evidence for action and practice CC or NGO Name Research Unit of Maritime Medicine

Project Title Surveillance of occupational accidents aboard Danish merchant ships and fishing vessels

Keywords Injury, accident, surveillance, prevention, register Project leader Email Address Lise Hedegaard Laursen [email protected]

Partners (of the CC Network) None

Funding None


To gather information from existing databases into one register, thus improving the surveillance facilities and improving prevention of occupational injuries in merchant seafaring and fishing.

Project outcome: Completion of the project:

Annual updating of the register, and an annual report. Scientific papers.


Seamen and fishermen, and their organizations respectively. Safety professionals in the maritime area.


Background: Prevention of occupational injuries among seafarers and fishermen is highly important. This demands a well documented overview of the character and magnitude of all types of injuries by a valid surveillance system. Method: Data are gathered from existing databases: 1)Occupational injuries should legally be reported to the Danish Maritime Authority, and when compensation is expected additionally to the 2) insurance companies, and the 3)National Board of Industrial Injuries.

Dissemination Seaman’s and fishermen’s news, oral presentations nationally at relevant organizational meetings as well as internationally at scientific congresses, scientific papers, web-sites.


Progress on Project

Updating of databases is ongoing. We are preparing a paper concerning fatal occupational accidents in Danish fishery vessels 1989-2005, based on register information gathered from the Danish Maritime Authority. This paper will be followed by a paper concerning a follow up on occupational accidents aboard merchant ships focusing on accidents causing permanent disability presumably for the period 1998-2002.


Related paper published reporting on fatalities aboard fishing vessels: Laursen LH, Hansen HL, Jensen OC. Fata Occupational Accidents in Danish Fishing Vessels 1989-2005. Int.J Inj.Contr.saf Promot. 2008;(15)2:109-117.

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GPA4.20i Formerly AA2:RS2



Project title Elaboration of a European Guide to support the new European Directive 2003/10/EEC on the requirements regarding the exposure of workers to the risks arising from the physical agent noise

Keywords


Dr. Patrick Kurtz (2.6) [email protected]


Other partners INRS, CIOP und HSL Funding The project is funded by the European Commission.





To support the new European Physical Agents Directive on Noise the European Commission sponsors a project to prepare a guide helping employers and employees to comply with the requirements of the Directive to reduce the noise exposure of workers. The task to prepare such a guide was given to a consortium of different OHS institutions of the member states. These institutions are the INRS from France, CIOP from Poland, HSL from the UK and the BAuA from Germany. The guide will be finalised in 2006 and deals with subjects like: Basis of acoustics, measurement and exposure evaluation, design of the workplace, techniques of noise reduction, hearing protectors, hearing damage, purchase of quiet machines, noise reduction in the entertainment sector, etc.. A list of keywords guides the reader through the text. The whole guide is written in a plain style including a respective glossary explaining technical terms. Although the guide is prepared to support the European Directive it can be used as a general information about noise reduction at workplaces.

Dissemination The guide will be disseminated in the EU in all member state languages.


Although the guide is supporting European legislation it provides a general tool to reduce noise at workplaces.

Progress on Project

The work on a European guide supporting the implementation of the European Physical Agents Directive on Noise 2003/10/EC officially finished in 2006. The English version is currently translated into the different member state languages. We anticipate that in mid June the member states will give a positive vote to distribute this non-binding guide to good practice for the application of the directive 2003/10/EC as an official European document. The final adoption by the Commission can then be expected towards the end of July 2007. The title of the guide will read: "How to avoid or reduce the exposure of workers to noise at work"


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Official publication of the EU.


GPA4.20m Formerly AA4:TM1g

GPA Objective Objective 4: To provide and communicate evidence for action and practice CC or NGO Name Institute for Occupational Medicine and Maritime Medicine, Hamburg, Germany Project title Evidence-based guidelines for the prevention of occupational asthma Keywords occupational asthma, prevention, evidence-based, guidelines Project leader Email address

Xaver Baur, E-Mail: [email protected]


The European Respiratory Society (ERS) approved our revised project version focusing on the management of work-related asthma. Carrie Redlich (Yale School of Medicine, USA) and Paul Henneberger (National Institute of Occupational Safety and Health (NIOSH; USA) joined as collaborators.

Other partners

- Prof. Tor B. Aasen, Department of Occupational Medicine Haukeland, Bergen, Norway; Email: [email protected] - Prof. Sherwood Burge, Department of Respiratory Medicine, Birmingham, United Kingdom; Email: [email protected] - Prof. Dick Heederik, Environmental and Occupational Health Division, Institute for Risk Assessment Sciences, Utrecht, Netherlands; Email: [email protected] - Prof. Piero Maestrelli, Universita degli Studi di Padova Dipatimento di Medicina Ambientale e Sanita Pubblica, Sede die Medicina del Lavoro, servicio di Fisiopatologia Respiratoria, Padua, Italy; Email: [email protected] Prof. Torben Sigsgaard, Department of Environmental and Occupational Medicine, Aarhus, Denmark; Email: [email protected] National and EU legislative bodies

Funding Proposal for funding by European respiratory Society (ERS)


The objective is the substantial improvement of the prevention of occupational asthma in order to obtain a reduction of symptoms, morbidity, mortality and expenses


- Evidence-based guidelines for the prevention of occupational asthma with a declaration of the levels of evidence (introduction-chapter with definitions, e.g., occupational asthma, aggravation of pre-existing asthma, background-chapter including a summary of the current knowledge on causes, prevalence / incidence, dose-response relations, risk factors of work-related asthma, objectives of prevention, economic impact, and levels of evidence) - Booklets for the different target groups (e.g., guidelines for primary care physicians and for industrial physicians to initiate appropriate diagnostic and therapeutic measures in suspected cases with occupational asthma). Formulate 6 key questions and several subquestions (2008) - Respective evidence tables based on literature search (2009) - Formulate recommendations how to prevent and related to these key questions manage occupational asthma (2009/2010)


The target group of the intended guideline are workers in all sectors of activity. The target audience are all health care practitioners, i.e. occupational physicians and primary care physicians for fostering education. Given legal differences in the different countries, addition to industrial physicians, workers representatives with specific responsibility for the safety and health of workers may benefit from the guideline.


The objective is the substantial improvement of the prevention of occupational asthma in order to obtain a reduction of symptoms, morbidity, mortality and expenses. The proposed output will be: Introduction with definitions (e.g., new onset work-related asthma, aggravation of pre-existing asthma) Background chapter (including a summary of the current knowledge on causes, prevalence / incidence, dose-response relations, risk factors, primary prevention,

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and diagnostic tools) Compilation of useful information, e.g. legal framework conditions for the management of work-related asthma in the European Union Evidence-based recommendations on the prevention and management of work-related asthma, including treatment and interventions, such as stopping/reduction of causative exposure.

Dissemination The guidelines will be published as a long version as an internet file and as a short version in an international journal


Progress on Project

The project asked the European Respiratory Society (ERS) to fund a task force for “Evidence-based guidelines for the prevention of occupational asthma in Europe”. In march 2007, the ERS approved a revised version focusing on the “Management of work-related asthma”. After meetings in Kopenhagen and Munich, the entire group held a third meeting on September, 19th, 2007 in Stockholm. Carrie Redlich (Yale School of Medicine, USA) and Paul Henneberger (National Institute for Occupational Safety and Health (NIOSH), USA) joined as collaborators.


None


Guideline which will be published in two international journals, the guideline refers to prevention and management of occupational asthma


GPA4.20o Formerly AA6:WBD1

GPA Objective Objective 4: To provide and communicate evidence for action and practice CC or NGO Name National Institute of Occupational Safety and Health, Japan (JNIOSH)

Project title Active Surveillance of occupational diseases and exposures – a web-based information system

Keywords Internet, work-related disease, occupational physician, online resources Project leader Email address

Dr Ippei Mori [email protected]


Office of the Australian Safety & Compensation Council, Department of Employment and Workplace Relations (Peta Miller; Anh-Thu Stuart [email protected]; [email protected]) National Institute for Occupational & Environmental Health (NIOEH), Vietnam (Nguyen Khac Hai [email protected]) Occupational Safety & Health Division, MInistry of Manpower, Singapore (Ho Sweet Far [email protected]) Department of Occupational Health, Korea Occupational Safety and Health Agency (KOSHA), Incheon, Republic of Korea (Seong-Kyu Kang [email protected]) CCOHS - Canada (P. K. Abeytunga [email protected])

Other partners Occupational Physicians, Academic Researchers, Government Officials in Japan and East/Southeast Asian countries

Funding Financial provisions will be covered by the budget of the JNIOSH


To establish a web-based data collection system for the active surveillance for work-related diseases and occupational exposures, and to develop a web based information publication system for supporting occupational safety and health practitioners working in various enterprises.


The outcome until now (2002-2004) Main pages have been developed. Web data collection system was upgraded to satisfy requirement for privacy protection. Several doctors registered for this system to test the user-interface and functions. No actual data has been reported as yet. The outcome expected henceforth (2006-2010) A new research project on work-related disease surveillance will be launched. The present system is expected to be fully utilized for this project.


Occupational safety and health staff in companies, occupational physicians, and industrial hygienists

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This project develops a cutting-edge web-based information collection system for the active surveillance of work-related diseases and occupational exposures. It also incorporates a web-based publication system for information dissemination to occupational safety and health practitioners. The system is designed for use by occupational safety and health staff in companies, as well as occupational physicians and industrial hygienists. It also distributes information to companies or providers of work environment measurement systems, with regard to occupational exposure levels. From 2005, a new research project on work-related disease surveillance will be launched and the present system is expected to be fully utilized for this project.

Dissemination Peer-reviewed scientific publications, Conference Abstracts, Online dissemination via the website, Presentations at society meetings (e.g. Japan Society for Occupational Health)


PROGRESS ON PROJECT

Under the WorldSurv (Work-Related Surveillance) Project, launched in 2005, we have developed a web-based data collection system and interactive websites for providing/sharing information and experiences. There are three subsystems: (1) Job-history registration system (2) Reporting system for work-related asthma and dermatitis (3) Needlestick injury reporting system (Web-episys) For each reporting subsystem, we provide an interactive website, and we are also preparing to host national/international project websites, such as the Scientific Committee on Respiratory Disorders (SC-RD) of ICOH, and the training course of physicians for reading radiographs of pneumoconiosis, according to the ILO International Classification of Radiographs of Pneumoconiosis, jointly organized by the Asian Academic Societies for Occupational Medicine ("AIR Pneumo", Asian Intensive Reader of Pneumoconiosis).


As above



GPA4.20p Formerly AA6:WBD5


CC or NGO Name WHO Collaborating Centre for Occupational Health in Vietnam, National Institute of Occupational & Environmental Health (NIOEH)

Project title Development of a database system for occupational health and working environment monitoring in Vietnam

Keywords occupational hazards, occupational diseases, occupational injuries, high risk occupations, occupational health resource database, working environment, monitoring system, website portals, information network


Dr. Nguyen Khac Hai [email protected]


NIOSH FIOH NIWL Department of Occupational Health, Korea Occupational Safety and Health Agency (KOSHA), Incheon, Republic of Korea (Seong-Kyu Kang [email protected]) Occupational Safety & Health Division, Ministry of Manpower, Singapore (Ho Sweet Far [email protected]) National Institute of Occupational Safety and Health, Japan (JNIOSH) (Ippei Mori [email protected])

Other partners The University of Washington, USA

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Funding Vietnamese government and WHO


To establish, maintain and enhance the communications capacity of occupational health in WHO CC network To enhance the working environment monitoring capacity at lower levels (from provincial level)


To establish an occupational health database system and a working environment monitoring system in Vietnam (by 2007) To develop the web-based information access for the OH network in Vietnam (2008) To disseminate the training materials and best practices and encourage and support the resource mobilization (2008) To improve the working environment monitoring capacity at lower levels by provision of knowledge and equipment (2010) To establish a database system of the working environment by industries, provinces and regions (2010)


Policy makers, occupational health and safety researchers, enterprise managers, workers, OSH officers, students, lecturers


Collection of basic OH and working environment data by province, region, types of industries, geographic regions and timelines, etc. over the country based on the annual OH report Establishment of key organizations for monitoring the working environment by provinces, industries, regions Establishment of a monitoring network Building monitoring capacity for lower levels by improving knowledge and provision of equipment Development of software to input the data Development of GIS Development of web-based information access and a working environment database Promotion of resource mobilization and use of scientific information products

Dissemination Web-based database, information, WHO documents, Impact (global or regional) National, regional and global

Progress on project

In 2006, in collaboration with the Administration of Preventive Medicine of the Ministry of Health, a software programme on OH - 6 months and annual report - was developed. With the financial support from the WHO, in December 2006, NIOEH organised two training courses on OH software of a regular reporting system. These courses were attended by 80 participants from provincial preventive medicine Centres and the Centres for Occupational Health and Environment in the provinces and industries. These activities contribute to improving knowledge and practices on occupational health, and to the development of human resources at provincial and industrial levels. These activities also strengthen the occupational health network throughout the country and establish the database on OH. During 2007, this new software has served to report on various issues to NIOEH and the Ministry of Health. This OH information, received from the various provinces and industries, has included the following: working environment monitoring, occupational diseases examination and expertise, occupational injuries, human resources, OH equipment, etc.


The annual database on OH system over the country have received from this reporting system, including OH human resources, equipment, capacity of OH institutions in providing basic occupational health services, situation of working environment, workers’ health, occupational diseases and injuries, pesticide poisoning, implementation of legislative documents, OH trainings, etc. in enterprises in different provinces and industries. This reporting system will be improved in order to provide more indicators of OH institutions’ development and capacity in providing basic occupational health services to all workers, especially in term of the BOHS quality.

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Establishment of a monitoring network Development of GIS of working environment database and occupational diseases

2009-2012 Work Plan Number 4.20q

PROJECT Title Comparative Performance Monitoring (CPM)

GPA Objective This project is relevant under Objective 4 of the Global workplan: “To provide and communicate evidence for action and practice”


Project leader(s) Julie Hill [email protected]

Network partners NA


NA


NA

External partners for this project New Zealand


Two reports are produced by Safe Work Australia on behalf of the Workplace Relations Ministers’ Council (WRMC), which is the council of Federal, State and Territory Ministers responsible for workplace relations matters in their respective jurisdictions. The New Zealand Minister is invited to attend WRMC as an observer. The Comparative Performance Monitoring Report, produced annually, is a comparison of occupational health and safety and workers’ compensation schemes in Australia and New Zealand, and the Comparison of Occupational Health and Safety Arrangements in Australia and New Zealand is produced every two years. Both reports provide measurable information to support policy making and program development by the Australian and New Zealand Governments on OHS and workers’ compensation.

Target group and/or beneficiaries Asia and South Pacific


This is a core Safe Work Australia data and analysis program and as such is ongoing.

Dissemination plan The WRMC meet twice a year, with information being disseminated on their website (www.workplace.gov.au/cpm) and via a series of Joint Communiqués.

Funding source(s) Safe Work Australia


The CPM reports are produced with a view to providing indicators of the comparative performance of Australian and new Zealand schemes in such areas as OHS, premium rates, scheme costs and disbursements, return-to-work outcomes and legal costs. They provide trend analysis on the OHS and workers’ compensation schemes operating in Australia and New Zealand, and are designed to gauge the success of the different jurisdictional approaches to reducing the incidence of work-related injury and disease.


The next Comparative Performance Monitoring Report will be published in Dec 2009 and annually thereafter, and the next Comparison of Occupational Health and Safety Arrangements in Australia and New Zealand will be completed by April 2011.

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2009-2012 Work Plan Number 4.20r

PROJECT Title The occupational component of the Global Burden of Disease

GPA Objective This project is relevant under Objective 4 of the Global workplan: “To provide and communicate evidence for action and practice”


Project leader(s) Dr Peta Miller [email protected]

Network partners NA


NA


NA


The GBD 2005 Study brings together a community of experts and leaders in epidemiology and other areas of public health research from around the world to measure current levels and recent trends in all major diseases, injuries, and risk factors, and to produce new and comprehensive sets of estimates and easy-to-use tools for research and teaching. It is led by a consortium including Harvard University, the Institute for Health Metrics and Evaluation at the University of Washington, Johns Hopkins University, the University of Queensland, and the WHO


The Global Burden of Diseases, Injuries and Risk Factors Study (GBD 2005) is an evidence-based and scientific pursuit that updates the original 1990 GBD Study, which was commissioned by the World Bank to create a common metric to estimate the health loss associated with morbidity and mortality. The original study needs a comprehensive and systematic review, as today’s burden estimates contain some outdated and inconsistent information. Furthermore, patterns of disease and disability and their risk factors have altered dramatically and need to be reassessed. Safe Work Australia is providing funding and support for Dr Tim Driscoll, the Chief Investigator of the occupational component of the GBD 2005, to contribute further research time to the project, helping us to benchmark Australia against our international counterparts and to improve our understanding of the burden of work-related disease in Australia.

Target group and/or beneficiaries Global


The first round of analyses are due for completion December 2009. From Dec – June 2010 the core team will conduct peer-review and revision. The final results will be published in late 2010.

Dissemination plan

The project is conducted systematically and transparently; and its methods and results will be made available to the public via the GBD web site: http://www.globalburden.org/ In Australia the Safe Work Australian Council members (tripartite as well as representative of every State and Territory of Australia) exchange research findings with their constituents.

Funding source(s)

The overall GBD project is funded by the Bill and Melinda Gates Foundation, and is led by a consortium including Harvard University, the Institute for Health Metrics and Evaluation at the University of Washington, Johns Hopkins University, the University of Queensland, and the WHO. Safe Work Australia has provided additional funding to Dr Driscoll.


The GBD has been used by governments and non-governmental agencies to inform priorities for research, development, policies and funding.


This update is expected to provide new tools to markedly enhance the validity of estimations, particularly for ranking risk factors and disabilities, thus ensuring that global health research and policies are based on complete, valid, and reliable information.

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4.20s New Project


Development of analytical diagnostic tools for occupational isocyanate asthma


Objective 2, Priority 3, Action 2.15

Priority Initiative Leader Ass. Prof. Dr. LT Budnik

Responsible CC or NGO Name Institute for Occupational and Maritime Medicine, Hamburg, Germany

Project leader

Ass. Prof. Dr. Lygia T. Budnik, Prof. Dr. X. Baur Email: [email protected]

Network partners

Institute and outpatient clinic for occupational and environmental medicine, Ludwig Maximilians University Munich, Germany; Email: [email protected]


global




Prof. Dr. Rainer Bischoff, University of Groningen, Analysical Biochemistra and Mass spectrometry center, Groningen, NL; Email: [email protected] Dr. C. Lemière, Hôpital de Sacré Coeur, Montreal, Quebec, Canada Email: [email protected] Prof. Dr. D. Bernstein, Chincinnati Childrens Hospital Medical Center, University of Cincinatti, OH USA Email: [email protected]


Most frequent type of occupational asthma is the isocyanate asthma. Clinical diagnosis and differentiation of isocyanates as the cause of occupational asthma is difficult. The gold-standard test, specific inhalation challenge, is successfully used in our outpatient clinic. However with the increasing use of isocyanates worldwide a need for an efficient routine laboratory test has emerged. Due to the unsatisfactory serological IgE tests based on poorly characterized isocyanate-albumin epitopes, the available tests recognize only small proportion of affected workers. In order to characterize biomarker of exposure in a larger population of occupationally exposed workers we will characterize the reaction products of isocyanates and albumin with a help of mass spectrometry analyses.


Employer, worker representatives, OHS experts




Implement the immunological assay for the diagnosis of patient samples. Recommendations for the prevention of occupational asthma based on biomonitoring screening


Toolkit 1: characterise the kinetic conditions for the simulation of workplace exposure under laboratory conditions and implementation of the results for the patient analysis Toolkit 2: characterise the isocyanate-serum-albumin epitopes from patient samples with mass spectrometry Toolkit 3: develop a sensitive laboratory diagnostic method for the isocyanate asthma

Major Milestones (list up to three dates and

1. biomonitoring methods (2009-2010) 2. implementation of the antibody assay (2010-2011) 3. recommendations for the prevention of occupational asthma (2012)

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milestones) Public health impact

Development of new diagnostic tools for occupational isocyanate asthma. Effective interventions to manage and prevent the risks.

Funding source(s) German Research Council, DFG

Dissemination The results in international journals. Papers to conferences, workshops, new electronic media, fact sheets and recommendations, use channels of the EASHW, websites of CCs, WHO, ILO


4.20t New Project


New chemical health risks hazards in transportation and warehousing of marine cargo due to the process of globalization.


Objective 2, Priority 3, Action 2.15

Priority Initiative Leader Ass. Prof. Dr. LT Budnik

Responsible CC or NGO Name Institute for Occupational and Maritime Medicine, Hamburg, Germany

Project leader Ass. Prof. Dr. Lygia T. Budnik, Email: [email protected]

Network partners

Centre of Maritime Health and Safety, University of Southern Denmark Email: [email protected] Centre for Maritime Medicine, Haukeland University Bergen, Norway Email: [email protected]


global




National Institute for Public Health and Environment, RIVM, NL; Email: [email protected] Inspectorate of the Ministry of Housing Spatial Planning and the Environment, Rotterdam, NL Email: [email protected] Fraunhofer Institute for Intelligent Systems, St Augustin, Germany Email: [email protected] Sysca Chemical Analysis, Forschungszentrum, Karlsruhe, Germany Email: [email protected]


Recognise new health risk factors due to introduction of new global phytosanitary demands for increased freight container transport. Special emphasis will be on identification of potential new fumigants and pesticides and their toxicological relevance to workers in the marine and the TWU sectors. Measurements will be undertaken in two largest European harbours (Rotterdam and Hamburg) to Identify and analyze volatile pesticide residues in import containers and to develop diagnostic tools for biomonitoring. The objective is also to recognize (and characterize) risks due to the process of off gassing of the fumigant mixtures during unloading and storage of the products (warehousing).


Employer, worker representatives, OHS experts



Expected New health risks identified/ Health risk analysis performed. Toolkits developed for further

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results of this project by 2012 (outcomes)

hazard monitoring (ambient air monitoring and biomonitoring) and development of preventive intervention steps


Toolkit 1: develop validated screening methods for the measurement and analysis of new chemical risk factors Toolkit 2: develop biomonitoring system for diagnostics Toolkit 3. implement and evaluate the risk analysis to establish a medical record system for the new hazards


Toolkit 1 developed in 2009; toolkit 2 developed in 2010; toolkit 3 performed in 2011. Toolkits implemented and evaluated 2012


Identification of new chemical risk factors in the environment in the workplace and in the community. Effective interventions to manage and prevent the risks.

Funding source(s) German Ministry for Science and Research, Dutch Ministry of Environment

Dissemination The results in international journals. Papers to conferences, workshops, new electronic media, factsheets and recommendations, use channels of the EASHW, websites of CCs, WHO, ILO


GPA4.21a Formerly AA2:NP3


CC or NGO Name National Centre of Public Health Protection. Bulgaria

Project title Developing of indicators for occupational health activities in Bulgaria

Keywords Health indicators, occupational diseases, occupational accidents, work-related diseases, occupational health services, working conditions parameters


Prof. Emilia Ivanovich [email protected]


FIOH, FIOH, Institute of Occupational Medicine, The former Yugoslav Republic of Macedonia, Institute of Occupational & Radiological Health, Serbia and Montenegro

Other partners Ministry of Health Funding Government of Bulgaria


Provide evidence for enforcement of preventive approaches in the field of workers health and safety and promotion of preventive culture


Comparative data for economic and health indicators, occupational diseases and accidents, working conditions and occupational health services 2007


Decision makers at national and company level, social partners


The process of restructuring of occupational health and safety system in Bulgaria is still going on. During the past decade a harmonization of the legislation with the European one has been completed. New approaches as the implementation of the occupational health services and the integrated control have been implemented. The existing situation needs to be evaluated and evidences for new National Occupational Health Program with new priorities will be provided.

Dissemination WHO; Ministry of Health, Ministry of Labour and social policy; social partners


National and regional


- National Occupational Health profiles for the years 1999 – 2005 have been carried out;

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- The dynamics of the main indicators have been established; - A comparison between selected national indicators and other EU countries and countries from South-Eastern Europe have been made.


As above



GPA4.21b Formerly AA2:NP4


CC or NGO Name Coronel Institute of Occupational Health AMC/Netherlands Center for Occupational Diseases, University of Amsterdam, The Netherlands

Project Title Development and validation of quality indicators for national registration systems of occupational diseases A European Study

Keywords occupational diseases, work-related diseases, registries, health policy, prevention & control, quality indicators, occupational health, health surveillance, evaluation

Project leader Email Adress

Dick Spreeuwers [email protected]

Partners (of the CC Network) University of Manchester

Other partners Many centres have been consulted during the project, mainly in European Union states

Funding Dutch Ministry of Social Affairs and Employment; there is not yet funding for transformation in a WHO technical report (if agreed upon this topic as appropriate for WHO publication)


The aim of this study is to develop a tool for evaluation of national registration systems of occupational diseases with respect to their ability to provide essential information for preventive policy. The specific questions in this project are: 1. Which indicators determine the quality of national registration systems of occupational diseases with respect to their ability to provide essential information for preventive policy? 2. Which criteria do these indicators have to meet to provide good quality information?


A valid tool for evaluation of national registration systems of occupational diseases with respect to their ability to provide essential information for preventive policy. Deadline for completion: June 2006


Policymakers on national and international level; experts on notification systems in (national) institutes for occupational health and safety.


Objectives to develop a tool for evaluation of national registration systems of occupational diseases to provide information for preventive policy. Methods Literature search, development of quality indicators, test of content validity, adjustments in Delphi study (25 experts EU countries) Results Two different types of information output are essential: alert and monitor information. We defined indicators and criteria for quality, and made adjustments. Conclusions We have developed a valid tool for evaluation of national registration systems of occupational diseases with respect to their ability to provide essential information for preventive policy. We can use this tool to evaluate national registration systems.

Dissemination Magazine Article, scientific journal article, transformation into a WHO technical report is possible, interest of ILO?


Global. The tool can be used to evaluate and compare national registration systems of occupational diseases of all countries

Progress on Project We have developed a valid tool for evaluating national registration systems of occupational diseases with respect to their ability to provide appropriate information for preventive policy, and called it “ODIT”. We performed a Delphi study, in which 16

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international experts participated, to validate the tool. The main elements to be assessed are the ability to provide monitor information and alert information. The provision of clear criteria that demarcate low and high quality makes it a valuable instrument to assess the quality of a registration system. We think that it can serve as a starting point for a quality improvement process of registration systems of occupational diseases. We are now performing the second part of the project. This part consists of testing the feasibility and usability of the tool in 7 countries. We expect to complete the study in September. We want to submit an article on the second part of the study to a scientific journal by the end of 2007.


As above



GPA4.21c Formerly AA2:NP8


CC or NGO Name Institute for Occupational Physiology at Dortmund University, Federal Republic of Germany

Project Title Bladder Cancer Documentation of Causes: the multilingual questionnaire “Bladder Cancer Doc”

Keywords Urinary bladder cancer, occupational exposure, life style, bladder carcinogens Project leader Email Address

Klaus Golka, Privatdozent, MD [email protected]

Partners (of the CC Network) Prof. Konrad Rydzynski, Nofer Institute, Lodz, Poland

Other Partners

Dr. Mohammad Aslam, Pakistan; Prof. Jinhua Shen, China; Dr. Jasmin Hodzic, Germany; Prof. Nursen Basaran, Turkey; Prof. Dr. med. Dr. h.c. Fumihiko Ikoma, Japan; Prof. Imre Romic, Hungaria; Patricia Casares Gonzalez, Germany/Mexico; Prof. Miriam Angeli-Greaves, Venezuela; Dr. Trinh Vu Duc, Swiss/Vietnam; Dr. Fransiska Zakaria, Indonesia; Maria Soufi, Germany/Greece; Rouslana Belik, Germany/Belarus; Dr. Boo-Hyon Kang, Korea; Dr. Yael Abbreu-Villaca, Brasil; Henrietta Galambos, Slovac Republic; Privat-Docent Dr. Patrice Jichlinski, Swiss; Prof. Rama Devi Mittal, India; Dipl.-Ing. Christian Scutaru, Germany/Romania; Rowshanak Angari Anbari, Germany/Iran; Prof. Giorgio Assennato, Italy; Dr. Hamza, Germany; Dr. Ing. Mohit Kumar, Germany; Sridhar Reddy Swarna, Germany, Nenn Phannawat, Germany/Thailand

Funding In place Objective of the project

To identify subjects that might suffer from occupational bladder cancer in developing and in industrialized countries


The questionnaire will be made public by an accompanying article. It is intended to present the questionnaires as Word and as pdf files in the world wide web.

Deadline(s) for completion of the project

The manuscript will be written by Klaus Golka and Konrad Rydzynski. The text will then be sent to the partners who review the manuscript. Overall 12-18 months are realistic.


Occupationally exposed bladder cancer patients, health care professionals, health insurances


The questionnaire presents the relevant causes of occupational bladder cancer in more than 20 languages (eg. English, Urdu, Chinese, Serbo-Croation, Turkish, Japanese, Hungarian, Spanish/Mexican, Spanish/Venezuelan, Vietnamese, Indonesian, Greek, Russian, Slovak, Czech, French, Hindi, Romanian, Persian, Italian, Arabian, Punjabi, Telugo, Thai, Polish).

Dissemination Article in a specialty journal listed in Medline/PubMed, homepage of the Institute for Occupational Physiology at Dortmund University


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Progress on Project

A questionnaire has been successfully developed to promote the identification of persons at higher risk of bladder cancer. The questionnaire is available in more than 20 languages and has been used to identify individuals that might suffer from occupational bladder cancer in developing and in industrialized countries. Occupational exposures covered by the questionnaire can be found in the WHO GOHNET Newsletter ‘Prevention of Occupational Cancer’ Summer 2006. Results gained by the questionnaire have also been presented at a state-wide (North Rhine-Westphalia) symposium on environmental medicine, May 10-11.


As above






Project title SOLAR – Study on OccupationaL Allergy Risks

Keywords occupational asthma, occupational allergies, adolescents, ISAAC follow up, cohort study


Dr. Katja Radon MSc [email protected]


Other partners

IMIM Barcelona University of Manchester University of Gothenburg Bispebjerg Hospital Copenhagen National Health Development Institute (NHDI) Estonia Carl Gustav Carus University Dresden University of Sosnoviecz Global Asthma and Allergy Network of Excellence GA2LEN

Funding

German Ministry of Labor and Social Affairs German Society for Occupational and Environmental Medicine European Union


To conduct a prospective cohort study on occupational asthma and allergies in adolescent workers


The first follow-up of the German cohort has now been completed, the 2nd follow-up is currently planned and will be finished 2010. For the international study the application for funding has recently started.

Target group and/or beneficiaries Adolescents entering working life


About 10 % of all asthmatic diseases are attributed to occupational factors. Due to the cross-sectional character of most studies performed in this field, only limited prospective data have been collected. None of these took childhood factors into account as all of them started in adulthood. We have initiated a follow-up survey of the ISAAC (International Study on Asthma and Allergies in Childhood) II cohort in Munich and Dresden in order to conduct a prospective cohort study on occupational asthma and allergies that starts in early childhood until well beyond the age of working life. In addition, an international study is prepared.

Dissemination Website, e-learning cases, brochure for physicians and students. Impact (global or regional)

Health-based recommendations to adolescents regarding choice of job are under preparation.

Progress on Project About 10 % of all asthmatic diseases are attributed to occupational factors. Due to the cross-sectional character of most studies performed in this field, only limited prospective data have been collected. None of these took childhood factors into account as all of them started in adulthood.

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We have initiated a follow-up survey of the ISAAC (International Study on Asthma and Allergies in Childhood) II cohort in Munich and Dresden in order to conduct a prospective cohort study on occupational asthma and allergies that starts in early childhood until well beyond the age of working life. In addition, an international study starting at the last year of secondary schools is being prepared.


As above



GPA4.21e Formerly AA2:NP20

GPA Objective Objective 4: To provide and communicate evidence for action and practice CC or NGO Name Research Unit of Maritime Medicine Project Title The back project Keywords Back pain, ergonomics, offshore, drilling rig Project leader Email Address

Chris Jensen [email protected]


Funding The project has been funded by Maersk Contractors Objective of the project

Identify risk factors for musculoskeletal symptoms and sick leave. Develop methods for quantifying ergonomic risk factors.

Project outcome: Completion of the project:

Scientific article To be completed at the end of 2006


Researchers, the offshore industry, safety professionals in the maritime area and shore based industry


Job analyses of all jobs on an offshore drilling rig with 80 employees are performed. Observational methods are used to quantify working postures and heavy material handling. This is combined with personnel registers to identify workers at risk of developing musculoskeletal symptoms, and recommend solutions for improvements. The solutions are either technical or based on job training.

Dissemination Scientific paper, conferences Impact (global or regional) Global

Progress on Project

The first phase of the project has been completed. This involved a complete ergonomic survey of work tasks on a North Sea drilling rig. The report is published on www.maritimemedicine.dk. The next phase will start in late 2007, where interventions involving ergonomic improvements and a physical back training programme will be initiated as part of a PhD study.


Report as above


Funding now suspended. Dept now engaged in a 4 year accident prevention study including all oil operators in the Danish sector of the North Sea.


GPA4.21f Formerly AA2:NP22

GPA Objective Objective 4: To provide and communicate evidence for action and practice CC or NGO Name Department of Occupational Health, Fudan University, Shanghai, China Project title Interaction between occupational and genetic factors on lumbar disc degeneration Keywords Genetic factors, physical exposure assessment, lumbar disc degeneration

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Dr Ling Lei, associate professor [email protected]


Other partners Funding National Natural Science Foundation of China


To explore the interaction between occupational and genetic factors on lumbar disc degeneration.


The model of lumbar disc degeneration risk factors (by 2008)

Target group and/or beneficiaries Professionals, employers, employees.


