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GPA 5 : To incorporate workers' health into non-health policies and projects



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GPA 5 : To incorporate workers' health into non-health policies and projects



Manager: Wendy Macdonald
ACTION AREAS:
24. The capacities of the health sector to promote the inclusion of workers’ health in other sectors’ policies should be strengthened. Measures to protect workers’ health should be incorporated in economic development policies and poverty reduction strategies. The health sector should collaborate with the private sector in order to avoid international transfer of occupational risks and to protect health at the workplace. Similar measures should be incorporated in national plans and programmes for sustainable development.
25. Workers’ health should likewise be considered in the context of trade policies when taking measures as specified in resolution WHA59.26 on international trade and health.
26. Employment policies also influence health; assessment of the health impact of employment strategies should therefore be encouraged. Environmental protection should be strengthened in relation to workers’ health through, for instance, implementation of the risk-reduction measures foreseen in the Strategic Approach to International Chemicals Management, and consideration of workers’ health aspects of multilateral environmental agreements and mitigation strategies, environmental management systems and plans for emergency preparedness and response.
27. Workers’ health should be addressed in the sectoral policies for different branches of economic activity, in particular those with the highest health risk.
28. Aspects of workers’ health should be taken into account in primary, secondary and higher level education and vocational training.
NB: Part of Action 9 (GPA 2) is the Action most relevant to projects related to Priority 5.3.

9. Measures need to be taken to minimize the gaps between different groups of workers in terms of levels of risk and health status. Particular attention should be paid to high-risk sectors of economic activity, and to the underserved and vulnerable working populations, such as younger and older workers, persons with disabilities and migrant workers, taking account of gender aspects. …


PRIORITIES:
Priority 5.1:

Collate and conduct cost-benefit studies to clarify the economic benefits of workers’ health



Output:

Published articles and information posted to WHO website



Support: CC: Jos Verbeek, FIOH, Finland
Priority 5.2:

Develop specific and relevant recommendations to manage risks associated with the impacts of globalization on workers’ health



Output:

Guidance for development banks, non-health sector entities to improve workers' health



Support: CC; David Rees, NIOH, South Africa
Priority 5.3:

Develop and implement toolkits and other resources for the assessment and management of OSH hazards in high risk industry sectors and for vulnerable worker groups.

Output:

Tools, inventory, framework document, mapping of use and types of tools, evaluation

Support:

CCs Hazardous Sectors: Catherine Beaucham, NIOSH USA

Agriculture: Claudio Colosio University of Milan, Italy

Transport: Lygia Therese Budnik, CIOM, Hamburg

CC Vulnerable workers: Owen Evans and Jodi Oakman, La Trobe University, Australia

International Partner Organizations: Young Workers: Susan Gunn, IPEC ILO, Annie Rice Safework,ILO

WHO/HQ: Evelyn Kortum

Priority 5.1: FACILITATING PROJECT


FACILITATING PROJECT

GPA 5.1: Review and summary of cost-benefit studies to clarify the economic benefits of workers’ health


Project title

Review and summary of cost-benefit studies to clarify the economic benefits of workers’ health

GPA Objective

Objective 5: to incorporate workers’ health in to other policies

GPA Actions

5.24 to 5.28

Priority Area

Priority 5.1: Collate and conduct cost-benefit studies to clarify the economic benefits of workers’ health.


Purpose of facilitating project


The aim of this facilitating project is to coordinate projects that directly contribute to achievement of Priority 5.1 – to examine these industries, identify causes of injuries and fatalities, and collate and conduct cost-benefit studies to clarify the economic benefits of workers’ health, thereby contributing to GPA Objective 5.

