Model gpa objective X working Compendium

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 ([e-mail]), Diana Gagliardi ([e-mail])
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, [e-mail] 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 ([e-mail]); Dr Bruna Maria Rondinone ([e-mail]); Dr Carlo Grandi ([e-mail])
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 [e-mail]
Network partners	Prevent Belgium, [e-mail] NOFER, Poland, [e-mail]
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 ([e-mail]) Dr Bruna Maria Rondinone ([e-mail]) Dr Carlo Grandi ([e-mail])
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