Model gpa objective X working Compendium

Area 1: Develop and augment partnerships with stakeholders

2009-2012 Work Plan Number	GPA1.10u Formerly AA6:KTBP3
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)
Project title	Global Silica Information Dissemination
Keywords	Silicosis, Information, Dissemination
Project leader Email address	Faye Rice, Epidemiologist [e-mail]
Partners (of the CC Network)	Institute of Public Health (ISP) (Chile) International Labour Organization (ILO) Pan American Health Organization (PAHO) National Institute of Occupational Health (India) World Health Organization (WHO) Headquarters National Institute for Occupational Health (NIOH), South Africa (David Rees, Rob Ferrie, Kevin Renton [e-mail]; [e-mail]; [e-mail]) Fundacentro, Brazil (Ana Maria Bom, Alcinéia Santos [e-mail]; [e-mail])
Other partners	Silica experts throughout NIOSH West Virginia University University of Cincinnati DIGESA CENSOPAS
Funding	NIOSH
Objective of the project	To produce and disseminate NIOSH information products and provide training and technical assistance to prevent silica-related disease.
Project outcome(s) and deadline(s) for completion of the project	A multi-year project with deadlines to be determined for these anticipated outcomes: review existing NIOSH materials on laboratory analyses, exposure assessment, exposure control, diagnosis, and treatment determine the form of NIOSH information products to best serve our international partners design and produce the information products provide technical assistance to customers in developing countries obtain feedback from partners to help evaluate and/or improve our products
Target group and/or beneficiaries	NIOSH information products are disseminated worldwide. Partner countries without silica subject matter experts are a specific target of the project.
Summary of the project (max 100 words)	The purpose of this project is to aid the ILO/WHO and PAHO silicosis elimination campaign by producing and disseminating useful and accessible information products that will educate our global partners in the areas of laboratory analysis of crystalline silica, assessment and control of silica dust exposures, and diagnosis, treatment, and surveillance of silica-related diseases. Project staff includes silica subject matter experts that will address requests for information from developing countries and will work together to develop NIOSH information products from existing information. The experts may also provide training or other technical assistance to health professionals in partner countries.
Dissemination	NIOSH information products, training, technical assistance
Impact (global or regional)	Global
PROGRESS ON PROJECT	NIOSH staff provided training and technical assistance to ISP Chile in 2006 and 2007.  Create and maintenance of the Spanish website postings on the following topics, Silicosis, Mining, Elimination of Silicosis in the Americas Page, and the NIOSH Spirometry training guide. A five member team presented “Sampling and Analysis for Silica and Heavy Metals” in Lima, Peru in September 2008. A three member team presented “Industrial Hygiene Statistics” course in Santiago, Chile in November 2008, to continue an established partnership with the Chilean Public Health Institute.
List of major outcomes already achieved by this project (as at June 2010)	NIOSH staff provided training and technical assistance to ISP Chile in 2006 2007, and 2008. Create and maintenance of the Spanish website postings on the following topics, Silicosis, Mining, Elimination of Silicosis in the Americas Page, and the NIOSH Spirometry training guide. COSHH Silica Essentials translated into Spanish and posted on the ILO website. A five member team presented “Sampling and Analysis for Silica and Heavy Metals” in Lima, Peru in September 2008. A three member team presented “Industrial Hygiene Statistics” course in Santiago, Chile in November 2008, to continue an established partnership with the Chilean Public Health Institute. Provide training and technical assistance to additional countries: control banding, laboratory practices, and x-ray reading courses; Peru, Colombia, and Mexico. Produce WHO Fact sheets on Pneumoconioses. Drafted in 2009, in WHO review. Produce Industrial Hygiene Statistics Train the trainer course. Course developed in 2008, currently in peer-review.
List of additional major outcomes expected from this project by 2012 (as at June 2010)	Organization of all relevant NIOSH materials, courses, and guides for ease of access by international partners in an electronic library. Produce WHO/ILO Policy Paper on Pneumoconioses.

