Compendium of Projects 2006-2010 Work Plan Final 23 April 2008 · (WHO) AA1:1 AA1:1 Activity Area Number and title AA1: Global situation analysis CC or NGO Name National Institute

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Work Plan 2006- 2010

WHO Global Network of Collaborating Centers in

Occupational Health

23 April 2008

COMPENDIUM

Activity area 1: Global situation analysis Wendy Macdonald Activity area 2: Evidence for action to support national policies and delivery plans Jo Harris-Roberts Activity area 3: Practical approaches to identify and reduce occupational risks Stavroula Leka Activity area 4: Education, training and technical materials Leslie Nickels Activity area 5: Development and expansion of occupational health services Timo Leino Activity area 6: Communication and networking Claudina Nogueira

Description of Activity Areas ............................................................................................................2

Activity Area 1....................................................................................................................................3

Activity Area 2..................................................................................................................................13

Activity Area 3..................................................................................................................................75

Activity Area 4................................................................................................................................138

Activity Area 5................................................................................................................................217

Activity Area 6................................................................................................................................243

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Description of Activity Areas

The six activity areas of the 2006-2010 Work Plan of the WHO Global Network of Collaborating Centers: 1. Global situation analysis – Describe, analyze, and act on how globalization and changing employment patterns influence the prerequisites for occupational safety and health. 2. Evidence for action to support national policies and delivery plans – Enhance global understanding of occupational health by sharing information about activities that support national, regional, and global policies and influence the decision makers and stakeholders. 3. Practical approaches to identify and reduce occupational risks – Develop and implement simplified risk reduction tools and methods. Projects address chemicals, safety, ergonomic and psychological hazards, silica, and ergonomics with focus on the construction, healthcare, and agriculture sectors. 4. Education, training, and technical materials – Develop human resources, curricula, and toolkits on occupational health issues. Support implementation and evaluation of the materials. 5. Development and expansion of occupational health services – Develop and expand occupational health services as part of public health services. Strengthen infrastructure and develop best practices to double the number of workers who have access to occupational health services by the end of 2015. 6. Communication and networking – Establish a communication network to serve as a resource of knowledge and skills in occupational health. Market the scientific information products of the Collaborating Centers and Activity Areas. Assist in fund-raising efforts of the Activity Areas.

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Activity Area 1 Global Situation Analysis

Manager: Dr Wendy Macdonald, La Trobe University, Australia [email protected]

Deputy Manager: Dr. David Rees, National Institute of Occupational Health, South Africa [email protected]

(WHO) AA1:1 AA1:1

Activity Area Number and title

AA1: Global situation analysis

CC or NGO Name National Institute of Occupational Health, South Africa and La Trobe University, Australia

Project title Global situation analysis – overall project

Keywords Globalization, employment patterns, health consequences

Project leader Email address

Dr Wendy Macdonald; Centre for Research and Teaching in Occupational Ergonomics, La Trobe University,

Email: [email protected] Prof. David Rees: Deputy Project leader, South African National Institute for Occupational Health, Email: [email protected]

Partners (of the CC Network)

Asociación Chilena de Seguridad : Dr. Marisol Concha TNO, the Netherlands: Prof. Frank Pot In addition, the Institutions and project leaders of other AA1 activities belong to the partners of AA1, since work within this whole Area is intended to be closely integrated.

Other partners Dr. P.K. Abeytunga, Canadian Centre for Occupational Health and Safety

Prof. Christer Hogstedt, Swedish National Institute of Public Health; Dr Jerry Spiegel, Director of Global Health at the Liu Institute for Global Issues, University of British Columbia, Canada

Kaj Elgstrand, Sweden Funding Each collaborating partner is responsible for its respective costs

Objective of the project

The ”Global situation analysis” will give a picture of how the ongoing globalization and changing employment patterns are influencing the prerequisites for occupational safety and health. The analysis will allow the identification of actions to be taken considering in a creative way these changing prerequisites.

Project outcome(s) and deadline(s) for completion of the project

A number of reports related to: 1. The ongoing globalization and its consequences for labour markets, employment patterns and working conditions 2. Occupational safety and health in a globalised world 3. Case studies (AA1: 2-9) 4. Identification of actions to be taken by WHO´s CCsOH, and others. The whole project will be completed before the end of 2010.

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Target group and/or beneficiaries

Occupational health and safety professionals and policy-makers, inter-national organisations

Summary of the project (max 100 words)

Analyses of ongoing globalization, its health consequences and action implications. The project will consider the situation both in industrial and developing countries, and include a few national studies. It will be coordinated with other similar or related international activities; as and when feasible, outputs will be integrated with other activity areas of the Global Work Plan of WHOs Collaborating Centers in Occupational Health. The former “Global strategy on occupational health for all” (1995) will be considered, as well as the “Global Plan of Action on Workers´ Health” 2008-2017.

Dissemination National documents and WHO documents.

Impact; global/regional

Global

Progress on Project Progress was hampered by the demise of the Swedish National Institute for Working Life, resulting in transfer of the Project Manager role from Kaj Elgstrand to Wendy Macdonald and David Rees. Work on Reports 1 and 2 (see Outcomes, above) has now re-commenced in collaboration with Dr Jerry Spiegel. Further case studies to substantiate reports 1 and/or 2 have been planned, in addition to those comprising the other Projects in AA1 (see separate project reports).

(WHO) AA1:2

AA1:2


1 Global Situation Analysis

CC or NGO Name Asociación Chilena de Seguridad (ACHS) Project title Changing patterns in employment and its impact in occupational

health in South American countries Keywords Patterns in employment, occupational health, South America Project leader Email address

Dr. Marisol Concha, Sr. Rodrigo Pezo [email protected]; [email protected]


Universidad Andrés Bello, FISO

Other partners

Funding Asociación Chilena de Seguridad (ACHS), FISO

Objective of the project Identify the impact in the workers health of the patterns in employment


Discussion paper One year from the starting point


Professionals, politicians, policy analysts


Bibliographic research, countries comparisons, projected impact in health

Dissemination Governments, Labour and Health Ministers, International Organizations

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Impact (global or regional)

Regional

Progress on Project The start of this project was delayed due to illness, but work is expected to commence shortly.

(WHO) AA1:3

AA1:3



CC or NGO Name WHO Collaborating Centre for Occupational Health in Vietnam, National Institute of Occupational & Environmental Health (NIOEH)

Project title Globalization and its’ effects on health care and occupational health in Vietnam

Keywords Globalization, health care for workers, occupational diseases Project leader Email address

Dr. Nguyen Thi Hong Tu, General Deputy Director, Vietnam Administration for Preventive Medicine, 138 A Giang Vo Str., Hanoi, Vietnam Email: [email protected]


NIWL, NIOSH

Other partners United Nations Research Institute for Social Development (UNRISD)

Funding Funding sources are seeking


To describe the impact of globalization on health care, focusing on the negative impacts and to recommends some solutions for reducing these negative impacts on inequality in health care in Vietnam.


A report on globalization and its’ effects on health care and occupational health in Vietnam (by 2007)


Policy makers, occupational health and safety researchers, enterprise managers


The project describes ongoing globalization and changing employment patterns in Viet Nam, including an analysis of how these changes are influencing inequality in health care and prerequisites for occupational health and safety in Viet Nam. Potential solutions are identified.

Dissemination WHO documents


Global

Progress on Project This project has been completed and a report entitled “Globalization and its Effects on Health Care and Occupational Health in Viet Nam” has been provided.

(WHO) AA1:4

AA1:4

Activity Area 1 – Global Situation Analysis

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CC or NGO Name

Centre for Research and Teaching in Occupational Ergonomics, Health & Safety, La Trobe University, Australia

Project title Occupational Safety and Health System Management: the challenge of global diversity

Keywords OSH system management, guidelines, legislative framework, safe communities, networks, risk perception, participation


Dr Wendy Macdonald [email protected]


Dr Kaj Elgstrand and others in the AA1 group IEA International Development Committee: Dr Halimahtun Khalid (Committee Chair), Dr Kazutaka Kogi, and others as arranged through Dr Khalid Vietnam Administration for Preventive Medicine, VIETNAM: Dr Nguyen Thi Hong Tu WHO/AFRO: Dr Thebe A. Pule

Other partners

Dr Shyam Pingle, Medical & Occupational Health Services, Reliance Industries Ltd, INDIA Mr Ian Eddington (ICOH Board Member), Australian Graduate School of Business, University of Southern Queensland, AUSTRALIA Dr Louise Waite, School of Geography, University of Leeds, UK

Funding Baseline funding will be provided by the La Trobe University Centre for Ergonomics and Human Factors. External funding will also be sought to support field data collection during the later stages of the project.


The objective is to evaluate the utility of a globally standardised approach to OSH management, represented by the ILO guidelines for OSH Management Systems (OSH-MSs), and to develop and implement alternative means of achieving some of the key functions of a formal management system in one or more environments where the standard approach is of very limited utility. The process of developing alternatives will entail a high degree of stakeholder/worker participation, and may utilise elements of WHO ‘safe communities’ / ‘healthy cities’ programs. The focus will be on workers in the informal sector or in very small organisations, both in Australia and in other localities as arranged with partners. Factors likely to affect the utility of standard guidelines include: extent of OSH legislation and enforcement; working hours and worker status (e.g. self-employed, casual/ permanent, part/full-time, local/migrant); types of hazards and risk profile; diversity of workers’ own resources and vulnerabilities (e.g. chronic illness, age- and gender-based differences, malnourishment), and individual perceptions of the relative utilities of potential risk control options.


A report that: (a) documents systemic deficiencies in the current management of OSH for a small but diverse sample of work environments; (b) critically evaluates the utility within these work environments of a standardised, global approach to system management, i.e. the 2001 ILO guidelines for OSH-MSs; (c) identifies some potential solutions to identified problems (deadline: 2007) One or more sets of OSH-MS guidelines tailored to meet the needs of particular groups/environments, following those developed for the Japanese Construction and Manufacturing industries (by 2008*). One or more reports documenting process and outcome evaluations of the

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implementation of at least one set of the tailored guidelines: process evaluations by 2012; outcome evaluations by 2015.


Those responsible for designing and implementing OSH-MSs at both national and organisational levels; the ILO SafeWork program; occupational health professionals and students; workers directly affected by implementation of tailored OSH system guidelines.


Based on current research at La Trobe University on the core functions of OSH-MSs, survey content will be developed for use in documenting how and the extent to which these functions are being performed within different types of work environment. Potential target groups/environments and means of obtaining the required information (existing data sources, questionnaires, focus groups, individual interviews; translation requirements) will be determined on the basis of discussions with project partners. Finally, tailored versions of the ILO OSH-MS guidelines will be drafted, participatively fine-tuned, implemented and evaluated in one or more of the environments studied (scale dependent on available funding).

Dissemination Professional and academic meetings and publications; ILO-sanctioned tailored guidelines (to be discussed with the ILO, who will be invited to become a partner)

Impact Both global and regional.

Progress on Project

Work has proceeded at two levels. First, ongoing theoretical work using systems diagrams to model key requirements for effective operation of OSH-MSs has continued, and a first report on this work is near completion. Second, principles from this work have been applied to a needs analysis and subsequent development of an OHS-MS suitable for small/medium ‘hospitality industry’ businesses; this work was conducted as part of a project of the Queensland Hotels Association (QHA). The output here will be a user-friendly, simplified management system that will be freely available via a website of the Queensland Government and/or of the QHA.

(WHO) AA1:5

AA1:5



CC or NGO Name National Institute of Occupational Health and Poison Control, Chinese Centre for Disease Control and Prevention, Beijing

Project title The requirement analysis of occupational safety and health for migrant workers ongoing globalization and changing employment patterns in China

Keywords Migrant workers, employment patterns Project leader Email address

Tao Li [email protected]


WHO, ILO, NIOSH, US

Other partners

Funding National finance support of China, WHO, ILO

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To analyses the status of occupational safety and health for migrant workers, and to recommend some solutions for providing appropriate health care for migrant workers in China


To develop a report on occupational safety and health for migrant workers in China.


Policy makers, occupational health and safety researchers, enterprise managers, migrant workers


This project will describe the ongoing globalization and changing employment patterns in China, analyses occupational health and safety for migrant workers and recommend some appropriate solutions to protect migrant workers.

Dissemination WHO documents and National documents


Both global and national

Progress on Project First, we conducted a survey on the situation of occupational health in a pilot county, covering the major hazards leading to occupational diseases and the level of awareness of knowledge about prevention and control of occupational diseases among workers. Then we provided support for enterprises to develop management systems and to complete rectification. Employers were assisted to create integral occupational health monitoring records. Also we conduct training and intervention.

(WHO) AA1:6

AA1:6



CC or NGO Name Fudan University School of Public Health, Shanghai

Project title Globalization and Occupational Health in Shanghai, China

Keywords Globalization, Occupational Health , Shanghai


Taiyi JIN and Wei LU Email address: [email protected]； [email protected]


Department of Occupational Health, Fudan University; Shanghai Municipal Center of Disease Prevention and Control

Other partners

Funding Each collaborating partner is responsible for its respective costs


To elucidate the situation of globalization in Shanghai since 1979. Analysis of both benefit and adverse effects on occupational health in Shanghai following the globalization. Providing the suggestion for occupational health in Shanghai.

Project outcome(s) and deadline(s) for completion of the

The project will make a report on <Globalization and Occupational Health in Shanghai> and publish some papers in relevant academic journals.

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(WHO) AA1:7

AA1:7



CC or NGO Name LaTrobe University, Australia

Project title Globalization, call centre information technology transfer, its influence on operators’ skill accumulation and health in low and high income countries.

Keywords Globalization, call centre work, demographic, skill accumulation, health, work characteristic, technology transfer


Dr. Bo Melin, Professor. Email [email protected]


Dr Wendy Macdonald, Associate Professor, Centre for Ergonomics & Human Factors, La Trobe University, Australia Email: [email protected]

Other partners Dr. Shyam Pingle, Vice President, Medical & Occupational Health Services, Reliance Industries Ltd., Patalanga, Dist. Raigad 410220 India Email: [email protected] Dr. Ma. Teresita (Tes) S. Cucueco, Chief, Health Control Division, Occupational Safety and Health Centre, Department of Labor and Employment, The Philippines

Funding Each partner finance their own activity.


To describe the impact of globalization on call centre service transfer and work related health issues.


The outcomes of the project are two fold: To develop a report on globalization effects on where call centres are

located and run in low and high income countries, respectively. Big cities, rural areas? In-house or outhouse centres? Large, small? Etc. This will be reported in the beginning of 2008.

To investigate physical and psychological health, skill accumulation, work situation, gender issues, among call centre operators in low and high income countries etc. This will be reported in 2010.

project Deadline: December 2008


Decision makers, occupational health workers and researchers and enterprise managers.


To identify current status of the globalization and its benefit and adverse effects on occupational health in Shanghai

Dissemination publishing papers and project reports


Global

Progress on Project as of June 2007

Working in collaboration with Shanghai Municipality Centers for Disease Control and Prevention, the Center has surveyed occupational health services (OHS) situation in state-owned enterprises, joint ventures and sole proprietorship corporations, in order to investigate effects of global economic integration on OHS in China.

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Policy makers, occupational health and safety researchers, enterprise managers, labour organisations


A description of the ongoing globalization in regard to call centre information technology transfer. The question addressed is whether or not the within-nation trend in high income countries of “upgrading” lower-order cities applies also within a global perspective. That is, does technology transfer from high-order countries (e.g. Sweden and the like) to up-grade lower income or low-order countries by technology transfer also transfer work-related health problems/ benefits? Can work that is likely to produce health problems in a high-order country produce health benefits in a low-order country, since “health” is a somewhat a relative phenomenon, e.g. depending on the initial health level? It is believed that when call centre jobs performed by relatively “low-skilled workers” in high order countries are transferred to “high-skilled workers” in big cities in low-order countries, this might have an impact on health. An additional question relates to who owns the call centres in the low-order countries (international firms, local firms etc.)? Do these international firms transfer occupational health services, and do local firms know what kind of occupational health services are needed?

Dissemination WHO documents


Global

Progress on Project

As in the case of AA1:1, progress on this project has been interrupted by the demise of the National Institute for Working Life, Sweden. A new project partner in the Philippines has been recruited, but further progress currently appears to be dependent on the future availability of Professor Melin.

(WHO) AA1:8

AA1:8



CC or NGO Name Division Work and Employment of TNO Quality of Life, the Netherlands

Project title OSH issues for migrants on the Dutch Labour market

Keywords Globalization, OSH, migrants, labour market


Mr. M. Klerkx MSc, Research consultant TNO. Polarisavenue 151 Postbus 718 2130 AS, Hoofddorp Email: [email protected]


• Ineke Wesseling, Costa Rica: Instituto Regional de Estudios en Sustancias Tóxicas (IRET)

• Tao Li, National Institute of Occupational Health and Poison Control, China (not yet confirmed)

Partners are invited to provide TNO with feedback on the draft conceptual frameworks/models and approaches. Vice versa TNO would like to reflect on the conceptual ideas around migration and labour issues in Costa Rica and China if available.

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Other partners None

Funding

Funding is provided for by the Dutch ministery of Social Affairs and Employment


To describe and analyse health issues among migrants on the Dutch Labour market.


The outcomes of the project: • To develop an analytical report on the health status of Dutch migrants,

it’s causes and consequences.


Policy makers, occupational health and safety researchers, enterprise managers


The project will research the following issues related to migration and OSH: • The overall health situation of migrants on the Dutch labour market • Working conditions and migrants on the Dutch labour market • The skill level of the migrant in relation to OSH • Health care consumption by migrants on the Dutch labour market. • Migrants and HRM policies • Health perception among migrants on the Dutch labour market

Dissemination WHO documents and national documents


Regional

Progress on Project as of July 2007

A quantitative data search has been conducted prior to the actual writing of the report. A first preliminary version is being drafted.

(WHO) AA1:9

AA1:9


AA : 1 Global Situation Analysis

CC or NGO Name SENAC-SP (National Service for Commercial Education) São Paulo, Brazil

Project title Seminar: Labour Changes and their Impact in Occupational Health

Keywords Health, safety, global situation analysis


Beatriz Amaral Furlaneto: [email protected] Cláudio Luiz de Souza Silva: [email protected] Rosangela Gonçalves Ribeiro: [email protected] Silvana Aparecida de Lazari Rosa: [email protected] Tatiana Pincerno Ribeiro: [email protected]


Possible partners: Fundacentro, Brazil Asociación Chilena de Seguridad (ACHS), Chile

Other partners Possible partners: Ministry of Health, Brazil SESI (Social Service of Industry), Brazil

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Funding Senac


Discuss changes in labour organization that affect worker’s health, as well as national policies, existing efforts and action plans needed to improve the interrelation among health, workplace and labour. The Seminar will also disseminate in Latin America the results of the projects under Activity Area 1 – Global Situation Analysis.


1. Seminar for 400 participants from different countries (2010). 2. Broaden and update knowledge on health-labour relations. 3. Foster an exchange among specialists and participating

organizations with common interests. 4. Evaluate current information as a basis to build up know-how to

support policy-making. 5. Establish groups with specific interests, which may be

strengthened to become references in these issues (2010). 6. Papers to be posted on Senac’s website (2010).


Policy makers, researchers, organizational managers, governmental agencies, occupational physicians and nurses, safety engineers, occupational hygienists and other OH&S professionals and practitioners, as well as workers.


According to the proceedings of the Fourth Meeting of the Global Network of the WHO Collaborating Centres in Occupational Health, held in 1999 in Finland, factors like globalization, competition, changing labour relations and new technologies, pose new challenges to governments, enterprises and working class associations to improve occupational health. Besides the commonly known physical hazards, new types of health hazards have arisen, such as ergonomic and musculoskeletal disorders, psychological stress, violence and workplace racial discrimination, among others. The overall purpose of this Seminar is to discuss those changes in labour organization that affect worker’s health, as well as the relevant national policies, existing efforts and action plans needed to improve the interrelation among health, workplace and labour. During this Seminar it would be very useful to disseminate the results of the projects under Activity Area 1 - Global Situation Analysis, which consider the Latin American situation. The subjects to be presented in this Seminar include: occupational health indicators; national policies on occupational health; best practices in selected organizations; education and training in occupational health.

Dissemination 1. Publication of the Seminar proceedings containing complete presentations and texts as well as posting for download on Senac’s website (2010).

2. Distribution of the document to WHO Collaborating Centers in Occupational Health (2010-2011).

Impact: global/regional

Global

Progress on Project as of July 2007

The seminar will take place in 2010; therefore the issues we have considered so far will be resumed in 2008. We have already contacted institutions and are now working on the outline of the seminar as well as researching names to give speeches.

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Activity Area 2 Evidence for action to support national policies and delivery plans

Manager: Dr. Jo Harris-Roberts, HSL, UK [email protected]

Deputy Manager : Edward Robinson, HSL, UK [email protected]

Subgroups:

PM Prevention, management systems and evaluation projects NP National profiles, plans, indicators and surveillance projects RS Research studies and method development projects

(WHO) AA2:1

AA2:PM1


AA2: Evidence for action to support national policies and delivery plans

CC or NGO Name European Institute of Health and Social Welfare, Madrid Project title Effectiveness Evaluation System in occupational health

management. ( EES) Keywords Occupational health evaluation system, management of occupational

health, effectiveness management approach. Project leader Email address

Dr. Manuel Peña [email protected]


Other partners Funding European Institute of Health and Social Welfare, Madrid Objective of the project

To develop, agree and implant a common effectiveness evaluation system useful for workers, enterprises and other governmental and no governmental institutions.


To develop a single and common evaluation tool. To integrate the evaluation system in the occupational health services.


All enterprises.


The aim of this project is to develop a single effectiveness evaluation system through a multi question protocol, adapted to the actual legal and practical requirements in the occupational health management. This could serve as a comparative tool among several enterprise and national policies and improve our knowledge to get an accurate

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optimisation of resources. Dissemination The EES could be published by WHO in CD or electronic support (

Internet) Impact (global or regional)

Global.

Progress on Project (max 100 words)

With this ‘Effectiveness Evaluation System’ every enterprise can measure the efficiency of the management system. This tool can give an evaluation about each important theme inside the occupational health management system. In this Effectiveness Evaluation System we can find:

- Occupational Health and Safety - Risk Evaluation - Team Work - Individual Protection Team - Learning - Emergencies Measures - Hard and Imminent Risks - Information, Doubts and Workers Participation - Company Activities Coordination - Workers Contracted Temporarily - Quantity and Work Organization - Occupational Health Surveillance - Active and Reactive Controls - Planning - Documents - Results

This Evaluation System is used every day by the enterprise to evaluate the management system efficiency. The result is translated into values and percent to make a better system.

(WHO) AA2:2

AA2:PM2



CC or NGO Name Occupational Safety and Health Division, Ministry of Manpower, Singapore

Project title Development of an OSH Performance Rating System Keywords Occupational safety and health performance measurement tool,

Universal Assessment Instrument (UAI), standardised sectorial profile Project leader Email address

Dr Ho Sweet Far [email protected]


University of Michigan-Ann Arbor – USA (Steven P. Levine)

Other partners Funding Occupational Safety and Health Division,

Ministry of Manpower, Singapore Objective of the project

The objective is to develop a national OSH Performance Rating System that is able to provide sectoral profiles of the OSH

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performance in different sectors that will help enhance OSH standards in Singapore.


To develop a contractor safety rating system to help raise the OSH performance of the construction industry (by 2008) To establish a national OSH Performance Rating System that will help profile the OSH situation in various sectors for the purpose of promoting and raising OSH standards (by 2010)


Employers, employees, government agencies and OSH professionals


The OSH Performance Measurement Tool developed earlier based on the UAI, comprises 21 measurement criteria under five driving factors - management commitment, employee participation and training, OSH systems and practices, OSH expertise and line ownership. Following a pilot study in the chemical industry, the tool will be adapted for the construction sector with a view to establishing a contractor safety rating system to help raise the OSH performance of this industry. If found feasible, the system will be extended and promoted to all sectors.

Dissemination WHO/ILO documents; Ministry reports and website; conferences and seminars


Global


A contractor safety rating system (ConSASS) was developed with Dr Charles Redinger to raise OSH performance in the construction industry. The second round of validity testing is in progress which includes: - Vailidity tests on small and large sites and comparison of injury rates with ConSASS results. - Reliability tests using two auditors on the same site using ConSASS to compare results. - Verifification of the success of rectifications made after the first pilot test. Results have been positive for the validity and reliability tests, showing that sites with higher injury rates, score lower in the ConSASS. The two auditors also reflected consistency in their scoring of the sites. Feedback to further refine the system in providing more specific instructions on its use and provide definition of terms will be incorporated. A Guide has been developed to instruct auditors on the usage of ConSASS.

(WHO) AA2:3 AA2:PM3 Activity Area AA2: Evidence for action and national policies and action plans

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Number and title CC or NGO Name Department of Occupational Medicine – ISPESL

Project title Child labour: strategies for prevention Keywords Child labour, health effects, child work Project leader Email address

Marta Petyx MD ([email protected]) Fabio Boccuni ([email protected])


ILO; ICOH.

Other partners UNICEF; OIM; University of Torino Funding Self funding Objective of the project

- To develop a new “awareness and visibility” of child labour. A special training programme in cooperation with ILO training center will be focused for developing countries

- To assess a specific analysis of immigrant minors and child labour in Europe also in view of legislation framework. Case studies will be developed in European countries.

- To promote a “cultural change” in the approach to child labour by practical actions of information for trainers, students and opinion leaders.


- Cooperation with other governmental and non-governmental institutions active in this sector. (2006)

- Training programmes for developing countries experts in the field of OSH. (2007)

- Analysis of feasibility to develop an information path on child labour in Europe starting to the school in order to raise the awareness and the visibility of this problem with specific focus on migrant children. (2009)


Prevention experts, teachers and students.


