Model gpa objective X working Compendium

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 4: To provide and communicate evidence for action and practice

Manager: Jo Harris-Roberts and Ed Robinson, HSL, UK
ACTION AREAS:

20. Systems for surveillance of workers’ health should be designed with the objective of accurately identifying and controlling occupational hazards. This endeavour includes establishing national information systems, building capability to estimate the occupational burden of diseases and injuries, creating registries of exposure to major risks, occupational accidents and occupational diseases, and improving reporting and early detection of such accidents and diseases.
21. Research on workers’ health needs to be further strengthened; in particular by framing special research agendas, giving it priority in national research programmes and grant schemes, and fostering practical and participatory research.
22. Strategies and tools need to be elaborated, with the involvement of all stakeholders, for improving communication and raising awareness about workers’ health. They should target workers, employers and

their organizations, policy-makers, the general public, and the media. Knowledge of health practitioners about the link between health and work and the opportunities to solve health problems through workplace interventions should be improved.

23. WHO will define indicators and promote regional and global information platforms for surveillance of workers’ health, will determine international exposure and diagnostic criteria for early detection of occupational diseases, and will include occupational causes of diseases in the eleventh revision of the International Statistical Classification of Diseases, and Related Health Problems.

PRIORITIES:

Priority 4.1:

Encourage practical research on emerging issues, including nano-materials and climate change

Output:

Research reports and communication strategies with low- and medium income countries on interventions to ensure workers' health

Support:

CC: Jo Harris-Roberts, Ed Robinson, Rosemary Gibson, HSL, UK

WHO/HQ: Ivan Ivanov
Priority 4.2:

Further develop the global research agenda for workers’ health

Output:

Research report matrix to identify relevant gaps in research

Support:

CC: Jo Harris-Roberts, Ed Robinson, HSL, UK

WHO/HQ: Ivan Ivanov
Priority 4.3:

Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD) to include occupational causes in the eleventh edition.

Output:

Occupational health and disease components added to ICD-11

Support:

