Inter ministerial in the context of the Working Groups I and II Meetings

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Pan American Health Organization

Inter ministerial in the context of the Working
Groups I and II Meetings
Strategic Alliance of Ministers of Labor, Health,
Education and Environment
Dr. Sofialeticia Morales OPS Consultant
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Background

• III Summit of the Americas
• Extraordinary Summit Monterrey, Nuevo León México
• Agreement with TROIKA
• Proposed Resolutions
• Decision 45 of the Directive Council for Pan
  American Health Org.
• Intervention of the Authorities
• Technical Meeting for the Plan of Action for
  IACML
• IV Meeting for the Plan of Action Meeting of the
  Authorities of CIE
• Preparatory Meeting for Health and Environment
  for the IV Summit of the Americas.

IV Cumbre de las Américas "Crear Trabajo para
Enfrentar la Pobreza y Fortalecer la
Gobernabilidad Democrática"
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Background

• III Cumbre de las Américas
• The development of the workforce to increase the
  investment in the capacity of human resources,
  the prevention of child labor, the protection of
  workers rights in light of occupational
  accidents, the protection against gender
  discrimination, and the incorporation of
  vulnerable and marginalized groups into the
  workforce.

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Background

• Cumbre Extraordinaria Monterrey, Nuevo León
  México
• The promotion of decent work.
• Political, Economic, and Social development that
  is coordinated and integrated to combat
  inequality and marginality.
• Respect workers rights in order to reduce
  poverty and promote sustainable economic and
  social development.
• The extension of social health protection.
• Drive policies that reinforce systems of social
  security and implement standards of social
  protection.
• Assurance of environmental health for the
  population as an investment in long term well
  being and prosperity.

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Background

• Agreement with TROIKA
• Reinforce the dialogue and relationship between
  the Ministries of Labor and Health and include
  the same discussion in both ministerial meetings.
• Proposed Resolutions
• Promote the exchange of information on good
  practices in matters of health and workers
  occupational health and safety.
• To look for mechanisms to reinforce information,
  research, and training of human resources.

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Background

• 45th Directive Council of the Pan American Health
  Organization
• To include a session with the pro tempore
  presidents of the Inter-American Conference of
  the Ministers of Labor and the Ministers of
  Education in the preparatory meeting of the
  Ministers of Health and Environment at the IV
  Summit of the Americas, with the purpose of
  articulating the work of labor, environment, and
  education sectors in relation to working
  conditions and employment, particularly in the
  health sector.

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Background

• Intervention of the Authorities of Mexico,
  Canada, Argentina, Brasil, El Salvador, and
  others
• Employment constitutes priviledged access to
  social protection.
• Occupational health and safety require renewed
  attention in light of globalization.
• Workplaces that are healthy and safe reflect the
  capacity to grant quality attention to health
  related services.
• Work policies based in effective uses of human
  capital contribute to increased benefits from
  economic integration.
• It is necessary to promote the reinforcement of
  the human dimension to globalization.

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Sustainable Human Development
It is about creating an environment in which
people can develop to their full potential and
lead productive and creative lives in accordance
with their needs and interests.
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(No Transcript)
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Health and Development Synergy
Poverty
IT
Hunger
Essential drugs
Primary education
Gender disparity
Work
Debt relief
Under 5 MORTALITY
MDG
Small nations
MATERNAL MORTALITY
Trade
HIV/AIDS
Financial system
MAL/INF DIS
Slum dwellers
Environment
Safe water
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Indivisibility and Synergy
The goals need to be seen as an indivisible packag
e.
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Labor and Health Statistics

• ILO (1999) world
• 250 mill. Accidents per yerar
• 685,000/daily
• 475/ minute
• 9/ second
• PAHO
• Rate of Accidents
• 4.2 x 10,000
• 1.1 mill/ deadly
• LAC
• 5 thousand labor acc/ year
• 36 labor accidents/minute
• 90,000 deadly / year
• 300 dead/ day
• 2003
• 1.9mil 2.3 thousand deaths
• 355,000 labor acc.
• 1,574,000 work related illness

WHO world Work related illness 30-50 x 10,000
workers 68-157 mill. Professional related
illness 35 cronic 10 permanently disabled
1 dead ILO (1997) Loss x illness and
injuries 4.4 (GNP) World PAHO and IDB y BID
2-11 (GNP) Country estimate in dollars 50
work related illness and labor accidents
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Labor Inequities

• Those earning less than the cost of basic goods
• 20-40 of waged workers
• Sevices for Occupational Health
• 30 of the informal sector
• Ration of non-professional mortality rate/
  professional mort. rate 31
• Lethal Accidents LAC/EEUU 31
• Mortality for Hispanics in the U.S.
• 40
• Major Impacts
• Children, women, migrants, elderly,
  indigenous
• 31 Million unemployed and 69 million workers
• live below the poverty line

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Impacts of Occupational Accidents and Illnesses

• 150 million people are excluded from health care
• 36 Accidents/ minute
• 5 Million/ year
• 90,000 Lethal acc./year
• 300 Deaths/ day
• 9-12 of GNP in LAC