Child labour above all in the frameworks (as all family run activities in agriculture, craftsmanship and trade sectors) that avoid knowledge and control. Focus of the project will be: A) The analysis in European industrialized countries of the situation of child labour among migrant children. B) Contribute to dissemination of “awareness and visibility” of child labour in developing countries.

Dissemination Training programmes, ad hoc publication and reports, webistes Impact (global or regional)

Global and Regional


Project activities have focused on developments at a national level. Principal target groups have been identified (children and trainers) and intervention activities are planned taking into consideration important ethnic, religious and social aspects. Training tools are being developed to improve knowledge and awareness of child labour amongst children. In the forthcoming second stage, risk perception will be targeted and links between child labour, migration and school attendance will be investigated.

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(WHO) AA2:4

AA2:PM4


AA 2: Evidence for Action to support national policies and delivery plans.

CC or NGO Name Federal Institute for Occupational Safety and Health (BAuA), Germany

Project title Implementation of Mental Health Promotion and Prevention Policies and Strategies in the EU member states and applicant countries (EMIP)

Keywords Mental Health, Mental Health Implementation, Mental Health

Promotion, Quality of Life, Well-being

Project leader

Email address

Dr. Karl Kuhn (1)

[email protected]


WHO/Collaborating Centre for Health Promotion in Hospitals and Health Care (Austria)

Other partners Consortium Partners:

EuroHealthNet (Belgium), European Public Health Alliance (EPHA, Belgium), IMHPA Network (Network on Mental Health Promotion and Mental Disorder Prevention, Netherlands), Mental Health Europe (MHE, Belgium), STAKES (Finland), WHO/Euro Network for Suicide Research and Prevention (Germany).

National Partners:

Austria: Fonds Gesundes Österreich

Czech Republic: National Institute of Public Health

Estonia: Estonian-Swedish Suicidology Institute

Finland: National Research and Development Center for Welfare and Health

Germany: Bundesanstalt für Arbeitsschutz und Arbeitsmedizin

Hungary: National Imstitute of Occupational Health

Ireland: Work Research Centre

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Netherlands: Trimbos Instituut

Poland: Institute of Psychiatry and Neurology

Portugal: Directorate General of Health

Romania: Romtens Foundation

Slovenia: Institute of Public Health of the Republic of Slovenia Funding

European Commission, DG SANCO

Grant Agreement No.: 2003301

Funding Amount: EUR 895.117,65 Objective of the project

“Creating a momentum for change – bringing together individuals and organisations committed to implementing an integrated mental health strategy in selected European countries”


1. Organisation of a sequence of National Workshops for the exchange of information and action planning at national, regional and local level in each participating country;

2. National reports summarising the results of the National Workshops in order to contribute to a comparison of the MH situations in the participating countries;

3. Establishing a final report for mental health promotion and prevention to put forward the national, regional and local implementation of consensus policy and action.

National Workshops: Oct. 2005 – January 2006

Final Project Conference: 22/23 March 2006

End of Project: 30 September 2006 Target group and/or beneficiaries

Mental Health organisations, Stakeholders and NGOs at European, national, regional and local levels


It is estimated that up to 20% of adults in the EU will suffer from some form of mental ill-health during their lifetime. These disorders are estimated to cost 3-4% of Europe´s GNP. The most common problems are anxiety, depression and suicide. They are largely preventable. Therefore, prevention and promotion policies are the critical elements in an integrated mental health strategy at national level.

The EMIP Project aims to:

- Bring together key stakeholders

to support implementation of policies for mental health promotion and mental disorders prevention in Europe.

- Share experiences

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on what works in promotion activities,

on how to reduce risks and prevent mental ill-health.

- Start national multidisciplinary coalitions that would develop this work further in each of the participating countries.

In the course of the project, models of good practices on promotion and prevention will be presented during a series of National Workshops.

The conclusions and recommendations from the National Workshops will be presented at a final project conference that will take place March 2006 in Budapest.

Dissemination Broad dissemination of the project results in order to raise awareness and encourage effective policy development and implementation within Member States and applicant countries.

E.g. with the help of a website and the broad dissemination network of the project Consortium Partner European Public Health Alliance.


European, national and regional.


All key objectives have been addressed including: Developing strategies, creating and supporting networks, information dissemination and reporting. Following the success of the EMIP project, a further project has been initiated. This project (ProMenPol) incorporates ‘Promoting and Protecting Mental Health-supporting policy’ - through the integration of research, current approaches and practice. There are further plans to develop a European Network for Mental Health Promotion.

(WHO) AA2:5

AA2:PM5


AA 2: Evidence for Action to support national policies and delivery plans.


Project title Mental Health Economics European Network Phase II (MHEEN)

Keywords Cost and benefits of mental health and mental ill health

Project leader

Email address

Dr. Karl Kuhn (1) [email protected]


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Other partners 17-country MHEEN partnership (EU member states), coordinated by Mental Health Europe and the London School of Economics

Funding EU Commission, DG SANCO Objective of the project

The primary overarching aim is to gather and analyse information and knowledge in respect of the economics of mental health to contribute to the promotion and protection of public health across Europe.

The proposed work would build upon the work of the existing Mental Health Economics European Network (MHEEN) by deepening the work in the 17 current partner countries, and extend the Network into 14 new countries (the 10 new member states, three candidate countries and Liechtenstein).

Links would be further strengthened with groups both connected to the EC Mental Health Working Party, such as the International Mental Health Promotion Action network, and the European Workplace Health Promotion Network, as well as other groups including the mental health economics group at the World Health Organisation.

Finally, and of considerable importance for the longer-term sustainability of mental health economics work, the proposed work would strengthen capacity by cementing links within the MHEEN network.


The project will lead to the consolidation and further extension of an established network of national experts in mental health economics. The new Network will cover all member states, EEA and candidate countries. It will be able to provide high quality expertise on mental health economics to the European Commission, the European Parliament and to other structures interested in public health and social policy in Europe. A key role for the network will be to continue to provide inputs into the Working Party on Mental Health established by the Commission.

The project will bring together a wide range of information, in a comparative form, on economic aspects of mental health in Europe, which previously had been unavailable. In addition to a concise summary of overall project findings key outputs from the project will include provision of previously unavailable comparative data.

Mental health has often been seen as a low priority and this in part is because little data has been available to illustrate the profound consequences of poor mental health. Producing short outputs specifically for policy makers, and organisation of seminars and workshops to which policy makers will be invited. Furthermore the network will act as credible resource on this subject and a key aim will be to respond to requests for information from national and international policymakers.

Target group and/or

21

beneficiaries Summary of the project (max 100 words)

Through its mentoring programme and educational workshops at seminars the Network will help to strengthen the capacity to undertake, understand and communicate information relating to economic aspects of mental health across all countries. As well as improving skills in the use of economic concepts and tools, the Network allows those with skills in health economics but limited knowledge of mental health to improve their knowledge of mental health services both within and outside the health sector, and their evaluation. This will be a valuable investment for future research and advisory activities. Another output of the project will be enhanced and facilitated collaboration between researchers based in the countries soon to join the EU and those based in existing member states, including increased joint academic outputs, another benefit may be closer links with policy makers, which again is beneficial to the chances of translating strong research findings into practice.

Dissemination Broad dissemination of the project results in order to raise awareness and encourage effective policy development and implementation within Member States and applicant countries.

E.g. with the help of a website and the broad dissemination network of the project Consortium Partner European Public Health Alliance.


European, national and regional.


The project is ongoing and lead by the London School of Economics. The 3rd meeting of the MHEEN II network was held in Berlin Nov 2006. Key discussion points from the meeting included the formation of future links, interpretation of data, finance, dissemination strategies and future work. Key conferences are planned for May and September 2007 (Mental Health Europe and IMPHA conferences)

(WHO) AA2:6

AA2:PM6


AA2: Evidence for action, and national policies and action plans

CC or NGO Name SESI- Industrial Social Service National Department, Brasilia Project Title Drug Abuse Prevention in the Workplace and Family Keywords Prevention; Quality of Life; Drugs; Policies; Workplace. Project leader

Email Address

Vitor Gomes Pinto

[email protected] Partners (of the CC Network)

Key people from WHO CCs in the region will be invited to contribute to the project.

Other Partners UNODC – United Nation Office on Drugs and Crime – Brazil Ministry of Foreign Affair, ABC – Agencia Brasileira de Cooperacao, CONACE – Consejo Nacional para el Control de Estupefacientes – Chile, JND – Junta Nacional de Drogas – Uruguay, SEDRONAR –

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Secretaria de Programacion para la Prevencion de la Drogadiccion y la Lucha contra el Narcotrafico – Argentina, SENAD – Secretaria Nacional Antidrogas – Paraguay

Funding SESI – Insdustrial Social Service – National Department and Regional Department of States the Rio Grande do Sul


To establish programmes of drug control in companies of the Southern Cone countries within the overall goal of psychoactive substance demand reduction.


Reduced demand for psychoactive substances at the workplace in Southern Cone countries (deadline: 2010). The reached companies have to be equipped with the technology developed by the United Nations International Drug Control Programme, ILO and WHO for the prevention of problems related to alcohol and drug abuse among workers and their families.


Workers and their families.


The project aims to adapt, implement and evaluate the impact of demand reduction activities for psychoactive substances in the workplace and in families in Southern Cone countries (Brazil, Uruguay, Argentina, Paraguay, and Chile). The project is based on the model developed by UNODC, the World Health Organization (WHO) and the International Labor Organization (ILO). A similar project was adapted in the Brazilian culture and carried out by a partnership between UNODC in approximately 50 Brazilian businesses. It proved successful in preventing drug and alcohol abuse among workers and their families. The project improves workers’ welfare and business productivity and has achieved excellent results in Rio Grande do Sul. The following are successful results of the project:

• Number of smokers reduced by 16% • The consumption of alcohol, considering frequency and

quantity, reduced by 12.5% • Absenteeism for substance-related problems, which

overburden business payments, reduced by around 10% • Work tardiness dropped from 7.2% to 5% • Work related accidents dropped over the last 12 months

from 23% to 14%

Dissemination • Results will be submitted to relevant publications; • Presentation at relevant conferences, congresses and

meetings; • Webpage


Regional.


This project has demonstrated how companies in the private sector can engage in building a healthy environment that directly benefits the communities where they operate. The project has been very successful and has been adapted to suit the situation in many Brazilian states, as well as neighbouring countries in the South Cone.

23

The Project for Drug Abuse Prevention in the Workplace and the Family was granted the Bureau Veritas’s ISO 9001/2000 certification in December 2002 and since then, the existing documentation has been standardized according to rules and procedures related to the process.

(WHO) AA2:7 AA2:PM7 Activity Area Number and title



Project Title The draft of National Occupational Disease Prevention and Control Program in China 2005-2010

Keywords Occupational disease, prevention, control, program Project leader Email Address

Tao Li


WHO, ILO, HSL UK

Other partners Funding National finance support of China, WHO, ILO Objective of the project

To provide the draft of National Occupational Disease Prevention and Control Program in China 2005-2010


The draft of National Occupational Disease Prevention and Control Program in China 2005-2010


Policy makers, occupational health and safety researchers, enterprise managers, workers


By investigating the status of occupational disease prevention and control, this project will analyses the information and draw up the draft of National Occupational Disease Prevention and Control Program in China 2005-2010.

Dissemination WHO documents and National documents Impact (global or regional)



We have finished the National Occupational Disease Prevention and Control Program in China 2007-2015 in Chinese version. It will promulgated soon.

(WHO) AA2:8 AA2:PM8 Activity Area Number and title



Project Title National model enterprises for Occupational Disease Prevention and Control

Keywords Model enterprises, occupational disease, prevention, control

24

Project leader Email Address

Tao Li


WHO, ILO, HSL UK

Other partners Funding National finance support of China, WHO, ILO Objective of the project

To build national model enterprises for Occupational Disease Prevention and Control


Manual for how to build national model enterprises for Occupational Disease Prevention and Control. Standard established for national model enterprises. Build national model enterprises for Occupational Disease Prevention and Control. Spread the successful experiences and models to other enterprises.




Establish a standard for national model enterprises to carry out the law of occupational disease prevention and control of P.R.C. Write a manual to guide enterprises how to build national model enterprises. By examining the enterprises about occupational disease prevention and control, select several good examples by different industries as national model enterprises.




We have finished writing a manual to guide enterprises how to build national model enterprises. By using the manual to examining the enterprises about occupational disease prevention and control, we have established a standard for national model enterprises to carry out the law of occupational disease prevention and control of P.R.C. with first draft. Also some enterprises are summarizing their models by different industries

(WHO) AA2:9 AA2:PM9



CC or NGO Name Fudan University School of Public Health, Shanghai Project title Updating of Chinese National Occupational Exposure Limits, OELs

(GBZ-2, 2002) Keywords Chinese National Occupational Exposure Limits Project leader Email address

Youxin LIANG, Ling Lei. Email address: [email protected]


Department of Occupational Health, Fudan University

Funding Granted by the Ministry of Health, P.R. China (MOH)

25


The national OELs were documented in 2002 with OELs values for 333 chemical substances and dusts. The task for the updating is to review all the OELs focusing on: 1) Are all the OELs’ values set based on a sound scientific basis? 2) Are the OELs adopted feasible in the workplaces in China? 3) Do they need to be harmonized with international occupational health standards; 4) What are the reasons for elevating or ascending the some of the adopted values of OELs? and 5) The special consideration for setting “OELs” of occupational carcinogens.


The expected outcome: It is expected to develop a document of updating report which would have gone through a peer reviewed and published in an international journal; and to generate an updated bilingual pamphlet <Occupational Exposure Limits for Chemical Substances and Dusts> as a formal document domestically and internationally. the deadline: December 2007


National policy


The Chinese national OELs, documented in 2002 with OELs values for chemical substances and dusts will be reviewed and updated.

Dissemination As the project was delivered and granted by the Ministry of Health, P.R. China (MOH), the results of the updating will be reviewed by the National Technological Committee of Occupational Health Standard Setting, and eventually approved and promulgated as a nationwide OELs by the MOH.

Impact; global/regional China Progress on Project (max 100 words)

1. The renewal of the National Occupational Exposure Limits, OELs (GBZ-2, 2002) has been accomplished on schedule. The renewed document of <GBZ-2, 2002> is divided into two parts:

Part I <Occupational Exposure Limits for Occupational Chemical Substances at Workplace > [GBZ2.1] (Head by Prof. Liang of this CC), which covers the re-affirmed, renewed and/or newly developed 399 (vs 229 of previous version) OELs for airborne chemicals and 47 (no extra addition) OELs for dusts, in terms of permissible concentration of time-weighted average (PC-TWA), permissible concentration of short-term exposure level (PC-STEL) and/or maximum allowable concentration (MAC); and

Part II <Occupational Exposure Limits for Physical Agents at Workplace > [GBZ2.2] (Head by Partners at Beijng University Medical School).

2. According to IARC, 59 chemicals/dusts are newly notated with Group 1 (carcinogenic to humans), Group 2A (probably carcinogenic to humans) or Group 2B (possibly carcinogenic to humans). And nine chemicals are newly notated with “Sen” (Sensitizer).

26

The updated documents are scheduled to be promulgated by the Ministry of China in 2007.

(WHO) AA2:10

AA2:PM10



CC or NGO Name National Institutue for Occupational Safety and Health (NIOSH) Project title Promoting Initiatives for Occupational Road Safety

Keywords Global Road Safety, occupational health, traffic injury and illness Project leader Email address

Jane Hingston, [email protected]


University of Illinois School of Public Health, Chicago, U.S.A., Chilean Institute of Public Health, Santiago, Chile

Other partners USAID, National Safety Council, ORC Worldwide, World Bank U.S. Department of Transportation – National Highway Transit Safety Administration, U.S. Department of State, PAHO, WHO, Navistar, Abbott, Chevron, Laborers’ Health and Safety Fund of N. America, Intl Brother. Teamsters, AAA Foundation, Ford

Funding National Institutue for Occupational Safety and Health (NIOSH) Objective of the project The overall objective of this project is to collect, analyze and share

best practices of prevention of road traffic injuries at work. Project outcome(s) and deadline(s) for completion of the project

Electronic library of road safety information and “best practices”; a “best practices” white paper; a Global Occupational Road Safety Conference; a network of occupational road safety partners; and a NIOSH document on “international best practices” Deadline: 2010, with continuation of database.


Employers, workers, governments, associations


Project will demonstrate the injury reduction and economic benefit of workplace initiatives to prevent road traffic injuries among workers globally, so that these approaches will be utilized more broadly. The project will promote inclusion of workplace initiatives that highlight problems and solutions for working people into existing World Bank/WHO international initiatives on global road safety. The project will develop an electronic library of road safety “best practices”; a “best practices” white paper; a Global Occupational Road Safety Conference; a network of occupational road safety partners; and a NIOSH document on “international best practices.”

Dissemination Employers, workers, governments, labour and health ministers, international organizations


Global

Progress on Project as of May 2007 (max 100 words)

The online library infrastructure is being created. Collection of materialsfor online library has begun and will continue throughout the life of the project. Project team continues to make partners at international and domestic meetings.

27

(WHO) AA2:11 AA2:PM11


AA2 – Evidences for Actions and National Policies and Action Plan

CC or NGO Name SESI- Industrial Social Service National Department, Brasilia

Project title Prevention of Non-Communicable Diseases Among Industry Workers

Keywords Risk factors for non-communicable diseases; Manufacture and Civil Construction Workers; Lifestyle.


Vitor Gomes Pinto [email protected]


Key people from WHO CCs in the region will be invited to contribute to the project.

Other partners PAHO. Ministry of Health - Brazil Brazilian Society of Cardiology

Funding SESI – Industrial Social Service – National Department


To reduce morbi-mortality rates among manufacture and civil construction workers by identifying Non-Communicable Diseases and their risk factors, and by developing healthy habits through educational intervention on individual and group levels. To detect the prevalence of the following diseases: hypertension, diabetes mellitus and obesity. To gerate the risk profile through the quantification of modifiable and non-modifiable risk factors, risk-associated behavior andrelated diseases.


In this project, the concept of health and life quality and the incentive to the adoption of a healthy lifestyle are the motto of all actions, which significantly improve workers’ health; besides reducing expenses on health care. The expected outcomes are:

• Reduction and control of the tensional and glicemic levels; • Reduction of cardiovascular diseases and of • Redução das doenças cardiovasculares e das dislipidemy; • Reduction of sedentarism, tabagism, overweight, obesity, alcohol

consumption; • Reduction of absenteeism and worker tardiness; • Adoption of a healthy diet.


Workers at the manufacture and civil construction brands.

Summary of the In order to study and propose preventing measures to reduce the

28

project (max 100 words)

damage to manufacture and civil construction workers caused by non-communicable diseases, SESI - Industrial Social Service, the Brazilian Health Ministry, the Pan American Health Organization and the Brazilian Society of Cardiology have cooperatively elaborated the present program. It is based on a criterious evaluation of modifiable risk factors (MRF) in manufacture and civil construction workers such as high cholesterol, glicemy, tabagism, sedentarism, obesity, excessive consumption of alcohol and inappropriate diet. We expect to determine the nosological status from the MRF, emphasizing on hypertension and diabetes mellitus, high-incidence degenerative diseases that can be controlled through healthy habits. This project intends to reduce the morbi-mortality levels of these diseases, through actions that lead their early detection and through preventive and educative measures.

Dissemination • Results will be submitted to relevant publications. • Scientific Report. • Presentation at relevant conferences, congresses and meeting. • Webpage. • Publishing on the Industrial Social Service’s journal SESI em

Saúde e Segurança no Trabalho, to be accessed online. • Industrial Social Service’s website: www.sesi.org.br/saude


Regional


Since the project’s inception, there are now a number of key initiatives that have been proposed and taken forward. These have included training (course on Healthy Industry Education Technology to 250 technicians from the 27 Regional Departments), dissemination of findings (XIX World Conference on Health Promotion and Health Education, June at Vancouver-Canada), securing resource for the project (through SESI regional departments), and implementation of the in-job Program on Health Risk Management in the Industry. A number of key findings from the epidemiological study of non transmissible diseases have been summarized for future publication, taking into account gender differences, obesity, diet and physical activity.

(WHO) AA2:12

AA2:NP1


AA2. Evidence for action to support national policies and delivery plans

CC or NGO Name CATHOLIC INDUSTRIAL MEDICAL CENTRE(CIMC), Korea Project title Establishment of malignant mesothelioma surveillance system Keywords Surveillance system, Asbestos Project leader Email address

Hyoung Ryoul Kim, M.D. MPH e-mail: [email protected]


YS Ahn, Korea : Korea Occupational Safety & Health Agency

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Other partners Funding

- Research and grant proposal - Governmental assistance


Identify the trend of incident mesothelioma in Korea Identify the situations where interventions may benefit the health of

affected workers Inform the government and policy makers of these results


- Establishing surveillance system - Activating of reporting system Deadline: 2009.12


Workers exposed to asbestos and general population in the face of environmental exposure of asbestos


This project is conducted to identify the size and trend of incident malignant mesothelioma and to inform these results of policy makers. In Korea, the use of asbestos was not considered severe because we started to use them after the risk of asbestos was known to us. However the pattern of occurring mesothelioma is different. We made a reporting system which consists of pathologists and occupational physician. We’ll actively search the cancer registry data and mortality data.

Dissemination - Results will be submitted to relevant journals for publication - Presentation at relevant conferences and meetings - Reports


Regional


" Establishment of malignant mesothelioma surveillance system in Korea is progressing. Nowadays there is a fever about asbestos in Korea. We recognized that our expectation, an abrupt increase of mesothelioma will not be occurred in Korea, was not true. Passive surveillance system, which consists of pathologist in an university hospitals, reported about 20 cases annually. However we found about 150 cases through the health insurance data last year(2006). This number is compared to Japanese cases as a half in occurrence. This data has some weakness such as ICD 10 code for inquiry, but it will be an indicator of mesothelioma occurrence in Korea."

(WHO) AA2:13

AA2:NP2

Activity Area Number and Title

AA 2: Evidence for action to support national policies and delivery plans

CC or NGO Name National Institute for Occupational Health (NIOH), SA Project title Occupational disease surveillance and other indicators of

occupational health practice Keywords Occupational disease, surveillance, occupational health

indicators Project leader e-mail address

Dr. Danuta Kielkowski [email protected]

Partners (of the CC Andrew Curran (HSL)

30

network) Other CCs to be identified Other partners Government Departments of Labour including the

Compensation Commissioner Other partners to be identified

Objectives of the project

To develop occupational disease surveillance and to review indicators of occupational health practice

Project outcomes(s) and deadline(s) for the completion of the project

To develop guidelines and reporting form for the compensable and non-compensable occupational disease (2006)

Pilot the form among medical practitioners (2007) Review of occupational health Indicators for

South Africa and the development of new indicators (2008)

Establish and share the model of a surveillance system for developing countries

Target group and /or beneficiaries

Occupational health practitioners and occupational health clinicians, managers within occupational health activities and settings


Development of the surveillance scheme which is inclusive of all types of diseases which are work related, whether compensable or not. Establishing a network of reporting practitioners and testing the surveillance format guidelines. Presentation of the study results to the Labour Department for the implementation of the National Surveillance System. A forum of occupational practitioners will be convened to review and propose new indicators of occupational health practice in South Africa.

Dissemination Reports on surveillance of occupational diseases and indicators of occupational practice to government and other practitioners in the field of occupational health, in the SADC Region.


Regional - in particular to share experiences with SADC countries on surveillance and indicators for developing countries.


The surveillance guide materials were distributed among 200 occupational practitioners in April 2006. However a new strategy using electronic reporting scheme is being developed on the NIOH website A dedicated Surveillance system for reporting of occupational disease and injury for health care and laboratory workers has been developed with the University of British Columbia. This system will be piloted at the National Health Laboratory Service (NHLS). A review of current 16 occupational health indicators will commence in 2007/2008

(WHO) AA2: 14 AA2:NP3

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AA 2: Evidence for action, and national policies and action plans

CC or NGO Name National Centre of Public Health Protection. Bulgaria

Project title Developing of indicators for occupational health activities in Bulgaria

Keywords Health indicators, occupational diseases, occupational accidents, work-related diseases, occupational health services, working conditions parameters


Prof. Emilia Ivanovich [email protected]


FIOH, FIOH, Institute of Occupational Medicine, The former Yugoslav Republic of Macedonia, Institute of Occupational & Radiological Health, Serbia and Montenegro

Other partners Ministry of Health Funding

Government of Bulgaria


Provide evidence for enforcement of preventive approaches in the field of workers health and safety and promotion of preventive culture


Comparative data for economic and health indicators, occupational diseases and accidents, working conditions and occupational health services 2007


Decision makers at national and company level, social partners


The process of restructuring of occupational health and safety system in Bulgaria is still going on. During the past decade a harmonization of the legislation with the European one has been completed. New approaches as the implementation of the occupational health services and the integrated control have been implemented. The existing situation needs to be evaluated and evidences for new National Occupational Health Program with new priorities will be provided.

Dissemination WHO; Ministry of Health, Ministry of Labour and social policy; social partners


National and regional


- National Occupational Health profiles for the years 1999 – 2005 have been carried out; - The dynamics of the main indicators have been established; - A comparison between selected national indicators and other EU countries and countries from South-Eastern Europe have been made.

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(WHO) AA2:15

AA2:NP4



CC or NGO Name Coronel Institute of Occupational Health AMC/Netherlands Center for Occupational Diseases, University of Amsterdam, The Netherlands

Project Title Development and validation of quality indicators for national registration systems of occupational diseases A European Study

Keywords occupational diseases, work-related diseases, registries, health policy, prevention & control, quality indicators, occupational health, health surveillance, evaluation

Project leader Email Adress

Dick Spreeuwers [email protected]


University of Manchester

Other partners Many centres have been consulted during the project, mainly in European Union states

Funding Dutch Ministry of Social Affairs and Employment; there is not yet funding for transformation in a WHO technical report (if agreed upon this topic as appropriate for WHO publication)


The aim of this study is to develop a tool for evaluation of national registration systems of occupational diseases with respect to their ability to provide essential information for preventive policy. The specific questions in this project are: 1. Which indicators determine the quality of national registration systems of occupational diseases with respect to their ability to provide essential information for preventive policy? 2. Which criteria do these indicators have to meet to provide good quality information?