2009-2012 Work Plan Number	GPA 1.10j Formerly AA3:S2
GPA Objective	GPA Objective 1: To devise and implement policy instruments on workers’ health
CC or NGO Name	FUNDACENTRO, Brazil
Project title	National programme on elimination of silicosis – Brazil (NPES-B)
Keywords	silica, silicosis, elimination
Project leader Email address	Eduardo Algranti MD, DPH, Division of Medicine [e-mail]
Partners (of the CC Network)	NIOSH PAHO
Other partners	Ministries of Labour and Employment, Health, Social Security, Department of Justice, PAHO and ILO/Brazil
Funding	Fundacentro, Ministries of Labour and Employment, Health, Social Security, Department of Justice, PAHO and ILO/Brazil
Objective of the project	To reach a significant reduction in incidence of silicosis by 2015 To eliminate silicosis as a public health problem by 2030
Project outcome(s) and deadline(s) for completion of the project	The NPES-B’s proposal involves a cooperative participation of the government, represented by the Ministries and the international organizations. The program is run by a Managerial Group, formed by a member of each of the participating institutions, by the consultants and managers of the Sector Groups described as follows:
	Mining and mineral processing, ceramic and glass metallurgy, construction industry between 2005 and 2007 - we intend to consolidate the Sectoral Groups (SG). Each SG is going to establish a tripartite or quadripartite discussion with a view to selecting action-wise priorities, implantation of strategies and maximizing NPES-B action in different regions of Brazil. Sectoral agreements are our top priority and may be achieved through: Changes in legislation Collective Agreements Specific Research Educational Actions
Target group and/or beneficiaries	Mining and mineral processing; ceramics and glass metallurgy; construction industry
Summary of the project (max 100 words)	The National Program for the Elimination of Silicosis, Brazil (NPES-B) started in mid 2002. The NPES-B has developed an array of actions under the designation of Policy and Legislation, Information, Education and Research tailored for application in the sectoral groups (see above) in observance of parameters of risk magnitude, sector awareness and priorities. The Sectoral Groups (SG) were established with the purpose of having NPES-B’s actions applied correctly, each one sector’s peculiarities taken into consideration, thus making possible necessary adaptation, since there is an understanding that the risk of exposure to silica is distinctive in those areas. Every SG has a manager who is in charge of coordinating the specific activities within each group. The main goals reached so far are: The signature of bilateral Memoranda of Understanding for technical cooperation between FUNDACENTRO and the Ministries of Labor and Employment, Health, Social Welfare and Public Counsel, and also with the ILO/Brazil An estimation of the potentially exposed population by economic sectors through a job exposure matrix method A ban on the use of sand as a blasting agent in the Brazilian territory The development of a programme website.
Dissemination	The NPES-B brings a novel approach for silicosis elimination. We intend to disseminate our national experiences to other countries with similar profiles of limited resources (both human and material) but with a potential of implementing good work practices.
Impact (global or regional)	Regional
Progress on Project (max 100 words)	Meeting at the Instituto de Salud Publica, Chile in September 2006 with ISP and NIOSH to define forms and extent of collaboration (Meeting report probably made by NIOSH) Training course in the ILO 2000 Classification of Radiographs. Fortaleza, 31^st Oct – 2^nd Nov. Participation of ILO. Attended by 25 physicians (22 from Brazil and 3 from Angola) with an international faculty from Brazil, USA, Germany and Switzerland. Contributing text for the NIOSH proposal of Silicosis Elimination in the Americas The text focused on the situation of silica exposure and silicosis in Brazil, and possibilities of collaboration within the American continent Workshop on the Prevention and Control of Occupational Exposure to Dust (PACE)for Portuguese speaking countries, with the participation of SENAC/Brazil, SESI/Brazil, INSA/Portugal and NIOH/South Africa. São Paulo, 5-6 Dec Upload of relevant publications in Portuguese dealing with silica and silicosis into the GEOLIBRARY No report on further progress received by June 2010
List of major outcomes already achieved by this project	Memoranda of understanding of ministries and partners and program website Brazilian ban on sand as a blasting agent Brazilian ban of dry finishing processes of ornamental stones Brazilian ban of dry rock perforation in mining operations Publishing of a hazard control manual for ornamental stone works Creation of Sectoral Groups that address sectoral needs Guidance for control of silica in mineral processing (ornamental stones), ceramic and glass, and construction Trainings in radiographic reading
List of additional major outcomes expected from this project by 2012	Publishing of a hazard control manual for the ceramics industry Certification programme for Brazilian physicians doing X-Ray readings Trainings in radiographic reading at national and regional level Enforcement of compulsory notification for diagnosed silicosis cases in Brazil Enforcement of bans on sand as a blasting agent, dry perforation and dry finishing of ornamental stones Collaboration with other Portuguese-speaking countries in the prevention of crystalline silica exposure

