Prague on 23rd

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Prague on 23rd 24th March 2006, Conference on
Chemicals Policy, REACH and Health and Safety in
Central and Eastern EuropeFacts and Figures on
Occupational protection and experiences in the
Chemical Industry
By Oraldo De Toni EMCEF
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The Actors on Occupational Diseases (ODs)

1. The meeting of experts on updating the list of
   ODs ( ILO held in Geneva 13 20 December 2005)

This meeting of experts maintained the tradition
of attempting to reach decisions by consensus.
This was not possible in relation to the adoption
of a single updated list of ODs. At ILO level
remains operative the R 194 List of ODs
Recommendation, 2002. But it remains also open
the discussion in another meeting of experts to
proceed with the examination and adoption of an
updated list of ODs. The items proposed to be
included in the updated list are
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• Diseases caused by agents chemicals (ammonia,
  isocyanates, pesticides, sulphur oxides, and
  other linked)
• Diseases caused by physical agents (work in
  compressed and decompressed air, radiofrequency
  radiations, optical ultraviolet visible light,
  infrared, extreme temperature, and other linked)
• Diseases caused by biological agents
  (brucellosis, hepatitis B virus (HBV) and virus
  (HCV), tetanus, tuberculosis, and other linked)
• Occupational respiratory diseases caused by
  (fibrogenic mineral dust, and other linked)
• Occupational skin diseases caused by (allergic
  contact dermatoses, irritant contact dermatoses
  caused by other recognized irritants agents)

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• Occupational musculoskeletal disorders ( radial
  styloid tenosynovitis, chronic crepitant
  tenosynovitis of hand and wrist, prepatellar
  bursitis, epicondylitis, meniscus lesions, carpal
  tunnel syndrome , and other linked)
• Mental behavioural disorders ( post traumatic
  stress disorder, psychosomatic psychiatric
  syndromes, and other linked)
• Occupational cancer caused by (chromium VI and
  its compounds, arsenic and its compounds,
  beryllium and its compounds, cadmium and its
  compounds, ethylene oxide)
• Diseases caused by formaldehyde (cancer)

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• 2) The Commission Recommendation of 19 September
  2003 concerning the European schedule of
  Occupational disease (ODs)

• Hereby recommends ( the more important) to Member
  States to
• introduce as soon as possible into their national
  lows the European schedule Annex I
• introduce provisions the right of worker to
  compensation in respect of ODs
• develop and improve effective preventive measures
  for the ODs
• ensure that all cases of ODs are reported
• introduce a system for the collection of
  information or data concerning the epidemiology
  of the diseases listed in Annex II
• forward to the Commission statistical and
  epidemiological data on ODs recognised at
  national level
• promote an active role for national healthcare
  system in preventing ODs.

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• From the European Commission, Eurostat statistics
  on occupational diseases, in the framework of the
  EODS system( European Occupational Diseases
  Statistic) provide data regarding recognized
  occupational diseases in the EU Member States.
  Until now, only 11 countries have been able to
  provide the requested information. In order to
  improve quantity and quality of statistics, a new
  EU regulation is currently under discussion.
• From the gathering which took place in 2003,
  54.454 (8,4 compared to 2002) occupational
  diseases.
• The first 10 pathologies represent 85-90 of the
  whole registered events and the top of the
  classification belongs to diseases caused by
  physical agents (70 over the total). The group
  of pathologies caused by chemical agents is at
  the last position with 1,1.

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• Occupational diseases recognized in the EU by
  groups of diseases. (Table 1)

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• Occupational diseases recognized in the EU () by
  type of disease years 2002 2003 (Table 2)

() Includes only 11 member states Germany,
France, Ireland and Greece do not provide
data. The first two pathologies are caused by
physical agents and represent 37,7 over the
total.
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• 3) The national health insurance fund for
  employees (CNAMTS) decides to develop comparative
  information on ODs on the European level,
  commissioning EUROGIP to collect the statistics
  compiled in each country concerning claims for
  recognition and care actually recognized.

