Model gpa objective X working Compendium

2009-2012 Work Plan Number	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
GPA Objective	GPA Objective 1: To devise and implement policy instruments on workers’ health
CC or NGO Name	National Institute for Occupational Safety and Health (NIOSH), Egypt
Project leader Email address	Dr. Hussein abd el hay ibrahim [e-mail]
Partners (of the CC Network)
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 outcome(s) and deadline(s) for completion of the project	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
Summary of the project	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	Design and standardize the study tools (forms, checklists, measuring tools, etc.) Obtaining all related permissions for executing the study Execution of about one-half of the environmental survey, including measurements of workplace environmental concerns (chemicals, radiation, etc.) Execution of health survey on about one-third of the target workforce

2009-2012 Work Plan Number	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
GPA Objective	GPA Objective 1: To devise and implement policy instruments on workers’ health
CC or NGO Name	WHO CC - National University of Singapore
Project leader Email address	Dr. Sin Eng Chia [e-mail]
Partners (of the CC Network)	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.
Objective of the project	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 outcome(s) and deadline(s) for completion of the project	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.
Target group and/or beneficiaries	Health care workers, particularly from developing countries.
Summary of the project (max 100 words)	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.

2009-2012 Work Plan Number	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
Project leader Email address	Ms Tanusha Singh [e-mail]
Partners (of the CC Network)	NIOH: South Africa University of Cape Town (UCT): South Africa
Other partners	BGFA (Germany)
Funding	The project will be partially supported by NIOH, UCT
Objective of the project	To develop a comprehensive latex risk management programme in public health care settings
Project outcome(s) and deadline(s) for completion of the project	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)
Target group and/or beneficiaries	Health care facilities, clinics and dental institutions and laboratories, particularly in rural settings
Summary of the project	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.
List of outcomes already achieved by this project	To develop an information sheet on latex allergy and its prevention directed at employees and employers,  available both electronically and in hard copy

2009-2012 Work Plan Number	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
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
Project leader Email address	Prof Jill Murray [e-mail]
Partners (of the CC Network)
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.
Project outcome(s) and deadline(s) for completion of the project	An improved internationally applicable one-page evidence based flow sheet for the enhanced diagnosis and management of PTB – December 2007.
Target group and/or beneficiaries	All occupational health practitioners
Summary of the project (max 100 words)	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 38^th 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.

Please indicate whether this is a:	Existing project 1.9v
CONTRIBUTING PROJECT Title Work plan project number (to be added by WHO)	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 [e-mail]
Network partners (CC name, country, email)
WHO Regions involved in this CONTRIBUTING project (contact name and email)
Country ministries involved in this CONTRIBUTING project (contact name and email)	Bashkortostan Ministries of Health and Labour
External partners for this CONTRIBUTING project (contact name, organization and email)
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
Events-opportunities for furthering the project	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.
Expected results of this project by 2012 (outcomes)	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.
Major Milestones (list up to three dates and milestones)	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

2009-2012 Work Plan Number	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
Project leader Email address	Dr Peter Orris [e-mail]
Partners (of the CC Network)	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
Objective of the project	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.
Project outcome(s) and deadline(s) for completion of the project	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
Target group and/or beneficiaries	Workers, their families, and communities
Summary of the project	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.
Impact (global or regional)	Global
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 continuing collaborative work in the occupational and environmental arena.

2009-2012 Work Plan Number	GPA1.9y
CONTRIBUTING PROJECT Title	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, [e-mail]
Network partners	Catholic University, Korea, Prof Hyunwook Kim, [e-mail]
WHO Regions involved in this CONTRIBUTING project	WPRO Sharon Salmon, Technical Officer-Infection Control World Health Organisation [e-mail]
Country ministries involved in this CONTRIBUTING project	Cambodia, Ministry of Health, Dr Sok Srun, [e-mail]
External partners for this CONTRIBUTING project	Mr Simon Smith, International Society for Respiratory Protection (ISRP), [e-mail] , Singapore International Foundation (SIF), Ms Phua Pei Pei, [e-mail]
Summary of the project	This pilot Respiratory Protection Program Training Course for Trainers course aims to: make available a set of training material, contextualize to Cambodia, on the usage of respiratory protection among health care workers (HCW) 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 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
Target group and/or beneficiaries	Health care workers in Cambodia in designated hospitals for suspected avian influenza
Events-opportunities for furthering the project	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.
Indicators of achievement (impact)	HCW in the Cambodia designated hospitals for suspected avian influenza would have the correct respirators and would be wearing them correctly.
Major Milestones	End May 2009 – start of pilot 1-week training course End May 2010 – 2^nd 1-week Training course End Dec 2010 – 3^rd 1-week Training course End May 2011 – 4^th 1-week Training course
Public health impact	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.
List of outcomes already achieved by this project	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.
List of additional outcomes expected from this project by 2012
List of additional outcomes expected by 2016