According to MRI diagnosis and using case-control study, genetic effects will be analyzed by comparing gene and genotype frequency differences of IX collagen, aggrecan, MMP－3 and VDR; Occupational effects will be qualitatively and quantitatively assessed by analyzing the characteristics of lumbar disc degeneration including incidence, site, types and severity in various occupational physical workload exposure; by which occupational and genetic interaction contributed to lumbar disc degeneration will be explored.

Dissemination WHO document, Conferences and publications


Progress on Project

1. A case-control study was carried out and found that risk factors of lumbar disc degeneration associated with age, back injury history, whole body vibration, bending/twisting and heavy work seemed to be synergized in subjects with mutation genotypes of MMP-3 and/or VDR-Apa. An interactive effect profoundly existed between the mutation genotype of MMP-3 and whole body vibration exposure. 2. At present, we are conducting a cross-sectional survey focused on occupational risk factors of foundry workers, and assessing if synergistic effects would have existed among workers with polymorphisms of COL9A2 and COL9A3 of IX collagen and aggrecan genes.


As above



GPA4.21g AA3:E2 (WHO) AA3:26

Activity Area Number and title

AA3 Practical approaches to identify and reduce occupational risks

CC or NGO Name Department of Work Environment, University of Massachusetts Lowell (UML)

Project title Economic Evaluation of Interventions to Reduce Occupational Back Pain: A Prospective Case Study for Porters in the Wholesale Produce Market in Brazil

Keywords State the key words of the project. For example: Occupational Back pain , Cost-Effectiveness Of Ergonomic Interventions, Economic Evaluation of Interventions, Net-Cost

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Heleno Rodrigues Corrêa Filho [email protected] , Maria Inês Monteiro [email protected]


Dr. Supriya Lahiri [email protected] Charles Levenstein [email protected] Ana Isabel Bruzzi Bezerra Paraguay, Assistant Professor, Department of Environmental Health, School of Public Health, São Paulo State University (http://www.fsp.usp.br/).

Other partners Funding Seed Funding FOGARTY, NIH Objective of the project

Economic Evaluation of Ergonomic Interventions through a Prospective Study


• Validation and adaptation of the “Net-Cost Model” through a prospective study (2008) and Cost-Effectiveness Estimates of Interventions • To develop economic evaluation training packages for occupational health professionals deliverable through e-learning and face-to-face (by 2009)


All enterprises – both in the formal and informal sector.


Our goal is to apply, adapt and improve upon the net-cost model developed at the University of Massachusetts Lowell (UML) under the sponsorship of the World Health Organization (WHO) for evaluating ergonomic interventions through a prospective study of the CEASA market, a national distributor of produce, in Campinas Brazil. There is a high prevalence of back problems among the employees that are involved in carrying out the tasks of loading and unloading the cargo trucks and in displaying the products on the shelves. We propose to collaborate with UNICAMP (Brazil) in the above study. The study will be of four years duration. In the first year, we shall collect baseline data (of the current situation without the introduction of additional interventions) on LBP injuries among workers, medical care costs, productivity losses and data on other socioeconomic variables. This will also enable us to determine the type of ergonomic interventions that we would be proposing for the reduction of these injuries. In the second through fourth year relevant data will be collected for the adaptation of the net-cost model and estimation of cost-effectiveness estimates.

Dissemination WHO documents; university studies; worker and enterprise meetings, seminars, workshops and conferences, journal publication


Progress on Project

A preliminary cross-sectional survey based on sampling quotas allowed to analyze of 82 porters, aged 19 to 71 years with low schooling (24.4% attended school for at least 8 years). Their entire work life average was 31.3 years (SD=12.1) with a long history of being a porter (mean=15.5 years; SD=9.0). Workloads were pilled over two wheeled wood trolleys (±20 boxes, ±1/2 Ton) in a night shift from 5 A.M.-12 noon three days per week. Total workload per man was 5 tons/day or 15tons/week. Back pain during the last week was reported by 18.3% and 31.7% experienced episodes of back pain in the last six months. Use of pain relief medicines were reported by 31.7% at the day of the interview, with 26.8% telling being sick in the last 15 days. None of the groups of Union leaders, bosses, market administration or health professionals retained strength or political drive to overcome or ignore the others. Small sales menace to disappear because of the great supermarket networks. The unique common objective of all social actors is to provide food and food security for the population and small and medium sized commerce. May be they realize this common goal a little too late.


As above


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GPA4.21h Formerly AA3:31


CC or NGO Name Federal Institute for Occupational Safety and Health (BAuA), Germany (WHO-CC for Occupational Health)

Project title Examination of the stress of the lumbar spine caused by whole-body vibration with variable frequency, magnitude and direction

Keywords


Dr. Marianne Schust [email protected]


Technical University Darmstadt (Germany), Technical University Hamburg-Harburg (Germany)

Other partners INRS, CIOP und HSL Funding BAuA



It is planned to finish the investigation of the frequency weightings for the evaluation of wholebody vibration in all three axes by the end of 2009. The results concerning the implementation of active muscle reactions in the model can be expected in the middle of 2010. The activities with regard to the health effects of shear forces on the lumbar spine will be finished at the end of 2010. A comprehensive presentation of the project will be given in the autumn of 2011 at an international conference.


Workers exposed to whole-body vibration, drivers, manufacturers of mobile machinery, inspectorates, occupational health physicians


Finite element (FE-) models of man were improved and validated based on human experimental in vivo data in order to predict compressive and shear forces acting on lumbar discs during whole-body vibration in x-, y- and z-axis. The models were adapted to ten classes of anthropometric data of European drivers and five different typical driving postures. A set of transfer functions was calculated that can simulate altogether 50 different FE-models. The models were improved by the consideration of intensity dependence, interface conditions and an anatomical based sub-model of the lumbar vertebra. Fatigue failure of lumbar vertebral endplates (ISO 2631-5) can be used as criterion to predict the health risk due to long-term exposure. New experimental in-vitro data (Technical University Hamburg-Harburg, Germany) were compared with such predictions. The comparisons assisted the selection of suitable quantitative relationships. The associations between anthropometric data, age, size and mechanical characteristics of lumbar motion segments were investigated considering the magnitude and duration of dynamic compression and shear load. Current activities: Experimental studies (cross-modality matching, biodynamics) were performed to investigate frequency weightings for the evaluation of whole-body vibration in all three axes. The data analyses are in progress. First results has been presented in September 2007 at the 42nd UK Conference on Human responses to Vibration. Further improvements of the FE-models can be expected by the implementation of active muscle reactions in the model, basing on results of experimental studies. The pilot studies has been carried out. The main studies will start in January 2009. The method of evaluation of the health risk caused by long-term intensive occupational whole-body vibration will be extended. At present, the adverse effects of compressive forces can be explained by the theory of fatigue failure of the vertebral endplates. A fundamental research project has been started off in order to investigate the health effects of shear forces on the lumbar spine during in-vitro tests of specimens in September 2008.

Dissemination The results will be disseminated among the scientific and public community by publications and presentations. Moreover, the risk assessment method based on the FE-model will be implicated in the European and International Standardisation and will be tested in selected companies.


Global

371

Progress on Project

Finite element (FE-) models of man were improved and validated based on human experimental in vivo data in order to predict compressive and shear forces acting on lumbar discs during whole-body vibration in x-, y and z-axis. The models were adapted to ten classes of anthropometric data of European drivers and five different typical driving postures. A set of transfer functions was calculated that can simulate altogether 50 different FE-models. Fatigue failure of lumbar vertebral endplates (ISO 2631-5) can be used as criterion to predict the health risk due to long-term exposure. New experimental in-vitro data (Technical University Hamburg-Harburg, Germany) were compared with such predictions. The comparisons assisted the selection of suitable quantitative relationships. The application of the new evaluation procedure to many different exposure conditions obtained in Europe indicate the necessity to decrease the limit value of the European directive 2002/44/EC for whole-body vibration in the z-axis and to revise current evaluation methods (ISO 2631-1, ISO 2631-5). ‘In-progress’ Activities Experimental laboratory in-vivo studies (cross-modality matching, biodynamics) to investigate frequency weightings for low-frequency whole body vibration in different axes. Further improvement of the FE-model and in-vitro studies with lumbar spinal units in order to examine fatigue strength in dependence on age.



The application of the new evaluation procedure for many different exposure conditions obtained in Europe indicates the necessity to decrease the limit value of the European directive 2002/44/EC for whole-body vibration in the z-axis and to revise current evaluation methods (ISO 2631-1, ISO 2631-5).


GPA4.21i Formerly AA3: I2


CC or NGO Name Department of Occupational Health, Fudan University, China)

Project title Epidemiological Study of Occupational Injuries in an Iron & Steel Complex

Keywords Occupational Injuries, an Iron & Steel Complex, Epidemiological Study


Zhaolin Xia Email address: [email protected]


Other partners Baoshan Steel Company. Shanghai, China

Funding Each collaborating partner is responsible for its respective costs Grant from LMRIS.


to obtain the prevalence and distribution of fatal occupational injuries (FIO) and severe injuries (SI) in an Iron & Steel Corporation during the period of 1995-2002; then to identify and classify the risk factors in order to prevent and control the injuries; to investigate and understand the injury-induced burden, including the lost-work-time and the direct and indirect economic loss of occupational injuries.

372


the expected outcome: In collaboration with local institutes, to establish a research fields for following-up intervention study of the project; to establish a institution to integrate occupational safety and health consulting service in the Iron & Steel Corporation. the deadline: December 2008


Iron steel plant


In order to identify current status of the prevalence of occupational injury in iron steel plan.

Dissemination publishing papers and project reports Impact; global/regional Global

Progress on Project

A paper “Epidemiology of Fatal Occupational Injuries in an Iron and Steel Complex during 1958-2001 in China ” was published in Chinese Journal of Environ. & Occup. Med. in April, 2006


As above



GPA4.21j Formerly AA4:CE3c

GPA Objective Objective 4: To provide and communicate evidence for action and practice CC or NGO Name Central American Institute for Studies on Toxic Substances (IRET), Costa Rica

Project title Strengthening of occupational and environmental health research in Central America and the Caribbean

Keywords Central America, Caribbean, Research, Occupation, Environment Project leader Email address

Dr. Catharina Wesseling ([email protected])


Karolinska Institute (Sweden), University of Texas School of Public Health.

Other partners University of Washington, Stockholm University, Central American universities Funding SAREC, Sida, Fogarty Project University of Texas, collaborating institutes


Generation and strengthening of qualified human resources and scientific-technical knowledge for occupational and environmental health in Central America.


Continuous


Scientists and science administrators in Central America


Project scope: Multicentric and bilateral research projects in Central America Central American research training programs Continuing education program. Training in all Central American countries and interchange of local training within the countries.

Dissemination Academic, technical and popular dissemination Impact (global or regional)

Regional

373

Progress on Project

Project going on in four countries in Central America on chronic renal failure in workers health; Central American research training programs plans to continue to develop this regionally, although continues in Costa Rica; continuing education program training in all Central American countries and interchange of local training within the countries; organized 3-4 national courses in Costa Rica for about approximately 100 participants and three regional courses 3 for about 75 people. Organized courses in each country through the network about 3 courses in each of 7 countries. Pre course and post course evaluations are completed. Plan on same level of activity in the next year. EPICOH-NEUROEPI conference is being planned collaboratively to take place in Costa Rica June 9-13, 2008. Organizing committee includes international partners (UIC, too).


As above


2009-2012 Work Plan Number 4.21k

PROJECT Title

Contributing to the evidence on occupational health by commissioning Cochrane systematic occupational health reviews

GPA Objective These activities are registered under Objective 4: “To provide and communicate evidence for action and practice” on the 2009-2012 Global Work Plan (item number AA4:21).


Project leader(s) Janice Batt [email protected]

Network partners Jos Verbeek, Cochrane Occupational Health Field, [email protected] Finnish Institute of Occupational Health


NA


NA


Jos Verbeek, Cochrane Occupational Health Field, [email protected] Finnish Institute of Occupational Health


Safe Work Australia works with the Finnish Institute of Occupational Health to commission research outlining the evidence on interventions aimed at reducing manual handling injuries, and injuries in the construction and the agricultural industries or activities in the workplace. Three Cochrane Occupational Health Systematic Reviews are completed and published on the Cochrane Library. A fourth review is underway assessing the efficacy of health examinations for preventing occupational injuries and disease in workers.


Global


The systematic review on the “Health examination for preventing occupational injuries and disease in workers” is due for completion in December 2009.

Dissemination plan

World Wide Web through the on-line Cochrane Library. In Australia the Safe Work Australian Council members (tripartite as well as representative of every State and Territory of Australia) will communicate and exchange research with their constituents.

374



Three reviews have already been published online in the Cochrane Library: “Manual material handling advice and assistive devices for preventing and treating back pain in workers” 18 July 2007 in Issue 3, 2007, “Interventions for preventing injuries in the construction industry” 17 October 2007 in Issue 4, 2007, and “Interventions for preventing injuries in the agricultural industry” 23 January 2008 in Issue 1, 2008.


The intervention protocol of the fourth review “Health examination for preventing occupational injuries and disease in workers” was published 16 July 2008 in Issue 3, 2008. The systematic review is due for completion in December 2009.


GPA4.21r Formerly AA6: KTBP6


CC or NGO Name CINBIOSE - Center for Interdisciplinary Studies in Biology, Health, Environment and Society (CINBIOSE), University of Quebec at Montreal, Canada

Project title Community of Practice in Ecosystem Approaches to Human Health to Reduce Toxic Exposure in Latin America and the Caribbean

Keywords Ecohealth, networking, global approach Project leader Email address

Donna Mergler [email protected] Catharina Wesseling : [email protected]


Instituto Regional de Estudio en Sustancias Tóxicas (IRET), the Universidad Nacional Insituto Nacional de Salud Pública, Cuernavaca, México

Other partners Centro de Estudios de la Mujer (CEM), Santigao, Chili Centro de Desenvolvimento Sustentável at the Universidade de Brasíia (CDS-UnB), Brasilia, Brazil Fundação Saúde, Ambiente e Desenvolvimento (FUNSAD), Quito, Ecador

Funding International Development Research Centre (IDRC), Canada


Establish a Community of Practice of researchers, policy-makers and NGOs to integrate global, ecohealth approaches, whose pillars include interdisciplinary work, gender sensitive methods and community participation, into research and policy-making with a view to reducing exposures to toxic substances in workplaces and the environment.


Centres of Excellence in ecohealth approaches in the 5 regions of Latin America and the Caribbean (Mexico, Central America and the Caribbean, Andean Region, Brazil, Southern Cone) with local outreach to researchers, NGOs and policy makers and strong transversal ties. Funding ends in December 2008, with possibility for 3 year renewal


Academics, policy-makers, NGOs, unions, civil society.


This project is establishing a Community of Practice on ecohealth research to reduce toxic exposure in Latin America and the Caribbean (CoPEH-TLAC), in partnership with Canadian researchers. It promotes and supports ecohealth research with policy intervention by progressively building on a nodal structure, strongly rooted in existing institutions that have demonstrated their capacity for interdisciplinary, intervention-oriented research and links to policy making. The Centres are focal nodes for outreach to their region and activities are co-ordinated by a Canada-LAC Core Committee. CoPEH-TLAC activities foster sharing, cross-fertilization and multilateral support. Inter-regional synergy is contributing to development, consolidation, integration and policy applications of ecohealth Approaches throughout LAC.

Dissemination

Dissemination is both transversal and vertical. CoPEH-TLAC participates in international, national and regional events and locally each Centre has a plan for dissemination. Each Centre is likewise responsible for a specific theme: vector-borne diseases, pesticides in agriculture, mining and metals, up-scaling the ecohealth approach and structural re-adjustment and gender. Thematic and regional workshops have been held in all of the regions. The ecohealth approach is serving to foster a better integration occupational and environmental health concerns and more global solutions.

375


Through our participation in events organized throughout the world, and notably in international events organized in Latin America and the Caribbean. CoPEH-TLAC. In each region, CoPEH-TLAC has established links with universities, ministries, unions and groups within civil society for dissemination of ecohealth approaches with a view to providing global and viable solutions to reduction of toxic exposures.

Progress on Project

CoPEH-TLAC has been highly successful. Beginning with a group of 13 members (7 women and 6 men), we now have an active membership of over 100 persons in the 5 regions. Each Centre has developed differently, reflecting the needs of their region, supporting regional projects in research and intervention. We initiated a transversal training program and laid the basis of a program for institutionalization and outreach to academics, policy makers, unions and civil society. We initiated an innovative evaluation process, based on network communication theory, and are building our website (http://www.insp.mx/copeh-tlac/esp/inf). An International Forum on Ecohealth that will be held in December 2008 in México, will mark the end of the first Phase.


See above



4.21t New Project


Medical care onboard ships: Creating a framework towards an evidence-based revision of the International Medical Guide for Ships 3rd

GPA Objective and Action Objective 4, Action 4,2

Priority Initiative no Responsible CC or NGO Name

Hamburg Port Health Center, Institute of Occupational and Maritime Medicine, Hamburg, Germany

Project leader Clara Schlaich Email: [email protected]

Network partners Institute of Maritime and Tropical Medicine, Gydnia, Poland Email: [email protected]


Global


None


Alf Magne Horneland, Centre for Maritime Medicine, Haukeland University Bergen, Norway Email: [email protected] International Maritime Health Association (IMHA), Dr Nebojsa Nikolic , E mail: [email protected].


The publication of the International Medical Guide for Ships (IMGS) has initiated a discussion on the framework needed for it´s future revision. A general lack of scientific evidence concerning the impact of the medical interventions in the setting of ships was identified. The project aims to review the current evidence of health risks and needs for the population of seafarers. The available evidence on the efficacy and safety of medical interventions globally used on board will be assessed and areas of uncertainty identified. The impact of interventions on costs and on the seafarer´s health will be questioned. A recommendation will be given to the future revision of the IMGS.

Target group and/or

Seafarers, port health authorities, ship owners, telemedicine centres, medical education centres for ship officers, port doctors.

376


Meetings of the WHO CC´s. International conferences of the scientific community in maritime health (primarily of the International Maritime Health Association)


Recommendations for the revision of the IMGS 3rd ed considering the “Guidelines for WHO Guidelines”.


Creating consensus of the guiding values for the development of an international guideline for the medical care on board. Identification of available evidence and areas of uncertainty. Localization of recommendations to the setting of ships. Identify costs and benefits for decision-makers.


1) Definition of the scientific questions and systematic review on the evidence of health risks and needs for the population of seafarers (by 2009). 2) Creation of a Database on the currently recommended interventions globally and on the available evidence on the efficacy and safety of medical interventions in the setting of a ship. Identification of areas of uncertainty (by 2010). 3) Definition of indicators for outcomes of interventions considering costs and impact on health. Development of final recommendations for the revision of the current IMGS (by 2012)


Impact on the health of the population of seafarers on commercial ships. Impact on global health concerning the international spread of communicable diseases through shipping.

Funding source(s) No funds

Dissemination Results and recommendations will be published in international journals and presented to the scientific community on conferences. The final recommendations will be presented to WHO as an aid for the future revision of the IMGS.



Development of final recommendations for the revision of the current IMGS (by 2012)


GPA4.21u Formerly AA2:46

GPA Objective Objective 3: To improve the performance of and access to occupational health services CC or NGO Name Institute of Occupational Health and Safety - Tunisia -ISST Project title Study of professional exposure to organic solvents in Tunisia

Keywords Organic solvents – professional exposure – hexane-styrene white spirit- Toluene Benzene - adhesives painting

Project leader Email address Dr.BEN Mansour- Dr..Nouaigui- Dr.Ben Laiba [email protected]


Other partners -CAMU: Center of Urgent Medical aid in Tunis - Departments of Occupational medicine of Sfax-TUNISIE - Departments of Occupational medicine of Ben Arous-TUNISIE

Funding Budget of the ISST


- To evaluate professional exposure to solvents -To evaluate the prevalence of morbidities linked to professional exposure to solvents - To propose solutions to reduce professional exposure to solvents


- Establishing of an inventory of fixtures for the professional use of solvents in Tunisia - Identification of the morbid states linked to solvents and their prevalence - deadline: December 31- 2008

377


-workers in companies which use organic solvents and in particular the manufacture of adhesives and paint products, leather and shoe industry, the laminated plastic industries and of dry cleaning companies.


The sample of companies belonging to the branches of industry which use organic solvents, are carried out: Census of the products used - Identification of the work stations which expose to solvents - quantitative and qualitative evaluation of the exposure to solvents, thanks to environmental and biotoxicologic monitoring. - Clinical and paraclinical examinations of the workers exposed to solvents. -These investigations will enable us to identify, qualitatively and quantitatively the risk situations and the pathological states associated with the professional exposure to organic solvents into the companies studied, and to recommend preventive measures to reduce this exposure

Dissemination the results of the study will be diffused to the ministry of social affairs, to the companies studied, to Occupational Health physicians, and to the researchers and published in scientific reviews


National Impact by: - A better knowledge of the working conditions and exposure to solvents in the Tunisian companies which are using them. - An improvement of the working conditions in the companies which use organic solvents, leading to the reduction of morbidity related to solvents

Progress on Project

the study was completed entirely in two sectors which use most solvents, that is the sector of the manufacturing of the adhesives and paintings. The results of the samples as well as the corrective recommendations were addressed to the companies. The first results showed a high level of prevalence of the neuropsychic demonstrations (signs), which constitutes a real problem of public health. The continuation of the study will be carried out during year 2009 in the leather and shoe and the laminated plastics sectors


See above



GPA 4.21w

GPA Objective GPA objective 2: to protect and promote health at the workplace, priority 2.1: psychosocial risks

CC or NGO Name Asociación Chilena de Seguridad Project title Sleep deprivation indicators in drivers of vehicles at workplace

Keywords Sleep, workers safety


Ps Alejandra Sallato [email protected]


Other partners Fundación Científica y Tecnológica ACHS Funding Asociación Chilena de Seguridad Objective of the project To identify sleep deprivation indicators in drivers of vehicles at the workplace

378


Scientific paper with the results Deadline December 2012


Chilean workers


This project will study indicators of drowsiness and its relation to age, type of driver’s license, type of job and other biological and psychosocial variables

Dissemination

Paho's documents Ciencia& Trabajo journal Achs web site Fundación Científica web site Regional and International meetings


Progress List of outcomes already achieved by this project



GPA 4.21x


CC or NGO Name Asociación Chilena de Seguridad

Project title Efficacy of a psychological program to help workers that suffered accidents, assaults, emergencies or crisis at work

Keywords Psychological trauma Project leader Email address



Other partners None Funding Asociación Chilena de Seguridad Objective of the project

To analyze the efficacy of a psychological program to help workers that suffered accidents, assaults, emergencies or crisis at work




Chilean workers


This project will evaluate if the psychological program now been used decreases the number of workers who develop mental disorders after these type of trauma Efficacy of a psychological program to help workers that suffered accidents, assaults, emergencies or crisis at work. This project will provide information that will allow Achs to continue or discontinue the psychological program

Dissemination


379





GPA 4.21y

GPA Objective GPA objective 4: to provide and communicate evidence for action and practice CC or NGO Name Asociación Chilena de Seguridad Project title Research on occupational health Keywords Research, occupational health, environmental health Project leader Email address

Dr. Gustavo Contreras [email protected]


Other partners ACHS Scientific and Technological Foundation

Funding

Annual contribution being made by the Asociación Chilena de Seguridad Additional resources will be received from Chilean companies through a government program to promote research at enterprise level Currently mining companies are funding some of the most important research projects at the Foundation. Results are for enterprise and for public use national and international funding entities.

Objective of the project To promote and perform research on occupational and environmental health


Papers from individual projects This is a continues activity that will go on after 2012

Target group and/or beneficiaries Workers both regional and global


The Asociación Chilena de Seguridad will continue promoting research on occupational and environmental problems affecting Chilean companies. To achieve this goal the foundation will help researchers to elaborate, execute and publish their projects. Networking will be promoted to increase the research capacity of less experienced researchers. Foundation efforts will focus on presenteeism, human work at high altitude, eradication of silicosis, sleep disorders and work and psychosocial problems at the workplace.

Dissemination


Impact (global or regional) Both Regional and Global



380

2012 2009-2012 Work Plan Number

GPA 4.21z

GPA Objective GPA objective 4: to provide and communicate evidence for action and practice Priority 4.2

CC or NGO Name Asociación Chilena de Seguridad

Project title Occupational and environmental health journal for Latin America (C&T, Ciencia y Trabajo [science and work])

Keywords Occupational and environmental health journal Project leader Email address Dr. Gustavo Contreras


Other partners None Funding Asociación Chilena de Seguridad Objective of the project

To improve the technical quality of the journal and to promote it among the scientific community and Latin American workers.


The journal itself This a continues activity

Target group and/or beneficiaries Latin American researchers and workers


This journal has the mission of spreading scientific knowledge on occupational and environmental health issues generated or important for Latin American workers. The target public are the occupational and environmental researchers, specially those working at Latin American countries, and the workers who contribute to increase the scientific knowledge and need its results to improve their quality of life. This journal is being distributed through internet free of charge

Dissemination The journal itself Impact (global or regional) Regional




GPA4.21aa New Project


Shift time work


Priority Initiative WHO Responsible CC or NGO Name NIOH Norway

Project leader Kjuus, Helge ; Director of Department; cand. med; dr. med; Dept of Medicine and Epidemiology, [email protected]

Network partners WHO Regions involved in this CONTRIBUTING

381

project Country ministries involved in this CONTRIBUTING project

-


Cancer Registry of Norway, Kristina Kjærheim, [email protected]


Shift time work, breast cancer and clock genes (genetic susceptibility). Evidence based practical research on an emerging issue – shift time work/work time and health effects. New insight into the relationship between night work, breast cancer and clock gene polymorphism.


Nurses and nurses aids, Authorities, Employers organizations, Workers organizations


Contribution as partners in a research study on shift work and breast cancer in Polish nurses (Polish-Norwegian Research Fund project). Mid-term-meeting September 2009 Participation in IARC work-shop on Shiftwork Exposure Assessment 2009;Participation at 19th International Symposium on Shiftwork and Working Time; Participation at conference July 2009 at Gordon Research Conference center “Molecular Mechanisms Of Circadian Clocks


Scientific publications Literature Review 2009


Publishing rate


By the end of 2009 – end of data collection 2010 – 2012 – articles/analysis


Norwegian authorities and different stakeholders have been informed, and taken a great interest in, the results from the literature study. There is an increasing interest in the society in a potential association between shift/night work and cancer risk.


Dissemination Media, NIOH Web, Conferences, etc. List of outcomes already achieved by this project


Scientific publications Literature Review 2009


GPA4.21ab New Project


Social inequalities in health


Priority Initiative WHO HQ Responsible CC or NGO Name

Project leader Petter Kristensen

382

[email protected] Network partners - WHO Regions involved in this CONTRIBUTING project


-


Norwegian Defence, Military Epidemiology, Tor Bjerkedal, John Ivar Brevik The Norwegian Institute of Public Health, Randi Selmer [email protected]


To better understand the role of social and health background on function at work (work participation, sickness absence, disability), and the role of work participation on subsequent health (cause-specific mortality, cancer incidence, other). Gathering and analyzing data, provide research based evidence, advice the authorities, identify knowledge- gaps.


General public. Authorities. Labour-organizations.



4 scientific articles


Articles in press or published articles


EPICOH Taiwan 2010, ICOH Mexico 2012, National Conferences


Inclusive Worklife is one of the major Governmental actions within working life - to prevent inequalities in health in general.


Dissemination Scientific and popular publications, NIOH web pages, other media, conferences List of outcomes already achieved by this project

PhD dissertation 2008 (Hans Magne Gravseth); 15 scientific articles in peer-reviewed journals 2004-2009 (of which 3 in press); 15 presentations at international or national conferences 2004-2009


Five scientific peer-reviewed articles


GPA4.21ac New Project


Work-related health inequalities in Spain

GPA Objective and Action Objective 4: To provide and communicate evidence for action and practice.

383

Priority Initiative Responsible CC or NGO Name Public Health Agency of Barcelona

Project leader Lucía Artazcoz Network partners WHO Regions involved in this CONTRIBUTING project

EURO


Spanish Ministry of Health



The Occupational Health Department of Barcelona has collaborated in the design of the 2006 Spanish Health Survey by incorporating, among other changes, more questions related to occupational health and to work -related gender inequalities in health. Now, we are in charge of conducting several studies based on this dataset about these issues. Some of the topics we are analysing are the impact of early retirement on health status and gender inequalities in the impact of unemployment and job flexibility on health status.


Labour and Health Ministries, employees and employers.


Different meetings and congress.


At least three articles published in scientific journals


2010: 1st article 2011: 2nd article 2012: 3rd article


Understanding these topics can help to design labour and occupational policies in order to improve workers’ health.

Public health impact Spanish Ministry of Health and Public Health Agency of Barcelona

Funding source(s) At least three articles published in scientific journals

Dissemination Through scientific articles, internet, participation in congress and other events. List of outcomes already achieved by this project


At least three articles published in scientific journals


GPA 4.21ad New Project


Impact of long working hours in health status

GPA Objective and Objective 4: To provide and communicate evidence for action and practice.

384

Action Priority Initiative Responsible CC or NGO Name Public Health Agency of Barcelona

Project leader Lucía Artazcoz Network partners WHO Regions involved in this CONTRIBUTING project

EURO


Catalonian Ministry of Health



The Occupational Health Department of Barcelona has collaborated in the design of the 2006 Catalonian Health Survey by incorporating, among other changes, more questions related to occupational health and to work -related gender inequalities in health. Now we are analyzing this dataset from an occupational health point of view. We are focusing our analysis in the impact of long working hours on health status. An article was already published in 2007 about this topic with the previous 2002 Catalonian Health Survey (Artazcoz L, Cortès I, Borrell C, Escribà-Agüir V, Cascant L. Gender perspective in the analysis of the relationship between long workhours, health and health-related behavior. Scand J Work Environ Health. 2007;33:344-50.)


Labour and Health Ministries, employees and employers.


Different meetings and congress.


Two articles published in scientific journals


Articles in scientific journals


2009: 1st article 2010: Presentation of results in a Spanish Congress of Public Health 2011: 2nd article


Understanding these topics can help to design labour and occupational policies in order to improve workers’ health.

Funding source(s) Public Health Agency of Barcelona

Dissemination Through scientific articles, internet, participation in congress and other events. List of outcomes already achieved by this project


2009-2012 Work Plan Number GPA 4.21ae


CC or NGO Name Asociación Chilena de Seguridad Project title Study on perception of quality of life of Chilean workers

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Keywords Quality of life, psychosocial risks Project leader Email address



Other partners None Funding Asociación Chilena de Seguridad Objective of the project To study the perception of quality of life of Chilean workers



Target group and/or beneficiaries Chilean workers


The research will gather information through a perception survey which will be available at the website of the “Asociación Chilena de Seguridad”. Aspects that will be considered are work, education, health, housing and household appliances, quality of air, noise, drinking water, etc., family relationships, interpersonal relationships, leisure and entertainment, and other aspects of socio-political order, such as social participation, personal security, etc..

Dissemination






4.21af New Project


Metals and health: Manganese and welding


Priority Initiative WHO Euro Responsible CC or NGO Name NIOH Department of Medicine and Epidemiology

Project leader Dag Ellingsen, dr Med, Phd, Director of department, Chemical and biological work environment, [email protected]



External partners for this CONTRIBUTING

North West Public Health Research Institute, St. Petersburg, Russia. Valery Chachine Contact: Ellingsen/Thomassen NIOH Norway

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project


Methodology on air exposure assessment and biological monitoring of manganese. Extended neurological knowledge on health effects due to exposure to manganese. Evidence based research and data from the Construction Sector (ship-yards).


Government and labour inspectorate, Industry (ship-yards, welding, construction ecc), Labour unions, medical doctors and health workers


NSAK


3-5 scientific publications; 2-3 in 2010, 2-3 in 2011/2012


The publication of the scientific articles The dissemination to the target groups


Manganese Health Research Programme: 24/06/09 USA ICOH Conferences on Epidemiology ICOH World Conference in Mexico 2012


To understand possible neurological systems effects related to a major work force world wide (and their families) on long terms. Improved understanding of women and iron deficiency.


Dissemination

Scientific publications, Popular publications, NIOH Web, other media, conferences and vocational training




4.21aj New Project


Psychological and social factors at work and participation in work-life


Priority Initiative WHO HQ/Euro Responsible CC or NGO Name NIOH Department of Medicine and Epidemiology

Project leader

Bjørn Lau, Director of Department; Dept of Organizational and Psychosocial work environment, [email protected]

Network partners


To provide new knowledge on psychosocial risks, work factors and their influences on health, sickness absence, work ability, work motivation and involvement, as well as retirement (early and regular) and sleep-deprivation. Evidence based evaluation and assessment.


Employees and Employers, The Norwegian Government, Labour inspectorate, Labour Unions

Events- Yearly conferences on the topic.

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opportunities for furthering the project

National and international conferences.


15 scientic articles by research fellows 05 scientific articles by senior researchers


Articles by Research Fellows: 4 articles in 2009, 5 articles in 2010, 5 articles in 2011 and 1 in 2012 (possibly more) Articles by Senior Researchers within 2012.


Summer 2009. Full coverage – Research Fellows. End of 2009 – the first scientific publications from the project. End of 2010 – phase III of the project has been initiated.


General. The companies involved in the projects will have direct feedback from the project. Activities are directly linked to the impact on different health aspects for the workers.