CC: Jo Harris-Roberts, Ed Robinson, HSL, UK

WHO/HQ: Ivan Ivanov, Rokho Kim

FACILITING PROJECT (administrative) Work plan project number	GPA 4.1: Encourage practical research on emerging issues, including nanomaterials and climate change. Nanotechnology projects are included in this Facilitating Project
Facilitating Project title	Coordination of CC Nanotechnology Projects
GPA Objective	Objective 4: To provide and communicate evidence for action and practice
GPA Action	4.20 Systems for surveillance of workers’ health should be designed with the objective of accurately identifying and controlling occupational hazards. This endeavor includes establishing national information systems, building capability to estimate the occupational burden of diseases and injuries, creating registries of exposure to major risks, occupational accidents and occupational diseases, and improving reporting and early detection of such accidents and diseases. 4.21 Research on workers’ health needs to be further strengthened, in particular by framing special research agendas, giving it priority in national research programmes and grant schemes, and fostering practical and participatory research. 4. 22 Strategies and tools need to be elaborated, with the involvement of all stakeholders, for improving communication and raising awareness about workers’ health. They should target workers, employers and their organizations, policy-makers, the general public, and the media. Knowledge of health practitioners about the link between health and work and the opportunities to solve health problems through workplace interventions should be improved.
Priority Area	Priority 4.1a: Encourage practical research on emerging issues, including nanomaterials
Purpose of facilitating project	Emerging issues brought about by nanotechnology represent global challenges with implications for public health. The aim of this facilitating project is to summarize and coordinate projects related to these issues, focusing particularly on their deliverables in the form of global reports and communication strategies with low- and medium income countries on interventions to ensure workers’ health
GPA Managers	Jo Harris-Roberts, Ed Robinson
CC Initiative Leaders and contact information	Rosemary Gibson; [e-mail] Vladimir Murashov; [e-mail]
WHO responsible person	Ivan Ivanov
Collaborating centre partners with separate contributing PROJECTS (List CC, project title, project number, project leader, and email)	Emerging Area 1: Nanotechnology (Initiative Leaders: Rosemary Gibson; Vladimir Murashov) GPA4.21l. How to assess the adequacy of safety measures for manufactured nanoparticles. Project Leader: Michael Riediker; [e-mail] Institute for Work and Health, Lausanne, Switzerland GPA4.21m. Best practices globally for working with nanomaterials. Project Leaders: Charles Geraci [e-mail]; Vladimir Murashov [e-mail]. National Institute for Occupational Safety and Health (NIOSH), USA. GPA4.21n. Nano-Comms: A Technical Observatory for the dissemination of information regarding nanoparticle health and safety issues. Project Leader: Rosemary Gibson; [e-mail]. Health and Safety Laboratory, UK GPA4.21o. Assessing the Hazard of Nanomaterials. Project Leader: Lang Tran; [e-mail]. Institute of Occupational Medicine, Edinburgh, UK GPA4.21p. NanOSH Italy. Project Leaders: Sergio Iavicoli ([e-mail]); Fabio Boccuni ([e-mail]). ISPESL – Dept. of Occupational Medicine ITALY. GPA4.21q. Development of database for individuals working with engineered nanomaterials. Project Leader: Judy Sng, [e-mail] NUS, Singapore. GPA4.21v. Assessing the Hazard of Nanoparticles and Communicating the Risks: SAFENANO. Project Leader: Rob Aitken, [e-mail]. Institute of Occupational Medicine (IOM), UK GPA4.21ao. Application of practical research to help ensure that the OHS Regulatory Framework and OHS management effectively covers issues associated with nanotechnology. Dr Howard Morris [e-mail] Safe Work Australia GPA4.21av. New knowledge development on nanotechnologies. Mr. Claude Ostiguy, Chemist, Ph.D. in Inorganic Chemistry. Director of Research and Expertise Support Department, [e-mail] GPA4.21as. Participation in ISO TC 229/WG 3 /PG 8 "Guidelines for occupational risk management applied to engineered nanomaterials based on a control banding approach". Dave Zalk (IOHA envoy) [e-mail] enri Heussen (IOHA envoy) [e-mail] GPA4.21at. Stoffenmanager Nano, version 1.0. TNO Quality of Life in Hoofddorp, the NetherlandsAlbert Hollander, TNO Quality of Life, [e-mail] GPA4.22m. Sustainability and risk management for occupational safety - part 3 industrial hygiene. The International Ergonomics Association (IEA). Équipe de recherche en sécurité du travail (ÉREST) - K.J. Zink (U. de Kaiserslautern - Germany), [e-mail]. Note: Institut universitaire romand de Santé au Travail (IST – Switzerland, [e-mail]) and JNIOSH (Japan, [e-mail]) are due to submit Nanotechnology related project templates for inclusion in due course. Details to follow in next project compendium updates.