A valid tool for evaluation of national registration systems of occupational diseases with respect to their ability to provide essential information for preventive policy. Deadline for completion: June 2006


Policymakers on national and international level; experts on notification systems in (national) institutes for occupational health and safety.


Objectives to develop a tool for evaluation of national registration systems of occupational diseases to provide information for preventive policy. Methods Literature search, development of quality indicators, test of content validity, adjustments in Delphi study (25 experts EU countries) Results Two different types of information output are essential: alert and monitor information. We defined indicators and criteria for quality, and made adjustments. Conclusions We have developed a valid tool for evaluation of national registration systems of occupational diseases with respect to their ability to provide essential information for preventive policy.

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We can use this tool to evaluate national registration systems.

Dissemination Magazine Article, scientific journal article, transformation into a WHO technical report is possible, interest of ILO?


Global. The tool can be used to evaluate and compare national registration systems of occupational diseases of all countries


We have developed a valid tool for evaluating national registration systems of occupational diseases with respect to their ability to provide appropriate information for preventive policy, and called it “ODIT”. We performed a Delphi study, in which 16 international experts participated, to validate the tool. The main elements to be assessed are the ability to provide monitor information and alert information. The provision of clear criteria that demarcate low and high quality makes it a valuable instrument to assess the quality of a registration system. We think that it can serve as a starting point for a quality improvement process of registration systems of occupational diseases. We are now performing the second part of the project. This part consists of testing the feasibility and usability of the tool in 7 countries. We expect to complete the study in September. We want to submit an article on the second part of the study to a scientific journal by the end of 2007.

(WHO) AA2:16

AA2:NP5


AA2 Evidence for National Policies and Action Plan Originally submitted to AA5

CC or NGO Name Institute for Occupational Health, Kiev, Ukraine Project title Ways of strengthening occupational health services for prevention

of occupational cancer in Ukraine Keywords Occupational cancer, workers, cancer-related dangerous

productions, epidemiology, prevention, monitoring, occupational health services


Prof. Yuriy Kundiyev [email protected], [email protected],


Institute of Occupational Health of the Academy of Medical Sciences of the Russian Federation; Instytute Medycyny Pracy, Lodz (Poland)

Other partners National Cancer Registry of Ukraine, Institute of Oncology of the Ministry of Health of Ukraine

Funding Budget funding through the Academy of Medical Sciences of Ukraine


To decrease the risk of development of cancer morbidity among workers of professions dangerous from cancer point of view and that of production processes.


Stage I – to develop an information system for collection, epidemiological and medico-statistical analysis of the data on cancer morbidity at enterprises dangerous from cancer point of view (2006-2007); Stage II – to develop a system of primary prevention of cancer pathology among workers of enterprises dangerous from cancer

34

point of view; Stage III – to introduce and to monitor the state of health of workers using the developed systems, to assess the efficiency of preventive measures (2009-2010).


Workers of professions dangerous from cancer point of view and that of production processes, administrations of enterprises dangerous from cancer point of view, national service of occupational pathologies, trade unions.


The problem of occupational cancer prevention in Ukraine is still not fully solved, because of the lack of the effective system for it earlier detection, full medico-statistical registration, lack of the combined system of prevention at the state and regional levels. The present Project is focused directly to solving the mentioned problems.

Dissemination The results of studies will be introduced in Ukraine through the Ministry of Health and Ministry of Social Policy and Labour, Academy of Medical Sciences; they will also be used for training medical students, family doctors, physicians for occupational pathologies and physicians-hygienists.


A model of the effective system for monitoring the health of high risk group of workers in dangerous cancerogenic enterprises; the system of cancer morbidity primary prevention among workers of dangerous enterprises from cancer development point of view will be legally realized. It is intended to determine an order for conducting medical examinations of workers at the reminded enterprises.

The global contribution of this scientific and research work is in the use of the proposed preventive model for countries of the Central and Eastern Europe.

Progress (maximum 100 words)

System of data collection about occupational cancer patients in Ukraine was developed. The system will be implemented in 27 regions of Ukraine. Medical and social monitoring of occupational cancer patients will be promoted in Ukraine and results can be presented in IARC. Methodical recommendations concerning industrial carcinogenic danger evaluation, revealing and statistical registration of occupational cancer patients and conception of subregister of occupational cancer patients were developed.

(WHO) AA2:17

AA2:NP6



CC or NGO Name Central American Institute for Studies on Toxic Substances (IRET), Costa Rica

Project Title Regional, national and local profiles and indicators Keywords Central America, Profiles, Indicators, Exposures, Surveillance Project leader

Email Address

Dr. Catharina Wesseling ([email protected])

Dr. Timo Partanen ([email protected])

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Dr Patricia Monge ([email protected]

With subproject coordinators Partners (of the CC Network)

National Institute of Public Health (Sweden); Central American Universities and Institutes for Social Security; Central American Integration System (SICA); Central American and Caribbean Universities, Instituto Tecnologicio de Costa Rica (ITCR); ILO

Funding Sida and collaborating institutions Objective of the project

To provide evidence based policy making in occupational and environmental health in Central America


Continuous. A detailed proposal for Central American national and regional indicators for occupational health and safety expected by November 2007.


Regional, national and local authorities; international agencies; employers; workers; trade unions; NGOs; mass media; and general public.


Continuous activity. Indicator systems are being coordinated at IRET, ITCR and other collaborating Central American universities for occupational and environmental exposures and their determinants. These include (i) A Central American data bank of amounts, imports and human and environmental toxicity of pesticides; (ii) an estimation system of the extent of occupational carcinogenic and pesticide exposures (CAREX); (iii) an ad hoc study and feasibility for surveillance of fatal accidents in 7 countries, (iv) a feasibility assessment for a data base of hygiene measurements and improvement of surveillance on occupational accidents and occupational diseases in 2 countries in CA, and (v) seven national and one Central American OSH profile with a detailed proposal for national and regional Central American indicator system for occupational health.

Dissemination Technical and public reports. Mass media. Public lectures and discussion. Negotiations at Ministries


Regional


Development of OHS profiles: The first national profiles are prepared and edited for each of the seven countries of the Central American region. Databank on Pesticide use: Developed capacity building in each of the 7 Central American countries. Sustainable methods have been established to aid surveillance. National databases integrated in a regional database. Estimation system for carcinogen and pesticide exposure (CAREX): System developed previously in Costa Rica. Has now been implemented across Nicaragua, HONDURAS and Panama. Registration of occupational health fatalities: Study of fatalities and feasibility report for surveillance in Central America.

36

Registration of occupational health accidents: A feasibility study for improvement of registration of occupational accidents has been proposed. Registration of occupational health diseases: Currently integrating existing data into a unified system. A pilot study for national surveillance is under discussion.

(WHO) AA2:18

AA2:NP7



CC or NGO Name SESI- Industrial Social Service National Department, Brasilia Project Title Information System in Occupational Health and Safety Keywords Information, SST, accidents, diseases, cost, indicators Project leader

Email Address

Vitor Gomes Pinto


Industrial Accident Prevention Association - IAPA

Other Partners Institut de recherche Robert-Sauve en sante et en securite du travail – IRRST, OPAS/Brasil, Instituto de Saude Coletiva - UFBa

Funding SESI (Industrial Social Service), CIDA/Canada, IRRST Objective of the project

To create an information system in SST, with external data from the Ministry of Social Security and Social Assistance, the Ministry of Health, the Ministry of Labour and Employment, the Brazilian Institute of Geography and Statistics (IBGE); and also with the data internally produced in SESI system, originated in the SST actions developed in industrial companies.


a) Information System concluded. b) Staff of professionals prepared to deal with the data and to produce information that contributes to decision-making, priorization and production of new services. c) information in SST about labour accidents, diseases, absenteeism, costs, and others.


CNI system (National Confederation of Industry), Industry Federations, Industrial companies of all sizes, workers, human resources and SST professionals, governmental institutions, labour unions.


The current project starts by mapping the data available on the Internet, internal and external to the SESI system, in order to analyze its quality.

It also intends to periodically identify the data which is not available on the Internet, requesting the information to the areas in charge.

To identify the figures to be considered, to build internal capacity to analyze the data and to produce studies, reports, research that will contribute to a better knowledge of the social and demographic

37

situation of the Manufacture and Civil Construction industry workers, their work environment and their health.

Dissemination Through SST webpage (www.sesi.org.br/portalsst), SESI and OPAS’s journals, and brochures to employers and employees.


At first there is a national and regional impact, which can become an international impact, especially in Portugese and Spanish speaking countries.


Relevant external information resources have been identified and variables considered. This data has now been published (Identification of Databases and Information Systems in Occupational Health and Safety Available in Brazil, and, Identification of Variables and Indicators of SESI’s OHS Model). 23 SESI System’s professionals have been trained to collect and analyze data, the website is active (www.sesi.org.br/pro-sst), and additional training has taken place in Canada on “OHS Services Delivery”. Next steps will include: further development of the IOHS systems using an external firm to access further databases. Dissemination of educational material to workers and entrepreneurs, to inform the OHS status in their respective industry, and supply of new services, virtual consultancy and e-learning courses on OHS to entrepreneurs and workers.

(WHO) AA2:19

AA2:NP8



CC or NGO Name Institute for Occupational Physiology at Dortmund University, Federal Republic of Germany

Project Title Bladder Cancer Documentation of Causes: the multilingual questionnaire “Bladder Cancer Doc”

Keywords Urinary bladder cancer, occupational exposure, life style, bladder carcinogens

Project leader

Email Address

Klaus Golka, Privatdozent, MD


Prof. Konrad Rydzynski, Nofer Institute, Lodz, Poland

Other Partners Dr. Mohammad Aslam, Pakistan; Prof. Jinhua Shen, China; Dr. Jasmin Hodzic, Germany; Prof. Nursen Basaran, Turkey; Prof. Dr. med. Dr. h.c. Fumihiko Ikoma, Japan; Prof. Imre Romic, Hungaria; Patricia Casares Gonzalez, Germany/Mexico; Prof. Miriam Angeli-Greaves, Venezuela; Dr. Trinh Vu Duc, Swiss/Vietnam; Dr. Fransiska Zakaria, Indonesia; Maria Soufi, Germany/Greece; Rouslana Belik, Germany/Belarus; Dr. Boo-Hyon Kang, Korea; Dr. Yael Abbreu-Villaca, Brasil; Henrietta Galambos, Slovac Republic; Privat-Docent Dr. Patrice Jichlinski, Swiss; Prof. Rama Devi Mittal,

38

India; Dipl.-Ing. Christian Scutaru, Germany/Romania; Rowshanak Angari Anbari, Germany/Iran; Prof. Giorgio Assennato, Italy; Dr. Hamza, Germany; Dr. Ing. Mohit Kumar, Germany; Sridhar Reddy Swarna, Germany, Nenn Phannawat, Germany/Thailand

Funding In place Objective of the project

To identify subjects that might suffer from occupational bladder cancer in developing and in industrialized countries


The questionnaire will be made public by an accompanying article. It is intended to present the questionnaires as Word and as pdf files in the world wide web.

Deadline(s) for completion of the project

The manuscript will be written by Klaus Golka and Konrad Rydzynski. The text will then be sent to the partners who review the manuscript. Overall 12-18 months are realistic.


Occupationally exposed bladder cancer patients, health care professionals, health insurances


The questionnaire presents the relevant causes of occupational bladder cancer in more than 20 languages (eg. English, Urdu, Chinese, Serbo-Croation, Turkish, Japanese, Hungarian, Spanish/Mexican, Spanish/Venezuelan, Vietnamese, Indonesian, Greek, Russian, Slovak, Czech, French, Hindi, Romanian, Persian, Italian, Arabian, Punjabi, Telugo, Thai, Polish).

Dissemination Article in a specialty journal listed in Medline/PubMed, homepage of the Institute for Occupational Physiology at Dortmund University


Global


A questionnaire has been successfully developed to promote the identification of persons at higher risk of bladder cancer. The questionnaire is available in more than 20 languages and has been used to identify individuals that might suffer from occupational bladder cancer in developing and in industrialized countries. Occupational exposures covered by the questionnaire can be found in the WHO GOHNET Newsletter ‘Prevention of Occupational Cancer’ Summer 2006. Results gained by the questionnaire have also been presented at a state-wide (North Rhine-Westphalia) symposium on environmental medicine, May 10-11.

(WHO) AA2:20 AA2:NP9 Activity Area Number and Title



Project title Contribution for generating and publishing of: • National profiles and indicators • Sectoral profiles and indicators

Keywords Indicator, profile, national, sector Project Leader Email Address

Dr Ho Sweet Far [email protected]

Partners (Of the CC FIOH – Finland (Kari Kurppa)

39

Network) Other Partners Funding Occupational Safety and Health Division, Objective of the project Occupational Safety and Health Division,

Ministry of Manpower, Singapore Project Outcome(s) And deadline(s) for completion of the project

The objective is to compile national and sectoral profiles of Singapore with regard to occupational safety and health to facilitate information sharing, comparisons between countries and surveillance across time.

Target Group and/or beneficiaries

− To compile an updated national OSH profile on Singapore (by 2009)

− To compile an OSH profile on the marine sector in Singapore (by 2009)

Summary of the project (max 100 works)

Decision makers, planners, managers, occupational health and safety professionals.

Dissemination Following the first country profile compiled in 2004, this second national profile will provide an update on implementation of the new OSH framework for Singapore, including legislation to be introduced in 2006. The marine sector will be profiled - the second after the chemical industry profile published in 2004.

The OSH profiles and indicators are broadly classified into three main categories, viz., prerequisites of OSH, working conditions and OSH outcomes.


WHO/ILO documents; Ministry reports and website; CDROM.


Work relating to the review of the 2005 statistics has been published on the MOM website:our website at: http://www.mom.gov.sg/publish/momportal/en/communities/workplace_safety_and_health/reports_and_statistics.html. This will be updated in due course with the 2006 statistics and linked to the WHO web-portal.

(WHO) AA2:21

AA2:NP10



CC or NGO Name Center for Occupational Health at the National Institute of Public Health, Prague, Czech Republic

Project title Czech National Occupational Health Profile. Indicators of Exposure and of Health Outcomes

Keywords Exposure to occupational risk factors, carcinogens, occupational diseases, country profile, indicators, registries, OHS policies, global burden of disease


Assoc. Prof. Pavel Urban, M.D., Ph.D. [email protected]

Partners (of the CC WHO Collaborating Centers in Occupational Health which

40

Network) participated in the Taskforce 15 of the previous Work Plan Other partners ILO, EUROSTAT/EODS Funding State budget, grant projects Objective of the project

) To survey indicators providing comprehensive description of exposure to occupational health risks and of their health outcomes

) To provide Czech national data for a multinational study of the global burden of occupational diseases

) On the basis of the results, to implement measures improving workers’ health


) Czech country profile of exposure to various occupational health risk factors

) Incidence of occupational diseases as a measure of health impact of the exposure to occupational health risk factors

) Suggestion of preventive measures to improve the situation Target group and/or beneficiaries

Ministry of Health, Ministry of Labor, OHS specialists, Trade Unions


The Czech Republic meets prerequisites for comprehensive collection of valid data on occupational exposures and their health impact. The exposures are surveyed in the System for Categorization of Working Activities, covering the whole work force. A special interest is paid to carcinogens. As a health outcome, the incidence of occupational diseases is surveyed. The collected data are available for multicenter or multinational studies assessing the global burden of occupational diseases. The data can serve as an empirical base for decision makers to convert the knowledge into action and to introduce effective policies for improving workers’ health.

Dissemination WHO/ILO/EUROSTAT documents, research studies, the media Impact (global or regional)

National, potentially contributory to a global impact


During 2006, we continued the data collection of occupational exposures to health risk factors and the numbers of workers exposed. The data on all the occupational diseases reported in the Czech Republic is collected in the Czech National Registry of Occupational Diseases (operated by the National Institute of Public Health). The coverage is nationwide and includes all sectors of economic activity. The data were accumulated in the information systems as; (1) Categorization of Working Activities and (2) Registry of Exposure to Occupational Carcinogens. The incidence of occupational diseases was chosen as an index of health impact and in 2006, 1216 cases of occupational diseases were reported.

(WHO) AA2:22

AA2:NP11

Activity area Number and title


41

CC or NGO Name RAMS Institute of Occupational Health Project title Working out and approbation of approaches to decrease of

occupational risks, connected with occupational and working process factors exposure effects

Key words Occupational risks, health state, professional and work-related diseases, factors of working process, physical factors ( vibration, noise, microclimate parameters, electromagnetic fields, etc.), artificial and synthetic fibres, health state, respiratory organs, skeleton- muscular disorders, reproductive health, neuro-humoral regulation, biomarkers, correction, prophylaxis.

Project leader

E-mail address

N.F. Izmerov Director of WHO CC in OH RAMS Institute of Occupational Health

E-mail: [email protected]; [email protected]; [email protected] Partners (of the CC Networks)

Finnish Institute of Occupational Health (Helsinki, Finland)

National Institute for Occupational Safety and Health (Cincinnati, USA)

Department of Occupational and Environmental Medicine, University Hospital_(Lund, Sweden)

Other partners Federal Center Sanitary Service Center, Federation of independent trade unions, SRI of occupational health and human ecology of Siberian department RAMS, Ufa scientific-research institute in occupational health and human ecology, State scientific-research probationary institute of military health RF

Funding State budget Objective of the project

1 To work out and approbate measures of prophylactic, directed on decrease of occupational risks, connected with impact of unfavorable occupational environment and working process factors on the base of comparison of physiology-hygienic, ergonomic, clinical and functional methods of research. Working out of recommendations concerning reduce of negative impact of professional stress.

2. Improvement of legislation, development of monitoring, taking into account clinical-hygienic criteria and summary dose of exposure.

3. To select informative biomarkers for early revealing of workers’ health disorders on the base of contemporary technologies of laboratory – clinical analysis.

4. Assessment of medical-social loss, caused by unfavorable working conditions.


Results will let us:

- To define hazard occupational and working process factors, which are dangerous for health of following generations;

- To give qualitative and quantitative assessment of medico-social damage to workers’ health, exposed by hazard occupational -

42

professional factors;

- To work out methodical principles of assessment of medico-social damage from occupational risk;

- To define priority directions of prophylactic of negative consequences for workers’ health, as bases of occupational risk management.

2006 -2010 Target group and/or beneficiaries

- WHO CC in occupational health;

- International non-governmental organizations

- Organs of different levels’ management from the point of view of territories and branches of economy, establishments of social insurance, occupational health services, trade unions and etc.

- Leaders, organizers of firms and enterprices, specialists in work safety, occupational health, and doctors specialized in professional pathology

Summary pf the project (max 100 words)

Most of occupational risks, which lead to development of pulmonary pathology, diseases of bones, motor system, disorders of reproduction, vegetative disorders have been already identified, described and formulated into two main groups: psychogenic (psychical) and physiogenic (physical).

The first group of professional risks is caused by extremely strong nervous-emotional and psychical loadings at a workplace. Physical factors concern the second group: intensive noise, high or low temperature, electromagnetic fields, hard physical work and etc. Within the project framework all factors will be studied with application of contemporary hygienic, physiological – ergonomic, clinical and functional methods of research in order to work out differentiated programs of prophylactic, directed to removal or decrease of levels’ impact of professional factors’ risk of pathology development, including medical and general- sanitary measures.

Dissemination Normative – methodical documents. Monographes. Articles. Impact (global or regional)

Global, all-Russian (governmental), regional, and etc.


We are undertaking a search of priority parameters of occupational health risks. Health state parameters are investigated on the basis of the estimation of organism’s functional changes during the work, the data medical observations, parameters of morbidity with time disability, prevalence of chronic diseases, data on occupational morbidity and mortality rate parameters . Methodical approaches to health risk estimation under work in hazard occupational environment are approved. Health state damage risks under complex hazard factors occupational exposure in various industrial conditions are determined. Criteria of aprioristic and aposterioristic of workers health loss risk evaluation in correlation with occupational environment are

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developed.

(WHO) AA2:23

AA2:NP12


AA2: Evidence for action to support national policies and delivery plans.

CC or NGO Name INRS - FRANCE Project title New challenges and new methods in bio-monitoring Keywords Occupational toxicology, bio-monitoring, symposium, methods, urine

sampling disposal, internet Project leader Email address

Marie-Thérèse Brondeau (Jean-Marie Mur) [email protected] F. Pillière, A. Leprince, P. Simon


FIOH (A. Aitio) – FINLAND IST (M. Bérode) - SWISS

Other partners Funding Self -funding Objective of the project

To stimulate discussion and to disseminate information and new tools in bio-monitoring


1-Database on bio-monitoring methods and available laboratories; 2-Development of a urine sampling disposal for on-field use; 3-Organization of a scientific symposium in 2008


Occupational physicians, industrial hygienists of most enterprises


1-A database, accessible on the INRS website, is being developed and implemented in order to disseminate in France, but also in the French speaking countries, recommended bio-monitoring techniques for the surveillance of exposed workers; 2-An original disposal is being developed in order to take samples of urine in exposed workers on a medium which can be easily sent by ordinary mail to a laboratory for analysis of toxic metabolites( this tool will be useful for the bio-monitoring of workers who are far from laboratories); 3-Organization of a scientific symposium in order to have a large overview on the present and future bio-monitoring methods for the surveillance of workers exposed to traditional and emerging chemical risks. Special attention will be assigned to simple bio-monitoring techniques, which can be used directly by occupational physicians.

Dissemination 1-Internet INRS Website 2-Marketting of a urine sampling disposal 3-Acts of the symposium


Global


1. The database BIOTOX is available on the INRS website. It is updated annually (last update in July 2007). A paper publication (in French) is also available (INRS ED 791).

2. A device to collect, transport and store urine samples, “URIPREL”, has been validated for six metabolites of substances (benzene,

44

styrene, carbon disufide, PAH) and works are in progress for other substances (naphthalene, metals). A company has been contracted to market the device. At the same time, new analytical methods faster and easier to use have been developed and transferred to laboratories. The next step of the project aims to increase the number of applications and to develop reactive systems for an in-situ, semi-quantitative exposure assessment. The combined use of immunosorbents and molecular impregnated polymers for determination of traces of 3-hydroxybenzene, metabolite of B(a)P, has been studied. 3. The project to organize a symposium on biomonitoring has been postponed to 2010, an international event already took place in 2007 (7th International symposium on biomonitoring in occupational and environmental health, Beijing, September 2007).

(WHO) AA2:24

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CC or NGO Name National Institute for Occupational Safety and Health (NIOSH)

Project title Best laboratory practices globally for analysis of crystalline silica

Keywords Crystalline silica analysis, exposure assessment, silicosis


Dr Rosa J. Key-Schwartz, Ph.D. [email protected]


WHO, ILO, PAHO, ISP (Chile), NIOH (South Africa) FUNDACENTRO CC Programme [Ana Maria T. Bom [email protected]]

Other partners International Standards Organization (ISO), ASTM International Standards (ASTM), U.S. Occupational Safety and Health Administration (OSHA), U.S. Mine Safety and Health Administration (MSHA), Wisconsin Occupational Health Laboratory (United States)

Funding

NIOSH


This project will establish best laboratory practices for precise and accurate exposure assessment for crystalline silica in collaboration with national and international partners.


To provide standardized guidelines to developing countries for exposure assessment studies used in silicosis prevention initiatives (by 2008)

To assist laboratories in developing countries in implementing quality assurance programs and in applying for laboratory accreditation (beginning in 2006)

To train laboratory chemists in running standardized analytical

45

methods for crystalline silica exposure assessments (beginning in 2006)

To publish ISO/ASTM Guidelines for Quality Assurance and Method Selection for Crystalline Silica Analysis (by 2010)


Laboratories in developing countries and national laboratories seeking to comply with ISO standards and guidelines (e.g., the European Union) for analysis of crystalline silica for exposure assessments studies


To collate data on laboratory practices in order to reach consensus on best practices for precise and accurate exposure assessment for crystalline silica in support of silicosis prevention programs. Specific aims include:

Development and publication of evidence-based guidelines for best laboratory practices and analytical method selection via the mechanisms of ISO and ASTM

Facilitating exchange of information and resources through international linkages (e.g., coordinated videoconferencing, developed and developing countries “twinning)

Developing print and electronic resources (NIOSH web page, CD-ROM) to provide analytical laboratory information and utilizing networks and partnerships for translating and disseminating materials to a broader audience

Dissemination Dissemination will be accomplished through multiple routes including: ISO Guidelines ASTM Guidelines ASTM symposium (planned for 12/08) IOHA presentations NIOSH web site for silica will include information on analytical

methods and quality assurance programs Impact (global or regional)

Global and regional


ISO work: Project leader for the ISO work on guidance has been agreed and draft guidance is in progress. ASTM work: Involvement with industry is proving successful in the development of guidance and definitions related to air quality and bulk materials. Training and QC schemes relating to analytical methods for exposure monitoring and assessment have been implemented across South American countries using new equipment sourced for this purpose.

(WHO) AA2:25

AA2:NP14



CC or NGO Name Institute and Outpatient Clinic for Occupational and Environmental

46

Medicine, University of Munich, Ziemssenstr. 1, D-80336 Munich Project title Risk factors and prevention of occupational asthma and rhinitis Keywords occupational asthma, occupational rhinitis, European Community

Respiratory Health Survey Project leader

Email address

Dr. Katja Radon MSc,


See www.ecrhs.org

Other partners See www.ecrhs.org Funding EU, NIH Objective of the project

The purpose of the project is to assess prevalence and distribution of exposure to asthmagenic agents. Furthermore it is intended to define differences in the exposures evoking asthma respectively rhinitis and then to develop adequate preventive strategies.