Dissemination Scientifc and popular publications, NIOH Web, other media, OHS Web, vocational training, conferences




GPA4.21ak Formerly AA2:NP14

GPA Objective and Action GPA Objective 4: To provide and communicate evidence for action and practice

Priority Initiative 4.2 Further develop the global research agenda for workers’ health


Project title Risk factors and prevention of occupational asthma and rhinitis

Keywords occupational asthma, occupational rhinitis, European Community Respiratory Health Survey


Dr. Katja Radon MSc, [email protected]

Partners (of the CC Network) See www.ecrhs.org

Other partners See www.ecrhs.org Funding EU, NIH


The purpose of the project is to assess prevalence and distribution of exposure to asthmagenic agents. Furthermore it is intended to define differences in the exposures evoking asthma respectively rhinitis and then to develop adequate preventive strategies.


The project was funded by the NIH from 1999-2004. Papers on the results of the follow-up of the study are currently under preparation. The next meeting of the group will take place in February 2006 at Frauenchiemsee, Germany


The target group of the survey was the European population aged between 20 and 44 in 1991/92. To enter the study subjects were selected at random from available population registries.


About 10 % of all asthmatic disease is attributed to occupational factors. The prevalence and distribution of occupational exposure to various chemicals, fumes and gases within particular jobs (e.g., cleaning, nursing, metal workers) will be determined and described using standardised methods (for details see www.ecrhs.org). These matters of exposure (e.g., disinfectants, soldering fumes) are known or suspected to be of importance in the aetiology and prognosis of allergy and

388

allergic disease. Better knowledge of exposure-response relationships will lead to improved preventive strategies for occupational asthma and rhinitis.

Dissemination Scientific papers and presentations at international conferences, webpage


At the end of our study, we will be able to develop validated recommendations to reduce asthma and rhinitis risks associated with exposure to various chemicals, fumes and gases.

Progress on Project

6837 participants from 13 countries who previously took part in the European Community Respiratory Health Survey are followed prospectively. For the 2nd follow-up, an asthma-specific job exposure matrix with additional expert judgment was used. A significant excess asthma risk was seen after exposure to substances known to cause occupational asthma. Asthma risk was also increased in participants who reported an acute symptomatic inhalation event. The population-attributable risk for adult asthma due to occupational exposures ranged from 10% to 25%. Associations seen were much weaker with respect to rhinitis which might indicate a strong healthy worker survivor effect for this disease. Overall, occupational exposures account for a substantial proportion of adult asthma incidence.


As above



GPA4.21al New Project


Risk Assessment of Chemical Hazards

GPA Objective and Action GPA Objective 4 : To provide and communicate evidence for action and practice

Priority Initiative 4.2 Further develop the global research agenda for workers’ health Responsible CC or NGO Name NIOH Department of Medicine and Epidemiology

Project leader Dag Ellingsen, dr Med, Phd, Director of department, Chemical and biological work environment, [email protected]

Network partners - WHO Regions involved in this CONTRIBUTING project




Assessment and management of occupational risks related to exposure to chemicals. Documentation and scientific evaluation of occupational exposure to chemicals as a basis for setting national Occupational Exposure Limits (OELs). In addition scientists at NIOH participates in Scandinavian and European organizations with the same goals.

Target group and/or

Labour Inspectorate, Product Registry, Government, Industry (on and offshore), Labour Unions and Confederation of Norwegian Enterprises

389


REACH in Norway 2009 International and national Meetings and conferences


Reports and Criteria Documents (3-6)


The use of scientific articles in risk assessment The use of criteria documents and reports in the setting of administrative norms.


REACH in Norway by the end of 2009 Change of administrative norms in Norway – by the end of 2009


Increased understanding of chemical hazards in the general population and in the workplace in particular. NIOH Norway acts as an advisor to the Norwegian Pollution Control Authority which works on a Public Health platform.


Dissemination Reports, Criteria Documents, Scientific and popular publications, NIOH Web, Conferences, Vocational training




4.21am New Project


Stress and fatigue in seafaring and other maritime industries

GPA Objective and Action Objective 2; Actions 11-13

Priority Initiative Responsible CC or NGO Name

Department of Maritime Medicine, Institute of Occupational Medicine and Maritime Medicine, Hamburg, Germany

Project leader Marcus Oldenburg Email: [email protected]

Network partners

Institute of Maritime and Tropical Medicine, Gydnia, Poland Email: [email protected] Centre of Maritime Health and Safety, University of Southern Denmark Email: [email protected]


Alf Magne Horneland, Centre for Maritime Medicine, Haukeland University Bergen, Norway Email: [email protected] AP Smith, Centre for Occupational Health Psychology, Cardiff, UK Email: [email protected]

390


Seafaring is associated with a high level of mental, psychosocial and physical stress. In this project, the currently most important stressors will be identified by a comprehensive risk assessment. A focus is seafarer’s fatigue as a consequence of shipboard conditions (monotony, long shift hours (especially in two-watch systems), probably also reduced visual capacity and shipboard electromagnetic fields). Suitable strategies to prevent stress on board shall be developed including health protection and health promotion of seafarers. This includes the improvement of medical training courses for ship officers, anti-smoking/ -alcohol/ -stress campaigns. To evaluate the efficiency of proposed prevention measures intervention studies are planned.


Seafarers, health staff of health/labour institutions, ship owners, insurance agencies, trade unions of seafarers, medical education centres for ship officers


- Development of a WHO questionnaire to evaluate stress on board - Cooperation with the International Maritime Health Association (IMHA)


- Description of currently most important stress factors on board and development of suitable prevention strategies


- Evidence-based recommendations of stress prevention on board


- Measurement data on stressors on board (by 2010) - Testing intervention strategies (by 2012)



Dissemination Results and recommendations will be published at the IMHA as well as in an international journal.


2009-2012 Work Plan Number 4.21an

PROJECT Title The Australian National Hazard Exposure Worker Surveillance Survey (NHEWS)

GPA Objective Objective 4: “To provide and communicate evidence for action and practice” Action 4.21: Encourage practical research on emerging issues.


Priority 1(d): Conduct practical research to understand occupational health risks and their controls


Project leader(s) Dr Jennifer Job [email protected]

Network partners NA


NA


NA

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External partners for this project NA


Data collected in the National Hazard Exposure Worker Surveillance (NHEWS) survey provides information on the current nature and extent of Australian workers’ exposure to selected occupational disease causing hazards as well as the controls used to manage them. More in-depth research is now being conducted on the above self reported data to identify potential populations at risk. Supplementary work will also be carried out to determine the intensity of exposure through measured exposures in the areas of chemicals, airborne substances and noise. The findings of this research will inform initially a policy response then potential regulatory development.


Australia, Asia and the Pacific Basin. Dr Job and her staff have also developed significant international networks, including with NIOSH


Research to identify potential populations at risk by Dec 2009. Measured by Dec 2010. Policy response and the identification of any potential regulatory development by Dec 2012.

Dissemination plan

Results have been and will continue to be published on the Safe Work Australia research reports page of the website National Hazard Exposure Worker Surveillance (NHEWS) Survey: 2008 Results In Australia the Safe Work Australia Council members (tripartite as well as representative of every State and Territory of Australia) exchange research findings with their constituents.



The National Hazard Exposure Worker Surveillance (NHEWS): Survey Handbook published in Nov 2008 describes the purpose of the NHEWS survey; sources of individual questions and rationale behind questions selected for inclusion in the final survey instrument. It also describes the sampling and analytical strategies for Wave 1 & 2 data collection undertaken in 2008.


Potential populations at risk identified. Data gather on measured exposures for chemicals, airborne substances and noise. Policy response including the identification of any potential regulatory development completed.


GPA 4.22e Formerly AA6:KTBP1


CC or NGO Name Great Lakes Center for Occupational and Environmental Safety and Health

Project title Recruiting young scientists and engineers to occupational hygiene

Keywords outreach, recruitment, occupational hygiene


Steven E. Lacey, PhD [email protected]


University of the Witwatersrand (proposed) University of Cape Town (proposed)

Other partners AIHA Student Activities Working Group (SAWG) Southern African Institute for Occupational Hygienists (SAIOH) Association of Societies for Occupational Safety & Health (ASOSH)

Funding AIHA Student Activities Working Group


Knowledge transfer to young scientists and engineers of occupational hygiene as a career option

392


To share the outreach framework with two CCs (2006) To expand the AIHA SAWG current efforts to an international level (2007) To establish a functional occupational hygiene career outreach program at the national level in additional countries (2008) To establish an active network of individuals interested in promoting occupational hygiene as a career option to young scientists and engineers (2009)


Undergraduate and graduate scientists and engineers; the field of occupational hygiene at large.


In 2003, the AIHA Engineering Committee initiated an outreach program to attract young engineers to the field of occupational hygiene. This evolved into the development of the AIHA Student Activities Working Group, dedicated to attracting and retaining young scientists and engineers to the field of occupational hygiene. This project seeks to expand these efforts on a global level to ensure an adequate supply of occupational hygiene professionals for all nations. Current efforts will provide the basic framework to be adapted and evolve to suit others. This project will facilitate communication and networking among like-minded individuals that recognize the importance of training new hygienists.

Dissemination Project outcomes will be reported on participating CC websites and in AIHA printed materials.


Global

PROGRESS ON PROJECT

While these efforts have been continuing in the US, it has been difficult to expand to the international level. Our initial attempt at seeking collaborators was challenging, but an attempt to re-initiate this effort is planned for early 2008. In addition, Dr. Lacey has developed several new international relationships that may serve as a mechanism to accomplish our goals. A recent outcome includes the initial steps to develop inaugural student-related activities at the ICOH 2009 conference. It is anticipated these activities and further networking at this conference will facilitate the expansion of our outreach efforts.


As above



GPA4.22f Formerly AA6:WBD6


CC or NGO Name Canadian Centre for Occupational Health and Safety (CCOHS)

Project title OSH Answers Service

Keywords Workplace, health and safety, occupational


P.K. Abeytunga, MSc, PhD. [email protected]


WHO Network of Collaborating Centres, University of Nottingham, UK (Stavroula Leka [email protected])

Other partners None Funding CCOHS

393


The primary objective of OSH Answers Service is to provide a worldwide web based information service with information in a form suitable for all workplace participants to be able to understand, identify and know how to make positive changes or solve workplace health and safety concerns. OSH Answers is a collection of documents written by CCOHS staff in an easy-to-read, question-and-answer style. As of 1 October 2007, there are 670 documents containing about 6000 questions and answers. These are available in both English and French, and are accessible free-of-charge on the CCOHS web site and through the Occupational Health website.


The use of this free question-and-answer service continues to increase yearly, serving 2.4 million in 2006, and the documents were visited more than 6.5 million times in 2006. Reach has extended to the world with almost 145 countries accessing our information. The OSH Answers and Réponses SST (French version) documents also provide additional outreach to the public. For example, many inquirers have asked to reproduce these documents for education and training use in schools, workplaces and for newsletters, magazine articles, text books, and even for redistribution in offices of health care providers. OSH Answers is an ongoing project, with updates and new documents added regularly.


Workers (and their families), managers, practitioners, others active in Occupational Health & Safety.


OSH Answers, and the full French counterpart, Réponses SST, allow instant access to reliable and relevant health and safety information 365 days a year, 24 hours a day, 7 days a week. The topics on which questions and answers are available through this service are priority concerns of most people. In addition to the selected documents available in Spanish via Respuestas OSH, those relevant to Brazil are currently being translated into Portuguese by SESI- Industrial Social Service National Department, Brasilia

Dissemination http://www.ccohs.ca/oshanswers/


PROGRESS ON PROJECT

OSH Answers is an ongoing project. We continually add new documents and update existing records with 85 documents being new, revised, or verified since October 2006. Priorities for new topics are identified through needs analysis, requests via our national Inquiries Service, and by monitoring for emerging topics and issues on a national and global scale. There are currently 670 documents in the collection. CCOHS invites other CCs to help expand this service and to undertake translation into relevant languages, as well as to add specific information not yet featuri§ng on the site, but which is of particular relevance to your country.


As above



GPA4.22g New Project


Study and recommendation tool on mental health risks and disorders at the workplace

GPA Objective and Action GPA Objective 4 : To provide and communicate evidence for action and practice

Priority Initiative 4.2 Further develop the global research agenda for workers’ health Responsible CC or Institute of Management IFU, School of Business, Switzerland

394

NGO Name

Project leader Dr Volker Schulte [email protected] Prof. Dr Eberhard Ulich, Institute for Occupational Research IAFOB [email protected]

Network partners Dr Stavroula Leka, UK, [email protected]


Europe


Health Promotion Switzerland, Luca Weber, [email protected]



IAFOB and IFU jointly work on an analysis and a survey of the current situation of psycho social disorders at the workplace in Switzerland by using existing but not published data. The study will show evidence about the fact that illness-related absence causes not only organizational problems for companies but also considerable costs. Data will then compared with other data from Europe and partly overseas. Results from the European Work Conditions Survey (Eurofound 2007) will be also taken into consideration. Based on the results the study will recommend political and legal modifications in the occupational framework for Switzerland and in an international context.


Employees in general


International congress on workplace health promotion in October 2010 in Switzerland


New data about psycho social disorders in Switzerland


New evidence base for political action


Pre-study/process development 2/09 Start of the core study in 8/09 Finalization 08/10

Public health impact Occupational health guidance for politicians

Funding source(s) Health Promotion Switzerland

Dissemination Health ministries List of outcomes already achieved by this project



4.22h New Project

CONTRIBUTING PROJECT Title Psychosocial stress in the workplace with regard to burnout and gender

395

Work plan project number GPA Objective and Action Objective 2; Action 2.11

Priority Initiative Responsible CC or NGO Name Institute of Occupational and Maritime Medicine, Hamburg, Germany

Project leader Ralf Wegner Mail: [email protected]

Network partners University of Nottingham, Institute of Work, Health and Organisations WHO Regions involved in this CONTRIBUTING project

Europe




Institute of Work, Health and Organisation University of Nottingham


Psychosocial stress in the workplace increasingly causes mental disorders like burnout. Some of the presumed predictors are long working hours, parenting, especially for full-time working female employees, and conflicts with colleagues and/or superiors. Practical measures including intervention strategies for the prevention of disorders and the recommendations of therapies should be developed on the basis of existing and newly collected data on family status, working conditions, burnout status (Maslach-Burnout-Inventory) and data including medical, physiological and biochemical analyses of 100 volunteers during working and leisure time.

Target group and/or beneficiaries Workers with psychosocial stress at work


Development of a WHO questionnaire to evaluate the psychosocial stress and strain including burnout phenomena by occupational and familial factors. Organizing workshops on this issue. Collaborating with clinical physicians/clinics concerning adequate therapy.


Description of the most important stress factors and evaluation of preventive strategies, such as better separation between work and leisure time, flexibilization of working time and/or organization of better childcare in companies, development of therapy recommendations in occupational medicine

Indicator of achievement (impact)

Evidence-based recommendations for the prevention and treatment of burnout

Major Milestones (list up to three dates and milestones

Analysis of existing data by 2009 Development of a WHO questionnaire by 2010 Worldwide survey in 2011 Analysis and publication of the data and recommendations in 2012



Disseminations Results and recommendations to be published in workshops and international journals


Inadequate communication and leadership problems contribute most to an increased likelihood of burnout. An increasing risk of burnout in senior clinical staff represents another compounding influence of modern health policies (Wegner et al: stress and strain for hospital physicians, results of a current survey. ASU 44:389-99)


Further results of studies will be published in international journals.

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4.22i

PROJECT Title

Modernet, a network for development of new techniques for discovering trends in occupational

and work-related diseases and tracing new and emerging risks


GPA Objective 4: To Provide and Communicate Evidence for Action and Practice. GPA Action 4.22


Strategies and tools need to be elaborated, with the involvement of all stakeholders, for improving communication and raising awareness about workers’ health. They should target workers, employers and their organizations, policy-makers, the general public, and the media. Knowledge of health practitioners about the link between health and work and the opportunities to solve health problems through workplace interventions should be improved.



Netherlands Center for Occupational Diseases/Coronel Institute of Occupational Health Academic Medical Centre / University of Amsterdam [On behalf of the European Cooperation in the field of Scientific and Technical Research – COST]


Dr. Dick SPREEUWERS [email protected]


Dr. Timo KAUPPINEN,Finnish Institute of Occupational Health (FIOH), Finland: (FI) [email protected] Netherlands Center for Occupational Diseases/Coronel Institute on Occupational Health, AMC/ University of Amsterdam, Netherlands (NL) [email protected] Prof. Pavel URBAN,Department of Occupational Health/ National Institute of Public Health (CZ) [email protected] Dr. Axel WANNAG,Labour Inspectorate Authority, Norway (NO) [email protected]


EURO



Prof. Raymond Agius MD, DM, University of Manchester, UK. [email protected] Dr. Claudio Colosio MD PhD, University of Milan, Italy. [email protected] Dr. Vincent Bonneterre MD PhD, University of Grenoble, France. [email protected] Prof. Thomas BRUENING, Institute for Prevention and Occupational Medicine of the German Social Accident Insurance – Institute of the Ruhr-Universität Bochum (IPA) (DE) [email protected] Prof. Petar BULAT,University of Belgrade, Institute of Occupational Health of Belgrade Serbia (RS) [email protected] Prof. Pierluigi COCCO,Department of Public Health, Occupational Health

397

Section, University of Cagliari Asse Didattico – Policlinico Universitario (Italy) [email protected](IT)[email protected] Dr. Louise HUSSEY,Occupational and Environmental Health Research Group Faculty of Medical and Human Sciences University of Manchester (UK) [email protected] Prof. Jadranka MUSTAJBEGOVIC,University of Zagreb, School of Medicine Andrija Stampar School of Public Health, Croatia (HR) [email protected] Dr. Dirk PALLAPIES,BGFA/IPA Institute of Prevention and Occupational Medicine/German Social Accident Insurance/Institute of the Ruhr-Universität Bochum, Germany (DE) [email protected] Prof. Malcolm SIM,Monash Centre for Occupational and Environmental Health, Australia (AU) [email protected]


The main objective of the Action is to establish and maintain a European network of closely linked

collaborating centres for exchange of information on developing new techniques for discovering trends; developing new techniques for tracing new and emerging Occupational Health risks; using new techniques for dissemination and discussion; new methods for rapid conversion into policy and practice to enhance prevention.

The ultimate goal of this Action is to improve the prevention of occupational diseases and

work-related ill health.

1. New and smarter techniques for early detection of trends of Occupational Diseases.

2. Early detection of new OH risks and early search for less risky substances, technologies or working practices. 3. Rapid exchange of research knowledge with the use of (new) internet techniques such as social media. 4. Appropriate preventive action.


Occupational physicians, scientific researchers, specialists in the compensating bodies (insurance agencies etc.). National and local government agencies, advisory bodies, risk assessors OH institutes, Employees.


The Kick-Off meeting will be at the Modernet meeting in Milan in September 2010. This meeting and the installation of the Working Groups will be prepared by the Board of the network. The first milestone will be the creation of the Action website and the protected online electronic project activity organiser (portal) in the first year of the Action Activities in WGs will commence after the launch of the Modernet Cost Action and continue until the end of the Action. Two board meetings will be held every year. Besides the official board meetings informal contact between the board members will take place frequently by email, phone or mutual visits. The Action’s report will be produced annually in accordance with the COST guidelines. Major scientific events will be realised in 2011 (joint conference of Modernet Cost Action and ICOH Scientific Committee on Occupational Medicine in Amsterdam on tracing new occupational health risks) and in 2013/2014: final scientific conference to present the results of the COST Action

398

Dissemination plan Dissemination of the results of the project will be achieved by means of several passive and active methods. It will be carried out for the whole duration of the project, either through specifically targeted activities or in the frame of the scientific activities that all the applicants are carrying out at national and international level. The network will experiment with rapid exchange of research knowledge and collaboration in research projects with the use of (new) internet techniques such as social media. Furthermore, the aim is to stimulate identification, assessment and promotion of appropriate preventive action and methods for rapid conversion into local, national and international policy and practice.

Funding source(s) The following COST countries have actively participated in the preparation of the Action or otherwise indicated their interest: United Kingdom (UK), The Netherlands (NL), France (FR), Italy (IT), Finland (FI), Czech Republic (CZ), Germany (DE), Norway (NO), Serbia (RS) and Croatia (HR). The UK, the Netherlands, France, Finland and Italy will participate with five researchers per country, the other participants with at least two researchers. In total at least 35 researchers will participate in the program.


N/A


Ref Milestones


Ref Milestones

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4.22j New Project


Development of a Compendium for the application of ergonomic design criteria and testing the usability of products


GPA Objective 4: To Provide and Communicate Evidence for Action and Practice. GPA Action 4.22



Project leader Dr. Armin Windel, Dipl.-Ing. Tobias Bleyer [email protected]


EURO




The compendium shall comprise processes for practical testing the usability of products for their intended use. Based on the principles of ergonomics, the most important terms and definitions of ergonomics and usability testing will be defined. The central element of the usability test is represented by the so-called “context of use”. Based on this, the relevant aspects of usability for the intended use are systematically put into concrete terms for testing and evaluating product requirements. Based on experience derived from the research in the BAuA laboratories usability testing will be divided into the five main categories: visual displays, operating and regulating elements, handles and grip surfaces, motion procedures and body positions and design of dialogs. This seems to be a practical approach to efficiently determine product requirements of ergonomics and usability for the intended use.




The compendium shall be a practical approach to efficiently determine product requirements of ergonomics and usability for the intended use. The aim of the project is to develop a test scheme for testing the usability of different kinds of products. One of the objectives is to achieve the best possible efficient, targeted and universal process meeting all demands made on a validated test statement, and fulfilling international requirements on a documented product test method. For that reason, the documentation of the test methods shall be prepared in form of a documented working instruction for test personnel with practical experience. The annex of the compendium should contain corresponding practical examples for generally used technical equipment.



The compendium should be developed until mid of 2011.

Public health impact Funding source(s) BAuA Dissemination The results shall be the basis for the development of new ISO and CEN activities.

400


4.22k (New Project)

PROJECT Title

Sustainability and risk management for occupational safety – part 1: integrated risk management


GPA 4

Priority Number and Area (if applicable) e.g Agriculture

4.2





Sylvie Nadeau, Eng., Ph.D. (ÉTS), Équipe de recherche en sécurité du travail (ÉREST) J. Arteau, B. Ateme-Nguema (Université du Québec en Abitibi-Témiscamnigue-UQAT), K. Maghni (U. de Montréal) École de technologie supérieure (ÉTS) 1100 Notre-Dame West Montreal, Quebec, Canada, H3C 1K3 http://www.etsmtl.ca/zone2/recherche/labo/erest/ [email protected]


I. Nastasia (IRSST)




Commission de la santé et de la sécurité du travail du Québec (CSST) Développement économique, innovation et exportation (MDEIE)


K. Maghni (Hôpital Sacré-Cœur de Montréal-HSC), C. Baciu (U. Gh. Asachi Iasi-Romania), R. Bruder, K. Schaub (TU Darmstatd-Germany), D. Imbeau, N. DeMarcellis-Warin (École Polytechnique de Montréal), K. Zaras, B. Ateme-Nguema, A. Gbodossou (UQAT), L. Desmarais (U. Sherbrooke), J.P. Kenné (ÉTS). CSST, RRSSTQ, Ordre des ingénieurs du Québec (OIQ), Bombardier, Mouvement Desjardins, Sous-traitance Industrielle Québec (STIQ), Pratt & Whitney Canada


In this project we develop new design tools to reduce operational risks and occupational health and safety risks simultaneously. The applications are equipment lockouts/tagouts with production imperatives, evaluating the performance of suppliers in the manufacturing industry, integrating risks posed by lift trucks in the design of cell/flexible manufacturing, integrating OHS risks with the management of industrial projects, integrating questions surrounding the rate of return from mineral extraction and syndrome risks posed by toxic organic dusts.


moving industry, erection of steel structures, upgrading of urban infrastructure, mining industry, forest industry, manufacturing industry.


April 2011 Integrate lift truck risks in a forestry cell manufacturing operation using neural networks Jan 2012 Integrate lockout/tagout into capacity planning using passive redundancy April 2012 Validate the concept of risk factor concentration and its usefulness with analytical hierarchy process multicriteria model in a gold open mine project.


401

Scientific journals


o Ergonomics;

o Human Factors;

o Applied Ergonomics;



o International Journal of Production Economics;

• basic journals with a relatively high impact factor

o International Journal of Project Management;


• IEA;




• RRSSTQ;

• Association québécoise pour l’hygiène, la santé et la sécurité du

• Association Francophone de Management de Projet.





Funding source(s) RRSSTQ, Fonds de la recherche en santé du Québec (FRSQ), Fonds de recherche sur la société et la culture (FQRSC), Fonds québécois de la recherche sur la nature et les technologies (FQRNT), IRSST, Développement économique, innovation et exportation (MDEIE), Natural Sciences and Engineering Research Council (NSERC), Canada Foundation for Innovation (FCI), U. du Québec, UQAT, ÉTS, CSST, Parmalat, Pratt & Whitney Canada


We have already developed: 4. Integrated risk management model prototype adapted to organizations in

which autonomous and polyvalent work is predominant; 5. Analytical tool integrating commercial efficiency and OHS diligence

parameters for autonomous and polyvalent work; 6. Analytical tool integrating equipment logout-tagout with production

planning; List of additional outcomes expected from this project by 2012

5. An improved version of the integrated risk management model prototype (see #1 above)

6. Based on this improved prototype, integrated risk management models customized for use in industrial project management, supplier performance audits, design of flexible manufacturing systems, management of respiratory health in gold mines, management of air quality in hospitals, engineered nanoparticles, and continuous improvement activities

7. An improved version of the analytical tool referred to in #2 of above section

8. An improved version of the analytical tool referred to in #3 of above section


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4.22L (New Project)

PROJECT Title

Sustainability and risk management for occupational safety – part 2 Safety design of equipment and workstation

GPA Objective and GPA Action (e.g Action 28)

GPA 4

Priority Number (e.g. 5.3-1) and Area (if applicable) e.g Agriculture

4.2





Ahn Dung Ngô, Eng., Ph.D. (ÉTS) S. Nadeau, H.A. Bouzid, F. Laville, P. Le-Huy, C. Belleau École de technologie supérieure (ÉTS) 1100 Notre-Dame West Montreal, Quebec, Canada, H3C 1K3 http://www.etsmtl.ca/zone2/recherche/labo/erest/ [email protected]


L. Giraud (IRSST), H. Nélisse (IRSST), F. Sgard (IRSST)




Commission de la santé et de la sécurité du travail du Québec (CSST)


CSST, RRSSTQ, Ordre des ingénieurs du Québec (OIQ), Aluminerie Lauralco, Bombardier, General Electric (GE), Hydro Québec, Institut National de Recherche et de Sécurité (INRS) (France), Laboratoire de mécanique et d’acoustique (France), École Nationale Supérieure d’Arts et Métiers (ENSAM) (France), Centre techniques des Industries Mécaniques (CETIM) (France), École Nationale d’ingénieurs de Saint-Étienne (ENISE) (France)


In this project, our focus is on evaluating and improving the safety of new control systems for industrial machinery in order to prevent injuries caused by activating, loading and maintaining dangerous machinery. This will be achieved by adding material and software redundancy, developing new protecting approaches based on the technologies of vision, control and command used in aeronautics and aerospace, reducing at source noise from these machines (folding presses, felling devices in forestry, nailers and bostitchers), developing a non-linear elastic model to better understand herniated disc mechanism in the L5/S1 region.


moving industry, erection of steel structures, upgrading of urban infrastructure, mining industry, forest industry, manufacturing industry, aeronautic industry.


April 2011 Develop an analytical model to calculate intervertebral disc stress using pressure vessel and composite material theories. Jan 2012 Improve the flexible protective system developed for press-brake using vision April 2012 Quantitative risk analysis of a compression moulding press and garbage trucks

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Scientific journals


o Ergonomics;

o Human Factors;


o Journal of Sound and Vibration;

o Applied Acoustics;

o Journal of the Acoustical Society of America;

o Acoustique Canadienne;



• IEA;




• RRSSTQ;

• Association québécoise pour l’hygiène, la santé et la sécurité du

• American Society of Mechanical Engineers (ASME)-PVP;





Funding source(s) RRSSTQ, Fonds de la recherche en santé du Québec (FRSQ), Fonds de recherche sur la société et la culture (FQRSC), Fonds québécois de la recherche sur la nature et les technologies (FQRNT), IRSST, U. du Québec, ÉTS, CSST, Denis Cimaf, Forintek, Développement Effenco, Institut national optique


We have already developed : 7. A non-linear and elastic model using the pressure vessel theory to

explain the herniated disc mechanism; 8. A flexible protective device for press-brake based on vision

technology; 9. A noise source identification tool for mechanical systems generating

periodic impacts. List of additional outcomes expected from this project by 2012

9. An improved non-linear and elastic model using the pressure vessel and composite materials theories to explain the herniated disc mechanism (see #1 in above section)

10. A reliability assessment tool for the flexible protective device at #2 in above section

11. A flexible protective device for cranes, garbage truck, press for compression molding

12. Evaluation and safety improvement techniques for new control systems for forest machinery;

13. Noise reduction interventions for folding presses, felling devices in forestry, nailers and bostitchers;


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4.22N (New Project)

PROJECT Title

Sustainability and risk management for occupational safety – part 4 design of protective equipment

GPA Objective and GPA Action (e.g Action 28)

GPA 4

Priority Number (e.g. 5.3-1) and Area (if applicable)

4.2



Responsible CC or NGO Name IEA … Sub-committee « Sustainability and risk management » (Directed by S. Nadeau and B. Ateme-Nguema, Canada) of the “Human Factors and Sustainable Development » technical committee of the International Ergonomics Association (IEA) directed by K.J. Zink (U. de Kaiserslautern - Germany) et C.G. Drury (U. Buffalo – USA): www.iea.cc


Frédéric Laville, Eng., Ph.D. (ÉTS) J. Arteau, J. Voix, S. Nadeau, Y. Petit École de technologie supérieure (ÉTS) 1100 Notre-Dame West Montreal, Quebec, Canada, H3C 1K3 http://www.etsmtl.ca/zone2/recherche/labo/erest/ [email protected]


IRSST (CC under designation) H. Nélisse (IRSST), F. Sgard (IRSST), MA Hamdy (UTC), T. Vu Khanh, J. Lara (IRSST), C. Larivière (IRSST)




Commission de la santé et de la sécurité du travail du Québec (CSST)


CSST, RRSSTQ, Ordre des ingénieurs du Québec (OIQ), Aluminerie Lauralco, Bombardier, Sonomax, Jelco-Alubox, General Electric (GE), Hydro Québec, Institut National de Recherche et de Sécurité (INRS) (France), Laboratoire de mécanique et d’acoustique (France), École Nationale Supérieure d’Arts et Métiers (ENSAM) (France), École Nationale d’ingénieurs de Saint-Étienne (ENISE) (France)


In this project, we pursue the technical improvements of various personal protective equipment (mainly anti-fall systems and auditory protection) and develop multi-criteria approaches for their evaluation and selection.


erection of steel structures, upgrading of urban infrastructure, mining industry, forest industry, manufacturing industry, aeronautic industry.


Jan 2012 Develop a subjective quantification of speech hearing through hearing protection device model April 2012 Analytical model of the acoustic transmission through hearing protection device, auditory canal, head and upper body


Scientific journals


o Ergonomics;

o Human Factors;


o Journal of Sound and Vibration;

o Applied Acoustics;

o Journal of the Acoustical Society of America;

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o Acoustique Canadienne;



o Journal of Advances in Signal Processing.


• IEA;




• RRSSTQ;

• Association québécoise pour l’hygiène, la santé et la sécurité du travail (AQHSST);

• IEEE International Midwest Symposium on Circuits and Systems;

• American Society of Mechanical Engineers (ASME)-PVP;

• ICONE-16;





Funding source(s) RRSSTQ, Fonds de la recherche en santé du Québec (FRSQ), Fonds de recherche sur la société et la culture (FQRSC), Fonds québécois de la recherche sur la nature et les technologies (FQRNT), IRSST, Natural Sciences and Engineering Research Council (NSERC), Canada Foundation for Innovation (FCI), U. du Québec, Centre de cooperation interuniversitaire franco-québécoise (CCIFQ), ÉTS, CSST, Sonomax, Stein-Monast avocats, DGLT avocats, Cirque du Soleil


We have already developed : 10. A method to assess glove stiffness based on biomechanical

criteria 11. A method to assess glove adherence based on biomechanical

criteria 12. A decision tool for selecting individual protection devices 13. An active and customised individual hearing protection device 14. A speech threshold rule for de-noising in industrial settings; 15. A decision tool for selecting fall protection devices for structural

steel construction workers and pruners. List of additional outcomes expected from this project by 2012

14. Task compatibility study for fall protection devices; 15. Measurement technique and tools for hearing protection device

performance and improvement (attenuation, speech detection and intelligibility, comfort, occlusion, biomechanical criteria).



New Project 4.20j

PROJECT Title

Creating awareness and training for the implementation and follow‐up of the Policy, Action Plan and Surveillance System for the prevention of Occupational Cancer in Colombia

GPA Objective and GPA Actions

Objective 4: to provide and communicate evidence for action and practice. Action 20. Systems for surveillance of workers’ health should be designed with the objective of accurately identifying and controlling occupational hazards. This endeavour includes

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establishing national information systems, building capability to estimate the occupational burden of diseases and injuries, creating registries of exposure to major risks, occupational accidents and occupational diseases, and improving reporting and early detection of such accidents and diseases. Action 23. WHO will define indicators and promote regional and global information platforms for surveillance of workers’ health, will determine international exposure and diagnostic criteria for early detection of occupational diseases, and will include occupational causes of diseases in the eleventh revision of the International Statistical Classification of Diseases, and Related Health Problems.


Particularly to Priority 4.2: Further develop the global research agenda for workers’ health.


Priority 1.1: Develop/update national profiles on workers’ health and provide evidence base for development, implementation and evaluation of national action plans on workers’ health. Action 7. National action plans on workers’ health should be elaborated between relevant ministries, such as health and labour, and other major national stakeholders taking also into consideration the Promotional Framework for Occupational Safety and Health Convention, 2006. Such plans should include: national profiles; priorities for action; objectives and targets; actions; mechanisms for implementation; human and financial resources; monitoring, evaluation and updating; reporting and accountability. Action 8. National approaches to prevention of occupational diseases and injuries should be developed according to countries’ priorities, and in concert with WHO’s global campaigns.