WHO Regional offices actively involved in this project (name and email)
Summary of the facilitating project (max 100 words)	The contributing projects summarized here are aiming to improve OSH in nanotechnology by conducting research and developing global reports and communication strategies with low- and medium income countries on interventions to ensure workers’ health.
Anticipated deliverables by 2012 from contributing projects	Emerging Area 1: Nanotechnology: (Initiative Leaders: Rosemary Gibson; Vladimir Murashov) 4.21l. How to assess the adequacy of safety measures for manufactured nanoparticles. Project Leader: Michael Riediker; [e-mail]. Institute for Work and Health, Lausanne, Switzerland guidelines for the assessment of safety measures used in production, 24/45 application, use and disposal of nanoparticles and nanoparticle-containing products. 4.21m. Best practices globally for working with nanomaterials. Project Leaders: Charles Geraci [e-mail]; Vladimir Murashov [e-mail]. National Institute for Occupational Safety and Health (NIOSH), USA. NIOSH “Current Intelligence Bulletin” on Working with Engineered Nanomaterials containing recommendations on health effects, exposure limits, exposure monitoring, personal protective equipment (PPE), respiratory protection, and engineering controls. ISO standards on nanotechnology occupational safety and health. OECD guidance documents on risk assessment and risk management for nanotechnology workplace 4.21n. Nano-Comms: A Technical Observatory for the dissemination of information regarding nanoparticle health and safety issues. Project Leader: Rosemary Gibson; [e-mail]. Health and Safety Laboratory, UK network of international experts in the field of health and safety issues of nanoparticles. portal for the collection, production and dissemination of information regarding health and safety issues of nanoparticles. 4.21o. Assessing the Hazard of Nanomaterials. Project Leader: Lang Tran; [e-mail]. Institute of Occupational Medicine, Edinburgh, UK. Recommendation of in vitro toxicology tests for nanoparticles and nanotubes. 4.21p. NanOSH Italy. Project Leaders: Sergio Iavicoli ([e-mail]); Fabio Boccuni ([e-mail]). ISPESL – Dept. of Occupational Medicine ITALY. Toxicological analysis Exposure assessment and analysis of at risk processes Qualitative evaluation with control banding methodology Model of workplace monitoring Validation of methodology. 4.21q. Development of database for individuals working with engineered nanomaterials. Project Leader: Judy Sng, [e-mail]. NUS, Singapore. registry of persons working with Nanomaterials, documenting the type and nature of exposure, development of job exposure matrix and health surveillance protocol 4.21v. Assessing the Hazard of Nanoparticles and Communicating the Risks: SAFENANO. Project Leader: Rob Aitken, [e-mail]. Institute of Occupational Medicine (IOM), UK. maintained and developed website. 4.21ao. Application of practical research to help ensure that the OHS Regulatory Framework and OHS management effectively covers issues associated with nanotechnology. Dr Howard Morris [e-mail] Safe Work Australia: The development of a nationally coordinated approach to promoting workplace safety in the use of nanotechnology by 2012. 4.21av. New knowledge development on nanotechnologies. Mr. Claude Ostiguy [e-mail] Production of state-of-the-art reviews on health effects, risks, and OHS prevention measures, as well as a good practices guide on the safe handling of nanoparticles. 4.21as. Standard technical guidance for developing control banding approach targeted at Manufactured Nano Objects. 4.21at. Release of version 1.0. of the website (Oct 2010), report, Scientific paper, Stoffenmanager Nano version 2.0 . 4.22m. Develop an aerodynamic behavior model for nanoparticles produced during a manufacturing process
Critical Gaps to be filled by 2012 in order to fulfil GPA priorities (these lead to deliverables desired by 2012)	Emerging risks in nanotechnology workplace pose a global challenge to safety and health community. Approaches to identify, mitigate and communicate these risks to low- and medium income countries are needed.
Examples of deliverables desired by 2012 to adequately assist developing countries. It is these deliverables for which we will seek projects from CCs	Global reports and communication strategies with low- and medium income countries on interventions for nanotechnology to ensure workers’ health.
Barriers to success that must be addressed