The project was funded by the NIH from 1999-2004. Papers on the results of the follow-up of the study are currently under preparation. The next meeting of the group will take place in February 2006 at Frauenchiemsee, Germany


The target group of the survey was the European population aged between 20 and 44 in 1991/92. To enter the study subjects were selected at random from available population registries.


About 10 % of all asthmatic disease is attributed to occupational factors. The prevalence and distribution of occupational exposure to various chemicals, fumes and gases within particular jobs (e.g., cleaning, nursing, metal workers) will be determined and described using standardised methods (for details see www.ecrhs.org). These matters of exposure (e.g., disinfectants, soldering fumes) are known or suspected to be of importance in the aetiology and prognosis of allergy and allergic disease. Better knowledge of exposure-response relationships will lead to improved preventive strategies for occupational asthma and rhinitis.

Dissemination Scientific papers and presentations at international conferences, webpage


At the end of our study, we will be able to develop validated recommendations to reduce asthma and rhinitis risks associated with exposure to various chemicals, fumes and gases.


6837 participants from 13 countries who previously took part in the European Community Respiratory Health Survey are followed prospectively. For the 2nd follow-up, an asthma-specific job exposure matrix with additional expert judgment was used. A significant excess asthma risk was seen after exposure to substances known to cause occupational asthma. Asthma risk was also increased in participants who reported an acute symptomatic inhalation event. The population-attributable risk for adult asthma due to occupational exposures ranged from 10% to 25%. Associations seen were much weaker with respect to rhinitis which might indicate a strong healthy worker survivor effect for this disease. Overall, occupational exposures account for a substantial proportion of adult asthma incidence.

47

(WHO) AA2:26

AA2:NP15



CC or NGO Name Institute and Outpatient Clinic for Occupational and Environmental Medicine, University of Munich, Ziemssenstr. 1, D-80336 Munich

Project title SOLAR – Study on OccupationaL Allergy Risks Keywords occupational asthma, occupational allergies, adolescents, ISAAC

follow up, cohort study Project leader

Email address

Dr. Katja Radon MSc


Other partners IMIM Barcelona

University of Manchester

University of Gothenburg

Bispebjerg Hospital Copenhagen

National Health Development Institute (NHDI) Estonia

Carl Gustav Carus University Dresden

University of Sosnoviecz

Global Asthma and Allergy Network of Excellence GA2LEN Funding

German Ministry of Labor and Social Affairs

German Society for Occupational and Environmental Medicine

European Union Objective of the project

To conduct a prospective cohort study on occupational asthma and allergies in adolescent workers


The first follow-up of the German cohort has now been completed, the 2nd follow-up is currently planned and will be finished 2010.

For the international study the application for funding has recently started.


Adolescents entering working life


About 10 % of all asthmatic diseases are attributed to occupational factors. Due to the cross-sectional character of most studies performed in this field, only limited prospective data have been collected. None of these took childhood factors into account as all of them started in adulthood. We have initiated a follow-up survey of the

48

ISAAC (International Study on Asthma and Allergies in Childhood) II cohort in Munich and Dresden in order to conduct a prospective cohort study on occupational asthma and allergies that starts in early childhood until well beyond the age of working life. In addition, an international study is prepared.

Dissemination Website, e-learning cases, brochure for physicians and students. Impact (global or regional)

Health-based recommendations to adolescents regarding choice of job are under preparation.


About 10 % of all asthmatic diseases are attributed to occupational factors. Due to the cross-sectional character of most studies performed in this field, only limited prospective data have been collected. None of these took childhood factors into account as all of them started in adulthood. We have initiated a follow-up survey of the ISAAC (International Study on Asthma and Allergies in Childhood) II cohort in Munich and Dresden in order to conduct a prospective cohort study on occupational asthma and allergies that starts in early childhood until well beyond the age of working life. In addition, an international study starting at the last year of secondary schools is being prepared.

(WHO) AA2:27

AA2:NP16

Activity Area # and title


CC or NGO Name Department of Occupational Medicine – ISPESL

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

Keywords DALY, occupational diseases, cost – benefit analysis, socio-economic impact


Dr. Carlo Grandi ([email protected]) Dr. Bruna Rondinone [email protected]


Other partners Funding Funded by ISPESL Objective of the project

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

• To quantify socio-economic costs. • To address prevention strategies.


• In depth analysis of national and international databases (by 2006).

• Calculation of DALY (by 2007). • Use of DALY to perform cost – benefit analysis with a focus

on Italian situation (by 2009).

49

• Proposals for prevention strategies (by 2010). Target group and/or beneficiaries

National stakeholders, regulators


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.

Dissemination WHO documents, training courses, worker and enterprise meetings


Global and regional


In the first phase we have analyzed the method adopted by WHO in the Global Burden of Diseases Project with a particular attention to the Global Burden of Disease and injury due to selected occupational risk factors. We also have assessed and identified the sources, databases and peer-reviewed publications in order to calculate the proportion of population occupationally exposed (PEP) to a specific risk factor in the country. Output: B. Rondinone, F. Boccuni, C. Petyx, A. Valenti, S. Iavicoli – Proposal of application of DALY (Disability Adjusted Life Years) methodology to occupational disease in Italy. – G Ital Med Lav Erg 2006; 28:3, 341-343.

(WHO) AA2:28

AA2:NP17




Project title National action plan on prevention of occupational diseases and intervention measures

Keywords National action plan, occupational hazards, occupational risks, occupational diseases, silicosis, occupational hearing loss, asbestosis, etc.


Dr. Nguyen Thi Hong Tu, General Deputy Director, Vietnam Administration for Preventive Medicine, 138 A Giang Vo Str., Hanoi, Vietnam Email address: [email protected]

50


NIOSH

Other partners The University of Washington, US. Funding

Vietnamese government


To reduce the rate of occupational diseases by 10% in 2010 and to improve workers’ health at high risk in Vietnam.


The outcomes of the project: • To develop the national policy in prevention of occupational

diseases (by 2008) • To develop the surveillance programs on prevention of each

occupational disease (2009) • To develop the control toolkit for each risk factor e.g. silica, noise,

chemical, etc. (2009) • To develop national action plan and intervention measures on

prevention of occupational diseases (2010) Target group and/or beneficiaries

Policy makers, occupational health and safety researchers, enterprise managers, workers at high risk


- A description of the current situation of occupational diseases in Vietnam

- An analysis of how these occupational disease are influencing on workers’ health, their families, enterprises and national economy

- The identification of control toolkit for management of each occupational risk factor

- The identification of actions and intervention measures to be taken

- Development of national policy on prevention of each occupational disease

Dissemination National policy, WHO documents Impact (global or regional)

National, regional and Global


The National Programme on labour protection and occupational safety and health was adopted by the Vietnamese government in October 2006 and many activities were implemented in 2007. These include the development of training courses on diagnosis of occupational disease; conducting a survey of occupational risk factors for pneumoconiosis, skin diseases, noise-induced deafness and infectious disease; evaluation of the situation of occupational disease examination, treatment, rehabilitation and expertise in the provinces and in industrial sectors; and development of plans of action for occupational disease prevention in health care workers, on injury prevention in the health care sector and on basic occupational health services.

(WHO) AA2:29

AA2:NP18



CC or NGO Name International Centre for Pesticides and Health Risk Prevention

51

Project title Development Of Public Health Indicators For Reporting Environmental/Occupational Risks Related To Agriculture And Fishery (DIRERAF 2004-2007).

Project leader and email address

.

Partners -National Kapodistrian University of Athens (Project Coordinator), Greece -Medical University of Sofia, Bulgaria -Nofer Institute of Occupational Health, Poland -Charles University of Prague, Czech Republic -Institut Municipal d' Investigacio Medical (IMIM), Spain -Dresden University of Technology, Germany -Institute of Preventive Medicine, Environmental and Occupational Health (Prolepsis), Greece - Finnish Institute of Occupational Health Country: Finland -Erasmus University, Netherlands -Institute of Rural Health, Slovakia

Potential to involve additional partners

We foresee to involve other international experts in the field of Agricultural and Fishery OHS for the evaluation of the set of indicators.

Funding EU-DG Sanco Issues to be addressed

Health and Safety policies and practices in the sectors of Agriculture and Fishery.

Project outcomes 1. To identify and review existing policies and practices regarding data collection for occupational and environmental health risks at the agriculture and fishery sectors.

2. To identify and categorize production specific risks for different types of production in the agricultural and fishery sectors

3. To develop a minimal set of public health risk indicators with regards to occupational and environmental risk and rural health

4. To break down the above mentioned indicators by socioeconomic and demographic criteria.

5. To apply indicatively some indicators and collect data on a pilot base so as to test their feasibility and adaptability.

6. To evaluate the collected data and assess the results of the evaluation.

7. To recommend the set of indicators as a policy tool at the national and European level.

Dissemination Dissemination activities will include: communication of progress and results among the partners and the panel of experts; a project's web-site; presentation of the results from the application of the indicators (on a pilot base) on a public health scientific meeting; presentation of the results and parts of the final report in press conference, continuous press releases; scientific announcements to international congresses and publications at scientific journals; briefing with policy recommendations addressed to national and European policy-makers on the need to collect data according to the methodology proposed so that indicators can be estimated for all Member States

Impact Regional, National and European Level policies. Progress on Project WP2 "Identification and review of existing policies and practices

52

(max 100 words) among 25 EU MS": Data collection is complete and report written. Partners are progressing with WP3 and WP4. The DIRERAF project will be showcased in a recent article submitted to the Journal of Public Health with contributions from other partners. Further links are in progress and pending outcomes from other WP’s, the development of a list of indicators (WP5) will begin. The DIRERAF project is due to end December 2007.

(WHO) AA2:30

AA2:NP19



CC or NGO Name Research Unit of Maritime Medicine Project Title Surveillance of occupational accidents aboard Danish

merchant ships and fishing vessels Keywords Injury, accident, surveillance, prevention, register Project leader

Email Address

Lise Hedegaard Laursen


None

Funding None Objective of the project

To gather information from existing databases into one register, thus improving the surveillance facilities and improving prevention of occupational injuries in merchant seafaring and fishing.

Project outcome: Completion of the project:

Annual updating of the register, and an annual report. Scientific papers.


Seamen and fishermen, and their organizations respectively. Safety professionals in the maritime area.


Background: Prevention of occupational injuries among seafarers and fishermen is highly important. This demands a well documented overview of the character and magnitude of all types of injuries by a valid surveillance system.

Method: Data are gathered from existing databases: 1)Occupational injuries should legally be reported to the Danish Maritime Authority, and when compensation is expected additionally to the 2) insurance companies, and the 3)National Board of Industrial Injuries.

Dissemination Seaman’s and fishermen’s news, oral presentations nationally at relevant organizational meetings as well as internationally at scientific congresses, scientific papers, web-sites.


Global


Updating of databases is ongoing. We are preparing a paper concerning fatal occupational accidents in Danish fishery vessels 1989-2005, based on register information

53

gathered from the Danish Maritime Authority. This paper will be followed by a paper concerning a follow up on occupational accidents aboard merchant ships focusing on accidents causing permanent disability presumably for the period 1998-2002.

(WHO) AA2:31

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CC or NGO Name Research Unit of Maritime Medicine Project Title The back project Keywords Back pain, ergonomics, offshore, drilling rig Project leader

Email Address

Chris Jensen


None

Funding The project has been funded by Maersk Contractors Objective of the project

Identify risk factors for musculoskeletal symptoms and sick leave. Develop methods for quantifying ergonomic risk factors.

Project outcome: Completion of the project:

Scientific article

To be completed at the end of 2006 Target group and/or beneficiaries

Researchers, the offshore industry, safety professionals in the maritime area and shore based industry


Job analyses of all jobs on an offshore drilling rig with 80 employees are performed. Observational methods are used to quantify working postures and heavy material handling. This is combined with personnel registers to identify workers at risk of developing musculoskeletal symptoms, and recommend solutions for improvements. The solutions are either technical or based on job training.

Dissemination Scientific paper, conferences Impact (global or regional)

Global


The first phase of the project has been completed. This involved a complete ergonomic survey of work tasks on a North Sea drilling rig. The report is published on www.maritimemedicine.dk. The next phase will start in late 2007, where interventions involving ergonomic improvements and a physical back training programme will be initiated as part of a PhD study.

(WHO) AA2:32

AA2:NP21



54

CC or NGO Name WHO Collaborating Centre in Occupational Healths Clinica del Lavoro “Luigi Devoto”, Milano, Italy

Project title Exposure assessment and occupational health in petrochemical industry, banana production and floriculture in Ecuador

Keywords Exposure assessment; industrial hygiene; occupational health; risk prevention; petrochemical workers; floriculture workers; banana production workers; pesticides

Project leader Email address Prof. Vito Foà, [email protected], Dr. Silvia Fustinoni,

[email protected]

Dr. Raul Harari, [email protected]


We are looking for possible partners.

Other partners Corporación para el Desarrollo de la Producción y el Medio Ambiente Laboral-IFA, Quito, Ecuador

Fondazione IRCCS Ospedale Maggiore Policlinico, Mangiagalli e Regina Elena, Milano

ISPESL ?

Funding

ISPESL/ Fondazione IRCCS Ospedale Maggiore Policlinico, Mangiagalli e Regina Elena Consortium, for WHO Collaborating Centre

Objective of the project − To conduct three studies in Ecuador on: petrochemical

industry, floriculture and banana producers. We will investigate exposure to solvents, heavy metals and pesticides and will establish their outcome on workers’ health

− To develop training programs for physician, and nurses, and technicians in occupational health

− To publish booklets to address risk management and scientific articles to report the results of the studies

− To improve technical capability of laboratories in Ecuador dealing with environmental and biological monitoring of occupational exposure


Improvement of working and health conditions in Ecuadorian workers;

Improvement of know-how for prevention operators.

Target group and/or beneficiaries Floriculture workers, banana growers, petrochemical workers,

occupational health physicians, nurses, industrial hygienists, laboratory technicians, institutions for safety and prevention at work.


Select of working settlements to be study. Contact employers and employees to obtain their consensus to conduct the study. Visit the working settings and plan the investigations. Perform the field studies with collection of health information and clinical outcomes, environmental and biological samples. Perform exposure assessment

55

analysis. Set a database and conduct statistical analysis. Discuss the meaning of findings. Report results to workers and authorities. Set strategies to reduce exposure and its health effect.

Dissemination Guidelines for safety and prevention at work, booklets and training packages for workers and operators of prevention, scientific publications.

Impact (global or regional) Global


An exposure study on Ecuadorian floriculture workers has been carried out, which involves measurement work (health and exposures information) in the open field environment and greenhouses. Exposure to ethylenbisdithiocarbamate fungicides (EBDTCs) was investigated in a group of greenhouse farmers by measuring urinary ethylenethiourea (ETU), which is a major metabolite of EBDTCs. This work has demonstrated that ETU measurements may be adopted as a biomarker of short-term exposure.

(WHO) AA2:33

AA2:NP22



CC or NGO Name Department of Occupational Health, Fudan University, Shanghai, China

Project title Interaction between occupational and genetic factors on lumbar disc degeneration

Keywords Genetic factors, physical exposure assessment, lumbar disc degeneration


Dr Ling Lei, associate professor [email protected]


Other partners Funding National Natural Science Foundation of China Objective of the project

To explore the interaction between occupational and genetic factors on lumbar disc degeneration.


The model of lumbar disc degeneration risk factors (by 2008)


Professionals, employers, employees.

56


According to MRI diagnosis and using case-control study, genetic effects will be analyzed by comparing gene and genotype frequency differences of IX collagen, aggrecan, MMP－3 and VDR; Occupational effects will be qualitatively and quantitatively assessed by analyzing the characteristics of lumbar disc degeneration including incidence, site, types and severity in various occupational physical workload exposure; by which occupational and genetic interaction contributed to lumbar disc degeneration will be explored.

Dissemination WHO document, Conferences and publications Impact (global or regional)

Regional


1. A case-control study was carried out and found that risk factors of lumbar disc degeneration associated with age, back injury history, whole body vibration, bending/twisting and heavy work seemed to be synergized in subjects with mutation genotypes of MMP-3 and/or VDR-Apa. An interactive effect profoundly existed between the mutation genotype of MMP-3 and whole body vibration exposure. 2. At present, we are conducting a cross-sectional survey focused on occupational risk factors of foundry workers, and assessing if synergistic effects would have existed among workers with polymorphisms of COL9A2 and COL9A3 of IX collagen and aggrecan genes.

(WHO) AA2:34 AA2:NP23 Activity Area Number and Title



Project title SESI Lazer Ativo (SESI Active Leisure)

Keywords Health, Leisure, Sport, Lifestyle, Behavior Change, Physical Activity

Project Leader Email Address

Vitor Gomes Pinto [email protected]

Partners (Of the CC Network)

Key people from WHO CCs will be invited to contribute to the project.

Other Partners Núcleo de Estudos e Pesquisas em Atividade Física e Saúde – NUPAF/UFSC (Research Nucleus on Physical Activity and Health)



To provide integrated solutions, focusing on lifestyle change, in order to:

• Build knowledge on lifestyle and leisure habits of Brazilian manufacture and civil construction workers;

• Promote actions and campaigns to reinforce the importance of

57

a healthy lifestyle in the industrial environment (employees and employers);

• To inform, motivate and facilitate workers’ access to leisure, offering them services based on the project, such as: SESI Gymnastics in the Company (SGE), Programs of Mobile Leisure Action (PAM), sports, and actions integrated with the Health area, developing lectures, physical and nutritional evaluation.

Project Outcome(s) And deadline(s) for completion of the project

• To develop a survey in 26 states and 1 federal unit about lifestyle and leisure habits, with a follow-up every five years;

• To have two campaigns every year (April 7th – World Health Day and September 21st – First day of Spring in Brazil);

• Implementation of integrated solutions in 1500 companies, by the year 2010;

• To provide 500000 workers with leisure activities based on the promotion of a healthy lifestyle, following and controlling the behavior change stages

• Sensibilization of industries to a modern management of people and competitivity.


Manufacture and civil construction workers and their families.


Program of integrated solutions of leisure to the lifestyle improvement, considered a determinant factor to workers’ health. Its services are articulated with the preventive health and nutrition areas in SESI and in the companies. It develops diagnosis and interventions focused on the following lifestyle areas: physical activity, diet, stress, relationships and preventive behavior. The expected outcome of the Program is a change in workers’ behavior related to the adoption of a healthy lifestyle.

Dissemination Didactic material electronically available (www.sesi.org.br) and publication to be accessed on the Internet. 130-hour extension courses to prepare consultants of a healthy life.


National and regional.

Progress on Project (maximum 100 words)

(WHO) AA2:35 AA2:NP24 Activity Area Number and title


CC or NGO Name Health and Safety Laboratory (in partnership with Leeds University) Project title Increasing physical activity: designing and testing a workplace

intervention Keywords Physical activity, physical exercise, well-being, occupational health,

health promotion Project leader Email address

[email protected]

58


Collaborating with Leeds University

Other partners Funding BUPA foundation grant Objective of the project

To develop and evaluate a flexible and problem-based work place intervention to promote physical activity that requires no previous experience and could be implemented in any organisation.


Main Outcome: Intervention tool-kit to support development, implementation and evaluation of increased physical exercise in any work place context. Changes are intended to be easily assimilated into existing habits and practices rather than a radical overhaul of lifestyles. The project is due to complete October 2009.


Any employer and their employees regardless of industry sector, work conditions or scale of operations.


The sample comprises 1500 participants from a Local Authority, NHS Trust and Transport Company within a cluster randomised controlled trial. Baseline, process and 12 month follow-up measures will be undertaken using self-report outcomes and physiological indicators of health and fitness. The intervention tooI-kit will be developed using ‘intervention mapping’ and will be based on the latest behavioural change research. Key barriers will be identified through a series of focus groups. The intervention will be delivered on site by a nominated local facilitator. The range of work contexts represented within the sample should enhance transferability of findings to most work settings.

Dissemination A communication plan has been set up for promoting the work and disseminating the tool. Links with the UK Government’s Health, Work and Well-Being Strategy and the BUPA foundation will be utilised to ensure far-reaching dissemination across UK employers.


UK workplaces


As of September 2007, the intervention tool-kit has been drafted and the project is now at the end of the planning and preparation stage. The test-phase will commence in October 2007. Planning has entailed recruiting participant companies (requiring commitment from senior management), obtaining ethics approval, conducting focus groups to identify barriers, setting up procedures and protocols, identifying and specifying appropriate physiological measures, designing the intervention, producing a communication plan, and other supporting activities. Baseline evaluation will occur from October 2007 to April 2008 (inclusive of the test phase) with follow up physiological evaluation occurring 12 months later.

(WHO) AA2:36

AA2:RS1

59



CC or NGO Name Institute for Occupational Health, Kiev, Ukraine Project title Develop a system for identification, estimation and management of

occupational risks of noise and vibration exposures Keywords Able-to-work population, risk at work, occupational health, noise,

vibration, risk management, risk monitoring Project leader

Email address

Prof. Yuriy Kundiyev

[email protected], [email protected], Partners (of the CC Network)

Institute of Occupational Health of the Academy of Medical Sciences of the Russian Federation; University of Illinois, Great Lakes Center for Occupational and Environmental Safety and Health, Chicago, IL (USA)

Other partners National Scientific Research Institute of Occupational Safety, Ukraine Funding Funding from the Regular Government Budget Objective of the project

To assess risk of development of occupational hypoacusis and vibration disease in workers of main occupations and production processes. To provide joint efforts of national and international partners in assessment of economic damage due to such diseases and to ground measures for risk management.


The Project will be implemented in 3 stages:

Stage I – to develop a system for identification of occupational risks of noise and vibration for workers of main occupations and production processes of Ukraine ( 2006-2007);

Stage II – to develop a methodology for assessment and analysis of economic damage because of the risk-factors and substantiation of measures for risk management ( 2008-2009);

Stage III – to test and monitor of the efficiency in implementation of developed measures for risk management at the State level ( 2009-2010).


Workers of dangerous occupations with risk-factors of noise and vibration at production processes, administrations of dangerous enterprises, occupational health service, Government, Trade Unions.


The problem of risk assessment and risk management of noise and vibration diseases in Ukraine is still not solved in full extent due to a lack of the complex system for assessment of occupational risks at all levels. The reason is in the lack of a distinct strategy of economic damage assessment due to such diseases for provision of occupational health services for such workers. The proposed project is focused directly to solving the mentioned problems.

Dissemination The results of investigations will be introduced in Ukraine through the Fund of social insurance of accidents at work and occupational diseases in Ukraine., through the Ministry of Health and Ministry of Social policy and Labour, with trade unions and through the association for Businessmen and enterprises and the Government of Ukraine.


Basing on the system of epidemiological monitoring of workers of main occupations at the national level the system for assessment and

60

management of occupational risks of exposure to noise and vibration will be realized.

At the global level the developed methodology of the risk assessment and preventive measures will introduced into the international system through the different Programs including the WHO and ILO.


The system for collecting the data on patients with occupational diseases related to exposure to noise and vibration in Ukraine is implemented. The Draft Recommendations: “Methods for assessmemt of occupatiobal healh risk related to exposure to physical factors” has been developed in 2006-2007. The developed methodical approaches were taken into account in the «Decree of the Cabinet of Ministers of Ukraine on 22 February 2006, № 182 «On adoption of the procedure of the state social and hygienic monitoring». Medical and social monitoring of patients with occupational diseases related to exposure to noise and vibration in Ukraine has been improved.

(WHO) AA2:37

AA2:RS2




Project title Elaboration of a European Guide to support the new European Directive 2003/10/EEC on the requirements regarding the exposure of workers to the risks arising from the physical agent noise

Keywords Project leader Email address

Dr. Patrick Kurtz (2.6) [email protected]


Other partners INRS, CIOP und HSL Funding

The project is funded by the European Commission.





To support the new European Physical Agents Directive on Noise the European Commission sponsors a project to prepare a guide helping employers and employees to comply with the requirements of the Directive to reduce the noise exposure of workers. The task to prepare such a guide was given to a consortium of different OHS institutions of the member states. These institutions are the INRS from France, CIOP

61

from Poland, HSL from the UK and the BAuA from Germany. The guide will be finalised in 2006 and deals with subjects like: Basis of acoustics, measurement and exposure evaluation, design of the workplace, techniques of noise reduction, hearing protectors, hearing damage, purchase of quiet machines, noise reduction in the entertainment sector, etc.. A list of keywords guides the reader through the text. The whole guide is written in a plain style including a respective glossary explaining technical terms. Although the guide is prepared to support the European Directive it can be used as a general information about noise reduction at workplaces.

Dissemination The guide will be disseminated in the EU in all member state languages.


Although the guide is supporting European legislation it provides a general tool to reduce noise at workplaces.


The work on a European guide supporting the implementation of the European Physical Agents Directive on Noise 2003/10/EC officially finished in 2006. The English version is currently translated into the different member state languages. We anticipate that in mid June the member states will give a positive vote to distribute this non-binding guide to good practice for the application of the directive 2003/10/EC as an official European document. The final adoption by the Commission can then be expected towards the end of July 2007. The title of the guide will read: "How to avoid or reduce the exposure of workers to noise at work"

(WHO) AA2:38

AA2:RS3




3 – Practical approaches to identify and reduce occupational risks


Project title Code of conduct for noise control in the music- and entertainment sector

Keywords Project leader Email address

Dr. Georg Brockt (2.6) [email protected]


Other partners A working group has been established involving all parties concerned.Funding


Project outcome(s)

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and deadline(s) for completion of the project


The guide helps workers and employers in the music and entertain-ment sector to meet their obligations regarding occupational safety and health.