Project leader(s)

Maria Teresa Espinosa Restrepo : [email protected] Julietta Rodríguez Guzmán [email protected]

Network partners PAHO consultant: Francisco R. Saenz: [email protected] , [email protected] CCOSH, Canada: [email protected]






National Cancer Institute of Colombia INC ‐ Dr. Raul Murillo: [email protected]


During 2008/2010 the National Cancer Institute and the Ministry of Social‐Protection designed a public policy, action plan and surveillance system to prevent occupational cancer in Colombia. The Occupational Health Program of EBU co‐authored them, remaining to be officially issued by the government in 2011. Information dissemination, and preparation and training of all stakeholders of the Colombian OH and worker’s compensation systems will be done by several national/international courses, promoting the use of the Spanish version of the virtual course “Occupational cancer: recognition and prevention” facilitated by CCOHS, and developing other teaching/training materials.


Working populations exposed to carcinogenic agents, including chemicals, biological and physical hazards; healthcare and occupational health professionals involved in primary health care, occupational health and rehabilitation services .


Key implementation milestones are: June‐2011: project expects that the ministry officially adopts and issues the public policy, the plan and the surveillance system. August ‐2011: 3rd International Course on occupational and Environmental Cancer : advancing in biological monitoring March 2012: designing tools and methods for training occupational health and healthcare resources within the worker’s compensation system to identify and register cases of occupational cancer. June 2015: Complete registers of prevalence and mortality caused by these cancers should be available; and surveillance system will provide accurate information for policy decision makers.

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Dissemination plan Information dissemination through: WHO/PAHO CCs Network and the Latin American OH Newsletter and by Ministry of Social Protection Scientific publications: Cancer Journal of the National Cancer Institute



1. Colombia issued the draft public policy and action plan aimed to prevent, detect, diagnose and register occupational cancer and its causes, currently being finalized.

2. Two international training courses in occupational and environmental cancer were held in 2009 and 2010, with participation of other CCs; NIOSH and UM, USA, and PAHO.

3. Review and validation of the Spanish version of the On‐line course on "Occupational and environmental cancer, recognition and prevention" was carried out by 3 reviewers and through a pilot application in Colombian OH graduate student in fall 2010.


5- Colombia will officially issue the public policy and action plan aimed to detect, diagnose and register occupational cancer and its causes in the long term.

6- A continuous education line and a set of training modules and courses about will occupational and environmental cancer will be created for the use of all the stakeholders of the OH and the WC Colombian systems, and other Latin Countries.

7- Organizing and hosting two international training courses in occupational and environmental cancer in 2011 and 2012 respectively.

8- Validated on-line course on "Occupational and environmental cancer, recognition and prevention" should become available in Spanish. Dissemination and follow-up of the users of the course for creating awareness in Colombia and Latin America during the next quatriennium should follow.


9- Stakeholders of the OH and the WC Colombian systems should be informed and trained to use the SIVECAO.

10- OH professional diagnostic skills to recognize and register occupational cancer for physicians and exposure assessments for hygienists will be strengthened.

11- Competent Occupational hygiene services should be increased and available in Colombia.

12- Having accurate information about the workers health, morbidity and mortality caused by occupational cancer in Colombia will be available.


New Project 4.20k

PROJECT Title

Creating and publishing the Colombian Cancer Index System ‐ Colombia CAREX


Objective 4: to provide and communicate evidence for action and practice. Action 20. Systems for surveillance of workers’ health should be designed with the objective of accurately identifying and controlling occupational hazards. This endeavour includes establishing national information systems, building capability to estimate the occupational burden of diseases and injuries, creating registries of exposure to major risks, occupational accidents and occupational diseases, and improving reporting and early detection of such accidents and diseases. Action 23. WHO will define indicators and promote regional and global information platforms for surveillance of workers’ health, will determine international exposure and diagnostic criteria for early detection of occupational diseases, and will include occupational causes of diseases in the eleventh revision of the International Statistical Classification of Diseases, and Related Health Problems.


Particularly to Priority 4.2: Further develop the global research agenda for workers’ health.


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Project leader(s)

Maria Teresa Espinosa Restrepo : [email protected] Julietta Rodriguez Guzman: rodriguezjulietta@unbosque,edu.co Jose Manuel Lopez, CIH: [email protected]

Network partners IRET/National university of Costa Rica






National Cancer Institute of Colombia INC ‐ Dr. Raul Murillo: [email protected]


The first manual of carcinogens of IARC’s groups 1&2A of occupational interest for Colombia was published in 2006, becoming a useful tool for OH professionals, oncologists, insurers and labour inspectors. It requires to be updated and the new version should provide information for medical and environmental surveillance of carcinogens in the work place. Based on the analyses of 21 cancer registries of several CAREX systems from different countries, and on the concept of industrial/occupational hygiene experts, the Colombian Cancer Exposure system (Colombia CAREX) will be build to include the proportion of workers exposed to carcinogens distributed by gender and economical activity throughout the country.


Working populations exposed to carcinogenic agents, including chemicals, biological and physical hazards; healthcare and occupational health professionals involved in primary health care, occupational health and rehabilitation services.


Key implementation milestones are: July ‐2011: project expects that the review of previous publications with the Ministry of Social Protection should be finished to identify the information gaps. July ‐2012: characterization and consensus with Spanish speaking hygienists and physician experts on the carcinogens of occupational interest for Colombia should be finished. July‐2013: CAREX and information about carcinogens of occupational interest will be available for policy and decision makers.

Dissemination plan

Information dissemination through: WHO/PAHO CCs Network and the Latin American OH Newsletter and by Ministry of Social Protection Scientific publications: Cancer Journal of the National Cancer Institute



1. Literature reviews, consultations and information exchange have been carried out with Canada and Costa Rica where CAREX systems have been built and are currently running.

2. The first list published of carcinogens of IARC’s groups 1 and 2A of occupational interest for Colombia is undergoing assessment to detect gaps.

3. Based on the previously mentioned list, the Job Exposure Matrixes for Colombia will be completed.


1‐ New and updated Manual of carcinogens of IARC’s groups 1 and 2A of occupational interest for Colombia will be finished and published, being useful for medical surveillance, risk assessment, priority setting and governmental public decision makers..

2‐ Research report matrix to indentify relevant gaps in research, and for prevention program prioritization.

3‐ Experience will be available to sharing with other countries/regions. List of additional outcomes expected by 2013

13- Colombia CAREX publication will be made available.

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GPA 4.3: Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD) to include ccupational causes in the eleventh edition.


Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD)


GPA Action

Priority 4.23 WHO will define indicators and promote regional and global information platforms for surveillance of workers’ health, will determine international exposure and diagnostic criteria for early detection of occupational diseases, and will include occupational causes of diseases in the eleventh revision of the International Statistical Classification of Diseases, and Related Health Problems.

Priority Area

Priority 4.3: Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD) to include occupational causes in the eleventh edition.


Plan an approach for the effective revision of the ICD series to include occupational disease in the 11th edition and conduct an process of the revision in line with WHO deadlines

GPA Managers Jo Harris-Roberts, Ed Robinson, Ivan Ivanov



WHO responsible person Ivan Ivanov, Rokho Kim


GPA4.23a Contributing to WHO in the revision of the International Classification of Diseases ICD to include occupational diseases within its 11th edition and the update of its 10th edition. Project Leader: Julietta Rodríguez Guzmán [email protected]


EURO


The International Statistical Classification of Diseases and Related Health Problems (most commonly known by the abbreviation ICD) provides codes to classify diseases and a wide variety of signs, symptoms, abnormal findings, complaints, social circumstances, and external causes of injury or disease. The ICD is published by the World Health Organization and used worldwide for morbidity and mortality statistics, reimbursement systems and automated decision support in medicine. Currently, occupational diseases are not included in the publication. However, the WHO wish to include occupation in the next revision, in-line with its priorities. · To develop a 'road map' that provides options and models for instructing the process of the ICD revision to incorporate occupational causes of disease. · To consult with international partners on the 'road map' to agree and implement the revision process. · To undertake the revision process through consultation and collaboration with

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appropriate UK partner organisations and experts (via a proposed expert workshop) and international equivalents. · To collate appropriate evidence/information and contribute to drafting the 11th edition of ICD (external causes).


Note: Contributing projects will not be a component of this work. · A 'road map' plan outling the results of a brief scoping exercise that aims to propose models for the revision process. · A final revision plan (following international consultation of the 'road map') that clearly defines the process. · A draft edition of ICD-11 (External causes) that incorporates occupational causes of disease. · Once agreed, this document will be disseminated via the WHO (website, new articles and notifications) on a global scale. Electronic and hard copies will be made available through the WHO and specialist medical publishers/press.



GPA4.23a Contributing to WHO in the revision of the International Classification of Diseases ICD to include occupational diseases within its 11th edition and the update of its 10th edition. • Elaboration, uploading, discussion and correction of all content models for OD should

be ongoing processes. • Classification of Diseases Version 10 will be updated with some of the work done for

the 11th version.



New contributing project 4.23a

PROJECT Title

Contributing to WHO in the revision of the International Classification of Diseases ICD to include occupational diseases within its 11th edition and the update of its 10th edition.


Objective 4: to provide and communicate evidence for action and practice. Action 23: WHO will define indicators and promote regional and global information platforms for surveillance of workers’ health, will determine international exposure and diagnostic criteria for early detection of occupational diseases, and will include occupational causes of diseases in the eleventh revision of the International Statistical Classification of Diseases, and Related Health Problems.


Priority 4.3: Revision of the Statistical Classification of diseases and related Health Problems (ICD) to include occupational causes in the eleventh edition of the International Classification of Diseases ICD.




Project leader(s)

Julietta Rodriguez Guzman : [email protected]

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Network partners UK Health and Safety Executive, UK: [email protected] University of Illinois in Chicago UIC, USA: Forst‐[email protected] University of Milano, Italy: [email protected]


Dr. Carlos Corvalan (WDC) [email protected]





Under‐diagnosis and under‐registration of occupational diseases‐OD continue being a worldwide problem. They are not included in the International Classification of Diseases‐ICD published by WHO despite its use for morbidity and mortality statistics and reimbursement systems for workers’ compensation. The inclusion of the official ILO List of OD in the ICD should help to close the gap. Being part of the Global Work Group on OD, our participation aims to review existing definitions, diagnostic and exposure criteria and the coding practice regarding asphyxiants, allergic extrinsic alveolitis, bagassosis, and bysinossis, as well as biological and occupational cancer hazards; providing comments on other items to collate appropriate evidence/information and contribute to drafting the 11th edition of ICD and the update the 10th version.


Health experts involved in primary health care, occupational health, epidemiology, research and rehabilitation services.


Key implementation milestones are: February 2011: Conforming and launching of the Global Working Group in Occupational Diseases, done during the workshop organized by WHO March ‐2011: Contents models uploaded in the iCAT Beta version of the WHO ICD for public consultation and 2 years of field trials. March ‐2013: Final version for public viewing will be available. March ‐2014: Final version for consideration and approval of the World Health Assembly.

Dissemination plan

Information dissemination through: WHO CCs Network and the Latin American OH Newsletter and by Ministry of Social Protection

Funding source(s) OHP/EBU


4. Comparative Analysis between the ILO List of Occupational Diseases and the ICD 10th and 11th versions.

5. Integrating as part of the Global Work Group on Occupational diseases. 6. Preliminary selection of topics to be collated during the 1st expert workshop (Feb/ 2011).


4‐ Elaboration, uploading, discussion and correction of all content models for OD should be ongoing processes.

5‐ Classification of Diseases Version 10 will be updated with some of the work done for the 11th version.


14- New ICD version 11 including a complete set of occupational diseases fully characterized; this is: coded and classified with their signs, symptoms, abnormal findings, complaints, social circumstances, and external causes of injury or disease at work.

15- Final version ready for approval of the WHA. 16- Contributions to developing and adapting in Spanish a guide for ICD use in the OH

practice; and to pilot the occupational health adaptation of ICD11 in Colombia, and other Spanish speaking Latin American countries, with the purpose of increasing diagnosis and registration of OD.

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GPA Objective 1: To devise and implement policy instruments on workers' health - Claudina Nogueira GPA Objective 2: To protect and promote health at the workplace - Stavroula Leka and Aditya Jain GPA Objective 3: To improve the performance of and access to occupational health services - Kaj Husman and Leslie Nickels GPA Objective 4: To provide and communicate evidence for action and practice - Jo Harris-Roberts and Edward Robinson GPA Objective 5: To incorporate workers' health in to other policies - Wendy Macdonald

GPA 5 : To incorporate workers' health into non-health policies and projects Manager: Wendy Macdonald ACTION AREAS: 24. The capacities of the health sector to promote the inclusion of workers’ health in other sectors’ policies should be strengthened. Measures to protect workers’ health should be incorporated in economic development policies and poverty reduction strategies. The health sector should collaborate with the private sector in order to avoid international transfer of occupational risks and to protect health at the workplace. Similar measures should be incorporated in national plans and programmes for sustainable development. 25. Workers’ health should likewise be considered in the context of trade policies when taking measures as specified in resolution WHA59.26 on international trade and health. 26. Employment policies also influence health; assessment of the health impact of employment strategies should therefore be encouraged. Environmental protection should be strengthened in relation to workers’ health through, for instance, implementation of the risk-reduction measures foreseen in the Strategic Approach to International Chemicals Management, and consideration of workers’ health aspects of multilateral environmental agreements and mitigation strategies, environmental management systems and plans for emergency preparedness and response. 27. Workers’ health should be addressed in the sectoral policies for different branches of economic activity, in particular those with the highest health risk.

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28. Aspects of workers’ health should be taken into account in primary, secondary and higher level education and vocational training. NB: Part of Action 9 (GPA 2) is the Action most relevant to projects related to Priority 5.3. 9. Measures need to be taken to minimize the gaps between different groups of workers in terms of levels of risk and health status. Particular attention should be paid to high-risk sectors of economic activity, and to the underserved and vulnerable working populations, such as younger and older workers, persons with disabilities and migrant workers, taking account of gender aspects. … PRIORITIES: Priority 5.1: Collate and conduct cost-benefit studies to clarify the economic benefits of workers’ health Output: Published articles and information posted to WHO website Support: CC: Jos Verbeek, FIOH, Finland Priority 5.2: Develop specific and relevant recommendations to manage risks associated with the impacts of globalization on workers’ health Output: Guidance for development banks, non-health sector entities to improve workers' health Support: CC; David Rees, NIOH, South Africa Priority 5.3: Develop and implement toolkits and other resources for the assessment and management of OSH hazards in high risk industry sectors and for vulnerable worker groups. Output: Tools, inventory, framework document, mapping of use and types of tools, evaluation Support: CCs Hazardous Sectors: Catherine Beaucham, NIOSH USA Agriculture: Claudio Colosio University of Milan, Italy Transport: Lygia Therese Budnik, CIOM, Hamburg CC Vulnerable workers: Owen Evans and Jodi Oakman, La Trobe University, Australia International Partner Organizations: Young Workers: Susan Gunn, IPEC ILO, Annie Rice Safework,ILO WHO/HQ: Evelyn Kortum

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Priority 5.1: FACILITATING PROJECT

FACILITATING PROJECT

GPA 5.1: Review and summary of cost-benefit studies to clarify the economic benefits of workers’ health

Project title Review and summary of cost-benefit studies to clarify the economic benefits of workers’ health

GPA Objective Objective 5: to incorporate workers’ health in to other policies GPA Actions 5.24 to 5.28

Priority Area Priority 5.1: Collate and conduct cost-benefit studies to clarify the economic benefits of workers’ health.


The aim of this facilitating project is to coordinate projects that directly contribute to achievement of Priority 5.1 – to examine these industries, identify causes of injuries and fatalities, and collate and conduct cost-benefit studies to clarify the economic benefits of workers’ health, thereby contributing to GPA Objective 5.

GPA Manager Wendy Macdonald CC Initiative Leader and contact information

Jos Verbeek ([email protected]), Diana Gagliardi ([email protected])



5.24 Economic dimensions of occupational safety and health. Finnish Institute of Occupational Health (FIOH). Jos Verbeek, [email protected] 5.24b National analysis of Disability Adjusted Life Years (DALY) in relation to occupational diseases and injuries and indication of prevention strategies in workplaces. Dept. of Occupational Medicine, ISPESL. Dr Diana Gagliardi ([email protected]); Dr Bruna Maria Rondinone ([email protected]); Dr Carlo Grandi ([email protected])



The primary purpose of this project is to identify gaps in the deliverables expected from the existing three projects, as a basis for identifying future strategies and specific projects to more effectively clarify the economic benefits of improved OSH.


5.24 Eleven presentations from a workshop on The impact of OSH on company performance, downloadable from: http://www.ttl.fi/Internet/partner/Ecosh/Workshop+on+Productivity/presentations.htm. Workshops to date have identified various needs for further action, including: Two further workshops in 2009, on: Economic evaluation of OSH interventions Economic incentives for the uptake of OSH measures. Additional information on the Ecosh website Written reports: 9 scientific articles summary report for WHO network (most effective means of dissemination to be discussed) 5.24b Occupational risk factors and exposed worker population have been identified. Calculation of DALY (ongoing) Two publications have been producted: Valenti A, Rondinone BM, Iavicoli S – Salute e sicurezza sul lavoro – Costo Zero (3): 70-71, 2008. Rondinone BM, Boccuni F, Petyx C, Valenti A, Iavicoli S – Proposta di

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applicazioni della metodologia per il calcolo del DALY (Disability Adjusted Life Years) per le malattie professionali in Italia – G Ital Med Lav Erg 2006, 28(3): 341-343. Quantification of number of DALYs due to occupational diseases at national level. Quantification of costs per DALY avoided Synthesis of major results on scientific peer-reviewed publications Transferability of results through training events

Critical Gaps

Gaps in research evidence: Insufficient insight into the relation between physical and mental health and job performance or productivity Insufficient insight into the relation between job satisfaction, engagement and commitment to work. For some of these parameters we don’t even now if they contribute to health or to illhealth. Gaps in professional expertise of OSH practitioners: OSH practitioners need more expertise in marketing and communication strategies; and in using/implementing costbenefit analysis techniques. Need for wider dissemination of OSH: Should mainstream OSH into education system, especially in courses of lawyers, engineers, economists.


5.24 New Project

PROJECT Title Economic Dimensions of Occupational Safety and Health

GPA Objective and Action Objective 5, Action 24

Priority Number 5.1: Collate and conduct studies to clarify the economic benefits of workers’ health

Responsible CC or NGO Name Finnish Institute of Occupational Health

Project leader(s)

Jos Verbeek [email protected]

Network partners Prevent Belgium, [email protected] NOFER, Poland, [email protected]



EU, Directorate Research, Framework Programme 7 financed collaborative project



It is generally assumed that a healthy workforce in safe workplaces is more productive and uses less social and health care expenses. The aim of ECOSH is to bring together researchers, employers, unions, policymakers and other stakeholders. They will discuss new and innovative ways of using economics for occupational safety and health. The results will be published in scientific journals and on www.ecosh.eu . The following workshops will be organised in 2009: 1.The impact of OSH on company performance 2. Economic evaluation of OSH interventions 3. Economic incentives for the uptake of OSH measures.


All stakeholders of OSH

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3 workshop in 2009 (jan, sept, nov) 9 scientific articles in 2010

Dissemination plan journals, magazines, website Funding source(s) EU FP 7


Eleven presentations from a workshop on The impact of OSH on company performance, downloadable from: http://www.ttl.fi/Internet/partner/Ecosh/Workshop+on+Productivity/presentations.htm. Workshops to date have identified various needs for further action, including: Gaps in research evidence: Insufficient insight into the relation between physical and mental health and job performance or productivity insufficient insight into the relation between job satisfaction, engagement and commitment to work. For some of these parameters we don’t even now if they contribute to health or to illhealth. Gaps in professional expertise of OSH practitioners: OSH practitioners need more expertise in marketing and communication strategies; and in using/implementing costbenefit analysis techniques. Need for wider dissemination of OSH: Should mainstream OSH into education system, especially in courses of lawyers, engineers, economists.


Two further workshops in 2009, on: Economic evaluation of OSH interventions Economic incentives for the uptake of OSH measures. Additional information on the Ecosh website Written reports: 9 scientific articles Summary report for WHO network (most effective means of dissemination to be discussed)

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5.24b Previously AA2:NP16

Title

National analysis of Disability Adjusted Life Years (DALY) in relation to occupational diseases and injuries and indication of prevention strategies in workplaces


Priority Initiative Priority 1: Collate and conduct studies to clarify the economic benefits of workers’ health (Action 5.24)

Responsible CC or NGO Name ISPESL – Dept. of Occupational Medicine

Project leader Dr Diana Gagliardi ([email protected]) Dr Bruna Maria Rondinone ([email protected]) Dr Carlo Grandi ([email protected])

Network partners WHO Regions involved in this project




Until now, costs related to insufficient or non addressed prevention in workplaces were roughly estimated as percents of the gross national or global product lost. Alternatively estimates are available only at enterprise level. A more detailed quantification of costs at national level may be addressed using Disability Adjusted Life Years (DALY), which combines potential years of life lost due to premature death and equivalent years of “healthy” life lost by virtue of being in states of poor health or disability. Such an approach, which is intended to be followed in this project, will enable cost-benefit analysis to address preventive strategies at various levels of the productive processes.

Target group and/or beneficiaries National stakeholders, policy makers


International congresses (e.g. ICOH 2009 Cape Town, 22-27 March 2009) and workshops


• To quantify DALY at national level due to lacks of prevention in workplaces. • To quantify socio-economic costs. • To address prevention strategies • To summarize major results on scientific peer-reviewed publications


• Comparison of results achieved in this study with the outcomes of WHO published in the Global Burden of Diseases


• Identification of specific occupational risk factors and the exposed worker population (by 2008) • Calculation of DALY (by 2009). • Use of the results achieved to perform cost – benefit analysis with a focus on Italian situation and to supply suggestions for the implementation of economic policies, sanitary regulations and education, basic and advanced education provisions, labour laws (by 2010).

Public health impact Identification of good preventive strategies and their effective use even trough their introduction in differentiated policies, may improve the general and working population health conditions and contribute in the public health’s cost reduction.

Funding source(s) Funded by ISPESL

Dissemination WHO documents, training courses, worker and enterprise meetings


Occupational risk factors and exposed worker population have been identified. Calculation of DALY (ongoing) Two publications have been producted: Valenti A, Rondinone BM, Iavicoli S – Salute e sicurezza sul lavoro – Costo Zero (3): 70-71, 2008. Rondinone BM, Boccuni F, Petyx C, Valenti A, Iavicoli S – Proposta di applicazioni della metodologia per il calcolo del DALY (Disability Adjusted Life Years) per le malattie professionali in Italia – G Ital Med Lav Erg 2006, 28(3): 341-343.

List of additional outcomes expected

Quantification of number of DALYs due to occupational diseases at national level. Quantification of costs per DALY avoided

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Synthesis of major results on scientific peer-reviewed publications Transferibility of results through training events

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GPA 5.2: Recommendations to manage risks associated with the effects of globalization on workers’ health

Project title Recommendations to manage risks associated with the effects of globalization on workers’ health

GPA Objective Objective 5: to incorporate workers’ health in to other policies

GPA Actions 24-27

Resolution WHA 60.26 urged Member States of WHO … (6) to encourage incorporation of workers’ health in national and sectoral policies for sustainable development, poverty reduction, employment, trade, environmental protection, and education; and (7) to encourage the development of effective mechanisms for collaboration and cooperation between developed and developing countries at regional, subregional and country levels in implementing the global plan of action on workers’ health; The most specifically relevant GPA Actions are: 24. The capacities of the health sector to promote the inclusion of workers’ health in other sectors’ policies should be strengthened. Measures to protect workers’ health should be incorporated in economic development policies and poverty reduction strategies. The health sector should collaborate with the private sector in order to avoid international transfer of occupational risks and to protect health at the workplace. Similar measures should be incorporated in national plans and programmes for sustainable development. 25. Workers’ health should likewise be considered in the context of trade policies when taking measures as specified in resolution WHA59.26 on international trade and health. 26. Employment policies also influence health; assessment of the health impact of employment strategies should therefore be encouraged. Environmental protection should be strengthened in relation to workers’ health through, for instance, implementation of the risk-reduction measures foreseen in the Strategic Approach to International Chemicals Management, and consideration of workers’ health aspects of multilateral environmental agreements and mitigation strategies, environmental management systems and plans for emergency preparedness and response.

Priority Area 5.2 Develop specific and relevant recommendations to manage risks associated with the effects of globalization on workers’ health.


A key purpose of this project is to identify gaps in the deliverables expected from the existing four projects, as a basis for identifying future strategies and specific projects required to generate an effective set of recommendations addressing negative impacts of globalization on OSH.


David Rees, National Institute for Occupational Health, South Africa [email protected] +27 11 7126502



5.24a Global situation analysis – overall project. Prof. David Rees: South African National Institute for Occupational Health, Email: [email protected]; Dr Wendy Macdonald; Centre for Research and Teaching in Occupational Ergonomics, La Trobe University, Email : [email protected] 5.24a-1 Globalization and Occupational Health in Shanghai, China. Taiyi. JIN and Wei LU Email address: [email protected], [email protected]. Department of Occupational Health, Fudan University; Shanghai Municipal Center of Disease Prevention and Control. 5.26a Changing patterns in employment and its impact in occupational health in South American countries. Dr. Marisol Concha, Sr. Rodrigo Pezo [email protected]; [email protected] Asociación Chilena de Seguridad (ACHS).

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5.26b The requirement analysis of occupational safety and health for migrant workers ongoing globalization and changing employment patterns in China. Tao Li. [email protected]. National Institute of Occupational Health and Poison Control, Chinese Centre for Disease Control and Prevention, Beijing.

WHO Regional offices actively involved (name and email)


This project documents expected outputs from the four existing projects, in order to identify gaps in expected deliverables and to identify the nature of further work required to generate an effective set of recommendations to address identified negative effects of globalization on workers’ health.


5.24a A summary report of evidence-based conclusions concerning key determinants of the negative effects of globalization on workers’ health within a conceptual framework identifying relationships between these determinants, focusing particularly on work-related hazards and risk factors A short report outlining the kinds of policy instruments, recommendations and actions that could be taken to reduce the negative aspects of globalization on work-related hazards of all types, at international, regional and national levels. compilation of short documents appropriate for specific target groups to disseminate the policies, recommendations and actions 5.24a-1 The current status of basic occupational health services in 19 counties and districts of 4 provinces in China has been documented, including analyses of: status of migrant workers incidence of occupational diseases. Substantial capacity development within the area studied: training courses and other significant improvements in basic occupational health service practices were implemented. The area covered will extended from 19 to 40 counties and districts of more provinces. 5.26a A discussion paper on changing employment patterns and their impact on occupational health in some South America countries 5.26b Survey of the current status of occupational health services in state-owned enterprises, joint ventures and sole proprietorship corporations in Shanghai Municipality Presentation to ICOH 2009 on Globalization and Occupational Health in China

Critical Gaps

Current projects are very limited in terms of both their regional coverage and the kinds of issues addressed. Expansion of coverage by a wider set of specific projects would be very useful. The current project teams needs to recruit additional expertise to assist in formulating examples of feasible and effective recommendations, policy tools and actions to address the negative aspects of globalization. A global task team to address this need, focusing on development of some specific types of policies and strategies, may be a solution.


5.24a Formerly AA1:1


CC or NGO Name National Institute of Occupational Health, South Africa and La Trobe University, Australia

Project title Global situation analysis – overall project Keywords Globalization, employment patterns, health consequences


Prof. David Rees: Deputy Project leader, South African National Institute for Occupational Health, Email: [email protected] Dr Wendy Macdonald; Centre for Research and Teaching in Occupational Ergonomics, La Trobe University, Email: [email protected]

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Asociación Chilena de Seguridad : Dr. Marisol Concha TNO, the Netherlands: Prof. Frank Pot In addition, the Institutions and project leaders of other AA1 activities belong to the partners of AA1, since work within this whole Area is intended to be closely integrated.

Other partners

Dr. P.K. Abeytunga, Canadian Centre for Occupational Health and Safety Prof. Christer Hogstedt, Swedish National Institute of Public Health; Dr Jerry Spiegel, Director of Global Health at the Liu Institute for Global Issues, University of British Columbia, Canada Kaj Elgstrand, Sweden

Funding Each collaborating partner is responsible for its respective costs

Objective of the Project

The ”Global situation analysis” will give a picture of how the ongoing globalization and changing employment patterns are influencing the prerequisites for occupational safety and health. The analysis will allow the identification of actions to be taken considering in a creative way these changing prerequisites.


A number of reports related to: 1. The ongoing globalization and its consequences for labour markets, employment patterns and working conditions 2. Occupational safety and health in a globalised world 3. Case studies (AA1: 2-9) 4. Identification of actions to be taken by WHO´s CCsOH, and others. The whole project will be completed before the end of 2010.


Occupational health and safety professionals and policy-makers, inter-national organisations


Analyses of ongoing globalization, its health consequences and action implications. The project will consider the situation both in industrial and developing countries, and include a few national studies. It will be coordinated with other similar or related international activities; as and when feasible, outputs will be integrated with other activity areas of the Global Work Plan of WHOs Collaborating Centers in Occupational Health. The former “Global strategy on occupational health for all” (1995) will be considered, as well as the “Global Plan of Action on Workers´ Health” 2008-2017.

Dissemination National documents and WHO documents. Impact; global/regional Global

Progress on Project

Progress was hampered by the demise of the Swedish National Institute for Working Life, resulting in transfer of the Project Manager role from Kaj Elgstrand to Wendy Macdonald and David Rees. Work on Reports 1 and 2 (see Outcomes, above) has now re-commenced in collaboration with Dr Jerry Spiegel. Further case studies to substantiate reports 1 and/or 2 have been planned, in addition to those comprising the other Projects in AA1 (see separate project reports).


Various problems have delayed the generation of outcomes other than informal conference presentations.


A summary report of evidence-based conclusions concerning key determinants of the negative effects of globalization on workers’ health, within a conceptual framework identifying relationships between these determinants A short report outlining the kinds of policy instruments, recommendations and actions that could be taken to reduce the negative aspects of globalization at international, regional and national levels. compilation of short documents appropriate for specific target groups to disseminate the policies, recommendations and actions


5.24a-1 Formerly AA1:6


CC or NGO Name Fudan University School of Public Health, Shanghai Project title Globalization and Occupational Health in Shanghai, China

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5.26a Formerly AA1:2

GPA Objective Objective 5: To incorporate workers' health in to other policies CC or NGO Name Asociación Chilena de Seguridad (ACHS)

Project title Changing patterns in employment and its impact in occupational health in South American countries

Keywords Patterns in employment, occupational health, South America Project leader Email address

Dr. Marisol Concha, Sr. Rodrigo Pezo [email protected]; [email protected]

Partners (of the CC Network) Universidad Andrés Bello, FISO

Other partners Funding Asociación Chilena de Seguridad (ACHS), FISO Objective of the project Identify the impact in the workers health of the patterns in employment Project outcome(s) and deadline(s) for completion of the project

Discussion paper One year from the starting point

Target group and/or beneficiaries Professionals, politicians, policy analysts

Summary of the project Bibliographic research, countries comparisons, projected impact in health Dissemination Governments, Labour and Health Ministers, International Organizations Impact (global or regional) Regional

Progress on Project The start of this project was delayed due to illness, but work is expected to commence shortly.

Keywords Globalization, Occupational Health , Shanghai Project leader Email address

Taiyi JIN and Wei LU Email address: [email protected]；[email protected]


Department of Occupational Health, Fudan University; Shanghai Municipal Center of Disease Prevention and Control

Other partners Funding Each collaborating partner is responsible for its respective costs


To elucidate the situation of globalization in Shanghai since 1979. Analysis of both benefit and adverse effects on occupational health in Shanghai following the globalization. Providing the suggestion for occupational health in Shanghai.


The project will make a report on <Globalization and Occupational Health in Shanghai> and publish some papers in relevant academic journals. Deadline: December 2008


Decision makers, occupational health workers and researchers and enterprise managers.

Summary of the project To identify current status of the globalization and its benefit and adverse effects on occupational health in Shanghai

Dissemination publishing papers and project reports Impact; global/regional Global

Progress on Project as of June 2007

Working in collaboration with Shanghai Municipality Centers for Disease Control and Prevention, the Center has surveyed occupational health services (OHS) situation in state-owned enterprises, joint ventures and sole proprietorship corporations, in order to investigate effects of global economic integration on OHS in China.


Survey of the current status of occupational health services in state-owned enterprises, joint ventures and sole proprietorship corporations in Shanghai Municipality Presentation to ICOH 2009 on Globalization and Occupational Health in China


Effects of globalization are expected to increase the rate at which occupational health services in China develop towards further international harmonization.

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GPA5.26b Formerly AA1:5



Project title The requirement analysis of occupational safety and health for migrant workers ongoing globalization and changing employment patterns in China

Keywords Migrant workers, employment patterns Project leader Email address


Partners (of the CC Network) WHO, ILO, NIOSH, US


Objective of the project To analyses the status of occupational safety and health for migrant workers, and to recommend some solutions for providing appropriate health care for migrant workers in China


To develop a report on occupational safety and health for migrant workers in China.


Policy makers, occupational health and safety researchers, enterprise managers, migrant workers

Summary of the project This project will describe the ongoing globalization and changing employment patterns in China, analyses occupational health and safety for migrant workers and recommend some appropriate solutions to protect migrant workers.