2009-2012 Work Plan Number	GPA1.10z
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)
Project title	Identification of Global Pneumoconiosis Information Resources
Keywords	Pneumoconiosis, Information, Dissemination
Project leader Email address	Faye Rice, Epidemiologist [e-mail]
Partners (of the CC Network)	International Commission on Occupational Health (ICOH) Scientific Committee on Respiratory Disorders International Labour Organization (ILO) Pan American Health Organization (PAHO) National Institute of Occupational Health (India) World Health Organization (WHO) Headquarters National Institute for Occupational Health (NIOH), South Africa (David Rees, Rob Ferrie, Kevin Renton [e-mail]; [e-mail]; [e-mail] Fundacentro, Brazil (Ana Maria Bom, Alcinéia Santos [e-mail]; [e-mail])
Other partners	Other international experts on asbestosis, coal workers’ pneumoconiosis, silicosis, and other pneumoconioses West Virginia University
Funding	NIOSH
Objective of the project	To identify global information products and resources for control of exposures, training, surveillance, diagnosis, and treatment of pneumoconioses.
Project outcome(s) and deadline(s) for completion of the project	A multi-year project with deadlines to be determined for these anticipated outcomes: Develop a draft list of resources for partner review by 2012 Finalize resources list based on review by 2012 Adapt product list for Internet access from PAHO, NIOSH, WHO, ILO and other partner websites by 2012 Obtain partners’ input and feedback at development and after dissemination to evaluate and/or improve the product list
Target group and/or beneficiaries	All organizations with objectives to eliminate pneumoconioses in the workplace.
Summary of the project (max 100 words)	The purpose of this project is to aid the global partners with prevention of work-related pneumoconioses by identifying existing useful and accessible information resources and products, including those available in languages other than English.
Dissemination	Sources of information products
Impact (global or regional)	Global
PROGRESS ON PROJECT	No progress report received by June 2010