The code of conduct will give information to protect employees in the music- and entertainment sector against the risks arising from sound exposure. It considers the risks for hearing impairment, the people affected and describes strategies for reducing the sound exposure and for hearing conservation in this specific sector. A first German version of this guide is scheduled for 2006. As this theme is not limited on a national scope, it is most likely that the guide will be translated into other languages. It is planned to discuss the issue within an European congress at the BAuA by the end of 2006.

Dissemination


The scope of the impact of the project is identified as global.


The work of the German working group on the guidelines is in progress. Parts of this work have been implemented in the EU-Guide to support the new European Directive 2003/10/EC within the project AA2:RS2. A first completed German draft is planned for autumn 2007. In order to support this work, the BAuA arranged a European conference on hearing conservation in the music and entertainment sector (January 07) entitled “Music – Safe and Sound”. The conference program and the presentations are available on http://www.baua.de/en/Topics-from-A-to-Z/Noise/Safe-and-Sound.html__nnn=true. The publication of a book with extended articles of the referees is scheduled for autumn 2007.

(WHO) AA2:39

AA2:RS4



CC or NGO Name Center for Occupational Health at the National Institute of Public Health, Prague, Czech Republic

Project title Lung function reduction associated with different levels of occupational exposure to asbestos particles.

Keywords asbestos, occupational exposure, lung functions Project leader

Email address

MUDr. Lenka Rychlá


Other WHO CC engaged in the same topic

Other partners 1. Department of Occupational Medicine, 1st Faculty of Medicine,

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Charles University, and General Teaching Hospital, Prague

2. Department of Biostatistics and Informatics, National Institute of Public Health, Prague

Funding State budget and grant projects Objective of the project

To study development of lung functions changes following exposure to asbestos


• Selection of study subjects from the database of former workers occupationally exposed to asbestos by beginning of occupational exposure (2006).

• Entry and processing of follow-up data from lung function tests and chest films (2007-2009).

• Statistical analysis of data and final assessment of reduction of selected lung function parameters in study groups. Integration of results for estimate of postexposure progression of lung function damage (2009-2010).


• Retired and former workers occupationally exposed to asbestos in an asbestos processing plant in the Czech Republic under different conditions of particulate matter air pollution.

• Group 1: workers occupationally exposed to asbestos since 1975 • Group 2: workers occupationally exposed to asbestos since 1976

- 1996. • Groups 1 and 2 were selected so as to reflect conditions prior to

and after the implementation of effective measures against airborne particulate matter at the asbestos processing plant, respectively.


Assessment of changes in selected lung function parameters in workers occupationally exposed to asbestos at an asbestos processing plant in the Czech Republic who started their job under different conditions of particulate matter air pollution at workplaces. Estimate of the progression of lung function damage in these workers over postexposure years. The results obtained would be a key to the implementation of preventive measures for reducing occupational risk and follow-up check-ups in the occupations and countries where asbestos has still been processed.

Dissemination WHO documents, scientific meetings and publications Impact (global or regional)

Both regional and global


Over 2006, records of 615 persons were studied for the purpose of this work. From this, 331 subjects have been investigated for whom at least 2 lung function examination results were obtained at an interval of not less than 1 year. These subjects were then divided into 2 groups to reflect the conditions prior to and after the implementation of effective measures against airborne particulate matter at the asbestos processing plant: Group 1: workers occupationally exposed to asbestos until 1975

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Group 2: workers occupationally exposed to asbestos from 1976 to 1996. Data has been entered into an appropriate statistical program throughout 2006 for analysis.

(WHO) AA2:40

AA2:RS5



CC or NGO Name CATHOLIC INDUSTRIAL MEDICAL CENTRE(CIMC), Korea Project title Establishment of infrastructure to evaluate the risk of asbestos

exposure Keywords Asbestos, Infrastructure Project leader

Email address

Hyunwook Kim, Ph.D

e-mail: [email protected] Partners (of the CC Network)

Morimoto Y, Japan : UOEH


- Research and grant proposal

- Governmental assistance

- Contracts with companies Objective of the project

Prevent asbestos related disease through educating risk of asbestos and establishing infrastructure to control asbestos exposure


- Establishing educational institute for asbestos

- Training laboratories dealing with asbestos and making accreditation system

- Development of substitute for asbestos to prohibit the use of all asbestos

Deadline: 2009.12 Target group and/or beneficiaries

Workers exposed to asbestos and general population in the face of environmental exposure of asbestos


This project is conducted to minimize and prevent asbestos related disease in Korea. We estimated the increase of this kind of diseases like asbestosis and mesothelioma. Our estimation became true, so, a lot of cases of mesothelioma are being reported in Korea. First of all we considered establishing infrastructure for asbestos as the most important thing to solve this problem.

Now we collaborate with Korean government(Ministry of Labor) about

65

this project. Dissemination - Results will be submitted to relevant journals for publication

- Presentation at relevant conferences and meetings

- Reports Impact (global or regional)

Global


1. Report submitted to the Ministry of Labour recommending expertise, guidance, training and ban on use/import of asbestos products (to be actioned in Korea by 2009). 2. Ministry to create provision/training/etc in 2006 for asbestos demolition/clearance workers. 4. Microscopy course designed for analysts and quality control scheme established. Grant proposals submitted to support (due March, 2007). 5. Steps taken to collaborate with other WHO partners.

(WHO) AA2:41

AA2:RS6



CC or NGO Name Institute of Occupational Medicine Project Title Consistency in laboratory analysis of samples to determine airborne

concentrations of asbestos and other fibres. Keywords Asbestos fibres, mineral fibres, fibre counting, proficiency testing,

Fibre counting rules Project leader Email Address

Dr Alan Jones


HSL/HSE (UK); Catholic Institute of Industrial Medicine (Korea); National Institute for Occupational Health (South Africa)

Other partners Funding Participant laboratories in the proficiency testing schemes, and UK

Health and Safety Laboratory/Executive. Objective of the project

The project will seek to improve and maintain the consistency between laboratories nationally and globally in the analysis of samples to determine airborne concentrations of asbestos and other fibres. One of the factors that may affect consistency is a change in the method for the analysis: the WHO-published all-fibre counting method becomes the standard method in Europe in 2006. The change in technique may be reflected in data reported by laboratories. The data will be examined to assess the effect of the change.

Project outcome(s) The outcome should be the improvement and maintenance of

66

and deadline(s) for completion of the project

consistency between laboratories in the counting of asbestos and other fibres (ongoing). A specific outcome will be an assessment of the effect of the change to a new method of fibre counting as the standard method in Europe. A paper on the progress and findings will be produced (2008).


The health and safety professionals involved in measurement of asbestos fibres, the people who rely on those measurements being consistent.


Concentrations of airborne asbestos are determined by counting of fibres under phase contrast optical microscopy. Proficiency testing (PT) checks that laboratories are producing consistent results. This is needed as large differences between analysts and laboratories can occur. During 2006, adoption of the WHO all-fibre counting method will affect the count that should be obtained on some samples. In the UK, laboratories are being helped prepare by a special training exercise. The international PT schemes will have to allow for laboratories switching to new counting rules. PT results will be analysed to determine progress.

Dissemination By communications to laboratories worldwide, by reports, and by published paper(s).


Global


In November 2006, operation of the UK fibre proficiency testing schemes transferred to HSL. IOM remains closely involved. The training (for PT labs) helped a smooth transition to the new WHO-published counting method. We will collaborate with HSL on a paper reporting the change and its effects.

The international PT schemes have continued, with some new members, including HSL, and the format of reports to participants has been improved. International contacts have continued, with successful visits to IOM in 2006 from WHO-CCs in Korea (Catholic University) and South Africa (NIOH). A larger Korean delegation will visit IOM in July 2007.

(WHO) AA2:42

AA2:RS7



CC or NGO Name Japan National Institute of Occupational Safety and Health (JNIOSH) Project title Emerging Occupational Health Hazards among Health Care Workers

in the New Millennium Keywords Health care worker, musculoskeletal, dermatitis, needlestick, sharps,

risk, intervention Project leader

Email address

Dr Derek R Smith


None

Other partners James Cook University, Australia

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Funding Financial provisions will be covered by the budget of the JNIOSH Objective of the project

The primary objective of this project is to investigate the distribution of work-related musculoskeletal disorders, occupational dermatitis, needlestick and sharps injuries, and other issues related to overtime and / or shift work among health care workers (HCW) in hospitals and nursing homes. The secondary objective is to develop effective interventions to help reduce or prevent these issues among HCW, particularly those related to needlestick and sharps injuries.


The outcome until now (2002-2005)

Preliminary research conducted among hospitals and nursing homes within Japan, Australia, Korea, China and Taiwan.

The outcome expected henceforth (2006-2010)

Further prospective studies of occupational injury causality will be conducted in the Asia-Pacific region, in addition to the development of interventions to help reduce occupational issues in these areas.


Health care workers in a variety of Asia-Pacific countries, especially those working in the palliative care area and nursing homes


Research on occupational health issues specific to nursing home Health Care Workers (HCW) will become essential as the world’s population rapidly ages and a greater proportion of the nation’s health care workforce are concentrated in this area. The major issues among them will be work-related musculoskeletal disorders, occupational dermatoses, needlestick and sharps injuries, and other issues related to overtime and / or shift work. All of the issues raised and suggestions offered from our research are appropriate for the wider community, particularly those in developing countries. Research on HCW needlestick and sharps injuries are especially important for regions where HIV infection is endemic and therefore represents a critical threat for health care staff.

Dissemination Peer-reviewed scientific publications, Conference Abstracts, Special issue of INDUSTRIAL HEALTH journal scheduled for 2007


Global


The special issue of INDUSTRIAL HEALTH journal which is intended to disseminate research findings for the project has been in progress during the past year and is currently scheduled for publication in mid-2007. The tentative title is: “Emerging Occupational Hazards among Health Care Workers in the New Millennium”. Contributors have so far included projects from Japan, Singapore, Australia, the United States, the United Kingdom, Germany, Norway, Italy and Hungary. Two new research projects on safety climate and their effects on occupational hazards among health care workers have also commenced in Japan during this time.

(WHO) AA2:43 AA2:RS8

68



CC or NGO Name CATHOLIC INDUSTRIAL MEDICAL CENTRE(CIMC), Korea Project title Prevention management program of musculoskeletal diseases using

the participatory action oriented training (PAOT) in the health care workers

Keywords Musculoskeletal disease, health care workers, prevention management program, PAOT (participatory action oriented training)

Project leader

Email address

Jung-Wan Koo, M.D., Prof.


Toshiaki Higashi, Japan ; Kazutaka Kogi, Japan


- Research and grant proposal

- Contracts with companies


The objectives is to find out for themselves the improvement opinion of health care workers for prevention of work-related musculoskeletal diseases (WRMSDs) by participatory action oriented training (PAOT).


- The participants accomplish the real action plans for improvement of their own hospitals by PAOT. And they have positive thinking for improvement of their wards and become good facilitators to be able to perform PAOT. Deadline: 2006.12


Health care workers


PAOT workshop consists of 6 technical sessions. At the 1st session, each action checklist item is explained and on-site checklist exercise is carried out. And from 2nd to the 6th session, good example pictures on 5 principles – treatment and management of medicines, medical instrument and equipment / patient care, work environment safety and job management, a ward design, welfare facilities – and group discussion is carried out by the participants. In the 6th session in implementation of improvement, each participant is asked to present 2~3 short-term and long-term action plans for their own ward improvement.

This study is assured that the PAOT program shows high potentials as an intervention program to prevent WRMSDs in hospitals.

Dissemination - Results will be submit to relevant journals for publication

- Presentation at relevant conferences and meetings

- Reports Impact (global or regional)

Global

Progress on Project

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(max 100 words) After participating in PAOAP workshop, work improvements have been achieved on the basis of their own ideas. A lot of improvements were helpful to prevent musculoskeletal disorders. This study so far has shown that the PAOAP had high potentials as a useful program to prevent work-related musculoskeletal disorders (WRMSD) in hospital. Now that the 1st stage of PAOT program at Uijeongbu St. Mary's hospital is finished, the 2nd stage is in preparation within the same hospital. This may also be applied to other hospitals in the future.

(WHO) AA2:44

AA2:RS9



CC or NGO Name National Institute for Occupational Health (NIOH), SA Project title An ergonomics audit in South African public hospitals Keywords Nurses; patient handling tasks; ergonomic risk factors; work related

musculoskeletal disorders Project leader

Email address

Ms. Sindiswa Dyosi


National Institute for Occupational Health, South Africa

Other partners Center of Ergonomics for Developing Countries, Sweden Funding The study will be funded by the NIOH Objective of the project

To prevent occurrence of musculoskeletal problems among nurses


1. To conduct a pilot project in one of the public hospitals (by June 2006)

2. To conduct this project among public hospitals in all South African provinces (by end 2009)

3. To develop a database with statistics on prevalence of musculoskeletal pain among South African nurses (by 2009)

4. To develop guidelines for prevention of work related musculoskeletal disorders associated with patient handling tasks for nurses working among public hospitals in developing countries (by end 2010)


Health care workers and managers


Musculoskeletal disorders (MSDs) may develop from exposure to ergonomic hazards. However, symptoms are multifactorial. They include pain and numbness. Disability may arise if these disorders are not diagnosed at an early stage because they may remain asymptomatic for years before the symptoms manifest. Nurses are not exceptions. Tasks that involve manual handling of patients have been identified as the leading causes of MSDs among nurses but not in South Africa. This project aim is to determine the prevalence of

70

musculoskeletal pain among nurses working in public hospitals and associated ergonomic risk factors in order to develop guidelines on their prevention.

Dissemination Workshops and seminars; conferences; brochures and booklets Impact (global or regional)

SADC region


The project has completed its first phase of the "Pilot". A protocol is currently being prepared for the full study, which is scheduled to be completed by end of 2009. The title of this project is due to change to account for development of an intervention tool in the form of guidelines for the healthcare workers. There are intentions to form project links with regard to data collecting tools, which will aim to allow us to generalize the findings worldwide.

(WHO) AA2:45

AA2: 45



CC or NGO Name Institute of Occupational Health and Safety Tunisia ISST

Project title Study of global health in the work environment: cardio vascular and mental health risk

Keywords Mental health- stress- cardio vascular risks – Work Project leader

Email address

-Dr. Miled –Dr. Nouaigui -Dr. Ben Laiba [email protected]


Other partners -Faculty of Medicine of Tunis(Department Epidemiology), autonomous departments of Occupational Health, Razi Hospital of Psychiatry in Tunis

Funding -ISST-Ministry of higher education, scientific research and technology Objective of the project

-to evaluate the prevalent individual factors of cardiovascular risk: tobacco, alcohol, obesity etc... -to evaluate the psychosocial factors at work responsible for genesis of cardiovascular pathologies -to identify professional exposure presenting a cardiovascular risk - to seek the link as regards the prevalence of cardiovascular diseases and socio-professional factors -to direct the actions of prevention according to various categories of population

Project outcome(s) and deadline(s) for

-To supervise and try to control the principal factors at individual and professional levels

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completion of the project

-To put in place a suitable programme of prevention according to each professional category. -Date limit for the study : December 2009.


-workers exerting in various companies belonging to various branches of industry


-ISST proposed to carry out a survey to study the mental health of the Tunisian workers and to evaluate risk factors of cardiovascular diseases at individual and professional levels. The purpose of this study is to set up a suitable program of prevention. Thus a transverse research relating to approximately 1000 workmen, exposed to various occupational hazards (sedentariness, Shift work.) will be continued by an exploratory study to determine the incidence of cardiovascular pathologies according to psychosocial factors' in a group of workmen not presenting cardiovascular diseases the Stages of the study are as follows above: a questionnaire, a clinical examination and a biological evaluation. The transverse study will be realised over 2 years and the workmen not presenting cardiovascular diseases , Will be observed over 4 to 5 year period

Dissemination -specialized Wards -Ministry for public health - occupational health departments .


-National


-Practical investigation was implemented, concerning a manpower of approximately 250 workers.

(WHO) AA2:46

AA2: 46



CC or NGO Name Institute of Occupational Health and Safety - Tunisia -ISST

Project title Study of professional exposure to organic solvents in Tunisia

Keywords Organic solvents – professional exposure – hexane-styrene white spirit- Toluene Benzene - adhesives painting

Project leader

Email address

Dr.BEN Mansour- Dr..Nouaigui- Dr.Ben Laiba [email protected]


Other partners -CAMU: Center of Urgent Medical aid in Tunis - Departments of Occupational medicine of Sfax-TUNISIE - Departments of Occupational medicine of Ben Arous-TUNISIE

Funding Budget of the ISST

72

Objective of the project - To evaluate professional exposure to solvents

-To evaluate the prevalence of morbidities linked to professional exposure to solvents - To propose solutions to reduce professional exposure to solvents


- Establishing of an inventory of fixtures for the professional use of solvents in Tunisia - Identification of the morbid states linked to solvents and their prevalence - deadline: December 31- 2008

Target group and/or beneficiaries -workers in companies which use organic solvents and in

particular the manufacture of adhesives and paint products, leather and shoe industry, the laminated plastic industries and of dry cleaning companies.


The sample of companies belonging to the branches of industry which use organic solvents, are carried out: - Census of the products used - Identification of the work stations which expose to solvents - quantitative and qualitative evaluation of the exposure to solvents, thanks to environmental and biotoxicologic monitoring. - Clinical and paraclinical examinations of the workers exposed to solvents. -These investigations will enable us to identify, qualitatively and quantitatively the risk situations and the pathological states associated with the professional exposure to organic solvents into the companies studied, and to recommend preventive measures to reduce this exposure

Dissemination the results of the study will be diffused to the ministry of social affairs, to the companies studied, to Occupational Health physicians, and to the researchers and published in scientific reviews

Impact (global or regional) National Impact by:

- A better knowledge of the working conditions and exposure to solvents in the Tunisian companies which are using them. - An improvement of the working conditions in the companies which use organic solvents, leading to the reduction of morbidity related to solvents


the study was completed entirely in two sectors which use most solvents, that is the sector of the manufacturing of the

73

adhesives and paintings. The results of the samples as well as the corrective recommendations were addressed to the companies. The first results showed a high level of prevalence of the neuropsychic demonstrations (signs), which constitutes a real problem of public health. The continuation of the study will be carried out during year 2009 in the leather and shoe and the laminated plastics sectors

(WHO) AA2:47

AA2: 47



CC or NGO Name Hungarian Institute of Occupational Health Project title Survey of airway diseases among workers at agriculture livestock

premises Keywords occupational asthma, agriculture, lung function, extrinsic allergic

alveolitis Project leader

Email address

Dr. Kardos, Kálmán [email protected]


Institute and Outpatient Clinic for Occupational and Environmental Medicine University Munich

Other partners Local Occupational Health Services Funding Budget of HIOH Objective of the project

Survey of airway disease at workers employed in agriculture


The project develops a notion about the incidence of airway diseases in one of most exposed group of the workers in agriculture and would serve as a basis for suggestions on the modification of technology and measures to diminish workplace risks. Deadline: 30 June, 2010


Workers in agriculture livestock premises. Occupational Health Services of agriculture.


Workers in agriculture livestock premises are exposed to bacteria, toxins, dusts and gases. Airway diseases are scarcely reported from these workers because they are either employed in small and medium enterprises or working in not organized relationships. In Hungary reported cases of occupational asthma were less then

74

1/1.000000 in 2007. These facts justify screening programme in such occupations. Surveys will include a targeted questionnaire, lung function tests, Prick-test or specific serum IgE level measurements. Positive cases may be subjects to further medical investigations.

Dissemination Specialists in occupational health will be informed about the results of the investigation through an informative guide which will be available for the managers and workers in agriculture, as well.


Contribution to the better knowledge on the agriculture workers’ health status, furthermore conclusions would serve as a basis for suggestions on the modification of technology and measures to diminish workplace risks.


The beginning of the investigation is January, 2008

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Activity Area 3 Practical Approaches to Identify and Reduce Occupational Risks

Manager: Dr. Stavroula Leka [email protected]

Deputy Managers:

Francesca Metruccio [email protected] Aditya Jain [email protected] Rick Niemeier [email protected]

Subgroups:

AA3: Ch Chemicals AA3: S Silicosis AA3: P Psychosocial AA3: E Ergonomics AA3: H Healthcare AA3: Ag Agriculture AA3: Co Construction AA3: I Injury AA3: As Asthma AA3: Ec Economics

(WHO) AA3:1 AA3:Ch1 Activity Area Number and title AA3 Practical approaches to identify and reduce occupational risks

CC or NGO Name FUNDACENTRO

Project title Risk Management of Chemicals: Chemical Toolkit Pilot-Project Implementation

Keywords Pragmatic approach; Small and Medium Enterprises; Risk assessment; Control Banding.


Marcela Gerardo Ribeiro, PhD chemistry researcher, Occupational Hygiene Division [email protected]

Partners (of the CC Network) NIOSH

Other partners SESI/SP and SEBRAE Funding Fundacentro

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The key objective of this project is to support small and medium-sized enterprises to focus their efforts on both assessment and control of hazards, using the International Chemical Control Toolkit, a user-friendly methodology that provide the user with guidance for controlling exposure to hazards.


Training small and medium-sized companies owners, employers and employees concerning the important reasons for which to use the toolkit and how to use it adequately. (by 2007). Quantitative evaluation to validate the Toolkit control strategies adopted by the enterprises involved in this research (by 2007). Development of a Chemical Toolkit website in Portuguese (by 2007)

Target group and/or beneficiaries Small and Medium Enterprises – Foundry and Printers


In Brazil, as observed in many other countries, problems regarding protection from hazards substances in small-sized enterprises are similar. Looking for a simple tool to assess and to control such exposures, FUNDACENTRO has started in 2005, a pilot-project to implement the International Chemical Control Toolkit to control chemicals in Foundries and Printers.

Dissemination Training (specific courses concerning about how to use the Toolkit), Meetings and Workshops.

Impact (global or regional) Regional


In order to reach the proposed goals, a broad range of activities has been developed. The main results are described bellow: ♦ Awareness raising about hazards prevention and control through diffusion of information, providing free access to the produced Toolkit Guidelines (foundries and printers), available to download from http://www.fundacentro.gov.br/CTN/pub_eletronicas.asp?D=CTN; ♦ Training employers, employees and OSH professionals, concerning the reasons to use the ICCT based guidelines and how to use it. This activity has comprised 05 oral presentations in OSH meetings and postgraduate courses and 03 short-duration training courses (02 in Brazil and 01 in Peru). A distance learning course will be held in august 2007 through the Fundacentro virtual platform.

(WHO) AA3:2 AA3:Ch2 Activity Area Number and title

AA3 Practical approaches to identify and reduce occupational risks

CC or NGO Name Department of Environmental Health Engineering, Sri Ramachandra Medical College & Research Institute, Chennai, India (Recognition as WHO CC in progress)

Project title Sound Chemicals Management for a Healthier Environment in South and Southeast Asia

Keywords Chemical hazards, control banding, chemical inventories, chemical

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management, environmental monitoring, pesticides, environmental health


Mr. Sankar Sambandam [email protected] Kalpana Balakrishnan ; [email protected]

Partners (of the CC Network) NIOSH FIOH, Germany

Other partners GTZ Convention Project Chemical Safety . VEPA (Vietnam Environment Protection Agency)/ Department of Natural Resources and Environment (DONRE) . University of Plymouth, Plymouth Marine Laboratories (PML), UK Possible other partners: respective institutions in countries without CC (especially Tamil speaking such as Sri Lanka, Malaysia and Indonesia)

Funding Collaboration between SRMC, GTZ, VEPA/DONRE and PML funded by EU commission grant, total project budget: 507.360,00 EUR Additional collaboration with further CCs and other institutions will need funding


. to support local stakeholders in the development and implementation of an environmentally sound and sustainable management of industrial chemicals and pesticides in urban areas . to achieve high environmental standards in towns and cities through the exchange of best-practice, expertise and information between the European Union and Asia . to assist counterparts in India, Vietnam and eventually other Asian countries in the development of capacities for risk assessment, environmental monitoring and control for the reduction of chemical pollution . to focus on transport, storage and trade of pesticides, as well as transport, storage and handling of industrial chemicals in small- and medium-sized enterprises (SMEs) . to facilitate establishment of an environmental monitoring system with rapid, simple and cost-effective techniques


New concepts and approaches for sound chemicals management issues integrated into sustainable development strategies. Concepts and methods for chemical safety introduced in selected areas. Introduction of measures for the safe and efficient use of industrial chemicals in SMEs. Establishment of environmental monitoring systems in local institutions


All enterprises, especially those where expertise and resources are missing such as SMEs. Employees due to improved working conditions. Community by protection of environment and natural resources


The project will contribute to the reduction of chemical contamination in urban areas as well as to the initiation of a dialogue between the main stakeholders on chemical safety. Environmental monitoring and risk assessment instruments will be introduced and implemented. Target groups include officials from municipalities, plant protection services and government environment agencies, universities, SMEs, pesticide formulators, distributors and dealers. Activities focus on transfer of best practices through strategy workshops and technical training courses on environmental monitoring, risk assessment, the development of policies for transportation and storage management of chemicals as well as introduction of chemicals management methodology in SMEs.

Dissemination WHO/ILO documents, publications in respective journals, university

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studies, training workshops Funded by EU: project website, training manuals in English, Tamil, Hindi and Vietnamese, standard procedures of environmental monitoring

Impact (global or regional) Regional for Asia


Within the last year four training workshops have been conducted on Implementation of the GTZ Chemical Management Guide, Developing rapid assessment methods for screening industrial chemicals in environmental media, Risk assessment for industrial hotspots and Safe Transportation and Storage of Chemical respectively in both India and Vietnam. 6 industrial units have been co-opted for on-site implementation of the Chemical Management Guide. The first draft of the White Book has been compiled and is currently under technical review. A national workshop to finalize the contents of the white book will be held in October 2007. Two local laboratories are piloting the routine use of the rapid assay methods. Experience with use of occupational risk management toolkits will be shared in a regional workshop on Control Banding Approaches.