Dissemination WHO documents and National documents Impact (global or regional)

Both global and national

Progress on Project

First, we conducted a survey on the situation of occupational health in a pilot county, covering the major hazards leading to occupational diseases and the level of awareness of knowledge about prevention and control of occupational diseases among workers. Then we provided support for enterprises to develop management systems and to complete rectification. Employers were assisted to create integral occupational health monitoring records. Also we conduct training and intervention.


Basic occupational health services practice was carried out in the 19 counties and districts of 4 provinces in China. The status of migrant workers and the incidence of occupational diseases and basic occupational health services ability in the pilot area were investigated and analyzed. Increased input to pilot area, and have been carried out training and basic practice of basic occupational health services. The supervision to pilot work in the first step was finished. Through ability-building, the basic occupational health service ability of pilot area greatly enhanced.


The pilot area further from 19 to 40 counties and districts of more provinces。 Making further summary pilot examination, and forming with certain characteristics of the basic occupational health service mode.

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GPA 5.3-1: Hazardous Industries (with projects organized by area of work)

Project title

Development and implementation of toolkits and other resources for the assessment and management of occupational safety and health hazards in high risk industry sectors.

GPA Objective Objective 5: to incorporate workers’ health in to other policies

GPA Actions 5.24, 5.27, 5.28

Priority Area

Priority 5.3: Implement toolkits for the assessment and management of OSH hazards in high risk industry sectors and for vulnerable groups of workers.


The top four most hazardous industry sectors, based on fatality rates, are agriculture, mining, transportation, and construction. The aim of this facilitating project is to coordinate projects that examine these industries, identify causes of injuries and fatalities, and develop and implement toolkits to reduce risk. The projects are separated into five areas: Area A: Agriculture. Area B: Transport. Area C: Construction Area D: Mining Area E: Multi-sector


Catherine Beaucham; [email protected]



Projects are organized by area: Area A: Agriculture: Claudio Colosio 5.28e Improving the working environment in cutting and extraction of wood in south-central state of Rio Grande do Sul – Brazil. Project Leader: Cristiane Paim da Cunha; [email protected] FUNDACENTRO, BRAZIL. 5.28h Exposure Assessment and occupational health in petrochemical industry, banana production and floriculture in Ecuador. Project Leaders: Vito Foa; [email protected]. Silvia Fustinoni; [email protected] Clinica del Lavoro “Luigi Devoto” Milano, Italy 5.28j Control of Occupational hazards associated with pesticides in agriculture. Project Leader: Professor L London [email protected]; Tropical Pesticides Research Institute, Arusha, Tanzania. 5.28k Lung disease in Agriculture – tools for assessment of exposure, burden of disease and prevention. Project Leaders: Holger Dressel; [email protected] Rudi Schierl; [email protected] 5.28l Ergonomics Checkpoints in Agriculture – A toolkit for developing countries. Project Leader;David C Caple; [email protected] 5.28m Development of risk assessment guidelines for agricultural workers. Project Leader: Angelo Moretto; [email protected]. ICPS, Milan, Italy. 5.27f Pesticide use, Health and Environment – Uganda 2010-13. Project Leader: Erik Jors: [email protected] Clinic of Occupational and Environmental Health, Odense University Hospital, Denmark 5.27g Pesticide, Health and Environment – Plagbol III - 2010-13 - Bolivia. Project Leader: Erik Jors: [email protected] Clinic of Occupational and Environmental Health, Odense University Hospital, Denmark 5.27h Sustainable Capacity building for African Pesticide Regulators to reduce occupational pesticide risks. Project Leader: Hanna-Andrea Rother, [email protected], University of Cape Town 5.27i Creation of Exposure and Risk Profiles for risk assessment and management in Agriculture. Project Leader: Claudio Colosio, [email protected], International Centre for Rural Health (ICRH), Milan, Italy

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5.27j Developing diagnostic and exposure criteria for occupational diseases in agriculture and rural areas. Project Leader: Claudio Colosio, [email protected], International Centre for Rural Health (ICRH), Milan, Italy 5.27k Providing Agricultural Workers with Primary Occupational Health Care. Project Leader: Chiara Somaruga, [email protected], International Centre for Rural Health (ICRH), Milan, Italy 5.27m Creation of a Global Rural Health Network. Project Leader: Claudio Colosio, [email protected], International Centre for Rural Health (ICRH), Milan, Italy 5.27n Addressing Occupational Health Problems Among Nutmeg Factories Workers. Project Leaders: Dr. M. Akpinar-Elci, [email protected]; Dr. Satesh Bidaisee, [email protected]; Dr. O. C. Elci, [email protected]; Department of Public Health and Preventive Medicine, School of Medicine, St. George's University, Grenada 5.24c Strengthening the Latin American Network in Rural Health and launching the Rural Health Portal. Project Leader ‐ Julietta Rodriguez Guzman: [email protected]; Eng. Lelys Archila: direcció[email protected]; Occupational Health Program/ El Bosque University OHP/UEB; Colombia Area B: Transport: Lygia Therese Budnik 5.24d Establishment of an international working group for the utilization of telemedicine to reduce health risks of seafarers. Project Leader: Marcus Oldenburg, Xaver Baur; [email protected] Department of Maritime Medicine of Central Institute of Occupational Medicine, Hamburg, Germany. 5.27b Road safety toolkits for organizations whose employees travel abroad within the PAHO region. Project Leader: Stephanie Pratt [email protected] NIOSH, USA 5.28g Promoting Initiatives for Occupational Road Safety. Project Leader: Jane Hingston, [email protected]; NIOSH, USA Area C: Construction 5.28b Preventive programme designed to reduce musculoskeletal pain for construction workers and students of construction schools. Project Leader: Zbigniew W. Józwiak, [email protected] Nofer Institute of Occupational Medicine, Lodz, Poland. 5.28i Estimation of work-related physical load and occupational risk evaluation in construction sector. 5.28n Assessment of exposure to carcinogenic compounds, focusing on plycyclic aromatic hydrocarbons (PAHs), in construction workers. Clinica del Lavoro “Luigi Devoto”, Milano, Project Leader: Laura Campo [email protected]. Area D: Mining and Petrochemicals 5.27c Improving Mining Safety and Health in Colombian Mines. Project Leader: Jeffery L. Kohler, Ph.D. [email protected]; NIOSH, USA. 5.27d Exposure to diesel particulates and their health effects on employees in an underground mine in Western Australia. Project Leaders: Le Jian, [email protected]; Janis Jansz; [email protected] International Ergonomics Association (IEA) 5.27e Collaborative project on assessment and control of diesel particulate matter exposure among underground mine workers. Project Leader: Krassi Rumchev, [email protected]; International Ergonomics Association (IEA) 5.28q Environmental and occupational risks in the petrochemical sector. Project Leader Prof. Bakirov, Ufa Institute of Occupational Health and human Ecology [email protected] 5.26c Reducing mercury pollution in small scale gold mining – Philippines 2011-2014. Project Leader NGO’s: Rasmus Køster-Rasmussen, [email protected] Marie Brasholdt, [email protected] CC: Erik Jørs, [email protected] NGO’s: Dialogos University of Copenhagen (GEUS, Institute of Global Health) ICOEPH/Danish Society of Occupational Medicine CC: Clinic of Occupational and Environmental Medicine,

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University Hospital of Odense Area E: Multi-sector 5.27a Sharing workplace OSH practices through sector-based global collaborations (NORA). Project Leader: Max Lum; [email protected], Marilyn Fingerhut: [email protected]; NIOSH, USA. 5.28c Enhancement of Occupational Health and Safety in Mexican Industry Project Leader: Leonard Sassano; [email protected]; IAPA, Canada 5.28d Enhancement of Occupational Health and Safety in Brazilian Industry. Project Leader: Leonard Sassano; [email protected]; IAPA, Canada 5.28f Occupational Health Services of Small Scale Industries. Project Leader: Shigeki Koda; [email protected] Aichi University of Education, Japan



These projects have identified hazards in the industrial sectors of agriculture, transport, construction, and mining. Each contributing project in this facilitating project studies the conditions contributing to injuries and fatalities within the sectors, and examines a toolkit approach to control the hazard or increase the knowledge of the professionals involved in controlling the hazard. The 5th category examines the problem from a multi-sectoral approach.


Area A: Agriculture: Claudio Colosio 5.28e Improving the working environment in cutting and extraction of wood in south-central state of Rio Grande do Sul – Brazil. Project Leader: Cristiane Paim da Cunha; [email protected] FUNDACENTRO, Brazil Studying the current conditions of the working environment through risk assessment evaluation Generate scientific data for OSH activities for publication. 1 article has been published. Planning specific training in OSH for the actors involved. Thus far, 100 employees have been trained and 30 entrepreneurs have been trained. Dissemination of results to the local community, class organizations, and research bodies involved. Development of search Engines Collection and analysis of data Participation in events, 3 in Brazil, 1 International Event. Additional article expected by 2012 Health and safety improvement in 60% of small and micro enterprises studied expected by 2012. 5.28h Exposure Assessment and occupational health in petrochemical industry, banana production and floriculture in Ecuador. Project Leaders: Vito Foa; [email protected]. Silvia Fustinoni; [email protected] Clinica del Lavoro “Luigi Devoto” Milano, Italy To conduct three Studies in Ecuador on: petrochemical industry, floiculture and banana producers. Investigate exposure to solvents, heavy metals, and pesticides and will establish their outcome on workers’ health. To develop training programs for physicians, nurses, and technicians in occupational health. To publish booklets to address risk management and scientific articles to report the results of the studies. To improve technical capability of laboratories in Ecuador dealing with environmental and biological monitoring of occupational exposure. An exposure study on Ecuadorian floriculture workers has been carried out, which involves measurement work (health and exposures information) in the open field environment and greenhouses. COMPLETED. Exposure to ethylenbisdithiocarbamate fungicides (EBDTCs) was investigated in a group of greenhouse farmers by measuring urinary ethylenethiourea (ETU), which is a major metabolide of EBDTCs. This work has demonstrated that ETU measurements may be adopted as a biomarker of short-term exposure. COMPLETED.

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Two field studies to evaluate personal exposure to ethylenbisdithiocarbamate fungicides (EBDTCs) in floriculture workers were performed, and the utility of urinary ethylenethiourea as a short-term marker of exposure was assessed. Data on exposure to pesticides in banana plantation workers and in the general population leaving nearby will be collected; Possible health effects related to this exposure, especially dermal and neurological effects, will be investigated. 5.28j Control of Occupational hazards associated with pesticides in agriculture. Project Leader: Professor L London [email protected]; Tropical Pesticides Research Institute, Arusha, Tanzania. PhD study into acute pesticide poisoning (APP_) in Tanzania almost completed Proposal for surveillance system for APP in Tanzania tabled to Ministry of Health Study of risk perceptions of small farmers published in Crop Protection 2007; 26: 1617-1624. Study of policy implication for small farmers’ protections from pesticides: Development Southern Africa, 2008: 25(4): 399-424 Chapter in Encyclopedia of Pest Management on chemical hazards: Rother, H-A & London, L. (2008). Classification and Labeling of Chemicals: New Globally Harmonized System (GHS), Encyclopaedia of Pest Management, 1:1, 1-6. Two regional meetings held for pesticide registrars List server for pesticide registrars running Postgraduate Diploma in development - targeting pest management scientists, including registrars, to be introduced 2010. Short courses run: grantwriting for researchers (2006); exposure assessment for pesticides (2006); neurobehavioural assessment in occupational and environmental health in March 2009. Pesticides list server running from UCT to region Series of policy briefs produced and disseminated (www.wahsa.net) on Acute pesticide poisoning and the need for national surveillance systems; Reducing pesticide risks through building capacity of African regulators; Pesticide laboratory capacity in the SADC region- a vital link in Pesticide Risk Reduction; South-South collaboration for pesticide safety; Reducing the Impact of pesticides through Community Pesticide monitoring; South-South Collaboration for pesticide safety; Action project in process in Ngarenyuki district, Tanzania Resource centre operating at TPRI to relocate to MUHAS PhD study into acute pesticide poisoning (APP) in Tanzania by 2010 Postgraduate Diploma and M Phil in Pesticide Risk Management - targeting pest management scientists, including registrars and environmental health professionals to be introduced 2010 Short-courses on pesticide policy, health and environmental risk assessment, controlling pesticide risk, pesticides and public health based on the post graduate diploma Ongoing networking: running Pesticides list server and Registrars list server Publications from ongoing research activities in Ngarenyuki and Western Cape Implementation of acute pesticide poisoning surveillance in Tanzania 5.28k Lung disease in Agriculture – tools for assessment of exposure, burden of disease and prevention. Project Leader: Holger Dressel; [email protected] Rudi Schierl; [email protected] Develop simple recommendations to reduce allergen exposure in farmers’ homes (by 2006) Data presented at the European Respiratory Society Congress 2006 Develop tools for the evaluation of educational interventions (by 2007) Data will be presented at the German Congress for Occupational Health 2007. Develop tools for secondary prevention (by 2008) Poster presentation in Buxton. Results were also distributed by local press and television. Dissemination of tools through WHO CC centers (by 2009) Currently planning studies to develop efficient screening strategies to detect agricultural lung disease at an early stage and are planning cooperation with Médecine du Travail, Faculté des Sciences de la Santé, Cotonou, Benin and Institute of Occupational Medicine, Skopje, Macedonia. 5.28l Ergonomics Checkpoints in Agriculture – A toolkit for developing countries. Project Leader;David C Caple; [email protected]

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The IEA has finalized the Checkpoints in 2009. An illustrator from Vietnam has developed the graphics for each checkpoint and these have been checked for accuracy and cultural suitability. The checkpoints have been checked (with the ILO Regional Advisor) in Bangkok and in Vietnam. The checkpoints have now been forwarded to the ILO SafeWork program in Geneva for final editing and printing. The IEA is hosting an international conference on ergonomics in agriculture in Malaysia. The website is www.aedec.org It is expected that the final handbook will be sent to the Orders in November 2009 once they are back from the printers. The ergonomics in agriculture publication will then be integrated into a range of ILO outreach programs such as WISE an WIND in developing countries. The product will also be available for Unions, Employers, and Governements to utilize in their training and outreach program.s The IEA will continue to liaise with the ILO on the take up of the document in 2010. 5.28m Development of risk assessment guidelines for agricultural workers. Project Leader: Angelo Moretto; [email protected]. ICPS, Milan, Italy. A generic model to perform pesticide risk assessment for agricultural workers has been developed. COMPLETED Specific risk profiles for exposure to plant protection products in greenhouses, maize, rice have been finalized. COMPLETED. Environmental and biological monitoring study has been carried out to validate the greenhouses risk profile. COMPLETED The obtained results have been presented in regional and national conferences. COMPLETED An article has been submitted to scientific journal to disseminate the tool. Development of a probabilistic approach for assessment of exposure to pesticides in selected scenarios. IN PROCESS Elaboration of guidelines for health surveillance of agricultural workers. IN PROCESS 5.27f Baseline study of number of intoxications and their causes among small scale farmers in the districts of Wakiso and Pallisa Validated material in English for teaching of health care workers in Uganda in ‘diagnosis, treatment and prevention of pesticide intoxications’. Validated material in English for teaching of farmers in Uganda in IPM methods and prevention of pesticide intoxications’. Uploading of materials/kit on pesticide control on web-sides for free access Dissemination for student educations on Global Health Platform coordinated by the University of Copenhagen. Dissemination of findings and experiences gained on conferences and in scientific journals 5.27g A Municipal model exists that is applicable to other Municipalities in Bolivia to prevent negative effects of pesticides, including training and information of farmers, health care workers and the population in general in Integrated Pest Management, prevention of intoxications and environmental pollution. SENASAG’s (Ministry of Agriculture) farmer education program ‘Good Agricultural Practices’ has been strengthened with IPM promotion, immersed within the national policies for agricultural pesticides regulation. Strategies, education materials and informative documents elaborated by the project are available in virtual libraries of National and International Universities, and at the OPS/WHO, for training of students, professionals and farmers at a global level thus creating a base for global advocacy. Uploading of materials/kit on pesticide control on web-sides for free access Dissemination for student educations on Global Health Platform coordinated by the University of Copenhagen. Dissemination of findings and experiences gained on conferences and in scientific journals 5.27h

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E-forum network E-course materials around the Code of Conduct on the Distribution and Use of Pesticides Regulators graduated with a post graduate diploma or masters in pesticide risk management 5.27i List of Hazard and Exposure Indicators for the main work tasks in agriculture; Instructions for the application of the Exposure and Risk Profiles; Guideline for exposure and risk assessment in agriculture 5.27j Report on occupational diseases in agricultural settings, which will be basis for an epidemiologic observatory on occupational diseases in agriculture. December 2011: first epidemiological observations ICOH 2012: presentation of main results. 5.27k Published guidelines for health surveillance of agricultural workers; A system for primary occupational health care delivery in agriculture. Dissemination of similar experiences in other Regions and Countries September 2011: publication of first report on health conditions of agricultural workers in the Region. 2012: preparation of a guidance document to be discussed at ICOH Congress. 5.27m A Global Rural Health Network (GRHN), involving of all stakeholders. Periodical discussions on critical issues organized via workshops, etc. Possibility of creating a special website will be explored. 5.24c Strengthening the Latin American Network in Rural Health and launching the Rural Health Portal.:

• List of key discussion topics on the Portal should be identified and discussion forums should be producing several short reports.

• Links with similar interested parties should be available for all website users. Area B: Transport: Lygia Therese Budnik 5.24d Establishment of an international working group for the utilization of telemedicine to reduce health risks of seafarers. Project Leader: Marcus Oldenburg, Xaver Baur; [email protected] Department of Maritime Medicine of Central Institute of Occupational Medicine, Hamburg, Germany. Ascertaining the number and suitability of telemedical equipment (e.g. ECG by semiautomatic defibrillators, X-rays and photos) by considering ship-specific hazards (frequently injuries and diseases) (by 2006) Reinforcing international standardization, harmonization, and co-operation (by 2006) Testing medical devices and the quality of transmitting telemedical signals on board (by 2007) 5.27b Road safety toolkits for organizations whose employees travel abroad within the PAHO region. Project Leader: Stephanie Pratt [email protected] NIOSH, USA Special session on occupational road safety at “Road Safety in the Americas” conference, Puerto Rico, December 2007 Session on occupational road safety in Latin America at International Conference on Road Safety at Work (Washington, DC, February 16-18, 2009) Collaborated with PAHO to include question on availability of data on road traffic injury at work in data collection instrument for the Americas, Global Road Safety Status Report, 2008 COMPLETED Road Safety toolkit for travelers in the Americas Project activities may be integrated with a Latin American regional meeting to be organized as a follow-on to the International Conference on Road Safety at Work 5.28g Promoting Initiatives for Occupational Road Safety. Project Leader: Jane Hingston, [email protected]; NIOSH, USA International Conference on Road Safety at Work (Washington, DC, February 16-18,

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2009, the first international conference dedicated to preventing occupational road traffic injuries, a leading cause of occupational fatalities worldwide Organized by NIOSH, with co-sponsorship from World Health Organization, International Labour Organization, National Safety Council, World Bank, and U.S. Department of State 220 delegates from 44 countries representing business, academia, government, and labor Sessions on research, policy, and practice, with special focus on emerging markets Draft conference “white paper” available at: www.cdc.gov/niosh/programs/twu/global Conference videos and presentations available at: http://www.virtualriskmanager.net/main/aboutus/niosh.php Conference included in UN Secretary General’s 2009 report on Improving Global Road Safety as a key road safety event Wikipedia site on Global Road Safety for Workers: http://en.wikipedia.org/wiki/Global_road_safety_for_workers. In collaboration with UN Road Safety Collaboration, Fleet Safety Project Group, planning is underway for regional occupational road safety meetings in West Africa and Southeast Asia/Australasia Inclusion of fleet safety in 2008 UN General Assembly resolution on road safety, and in proposed resolution to be discussed in late 2009 or early 2010 Contributed US data on occupational road safety to Global Road Safety Status Report prepared by WHO with Bloomberg Foundation funding COMPLETED Publication of revised “white paper” and conference proceedings as joint NIOSH/WHO document IN PROCESS Continued participation in UN Road Safety Collaboration and “Global Road Safety Roundtable” of US government agencies Additional regional meetings in other parts of the world, possibly India and Latin America Dissemination of conference outputs through international organizations, professional conferences, and other outlets Area C: Construction 5.28b Preventive programme designed to reduce musculoskeletal pain for construction workers and students of construction schools. Project Leader: Zbigniew W. Józwiak, [email protected] Nofer Institute of Occupational Medicine, Lodz, Poland. The preventive programme for construction workers and students will help to reduce physical overload and prevalence of musculo-skeletal symptoms in these workers. A programme will consists of two main elements: theoretical training and a set of physical exercises. Develop the user friendly program by 2008. To develop training packages for the toolkit deliverable though e-learning and face-to-face (2009) To integrate the toolkit in the provision of construction workers and students 2012 2 lectures - workshops for construction sector managers and safety officers (physical workload in construction workers, REBA – good method for physical workload estimation) – about 200 trained persons Next workshops for managers and safety officers on physical workload in construction, saving back and other elements of musculoskeletal system for about 250 persons Final version of PowerPoint presentation for construction workers Training sessions for construction workers for about 500 workers – practical testing of prepared presentation Presentation of prepared programme and its effects in occupational safety press and by internet. 5.28i Estimation of work-related physical load and occupational risk evaluation in construction sector. 4 training sessions for nurses organized by various nurses organisations (proper patients handling techniques) – about 300 nurses trained 2 lectures - workshops for construction sector managers and safety officers (physical workload in construction workers, REBA – good method for physical workload estimation) – about 200 trained persons 2 lectures – workshops for dentists (physical workload of dentists, dental assistants and hygenists, RULA – good method for physical workload in dentistry estimation)

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during International Conferences (about 250 persons trained): International Dental Ergonomics Congress, 22 Annual Meeting European Society of Dental Ergonomics, V Forum Ergonomics in Dentistry (Cracow, May 2009). COMPLETED Next workshops for managers, safety officers, nurses and dental staff on physical workload, saving back and other elements of musculoskeletal system for about 500 persons New version of PowerPoint presentation for nurses disseminated by CDROMs and internet First version of PowerPoint presentation for dental staff Training sessions for nurses and dentists for about 400 persons 19th Central European Dental Exhibition Session 5.28n Assessment of exposure to carcinogenic compounds, focusing on polycyclic aromatic hydrocarbons (PAHs), in construction workers. Project Leader: Laura Campo [email protected]. Development of analytical methods to measure urinary biomarkers of exposure to carcinogenic compounds, with particular attention to exposure to polycyclic aromatic hydrocarbons (PAHs) and their application in workers exposed to bitumen fumes (asphalt workers and roofers). Evaluation of influence of genetic factors and of life style (tobacco smoking, diet) on PAHs exposure. Two analytical methods have been developed: 1) a headspace solid-phase microextraction gas chromatography– mass spectrometry (HS-SPME/GC–MS) method for the simultaneous quantification of 13 PAHs (from naphthalene to benzo(a)pyrene)) in urine samples. The method has been published [Campo et al., Analytica Chimica Acta 631 (2009) 196–205]. 2) a GC/MS for the simultaneous quantification of 12 urinary monohydroxy metabolites of PAHs, namely 1-hydroxynaphthalene, 2-hydroxynaphthalene, 2-hydroxyfluorene, 9-hydroxyfluorene,1-hydroxyphenanthrene, 2-hydroxyphenanthrene, 3-hydroxyphenanthrene, 4-hydroxyphenanthrene, 9-hydroxyphenanthrene, 1-hydroxypyrene, 6-hydroxychrysene, and 3-hydroxybenzo[a]pyrene. The method has been published [Campo et al., Journal of Chromatography B, 875 (2008) 531–540]. Analysis of the biological samples collected to quantify urinary PAHs and urinary monohydroxy metabolites. Analysis of exposure pads applied on skin of workers to evaluate dermal exposure Area D: Mining and Petrochemicals 5.27c Improving Mining Safety and Health in Colombian Mines. Project Leader: Jeffery L. Kohler, Ph.D. [email protected]; NIOSH, USA. Train-the-Trainer Workshop (Major Milestone #2) completed September 2009 March 2011. Three-fold increase of professional capacity in mining safety and health trainers/professionals (baseline of 50) September 2011. Adoption of two or more best practices for dust control and explosion prevention March 2012. Incorporation of safety and health best practices into an operating coal mine that can be used as a model for other mine operators to study 5.27d Exposure to diesel particulates (DPs) and their health effects on employees in an underground mine in Western Australia. Project Leaders: Le Jian, [email protected]; Janis Jansz; [email protected] International Ergonomics Association (IEA) Reports on (1) exposure patterns to diesel particulate and health characteristics on employees at a Western Australia underground mine: associations between exposure and health effects? (2) evaluation of current risk control measures for managing diesel particulate exposure at a Western Australia underground mine Post-2012: A mining company policy for management of DPs. Improved health surveillance system in WA mining companies Improved DP risk control measures and monitoring systems within the mining company 5.27e Collaborative project on assessment and control of diesel particulate matter exposure among underground mine workers. Project Leader: Krassi Rumchev,

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[email protected]; International Ergonomics Association (IEA) Baseline air quality data on diesel particulate exposure in underground mine environments Quantification of extent of exposure to diesel particulates and associated health effects among underground mine workers Post-2012: Relative cost-effectiveness of control measures assessed, including: control at source (retrofitted DPM filters); diffusion batteries; electro-spray generators to promote rapid particle agglomeration and removal; additional filter; water atomizers. 5.28q Environmental and occupational risks in the petrochemical sector. Project Leader: Prof Bakirov Ufa Institute [email protected] Developing approaches to the assessment and management of occupational risks – 2010; Developing guidance on assessment and improvement of working conditions – 2011; Development of a rehabilitation programme – 2012. 5.28q Reducing mercury pollution in small scale gold mining – Philippines 2011-2014 All deliverables expected for 2016 5.27a Sharing workplace OSH practices through sector-based global collaborations (NORA). Project Leader: Max Lum; [email protected], Marilyn Fingerhut: [email protected]; NIOSH, USA. All 8 NORA Sector Councils have been formed and are working on addressing sector problems. COMPLETED. Four NORA sectors have identified worst sector problems and are acting on stakeholder agends www.cdc.gov/niosh/nora Global Transport e-library of good practices www.roadsafetyatwork.org International transport conference and global partner follow-up on workers driving, working, or walking on raods. Train-the-trainer courses for thousands of healthcare workers in Americas, Egypt, Africa, and Afghanistan. COMPLETED Initial training of mining sector partners in Colombia. Remaining NORA sectors will complete public stakeholder agendas and will fund critical research and implementation activities Followup Fleet Safety Initiative with partners in Africa Extensive needlestick prevention training and tools for healthcare workers globally Personal protective equipment training tools for HCWs and for small businesses with silica exposures. Training of mining sector in Colombia and development of tools for use elsewhere Construction sector toolkit for use of small businesses and in developing countries 5.28c Enhancement of Occupational Health and Safety in Mexican Industry Project Leader: Leonard Sassano; [email protected]; IAPA, Canada Developed and delivered a four day training program on SASST programme implementation to 40 STPS assessors and DGSST inspectors from across Mexico. COMPLETED 2003. Presentations on SASST and OHS Management Systems completed at two major OHS onferences in Mexico and at regional workshops across Mexico involving government, employers and worker groups. COMPLETED 2003 A Consultant Certification process was developed to enable Mexican assessors to provide services to enterprises enrolled in the SASST programme. COMPLETED 2004. September 2005: To deliver consultant certification to assessors. December 2007: Pilot applications and evaluate results of interventions. Make necessary modifications and refinements based of results. Apply nation wide. NOTE: This project should be considered dormant, due to the change in the Mexican Government last year. We have had no indication that the new government wishes to continue this project. If it becomes active again in the future, we will inform you. 5.28d Enhancement of Occupational Health and Safety in Brazilian Industry. Project Leader: Leonard Sassano; [email protected]; IAPA, Canada Needs assessments & stakeholder engagement Completed April 2005. Training of individuals that have responsibility for the development of the information

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system and web portal. Completed December 2005 Develop consulting skills and begin the development of the SESI management system framework. December 2005. Support SESI in the design and development of an Epidemiological Information System. By 2009 Development of a OHS web portal to enhance SESI’s capacity to use OHS technical knowledge and information as a strategy to improve OHS within work environment of SME’s. By 2009. Development and implementation of OHS management systems within SME’s. To develop and deliver enhanced SESI managed OHS technical and management services to SME’s. By 2009. Training of SESI consultants had been completed in November 2008. The project will be completed in September 2009. Pilot project completed. Implementation of managed systems in 8 enterprises with worker involvement in each of them. Some regions in the pilot are offering Occupational Safety and Health consulting services as a result of their experience. SESI will offer Occupational Health & Safety consulting services throughout the organization. It will be rolled out to other regions as well and will become a formal part of SESI’s services in all its regional offices. 5.28f Occupational Health Services of Small Scale Industries. Project Leader: Shigeki Koda; [email protected] Aichi University of Education, Japan The reports of good practices in small scale industries related to: Improving for working environments and conditions. Improving ergonomic stress Identify OSH risk in the workplaces by using action checklists and training manuals.

Critical Gaps to be filled asap, to assist countries to Implement toolkits to improve OSH risk management in high risk industry sectors.

The hazards in mining are a global problem. This facilitating project needs mining contributing projects.

Examples of additional deliverables desired by 2012


Sector A – Agriculture 2009-2012 Work Plan Number

5.28e New Project


Improving the working environment in cutting and extraction of wood in south-central state of Rio Grande do Sul - Brazil


GPA Objective 5: to incorporate workers’ health into other policies Action 28: Aspects of workers’ health should be taken into account in primary, secondary and higher level education and vocational training.

Priority Initiative Priority 1 -


FUNDACENTRO – Brazil Eduardo Algranti [email protected]

Project leader Cristiane Paim da Cunha [email protected]

Network partners Dr. Fernando Gonçalves Amaral; [email protected]; (UFRGS-Federal University of Rio Grande do Sul state – Brazil)

WHO Regions involved in this CONTRIBUTING

Roberto Garcia [email protected]

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project Federation employees in the construction industry and furniture Country ministries involved in this CONTRIBUTING project

Sérgio Augusto Letizia Garcia; [email protected]; Ministry of work and employment (MTE – Brazil)


Dr. Rubens Müller Kautzmann; UNILASALLE - La Salle University Center; [email protected]


The project aims at studying and developing strategies for improving the working environment in the activities of cutting and extraction of wood. This area is characterized by small enterprises with very poor working conditions. Some actions are planned: 1. Studying the current conditions of the working environment through risk assessment evaluation 2. Generate scientific data for OSH activities targeted for publication. 3. Planning specific training in OSH for the actors involved. 4. Dissemination of results to the local community, class organizations and research bodies involved


Small enterprises in the activities of cutting and extraction of wood in south-central state of Rio Grande do Sul (Brazil)


The design of new poles of economic development that includes a large increase in the production of wood.


Improvement of working conditions with the consequent reduction of accidents at work.


Number of articles published Number of entrepreneurs trained Number of employees trained


Development of search engines (April 2009) Collection and analysis of data (August 2009) Specific training in OSH (November 2009)

Public health impact Reduction of accidents at work

Funding source(s) FUNDACENTRO

Dissemination Publishing articles in journals FUNDACENTRO website Participation in events


Employees trained – 100 Entrepreneurs treined – 30 Articles published – 01 (in press) Participation in events – 03 (Brazil); 01 International(expected)


Articles published – 04 Health and safety improvements in 60% of small and micro enterprises studied.


GPA5.28h Formerly AA2:NP21

GPA Objective GPA Objective 5: to incorporate workers’ health into other policies Action 28: Aspects of workers’ health should be taken into account in primary, secondary and higher level education and vocational training.

CC or NGO Name WHO Collaborating Centre in Occupational Healths Clinica del Lavoro “Luigi Devoto”, Milano, Italy

Project title Exposure assessment and occupational health in petrochemical industry, banana production and floriculture in Ecuador

Keywords Exposure assessment; industrial hygiene; occupational health; risk prevention; petrochemical workers; floriculture workers; banana production workers; pesticides


Dr. Silvia Fustinoni, [email protected] Dr. Raul Harari, [email protected]

Partners (of the CC Network) We are looking for possible partners

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Other partners

Corporación para el Desarrollo de la Producción y el Medio Ambiente Laboral-IFA, Quito, Ecuador Fondazione IRCCS Ospedale Maggiore Policlinico, Mangiagalli e Regina Elena, Milano

Funding ISPESL/ Fondazione IRCCS Ospedale Maggiore Policlinico, Mangiagalli e Regina Elena Consortium, for WHO Collaborating Centre


To conduct three studies in Ecuador on: petrochemical industry, floriculture and banana producers. We will investigate exposure to solvents, heavy metals and pesticides and will establish their outcome on workers’ health − To develop training programs for physician, and nurses, and technicians in occupational health − To publish booklets to address risk management and scientific articles to report the results of the studies − To improve technical capability of laboratories in Ecuador dealing with environmental and biological monitoring of occupational exposure


Improvement of working and health conditions in Ecuadorian workers; Improvement of know-how for prevention operators.


Floriculture workers, banana growers, petrochemical workers, occupational health physicians, nurses, industrial hygienists, laboratory technicians, institutions for safety and prevention at work.


Select of working settlements to be study. Contact employers and employees to obtain their consensus to conduct the study. Visit the work settings and plan the investigations. Perform the field studies with collection of health information and clinical outcomes, environmental and biological samples. Perform exposure assessment analysis. Set a database and conduct statistical analysis. Discuss the meaning of findings. Report results to workers and authorities. Set strategies to reduce exposure and its health effect.

Dissemination Guidelines for safety and prevention at work, booklets and training packages for workers and operators of prevention, scientific publications.


