11th World Congress of Public Health 8th Brazilian Congress of Collective Health (21-25 August 2006, Rio de Janeiro)

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11th World Congress of Public Health8th
Brazilian Congress of Collective Health(21-25
August 2006, Rio de Janeiro)

• ILO Policy Perspective for Occupational Health
• Igor Fedotov, MD, Ph.D.
• Senior Specialist on Occupational Health
• International Labour Office - Geneva
• fedotov_at_ilo.org

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Political Barriers

• PROTECTION OF WORKERS HEALTH IS NOT HIGH ON
  POLITICAL AGENDAS
• LACK OF COHERENT NATIONAL SAFETY AND HEATH
  POLICIES

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Safe and Healthy Work EnvironmentFundamental
Human Right

• Protection of the worker against sickness,
  disease and injury arising out of his employment
• (ILO Constitution,1919)
• Everyone has the right to work, free choice of
  employment, to just and favourable conditions of
  work
• (Art.23, Universal Declaration on Human
  Rights, United Nations, 1948)
• Covenant recognises the right of everyone to
  enjoyment of just and favourable conditions of
  work which ensure safe and healthy working
  conditions
• (Art.7, Int. Covenant on Economic, Social
  and Cultural Rights, United Nations, 1976)

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Global Estimates
Global workforce 2.8 billion Work related
fatalities 2.2 million Occupational
accidents 270 million Work-related
diseases 160 million Global GDP (income) 30
000 billion USD Lost GDP in accidents/diseases
4 Illiterate 1000 million People in
poverty 1000 million Child workers 246
million
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Current Situation - Statistics

• 270 million work-related accidents
• 350000 fatal accidents
• 160 million occupational diseases
• 30 - 40 lead to chronic diseases
• 10 lead to permanent disability
• 4-5 loss of GNP
• Access to OH Services 5-10 in developing and
  20-50 in industrialized countries

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Work-related Annual Deaths - World
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Decent Work Deficit

• Estimated work-related deaths in 2002
• 2.2 2.4 million
•  There can be no decent work
• without safe work 
• Mr Juan Somavia
• Director General of the ILO

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SOCIAL and ECONOMIC BARRIERS

• SOCIAL
• Lack of efficient national OSH infrastructures
  for occupational health practice
• Social inaqualities in coverage by OH practice
• ECONOMIC
• Losses due to work-related injuries and diseases
  (society, enterprise)
• Low productivity, loss of qualified labour

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Occupational Health - Globalization

• PROMISE
• Sustainable Economic Development
• Better Living Standards
• THREAT
• Income Inequalities
• Worker Protection Systems
• PROBLEM
• Economic and Social Development are not equal
• CHALLENGE
• New mechanisms for better labour protection

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Protection of Health

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

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Occupational Health Practice

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

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ILO RESPONSE

• THE WAY FORWARD

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Strategy - Investment in Health

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

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DISEASE PREVENTION STRATEGY
Recovery
Pre-clinical Abnormality
Manifest Disease
Health
Impairment
Tertiary Prevention Treatment Rehabilitation
Primary Prevention
Secondary Prevention
DEATH
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DISEASE PREVENTION STRATEGY
Recovery
Health
Pre-clinical Abnormality
Manifest Disease
Impairment
Tertiary Prevention Treatment Rehabilitation
Primary Prevention
Secondary Prevention
DEATH
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Investment in Health - Approaches

• Institutional arrangements optimized
• Total Health preventive and curative health
  care
• Coverage - disease prevention, health promotion,
  rehabilitation, compensation
• Aim better integration of OH PHC systems
• Emphasis quality and effectiveness of services
• Evaluation relevance and management
• Coordination financing and providing health
  care

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Occupational Health in Socio-economic Development

• Added value in Sustainable Development
• Indicators of Success in Social Policy
• Comprehensive National Policy on OSH
• Development of Occupational and Public Health
  Services
• Equity, Affordability and Accessibility
• Priority - Disease Prevention, Health Promotion
• CSR to include Safety Health at Work

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ILO RESPONSE

• Globalize Social Progress
• Decent Work must be safe work
• Create quality jobs
• Increase social protection
• Comprehensive health care
• preventive and curative
• Decrease social costs
• work-related injuries and diseases
• Better Protection for All

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New ILO Framework Convention for OSH the way
forward

• Policy National Program Safety Culture
• Systems Approach Plan Do Monitor
• Steady improvement of OSH Structure
• Promotional Convention - All ILO member
• States could ratify
• Strategic country objectives measurable, time
  bound, regularly reviewed

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Values and principles

Standards and codes
Information
Collaboration
Enforcement
www.ilo.org/safework
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REQUIRED ACTIONS

• Quality of working life and health of workforce
• Intensifying decision- and policy- making
• Socio-economic dimension technical, social,
  financial and institutional implications
• Improvement of work environment and delivery of
  OH Services
• Public health interventions in OH Practice
• Prevention, health promotion, rehabilitation,
  compensation and return to work
• Development of effective national OSH Systems

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Main Conclusions

• Global alliance and partnerships
• Protection of health promotion of social
  justice
• Combat against sickness, unemployment, poverty
• Better work conditions better quality of life
• Reduction in social costs due to prevention of
  work-related illnesses
• Increased economic growth and richer societies
  through efficient labour protection

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Message from UN Secretary General

• Safety and health at work is not only a sound
  economic policy, it is also a basic human right.
• Kofi Annan
• Secretary General of the United Nations

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• Thank You!
• More from
• www.ilo.org/safework