(WHO) AA3:3 AA3: Ch3

Activity Area Number and title AA3 Practical approaches to identify and reduce occupational risks

CC or NGO Name National Institute for Occupational Safety and Health (NIOSH), USA and IOHA

Project title Demonstration and evaluation of control banding applications nationally and globally.

Keywords Control strategies, risk management


T.J. Lentz [email protected] Rick Niemeier [email protected] Scott Earnest [email protected] Chris Gjessing [email protected] IOHA -Dave Zalk [email protected]

Partners (of the CC Network) HSE (United Kingdom), FIOH (Germany), IOHA, WHO, ILO

Other partners OSHA (United States)

Funding NIOSH and OSHA


This project will explore the utility and applicability of control focused guidance strategies for addressing workplace exposures in collaboration with national and international partners. This objective is consistent with the Global Implementation Strategy for control banding drafted by the WHO/ILO International Technical Group (2004) and will also support the global harmonization system for classifying and labeling chemicals.


- To provide outreach and guidance using control-focused risk management strategies in demonstration projects in U.S. businesses (2006-2007) - To develop hazard control guidance materials consistent with the global harmonization system for classification and control of

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chemicals (through 2009) - To develop guidance and informational materials for implementing control-focused risk management tools


Small and medium-sized enterprises (SMEs) and others where exposures to chemicals and other workplace hazards can be addressed using simplified risk-management toolkits


To initiate and develop control-focused strategies to meet specific occupational safety and health challenges for SMEs and others, this project will utilize approaches modeled after those developed by the U.K. HSE, the WHO/ILO, and the U.S. pharmaceutical industry. Specific aims include: 1) creating a cadre of safety and health practitioners to develop, implement, and evaluate control banding approaches for addressing exposures to chemicals and other workplace hazards; 2) facilitating research collaborations and exchange of information and resources through international linkages (e.g., memorandums of understanding, coordinated videoconferencing, and developed and developing countries “twinning”); 3) developing print and electronic resources (control guidance primer, NIOSH Web page, CD-ROM) to provide control banding information and resources, and utilizing networks and partnerships for translating and disseminating materials to a broader audience; 4) coordinating and fostering control banding research efforts throughout the Institute and its international partners; and 5) performing demonstration projects with selected industries and SMEs to evaluate the applicability and utility of control-focused approaches.

Dissemination

Accomplished through multiple routes including: NIOSH print publications and Web postings; university studies; workshops and training seminars; professional groups and networks (WHO/ILO International Technical Group on Control Banding; IOHA; memorandum of understanding with NIOSH, OSHA, German FIOH, U.K. HSE; Kentucky Safety and Health Network)

Impact: global/regional Global


Multiple presentations were made to educate professionals in the implementation of control banding strategies. An MOU was developed to foster cooperation between OSHA, NIOSH, HSE and the German BauA, in addition to participation in the International Technical Group on Control Banding. The NIOSH webpage on Control Banding was launched and updated and consultations occurred with WHO/ILO to identify resources for the international web page. Two demonstration projects on Chemical Risk Management Training Workshop were completed with the Kentucky Safety and Health Network and two member universities. NIOSH funded the University of Connecticut Health Center, with support from NIOSH, conducted workshops on Control Banding: A Chemical Risk Management Tool for Health and Safety Committees. In September 2006, a five-member NIOSH interdivisional team traveled to Santiago, Chile, to provide training and technical assistance to the Occupational Health Department, Instituto de Salud Publica de Chile (ISP) and the Ministerio del Salud de Chile as part of the NIOSH 2006-2007 Program for Elimination of Silicosis in the Americas. NIOSH has also partnered with Dow Chemical Co., Kaisier

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Permanente, HSE, MediSHARE Environmental Health and Safety Services, and Society of Gastroenterology Nurses and Associates (SGNA) to apply control banding strategies to prevention of glutaraldehyde exposures in health care workers including an instruction DVD. Control banding principles are now being applied to the nanotechnology manufacturing industry.

(WHO) AA3:4 AA3:Ch4 Activity Area Number and title AA3 Practical approaches to identify and reduce occupational risks


Project title Assessing the Utility of the International Chemical Control Toolkit in Singapore

Keywords Toolkit, control banding, risk assessment, chemical hazard analysis and control, small and medium enterprise

Project leader Email address Dr Sweet Far Ho [email protected]

Partners (of the CC Network) IOHA (Heather Jackson)

Other partners HSE - UK (Paul Evans)

Funding Occupational Safety and Health Division, Ministry of Manpower, Singapore


The objectives of the project are to investigate the issues involved in applying the International Chemical Control Toolkit that uses the control banding approach and to evaluate its usefulness in small and medium enterprises (SMEs) in the Singapore context.


• To field test the International Chemical Control Toolkit in parallel with a semi-quantitative risk assessment method developed by Singapore’s Ministry of Manpower, based on exposure data and other parameters (by 2007) • To further test the applicability of the Toolkit with selected SMEs trying out the Toolkit method using their own resources (by 2010)


All enterprises – especially those where expertise is limited, such as small and medium enterprises (SMEs)


Field tests will be conducted by the Ministry’s industrial hygiene professionals on selected processes from various industries. Risk levels derived from the Ministry’s risk assessment method will be compared to the control approaches obtained from the International Chemical Control Toolkit assessment to evaluate the consistency of both methods. Selected SMEs will try out the Toolkit method using their own resources. The applicability of the Toolkit will be assessed based on the results of the field tests and feedback from the SMEs. If found useful, the Toolkit will be promoted to the SMEs in various industries.

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Feasibility study has been completed and generally the small and medium size enterprises found the tool useful. We are in the process of promoting its use in the small and medium size enterprises

(WHO) AA5 AA3: Ch5 Activity Area Number and title AA 3: Practical approaches to identify and reduce occupational risks


Project title Development of the MSDS Knowledge Workbench Keywords Toolkit, chemical safety data, risk assessment Project leader Email address

Dr Sweet Far Ho [email protected]


IOHA and NIOSH

Other partners Institute for Infocomm Research (I2R), Singapore Funding Ministry of Manpower, Singapore


The objective of the project is to develop a web-based tool that will help chemical manufacturers, suppliers and users including SMEs, check that the conformance of material safety data sheets (MSDS) to the Globally Harmonised System of Classification and Labelling of Chemicals (or GHS) standard. Countries lacking systems for hazard classification and labeling are to adopt this UN standard as the fundamental basis for national policies for the sound management of chemicals; countries that already have systems will align them to GHS. Singapore plans to adopt the standard from 2008.


• To develop and promote the web-based application ready for use by chemical manufacturers, suppliers and users (by 2008) • To establish a national repository of good quality MSDS, searchable by chemical users and OSH professionals (by 2010)


Chemical manufacturers, suppliers and users; government agencies and OSH professionals


The MSDS Knowledge Workbench searches and extracts key information from online digital documents and verifies the document content according to the MSDS domain knowledge base, including conformance to the GHS standard. Pilot users found the on-line submission convenient and the system easy to use. Trained on a large number of MSDS from other countries, the system has potential for international deployment. Further system enhancements are expected to be completed, with the tool ready for on-line subscription, by 2008. Over time, a national repository of good quality MSDS will be established, searchable by chemical users and OSH professionals.

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The tool will be developed by Dec 2007. Currently, exploring the web-based application for chemcial manufacturers, suppliers and users to check on the conformance of safety data sheets to the globally harmonised system of classification and labelling of chemicals standard.

(WHO) AA3:6 AA3:Ch6 Activity Area Number and title AA3 Practical Approaches to Identify and Reduce occupational risks

CC or NGO Name Department of Occupational Health, Korea Occupational Safety and Health Agency (KOSHA), Incheon, Republic of Korea

Project title Development of the Chemical Control Toolkit (Korean version of web-based chemical hazard information and control measures) by modifying the HSE control banding and ILO tool kit

Keywords Korean chemical control toolkit, Small to Medium Enterprises (SME), Nationwide survey for detailed information of processes using selected chemicals.


Seong-Kyu Kang, M.D., Ph.D., [email protected] Jang-Jin RYOO, [email protected]

Partners (of the CC Network) WHO IOHA US NIOSH(for intervention)

Other partners Any WHO-CCs that are interested in chemical control banding

Funding KOSHA, Korea


The key objective of this project is to develop process-based control measures of selected chemicals that can provide better guidelines to employers and workers.

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Gathering detail information of processes using selected chemicals in Korea - Nationwide survey of 30 chemicals which have frequently caused occupational diseases in Korea - The survey will conduct for six chemicals every year from 2006 to 2010 and the information will be periodically updated. Development of control measure based on characteristics of processes using the chemicals. Development of the Korean Chemical Control Toolkit, which provides hazard information and its control measure on the website


Focusing group may cover all enterprises using the chemicals, especially SMEs.


Occupational diseases caused by chemicals concentrate in certain chemicals and have mostly appeared in workers in SMEs. Information and control measure are not reachable to most SMEs. KOSHA is going to develop a web-based, chemical control tool kit, which is motivated by the HSE control banding and ILO tool kit. Intensive nationwide survey will be conducted to get detailed information about work-process using the chemicals. The survey includes 30 chemicals that have frequently caused occupational diseases in Korea. This project intends to develop more detailed solutions while the current available control banding has limited intervention. KOSHA will develop the web-based information and control measures based on surveyed information

Dissemination Web-based chemical control toolkit with detailed control measure. Selected chemicals will be added every year.


Activities in 2006 1. According to the project plan, 30 chemicals that have frequently caused occupational diseases in Korea were selected. 2. The national-wide survey was performed by KOSHA. Activity plan in 2007 1. According to the project plan, KOSHA is developing the more detailed controls adjusting to the current working conditions and manufacturing facilities using 6 chemicals. - The control measures will be serviced for the management and workers in SMEs by June through the web(KOSHA-NET). 2. Another set of 6 chemicals for 2007 was selected. - Selected 6 chemicals: Toluene, Styrene, Formaldehyde, Acrylamide, Lead, Nickel. - Also 513 companies were sampled to conduct the 2nd survey in 2007. - The survey will be carried out between April and August.

(WHO) AA3:7 AA3: CH7

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CC or NGO Name Centre of Environmental and Occupational Health National Institute of Health – Porto, Portugal

Project title Implement International Chemical Control Toolkit (ICCT) In Portugal and in some African countries not yet identified.

Keywords Risk management – Chemical exposure


Olga Mayan Centre of Environmental and Occupational Health Praça Coronel Pacheco, 15 4150-453 Porto, Portugal [email protected] Paula Neves


FUNDACENTRO NIOH South Africa NIOSH

Other partners University of Porto; OHS professionals; Business Association (cork industry; shoe manufacturing sector; wood furniture industry)

Funding INSA and Industrial sectors Associations financial support. Others not yet identified


- To test, eventually adapt, and implement the ICCT in selected small enterprises, namely: cork industry, shoe manufacturing and wood furniture industry - To establish cooperation in this respect with African Portuguese speaking countries


- Specific Toolkits for the selected branches, namely cork, shoe manufacturing and wood furniture manufacturing - Reports; brochures about specific ICCT applications Deadline: 2010


Small and Medium enterprises (Cork materials; Shoe manufacturing; Wood furniture) Occupational hygienists


- To prepare a brochure about chemical hazards, chemical risk management and ICCT (2006) - To selected 5 enterprises in each sector (cork, shoes, wood furniture) and train OHS professionals (2007) - To use ICCT (2007-2008) - To develop traditional occupational hygiene evaluation in order to validate the tool (2007-2008) - To prepare specific instructions for ICCT application to be used on training courses (2009-2010)

Dissemination Reports, technical and scientific meetings, meetings with representatives of the selected branches


Global with regional emphasis on Portuguese speaking African countries


Activities in 2006 - Pre-Congress Course: Chemical Risk Assessment. Practical Approaches (6 hours; 20 participants VI National Congress on Occupational Health (Póvoa do Varzim; 2-4 / Nov/ 2006 Course Summary:

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- Chemicals in workplaces - Exposure to chemicals and Health impact - Exposure assessment (air monitoring and biological

monitoring) - Risk assessment. Terms and Concepts - Chemical Control Tool Kit - Case-study: CCTK application

Activity plan in 2007: Validation of CCTK (Portuguese version) in some industrial sectors

- Contact with SME’s (cork; paint, varnishes and cleaning solvents; wood furniture and plastic) for implementation and validation of CCTK

- Meeting with occupational hygienists working in these industrial units (5 participants (May, 11 – 2007): training on CCTK application and selection of workplaces for validation of the tool.

- Participants performed the chemical risk assessment using CCTK in their units (May – September 2007).

- Traditional occupational hygiene risk assessment (air monitoring and if possible biological monitoring) ((June – September 1007)

- Meeting: analysis of data (September) Seminar: Proposal for an International Seminar on the Prevention of Occupational Diseases for Portuguese-speaking Countries to be organized by the WHO hosted by Centre of Environmental and Occupational Health, National Institute of Health, Porto to be held on 29-31st October.

There was also contact with FUNDACENTRO in order to revised the Portuguese version of CCTK and validate the tool in different sectors.


Activity Area Number and title AA 3: Practical approaches to identify and reduce occupational risks


Project title Demonstration and evaluation of control banding application in small scale enterprises (SSEs)

Keywords Control banding, small scale enterprises Project leader Email address

Zhijun Zhou [email protected]

Partners (of the CC Network) IOHA and NIOSH

Other partners CDC in Wuxi and Nantong, Jiangsu Province, China CDC in Zhejian Province, China CDC in Jinhua City, Zhejian Province, China

Funding Seeking funding

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The objective for this project is to apply control banding drafted by the WHO/ILO International Group (2004) in small scale enterprises(SSEs)


To provide a guideline for control banding in SSEs according to control banding drafted by the WHO/ILO International Group. To demonstrate and evaluate control banding in SSEs in China

Target group and/or beneficiaries small scale enterprises


According to control banding drafted by the WHO/ILO International Group (2004), we will prepare a guideline and demonstration of control banding in small scale enterprises (SSEs) in China.

Dissemination Control banding in SSEs in China will be published. Some scientific papers will be published.

Impact (global or regional) China


1. Training information collected 2. 1 review paper published in Chinese science journal 3. Partners identified 4. 2 factories agreed to take part in the program Related books and CD available to partners


Activity Area Number and title AA3: Practical approaches to identify and reduce occupational risks


Project title Application and expansion of Control Banding of chemicals and dust on small and middle-scale enterprises (SMEs) in China

Keywords Application, control banding, chemicals, dust, small and middle-scale enterprises



Partners (of the CC Network) IOHA and NIOSH

Other partners

Funding National finance support of China, WHO, ILO


To build different industries models of occupational health (such as in shoemaking, quartz making, concrete making, storage battery making enterprises, etc.). To expand the successful experiences of Control Banding of Chemicals in SMEs.


Translation about the advanced Control Banding of chemicals into Chinese. Expansion of Control Banding of chemicals in SMEs. Some chemical toolkit.

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project




Translate the advanced Control Banding of chemicals into Chinese. Investigate the occupational hazard risk of chemicals in different enterprises. Train the manager, health care workers, etc. about control banding of chemicals. Select some pilot enterprises using control banding of chemicals. Summarize and expand the experiences in pilot enterprises to other enterprises.


Impact (global or regional) Both global and national


We have finished translating the Control Banding of chemicals into Chinese. Then we trained the manager, health care workers, etc. about control banding of chemicals in some pilot county/district. They study the toolkit of control banding of chemicals and using it into construction projects assessment.

(WHO) AA3:10 AA3:S1


CC or NGO Name National Institute of Occupational Health, Ahmedabad India.

Project title Development of Risk Management Toolkit for Silicosis in Small Silica Flour Milling Units

Keywords Silicosis, Silica Flour Mills, Technology, Toolkit


Dr L J Bhagia [email protected] Project Manager NIOH and Dr S K Dave [email protected] Director, NIOH. Dr Habibullah N Saiyed, (Past Director, NIOH) [email protected]


CC: Dr Andy Cecala National Institute of Occupational Safety and Health (NIOSH) (Pittsburgh Laboratory) USA. Dr Richard W. Niemeier, Education and Information Division NIOSH (Cincinnati)

Other partners Prof Scot Clark - University of Cincinnati USA Department of Labour Govt of Gujarat Department of Labour Govt of Rajasthan Association of silica flour manufacturers.

Funding Ministry of Health Govt of India (First year) Indian Council of Medical Research (2nd and 3rd year) National Institute of Occupational Safety & Health USA (for the visit of

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US scientists)

Objective of the project To develop toolkit for control of silica dust for small silica flour mills.

Project outcome(s) and deadline(s) for completion of the project Target group and/or beneficiaries

• Development of a toolkit for dust control for small silica flour mill units that will be readily usable by 2008. • Disseminate the information to the beneficiaries through pamphlets, internet etc. after successful development of the toolkit. By 2009. Small silica flour mill units in India initially and subsequently similar units in the other developing countries in the rergion.


NIOH studies have shown that about 50% of the young workers develop accelerated silicosis/silico-tuberculosis within 2-3 years of exposure. With the local expertise, we devised dust control techniques which could reduce the air borne silica dust up to 95%. Under the Indo-US collaborative research programme we are now developing silica control tools which are suitable for the small silica flour mills in India and other developing countries. The intervention measures based on toolkit will be implemented in few selected factories. There will be periodic monitoring and modification based on the feed back.

Dissemination State the method of disseminating the project outcomes. For example: WHO/ILO documents; university studies; worker and enterprise meetings

Impact (global or regional) Region


Indo-US workshop on Practical methods of silica dust Control was organized at Beawar, India from 17-18 January, 2006 where factory owners , supervisors and factory Inspectors from Gujarat and Rajasthan states participated. US team was represented by Dr.Clark, Dr.Rice from Cincinnatti and Mr.Andy Cecala from NIOSH. A workshop was followed by an awareness programme for workers. A booklet giving details of silicosis and its control and general work practices in Hindi was published and distributed to all participants and workers. Later on ,CDs of all the presentations and recommendations of the workshop were sent to all the participants. After the work shop, one mill owner at Godhra(Gujarat ) was encouraged with the help of Director, Industrial Health and Safety (DISH ),Gujarat and he volunteered for new set-up including most of the recommendations of the workshop. New set up will have ramp, hopper ,crusher with dust control, covered conveyor belts. All dust generation points like hammer mill , magnetic seperator, rotary screen etc. will be connected to bag filter and fan with duct work. Installation will be completed by September 2007.Dust monitoring will be carried out after September 2007.

(WHO) AA3:11 AA3:S2

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CC or NGO Name FUNDACENTRO 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 [email protected]


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


To reach a significant reduction in incidence of silicosis by 2015 To eliminate silicosis as a public health problem by 2030


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. 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


Mining and mineral processing Ceramic and glass

Metallurgy Construction industry

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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.



• 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, 31st Oct – 2nd 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

(WHO) AA3:12 AA3: S3 Activity Area Number and title AA3 Practical approaches to identify and reduce occupational risks

CC or NGO Name National Institute for Occupational Safety and Health (NIOSH)

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Project title Development and implementation of Silica Control Tool Kits for priority exposure situations in the Americas

Keywords Control banding, risk management, intervention effectiveness, controls, silica, silicosis, Americas


TJ Lentz [email protected] Aaron L Sussell [email protected] IOHA Dave Zalk [email protected]


Instituto de Salud Publica (ISP) Chile and WHO and PAHO and ILO, Fundacentro, IOHA

Other partners Health ministries in region: Chile, Brazil, Colombia, Argentina, Peru, Venezuela and Mexico

Funding NIOSH and partner countries


To assist countries in the Americas focus scarce occupational health resources where they can be most effective in reducing hazardous silica exposures in high-risk industries. This will enhance global safety and health through international collaborations and increase the capacity of health ministries in the region to evaluate and control silica hazards. The project will also show the effectiveness of the control banding approach in developing countries.


• Assist Chile to select high-risk industries and common processes within those industries for control banding intervention (by 2006) • Assist Chile to assess the baseline silica exposure levels in those processes (beginning in 2006). • Assist Chile to develop and implement a region-specific Silica Toolkit for risk management in two targeting industries – mining and quarries (beginning in 2006) • Evaluate the effectiveness of implementation of the Silica Control Toolkit in Chile and modify it based on results (by 2007) • Assist Chile and other countries in the region to develop technical capability to evaluate controls and intervention effectiveness (starting 2006) Replicate the Silica Control Toolkit in other industries in Chile and in other countries in collaboration with health ministries in region (by 2009)


All enterprises in mining and quarries – especially those where expertise is missing such as SMEs. Ministries of health in the Andean region. Other countries with similar exposure situations.


Silicosis remains a persistent public health problem. In Latin America, millions of workers are at risk of developing the disease due to uncontrolled exposures. This project is designed to increase technical knowledge and professional capacity in participating government Health Ministries for silica exposure assessment, industrial hygiene, and implementation of effective controls. The project is directly related to WHO, ILO, PAHO and NIOSH strategic goals.

Dissemination Publication of a Silica Toolkit that will present control banding approach for high-risk silica exposures in the Americas.



In July 2007, NIOSH co-organized and co-chaired with the Chilean Institute of Public Health (ISP) a 3-day Control Banding Workshop for Chilean, Brazilian, and Peruvian experts who developed simple and inexpensive control guidance for small businesses in brick-making and stone-crushing industries. Part of the effort involved the introduction and ongoing evaluation of a hazard assessment and risk management tool developed by the ISP for

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specific tasks and industries. In September 2007, another NIOSH team made a series of initial and follow up field visits with ISP staff to observe processes and work activities in the Santiago region with high-risk occupational exposures to respirable crystalline silica, focusing on general industry and on mining.

(WHO) AA3:13 AA3:S4 Activity Area Number and title AA3 Practical approaches to identify and reduce occupational risks

CC or NGO Name Institute of Public Health, Chile

Project title Implementation of Control Banding Methodology for Silica Control

Keywords silica, silicosis, control banding Project leader Email address Rodrigo Solis – [email protected] Juan Alcaino – [email protected]

Partners (of the CC Network) NIOSH

Other partners Comunidad Andina. Instituciones responsables de la salud de los trabajadores de los países de la región.

Funding Instituto de Salud Pública; Niosh


to implement new qualitative assessment methodologies and silica control

Project outcome(s) and to train Chilean professionals in control banding (2006), to train

deadline(s) for completion of the project

employers and workers involved in the project (2006-2007), to develop an implementation manual for silica control banding (2006-2007), to contact other countries of the region interested in implementing control banding (2007)

Target group and/or beneficiaries Workers exposed to silica dust


to contact, select and recruit factories (business) willing to participate in the project, take videos from that factories (business) and send them to Niosh. Niosh will review the videos, make decision on target processes and write down together with Instituto de Salud Publica the Silica Tool Kit for Chile. Niosh teaches Control Banding Methodology in Chile, ISP take air samples prior and post application of the methodology to study the effect. This is a 2 year project: first year focused on mining and quarries and second year on dental labs and stone art craft.

Dissemination training course to Chilean professional and, later on, to other countries interested in.



Instituto de Salud Publica has worked on (until May 2007): -Translating into Spanish of HSE silica guidance sheets. -Visiting industries of pilot project (stone crushing station).

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-Designing and application of a qualitative diagnostic sheet related to the exposure to silica in stone crushing station. This methodology will be validated with NIOSH. In this point, ISP is designing control sheets for stone crushing station. -Training of employers and employees about respiratory protection. -Coordinating the second Control Banding Course in Chile.

(WHO) AA3:14 AA3:S5 Activity Area Number and title AA3 Practical approaches to identify and reduce occupational risks

CC or NGO Name National Institute for Occupational Health (NIOH), SA

Project title SA Silica Pilot Project - Silica Exposure Reduction using Occupational Risk Management Modeling (control banding) in quarries

Keywords Silica, Quarry, ’Control Banding’, and Good Practice Project leader Email address

Mr. Rob Ferrie [email protected] Mr. Kevin Renton [email protected]

Partners (of the CC Network) HSE – UK, NIOSH – USA, WHO

Other partners Occupational Health Management Board, Zambia Quarry Associations in Southern Africa

Funding Funding is being negotiated through NIOH (South Africa)


The objective of this study is to evaluate whether the silica control tool, Silica Essentials, that is being developed by the British Health and Safety Executive (HSE) is appropriate and suitable for use in Southern African quarries.


• To report findings in South Africa (mid 2007) • Development of case studies and success stories (end 2008) • Compile international evaluation of the method (2009)


All enterprises – especially those where expertise is missing such as SMEs


Silica Essentials includes an extensive set of proven control methods for quarries. A sample of eight quarries (four in Gauteng and four in Western Cape) have been selected for the study from the list of quarries registered with the Department of Minerals and Energy (DME). At each quarry the work methods will be observed and personal exposure to respirable crystalline silica measured. The type and effectiveness of the control measures in place will be compared to that given in Silica Essentials. The results will be evaluated by relating exposure to the observed control practices.

Dissemination A scientific report – written and in video format - to be disseminated electronically, and a journal article to be submitted for publication in the hygiene literature.

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Respirable crystalline silica exposures have been measured at two stone and two sand quarries in Gauteng, South Africa. It was found that a simple checklist method of determining the number of control recommendations in place did not correlate well with the measurements of respirable crystalline silica dust or the subjective opinions of the mining inspectorate.

Two presentations have been delivered: IOHA 6th International Scientific Conference, held in South Africa September 2005 http://www.saioh.org/ioha2005/Proceedings/PPT/SSI/I2_3PPTweb.pdf A workshop on control banding organised by the South African Department of Labour at Boksburg on the 22-23 March 2006

(WHO) AA3:15 AA3:S6 Activity Area Number and title

AA3 Practical approaches to identify and reduce occupation risk

Cc or NGO Name Institute for Occupational Health, Kiev, Ukraine

Project title Developing of diagnostic methods and prevention of CWP

Key words Coal workers pneumoconioses, coal dust, occupational risk, functional examination, genetic predisposition, medical surveillance

Project leader

E-mail address

Professor Kundiev Yu. I.