Progress on Project

A study on exposure to pesticide in Ecuadorian floriculture workers was carried out. Both open field and greenhouse workers were involved, as well as a group of unexposed subjects, as referents. Exposure to ethylenbisdithiocarbamate fungicides (EBDTCs) was investigated measuring urinary ethylenethiourea (ETU), a major metabolite of EBDTCs. This work demonstrated that urinary ETU may be adopted as a biomarker of exposure. A further study to identify the best time for sample collection was performed. The kinetic study supported the use of ETU as biomarker of short-term exposure to EBDC, suggesting prior to the next shift as the best time for sample collection. At the moment a study on exposure to pesticide in banana production workers and in the general population leaving nearby banana plantation is on going.


Two field studies to evaluate personal exposure to ethylenbisdithiocarbamate fungicides (EBDTCs) in floriculture workers were performed, and the utility of urinary ethylenethiourea as a short-term marker of exposure was assessed.


Data on exposure to pesticides in banana plantation workers and in the general population leaving nearby will be collected; Possible health effects related to this exposure, especially dermal and neurological effects, will be investigated.


GPA5.28j Formerly AA3:Ag1


CC or NGO Name “Centre for Occupational and Environmental Health Research”, Univ Cape Town, South Africa

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Project title Control of Occupational hazards associated with pesticides in agriculture

Keywords Pesticides; surveillance; training; safety materials; policy; registration; hazard communication; risk perception; agriculture; capacity building


Professor L London [email protected] and Dr. Andrea Rother [email protected]


Department of Environmental and Occupational Health, Muhimbili University of Health and Allied Sciences (MUHAS), Dar es Salaam, Tanzania Swedish Chemical Agencey (KemI)/SIDA Food and Agricultural Organisation

Other partners To be developed throughout Southern Africa as part of the network.

Funding Food and Agricultural Organisation KemI/SIDA


To develop capacity in Southern Africa to address pesticide hazards: surveillance; risk perceptions; training; exposure characterization; interventions to reduce pesticide usage and exposure


Achieved: PhD study into acute pesticide poisoning (APP) in Tanzania almost completed Proposal for surveillance system for APP in Tanzania tabled to Ministry of Health Study of risk perceptions of small farmers published in Crop Protection 2007; 26: 1617-1624 Three regional meetings held for African pesticide registrars List server for pesticide registrars running – membership expanded from 30 in 2006 to 109 currently Established an on-line pesticide discussion forum for regulators (70 members) – virtually meet bi-monthly Postgraduate Diploma and Masters in development in Pesticide Risk Management – in line with the Code of Conduct on the Use and Distribution of Pesticides targeting pest management scientists, including registrars and environmental health professional to be introduced 2010. Short courses run: grantwriting for researchers (2006); exposure assessment for pesticides (2006); neurobehavioural assessment in occupational and environmental health in March 2009. Pesticides list server running from UCT to region Training materials on pesticide safety: Comic production in Swahili, posters Series of policy briefs produced and disseminated (www.wahsa.net) on Acute pesticide poisoning and the need for national surveillance systems; Reducing pesticide risks through building capacity of African regulators; Pesticide laboratory capacity in the SADC region- a vital link in Pesticide Risk Reduction; South-South collaboration for pesticide safety; Reducing the Impact of pesticides through Community Pesticide monitoring; South-South Collaboration for pesticide safety; Action project in process in Ngarenyuki district, Tanzania Resource centre operating at TPRI, to relocate to MUHAS Publication on policy implications of agricultural policy for pesticide exposure for emergent farmers in South Africa (Development Southern Africa, 2008: 25(4): 399-424) Chapter in Encyclopedia of Pest Management on chemical hazards: Rother, H-A & London, L. (2008). Classification and Labeling of Chemicals: New Globally Harmonized System (GHS), Encyclopaedia of Pest Management, 1:1, 1-6. Produced and disseminated 8 SA Pesticide Newsletters (www.wahsa.net) Planned: Completion of cohort study of emergent farmers in rural Western Cape South Africa examining neurobehavioural impacts of organophosphate exposure Use of fluorescent dye methods for assessment of pesticide exposure amongst farmers in Tanzania and community government workers in South Africa (Working for Water project) Regional assessment of the problem of sales of highly toxic pesticides in the informal markets Assessment of the economic and health costs of pesticide usage Women in Farms research?

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Unlikely to be implemented (no funding or funding ended): hazard communication effectiveness, effectiveness of different methodologies of pesticide safety training, Regional Conference Best practice manual Further action programmes other than the one at Ngarenyuki


Occupational health professionals in Southern Africa; public officials concerned with pesticide policy; users: farmers and farm workers


This project builds on collaborative regional networking efforts for capacity building to address pesticide hazards. This network serves as the basis for disseminating training and safety materials, implementing improved surveillance for pesticides poisoning, policy interventions to reduce pesticide use and multi-stakeholder capacity building for pesticide risk reduction.

Dissemination

Project will disseminate via: a) electronic list-server; b) WAHSA website; c) hard copy newsletter; d) regional meetings and conferences e) publication in development fora; e) publications in scientific journals f) presentations to policy makers (e.g. parliamentary portfolio committees) The Hard Copy Newsletter ceased publication in 2008 Policy briefs were distributed to SADC, African regulators, the African Union

Impact: global/regional

Regional – interventions through regional policy makers International: Key driver with SALTRA programme in Central America to develop South-South collaborative networks. Both the WAHSA and SALTRA programmes have closed due to donor withdrawal of funding

Progress on Project

Regional network developed; improved surveillance for pesticide poisoning; training and safety materials widely disseminated; policy consultation with pesticide registrars in the region; action undertaken in two sites by end 2008 (Phase I). Project will disseminate via: a) electronic list-server; b) WAHSA website; c) hard copy newsletter; d) regional meetings and conferences; e) publication in development fora; e) publications in scientific journals; f) presentations to policy makers (e.g. parliamentary portfolio committees) WAHSA programme has closed but networking is continuing on a bilateral basis – SA (UCT COEHR) and Tanzania (MUHAS) Additional funding was sought during the WAHSA project for regulator capacity building through the post graduate course development and running of the list servers.


PhD study into acute pesticide poisoning (APP) in Tanzania almost completed Proposal for surveillance system for APP in Tanzania tabled to Ministry of Health Study of risk perceptions of small farmers published in Crop Protection 2007; 26: 1617-1624. Study of policy implication for small farmers’ protections from pesticides: Development Southern Africa, 2008: 25(4): 399-424 Chapter in Encyclopedia of Pest Management on chemical hazards: Rother, H-A & London, L. (2008). Classification and Labeling of Chemicals: New Globally Harmonized System (GHS), Encyclopaedia of Pest Management, 1:1, 1-6. Two regional meetings held for pesticide registrars List server for pesticide registrars running Postgraduate Diploma in development - targeting pest management scientists, including registrars, to be introduced 2010. Short courses run: grantwriting for researchers (2006); exposure assessment for pesticides (2006); neurobehavioural assessment in occupational and environmental health in March 2009. Pesticides list server running from UCT to region Series of policy briefs produced and disseminated (www.wahsa.net) on Acute pesticide poisoning and the need for national surveillance systems; Reducing pesticide risks through building capacity of African regulators; Pesticide

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laboratory capacity in the SADC region- a vital link in Pesticide Risk Reduction; South-South collaboration for pesticide safety; Reducing the Impact of pesticides through Community Pesticide monitoring; South-South Collaboration for pesticide safety; Action project in process in Ngarenyuki district, Tanzania Resource centre operating at TPRI, to relocate to MUHAS


PhD study into acute pesticide poisoning (APP) in Tanzania by 2010 Postgraduate Diploma and M Phil in Pesticide Risk Management - targeting pest management scientists, including registrars and environmental health professionals to be introduced 2010 Short-courses on pesticide policy, health and environmental risk assessment, controlling pesticide risk, pesticides and public health based on the post graduate diploma Ongoing networking: running Pesticides list server and Registrars list server Publications from ongoing research activities in Ngarenyuki and Western Cape Implementation of acute pesticide poisoning surveillance in Tanzania


GPA5.28k Formerly AA3:Ag2


CC or NGO Name Institute and Outpatient Clinic for Occupational and Environmental Medicine University Munich

Project title Lung disease in Agriculture – tools for assessment of exposure, burden of disease and prevention

Keywords Occupational lung disease, Agriculture


Holger Dressel MD MPH [email protected] Rudi Schierl, will be also Contact-Person and Co-Project leader [email protected]


Médecine du Travail, Faculté des Sciences de la Santé, Cotonou, Benin Institute of Occupational Medicine, Skopje, FYROM Other CCs interested in participating

Other partners Local agricultural professions associations cooperate in this project.

Funding Local agricultural professions associations Funding for the global spread of the project will be applied for


Develop globally accessible tools to assess and reduce the burden of agricultural lung disease


Develop simple recommendations to reduce allergen exposure in farmers’ homes (by 2006) Develop tools for the evaluation of educational interventions (by 2007) Develop tools for secondary prevention (by 2008) Dissemination of tools through WHO CC centers (by 2009)


All occupations in the agricultural sector, public and private institutions dealing with compensation schemes for occupational diseases


We aim at developing tools to cover all aspects of lung disease in agriculture using a stepwise approach beginning with allergies to cow dander. One important issue is the transfer of allergens from the stables into living rooms, kitchens and beds. A study with 46 farmers showed clearly that concentrations of cow dander bos d2 allergens in dust samples from living-rooms and mattresses are above the supposed threshold level for risk of sensitization. In cases where farmers did not work in stables themselves anymore a transport of allergens is possible by family members. In a second step we currently evaluate educational and medical interventions in occupational asthma in agriculture.

Dissemination WHO/ILO documents; scientific papers; educational programs for agricultural workers


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Progress on Project

Data presented at the European Respiratory Society Congress 2006 Data will be presented at the German Congress for Occupational Health 2007. Poster presentation in Buxton. Results were also distributed by local press and television. Currently planning studies to develop efficient screening strategies to detect agricultural lung disease at an early stage and are planning cooperation with Médecine du Travail, Faculté des Sciences de la Santé, Cotonou, Benin and Institute of Occupational Medicine, Skopje, Macedonia.


GPA5.28l Formerly AA3:Ag3


CC or NGO Name IEA International Development Committee Project title Ergonomics Checkpoints in Agriculture –A toolkit for developing countries

Keywords Ergonomic, agriculture, developing countries, workplace design, work environment.

Project leader Email address Andy Imada, IEA President, [email protected]

Partners (of the CC Network) ILO, ICOH, IOHA, IRET Costa Rica

Other partners

Funding Partial funding for workshops on the checkpoints has been provided by the ILO, SafeWork program, Geneva


To document at least 100 low cost practical solutions to ergonomic hazards faced by farmers in developing countries


To identify and document 100 checkpoints relating to ergonomic hazards in agriculture. • To test the validity of the checkpoints in South East Asia and India to provide a global document. Workshops already conducted in Vietnam, Laos and Cambodia in 2005. A further workshop conducted in India in December 2005. A workshop was held in Malaysia in 2007.

Target group and/or beneficiaries Farmers and farm advisers in developing countries


Abstract. Following the success of the ILO publication, “Ergonomic Checkpoints” the IEA offered to develop a following publication targeted to farmers in developing countries. A series of workshops have been conducted to identify issues and to document low cost practical checkpoints. The document was reviewed in 2007 –2009 to address a range of emerging issues such as the diversity of agriculture scenarios in developing countries with consideration to the roles of women Development of 100 checkpoints showing practical suggestions to address ergonomic and OHS risks in agriculture in developing countries.

Dissemination ILO document to be released as part of the SafeWork program. Impact: global/regional Global

Progress on Project

The IEA has now documented over 100 Checkpoints in agriculture and is finalizing the illustrations to go with them. The IEA has conducted a workshop for verification in India and Malaysia. There is also interest to do further workshops in Southern Africa and also in Brazil. As usual the funding of these is the problem as they cost around $10,000 each for the preparation and expenses for the presenter and the local costs for the host committee and attendees. The technical leader of this project is Dr Kazutaka Kogi from Japan. The IEA is hosted an international conference on ergonomics in agriculture in Malaysia from the 27th – 29th November in 2007. The website was www.aedec.org. This workshop involved persons working on ergonomics in Agriculture from Bangladesh, Poland, Japan, USA, New Zealand, UK, Germany, and Australia.

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The 1.5 day workshop was held prior to the conference on Ergonomics in Agriculture. This conference was convened by Dr Halimahtun Khalid in Malaysia. The materials for the workshop in Malaysia were provided by Dr Kazutaka Kogi. A range of international stakeholders including the WHO, ILO, ICOH, IOHA and NIOSH (USA) were invited to attend. The ILO sent and Official representative.


The Checkpoints have been finalized in 2009. An Illustrator from Vietnam has developed the graphics for each checkpoint and these have been checked for accuracy and cultural suitability. Kazutaka Kogi has checked every checkpoint together with the ILO Regional Adviser in Bangkok Dr Tsuyoshi Kawakami and Dr Khai in Vietnam. The checkpoints have now been forwarded to Dr Shengli Nui in the ILO SafeWork program in Geneva for final editing and printing. It is hoped that the ILO will be able to use their funding sources to cover the cost of the printing of this document,


The document was Officially launched during the IEA 2009 Congress in Beijing china in August 2009. A flyer has been developed by the ILO to enable Orders to be received. It is expected that the final handbook will be send to the Orders in November 2009 once they are back from the printers. This Ergonomics in Agriculture publication will then be integrated into a range of ILO outreach programs such as WISE and WIND in developing countries. It will also be available for Unions, Employers and Governments to utilize in their training and Outreach programs. The IEA will continue to liaise with the ILO on the take up of the document in 2010. Note that the new IEA President is now Andy Imada in the USA. Andy, or his nominee, will now be the primary contact for further reports and updates.


GPA5.28m Formerly AA3:Ag4


Project title Development of risk assessment guidelines for agricultural workers.

Project leader ICPS, Milan, Italy Prof. Angelo Moretto, International Centre for Pesticides and Health Risk Prevention, [email protected]

Partners -Prevention Unit of the General Directorate of Health, Region of Lombardy. -University of Cape Town, South Africa

Potential to involve additional partners

We foresee to involve other national and international experts in the field of agricultural health and safety.

Funding ICPS.

Issues to be addressed To provide methods for assessment of health risks in agriculture, with particular focus on pesticide use.

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Project outcomes

1. development of a generic model to perform risk assessment for agricultural workers exposed to plant protection products 2. definition of risk profiles for exposure to plant protection products in specific crops (greenhouses, vineyard, maize, rice). 3. development of a probabilistic approach for assessment of exposure to pesticides in selected scenarios. 4. elaboration of guidelines for health surveillance of agricultural workers. 5. organization of a regional/national conference to present the obtained results 6. publication and dissemination through scientific journals.

Dissemination Dissemination of the results will be channelled throughout the rural health network. The main results (risk profiles for crops of concern) will be translated in national languages of Eastern European countries.

Impact: global/regional Regional National

Progress on Project

Risk profiles for exposure to plant protection products in specific crops will be soon available: Risk profile for greenhouses is under validation process; the Prevention Unit of the General Directorate of Health, in the Region of Lombardy is performing environmental and biological monitoring on greenhouses worker exposed to chlorpyriphos and mancozeb. The results would be useful to validate the risk profiles for greenhouses. Risk profile for maize and rice will be soon finalized. Risk profile for vineyard is in progress


1. A generic model to perform pesticide risk assessment for agricultural workers has been developed 2. Specific risk profiles for exposure to plant protection products in greenhouses, maize, rice have been finalized 3. Environmental and biological monitoring study have been carried out to validate the greenhouses risk profile. 4. The obtained results have been presented in regional and national conferences 5. An article has been submitted to scientific journal to disseminate the tool


1. Development of a probabilistic approach for assessment of exposure to pesticides in selected scenarios. 2. Elaboration of guidelines for health surveillance of agricultural workers.


5.27f New Project

PROJECT Title

Pesticide use, Health and Environment – Uganda 2010-13


GPA Objective 5: to incorporate workers’ health into non-health policies and projects


Priority number 5.3: Implement toolkits for the assessment and management of OSH hazards in high risk industry sectors and for vulnerable worker groups. Area: Agriculture


GPA 2, priority 2.3

Responsible CC or NGO Name Clinic of Occupational and Environmental Health, Odense University Hospital Collaboration is taking place with Danish NGO Dialogos,

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Danish Society of Occupational Medicine, University of Southern Denmark and Copenhagen


MD, MIH Erik Jørs [email protected]


Coordination with MD, PhD Claudio Colosio [email protected] Dpt. of Occupational Health University of Milan International Centre for Rural Health Italy


Africa, orientation given by mail to Mr T A Pule [email protected] who has expressed interest to colaborate


Collaboration with Ministry of Health and Ministry of Agriculture in Uganda


MD Deogratias Sekimpi UNACOH (Uganda National Association of Community and Occupational Health

Summary of the project (max 100 words) General Objective: to reduce negative health effects of pesticide use in humans and prevent pesticide pollution of the environment. Specific objectives: 1. Prevention, registration, diagnosis and treatment of pesticide poisonings improved in the health clinics in 2 districts. 2. The number of cases of pesticide poisoning is lowered by promoting IPM strategies among farmers from 20 villages in 2 districts. 3. The civil society, especially the National Farmers Federation and organized farmers groups, are aware of pesticide dangers and able to advocate for concrete actions in the ‘district pesticide committees’ and the National Agricultural Chemicals Board to ensure sustainable food production

Target group and/or beneficiaries Direct beneficiaries: Objective 1: 40 health workers trained in prevention, diagnosis and treatment of acute and chronic pesticide poisonings. Expected female-male ratio is 2-1. Objective 2: 40 farmers and 20 agricultural extension workers and pesticide dealers from each of the two districts will be trained in IPM strategies. Expected female-male ratio is 1-2. Objective 3: 20 local key stakeholders (farmers union, farmers groups, NAADS, pesticide dealers, health authorities and district administration) trained to form district pesticide committees. 8 students at Makerere University participating in research. Expected female-male ratio is 1-1. Indirect beneficiaries: larger populations will benefit from information through the trained resource persons and the materials and strategies for training elaborated in the project will be of potential use in other health districts in Uganda, and through the WHO, ICOH and university platforms of Global Health at a global level.


By 31/12-2012: 1. A baseline study of the number of intoxications and their causes among small scale farmers in the districts of Wakiso and Pallisa do exist. 2. A validated material in English for teaching of health cares workers in Uganda in ‘diagnosis, treatment and prevention of pesticide intoxications’ do exist. 3. A validated material in English for teaching of farmers in Uganda in IPM methods and prevention of pesticide

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intoxications’ do exist.

Dissemination plan Uploading of materials/kit on pesticide control on web-sides for free access Dissemination for student educations on Global Health Platform coordinated by the University of Copenhagen. Dissemination of findings and experiences gained on conferences and in scientific journals

Funding source(s) Funded by Project Counselling Service/Danida, Denmark


The project period is from 1/6 2010 – 31/5-2013, so no outcomes yet registered




5.27g

PROJECT Title

Pesticide, Health and Environment – Plagbol III - 2010-13 - Bolivia


GPA Objective 5: to incorporate workers’ health into non-health policies and proejcts


Priority number 5.3: Implement toolkits for the assessment and management of OSH hazards in high risk industry sectors and for vulnerable worker groups. Area: Agriculture


GPA 2, priority 2.3

Responsible CC or NGO Name Clinic of Occupational and Environmental Health, Odense University Hospital Collaboration is taking place with NGO Dialogos, Danish society of Occupational Medicine, University of Southern Denmark and Copenhagen


MD, MIH Erik Jørs [email protected]


Coordination with MD, PhD Claudio Colosio [email protected] Dpt. of Occupational Health University of Milan International Centre for Rural Health Italy


Latin-america, letter of coordination signed with Dr. Christian Darras, WHO Bolivia


Collaboration with Ministry of Health and Ministry of Agriculture in Bolivia


MD Guido Condarco Fundación Plagbol Bolivia


Development objective: The civil society in Bolivia and internationally is through advocacy towards politicians and decision makers working to prevent damage to health and environment caused by the irrational use of pesticides. Specific Objectives: 1. The Farmers Union (CSUTSB) and the National Movement for the Bolivian peoples and Nations’

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Health (MNSPNB) promotes through advocacy a sustainable agricultural production preventing health and environmental damage. 2. The PLAGBOL Foundation is a national reference institution in the field of ‘pesticides, health and environment’ giving technical support to organizations of the civil society, public and private institutions. 3. The PLAGBOL project’s evidence based strategy and materials are promoted at international level through universities and WHO thus forming a base for global advocacy.

Target group and/or beneficiaries Target Group: Direct: a) The CSUTCB (National Farmers organization) and MNSPNB (National Movement for Peoples Health). Training of their personnel, an estimated total of 40 formed leaders, 35% women, mostly from indigenous groups. b) 40 farmers formed in Integrated Pest Management (IPM promoters) and 1000 farmers informed by their promoters, mostly from indigenous groups, 25% women. c) 40 persons from the health services belonging to two target municipalities, 75% women. d) SENASAG (operative branch of the Ministry of Agriculture) through training of its personnel and improvement of their educative programs for small-scale farmers; 20 persons, 25% women. e) PLAGBOL Foundation will be strengthened to guarantee its sustainability through income generating activities undertaken by its 5 employees. f) National and International Universities, and OPS/OMS through dissemination of educative and informative material that may be used in educational events and other activities to prevent pesticide intoxication. The target group numbers thousands of students and farmers; 50% women, 30% children. Indirect: The population of the Municipalities, Bolivia and eventually at a global level through information and prevention of intoxications, pollution of the environment and the contamination of food products with pesticides.


By the end of 2012: 1.A Municipal model exists that is applicable to other Municipalities in the country to prevent negative effects of pesticides, including training and information of farmers, health care workers and the population in general in Integrated Pest Management, prevention of intoxications and environmental pollution. 2.SENASAG’s (Ministry of Agriculture) farmer education program ‘Good Agricultural Practices’ has been strengthened with IPM promotion, immersed within the national policies for agricultural pesticides regulation. 3. Strategies, education materials and informative documents elaborated by the project are available in virtual libraries of National and International Universities, and at the OPS/WHO, for training of students, professionals and farmers at a global level thus creating a base for global advocacy.

Dissemination plan Uploading of materials/kit on pesticide control on web-sides for free access Dissemination for student educations on Global Health Platform coordinated by the University of Copenhagen. Dissemination of findings and experiences gained on conferences and in scientific journals

Funding source(s) Expected to be funded by Danida, Denmark from 1/9-2010 to 31/8-2013


In the first two phases of the project the following major outputs has been achieved: 1. Education of thousands of farmers, health care staff, students and children on ‘pesticides, health and environment’.

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2. Enforcement of curriculums in different educational institutions on IPM and Pesticides, Health and Environment. 3. Production of educational and information material and strategies for use at national and international levels. 4. New knowledge created through investigations. 5. Networking has been undertaken with many professionals and organizations. 6. The PLAGBOL Foundation created to be able to work continuously with the problems of pesticides and toxic substances in the environment in Bolivia and Latin-America.



Project is expected to stop august 2013


5.27h New project

PROJECT Title

Sustainable Capacity building for African Pesticide Regulators to reduce occupational pesticide risks


GPA5


5.3


GPA3.2

Responsible CC or NGO Name Health Risk Management Programme, Centre for Occupational and Environmental Health Research, University of Cape Town


Hanna-Andrea Rother





FAO – Mark Davis KemI – Ule Johannson


African Pesticide regulators lack the human and financial resources required to manage pesticide use, registration, disposal, etc. This project provides regulators with bi-monthly support on-line, sends regular information e-mails and is developing an e-course around the Code of Conduct.

Target group and/or beneficiaries African Pesticide Regulators Major Milestones (list up to three dates and milestones)

Dissemination plan Funding source(s) KemI

FAO List of outcomes already achieved by this project

- Developed e-forum network - Developing e-course materials around the Code of

Conduct on the Distribution and Use of Pesticides

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- Regulators who have graduated with a post graduate diploma or masters in pesticide risk management


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CONTRIBUTING PROJECT Work plan project number (to be added by WHO)

5.27i New Project

PROJECT Title Creation of Exposure and Risk Profiles for risk assessment and management in Agriculture.

GPA Objective and Action Objective 5, Action 27 Priority Initiative 5.3-1 Agriculture Responsible CC or NGO Name International Centre for Rural Health (ICRH) Project leader (contact name and email address)

Claudio Colosio [email protected]


ICPS, Milan, Italy. Prof. Angelo Moretto ([email protected] ).




Local Health Unit of Lodi, Region of Lombardy. Contact persons: Dr. Eugenio Ariano ( [email protected] ). The Italian National Working Group on Occupational Health in Agriculture. Contact person: Giuliano Angotzi ( [email protected] ). The University of Crete, Prof. Aristidis Tzatzakis: [email protected]


The project will provide public Health System and agricultural enterprises with a tool for Occupational Risk Assessment, facing up to the difficulties present in measuring exposure assessing occupational risks in agriculture. Chemical risk derived from pesticide use, physical risk from noise and vibration, and biological risk from animal breeding will be addressed. Exposure and Risk Profiles will be based on the combination between an Hazard Index and an Exposure Index, obtained through mathematical algorithms, starting from a deep analysis of the working conditions and modalities in typical occupational scenarios. Risk estimates created by the model will be validated with the assessment of their levels of concordance with measures obtained in the same scenarios evaluated.

Target group and/or beneficiaries Agricultural enterprises Agricultural workers Occupational Health Physician working in Agricultural settings


Local, national and international congresses and training courses.


List of Hazard and Exposure Indicators for the main work tasks in agriculture; Instructions for the application of the Exposure and Risk Profiles; Guideline for exposure and risk assessment in agriculture

Indicators of achievement (impact) Adoption of exposure and risk profile in the Region of Lombardy, Italy. Adoption of exposure and risk profile in other Italian Regions and in other Countries.


June 2010: exposure and risk profile for pesticide use in greenhouses, maze and rice crops ready and validated. December 2011: availability of exposure and risk profiles for noise and vibrations. ICOH 2012, Mexico City: presentation of the main results of the first years of use of profiles.

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Public health impact Dissemination of risk assessment and management in agriculture and Rural Areas. Improvement of the conditions of rural workers Reduction of the occupational diseases in the sectors.

Funding source(s) Region of Lombardy. Agricultural Enterprises National and international public health funding and projects.

Dissemination Dissemination of the results will be achieved through the organization of congresses and seminars at the local, national and international levels. Publication of the project’s results in international scientific journals. ,

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New Project


5.27j

PROJECT Title Developing diagnostic and exposure criteria for occupational diseases in agriculture and rural areas

GPA Objective and Action Objective 5, Action 27 Priority Initiative 5.3-1 Agriculture Responsible CC or NGO Name ICRH, Milan, Italy. Project leader (contact name and email address)



Coronel Institute, the Netherlands, Dr. Gert Van der Laan ([email protected] ) The Finnish Institute on Occuapational Health, Prof Kai Husman ([email protected] ).

WHO link Availability of diagnostic and exposure criteria for occupational diseases in agriculture.



ILO, Dr. Shengli Niu ([email protected] ).


The project will start with the review of existing evidence (published literature). The second step will be the collection of good practices, the preparation of a list of disease with the related diagnostic criteria, which will be made available in form of sheets. The sheets will be evaluated, discussed, criticized and finalized through an international expert consultation, involving also the WHO-CC network. The diagnostic criteria will be tested in selected rural occupational settings, with the involvement in the activities of a group of general practitioners.

Target group and/or beneficiaries Public health system Agricultural workers Occupational Health Physician working in Agricultural settings


Local, national and international congresses and training courses.


Report on occupational diseases in agricultural settings. Basis for the creation of an epidemiologic observatory on occupational diseases in agriculture.

Indicators of achievement (impact) Major Milestones (list up to three dates and milestones)

December 2011: availability of the first epidemiological observations ICOH 2012, Mexico City: presentation of the main results of the project.

Public health impact Dissemination of risk assessment and management in agriculture and Rural Areas. Improvement of the conditions of rural workers Reduction of the occupational diseases in the sectors.


Dissemination Dissemination of the results will be achieved through the organization of congresses and seminars at the local, national and international levels, in collaboration the WHO CC network on Occupational Health, ILO , the Mediterranean and Balkan network on rural occupational health, the ICOH scientific committee on Rural Health, etc. Publication of the project’s results in international scientific journals. ,

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New Project


5.27k

PROJECT Title Providing Agricultural Workers with Primary Occupational Health Care

GPA Objective and Action Objective 5, Action 27 Priority Initiative 5.3-1 Agriculture – contributes also to 3.1 Responsible CC or NGO Name International Centre for Rural Health, Milan Project leader (contact name and email address)

Chiara Somaruga [email protected]


Finnish Institute of Occupational Health: Timo Partainen: [email protected] Coronel Institute (The Netherlands), Dr. Ger van Der Laan: [email protected] Julieta Rodriguez Guzman (Colombia): [email protected] Erik Jors (Denmark): [email protected] Andrea Rother (South Africa): [email protected]




NIVEL (The Netherlands), Dr. Robert Verjei: [email protected] WONCA: Josè Manuel Lopez Abuin: [email protected] EURIPA: John Wynn Jones: [email protected] ILO: Dr. Shengli Niu: [email protected]


This project is addressed at creating experiences of primary occupational health care delivery in agriculture. It will start in the Lombardy Region, where pilot experiences will be created based on the collaboration between public health care system and agricultural enterprises. Services locations will be chosen based on local needs; every service is supposed to provide: health surveillance; education and training activities, vaccinations; electrocardiography, respiratory and hearing function examination; biological specimen collection, as well as occupational hygiene instruments. This project anticipates also some experimental activities of collaboration between Occupational Health Physician and Rural GPs, based on information exchange with electronic file sharing.

Target group and/or beneficiaries Agricultural workers (including migrant, seasonal and self-employed workers); agricultural enterprises, public health system.


Local, national and international congresses already planned.


Publication of guidelines for health surveillance of agricultural workers; creation of a system for primary occupational health care delivery in agriculture. Dissemination of similar experiences in other Regions and Countries.

Indicators of achievement (impact) Number of countries implementing programmes to provide health services to agricultural workers.


September 2010: end of the first phase. Definition of specific protocols per group of workers. September 2011: publication of the first report on health

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conditions of agricultural workers in the Region. 2012: preparation of a guidance document to be discussed at the ICOH Congress of Mexico City.

Public health impact Disadvantaged population subgroups will be provided with primary health care. This will improve rural workers’ health but also quality of agricultural products and environment.

Funding source(s) Self supported

Dissemination IAMR Congress, Cartagena (Colombia) 2010. Tirana, Albania: The Third International Congress on Rural Health in Mediterranean and Balkan Countries. ICOH Congress, Mexico City, 2012.

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5.27m New Project

PROJECT Title Creation of a Global Rural Health Network GPA Objective and Action Objective 5, Action 27 (Also Objective 3) Priority Initiative 5.3-1 Responsible CC or NGO Name International Centre for Rural Health, Milan Project leader (contact name and email address)



Jadranka Mustajbengovich (Croatia): [email protected] Jovanka Karadinska Bislimovska (Fyrom): [email protected] Julieta Rodriguez Guzman (Colombia): [email protected] Erik Jots (Denmark): [email protected] Andrea Rother (South Africa): [email protected] Wendy Macdonald (Australia): [email protected]




WONCA: Josè Manuel Lopez Abuin: [email protected] EURIPA: John Wynn Jones: [email protected] IAMR: Ashok Patil: [email protected] ILO: Shengli Niu: [email protected]


This project is addressed at creating a Global Rural Health Network (GRHN), involving of all the actors, including stakeholders. The holistic approach needed to manage the complicated problems faced by agriculture and rural areas will be achieved through a two-way cross sectional approach: (1)among expertises, with the involvement of medical doctors, veterinary doctors, agronomic sciences experts, (2) among levels, from the territory to the Regional and National Structures and the Academy. Different professionals and Institutions will collaborate in a single network, addressed at The Global Healthy Village Campaign. Periodical discussions on critical issues will be organized (e.g. workshops, and round tables). The possibility of creating a specifically addressed website will be explored.

Target group and/or beneficiaries Agricultural workers Agricultural enterprises Public health system Academy


IAAMRH Congress, Cartagena (Colombia) 2010. Third International Congress of Mediterranean and Balkan Countries, Tirana, Albania (September 2010). ICOH Congress, Mexico City, 2012.


The GRHN will be active in all the corners of the world. Through the GRNH, the key words of the Global Healthy Village Campaign will be on the table of several national Governments.

Indicators of achievement (impact) Number of countries involved in the network. Number of organizations active in the network.


Promotion of an agreement ICOH-IARM: done and in force.. June 2010: agreement ICOH-WONCA for the development of a Global Rural Health Network.

Public health impact Local Government will be provided with examples, position documents and guidance addressed at supporting their local policies in agriculture,

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5.27n

PROJECT Title

Addressing Occupational Health Problems Among Nutmeg Factories Workers




GPA Priority 5.3 Agriculture GPA Priority 5.3: Implement toolkits for the assessment and management of OSH hazards in high risk industry sectors and for vulnerable worker groups


Priority1.2: Develop and disseminate evidence-based prevention tools and raise awareness for the prevention of silica- and other dust-related diseases

Responsible CC or NGO Name Department of Public Health and Preventive Medicine School of Medicine, St. George's University, Grenada


Dr. M. Akpinar-Elci, [email protected]; Dr. Satesh Bidaisee, [email protected]; Dr. O. C. Elci, [email protected]


Dr. Gregory Day [email protected], NIOSH



Mr. Aaron Francois, Tel: +1-473-440-3386 Ministry of Agriculture Permanent Secretary


Ms. Joyce John, [email protected] Grenada Cooperative Nutmeg Association


The nutmeg industry is one of the most significant contributors toward the local economy in Grenada. Grenada was devastated by Hurricane Ivan in 2004. This devastation and the subsequent financial difficulties ensued has decreased the priority of this industry to the Grenadian economy. The nutmeg industry receives significantly decreased financial, workforce, and technology support. The plant uses an old and ineffective technology that limits the economic benefits and increases the occupational health risks for workers. Workers do not have any form occupational health and safety training. Health assessments conducted on the workers at the processing plant in May 2009 also revealed a common worker complaint of lower and upper respiratory problems, which characterizes dust and mold

Funding source(s) Project supported by the different actors involved in the network. Selected private sponsors for the public events such as congresses and seminaries (e.g.: banks). Possible applications to specific calls of international institutions (world bank; EU public health programme, etc).