Area 2: Capacity building in diagnosis, surveillance and treatment

2009-2012 Work Plan Number	GPA 1.10r Formerly AA4:CE4e
GPA Objective and Action	GPA Objective 1: To devise and implement policy instruments on workers’ health. Action 10. Its activities will include global campaigns…and other actions addressing priority work-related health outcomes.
CC or NGO Name	National Institute for Occupational Safety and Health (NIOSH)
Project title	Training programs and guidance materials for surveillance, diagnosis, and treatment of silica exposed workers globally
Keywords	Silicosis, silicosis diagnosis, medical surveillance
Project leader Email address	Joe Burkhart, DRDS ; [e-mail]; Kristin Cummings [e-mail]; Maria Lioce-Mata [e-mail] ; Margaret Kitt [e-mail]
Partners (of the CC Network)	Institute of Public Health (ISP) (Chile) International Labour Organization (ILO) World Health Organization (WHO) Pan American Health Organization (PAHO) University of Michigan
Other partners	Silicosis experts in other NIOSH divisions; Occupational Health Management Board (OHMB) of the Zambian Ministry of Health; additional partners welcome
Funding	NIOSH
Objective of the project	To provide guidance and training concerning standardized diagnostic procedures for silicosis.
Project outcome(s) and deadline(s) for completion of the project	Increased capacity of partner countries to provide training to personnel in their respective countries concerning the diagnosis of silicosis and increased awareness of occupation related medical surveillance. Guidance developed in this effort will be fed into dissemination efforts – see project titled: “Global Silica Information Dissemination”.
Target group and/or beneficiaries	Partner countries and their medical community will have greater capabilities to serve their working populations. The information transferred during this project will in turn be transferred to other countries; this is especially true in the case of Chile which plans to aide other countries in the region.
Summary of the project (max 100 words)	The purpose of this project is to aid the ILO/WHO/PAHO campaign to prevent silicosis. This will be accomplished by helping to train physicians and medical technicians in partner developing countries in the provision of medical screening (pulmonary function tests and chest x-rays) of silica exposed workers.
Dissemination	Through direct contract with personnel in the partner countries and though NIOSH information products.
Impact (global or regional)	Global
Progress on Project	Radiologic reading and spirometry courses were taught in Zambia and in Chile. No report on further progress received by June 2010
List of major outcomes already achieved by this project	Radiologic course: Zambia (10 attendees, 2 passed the examination); Chile (23 attendees, 2 passed the examination) Spirometry Course: Zambia (12 attendees, 12 passed the examination); Chile (17 attendees; 17 passed the examination)
List of additional major outcomes expected from this project by 2012	Electronic availability of NIOSH radiographic reading and spirometry training courses and guidance Continued collaboration with ILO to make digital reading accessible globally Digital Film Repository Library of well characterized digital images accessible for submission and for use Training Video for Teaching Spirometry, in English and Spanish Guidance on use of longitudinal spirometry measures in surveillance and diagnostics, in English, Spanish, and Portuguese Guidance for surveillance of silica and silicosis Assessment of usage and success of radiographic reading and spirometry training courses

2009-2012 Work Plan Number	GPA1.10x Formerly 4.20l and AA 4: TM1a
GPA Objective and Action	GPA Objective 1: To devise and implement policy instruments on workers’ health. Action 10. Its activities will include global campaigns…and other actions addressing priority work-related health outcomes
CC or NGO Name	US National Institute for Occupational Safety and Health (NIOSH)
Project title	Revision of 1996 WHO monograph: Screening and surveillance of workers exposed to mineral dusts
Keywords	Silicosis, asbestos, coal, screening, surveillance, prevention, mineral dusts
Project leader Email address	Lee Petsonk, NIOSH; Anita Wolfe, NIOSH
Partners (of the CC Network)	WHO, ILO
Other partners	Gregory R. Wagner MSHA
Funding	NIOSH
Objective of the project	Revise the 1996 WHO Monograph entitled “Screening and Surveillance of Workers Exposed to Mineral Dusts”
Project outcome(s) and deadline(s) for completion of the project	Obtain reviews of the original document Draft revised monograph Complete final review/revision/publication by 2012
Target group and/or beneficiaries	Public health and occupational physicians, ministries of health and labor, and others involved in the WHO-ILO Global Program for Elimination of Silicosis and international efforts at asbestos disease prevention.
Summary of the project (max 100 words)	The 1996 monograph “Screening and Surveillance of Workers Exposed to Mineral Dusts” has provided support and direction for the ILO/WHO Global Program for Elimination of Silicosis. It has been widely used in training courses and translated into at least 4 languages. This revision will incorporate recent scientific material and will respond to recommendations from users and reviewers, particularly among those in the developing world.
Dissemination	This will result in a document, most likely published by WHO and will be distributed by the ILO & WHO as well as countries participating in the Global Program for Elimination of Silicosis.
Impact (global or regional)	Global
Progress on Project as of November 9, 2007	Progress has been substantially delayed Some reviewers have been identified and await electronic copies of the original text. Updated literature relevant to monograph revision is being collected No report on further progress received by June 2010
List of major outcomes already achieved by this project	Preliminary review has been completed New Project Leader has been appointed
List of additional major outcomes expected from this project by 2012	Publication and distribution of revision of the WHO Monograph