Dr Angela Basanets [email protected]


University of Illinois, Chicago, USA

Other partners Institute of Medico-Ecological Problems of Donbass and Coal Mining Industry, Ministry of Health of Ukraine, Academy of Medical Sciences of Ukraine

Funding Academy of Medical Sciences of Ukraine, Fund of President of Ukraine


To reduce occupational risks for miners of underground coal mines and prevent occupational diseases


To develop and improve methods of the early diagnostics of CWP (by 2007)

To investigate the possibility of a genetic screening program among coal miners (by 2009)

To develop criteria for preliminary medical screening of persons who intend to work in underground coal mines (by 2010).

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Underground coal mines, Social Insurance Companies, occupational health services, Ministry of coal industry

Summary of the project

In this project we intend to improve and develop functional methods for early diagnostics of CWP: spirometry, bodiplethismography and DLCO. It will be analysed coal mine dust and silica exposure, tobacco smoke exposure, length of service in underground mines which may provide with some insight into their relative contributions to lung function impairment. The results would have important implications to use lung function measurements as a medical surveillance instrument for CWP prevention.

Investigation of CTHR- signes of CWP and corellation analysis with X-ray data will also attribute to the early diagnostics of pneumoconioses.

Investigation of genetic markers of CWP will help to evaluate heriditary predisposition to pneumoconiosis and to reduce occupational risk in miners.

The final criteria of early diagnostics of CWP and criteria for preliminary medical screening of persons who intend to work in underground coal mines will be developed for implementation in Ukraine and another countries.

Dissemination Documents of Ministry of Health and Academy of Medical Sciences; Social Insurance Companies documents; Medical universities.

Impact Global: improving medical surveillance of miners.

Regional: improving Occupational Health service of miners.


The system of diagnostic of pneumoconiosis according to international classification ILO 2000 is implemented in Ukraine. Examination of 543 ukrainian coal miners with coal worker pneumoconiosis (CWP) diagnosed by ILO 2000 classification and 187 miners of control group without lung pathology revealed obstructive changes only in patients with developed stage of CWP. In miners with early stages of disease after spirometry results pulmonary function is normal. Very informative for diagnostics of early lung function impairment in CWP patients is bodyplethysmography with static lung volumes detection: RV, ITGV, TLC and also DLCO .

The developed methodical approaches were taken into account in the national programe “Developing and emproving of diagnostics methods, prophylaxy and treatment occupational and occupation-related deseases, methodology of medical screening, medical rheabilitation of persons that work in dangerous conditions” (2006-2010). The results of studies have been published in scientific journals of Ukraine.

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(WHO) AA3:16 AA3: S7 Activity Area Number and title AA3: Practical approaches to identify and reduce occupational risks


Project title Identifying Risk Factors for Pulmonary Tuberculosis in Chinese Miners Affected by Silicosis: A Combined Effect of Pathogen, Occupation and Host Genetic Susceptibility

Keywords Pulmonary Tuberculosis, Silicosis, Occupations, host Genetic Susceptibility


Zhaolin Xia Email address: [email protected]


Other partners Maanshan Coal Mine Hospital Funding Each collaborating partner is responsible for its respective costs Objective of the project

To evaluate the dose-response relationship between cumulative silica exposure and prevalence of silicosis in miners To evaluate the dose-response relationship between cumulative silica exposure and prevalence of silicosis in miners; To carry out a case-control study about the possible risk factors of silico-tuberculosis; To detect the distribution of single nucleotide polymorphisms (SNP) of candidate genes. To calculate the Attributable Risk of specific genotype to silicosis and Pulmonary Tuberculosis.


the interaction of pathogen, occupational factors and host genetic susceptibility will be studied in order to perform individual risk assessment in workplace. the deadline: December 2008


Coal miner


In order to identify current status of the prevalence of tuberculosis in silicosis, a case-control study will be carried out about the possible risk factors of silico-tuberculosis. The distribution of single nucleotide polymorphisms (SNP) of candidate genes will be detected to calculate the Attributable Risk of specific genotype to silicosis and Pulmonary Tuberculosis.

Dissemination publishing papers and project reports Impact; global/regional Global


A paper “Genetic Polymorphisms in Alveolar Macrophage Response-Related Genes and Risks of Silicosis, Pulmonary tuberculosis in Chinese Iron Miners” will be published in Int. J. Hyg. Environ. Hlth

(WHO) AA3:17 AA3:P1


CC or NGO Name Clinica del Lavoro “Luigi Devoto”, Milan

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Project title Bullying at work: practical tools for prevention

Keywords Psychosocial issues at work, bullying at work, mobbing, mental health at work


Silvia Punzi [email protected]

Partners (of the CC Network) University of Nottingham

Other partners To be identified

Funding ISPESL/ICP Consortium for WHO Collaborating Center University of Milan


• To identify the most frequent negative actions occurring in bullying at work, also in relation with victims and enterprise features. • To detect health consequences on victims, also in relation with frequency, type of negative actions and victims characteristics. • To identify specific groups of workers and enterprises particularly at risk for bullying at work


• Specific toolkits for the prevention of workplace bullying (by 2008) • Guidelines for bullying at work (by 2009) • Training packages for prevention and intervention for health professionals (by 2010)


Employers, health professionals, decision makers, managers, human resources directors, legal community, unions and workers


Bullying at work has been recognized as a serious psychosocial risk. It can have consequences on health and quality of life of the victims but also on enterprise and society. Prevention is the most effective strategy to reduce this occupational risk. The objectives of this project are to identify the groups of workers and enterprises more at risk. The expected outcome is the development of practical toolkits for the prevention of bullying at work and intervention addressed to all players involved. The aims of the project are to identify the most frequent negative actions occurring in bullying at work, to detect health consequences on victims and to identify specific groups of workers and enterprises particularly at risk for bullying at work. These information will be essential to develop strategies and toolkit for prevention. Subjects were selected among patients examined at the Department of Occupational Health (“Clinica del Lavoro Luigi Devoto” in Milan) for stress-related disorders from 1997 to 2003 (N=2455): - examination of clinical records was conducted to select subjects reporting a bullying situation - patients reporting a bullying situation were described for gender, age and diagnosis - a representative sample, for gender and age, was selected within patients reporting a bullying situation

Dissemination WHO documents; worker and enterprise meetings; scientific seminars


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Recent project outcomes: - Description of the population of patients reporting a mobbing situation for age, gender and diagnosis (N=1919) - Selection of the representative sample (226 subjects) Expected outcomes:

- Description of the most frequent negative actions and antecedents of bullying

- Description of health outcomes - Identification of groups of workers and enterprises particularly

at risk - Specific toolkits for the prevention of workplace bullying - Guidelines for bullying at work - Training packages for prevention and intervention for health

professionals ‘In-progress’ Activities Analyses of clinical records of 226 subjects Choice of the variables to analyse Creation of a database

(WHO) AA3:18 AA3:P2


CC or NGO Name Clinica del Lavoro “Luigi Devoto”, Milan

Project title Threat to life and physical integrity at the workplace: consequences on mental health and prevention.

Keywords workplace violence; trauma; prevention; mental health at work; health promotion.


Giuseppe Paolo Fichera [email protected]


Other partners To be identified

Funding ISPESL/ICP Consortium for the WHO Collaborating Centre University of Milan


- To identify relations between workplace trauma (accidents and violence) and its effects on workers’ mental health. - To implement prevention and health promotion strategies at the workplaces.


- Practical toolkits for health promotion and protection from psychological distress following workplace violence and accidents (2008). - Guidelines to protect workers’ mental health and wellbeing (2008).


Employers, health professionals, decision makers, managers, human resources directors, legal community, unions and workers

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The worker, whatever his occupation and wherever the occupation is performed, is always at risk for traumatic events of various type. Severe accidents are frequent and, especially if unexpected, can cause severe psychological distress. Attention should be also paid to physical violence in the workplace (e.g. robbery related assaults) both for its frequency and its pathogenic potential. The expected outcomes are practical toolkits for health promotion and protection from psychological distress following workplace violence and accidents and guidelines to protect workers’ mental health and well-being. The aims of the project are to identify relations between workplace trauma (accidents and violence) and its effects on workers’ mental health, and to test and implement new secondary prevention strategies to reduce psychological distress following workplace trauma.

Dissemination WHO documents; worker and enterprise meetings; scientific seminars



Recent Project outcomes - Practical toolkits for health promotion and protection from

psychological distress following workplace violence and accidents

- Guidelines to protect workers’ mental health and wellbeing ‘In-progress’ Activities

- Recruitment of a sample of workers victims of workplace trauma from different work environments to assess predictors of psychological distress

- Testing a new approach and methodology of secondary prevention based on “post-trauma interviews” to reduce post-traumatic symptoms

(WHO) AA3:19 AA3:P3


CC or NGO Name ISPESL - Italy

Project title Stress at work: risk perception and strategies for prevention

Keywords Stress, psychosocial factors, mental health at work

Project leader Email address Sergio Iavicoli MD, PhD [email protected]


World Health Organization – EURO, European Agency for Safety and Health at Work, Swedish Work Environment Authority, FIOH - Finland

Other partners

Funding Self - funding

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• To establish a network among 25 EU countries in order to develop specific paths for the research in this sector and for transfer of results. • To evaluate the feasible development of prevention strategies transferable to the work environments of countries with transition economy. • To identify the needs for 3 countries in course of agreement in the EU (Turkey, Romania and Bulgaria). • To cooperate in the project “NEW OSH ERA” in order to identify the emerging risks in this sector.


• Collection, analysis and summary of references about the subject of this project (2006). • Cooperation with international institutions active in this sector and appointment of “working group” of international experts on this matter (2006). • Development of specific paths for the research in this sector and for the transfer of results to the work environments of countries with transition economy (2008).

Target group and/or beneficiaries All enterprises


The change of the international trade and the risks related to the changing world of work should be evaluated with particular reference to the countries with transition economy, as in the East Europe. In this countries the progress of labour market could be create emerging problems relating to the work. Among this problem the “stress at work” is a priority of research in the UE policy for the OSH sector. In the view of the recent EU enlargement to this countries we should identify its emerging needs considering the free circulation of peoples, goods, means and services.

Dissemination Documents, Guide lines, workshops



ISPESL is developing a survey involving stakeholders on a tripartite basis representing different national contexts within EU. A specific questionnaire has been developed in order to know:

- the effectiveness and needs related to regulations governing health and safety at work;

- perception of work related stress and related outcomes; - the role and effectiveness of dialogue and cooperation

between the social partners especially on the basis of the recent ILO and EU initiatives.

The questionnaire will be distributed between June and July 2007, to Board’s Members of European Agency for Safety and Health at Work.

(WHO) AA3:20 AA3:P4 Activity Area Number and title AA3 Practical approaches to identify and reduce occupational risks

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Project title Development of a Web-based Psychosocial Health Assessment Tool: i-WorkHealth

Keywords Toolkit, web-based, psychosocial health assessment, work-related stress, mental health at work.

Project leader Email address Dr Sweet Far Ho [email protected]


Other partners • Health Promotion Board, Singapore • Changi General Hospital, Singapore • Singapore Anti-Tuberculosis Association

Funding Ministry of Manpower, Singapore


The objective of the project is to develop a user-friendly tool that provides companies with a basis for intervention, management and monitoring of employees' psychosocial health.


To develop and promote the web-based application ready for use by companies, including SMEs, to address employees' psychosocial health issues (by 2007)


All enterprises – especially those where expertise is limited, such as small and medium enterprises (SMEs)


i-WorkHealth measures job stressors and strains, including aspects of work-life balance. Comprising self-administered individual and organization questionnaires with constructs adapted from established inventories, the web-based tool will be available in two versions: • i-WorkHealth: an affordable screening version in English, Chinese and Malay, suitable for SMEs • i-WorkHealthPlus: a more elaborate version, including organization questionnaire and more detailed reports, suitable for larger companies Core aggregate data from companies subscribing to the system will provide industry and country profiles of employees' psychosocial health that enable companies worldwide to monitor company-specific trends, as well as compare their experience with prevailing industry-based/country data.




Two local organizations representing the healthcare sector participated in the use of the tool. The results showed: - Prevalence of stress higher amongst the Chinese (25.4% with average stress score of 20.1) and males (26.4% with average stress score of 20.9) - Lack of recognition and poor reward were the main source of stress, followed by the amount of work and company culture - Workload and family issues were significant contributors to

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psychosocial health (based on regression analyses) Recommendations to these organisations include review and redesign of job tasks. Moving forward, we will be promoting the use of the tool to small and medium size enterprises.


CC or NGO Name Institute of Work, Health & Organisations, University of Nottingham

Project title Psychosocial Risk Management Toolkit

Keywords Psychosocial issues at work, work-related stress, mental health at work

Project leader Email address Dr Stavroula Leka [email protected]


FIOH – Finland, BAuA – Germany, ISPESL – Italy, TNO – Netherlands, WHO, ILO

Other partners CIOP-PIB - Poland

Funding Funding for first phase has been secured through SALTSA (Sweden) and by the European Commission 6th Framework Programme


Development of a psychosocial risk management toolkit and framework to raise awareness and promote best practice in psychosocial risk management globally


• To develop a toolkit that will be readily usable and user-friendly (by 2008)

• Develop existing knowledge in reviewing available methodologies to evaluate the prevalence and impact of psychosocial risks at work and work-related stress (by 2008)

• Develop international standards and indicators on stress and violence at work in order to promote harmonisation in the area of psychosocial risk management and enhance best business practice (by 2009)

• Develop detailed recommendations and evidence-based best-practice guidance on the management of these issues at the workplace to promote clarity that will enable stakeholders to put these in practice to improve the quality of working life (by 2009)

• To develop training packages for the toolkit deliverable through e-learning and face-to-face (by 2009)

• To integrate the toolkit in the provision of basic occupational health services (beginning in 2009)



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Over the years, a need has been identified through the work of the WHO’s Network of CCs in OH for practical procedures and tools for the management of occupational health and safety at work. This project focuses on the development of a Psychosocial Risk Management Toolkit (PRIMAT) and a framework for psychosocial risk management with a special focus on work-related stress and workplace violence (including harassment, bullying and mobbing). This toolkit could form part of a wider Occupational Risk Management Toolbox that would address health and safety issues at work in a comprehensive manner.

Dissemination WHO/ILO documents; University studies, publications; worker and enterprise meetings; newsletters and press releases; websites



A review of the current situation in relation to the changing nature of work and psychosocial risks has been conducted and the guiding principles that will drive the review of psychosocial risk management approaches throughout Europe have been agreed upon. Experts in psychosocial risk management in different European countries have been identified. An expert’s workshop was organised at the University of Nottingham and was attended by the project partners’ and representatives of the EC and SMEs representatives it aimed at defining the products to be developed and the methodology to be followed. During this workshop the project work plan drafted and the framework components and guiding principles were defined.

In June 2007 a ‘Monitoring & Indicators Workshop’ is being organised to review available methodologies for evaluating the prevalence and impact of psychosocial risks at work and work-related stress, including physical and psychological workplace violence.


CC or NGO Name Occupational Health Centre of the Municipal Institute of Health of Barcelona

Project title Collaboration in the development of practical Psychosocial risk management toolkit

Keywords Psychosocial hazards, prevention, intervention, restructuring Project leader Email address Lucía Artazcoz, [email protected]


Other partners

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Funding

Occupational Health Centre of the Municipal Institute of Health of Barcelona and, potentially, EU (Budget heading 04.021000.00.11, Innovative measures under Article 6 of the European Social Fund Regulation: "Innovative Approaches to the Management of Change”)


To develop a tool for healthy restructuring of enterprises (it depends on funding by the EU) To develop the guidelines for management of workers with mental health problems from the occupational health services To contribute to de adaptation of the Psychosocial risk management toolkit to the Spanish context


Tool for healthy restructuring of enterprises (by 2008) Guidelines for management of workers with mental health problems from the occupational health services (by 2007) To contribute to de adaptation of the Psychosocial risk management toolkit to the Spanish context (by 2008)

Target group and/or beneficiaries Occupational health services and enterprises in general.


The Occupational Health Centre of the Occupational Health Centre of the Municipal Institute of Health of Barcelona is currently working on the development of the Guidelines for management of workers with mental health problems from the occupational health services in collaboration with the Catalonian Department of Health and the Catalonian Department of Labour. The project has been modified because, as we mentioned in our proposal, we applied for European funding in a collaborative project with other countries but our project was not approved. Therefore the objective of develop a tool for healthy restructuring of enterprises has been removed. The project aims at developing the guidelines for management of workers with mental health problems from the occupational health services. To contribute to the adaptation of the Psychosocial risk management toolkit to the Spanish context.

Dissemination Scientific articles, reports, internet Impact (global or regional) Global


A report with the results of the Delphi study has been elaborated and the guide is expected to be finished by the end of summer. Group discussions and interviews with different social agents, professionals and workers have been conducted in order to better know their needs for correctly manage work-related health problems at the workplaces. Additionally a Delphi study with occupational health physicians working in occupational health services has been conducted, a report has been written and sent to all the participants. A working team with experts from the Occupational Health Centre, the Departament of Labour and experts from other institution is now elaborating this guide addressed to occupational health workers of occupational health services.

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(WHO) AA3:23 AA3: P7

Activity Area Number and title AA 3 Practical approaches to identify and reduce occupational risks

CC or NGO Name Clinica del Lavoro “Luigi Devoto”, Milano, Italy

Project title Flexible working hours as a tool for increasing worker’s health and well-being

Keywords Working hours, shiftwork, work/non work conflicts, occupational stress, sleep

Project leader e-mail address

Prof. Giovanni Costa [email protected]

Partners (of the CC network)

Coronel Institute for Occupational and Environmental Health, Amsterdam, Netherlands Finnish Institute of Occupational Health, Helsinki, Finland Fundacentro, Sao Paulo, Brazil

Other partners Jagellonian University, Krakow, Poland Karolinska Institute, Stockholm, Sweden

Founding Fondazione IRCCS Ospedale Maggiore Policlinico, Mangiagalli e Regina Elena, Milano


- To analyse better the interactions between work load, flexible work hours and health, and to support intervention studies with careful control of the effects; -To establish links and exchange of information among people in charge of work organisation (employers, managers, work councils, labour inspectorates) and social partners about the use of time and related effects, for a good integration of working and non working hours; - To extend individual flexibility as a tool (a) for companies to improve their economic efficiency (optimize manning), (b) for improving worker’s autonomy and control on her/his working conditions, (c) for thus improving her/his working and living conditions, (d) for adding social value to the quality of life in general.


-To review legislation on working hours and the scientific literature concerning “flexible working hours” dealing with health and wellbeing (by 2008) - To collect practical examples of innovative flexible work hours and evaluate them according to ergonomic criteria (by 2008) -To develop methods for the evaluation of the impact of flexible working hours on workers’ health (by 2010); -Guidelines on good arrangements of FWH according to ergonomic principles, throughout participatory planning and publishing "best practice" examples showing that is possible (by 2010)

Target group and/or beneficiaries Industrial, healthcare and communication workers

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The increasing interest in “temporal flexibility” is in relation to policies concerning working time reduction and employment on the one hand, and, on the other hand, to a progressive transfer of attention from the quantitative to the qualitative aspects of work and social activities, among which working times represent the most important interrelated factor. There are different points of view about “labour flexibility” between employers and employees; also the society is interested in flexible working hours, as many advantages can derive from a more flexible arrangement of social activities and services. The main objectives are: - To analyse better the interactions between work load, flexible work hours and health, and to support intervention studies with careful control of the effects; - To establish links and exchange of information among people in charge of work organisation (employers, managers, work councils, labour inspectorates) and social partners about the use of time and related effects, for a good integration of working and non working hours; - To extend individual flexibility as a tool (a) for companies to improve their economic efficiency (optimize manning), (b) for improving worker’s autonomy and control on her/his working conditions, (c) for thus improving her/his working and living conditions, (d) for adding social value to the quality of life in general.

Dissemination WHO documents, booklets and training packages for workers and operators of prevention, scientific publications.

Impact Global


- To review legislation on working hours and the scientific literature concerning “flexible working hours” dealing with health and well-being (by 2008) - To collect practical examples of innovative flexible work hours and evaluate them according to ergonomic criteria (by 2008) - To develop methods for the evaluation of the impact of flexible working hours on workers’ health (by 2010); - To write a booklet of guidelines on good arrangements of FWH according to ergonomic principles, throughout participatory planning and publishing "best practice" examples showing that is possible (by 2010) Are still in the preliminary stage of contacting all people interested and planning a meeting to share common targets and specific contributions. We presume to be able to define a more detail plan of activities and a time schedule of outcomes by the end of this year. Obviously the contribution of any other group interested on this topic is welcome.

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(WHO) AA3:24 AA3: P8 Activity Area Number and title


CC or NGO Name CINBIOSE

Project title Research, Policy and Practice With Regard to Work–Related Mental Health Problems in Chile: A Gender Perspective

Keywords Gender; mental health; women; Chile


Katherine Lippel : [email protected] Ximena Diaz


Centro de Estudios de la Mujer

Other partners Department of Occupational Health. Instituto de Salud Pública. Ministerio de Salud, Chile; Subdepartment of Occupational and Environmental Health. Secretaría Regional Ministerial de Salud Región Metropolitana (SEREMI – RM); Unidad de Condiciones y Medio Ambiente de Trabajo, UCYMAT, Departamento de Fiscalización. Dirección del Trabajo. Chile; Observatory (Observatorio Laboral), Central Unitaria de Trabajadores de Chile; National Association of Indigenous and Rural Women – ANAMURI; FENATRASUP, federation of supermarket workers`; Escuela de Psicología, Facultad de Humanidades y Educación, Universidad Diego Portales

Funding International Development Research Centre and Canadian Institutes of Health Research (Corti-Teasdale Grant)


By providing for a series of scientific and capacity building activities the research programme is designed to sensitize the Chilean population to the problem, to identify best practices in policy and implementation designed to promote healthier workplaces, and to strengthen the training, political and institutional capacities of actual and potential research user organizations. It will benefit workers in Chile more directly, but will also have an impact on workers in many other countries affected by the regulatory frameworks being studied.


Project terminates in 2011


Workers in Chile and in other countries affected by the regulatory frameworks being studied.


This research program studies 1) the effects of paid and unpaid work on the mental health of Chilean workers, and 2) effective legislative and policy instruments designed to protect workers’ mental health. All aspects of the study will be viewed through a gender lens Axis 1 of the programme aims to provide data to help in the diagnosis of the problem and the development of prevention

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strategies. Axis 2 uses comparative law methods as well as qualitative and research-action methods in a comparative study of law and policy on mental health, gender and work in order to identify and to facilitate the implementation of policy and regulation that promote healthier work environments.

Dissemination Tools will be provided to government organisations, relevant NGOS, inspectors and occupational health and safety committee members


Results will have relevance not only for both Chile and Canada, but for a broad range of countries.

Progress on Project as of December 07 (Maximum 100 words)

Two team-building meetings have been held and work on the various data-gathering instruments is progressing. In Chile, members of the team are creating or solidifying working relationships with the appropriate end-user groups. A public-access web site has been set up as well as a site for the internal communications of the team. In a meeting with all grantees sponsored by the granting organizations, the team was asked to present its approach to gender-based analysis to teams working in 28 other countries.

(WHO) AA3:25 AA3: E1 Activity Area Number and title AA3 Practical approaches to identify and reduce occupational risks

CC or NGO Name Nofer Institute of Occupational Medicine, Lodz, Poland Project title Estimation of work-related physical load and occupational risk

evaluation in construction sector (ILO Ergonomic Checkpoints, REBA and reviced NIOSH equation methods), nurses (REBA) and dentists (RULA)

Keywords Manual materials handling, ergonomics, WMSDisorders, RSI, Project leader Email address

Zbigniew W. JóĨwiak, PhD.,Eng. [email protected]


Centre for Research and Teaching in Occupational Ergonomics, Health and Safety, La Trobe University, Australia ILO

Other partners National Labour Inspectorate, Polish Ergonomics Association

Funding Project is financed by the Nofer Institute of Occupational Medicine, Lodz, Poland and by the Ministry of Science


The spread of simple ergonomic risk evaluation methods in construction sector and health care workers


• To develop a toolkit (REBA, RULA, NIOSH software) that will be user-friendly (by 2008) • To develop training packages for the toolkit deliverable through e-learning and face-to-face (by 2009) • To integrate the toolkit into the provision of basic occupational health services (beginning in 2009)

Target group and/or beneficiaries Construction workers, health care workers (nurses, dentists)

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Musculo-skeletal problems (especially back injury) is easily the most widespread working hazard the construction and health care profession faces. One out of six workers is likely to suffer back pain or injury each year – almost double the rate of the working population as a whole. In the project we would like to wide spreade some simple methods for physical workload evaluation (REBA, RULA, NIOSH revised equation – prepared as a computer software) as well as very helpful ILO Ergonomic Checkpoints (Geneva 1996) translated to Polish in Institute of Occupational Medicine. These two ways of ergonomic intervention (physical load evaluation and use of ergonomic checkpoint for workplace improvement) will help in reducing physical overload and prevalence of musculoskeletal symptoms observed in these groups of workers.

Dissemination Worker and enterprise meetings and trainings, papers in journals for occupational safety staff



Recent Project outcomes Have developed a user-friendly toolkit for physical workload estimation which contains special report sheets for REBA and RULA methods. We are also preparing training packages for this toolkit (theoretical basis of methods, report sheets, manuals and examples for training). In the future we expect also the following outcomes


• To conduct training sessions for occupational nurses and physicians and safety services officers

• To integrate the toolkit in the provision of basic occupational health services (beginning in 2009)

‘In-progress’ Activities

• Carrying out research on physical load of dentists and construction workers

• Preparing training packages for this toolkit (theoretical basis of methods, report sheets, manuals and examples for training).