Emerging Area 1: Nanotechnology Projects

2009-2012 Work Plan Number	GPA4.21l Formerly AA6:NM2
GPA Objective	Objective 4: To provide and communicate evidence for action and practice
CC or NGO Name	Institute for Work and Health, Lausanne, Switzerland
Project title	How to assess the adequacy of safety measures for manufactured nanoparticles
Keywords	Manufactured nanoparticles, exposure, safety, protective measures, production, application, use, disposal
Project leader Email address	Michael Riediker [e-mail]
Partners (of the CC Network)	Federal Institute for Occupational Safety & Health (BAuA), Germany (Bruno Orthen [e-mail]) National Institute for Occupational Safety and Health (NIOSH) (Charles Geraci; Vladimir Murashov [e-mail]; [e-mail]) Health and Safety Laboratory, UK (Rosemary Gibson [e-mail]) Institute of Occupational Medicine, UK (Lang Tran [e-mail])
Funding'>Other partners	To be defined (potential partners in Switzerland: EMPA, EPFL, ETHZ, PSI, SUVA)
Funding	To be obtained through grants from governmental and scientific research funding sources
Objective of the project	To develop guidelines for the assessment of safety measures for the production, application, use and disposal of manufactured nanoparticles.
Project outcome(s) and deadline(s) for completion of the project	To identify work processes that involve manufactured nanoparticles To categorize the health risks associated with these processes with regard to particle type and quantity used To describe existing and new safety measures To develop guidelines for the assessment of safety measures used in production, application, use and disposal of nanoparticles and nanoparticle-containing products
Target group and/or beneficiaries	All bodies dealing with occupational health risks related to nanoparticles (governments, insurances, industries)
Summary of the project	Nanoparticles are a potential health risk and workers' exposure should be minimized. Current knowledge about types, frequencies and levels of nanoparticle exposures is very limited. Also many questions regarding the efficiency of current protective measures that were developed for larger particles are unanswered. This project aims at gathering information about exposures, health risks and existing and new safety measures, which will be used to develop a guide to safety and health experts. This guide will help them assess the adequacy of safety measures for manufactured nanoparticles.
Dissemination	WHO and ILO-documents; research papers; direct communications to government agencies, industries, and health professionals; press releases.
Impact (global or regional)	Global
PROGRESS ON PROJECT	The IST, in collaboration with the European CC Network partners and other research institutes started a research coordination network called NanoImpactNet - European Network on the Health and Environmental Impact of Nanomaterials (coordinator: Michael Riediker, IST). This network recently passed the evaluation for the 7th European Framework Programme. Contract negotiations are about to start. It is planned to begin activities in 2008. Some of the activities will also address protection measures with regard to the potential for unwanted exposures to nanoparticles. Most CC network partners are currently involved in some form of systematic assessments of work processes using nanoparticles, the description of safety measures and the development of guidelines. A very important activity (under the leadership of Vladimir Murashov, NIOSH) is the work on an ISO-technical document about safety practices in occupational settings related to nanotechnology (together with other international experts).
List of outcomes already achieved by this project
List of additional outcomes expected from this project by 2012	Simple but specific guidelines will be drawn up to outline safe working practices with Nano materials. Approaches described will be cost-effective and the correct application will have to be controllable with easy and simple methods.

