Topic: Intervention Strategy Review of Pneumoconiosis Prepared by Association for the Rights of Industrial Accidents Victims

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Topic Intervention Strategy Review of
Pneumoconiosis Prepared by Association for the
Rights of Industrial Accidents Victims

•   1 From helpless to self-help ( Grouping
  Phase)
•  2 From powerless to empowered
• ( Policy Advocacy Phase)
•  3   From isolated to participating
• ( Social Networking Phase)
• 4   From compensation to rehabilitation
• ( Maintenance Phase)

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Brief History

• From 50s, thousands workers being engaged in the
  manual hand dig caisson.
• Manual labour was used
• instead of machines in the
• process of caisson due to
• the purpose of lowering
• production cost.

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• Reports of deaths and injuries by the hand-dig
  caisson increased steadily and the number of
  patients suffered from silicosis elevated every
  year.
• Death toll by silicosis is always ranked at the
  top amongst other occupational diseases in Hong
  Kong.

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• From 1981 to 2003, there were more than 4000
  patients suffering from pneumoconiosis,
• i.e. more than 4000 families being affected.
• Approximately over a hundred new cases are
  reported every year.

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Grouping, Advocacy and the Policy Changed

• At the 80s, the ARIAV started to work on the
  problems of hand-dig caisson.
• 200 accidents caused by this inhumane each year
• 21 workers died from accidents related to
  hand-dig caisson.(1985-1996)

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Grouping, Advocacy and the Policy Changed

• From 1991, the ARIAV organized the victims and
  campaigned for policy change. After years of
  continuous efforts the government eventually
  introduced stringent statutory conditions for
  application to use the method in construction in
  1996. Since then the method was nearly
• extinguished in local
• construction industry.

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Grouping, Advocacy and the Policy Changed

• After 1996, both death and injuries from caisson
  become zero.
• Case no Degree of incapacity
• Before 1996 After 1996
• 150  50-60
• 100 5-10

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Compensation

• From lump-sum compensation to monthly
  compensation
• 1981-1993 Lump sum compensation
• 1993 to present Monthly compensation

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The process of the changing

• Few patients sought help from ARIAV for the
  concerns on the compensation issue
• ARIAV organized the patients to form the self-
  help group. The size of group grew larger and
  larger through invitations inside the community.
• WE discussed and the needs were assessed

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The process of the changing

• Victims lost the working capacity and the
  silicosis is the incurable and long life
  diseases, they need a lot of medical expense.
• The lump-sum compensation to patients was
  inadequate for living and medical expense.

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The process of the changing

• ARIAV organized the self-help group and took
  series of actions to strike for the compensation
  change from 1991 to 1993
• empower them to be involved in all the actions,
  which was one of the self-help approaches.

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Pneumoconiosis Compensation

• Monthly compensation for pain, suffering and loss
  of amenities (3180)
• Monthly compensation for incapacity (5 1000)
• Compensation for incapacity prior to date of
  diagnosis
• Compensation for care and attention
  (4160/month)
• Expenses for medical treatment (200or 280 /
  day)
• Expenses for medical appliances
• Compensation for death from Pneumoconiosis (at
  least 100000)
• Compensation for bereavement
• Funeral expenses (35000)
• The Pneumoconiosis Compensation Ordinance also
  includes the rehabilitation for the patients

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Social Networking and Rehabilitation

• Fun in the Community pneumoconiosis self help
  group provides the rehabilitation services,
  includes
• 1)  Community networking
• 2)  Topics Community resources, compensation
  procedures, health talks, care- giver group.

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3) Case counseling 4)      Community Base
Rehabilitation Program 5)      Home
Base Rehabilitation Program 6)      Self
management Program 7)      Exhibition of prevent
Pneumoconiosis 8)      Volunteer Training
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The role of ARIAV
 1) Advocator    2) Organizer 3)
Opinion Giver 4) Encourager 5)
Facilitator 6) Educator 7) Empowerer
8) Networker 9) Rehabilitator
10) Resource Mobilizer
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Outcome

• The silicosis victims empowered through the
  actions process, from no any compensation to have
  compensation monthly. One silicosis patient also
  becomes a board member in our organization. It
  represents a new phase of our organization work.
  

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? The end ?

• Thank You