GPA Manager

Wendy Macdonald

CC Initiative Leader and contact information

Jos Verbeek (jos.verbeek@ttl.fi), Diana Gagliardi (diana.gagliardi@ispesl.it)

WHO responsible person

Evelyn Kortum

Collaborating centre partners with separate contributing projects

5.24

Economic dimensions of occupational safety and health. Finnish Institute of Occupational Health (FIOH). Jos Verbeek, jos.verbeek@ttl.fi



5.24b

National analysis of Disability Adjusted Life Years (DALY) in relation to occupational diseases and injuries and indication of prevention strategies in workplaces. Dept. of Occupational Medicine, ISPESL. Dr Diana Gagliardi (diana.gagliardi@ispesl.it); Dr Bruna Maria Rondinone (bruna.rondinone@ispesl.it); Dr Carlo Grandi (carlo.grandi@ispesl.it)



WHO Regional offices actively involved in this project (name and email)



Summary of the facilitating project

The primary purpose of this project is to identify gaps in the deliverables expected from the existing three projects, as a basis for identifying future strategies and specific projects to more effectively clarify the economic benefits of improved OSH.


Anticipated deliverables by 2012 from contributing projects



5.24

Eleven presentations from a workshop on The impact of OSH on company performance, downloadable from: http://www.ttl.fi/Internet/partner/Ecosh/Workshop+on+Productivity/presentations.htm. Workshops to date have identified various needs for further action, including:

Two further workshops in 2009, on:

Economic evaluation of OSH interventions

Economic incentives for the uptake of OSH measures.

Additional information on the Ecosh website

Written reports:

9 scientific articles

summary report for WHO network (most effective means of dissemination to be discussed)



5.24b

Occupational risk factors and exposed worker population have been identified.

Calculation of DALY (ongoing)

Two publications have been producted:

Valenti A, Rondinone BM, Iavicoli S – Salute e sicurezza sul lavoro – Costo Zero (3): 70-71, 2008.

Rondinone BM, Boccuni F, Petyx C, Valenti A, Iavicoli S – Proposta di applicazioni della metodologia per il calcolo del DALY (Disability Adjusted Life Years) per le malattie professionali in Italia – G Ital Med Lav Erg 2006, 28(3): 341-343.

Quantification of number of DALYs due to occupational diseases at national level.

Quantification of costs per DALY avoided

Synthesis of major results on scientific peer-reviewed publications

Transferability of results through training events




Critical Gaps

Gaps in research evidence:

Insufficient insight into the relation between physical and mental health and job performance or productivity

Insufficient insight into the relation between job satisfaction, engagement and commitment to work. For some of these parameters we don’t even now if they contribute to health or to illhealth.

Gaps in professional expertise of OSH practitioners:

OSH practitioners need more expertise in marketing and communication strategies; and in using/implementing costbenefit analysis techniques.

Need for wider dissemination of OSH:

Should mainstream OSH into education system, especially in courses of lawyers, engineers, economists.




2009-2012 Work Plan Number

5.24

New Project

PROJECT Title


Economic Dimensions of Occupational Safety and Health

GPA Objective and Action

Objective 5, Action 24

Priority Number

5.1: Collate and conduct studies to clarify the economic benefits of workers’ health

Responsible CC or NGO Name

Finnish Institute of Occupational Health

Project leader(s)


Jos Verbeek

jos.verbeek@ttl.fi

Network partners

Prevent Belgium, karla.vandenbroek@prevent.be

NOFER, Poland, iza_ez@imp.lodz.pl



WHO Regions involved in this project




Country ministries involved in this project

EU, Directorate Research, Framework Programme 7 financed collaborative project

External partners for this project




Summary of the project

It is generally assumed that a healthy workforce in safe workplaces is more productive and uses less social and health care expenses. The aim of ECOSH is to bring together researchers, employers, unions, policymakers and other stakeholders. They will discuss new and innovative ways of using economics for occupational safety and health. The results will be published in scientific journals and on www.ecosh.eu . The following workshops will be organised in 2009:

1.The impact of OSH on company performance
2. Economic evaluation of OSH interventions
3. Economic incentives for the uptake of OSH measures.

Target group and/or beneficiaries

All stakeholders of OSH


Major Milestones (list up to three dates and milestones)

3 workshop in 2009 (jan, sept, nov)

9 scientific articles in 2010



Dissemination plan

journals, magazines, website

Funding source(s)

EU FP 7

List of outcomes already achieved by this project

Eleven presentations from a workshop on The impact of OSH on company performance, downloadable from: http://www.ttl.fi/Internet/partner/Ecosh/Workshop+on+Productivity/presentations.htm. Workshops to date have identified various needs for further action, including:

Gaps in research evidence:

Insufficient insight into the relation between physical and mental health and job performance or productivity

insufficient insight into the relation between job satisfaction, engagement and commitment to work. For some of these parameters we don’t even now if they contribute to health or to illhealth.