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Inter ministerial Strategic Alliance

• Strategic Alliance Working Group

XVII World Safety Congress on Safety and Health
at Work September 2005
PAHOs 46th Directing Council September 2005
Presentation at the Preparatory Meeting for the
XIV CIMT January 31st February 1st

• Strategic Alliance Minister of Labor (CIMT) and
  Minister of Education (CIE) session at the
  Ministerial Meeting of Ministers of Health and
  Environment in the context of the IV Summit of
  the Americas
• Date June 17th-18th
• Buenos Aires Argentina

Presentation in the Working Group II Meeting
April 11th -12th
I Inter Ministerial Technical Meeting in the
context of the CIE May 2005 Washington, D.C
XIV IACML Mexico September 2005
II Inter Ministerial Technical Meeting June
11 Mar del Plata Argentina
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Inequities in Social Protection Health,
Education, and Labor

• Education and Health are the largest employers in
  the public service.
• 8 million education workers 7 million health
  workers
• The Education Sector impacts 220 million students
  at the level of basic education.
• 92 million peoplegt 15 years old without primary
  education.
• Trends Globalization, State Reforms,
  Flexibilization, Privatization.
• Traditional and New Problems
• Burn out syndrome (23 of health workers and
  25 of education workers)
• Lack of Information systems,
• ecosystemic/ gender approach
• HIV/AIDS

5 - 10 EAP each sector 10 -15 GDP
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Inequities of Social Protection Health,
Education and Labor

• .
• Trends Globalization, State Reforms,
  Flexibilization, Privatization.
• Traditional and New Problems
• Precarious Labor Conditions
• Professional Migration
• Lack of Labor Stability
• Lack of Competencies
• Reoccurring Cycle of emotional strain
• High rates of absenteeism and disability.
• Burn out syndrome
• 23 of health workers and 25
• of education workers
• Lack of Information systems,
• (ecosystemic/ gender approach)

• Technological Developments
• Contractual Modalities
• Poverty and Social Vulnerability

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Good Practices from the Alliance

• Standard of Occupational Health and Safety in
  Latin America (RSST)

• Toolbox
• CERSSO OIT/BID
• Plagsalud

Central America
The Caribbean

• National Plans for Healthy Hotels for 14 countries

• Hispanic Forum
• XVII World Congress for Occupational Health and
  Safety

North America

• Child Workers OPS/OMS Bolivia
• Ecopetrol in Colombia

Andean Region
Mercosur

• Health and Safety on workers in the Education
  Sector
• Modification of the law of the Superintendent of
  Occupational Health and Safety

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Objectives of the Strategic Alliance

• General Objectives
• Strengthen the Strategic Alliance between the
  four sectors in order to respond to the
  challenges of the IV Summit of the Americas
  around the concept of sustainable human
  development and healthy environments, in the
  framework of social protection and to advance
  towards the Millennium Development Goals through
  joint actions.
• 2. Make a strategic proposal that may be
  included in the Plan of Action of the IV Summit
  of the Americas to develop programs that
  guarantee the health and occupational safety of
  workers, the quality of their professional
  development, and assure that their institutions
  maintain healthy environments.

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Declaration Proposal of the IV Summit of the
Americas
STRATEGIC ALLIANCE
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INTEGRATION OF SOCIAL POLICY
We recognize the importance of tailoring
macroeconomic, microeconomic, commercial,
productive, infrastructure, labor, social,
migratory, educational, and social security
policies to meet quality employment and
productivity goals. Furthermore, we undertake to
generate greater opportunities for our peoples in
education, security, health care, housing, social
development, and infrastructure and to strengthen
regional development policies and local
management.
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DECLARATION PROPOSAL OF THE IV SUMMIT OF THE
AMERICAS
STRATEGIC ALLIANCE
PROFESSIONAL DEVELOPMENT
2
PROFESSIONAL DEVELOPMENT
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DECLARATION PROPOSAL OF THE IV SUMMIT OF THE
AMERICAS
STRATEGIC ALIANCE
CREATING DECENT WORK
3
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DECLARATION PROPOSAL OF THE IV SUMMIT OF THE
AMERICAS
STRATEGIC ALLIANCE
GENERATIING PUBLIC POLICIES TO ERADICATE POVERTY
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I.3.1. Promoting a social agenda that integrates
health, eductaion, housing, and social
development programs, and reduces the
vulnerability of all households I.3.2. Ensuring
sufficient and adequate social protection
mechanisms, based on the principle of the
universality of benefits I.3.3 Increasing the
protection of unemployed workers, promoting their
employability and establishing unemployment
insurance or similar mechanisms with broad
coverage.
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Strategic Alliance Proposal for the IV Summit of
the Americas
The Heads of State and Government agree to
mandate to their Ministries of Health, Education,
Labor and Environment, through a Strategic
Alliance, to develop programs that guarantee
healthy educational and work environments in the
framework of social protection promote
conditions that support the health and safety of
workers and provide continuous opportunities for
professional development. We request that PAHO,
together with the support of the OAS, the ILO and
UNEP support this effort.