2009-2012 Work Plan Number	GPA1.9bb
CONTRIBUTING PROJECT Title	The evaluation of immunodiagnostic tests for TB infection and determinants of such infection in a population of South African health care workers
GPA Objective and Action	GPA Objective 1: To devise and implement policy instruments on workers’ health Action 1.10
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	Occupational and Environmental Health Research Unit (OEHRU), University of Cape Town (UCT), South Africa
Project leader	Dr Shahieda Adams [e-mail]
Network partners	Occupational and Environmental Health Research Unit (OEHRU), UCT School of Public Health and Family Medicine, South Africa Academic supervisor: Prof Rodney Ehrlich [e-mail]
WHO Regions involved in this CONTRIBUTING project	AFRO
Country ministries involved in this CONTRIBUTING project	Currently in negotiation with Provincial Health Department and local authorities for access to health facilities and collaboration with the study.
External partners for this CONTRIBUTING project	Lung Infection and Immunity Unit, Department of Medicine, UCT,South Africa Prof Keertan Dheda [e-mail]
Summary of the project	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.
Target group and/or beneficiaries	Health care workers employed in the public sector
Events-opportunities for furthering the project	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.
Expected results of this project by 2012 (outcomes)	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
Indicators of achievement (impact)	No of participants screened Prevalence of Latent TB infection Prevalence of active TB
Major Milestones (list up to three dates and milestones)	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
Public health impact	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
List of outcomes already achieved by this project	>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
List of additional outcomes expected from this project by 2012	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.
List of additional outcomes expected by 2016

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
GPA Objective and GPA Action		GPA Objective 1: To devise and implement policy instruments on workers’ health
Priority Number) and Area (if applicable)		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
This project also contributes to other GPA Priorities		N/A
Responsible CC or NGO Name		Department of Community Medicine United Arab Emirates University
Project leader(s)		Prof. Tar-Ching Aw [e-mail]
Network partners (CC name, country, email)		National University of Singapore, Prof. David Koh Singapore [e-mail]
WHO Regions involved in this project		Dr Amr Elahi Johri WHO Eastern Mediterranean Office [e-mail] Dr Said Arnaout, EMRO
Country ministries involved in this project		Health Authority of Abu Dhabi Dr Salim Adib [e-mail]
External partners for this project		Neima clinic (Tawam/Johns Hopkins hospital) Dr Saleh Wasfi [e-mail]
Summary of the project		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.
Target group and/or beneficiaries		All healthcare workers
Major Milestones (list up to three dates and milestones)		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 Ensure Hep B immunization of all healthcare workers in Tawam/Hopkins hospital Nov 2011 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
List of outcomes already achieved by this project		Increased awareness of hep B immunization at local hospital in Al-Ain Formulation of policy for hep B immunization of healthcare staff Identification of resources for purchase of vaccine and immunization equipment.
List of additional outcomes expected from this project by 2012		Extension of the hep B immunization programme to other hospital healthcare staff in the UAE
List of additional outcomes expected by 2016		Near maximum uptake of hep. B immunization by all healthcare workers in the UAE

2009-2012 Work Plan Number	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 [e-mail] and Joanna Gaitens, PhD, RN [e-mail]
Network partners (CC name, country, email)	Guyana
WHO Regions involved in this CONTRIBUTING project (contact name and email)	Pan American Health Organization (PAHO) Marie Claude Lavoie, MSPH [e-mail]
Country ministries involved in this CONTRIBUTING project (contact name and email)	Guyana Ministry of Health.
External partners for this CONTRIBUTING project (contact name, organization and email)	Not applicable.
Summary of the project (max 100 words)	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.
Major Milestones (list up to three dates and milestones)	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.

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.


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