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• Claims for recognition per 100,000 insured
  persons (Table 3)

In Austria, Belgium, Finland, Italy and
Switzerland the trend is constantly decreasing.
In Germany and Denmark, it remains stable, as in
Portugal, Ireland and Luxembourg. In France it
is constantly in creasing, in Sweden it is
constantly decreasing.
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• The five diseases giving rise to the greatest
  number of claims for recognition (Table 4)

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• The new cases of recognized ODs per 100,000
  insured persons (Table 5)

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• The 5 most frequently diseases recognized as
  occupational (Table 6)

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• Ratio of recognized ODs to declared ODs (Table 7)

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• Data on occupational diseases per country (Table
  8)

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• 4) The behaviour of companies and of their
  Associations in the social dialogue with
  employees and Trade Unions

• I have chosen the company BASF, the most
  important in the EU for its size, innovative
  processes and products, which is obliged to
  involve Trade Unions, employee and citizens to
  assert a widespread culture on sustainable
  development.
• BASF has developed the tool of eco-efficiency
  analysis to dress not only environmental issues
  posed by the marketplace, politics,
• product strategy and research. It is based on
  assessing environmental behaviour, environmental
  impact, possible effect on human health end
  ecosystems, and the cost of products and
  processes from the cradle to the grave. The goal
  of eco-efficiency analysis is to quantify the
  sustainability of products and processes.

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The Actors on Occupational Diseases (ODs)

• The ODs are a thing of the past, said BASF. The
  
• company has developed a program on health
  protection
• called Occupational medicine. This program
  includes
• eight performance standards that apply to various
  fields
• of occupational medicine and which are valid
  worldwide.
• The European Responsible Care Conference of the
  Chemical
• Industry, which took place in Dublin, in 2005,
  has encouraged
• continuous improvement in Safety, Health and
  Environment
• performances and was focused on the delivery of
  product
• stewardship.
• This is the Statement of FECC ( European
  Association Chemicals Distribution)
• Product stewardship is the way we work and
  communicate with our partners along the supply
  chain to manage existing partners and new
  products and meet the increasing demands for
  Health, Safety, Environmental protection and
  sustainability.

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• And CEFIC in order to show you the following
  figures
• Fatalities 1996 2002 Fatalities cases per
  
• 100,000 workers of 20 countries in the EU
• Fatalities 1996 2002 Fatality Cases per
  100,000 workers (EU Chemical Industry) (Table 9)

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• 4) Conclusions

• We have seen national trends and cultures
  regarding occupational diseases in general and
  particularly in the chemical industry. We can
  therefore assert the following indications
• Among the most common occupational diseases
• regarding the ones that are claimed and
  compensated, one can find the diseases caused by
  physical agents which cognitive framework shows
  that there is a change of the previous causal
  nexus by effect of the new raw materials and
  technologies. Whereas the last epidemiological
  studies show new causal nexus , always by
  physical agents (diseases caused by repetitive
  movements of arms and musculoskeletal disorders).

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• There is the development and a strong pressure
  for recognition of physiologic diseases
  (stress, mobbing, others).
• We are faced to increased attention and pressure
  (epidemiological studies) regarding tumours
  caused by chemical agents, nevertheless the
  number of professional diseases caused by
  chemical agents in the EU countries is
  negligible586 cases in 2003 over 54.454.
• Basic knowledge, continuous flow of information
  and training aimed to increase the quality of
  work in the chemical industry are indicators
  that show in a precise manner, the way to be
  followed regarding prevention and protection of
  health, safety and environment at workplace.

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• As it is the case in the chemical industry, the
  management systems and the integrated management
  of each system are necessary to increase the
  quality of work (less injuries at work, less
  occupational diseases, less accidents and
  negative environmental impact). The result it is
  a better quality of management regarding
  production and processes by increasing the
  productivity of the company.
• This it is the departure focal point to
  implement together with the downstream users
  prevention and protection of human health and to
  start an information process to the attention of
  consumers regarding chemical products and
  products containing chemical substances.

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End of presentationFacts and figures on
occupational protection and experiences in the
chemical industry By Oraldo De Toni EMCEF