Dissemination Dissemination to achieved in the following events: Cartagena (Colombia) 2010: the 17th International Congress on Rural Health. Tirana, Albania (September 2010): the third International Congress of Mediterranean and Balkan Countries, ICOH Congress, Mexico City, 2012.

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exposure.

Target group and/or beneficiaries All nutmeg production workers in Grenada (mostly single mothers from the local rural community)


Identifying occupational health and safety risk factors, May 2009 Receiving funding to improve working conditions, December 2009 Capacity building for occupational health and safety, July 2010

Dissemination plan Ministry of Agriculture Grenada Cooperative Nutmeg Association Nutmeg workers The Global Environment Facility (GEF)

Funding source(s) The Global Environment Facility/Small Grants Programme (“GEF/SGP”) on behalf of the three GEF Implementing Agencies –United Nations Development Program (UNDP), United Nations Environment Program (UNEP) and the World Bank.


Identifying occupational health and safety risk factors Capacity building for nutmeg industry workers. Baseline exposure assessment has been already done in collaboration with CDC/NIOSH.


Implementing Renewable Energy in the Nutmeg Industry Our objective is to successfully install a solar dryer to test the baseline measurements of its fit to nutmeg plant as well as baseline occupational health indicators of nutmeg workers by August 2011. The implementation of a solar drying process will create a more efficient approach to processing the nutmeg products, improve economic and environmental benefits of the community, and prevent adverse health effects to the workers. This will reduce dust, mold, and other particle exposures that will directly reduce respiratory health effects among workers. Follow up exposure assessment evaluation is planned for 2011.


Re-vitalizing nutmeg industry in Grenada, Re-plantation of nutmeg trees in the land degradation risk areas of Grenada. Increasing nutmeg production by 20%


New contributing project – 5.24c

PROJECT Title

Strengthening the Latin American Network in Rural Health and launching the Rural Health Portal.


Objective 5: to incorporate workers’ health into non‐health policies and projects; Action 24: The capacities of the health sector to promote the inclusion of workers’ health in other sectors’ policies should be strengthened. Measures to protect workers’ health should be incorporated in economic development policies and poverty reduction strategies. The health sector should collaborate with the private sector in order to avoid international transfer of occupational risks and to protect health at the workplace. Similar measures should be incorporated in national plans and programmes for sustainable development. Action 27: Workers’ health should be addressed in the sectoral policies for different branches of economic activity, in particular those with the highest health risk. Action 28: Aspects of workers’ health should be taken into account in primary, secondary and higher level education and vocational training. Objective 4: to provide and communicate evidence for action and practice Action 22: Strategies and tools need to be elaborated, with the involvement of all stakeholders, for improving communication and raising awareness about workers’ health. They should target workers, employers and their organizations, policy‐makers, the general

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public, and the media. Knowledge of health practitioners about the link between health and work and the opportunities to solve health problems through workplace interventions should be improved.


Priority 5.3: Implement toolkits for the assessment and management of OSH hazards in high risk industry sectors and for vulnerable worker groups. Area A: Agriculture


Priority 3.1: Develop working methods, provide technical assistance to countries for organization, delivery and evaluation of basic OH services in the context of primary health care, with particular focus on underserved populations and settings with constrained resources.



Project leader(s)

Julietta Rodriguez Guzman: [email protected] Eng. Lelys Archila: direcció[email protected]

Network partners University of Milano, Italy: [email protected] International Association of Rural Health and Medicine IARM: [email protected]


Dr. Carlos Corvalan (WDC): [email protected]




Fundación Universitaria Agraria de Colombia, UniAgraria: www.uniagraria.edu.co


Following the XVII International Congress on Agricultural‐Medicine and Rural‐Health and the Cartagena Declaration on Rural‐Health in Latin America signed by its participants (researchers, universities, NGOs, indigenous, community, agricultural and grassroots organizations), a regional movement for strengthening Rural Health was launched. It aims to disseminating information, sharing experiences and/or knowledge concerning rural occupational, environmental and public health problems, and the inadequate access to health care and health promotion in rural areas. Our center is leading this initiative by transforming the congress' webpage into a regional Rural Health Portal, as focal point providing accessible and useful information for all network participants.


Researchers, universities, NGOs, indigenous, community, agricultural and grassroots organizations, governments, unions, employer associations, and all other interested parties involved in both health and agricultural sectors.


Key implementation milestones are: March‐2011: Definition of the new website transformation, basic components and contents should be finished. June ‐2011: Launching the Rural Health Portal June ‐2012: Assessment of users and their feedback. June ‐2014: Assessment of users and feedback.

Dissemination plan

Information dissemination through: WHO CCs Network and the Latin American OH Newsletter and by Ministry of Social Protection

Funding source(s) OHP/EBU


7. The website of the XVII International Congress on Agricultural-Medicine and Rural-Health has been evaluated and several quotations for its transformation have been evaluated.

8. Contacts with network partners in Latina America are kept via e-mail. 9. Preliminary selection of topics to be included is under search (Feb/ 2011).


6‐ List of key discussion topics on the Portal should be identified and discussion forums should be producing several short reports.

7‐ Links with similar interested parties should be available for all website users.

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17- Portal assessment and user evaluation should be given to all users. 18- Adaptation to other needs should be available.

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Sector B - Transport


GPA5.24d Formerly AA6:SWI4

GPA Objective Objective 5: to incorporate workers’ health into other policies 24. The capacities of the health sector to promote the inclusion of workers’ health in other sectors’ policies should be strengthened

CC or NGO Name Department Maritime Medicine of Central Institute of Occupational Medicine, Hamburg, Germany

Project title Establishment of an international working group for the utilisation of telemedicine to reduce health risks of seafarers

Keywords Telemedicine, merchant ships, accidents, emergencies, seafarers Project leader Email address Marcus Oldenburg, Xaver Baur, ([email protected])


Institute of Maritime and Tropical Medicine in Gdynia, Medical University of Gdansk, Poland (Stanislaw Tomaszunas [email protected]) University of Brest, France University of Southern Denmark, Esbjerg, Research Unit on Maritime Medicine

Other partners CIRM, Rome, and the Norwegian Centre of Telemedicine Funding


The aim of this project is to promote the introduction of suitable telemedical equipment on board of ships without a physician to improve medical care of ill/injured seafarers


The preliminary concept includes Ascertaining the number and suitability of telemedical equipment (e.g. ECG by semiautomatic defibrillators, X-rays and photos) by considering ship-specific hazards (frequently injuries and diseases) (by 2006) Reinforcing international standardisation, harmonisation and co-operation (by 2006) Testing medical devices and the quality of transmitting telemedical signals on board (by 2007) Project completion: December 2007


Seafarers, health staff in departments of health/labour institutions, ship owners, insurance agencies, trade unions of seafarers


Seafaring jobs belong to the most dangerous occupations due to the large number of traumatic work-related accidents. In case of accidents and diseases at sea, professional medical help is mostly not available. Therefore, telemedicine is an extremely useful new technology providing shipboard medical assistance. A pilot study involving the following steps has been started: Further development of medical equipment, suitability and applicability tests, especially in simulated emergencies and diseases, e.g. cardiac and skin diseases, injuries. A further step will be an appropriate, intensive education and training of ship officers.

Dissemination Impact (global or regional) Global

PROGRESS ON PROJECT

In 2006/2007, we continued our suitability tests by means of four different semi-automatic defibrillators with telemedical function for their use on merchant ships at sea. In this context, 40 ship officers performed a medical emergency training comprising the administration of an electric shock by defibrillators. Moreover, the telemedical transmission of a 1-canal ECG by these devices was simulated. Afterwards, the ship officers evaluated the devices. The revised German Regulation on Medical Care on Board of Seagoing Ships prescribes to have semi-automatic defibrillators with telemedical function available aboard merchant ships. A comprehensive information and presentation of our study on shipboard defibrillators is planned for November 2007.

List of outcomes already achieved by

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this project List of additional outcomes expected from this project by 2012


GPA 5.27b Formerly AA4:CE5c

GPA Objective

Objective 5: To protect and promote health at the workplace Action: Workers’ health should be addressed in the sectoral policies for different branches of economic activity, in particular those with the highest health risk.

CC or NGO Name National Institute for Occupational Safety and Health (NIOSH) (USA)

Project title Road safety toolkits for organizations whose employees travel abroad within the PAHO region

Keywords Occupational safety, road safety and security, employees working abroad, educational materials


Stephanie Pratt (NIOSH) [email protected]


Pan American Health Organization (PAHO) Industrial Accident Prevention Association (IAPA, Canada)

Other partners Funding NIOSH can provide start-up funding during 2007 and 2008


The objective of the project is to develop a toolkit that provides information on road safety and security to employees working abroad in the Americas.


Develop a draft toolkit for stakeholder review (2007-2008) Finalize products based on review (2008) Adapt products for Internet access from NIOSH, PAHO, and stakeholder Web sites (2009)


All organizations with international operations in the Americas will benefit. Small and medium-sized firms with few resources to devote to worker safety do not provide employees who travel abroad with information on road safety and security, especially for those who travel to low- or middle-income nations. Even large organizations with comprehensive road safety programs for domestic employees may not adequately address this issue for employees who travel abroad.


In collaboration with PAHO and other interested groups in the PAHO region, we propose to develop tool kits that could be used by businesses, governments, and NGOs to provide information on roadway safety and security for employees who travel abroad within the PAHO region. The toolkit will include information on traffic laws and penalties, personal safety while on the roadway, use of private and public transportation modes, and special safety and health concerns of business travelers. Products will be specific to each nation, and will be made available in English, Spanish, Portuguese, and possibly French.

Dissemination

Products will be disseminated in printed form to trade associations, labor organizations, and individual mailing lists of organizations. They will also be made available via the Internet through NIOSH, PAHO, and other stakeholders’ Web sites.

Impact (global or regional) Regional (PAHO region)

Progress on Project Progress on project tasks is delayed due to investigator’s academic leave

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2008-2010


Special session on occupational road safety at “Road Safety in the Americas” conference, Puerto Rico, December 2007 Session on occupational road safety in Latin America at International Conference on Road Safety at Work (Washington, DC, February 16-18, 2009) Collaborated with PAHO to include question on availability of data on road traffic injury at work in data collection instrument for the Americas, Global Road Safety Status Report, 2008


Road Safety toolkit for travelers in the Americas Project activities may be integrated with a Latin American regional meeting to be organized as a follow-on to the International Conference on Road Safety at Work


GPA5.28g Formerly AA2:PM10


CC or NGO Name National Institute for Occupational Safety and Health (NIOSH)

Project title Promoting Initiatives for Occupational Road Safety

Keywords Global Road Safety, occupational health, road traffic injury Project leader Email address Jane Hingston, [email protected] ; Stephanie Pratt [email protected]


University of Illinois School of Public Health, Chicago, U.S.A., Chilean Institute of Public Health, Santiago, Chile

Other partners

USAID, National Safety Council, ORC Worldwide, World Bank U.S. Department of Transportation – National Highway Traffic Safety Administration, U.S. Department of State, PAHO, WHO, Navistar, Abbott, Chevron, Laborers’ Health and Safety Fund of N. America, Intl Brother. Teamsters, AAA Foundation, Ford

Funding National Institute for Occupational Safety and Health (NIOSH) Objective of the project

The overall objective of this project is to collect, analyze and share best practices of prevention of road traffic injuries at work.


Electronic library of road safety information and “best practices”; a “best practices” white paper; a Global Occupational Road Safety Conference; a network of occupational road safety partners; and a NIOSH document on “international best practices” Deadline: 2010, with continuation of database.

Target group and/or beneficiaries Employers, workers, governments, associations


Project will demonstrate the injury reduction and economic benefit of workplace initiatives to prevent road traffic injuries among workers globally, so that these approaches will be utilized more broadly. The project will promote inclusion of workplace initiatives that highlight problems and solutions for working people into existing World Bank/WHO international initiatives on global road safety. The project will develop an electronic library of road safety “best practices”; a “best practices” white paper; a Global Occupational Road Safety Conference; a network of occupational road safety partners; and a NIOSH document on “international best practices.”

Dissemination Employers, workers, governments, labour and health ministers, international organizations


Progress on Project as of May 2007

The online library infrastructure is being created at www.globalroadsafetyatwork.org. Collection of materials for online library has begun and will continue throughout the life of the project. Project team continues to make partners at international and domestic meetings.


International Conference on Road Safety at Work (Washington, DC, February 16-18, 2009, the first international conference dedicated to preventing occupational road traffic injuries, a leading cause of occupational fatalities

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worldwide Organized by NIOSH, with co-sponsorship from World Health Organization, International Labour Organization, National Safety Council, World Bank, and U.S. Department of State 220 delegates from 44 countries representing business, academia, government, and labor Sessions on research, policy, and practice, with special focus on emerging markets Draft conference “white paper” available at: www.cdc.gov/niosh/programs/twu/global Conference videos and presentations available at: http://www.virtualriskmanager.net/main/aboutus/niosh.php Conference included in UN Secretary General’s 2009 report on Improving Global Road Safety as a key road safety event Wikipedia site on Global Road Safety for Workers: http://en.wikipedia.org/wiki/Global_road_safety_for_workers. In collaboration with UN Road Safety Collaboration, Fleet Safety Project Group, planning is underway for regional occupational road safety meetings in West Africa and Southeast Asia/Australasia Inclusion of fleet safety in 2008 UN General Assembly resolution on road safety, and in proposed resolution to be discussed in late 2009 or early 2010 Contributed US data on occupational road safety to Global Road Safety Status Report prepared by WHO with Bloomberg Foundation funding


Publication of revised “white paper” and conference proceedings as joint NIOSH/WHO document Continued participation in UN Road Safety Collaboration and “Global Road Safety Roundtable” of US government agencies Additional regional meetings in other parts of the world, possibly India and Latin America Dissemination of conference outputs through international organizations, professional conferences, and other outlets

Sector C: Construction


GPA5.28b Formerly AA4:TT3d



Project title Preventive programme designed to reduce musculoskeletal pain for construction workers and students of construction schools

Keywords Manual materials handling, ergonomics, WMSDisorders, RSI, Project leader Email address

Zbigniew W. Jóźwiak, PhD.,Eng. [email protected]


Other partners National Labour Inspectorate Funding

Project is financed by the Nofer Institute of Occupational Medicine, Lodz, Poland

Objective of the project Preventive programme


To develop a programme that will be user-friendly (by 2008) To develop training packages for the toolkit deliverable through e-learning and face-to-face (by 2009) To integrate the toolkit in the provision of construction workers and students (beginning in 2009)

Target group and/or beneficiaries Construction workers, students of construction schools


The preventive programme for construction workers and students will help to reduce physical overload and prevalence of musculo-skeletal symptoms in these workers. A programme will consists of two main elements: theoretical training and a set of physical exercises.

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The theoretical training comprises: basic information on the anatomy of the musculo-skeletal system ways to avoid static loads use of professional and ad hoc means to simplify manual lifting and handling of weights a set of simple physical exercises to be performed at home without the need to use special appliances. The set includes both relaxing and fitness exercises promotion of physical exercise during leisure time.

Dissemination Worker and enterprise meetings and trainings, special lessons entitled Ergonomics in construction sector, papers in journals for occupational safety staff


Global

Progress on Project

The physical workload data using photo registration and stadiometer was collected. Now we are analyzing these data with NIOSH reviewed equation and REBA methods. The first CD version of Powerpoint presentation was prepared. 2009 ‘In-progress’ Activities Carrying out research on physical load of construction workers (REBA analysis of workpostures, stadiometer – spine shrinkage measurements, back and hand muscles force measurements) Consultations on training packages usability with occupational safety staff officers in construction sector Collecting photo set with the most dangerous or harmfull workpostures and work situations (tools and machine usage) in construction sector it will be very usefull as a training tool.


2 lectures - workshops for construction sector managers and safety officers (physical workload in construction workers, REBA – good method for physical workload estimation) – about 200 trained persons


Next workshops for managers and safety officers on physical workload in construction, saving back and other elements of musculoskeletal system for about 250 persons Final version of PowerPoint presentation for construction workers Training sessions for construction workers for about 500 workers – practical testing of prepared presentation Presentation of prepared programme and its effects in occupational safety press and by internet.


GPA5.28i Formerly AA3: E1



Project title Estimation of work-related physical load and occupational risk evaluation in construction sector (ILO Ergonomic Checkpoints, REBA and revised NIOSH equation methods), nurses (REBA) And dentists (RULA)

Keywords Manual materials handling, ergonomics, WMSDisorders, RSI, Project leader Email address Zbigniew W. JóĨwiak, PhD.,Eng. [email protected]


Centre for Research and Teaching in Occupational Ergonomics, Health and Safety, La Trobe University, Australia ILO

Other partners National Labour Inspectorate, Polish Ergonomics Association

Funding Project is financed by the Nofer Institute of Occupational Medicine, Lodz, Poland and by the Ministry of Science


The spread of simple ergonomic risk evaluation methods in construction sector and health care workers

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• To develop a toolkit (REBA, RULA, NIOSH software) that will be user-friendly (by 2008) • To develop training packages for the toolkit deliverable through e-learning and face-to-face (by 2009) • To integrate the toolkit into the provision of basic occupational health services (beginning in 2009)

Target group and/or beneficiaries Construction workers, health care workers (nurses, dentists)


Musculo-skeletal problems (especially back injury) is easily the most widespread working hazard the construction and health care profession faces. One out of six workers is likely to suffer back pain or injury each year – almost double the rate of the working population as a whole. In the project we would like to wide spreade some simple methods for physical workload evaluation (REBA, RULA, NIOSH revised equation – prepared as a computer software) as well as very helpful ILO Ergonomic Checkpoints (Geneva 1996) translated to Polish in Institute of Occupational Medicine. These two ways of ergonomic intervention (physical load evaluation and use of ergonomic checkpoint for workplace improvement) will help in reducing physical overload and prevalence of musculoskeletal symptoms observed in these groups of workers.

Dissemination Worker and enterprise meetings and trainings, papers in journals for occupational safety staff


Progress on Project

Recent Project outcomes Have developed a user-friendly toolkit for physical workload estimation which contains special report sheets for REBA and RULA methods. We are also preparing training packages for this toolkit (theoretical basis of methods, report sheets, manuals and examples for training). In the future we expect also the following outcomes To develop training packages for the toolkit deliverable through e-learning and face-to-face (by 2009) To conduct training sessions for occupational nurses and physicians and safety services officers To integrate the toolkit in the provision of basic occupational health services (beginning in 2009) 2009 ‘In-progress’ Activities Carrying out research on physical load of dentists, nurses and construction workers Preparing training packages for this toolkit (theoretical basis of methods, report sheets, manuals and examples for training). conducting training sessions


4 training sessions for nurses organized by various nurses organisations (proper patients handling techniques) – about 300 nurses trained 2 lectures - workshops for construction sector managers and safety officers (physical workload in construction workers, REBA – good method for physical workload estimation) – about 200 trained persons 2 lectures – workshops for dentists (physical workload of dentists, dental assistants and hygenists, RULA – good method for physical workload in dentistry estimation) during International Conferences (about 250 persons trained): International Dental Ergonomics Congress, 22 Annual Meeting European Society of Dental Ergonomics, V Forum Ergonomics in Dentistry (Cracow, May 2009), 19th Central European Dental Exhibition Session


Next workshops for managers, safety officers, nurses and dental staff on physical workload, saving back and other elements of musculoskeletal system for about 500 persons

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2012 New version of PowerPoint presentation for nurses disseminateb by CDROMs and internet First version of PowerPoint presentation for dental staff Training sessions for nurses and dentists for about 400 persons


GPA5.28n Formerly AA3:Co1


CC or NGO Name Clinica del Lavoro “Luigi Devoto”, Milano

Project title Assessment of exposure to carcinogenic compounds, focusing on polycyclic aromatic hydrocarbons (PAHs), in construction workers.

Keywords Polycyclic aromatic hydrocarbons, construction workers, environmental and biological monitoring, bitumen fumes.

Project leader Email address Dr. Laura Campo [email protected]

Partners (of the CC Network) IAPA (potential)

Other partners Lombardy Region, (Prevention of Occupational cancers project) Fondazione Ospedale Maggiore “Policlinico, Mangiagalli e Regina Elena”, Milan.

Funding Lombardy Region, (Prevention of Occupational cancers project) University of Milan ISPESL/ICP Consortium for WHO Collaborating Center


1) Development of analytical methods to measure urinary biomarkers of exposure to carcinogenic compounds, with particular attention to exposure to polycyclic aromatic hydrocarbons (PAHs) and their application in workers exposed to bitumen fumes (asphalt workers and roofers). 2) Evaluation of the dermal exposure and comparison between dermal and inhalation exposure. 3) Evaluation of influence of genetic factors and of life style (tobacco smoking, diet) on PAHs exposure.


Definition of a toolkit for the evaluation and prevention of chemical risk in construction workers, i.e. dermal absorption and biological monitoring.


Workers, enterprises, prevention operators, occupational health physicians, institutions for safety and prevention at work.


Workers employed in the road construction and maintenance companies are potentially exposed to bitumen fumes during either production or laying of asphalt. Bitumen contains a large number of different compounds among which polycyclic aromatic hydrocarbons (PAHs). IARC has classified some PAHs as probable (class 2A) or possible (class 2B) carcinogen to humans. The primary objective of this study are: to assess exposure to PAHs by means of environmental and biological monitoring in asphalt workers, to evaluate the contribution of occupational exposure and life style (cigarette smoking, diet) to the internal dose, to compare dermal and inhalation exposure, to evaluate the importance of genetic factors.

Dissemination Scientific publications, guidelines for safety and prevention at work, WHO/ILO documents, booklets and training packages for workers and employees.


Progress on Project In progress activities: 1) Literature review about urinary biomarkers used to assess PAHs exposure and about level of exposure in asphalt workers. 2) Recruitment of subjects and collection of biological samples.


-Two analytical methods have been developed: 1) a headspace solid-phase microextraction gas chromatography– mass spectrometry (HS-SPME/GC–MS) method for the simultaneous quantification of 13 PAHs (from naphthalene to benzo(a)pyrene)) in urine samples. The method has been published [Campo et al., Analytica Chimica Acta 631 (2009)

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196–205]. 2) a GC/MS for the simultaneous quantification of 12 urinary monohydroxy metabolites of PAHs, namely 1-hydroxynaphthalene, 2-hydroxynaphthalene, 2-hydroxyfluorene, 9-hydroxyfluorene,1-hydroxyphenanthrene, 2-hydroxyphenanthrene, 3-hydroxyphenanthrene, 4-hydroxyphenanthrene, 9-hydroxyphenanthrene, 1-hydroxypyrene, 6-hydroxychrysene, and 3-hydroxybenzo[a]pyrene. The method has been published [Campo et al., Journal of Chromatography B, 875 (2008) 531–540].


-analysis of the biological samples collected to quantify urinary PAHs and urinary monohydroxy metabolites. -analysis of exposure pads applied on skin of workers to evaluate dermal exposure

Sector D: Mining


5.27c New Project

PROJECT Title Improving Mining Safety and Health in Colombian Mines

GPA Objective

GPA Objective 5: to incorporate workers’ health into other policies Action 27. Workers’ health should be addressed in the sectoral policies for different branches of economic activity, in particular those with the highest health risk.


Priority 5.3 Implement toolkits for the assessment and management of OSH hazards in high risk industry sectors and for groups of vulnerable workers Mining

Responsible CC or NGO Name NIOSH, USA

Project leader(s) Jeffery L. Kohler, Ph.D. [email protected]

Network partners


PAHO Maritza Tennassee [email protected]


Ministry of Social Protection Jose del Carmen Almonacid [email protected] Ministry of Energy and Mines Fedor Pumarejo [email protected]


Colombian Safety Council Alfonso Rodriquez [email protected] ICONTEC Luisa Pallares [email protected]


The objective of this project is to reduce occupational injuries, illnesses, and fatalities in Colombian mines through the development and implementation of regulatory, training, and engineering interventions. Technical guidance will be provided to ensure that new regulations have a firm scientific basis. Training and training materials will be developed and provided to help expand the number of mining safety and health professionals in Colombia. Engineering best practices, commensurate with the mining practices in the country, will be

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introduced. The initial emphasis will be on underground coal mines. A partnership with government, labor, and academia will be formed with a mining company to develop a “model” coal mine that can be used to demonstrate the best practices in mining safety and health.


Colombian mineworkers (primary) Ministry officials, INGEOMINAS, SENA, mine operators


March 2009. Form a partnership among the mining stakeholders in government, labor unions, coal producers, and academia to develop and disseminate solutions. September 2009. Conduct a Train-the-Trainer Workshop on Safety and Health in Underground Coal Mines, and train at least 12 people from the partnership. September 2010. The Trainers, who were trained in the U.S., will conduct four workshops in the major mining regions of Colombia.

Dissemination plan Information and technology will be diffused throughout the mining industry utilizing workshops, in-mine demonstration projects, web-based resources, and publications.

Funding source(s) NIOSH Office of Mine Safety and Health Research, Colombian participants will cover all of their own expenses.


Train-the-Trainer Workshop (Major Milestone #2) completed September 2009


March 2011. Three-fold increase of professional capacity in mining safety and health trainers/professionals (baseline of 50) September 2011. Adoption of two or more best practices for dust control and explosion prevention March 2012. Incorporation of safety and health best practices into an operating coal mine that can be used as a model for other mine operators to study


5.27d New project

PROJECT Title

Exposure to diesel particulates and their health effects on employees in an underground mine in Western Australia


GPA2 Action 11, 12, 20, 21


2.1; 2.2 mining Industry


GPA4 Priority 4.1; 4.2 GPA5 Priority 5.2; 5.3

Responsible CC or NGO Name IEA


Dr. Le Jian; [email protected] Dr. Janis Jansz; [email protected]


IEA


Australia


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This project aims to assess the health effect associated with exposure to diesel particulates (DP) and to identify current risk control measures and opportunities for improving these in a Western Australian mine. This project will start with a cross sectional design and then a cohort study for 5 years. Information on exposure and health will be collected via a questionnaire from current employees and the CONTAM database from Resource Safety WA. This study will contribute to the development of a policy for the management of DP.

Target group and/or beneficiaries Occupational safety and health regulatory agencies, Mining companies operating large plants and projects.


(1) Complete questionnaire survey and air monitoring

(environmental and personal and historical DP exposure data by Dec 2010 and a follow up by Dec 2015.

(2) Identify current risk control measures for DP exposure and opportunities for improving risk control measures by early 2011 and reassessment by Dec 2015

(3) Develop a policy for management of DP for this mining company by late 2011. Promote this policy to other mines in WA by late 2015

Dissemination plan Through IEA, WHO, academic journals, Mine Safe and

conferences

Funding source(s) Industry Company; Curtin University of Technology, Cancer council WA


1. Completed one Master student research project report

“Diesel exhausts-a study of chronic health effects and examination of a potential biomarker” (2009)

2. Presented two conference papers: • Diesel exhaust, nitro-PAHs and cancer risk. WA

Cancer Research Symposium, Perth, Australia. 2009 • Diesel engine exhaust and the risk of occupational

cancer. 40th APACPH Annual Conference, KL, Malaysia. 2008

3. Received 3 research grants: one from Cancer Council WA,

one from Curtin University and one from a mining company


1. Two peer-reviewed journal papers:

• A pilot study on exposure patterns to diesel particulate and health characteristics on employees at a Western Australia underground mine: Are there any associations between exposure and health effects?

• Are current risk control measures sufficient for managing diesel particulate exposure at a Western Australia underground mine?

2. A policy for management of DP for the collaborating mining company

3. Further Grant Application: Australian Research Council (possible) and National Health and Medical Research

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Council (possible)


Improve health surveillance system in WA mining companies Improve DP risk control measures and monitoring system in WA mining company Related media reports, conference presentations and journal publications


5.27e – new project

PROJECT Title

Collaborative project on assessment and control of diesel particulate matter exposure among underground mine workers


GPA4


4.1 Mining


GPA5 – 5.3

Responsible CC or NGO Name IEA


Dr Krassi Rumchev; A/Professor Dean Bertolatti; Dr Ben Mullins [email protected]


N/A




Argyle Diamonds Mine, Rio Tinto Ed Tota Project Director [email protected]


The project addresses an emerging issue relating to diesel emissions in underground mining operations as a major source of ultrafine carbonaceous particles which are believed to have potential carcinogenicity and other adverse health impacts. The study will recommend novel strategies to reduce exposures of diesel particulate matter (DPM) among underground workers and also contribute data to the process of setting Australian DPM exposure Standards. Currently, unlike USA, Canada and Europe, there are no standard available in Australia The research will also contribute to the application of novel DPM exposure control approaches, such as electro-spray generators to promote rapid particle agglomeration and removal.

Target group and/or beneficiaries Underground mine workers Major Milestones (list up to three dates and milestones)

Reduce exposure levels of DPM in underground mine workers and improve the air quality and ventilation systems in underground mines

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Dissemination plan Peer-reviewed articles, conference presentations Funding source(s) Australian Research Council (Australian Government) ,

Chemistry Centre Western Australia, Curtin University of technology & Rio Tinto Ltd


Collected baseline air quality data on diesel particulate exposure in underground mine environments


Quantify the extent of exposure to diesel particulates and the associated potential health effects among underground mine workers


Control measures will be assessed based on cost vs. effectiveness and will include:

(a) control at source (retrofitted DPM filters) (b) diffusion batteries (c) electro-spray generators to promote rapid particle

agglomeration and removal (d) additional filter (e) water atomisers


NEW PROJECT - 5.26c

PROJECT Title Reducing mercury pollution in small scale gold mining – Philippines 2011-2014


GPA Objective 5


Priority number 5.3 Area Mining


-


NGO’s: Dialogos University of Copenhagen (GEUS, Institute of Global Health) ICOEPH/Danish Society of Occupational Medicine CC: Clinic of Occupational and Environmental Medicine, University Hospital of Odense


NGO’s: Rasmus Køster-Rasmussen, [email protected] Marie Brasholdt, [email protected] CC: Erik Jørs, [email protected]


-


Contact made to: Hisashi Ogawa, Team Leader, Environmental Health WHO Western Pacific Regional Office


-, not identified yet


Ban Toxics! (Bantox), Philipines [email protected], www.bantoxics.org Benguet Federation of Small Scale Miners (BFSSM)

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In developing countries mercury is used for gold extraction among Small Scale Miners (SSM). The Geological Institute in Denmark has shown that SSM in the Philippines are using methods requiring big amounts of mercury, yearly releasing hundreds of tons of mercury into environment, leading to an incontrollable pollution and serious health problems. Parting from the project partners experience a preventive action is undertaken in 4 areas in the Philippines 1. To introduce a more efficient, cheaper and healthier “mercury free method” to extract gold, and 2. To strengthen the knowledge of the civil society about the problematic to enable advocacy for interventions to solve the health and environmental catastrophe threatening the areas.


1. Training of 400 Small Scale Miners in the borax method. Expected female-male ratio is 1-3. 2. Training 5-10 local key stakeholders (mining cooperative leaders, local health or environmental officials, local government leaders, among others) in occupational health and safety and in organisation and advocacy. Expected female-male ratio is 1-3. 3. Short lectures and information materials will be given to school classes and community based organisations. Expected female-male ratio is 1-1, and expected adult-child ratio 1-50. 5. Healthcare workers will be trained in prevention, diagnosis and treatment of acute and chronic mercury poisonings and in community IEC training. Expected female-male ratio is 2-1.


1.By end of March 2014, 90 % of SSMs (estimated 1800 miners) in the project areas will have converted to using mercury free gold extraction methods, and they have knowledge about the dangers of mercury to health and environment. 2.By end of March 2014, 80% of the civil society represented by school children and women - in the project areas are aware of the dangers of mercury to health and environment, and 80 % of health care workers have substantial knowledge about prevention, diagnosis and treatment of mercury poisoning. Advocacy has been strengthened through the setting up of 2 mercury committees that meet quarterly. 3.By end of March 2014, a concept including organization, teaching materials and strategies for training SSM and creating proper levels of awareness has been elaborated, and the NGO Bantox has been strengthened to be able to lead the dissemination of the concept.

Dissemination plan The following educational materials will be produced and disseminated: • An educational film The film should - Tell about mercury toxicity - Demonstrate the use of a washing pan - Demonstrate the borax technique - Tell about the economical benefits of substituting mercury with

Borax - Tell about the health benefits now and in future generations of the

Philippines • Pamphlets To be used as hand-outs after training activities • Posters To be used in the SSM communities, highlighting the most important

messages of the project • Web information and multimedia Bantox already manages and uses its website to disseminate

information. This will be used as a platform for internet communication, distribution of teaching materials etcetera.

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Materials produced and experiences gathered will be systematized and disseminated at a local, national and international level by conferences, publications, internet etc. – the key issue is to have an experience and a concept that has proven its worth, including materials of high quality that are easily adapted to new setting. The Film The film is primarily meant to educate SSMs and people in the communities, but will also serve as a source of inspiration and raw material for a later TV-documentary by Tom Heinemann on the pollution disaster and international mercury trade. Economically the TV-documentary is not embedded within this project, but the project group and Tom Heinemann are highly dedicated to raise external funds for its making during the project period. The publicity such a TV-documentary could generate would greatly help getting funds to scale up the project, as this project after 3 years will be able to deliver a validated solution to the problem.