2009-2012 Work Plan Number	GPA 4.21m Formerly AA6:NM3
GPA Objective	Objective 4: To provide and communicate evidence for action and practice
CC or NGO Name	National Institute for Occupational Safety and Health (NIOSH)
Project title	Best practices globally for working with nanomaterials
Keywords	Nanotechnology, information, best practices, occupational exposure
Project leader Email address	Charles Geraci; Vladimir Murashov [e-mail]; [e-mail]
Partners (of the CC Network)	Institute for Work and Health, Lausanne, Switzerland, (Michael Riediker [e-mail]) Federal Institute for Occupational Safety & Health (BAuA), Germany (Bruno Orthen [e-mail]) Health and Safety Laboratory, UK (Rosemary Gibson [e-mail]) Institute of Occupational Medicine, UK (Lang Tran [e-mail])
Other partners	US Dept. of Labor/OSHA US Environmental Protection Agency US Organization Resource Counselors ISO Additional partners are welcome
Funding	NIOSH and partners
Objective of the project	This project will contribute to and disseminate best practices globally for minimizing occupational exposure to risks during the various phases of nanotechnology research, development, and production in collaboration with national and international partners.
Project outcome(s) and deadline(s) for completion of the project	Develop and maintain NIOSH best practice documents such as web-based “Nanotechnology Information Exchange” on safe approaches to nanotechnology (ongoing) Develop a NIOSH “Current Intelligence Bulletin” on Working with Engineered Nanomaterials in collaboration with national and international partners (2012). This will present NIOSH’s current knowledge and recommendations on health effects, exposure limits, exposure monitoring, personal protective equipment (PPE), respiratory protection, and engineering controls. Contribute to ISO standardized best practice guidelines and validated testing protocols for exposure assessment and protective equipment and provide them to developing nations with nanotechnology facilities (through 2012). Provide ongoing analysis of occupational health and safety issues and practices regarding nanomaterials (through 2012).
Target group and/or beneficiaries	Researchers, workers and business owners in developed and developing countries engaged in the creation, development, manufacture and use of nanomaterials.
Summary of the project	This project will analyze and share best practices for working with nanomaterials developed globally, and will produce and disseminate current best practices for minimizing occupational exposure risks during the various phases of nanotechnology research, development, and production. The types of products include: NIOSH Nanotechnology Information exchange on the Institute’s Web presenting the latest information on nanotechnology and providing viewers a means to provide feedback Technical reports and guidelines on best practices, validated exposure assessment and PPE/engineering control testing methods developed and published through ISO Linkages among institutions globally that are developing best practices
Dissemination	Dissemination will occur through multiple routes including: Posting information on the NIOSH web site. Sponsoring national and international symposia. Publications and tool kits from NIOSH and other partners. International standardization organizations such as ISO. Collaborations with government and professional organizations: AIHA, OSHA, EPA, UK HSE, IOHA, ICOH, and other national and international partners.
Impact (global or regional)	Global
Progress on project	NIOSH has made significant progress in the development and dissemination of occupational safety and health information on nanotechnology. Specific accomplishments include: 1. NIOSH posted and updated the document "Approaches to Safe Nanotechnology: Managing the Health and Safety Concerns Associated with Engineered Nanomaterials" on its web site (http://www.cdc.gov/niosh/docs/2009-125/) 2. NIOSH published "Progress Toward Safe Nanotechnology in the Workplace” in June 2007. This document is a compilation of NIOSH research results in ten critical areas of investigation. This document also serves as a summary of the 'state of the art' in occupational safety and health research needs, specific to nanotechnology (http://www.cdc.gov/niosh/docs/2007-123/) 3. Research reports and publications were released on NIOSH results, specific to the effectiveness of HEPA filters for collection of nanoparticles and a translation of those results to respirator efficiency studies. 4. Participation in global guideline development was achieved through NIOSH leadership and technical participation on the ISO/TC 229 WG 3 Project "Health and safety practices in occupational settings relevant to nanotechnologies", which was published in September 2008. 5. The international Organization for Economic Cooperation and Development (OECD) released three new reports in a series of papers and studies on the safety of engineered nanomaterials. The new reports reflect NIOSH leadership in the OECD committees and working groups that developed and sponsored the reports. The reports are: "Report of an OECD Workshop on Exposure Assessment and Exposure Mitigation: Manufactured Nanomaterials" "Comparison of Guidance on Selection of Skin Protective Equipment and Respirators for Use in the Workplace: Manufactured Nanomaterials" "Emission Assessment for Identification of Sources and Release of Airborne Manufactured Nanomaterials in the Workplace: Compilation of Existing Guidance" 6. NIOSH issued interim guidance for medical screening and hazard surveillance for workers potentially exposed to engineered nanoparticles (http://www.cdc.gov/niosh/docs/2009-116/).
List of outcomes already achieved by this project	See above
List of additional outcomes expected from this project by 2012	A review of national practices and experience gained from the initial years of occupational health research in nanotechnologies will be conducted
List of critical deliverables needed by 2012 to assist developing countries	A report identifying nanotechnology workplace risks and solutions and including a robust communication mechanism, specifically for low and medium-income nations.