Gaps in professional expertise of OSH practitioners:

OSH practitioners need more expertise in marketing and communication strategies; and in using/implementing costbenefit analysis techniques.

Need for wider dissemination of OSH:

Should mainstream OSH into education system, especially in courses of lawyers, engineers, economists.



List of additional outcomes expected from this project by 2012

Two further workshops in 2009, on:

Economic evaluation of OSH interventions

Economic incentives for the uptake of OSH measures.

Additional information on the Ecosh website

Written reports:

9 scientific articles

Summary report for WHO network (most effective means of dissemination to be discussed)





2009-2012 Work Plan Number

5.24b

Previously AA2:NP16



Title


National analysis of Disability Adjusted Life Years (DALY) in relation to occupational diseases and injuries and indication of prevention strategies in workplaces

GPA Objective and Action

5.24

Priority Initiative

Priority 1: Collate and conduct studies to clarify the economic benefits of workers’ health (Action 5.24)

Responsible CC or NGO Name

ISPESL – Dept. of Occupational Medicine

Project leader

Dr Diana Gagliardi (diana.gagliardi@ispesl.it)

Dr Bruna Maria Rondinone (bruna.rondinone@ispesl.it)

Dr Carlo Grandi (carlo.grandi@ispesl.it)


Network partners




WHO Regions involved in this project



Country ministries involved in this project




External partners for this project




Summary of the project

Until now, costs related to insufficient or non addressed prevention in workplaces were roughly estimated as percents of the gross national or global product lost. Alternatively estimates are available only at enterprise level. A more detailed quantification of costs at national level may be addressed using Disability Adjusted Life Years (DALY), which combines potential years of life lost due to premature death and equivalent years of “healthy” life lost by virtue of being in states of poor health or disability. Such an approach, which is intended to be followed in this project, will enable cost-benefit analysis to address preventive strategies at various levels of the productive processes.

Target group and/or beneficiaries

National stakeholders, policy makers

Events-opportunities for furthering the project

International congresses (e.g. ICOH 2009 Cape Town, 22-27 March 2009) and workshops

Expected results of this project by 2012 (outcomes)

• To quantify DALY at national level due to lacks of prevention in workplaces.

• To quantify socio-economic costs.

• To address prevention strategies

• To summarize major results on scientific peer-reviewed publications



Indicators of achievement (impact)

• Comparison of results achieved in this study with the outcomes of WHO published in the Global Burden of Diseases

Major Milestones (list up to three dates and milestones)

• Identification of specific occupational risk factors and the exposed worker population (by 2008)

• Calculation of DALY (by 2009).

• Use of the results achieved to perform cost – benefit analysis with a focus on Italian situation and to supply suggestions for the implementation of economic policies, sanitary regulations and education, basic and advanced education provisions, labour laws (by 2010).


Public health impact

Identification of good preventive strategies and their effective use even trough their introduction in differentiated policies, may improve the general and working population health conditions and contribute in the public health’s cost reduction.

Funding source(s)

Funded by ISPESL

Dissemination

WHO documents, training courses, worker and enterprise meetings

List of outcomes already achieved by this project

Occupational risk factors and exposed worker population have been identified.

Calculation of DALY (ongoing)

Two publications have been producted:

Valenti A, Rondinone BM, Iavicoli S – Salute e sicurezza sul lavoro – Costo Zero (3): 70-71, 2008.

Rondinone BM, Boccuni F, Petyx C, Valenti A, Iavicoli S – Proposta di applicazioni della metodologia per il calcolo del DALY (Disability Adjusted Life Years) per le malattie professionali in Italia – G Ital Med Lav Erg 2006, 28(3): 341-343.


List of additional outcomes expected from this project by 2012

Quantification of number of DALYs due to occupational diseases at national level.

Quantification of costs per DALY avoided

Synthesis of major results on scientific peer-reviewed publications

Transferibility of results through training events



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