Funding source(s) Project Counselling Service/Danida with DKK 2.956.231


Project just starting march 2011


See below


• A baseline study that will serve for later monitoring and evaluation as well as form the basis for the teaching activities

• An educational movie about mercury hazards and alternatives exists and is used during teaching sessions

• Handbooks for trainers have been elaborated as well as teaching aids, handouts and posters summarizing the most important messages from the teaching sessions. Specific teaching materials for each target group.

• All teaching materials are gathered in the handbook “How to implement mercury free methods in small-scale gold mining”. The book also contains a description of strategies etc.

E. Multi-Sector


GPA5.27a Formerly AA6:SWI1

GPA Objective GPA Objective 5: to incorporate workers’ health into other policies Action 27. Workers’ health should be addressed in the sectoral policies for different branches of economic activity, in particular those with the highest health risk.

CC or NGO Name National Institute for Occupational Safety and Health (NIOSH) USA

Project title Sharing workplace OSH practices through sector-based global collaborations (NORA)

Keywords NORA Sector Interventions Best Practices Globalization


Dr. Max Lum, Global Collaborations Manager, NIOSH [email protected] and Dr. Marilyn Fingerhut, Global Collaborations Coordinator, NIOSH [email protected]


Anticipated partners: ISPESL, Italy; JNIOSH, Japan; CCOHS Canada; IOHA, IEA, ICOH and others

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Department of Occupational Health, Korea Occupational Safety and Health Agency (KOSHA), Incheon, Republic of Korea (Seong-Kyu Kang [email protected])

Other partners Anticipated partners: OSHA US; BG Germany; HSE UK; IRSST Quebec; ORC US; DOL Poland; Netherlands; multinational corporations; international unions, and various NORA partners

Funding NIOSH NORA Global Collaborations funding; funding by global partners


To expand the application in workplaces in the U.S. and globally of interventions that successfully prevent work-related injuries and illnesses.


Partnerships globally to share successful sector based practices, interventions and services (in place in 3 sectors by December 06) Communication system (e.g. newsletter and/or weblinks) in place (Dec 06) Application in at least 100 new workplaces of shared practices, interventions or services (by Dec 08) Multinational corporations or international unions provide assistance to 10 developing/transitional nation OSH professionals or local community workplaces to improve OSH services and practices (by Dec 09) Global network of members established for sustainable continuation of this work (by Dec 10)


Workplaces globally will benefit. Sector based sharing of successes will increase applications and lower costs. Multinational corporations and international unions and OSH institutes, associations and NGOs globally are key partners for success in developing and transitional nations.


NIOSH is initiating in the U.S. a sector based National Occupational Research Agenda aimed at increasing preventive practices and interventions in workplaces. (See www.cdc.gov/niosh/nora.) Eight Sector Research Councils (SRC) will have broad membership in order to act to solve the worst problems of workplaces in the Sector. The sector groupings are: Agriculture, Forestry, & Fishing Mining Construction Manufacturing Trade Transportation, Warehousing, & Utilities Services Healthcare & Social Assistance Global Collaborations will be developed in each SRC to share sector based successful solutions across countries. Global partnerships will include employers, unions, OSH institutes, professionals, and associations. Assisting developing and transitional nations and small businesses in developed countries to implement successful practices will be a priority.

Dissemination

NIOSH is sponsoring the sector based National Occupational Research Agenda (NORA) in the U.S. and information will be disseminated by NIOSH, WHO and other partners. A Global Collaborations electronic communication system will be put in place to encourage partnerships and sharing of successful practices and to ensure sustainability of the effort.


PROGRESS ON PROJECT 1 OCTOBER

All 8 NORA Sector Councils have been formed and are working on identifying the worst problems in the sector and stating objectives for public review. Global Collaborations is one of 27 cross-cutting programs (www.cdc.gov/niosh/programs/global) working with the Sector Councils. Projects are underway with the Transport Sector in Global Road Safety for Workers and with the Mining and Construction Sectors in the Americas Silicosis Initiative. Additional bridges are being built with other sectors.


GPA5.28c Formerly AA5:2a


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CC or NGO Name

The Industrial Accident Prevention Association, (IAPA), Canada a WHO Collaborating Centre for Workplace Injury and Illness Prevention

Project title Enhancement of Occupational Health and Safety in Mexican Industry

Keywords

Integrated management system Occupational health & safety


Leonard Sassano, Director, Strategic Alliances [email protected]

Partners (of the CC Network) IAPA

Other Partners Mexican Ministry of Labour: Direccion General De Seguridad Y Salud En El Trabajo (DGSST) Secretaria Del Trabajo Prevencion Social (STPS)

Funding Funding provided by the Mexican government.


The Mexican government is committed to promoting the integration of HS&E into Mexican industries through its voluntary compliance program known as the SASST programme program (Systema de Administration Salud y Seguridad en el Trabajo). The objective is to apply SASST within workplaces to improve the health and safety of workplaces and working conditions for all workers. It is realized that Mexican workplaces require to engage a managed approach and adopt a management system to successfully apply SASST. The project will focus on the development and engagement of a managed system to successfully integrate the SASST compliance programme.


1. Completed May 2003: Developed and delivered a four day training program on SASST programme implementation to 40 STPS assessors and DGSST inspectors from across Mexico. 2. Completed October 2003: Presentations on SASST and OHS Management Systems completed at two major OHS conferences in Mexico and at regional workshops across Mexico involving government, employers and worker groups. 3. Completed November 2003 – December 2004: A Consultant Certification process was developed to enable Mexican assessors to provide services to enterprises enrolled in the SASST programme. 4. September 2005: To deliver consultant certification to assessors. 5. December 2007: Pilot applications and evaluate results of interventions. Make necessary modifications and refinements based of results. Apply nation wide. Completion by 2008.


The Mexican government will benefit by having a roster of qualified consultants who can assist enterprises to develop and implement a quality health and safety program, using an integrated management system with proven effectiveness. All enterprises will benefit by having access to qualified consultants to assist them to comply with SASST, in a manner that is of high quality and consistency.


The project will achieve a number of results: • The achievement of healthier and safer workplaces for Mexican workers. • The development and implementation of an OHS Management System to successfully apply the SASST voluntary compliance programme. This will lead to improvement of working conditions and reduction of injuries and illnesses within the workplace. • The empowerment of workers, and improved communication and cooperation between management and workers through the successful engagement of SASST and a managed approach towards HS&E. • To contribute towards sustainability and building capacities among STSP, DGSST, and independent assessors to lead the successful integration of SASST together with a managed system’s approach into Mexican workplaces.

Dissemination

The project outcomes will be disseminated by the increasing numbers of qualified Mexican assessors and certified consultants, who will coach and train Mexican enterprises. The project outcomes will also be published in IAPA’s various communications vehicles, (magazine, website) and discussed at national and international conferences.

Impact (global or regional) National (Mexican) and regional (Americas)

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Progress on Project This project should be considered dormant, due to the change in the Mexican Government last year. We have had no indication that the new government wishes to continue this project. If it becomes active again in the future, we will inform you.


None since 2004


No further outcomes foreseeable


GPA5.28d Formerly AA5:2b


CC or NGO Name

The Industrial Accident Prevention Association, (IAPA), Canada: a WHO Collaborating Centre for Workplace Injury and Illness Prevention

Project title Enhancement of Occupational Health and Safety in Brazilian Industry Keywords Integrated management systems, occupational health and safety


Leonard Sassano, Director Strategic Alliances [email protected]


IAPA Canadian Centre for Occupational Health and Safety (CCOHS)

Other Partners

Canadian Partners: Ryerson University - Marsha McEachrine Mikhail, Ryerson University, Toronto [email protected] Occupational Health & Safety Research Institute Robert-Sauvé (IRSST) Ontario Service Safety Alliance (OSSA) Ontario Forestry Safe Workplace Association (OFSWA) BRI International Brazilian Partners: SESI- Industrial Social Service National Department, Brasilia Fundacentro International Partners: PAHO ILO

Funding The project is co-funded by the Canadian International Development Agency (CIDA) and ABC Transfer of Technology Fund for Brazil.


The purpose of the project is to strengthen the capacity of small and medium sized enterprises (SME’s) within selected sectors in the participating states for integrating workplace health and safety into their organizational culture, performance goals and management systems, and to reduce illnesses, injuries and fatalities for all workers. Furthermore, the project aims to enhance the capacity of participating industries and their SESI Occupational Health and Safety Departments to effectively address challenges in the development, implementation, management and evaluation of OHS services and programs for all workplace participants.


Needs assessments & stakeholder engagement Completed April 2005. Training of individuals that have responsibility for the development of the information system and web portal. Completed December 2005. Develop consulting skills and begin the development of the SESI management system framework. December 2005 – November 2008. Support SESI in the design and development of an Epidemiological Information System. By 2009. Development of a OHS web portal to enhance SESI’s capacity to use OHS technical knowledge and information as a strategy to improve OHS within work

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environment of SME’s. By 2009 Development and implementation of OHS management systems within SME’s. To develop and deliver enhanced SESI managed OHS technical and management services to SME’s. By 2009


Brazilian industrial workers in SMEs are the target, and will benefit by achievement of greater health and safety equity, and the reduction of injuries, illnesses and fatalities. SESI will benefit from the combined expertise and experience of a consortium of highly credible Canadian organizations.


Project Results will include: The achievement of healthier and safer work environments for Brazilian workers. An increase in the number of SMEs implementing effective and efficient OHS programs that comply with Brazilian OHS legislation and international standards. The establishment of an effective SESI managed OHS Information System to identify needs, set priorities, and evaluate industry programs, as well as inform SESI service delivery to address identified OHS issues including workplace related injuries, illnesses and deaths. Strengthening the ability of men and women to exercise equally, their recognized fundamental right to know. Improved attention to gender specific health and safety issues. The empowerment of workers, and improved communications and co-operation between management and workers, through increased OHS awareness and education, and the formation of joint OHS committees within participating industries.

Dissemination

The project outcomes will be disseminated by the Brazilian partners, who will continue the work after the project is completed. The project outcomes will also be published in IAPA’s various communications vehicles, (magazine, website) and discussed at national and international conferences such as the National Safety Council (US) and the World Congress on OH&S.

Impact (global or regional) National (Brazil) and regional (the Americas)

Progress on Project

Training of SESI consultants in managed systems and consulting completed November 2008. This training has been done in Brazil and Toronto, Ontario, Canada. Pilot projects are being carried out in 6 regions with 8 enterprises to develop and implement occupational health and safety management systems (OHSMS) utilizing OHSAS 18001 as the underlying system. The pilot project is to be completed September 2009. Workers in each of the 8 enterprises are actively participating in the development and implementation of the OHSMS. Workplace gender and diversity considerations are being addressed throughout the development and implementation of the OHSMS. A key principle underlying the pilot project is building capacity and capability of each enterprise to continue the maintenance and enhancement of their OHSMS. (Much more detail on this project is available in IAPA’s Annual Report to WHO/PAHO for 2006.) (Note that project AA2:NP7 is part of this overall project, but it is being carried out by IRSST, another partner in the Canadian consortium.)


Training of SESI consultants has been completed in November 2008. The project will be completed in September 2009. Pilot project completed. Implementation of managed systems in 8 enterprises with worker involvement in each of them Some regions in the pilot are offering Occupational Health & Safety consulting services as a result of their experience.


SESI will offer Occupational Health & Safety consulting services throughout the organization. It will be rolled out to other regions as well and will become a formal part of SESI’s services in all its regional offices.

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GPA5.28f Formerly AA5:3a

GPA Objective


CC or NGO Name National Institute of Occupational Safety and Health, Japan

Project title Occupational Health Services of Small Scale Industries

Keywords OSH management, SMEs, checklists, training manuals


Dr. Shigeki Koda E-mail address:[email protected]


Prof. Naomi Hisanaga, Aichi University of Education, Japan E-mai addressl:[email protected]

Other partners

Funding Each collaborating partner is responsible for its respective costs Objective of the project

The objective of this project is to establish and develop support system for OSH management in small scale industries.


The reports of good practices in small scale industries related to: Improving for working environments and conditions. Improving ergonomic stress Identify OSH risk in the workplaces by using action checklists and training manuals. This will be completed before the end of 2010.


Employers of small scale industries and occupational health and safety professionals


We will visit many small scale industries, examine occupational health and safety risk in the workplaces, and discuss with employers and employees using action checklist and training manuals. These activities will develop good practices in small scale industries. The good practices include feasible and cheap improvements in working environments and conditions, good working organization and the development of OSH services. These good practices will provide good hints for occupational health and safety professionals engaging in OSH activities for small scale industries in many countries.

Dissemination National documents

Impact: global/regional

Global

Progress on Project

We have visited several small scaled factories of manufacturing industries. Visiting small scale industries is ongoing. And we are developing action checklists and training manuals in order to identify occupational health and safety risk, and discussing good practices in the workplaces with employers and employees in small scale industries.



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Priority 5.3-2 Vulnerable Workers: FACILITATING PROJECT

FACILITATING PROJECT (administrative) GPA 5.3-2: Vulnerable Workers Facilitating Project Title

Toolkits and other resources for improving management of OSH hazards for vulnerable worker groups

GPA Objective Objective 5: to incorporate worker’s health into other policies.

GPA Actions

9. Measures need to be taken to minimize the gaps between different groups of workers in terms of levels of risk and health status. Particular attention should be paid to … the underserved and vulnerable working populations, such as younger and older workers, persons with disabilities and migrant workers, taking account of gender aspects. … 24. The capacities of the health sector to promote the inclusion of workers’ health in other sectors’ policies should be strengthened. Measures to protect workers’ health should be incorporated in economic development policies and poverty reduction strategies. The health sector should collaborate with the private sector in order to avoid international transfer of occupational risks and to protect health at the workplace. Similar measures should be incorporated in national plans and programmes for sustainable development. 25. Workers’ health should likewise be considered in the context of trade policies when taking measures as specified in resolution WHA59.26 on international trade and health. 26. Employment policies also influence health; assessment of the health impact of employment strategies should therefore be encouraged. …

Priority Area 5.3-2: Develop and implement toolkits and other resources for the assessment and management of OSH hazards in high risk industry sectors and for vulnerable worker groups


This Facilitating Project will assist in coordinating projects addressing the needs of vulnerable worker groups. All tools and materials will be organized in an electronic library for easy availability. Currently there are few projects related to this priority, but they have been grouped into the following areas, to facilitate planning and recruitment of additional projects: 1: young workers (not including child labour) 2: child labour 3: older workers 4: migrant workers 5: disadvantaged ethnic groups 6. precariously employed workers 7. women workers 8: more general information and resources

GPA Manager Wendy Macdonald


Owen Evans: [email protected] Jodi Oakman: [email protected]



1: Young workers 5.28a Young Workers Occupational Safety and Health Curriculum. National Institute for Occupational Safety and Health (NIOSH). Carol M. Stephenson, [email protected] 5.28p Protecting youth from hazardous work: Developing a handbook of recommended methods for identifying and addressing psychosocial and physical health risks to adolescent workers. ILO. Susan Gunn, [email protected] 2: Child labour 5.28o Child labour: strategies for prevention. ISPESL – Dept. of Occupational Medicine ITALY. Dr Marta Petyx ([email protected]), Dr Grazia Fortuna ([email protected]), Dr Fabio Boccuni ([email protected])

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3: Older workers 5.9-1.7h Aged persons and their occupational skills. Development of methods for the prevention of impairments. IfADo – Leibniz Research Centre for Working Environment and Human Factors (Institut für Arbeitsforschung an der TU Dortmund) Barbara Griefahn, Professor, MD, [email protected] 4: Disadvantaged ethnic groups 5.9-1.6e SWIFT – Sustainable Waste Management Initiative For A Healthier Tomorrow - A Comprehensive, Sustainable Approach Focused On The Determinants Of Social Exclusion, Poverty And Health In The Roma, Ashkali And Egyptians In Belgrade, Serbia. Gerry McWeeney ( [email protected]). Institute Of Occupational and Radiological Health “Dr Dragomir Karajović“, Belgrade, Serbia, Dr Martin Popevic ( [email protected]) 5: Precariously employed workers 5.9-1.7g Knowledge transfer about occupational hazards to precarious women workers. CINBIOSE and Centro de Estudios de la Mujer. Katherine Lippel, [email protected] Ximena Díaz, [email protected] 6: Women workers 5.9-1.7g – see under 6, above. 7: More general information and resources 5.9-1 Electronic inventory and repository of guidance documents, risk management tools and related resources for vulnerable worker groups. La Trobe University, Australia. Owen Evans, [email protected]; Jodi Oakman, [email protected]



The project will identify vulnerable worker groups and the particular hazards which are either characteristic to them. Further it will identify and promulgate control strategies to eliminate or reduce exposure to those hazards.


1. Young Workers Curriculum (English & Spanish) disseminated electronically through the NIOSH web site and WHO educational gateway Country and global data on psycho-social health of adolescent workers, used in awareness-raising materials Psychosocial measurement tool for this group Handbook of recommended methods for use in primary health centres 2. Child Labour Analysis of feasibility to develop an information path on child labour in Europe to raise awareness and visibility of this problem, with specific focus on migrant children Scientific publication on child labour in Italy Second ILO global report on child labour Presentation and dissemination of the project and single teaching units on a web page devoted to this issue on ISPESL portal 3. Older Workers Training programs 4. Disadvantaged Ethnic Groups Health System development and assessments during this and the following BCA period, focusing on BOHS (particularly vulnerable workers), and hazardous employment Assessment and report on health hazards and injuries of informal waste collectors Based on that report, formal OSH training and awareness raising among informal waste collectors.

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5. Precariously employed workers Training workshops on mental health and work Booklets and OSH training for women in agricultural sector 6. Women workers See 5 above. 7. More general information and resources Electronic repository of OSH resources and risk control strategies relevant to hazards experienced by vulnerable worker groups.

Critical gaps to be filled by 2012 in order to fulfil GPA Priorities

Migrant Workers. This group of vulnerable workers is not represented here. (Liaise with GPA 2 leaders, especially of 2.3.) Disadvantaged ethnic groups. Issues are addressed only for a limited range and in one industry and location. Precariously employed workers and women workers are addressed in a single project. These two large groups with both separate and overlapping issues appear to warrant more extensive coverage.

1. Young Workers


5.28a


Young Workers Occupational Safety and Health Curriculum

GPA Objective GPA 5, Action 9 Priority Number and Area (if applicable)

5.3 Vulnerable worker groups

Responsible CC or NGO Name National Institute for Occupational Safety and Health (NIOSH)

Project leader(s) Carol M. Stephenson, PhD [email protected]

Network partners



External partners for this project University and NGO partners in the USA


To widely disseminate an occupational safety and health curriculum recently developed by NIOSH for schools and community based entities who can train teen workers.



Dissemination plan

Funding source(s)

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• To finalize development of the curriculum (by early 2006) • To translate the curriculum into Spanish (by 2007) • To widely disseminate the curriculum electronically through the NIOSH web site and WHO educational gateway beginning in 2006 • To provide a model for use or modification by others To gather and share globally OSOH curricula from other countries for young workers


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Please indicate whether this is a: New Project – 5.28p


Protecting youth from hazardous work: Developing a Handbook of recommended methods for identifying and addressing psycho-social and physical health risks to adolescent workers

GPA Objective and Action GPA 2 Priority Initiative 2.1d Responsible CC or NGO Name ILO Project leader (contact name and email address)

Susan Gunn ([email protected])


IEA, ICOH, I-WHO, NIOSH


EURO, PAHO


-none identified yet


• Valentina Forastieri, ILO-SafeWork [email protected] • Project implementing partners of the ILO International

Programme on the Elimination of Child Labour (ILO-IPEC) Summary of the project (max 100 words)

This area of work is organized around producing a Handbook of recommended methodologies for researching and addressing health aspects of child labour. The methodological handbook shall cover both physical and psychosocial impacts of hazardous work by children. For the first time it would include guidance on measuring psycho-social aspects of child labour, which is a major gap and which may also prove to be a major determinant of child labour. The Handbook would identify when (and when not) health-related research is appropriate in a project and describe how to design and implement research in specific sectors and situations. A simplified instrument will be developed to assess psycho-social health impacts of child labour – both, positive and negative. The instrument would need to be able to examine, for example, psycho-social effects of intimidation (in the context of industrial workshops), of physical isolation (in the context of domestic labour), of exposure to violence (in the context of street selling) and of low job control (found in all situations, and having both physical and psychological ramifications). The aim of producing such a handbook of recommended methodologies is to begin to get both more data and more comparable data on occupation-related child injury rates, psycho-social health outcomes, and exposure-response relationships. The Handbook will be peer-reviewed and revised accordingly.


1. health practitioners / primary health care facilities, especially in developing countries

2. development professionals, employer organizations, trade unions, and NGOs which are involved in child labour, child health, and occupational health work


Field-testing of the Handbook may be done through ILO projects and local offices in 80 countries.


• Assess the strengths/weaknesses/requirements of research methods identified through inventory exercise.

• Develop psycho-social measurement tool • Develop handbook of recommended methodologies


• Country and global data on psycho-social health of adolescent workers

• Use of these data in awareness-raising materials • Handbook in use in primary health centres


Sept 2010 = Formation of working group on psycho-social research methods

Feb 2011 = 1st draft of psycho-social component of Handbook

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2. Child labor


5.28o Previously AA2:PM3


Child labour: strategies for prevention

GPA Objective and Action Objective 5, Action 9

Priority Initiative Priority 1: Develop guidance for national action plans on workers’ health, including vulnerable groups (Action 1.9). Projects include inventory of action plans, evaluation of national plans and lessons learned


Project leader Dr Marta Petyx ([email protected]) Dr Grazia Fortuna ([email protected]) Dr Fabio Boccuni ([email protected])

Network partners WHO Regions involved in this project


External partners for this project ICOH, International Commission on Occupational Health


Child labour above all in the frameworks (as all family run activities in agriculture, craftsmanship and trade sectors) that avoid knowledge and control. Project activities have focused on developments at a national level. Principal target groups have been identified (children and trainers) and intervention activities are planned taking into consideration important ethnic, religious and social aspects. Training tools are being developed to improve knowledge and awareness of child labour amongst children. In the forthcoming second stage, risk perception will be targeted and links between child labour, migration and school attendance will be investigated. Focus of the project will be: A) The analysis in European industrialized countries of the situation of child labour among migrant children. B) Contribute to dissemination of “awareness and visibility” of child labour at national level.


Prevention experts, teachers and students.


- Scientific publications. - The ISPESL Project “Child labour – to know so as to act”. - Fact Sheets addressing various issues related to child labour in Italy: school dropout; minor differences between Italian and foreign minors to work. - Web page devoted to Child Labour on ISPESL portal.

Nov 2011 = Handbook ready for field-testing Public health impact Global Funding source(s) ILO-IPEC

Dissemination ILO, WHO, IEA, ICOH publications, press releases, newsletters, websites

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- Analysis of feasibility to develop an information path on child labour in Europe starting to the school in order to raise the awareness and the visibility of this problem with specific focus on migrant children (2009). - Scientific publication on child labour in Italy: comparison of data and strategies under way (2009). - Scientific publication on reducing child labour by 2016; the second ILO global report on child labour (2009). - Presentation and dissemination of the project and single teaching units on a web page devoted to this issue on ISPESL portal (2010).


Evaluation questionnaires


- To develop a new “awareness and visibility” of child labour with a special training programme (2009). - To assess a specific analysis of immigrant minors and child labour in Europe also in view of legislation framework. Case studies will be developed in European countries (2009). - To promote a “cultural change” in the approach to child labour by practical actions of information for trainers, students and opinion leaders (2010).

Public health impact Global and regional

Funding source(s) Self funding Dissemination Training programmes, ad hoc publication and reports, website, fact sheets.


- Publications produced: Fortuna G, Petyx C, Iavicoli S, Petyx M. Child labour in Italy: comparison of data and strategies underway. Difesa Sociale 2008; 1: 81-97. Fortuna G, Petyx C, Boccuni F, Iavicoli S, Petyx M. Reducing Child labour by 2016. The second ILO global report on child labour. Difesa Sociale 2008;2-3: 61-79. Petyx M, Fortuna G, Valenti A. Child labour in Italy. Fact-sheet ISPESL 2008. - ISPESL Project “Child labour – to know so as to act”. - Presentation and dissemination of the project “Child labour – to know so as to act” on the ISPESL web site (http://www.ispesl.it/lavorominorile/) - “Child labour in the new multiethnic communities. Phenomenon diffusion, social representations, gender differences and community features. Understanding to prevent”. An action research in Esquilino neighborhood of Rome.


- Updating of ISPESL website on child labour. - To develop an action research on health and social integration of young migrant workers focused to the prevention of occupational hazards, protection of rights and social reintegration of young migrant workers. - To develop an information plane on child labour in Europe in order to raise the awareness and the visibility of this problem with specific focus on migrant children. -To promote the Child Labour issues in the broader ISPESL project "Promotion and dissemination in the school of health and safety culture" addressed to educational staff, pupils and parents in order to sensitize the school system on health and safety culture.

3. Older Workers


New Project 5.9-1.7h

CONTRIBUTING PROJCET Title

Aged persons and their occupational skills. Development of methods for the prevention of impairments. First phase development of a Network

GPA Objective and Action 2

Priority Initiative 2 Develop a global framework and guidance on healthy workplaces (Action 2.13).


IfADo – Leibniz Research Centre for Working Environment and Human Factors (Institut für Arbeitsforschung an der TU Dortmund)


Network partners Project leaders of the IfADo:

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Michael Falkenstein, Barbara Griefahn, Herbert Heuer, Gerhard Rinkenauer, Klaus-Helmut Schmidt, Edmund Wascher The project should be integrated into the network initiated by WHO on aged workers. If this initiative is not realized at the start of the next GPA the following institutes (most of which have expressed their interest in contributing to the WHO-initiative) will be asked for co-operation: Centre for Occupational and Health Psychology (Andy Smith), Cardiff University, UK Coronel Institute of Occupational Health (Judith Sluiter), University of Amsterdam, NL Institute for Work and Health (Brigitta Danuser), Lausanne, CH National Centre of Hygiene (Emilia Ivanovich), Sofia, Bulgaria National Institute of Public Health (Pavel Urban), Prague, CZ Finnish Institute for Occupational Health (Juhani Ilmarinen, Mikko Härmä), Helsinki, Fi La Trobe University (Wendy Macdonald), Melbourne, Australia JNIOSH (Shin-ichi Sawada, Masaya Takahashi), Tokyo, Japan


Australia Asia Europe Bonn Rokho Kim

Country ministries involved in this project -



Persons above the age of 50 years are systematically investigated in the IfADo with respect to cognition/ performance (attention, response preparation, motor skills) indicators of strain, age diversity, age adapted human-machine interfaces and shift work. The final goal is to define conditions that facilitate the work of the elderly and to develop methods/instruments for the prevention of (premature) impairments.

Target group and/or beneficiaries Workers above 50 years of age

Events-opportunities for furthering the project Meeting with other experts at workshops, seminars and congresses etc.


Development of training programs for elderly workers. Publications



Depends on the success of the WHO initiative but by 2012 there should be a network for concerted actions towards better integration of aged persons in the working process

Public health impact global

Funding source(s) in place

Dissemination Publication in international journals

4. Disadvantaged ethnic groups


5.9-1.6e New Project

Contributing Project Title

SWIFT– Sustainable Waste Management Initiative For A Healthier Tomorrow - A Comprehensive, Sustainable Approach Focused On The Determinants Of Social Exclusion, Poverty And Health In The Roma, Ashkali And Egyptians In Belgrade, Serbia

GPA Objective and Action Objective 5: Action 9 Priority Initiative Priority 5.3-2 Responsible CC or NGO Name WHO Country Office in Serbia

Project leader Gerry McWeeney ( [email protected])

Network partners Institute Of Occupational and Radiological Health “Dr Dragomir Karajović“, Belgrade, Serbia, Dr Martin Popevic ( [email protected])

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Serbian Ministry of Health, Dr. Elizabet Paunović ([email protected]) Serbian Ministry of Labour-Occupational Safety and Health Directorate, Vera Božić ([email protected])



Social exclusion and poverty are extensive, well documented for the Roma population in Serbia. Multiple determinants can be identified for health, exclusion and poverty. In order to start addressing these issues, a comprehensive and multifaceted approach is required. Informal recycling of materials from waste represents an important survival strategy for Roma in Belgrade. Adults and children can be seen rummaging through communal waste bins, dumping areas, without protection, exposed to occupational health hazards. This “scavenging” is a large scale operation, occurring throughout Belgrade. Objective of the project is to convert current Roma waste “scavenging” into an effective and safer means of income whilst tackling health and human rights issues. The second objective is to devise and implement policy instruments on workers’ health.


Roma population Health care workers and policy makers Occupational physicians Social services and educators




Health System Health System development and assessments during this and the following BCA period, focusing on: BOHS (particularly vulnerable workers) Hazardous employment ”Direct to Worker” Assessment and report on the Occupational health hazards and injuries suffered by the informal waste collectors Formal training and certification (Probable UK NVQ) and educational awareness building with the informal waste collectors based on the assessment findings and report. SWIFT Recycling Centre – Health and safety Training


Report of the assessment and occupational health hazards and injuries suffered by the informal waste collectors Formal proposal of occupational health policy, legislation and action plans with the participation of social partners SWIFT Recycling Centre – Health and safety Training


Assessment and report on the Occupational health hazards and injuries suffered by the informal waste collectors (2009/2010) Formal training and certification of the informal waste collectors based on the assessment findings and report (2010/2011) SWIFT Recycling Centre – Health and safety Training (2011/2012)


Funding source(s) SWIFT Project (BCA 2008-9 and BCA 2010-11) funded from the Norwegian Ministry of Foreign Affairs

Dissemination

Project reports will be disseminated through WHO to related health authorities and stakeholders. Findings will be presented at relevant international/ national conferences and/or meetings. Possible publication in international journal.


As part of the WHO SWIFT Roma Health Survey a small component on Occupational health and safety was added to be answered in by those involved in the informal waste collection business. Information was gathered on Protective equipment needs, types of waste collected and

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family members (including children) who are involved in the business. Additional information that will be relevant to Occupational health was collected through the Health component of the questionnaire and relates to ill health limiting normal activities over the last 6 months, and also longstanding illness or health problems. Also information has been gathered in general on their main sources of income and their status with in Serbia. The survey was conducted in August and the data is currently being cleaned and entered for analysis. A location to place the SWIFT Recycling and sorting centre has been identified and activities will be developed in line with the Waste strategy for Belgrade which is under the responsibility of the Belgrade Public Utilities Company (PUC). Meetings with the PUC have been very productive and a willingness to explore mutually beneficial activities is present and the SWIFT centre can fit into the strategic objectives of the city, thereby assisting in the sustainability of the project outcomes. A feasibility study for the SWIFT centre is currently being conducted which will present the options available for the mechanism and structure of the centre. Initial review of the legislative situation identifies a cooperative as the best mechanism for employment and organization.


Exploration of additional income generation activities of which some will be linked to the recycling and sorting activities. SWIFT currently has 3 components but a 4th component of housing development is under review by donors, where Roma will be engaged in the building of homes for their community – thereby providing housing, employment and skill development.

5. Precautionary employed workers & 6. Women Workers


5.9-1.7g New Project

Contributing Project Title Knowledge transfer about occupational hazards to precarious women workers

GPA Objective and Action GPA 5, Also Objective 2. Actions 9 and 11

Priority Initiative Develop sectoral toolkits for the assessment and management of occupational risks in the most hazardous sectors

Responsible CC or NGO Name CINBIOSE

Project leader Katherine Lippel, [email protected] Ximena Díaz, [email protected]

Network partners Centro de Estudios de la Mujer Asociación Nacional de Mujeres Rurales e Indígenas ANAMURI [email protected] presidenta

WHO Regions involved in this project AMRO




This project is part of a program of research «Araucaria project» whose objectives are to generate knowledge about mental health problems related to working conditions, to transfer knowledge and Know-how from Canadian experts, and to disseminate information in order to raise awareness of policy makers and practitioners to psychosocial risks related to working conditions. The project is to develop training material directed to women who work in precarious jobs in agriculture and other sectors. The material (cartillas) will address a variety of hazards to which they are exposed with particular attention to mental health risks related to working conditions, working

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environment and working relationships. Also we will address preventive strategies.

Dissemination

Public launching of the booklets «Cuidando nuestra salud mental» (Taking care of our mental health) Distribution of the booklets to participants in the ‘Union Schools’ organized by CEM.

Impact (global or regional) We have not as yet assessed the impact


We have held : 1) several workshops to have information to develop the booklets addressed to paid seasonal workers in the agricultural sector; 2) training workshops on mental health and work for seasonal workers


Workshops to develop the booklets Training workshops on mental health and work


Hold more training workshops on mental health and work Develop booklets and training about other risk for women working precarious conditions in agricultural sector

7. General information and resources


5.9-1 New Project

Contributing Project Title

Electronic inventory and repository of guidance documents, risk management tools and related resources for vulnerable worker groups

GPA Objective GPA 5 Actions 9


Priority 5.3: Implement toolkits for the assessment and management of OSH hazards in high risk industry sectors and for vulnerable worker groups

Responsible CC or NGO Name La Trobe University

Project leader(s) Owen Evans, [email protected]

Network partners

WHO Regions involved in this project WPRO




A searchable electronic repository of resources to support improved OSH of vulnerable worker groups will be created. Resources are expected to include guidance documents, risk management tools, case studies and related resources. To achieve this, a combination of library and internet searches will be undertaken to locate relevant and accessible resources, which will be collated, assessed and assembled in a form and within a structure that will be searchable in terms of types of risk, types of hazard, types of interventions, and specific worker groups.


Those responsible for policy and for the implementation of strategies to protect vulnerable worker groups.


March 2010: main information sources identified and structure of the repository drafted; ongoing identification of resources June 2011: majority of content categorized and entered into the repository; website design options identified and evaluation commenced June 2012: public release of repository; information dissemination to target groups to promote its use.

Dissemination plan Reports and website

Funding source(s) Supported by La Trobe University.

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