• conducting training sessions for occupational nurses and physicians and safety services officers

(WHO) AA3:26 AA3:E2 Activity Area Number and title AA3 Practical approaches to identify and reduce occupational risks

CC or NGO Name Department of Work Environment, University of Massachusetts Lowell (UML)

Project title Economic Evaluation of Interventions to Reduce Occupational

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Back Pain: A Prospective Case Study for Porters in the Wholesale Produce Market in Brazil

Keywords State the key words of the project. For example: Occupational Back pain , Cost-Effectiveness Of Ergonomic Interventions, Economic Evaluation of Interventions, Net-Cost


Heleno Rodrigues Corrêa Filho [email protected] , Maria Inês Monteiro [email protected]


Dr. Supriya Lahiri [email protected] Charles Levenstein [email protected] Ana Isabel Bruzzi Bezerra Paraguay, Assistant Professor, Department of Environmental Health, School of Public Health, São Paulo State University (http://www.fsp.usp.br/).

Other partners Funding Seed Funding FOGARTY, NIH Objective of the project

Economic Evaluation of Ergonomic Interventions through a Prospective Study


• Validation and adaptation of the “Net-Cost Model” through a prospective study (2008) and Cost-Effectiveness Estimates of Interventions • To develop economic evaluation training packages for occupational health professionals deliverable through e-learning and face-to-face (by 2009)

Target group and/or beneficiaries All enterprises – both in the formal and informal sector.


Our goal is to apply, adapt and improve upon the net-cost model developed at the University of Massachusetts Lowell (UML) under the sponsorship of the World Health Organization (WHO) for evaluating ergonomic interventions through a prospective study of the CEASA market, a national distributor of produce, in Campinas Brazil. There is a high prevalence of back problems among the employees that are involved in carrying out the tasks of loading and unloading the cargo trucks and in displaying the products on the shelves. We propose to collaborate with UNICAMP (Brazil) in the above study. The study will be of four years duration. In the first year, we shall collect baseline data (of the current situation without the introduction of additional interventions) on LBP injuries among workers, medical care costs, productivity losses and data on other socioeconomic variables. This will also enable us to determine the type of ergonomic interventions that we would be proposing for the reduction of these injuries. In the second through fourth year relevant data will be collected for the adaptation of the net-cost model and estimation of cost-effectiveness estimates.

Dissemination WHO documents; university studies; worker and enterprise meetings, seminars, workshops and conferences, journal publication



A preliminary cross-sectional survey based on sampling quotas allowed to analyze of 82 porters, aged 19 to 71 years with low schooling (24.4% attended school for at least 8 years). Their entire work life average was 31.3 years (SD=12.1) with a long history of being a porter (mean=15.5 years; SD=9.0). Workloads were pilled

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over two wheeled wood trolleys (±20 boxes, ±1/2 Ton) in a night shift from 5 A.M.-12 noon three days per week. Total workload per man was 5 tons/day or 15tons/week. Back pain during the last week was reported by 18.3% and 31.7% experienced episodes of back pain in the last six months. Use of pain relief medicines were reported by 31.7% at the day of the interview, with 26.8% telling being sick in the last 15 days. None of the groups of Union leaders, bosses, market administration or health professionals retained strength or political drive to overcome or ignore the others. Small sales menace to disappear because of the great supermarket networks. The unique common objective of all social actors is to provide food and food security for the population and small and medium sized commerce. May be they realize this common goal a little too late.

(WHO) AA3:27 AA3: E3 Activity Area AA3 – Practical approaches to identify and reduce occupational risks

CC or NGO Name

Centre for Research and Teaching in Occupational Ergonomics, Health & Safety, La Trobe University, Australia

Project title Hazard surveillance to manage cumulative musculoskeletal disorder (MSD) risks associated with repetitive work

Keywords Musculoskeletal disorders, repetitive work, ergonomics, psychosocial hazards, guidance

Project leader Email address Dr Wendy Macdonald [email protected]


Dr Hyunwook Kim, Head, Department of Occupational Hygiene, Graduate School of Occupational Health, The Catholic University of Korea, Seoul, Korea Institute for Occupational Physiology, University of Dortmund, GERMANY: Dr Mathias Jaeger Nofer Institute of Occupational Medicine, POLAND: Dr Zbyszek JóĨwiak Asociacion Chilena de Seguridad. CHILE: Dr Marisol Concha-Barrientos Office of the Australian Safety & Compensation Council, Department of Employment and Workplace Relations, AUSTRALIA Institute for Work, Health and Organisations, University of Nottingham, UK International Development Committee of the International Ergonomics Association (Dr Halimahtun Khalid, Chair)

Other partners Dr Shyam Pingle, Medical & Occupational Health Services, Reliance Industries Ltd, INDIA

Funding Funding for the first and second stages has been secured through the Office of the Australian Safety & Compensation Council, Dept of Employment and Workplace Relations, Canberra, Australia


The purpose is to develop, implement and evaluate a flexible procedure for use in physical and psychosocial hazard surveillance to reduce the risk of cumulative MSDs for people performing repetitive work. This procedure will be supported by one or more guidance documents (as proves necessary to ensure practical usability), suitable for use by non-experts in diverse environments (various high-

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risk industry sectors; various countries). Aims of project stages are: . to review and report on current approaches to assessing and controlling all relevant hazards . working collaboratively with industry and WHO CC partners, to formulate and implement a flexible procedure for hazard surveillance and control, including assessment of associated levels of worker wellbeing (various measures) . to evaluate effectiveness of the preceding stage, and to produce one or more guidance documents to support use of this procedure by non-experts. Stage 1 has been completed and Stage 2 is underway. Procedures currently being developed in Australian workplaces will be adapted, implemented and evaluated in India and other countries as agreed with project partners. Funding will be sought, collaboratively with partners where appropriate, to support extension of Stage 2 to a broader range of environments, and Stage 3.


A report on current approaches to assessing and controlling work-related hazards for cumulative musculoskeletal disorders associated with repetitive work (August 2006). A physical and psychosocial hazard surveillance and control procedure to reduce the risk of MSDs associated with highly repetitive work, and associated guidance document(s) to support its use, that will be usable and user-friendly in Australian high-risk environments by 2008 and in India by 2010.


Those responsible for the occupational health of people performing repetitive work, including workers, union representatives and employers as well as occupational health professionals and students.


This project addresses the need for more effective means of reducing the risk of cumulative MSDs associated with highly repetitive work. The first stage entails review and reporting on current approaches to assessing risk and controlling work-related MSD hazards. Stage 1 has been completed and a full report is now available. The second and third stages entail field work to formulate, implement and evaluate hazard surveillance and control procedures, including review of changing levels of worker wellbeing, and to produce associated guidance documentation. Stage 2 is now underway in Australia. To date we have:

• formulated a draft set of procedures to address both the physical and psychosocial hazards for cumulative MSDs at both task-specific and overall-job levels, including information about individual exposure levels. Copies of the current versions of these questionnaires are attached, along with a summary of the content and rationale for each.

• recruited several large, multi-site enterprises within which we are now implementing the procedures. These enterprises represent two high-risk industries identified as ‘high priority’ by the Australian National OHS Strategy: Storage; and Manufacturing.

Dissemination Industry and WHO/ILO documents; professional and academic meetings

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and publications; worker and enterprise-level meetings Impact (global or regional) Both global and regional


Working collaboratively with stakeholders in each of these workplaces, we are currently implementing the above procedures to assess WMSD hazards levels in relation to employee fatigue, stress and discomfort/pain (the latter are conceptualised as ‘hazardous states’ mediating relationships between workplace hazards and diagnosed injuries). We will statistically analyse the data collected within each workplace to determine: − hazard profiles (for individual workplaces, industry sector, and

overall) − relationships between levels of particular hazards (separately

and in combination) and employee ‘hazardous states’. Each workplace participating in Stage 2 will be invited to collaborate in Stage 3 of the project, which will be to evaluate the effectiveness of workplace interventions implemented in accord with Stage 2 recommendations. Guidance documentation to support routine use of the procedures in the high risk industry sectors involved in Stage 2 will also be drafted (to be developed further during Stage 3). Stage 2 will be completed by the end of 2007. During 2007, funding to support Stage 3 of this project will be sought, in collaboration with industry and one or more WHO CC partners. Various funding options have been identified and are currently being further investigated. It may be necessary to seek funding for the first two of the dot points below, separately from funding for the third. Aims will be: • to evaluate the effectiveness of the procedure within those Stage

2 workplaces that agree to participate further • to produce one or more guidance documents to support ongoing

use of this procedure by non-experts within the high-risk industry sectors represented by Stage 2 workplaces (warehousing/logistics; manufacturing)

• to support adaptation and implementation of the procedure and associated guidance documentation within other high-risk workplaces, including those accessible to some WHO CC partner organisations.

(WHO) AA3:28 AA3: E4 Activity Area Number and title AA3 Practical approaches to identify and reduce occupational risks

CC or NGO Name International Ergonomics Association (IEA) International Occupational Hygiene Association (IOHA)

Project title Demonstration and evaluation of control banding toolkits application in ergonomics and integration within ongoing Occupational Safety, Hygiene and Health (OSHH) activities.

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Keywords Control banding, occupational hygiene, ergonomics, checkpoints Project leader / Email address

David Caple; Chair, IEA IDC [email protected] David Zalk; IOHA WHOCC Advisor [email protected]

Partners (of the CC Network) IOHA, IEA, WHO, and ILO

Other partners National Institutes and any other interested organisations Funding Involved organisations Objective of the project

Collaboration between IEA and IOHA to develop a consistent approach to communicate practical OSHH advice to industry.


IEA will develop, communicate, and disseminate practical approaches to identify and reduce occupational risks relating to ergonomic stressors. A joint IEA/IOHA workshop will be held at the IEA Congress to identify and communicate current approaches (July 2006). Materials will be exchanged and programs compared to enable and develop a common approach (March 2007). Integration of approaches within respective professions will be evaluated and disseminated to develop and promote a joint, multidisciplinary position (December 2008).


All organisations and national/international entities with a special focus on small- and medium-sized enterprises (SMEs).


Both the IEA and IOHA have been separately developing practical advice to industry to reduce occupational risks that lead to work-related injury and illness within their professions, based on their respective research outcomes. Both relate to the elimination or reduction of risk, but document the advice in a variety of methods. This international collaboration between the professions will assist industry in providing a more compatible and consistent approach. This project represents a three-phase approach of communication, evaluation, and integration. To explore the possibilities of developing simple guidance on ergonomics to assist industry partners to prevent workplace injury and illness. The IOHA have developed Control Banding guidance with specific recommendations of exposure to chemicals, dusts, solvents, etc. The potential for the IEA to provide guidance in relation to the prevention of musculo-skeletal disorders (MSD) is to be explored in this project

Dissemination Professional associations, universities, ILO/ WHO publications Impact (global or regional) Global


Discussions have occurred with ergonomists from the IEA in relation to the options available to provide the simple guidance. It was decided that prescriptive guidance such as specific joint positions, angles, postures and durations of tasks would be too simplistic to reflect the interactive nature of this multi factorial risk analysis on MSD prevention. An alternative contribution is the use of ergonomic checkpoints which provide multi factorial practical advice for a range of workplace scenarios. These have been widely used since 1996 in the ILO/ IEA publication known as Ergonomics Checkpoints. A second edition of this is soon to be released. An evaluation project for the application of these materials in a

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developing country was proposed as an initiative to assess their suitability. ‘In-progress’ Activities Discussions have occurred with Gerry Eijkeman from the WHO in relation to this option. Consultation will occur with the author of the materials, Dr Kazutaka Kogi and also the IEA representative in Malaysia, Dr Halimahtun Kahlid to develop an evaluation protocol in late 2007.

(WHO) AA3:29 AA3: E5


CC or NGO Name Federal Institute for Occupational Safety and Health, Berlin (BAuA)

Project title Examination of the stress of the lumbar spine caused by whole-body vibration with variable frequency, magnitude and direction

Keywords spine whole-body vibration posture anthropometry back pain occupational disease

Project leader/ Email address

Dr. Helmut Seidel (beginning with 1st July 2007: Dr. Barbara Hinz) [email protected] and [email protected]

Partners (of the CC Network) Institute for Occupational Health, Kiev, Ukraine

Other partners Technical University Darmstadt (Germany), Technical University Hamburg-Harburg (Germany)

Funding Government


Elaboration of the scientific basis for the quantitative assessment of health risk caused by whole-body vibration and shocks duly considering posture and personal characteristics (age, stature)


Anticipated results of the project can be significant for many workers, mainly all drivers of machinery, trucks, cars, e.g., in agriculture, construction and mining industry 2007 – development of a method for quantitative risk assessment; 2009 – improved FE-model for the prediction of the vibration-related spinal load.


workers exposed to whole-body vibration, drivers, manufacturers of mobile machinery, inspectorates, occupational health physicians

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Experimental studies that provide data for the development and verification of an advanced mathematical model to predict the health risk caused by whole-body vibration (single- and multi-axis) and modified by relevant factors like posture and anthropometric characteristics. The results can be used for risk assessment, prevention of musculo-skeletal disorders (lumbar spine) and product design.

Dissemination Publication in peer-reviewed journals

Impact (global or regional) The scope of the impact of the project is identified as global.


Finite element (FE-) models of man were improved and validated based on human experimental in vivo data in order to predict compressive and shear forces acting on lumbar discs during whole-body vibration in x-, y and z-axis. The models were adapted to ten classes of anthropometric data of European drivers and five different typical driving postures. A set of transfer functions was calculated that can simulate altogether 50 different FE-models. Fatigue failure of lumbar vertebral endplates (ISO 2631-5) can be used as criterion to predict the health risk due to long-term exposure. New experimental in-vitro data (Technical University Hamburg-Harburg, Germany) were compared with such predictions. The comparisons assisted the selection of suitable quantitative relationships. The application of the new evaluation procedure to many different exposure conditions obtained in Europe indicate the necessity to decrease the limit value of the European directive 2002/44/EC for whole-body vibration in the z-axis and to revise current evaluation methods (ISO 2631-1, ISO 2631-5). ‘In-progress’ Activities Experimental laboratory in-vivo studies (cross-modality matching, biodynamics) to investigate frequency weightings for low-frequency whole body vibration in different axes. Further improvement of the FE-model and in-vitro studies with lumbar spinal units in order to examine fatigue strength in dependence on age.

(WHO) AA3:30 AA3:H1 Activity Area Number and title AA3 Practical approaches to identify and reduce occupational risks

CC or NGO Name Asociación Chilena de Seguridad (ACHS) Project title Job stress surveillance in health care workers Keywords Job stress, surveillance, work organization, health workers


Dr. Marisol Concha, [email protected] Sr. Rodrigo Pezo, [email protected]

Partners (of the CC Network) Universidad Andrés Bello

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Other partners Funding Asociación Chilena de Seguridad (ACHS), Objective of the project To develop a surveillance system in health care workers


A validated surveillance system for health care workers One year from the starting point

Target group and/or beneficiaries Health care workers


To develop a surveillance system based on self-administered questionnaires and organization data among others. Sensitivity and specificity of the system will be calculated. Data collection validation will be carried out in a sample of health workers. We will develop a quantitative scale to identify different degrees of stress in health workers. According to the workers stress level derivation to interventions will be carried out. Impact of the interventions will be evaluated using quantitative and qualitative methods. Identification and selection of interventions using evidence-based medicine will be carried out.

Dissemination Government, mutual, meeting, Labour and Health Ministry Impact (global or regional) Regional


A literature review (general and specific) as been concluded and at the moment work is being carried out on the surveillance system design. The proposal, based on the bibliography, consist on a two step survey system applied as a panel study on selected occupational sites. The instruments correspond to: a) short self- administered survey of high sensibility and b) interview survey of high specificity. The surveys will be administered sequentially on working places recognized for being stressors in the literature. The proposal will be finished (first draft) September.

(WHO) AA3:31 AA3:H2

Activity Area Number and title AA:3: Practical approaches to identify and reduce occupational risks

CC or NGO Name Clinica del Lavoro “Luigi Devoto”, Milano, Italy Istituto Nacionale de Salud de los Trabajadores (INSAT), LA HABANA-Cuba

Project title Occupational risks in Cuban health care workers: exposure assessment, prevention, training and guidelines.

Keywords Exposure assessment; risks prevention; anaesthetic gases exposure; industrial hygiene; stress at work; psychosocial factors; health care workers; burn out.


Silvia Fustinoni, e-mail: [email protected] M.E. Linares, H. Diaz, e-mail: [email protected] Patrizia Deitinger e-mail: [email protected]

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Partners (of the CC Network) ISPESL, Rome, Italy

Other partners Fondazione IRCCS Ospedale Maggiore Policlinico, Mangiagalli e Regina Elena, Milano Associazione Italia-Cuba

Funding


To conduct a study on exposure to anaesthetic gases in health care workers in Cuba and their outcome on workers’ health − To improve technical capability of laboratories in Cuba dealing with environmental and biological monitoring of occupational exposure − To develop training programs for physicians, and nurses, industrial hygienists, and all the subjects 80 involved in prevention − To publish guidelines, booklets to address risk management and scientific articles to report the results of the studies.


Improvement of working and health conditions in health care Cuban workers; Improvement of know-how through educational courses for prevention operators. Training packages for operators of prevention (industrial hygienists, occupational physicians, psychologists)


Health care workers, occupational health physicians, nurses, industrial hygienists, laboratory technicians, psychologists, institutions for safety and prevention at work.


Assessment of exposure to anaesthetic gases and risk reductions: 1. Complete methods development; 2. Apply methods to evaluate exposure and its neurobehavioral effects in health care workers; 3. Study solutions for the reduction of exposure and apply them in the polluted environments; 4. Test the efficacy of the adopted solution. 5. Education: 6. Organization of specific frontal training packages on industrial hygiene and biological monitoring and psychosocial risks in health care workers.

Dissemination Guidelines for safety and prevention at work, booklets and training packages for workers and operators of prevention, scientific publications.

Impact: global/regional Regional


The Cuban colleagues are working to the assays for measuring: 1) airborne exposure to anaesthetic gases in health care workers in Cuba . 2) urinary levels of anaesthetic gases in occupationally exposed subjects.Italian experts from the "Clinica del Lavoro provide Cuban colleagues with useful supplies and advices. ISPESL, Italy, translated in Spanish a booklet, originally edited in Italian, dedicated to health care workers. The booklet is titled: "Stress & burnout - how recognize symptoms and prevent risk". This booklet has been presented to the Cuban colleagues during the II INTERNATIONAL CONGRESS ON HEALTH AN WORK, CUBA 2007

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(WHO) AA3:32 AA3:H3


CC or NGO Name Institute and Outpatient Clinic for Occupational and Environmental Medicine, University Munich

Project title Assessment of exposure to antineoplastic agents in pharmacy and hospital personnel

Keywords Antineoplastic drugs, biological monitoring, wipe samples Project leader Email address Dr. Rudi Schierl, [email protected]


National Institute for Occupational Safety & Health (NIOSH), USA Centre for Environmental and Occupational Health, Porto, Portugal

Other partners

Funding Initial funding is secured from a German pharmacy network. Funding for the next years has to be applied for.


Examination of safe working conditions related to handling of antineoplastic drugs during drug preparation or administration in hospitals


To test the wipe-kit that will be readily usable for different countries (by 2007) • To develop training courses for the wipe-kit (by 2009)

Target group and/or beneficiaries Pharmacy technicians, pharmacists, nurses, medical doctors


There is a risk of adverse health effects for personnel with occupational exposure to antineoplastic agents. The study is aiming at identification, quantification and evaluation of potential health hazards of exposed personnel in pharmaceutical and oncological departments. Biological monitoring for important substances had produced evidence for uptake, but sources remained doubtful in many cases. Therefore we developed an environmental monitoring strategy in order to detect contamination and to improve working procedures. Within this scheme we are sending a wipe-sampling-kit with detailed instructions to hospitals and pharmacies, where sampling is done by local staff. Analyses, evaluation and recommendations were carried out from our institution.

Dissemination Publications, university studies, reports Impact: global/regional Global


“Wipe-Kit” with which can be delivered to pharmacies and hospital units. A detailed instruction with photos is included. At present also a CD-ROM with a video (in German) is available. After sampling the parcel is send back to Institute and Outpatient Clinic for Occupational and Environmental Medicine laboratory and analyses were performed. Finally, the Institute sends the results together with evaluation and recommendations. During the last year they sent their "wipe-kit" to about 50 participants in Germany in order to look for contamination at pharmacies and hospitals. There was also

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cooperation with a big hospital in Paris, where they did monitoring at several sites (publication under preparation). Publications: 1) Turci R, Sottani C, Schierl R, Minoia C: Validation protocol and analytical quality in biological monitoring of occupational exposure to antineoplastic drugs. Toxicol Lett 162 (2-3), 256-262 (2006) 2) Sottani C, Turci R, Schierl R, Gaggeri R, Barbieri A, Violante SF and Minoia C: Simultaneous determination of Gemcitabine, Taxol, Cyclophosphamide and Ifosfamide in wipe samples by HPLC-MS/MS: Protocol of validation and Uncertainty of Measurement. Rapid Communications in Mass Spectrometry 2007 , in print.

(WHO) AA3:33 AA3:H4



Project title Identification and prevention of occupational risks for Health Care Workers (HCWs)

Keywords Risk Assessment Health Care Workers Prevention of occupational illness Ergonomics HIV and other infectious diseases

Project leader Email address Prof M Ross for NIOH [email protected]


OEHRU CC (University of Cape Town), SA Singapore CC (National University of Singapore) HSL CC (UK)

Other partners Health Protection Agency (UK) Center of Ergonomics for Developing Countries, Sweden, National Institute for Communicable Diseases (NICD), South Africa (WHO CC in Communicable Diseases), WAHSA initiative on HIV in HCWs, University of British Columbia (UBC)

Funding

Funding from the National Health Laboratory Service, South Africa to develop surveillance system for laboratory workers (NIOH) Unsuccssful funding proposal for 2009 to CIDA for surveillance system and evaluation of surveillance system for public hospitals – support from SA provincial governments and UBC obtained

Partner contributions and funding to be explored in 2008 Objective of the project

Develop & pilot practical tools & methods for risk assessments in health care settings: primary and secondary preventive intervention


Outcomes and deadlines of the project. • To develop a health care workers’ toolkit comprising: risk assessment tools, case studies and materials for promotion of occupational health for HCWs (2008) • To develop training packages for the toolkit deliverable through e-learning and face-to-face (by 2009) • To develop a model for implementing the toolkit within a basic occupational health service for HCWs (2010) 1) Collection of data &case studies in South Africa on tuberculosis incidence and HIV infection in HCWs. 2) NICD and Cellestis to conduct prospective study on Quantiferon to assess latent TB and progress to active TB in high and medium risk HCWs and guidelines for HCWs. 3) Obtain materials/ courses from partners eg Singapore, HPA 4) Training information on dealing with high risk situations

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5) Occupational health surveillance system

Target group and/or beneficiaries Health Care workers, particularly for developing countries


The project will address the risk assessment and prevention of global occupational illness such as biological exposures (e.g. HIV, TB, HBV, HCV, Avian flu), chemical (e.g. latex), physical (e.g. violence) exposures and ergonomics.

Dissemination Publications, reports Impact: global/regional Global

Progress on Project a (max 100 words)

To develop toolkit for risk assessment, case studies, materials ( due 2008) 1. Collection of data &case studies in South Africa on tuberculosis

incidence and HIV infection in HCWs. Review of incidence of TB in NHLS laboratory workers commenced and other cases to be collated in 2008 for partners to review

2. NICD and Cellestis prospective study on Quantiferon to assess screening guidelines. Further discussions in October 2007 with funder and NICD - finalising protocol and obtaining results from Japan, investigating private sector project in Canada

3. Obtain materials/ courses from partners Developed chapter on walk through risk assessment in health care facilities for Malaysian Medical Association textbook – available after publication in 2008.

4. Training materials for pandemics: September 2007 developed a pandemic flu policy for occupational health practitioners to assist business continuity: to be circulated to partners for comment in 2008

5. Occupational health surveillance systems: NIOH piloted HCW surveillance tool (paper-based) and refined data collection sheet and developed electronic system to interface with personnel data. Presentation on surveillance and pilot made at Federation for Infectious Diseases Societies of Southern Africa October 2007 (available on request). Electronic pilot by June 2008.

(WHO) AA3:34 AA3: H5


CC or NGO Name Senac (National Service for Commercial Education) Jabaquara Training Unit – São Paulo

Project title Protecting Healthcare Workers Toolkit – Preventing Risks from Healthcare Waste (HCW)

Keywords Health, safety, healthcare workers, healthcare waste, preventing risks.


Rosangela Gonçalves Ribeiro [email protected] Tatiana Pincerno Ribeiro

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[email protected] contact person: Claudio Luiz De Souza Silva [email protected]


Possible partner: National Institute for Occupational Health (NIOH)

Other partners Possible partner: Ministry of Health

Funding Senac


To prepare a risk prevention Toolkit for healthcare waste management (HCW). This will include the preparation of a guideline document, discussions with national and international partners, particularly WHO Collaborating Centres, testing the guideline in selected workplaces and finalizing it. The document will be published in Portuguese and English.


1. Translation into Portuguese of selected documents about Healthcare Waste (HCW) already prepared by international and national organizations (e.g., WHO, ILO, NIOSH), for example: WHO (1999) Safe Management of Wastes from Health-Care Activities. Edited by A. Pruss, E. Giroult and P. Rushbrook. World Health Organization, Geneva (2008). 2. A draft guideline document (Toolkit) and promotion of discussions about it with national and international partners (2009). 3. Testing the proposed guideline (Toolkit) in selected workplaces (2010). 4. Translation of the guideline into Portuguese (2010). 5. Publication of the guideline document (Toolkit) and its distribution to the WHO Network of Collaborating Centres (2011). 6. Dissemination and application of the Toolkit in Brazil (2012).


Governmental agencies, healthcare establishments (such as hospitals and clinics), healthcare workers (including physicians, interns, nurses, assistant nurses, cleaning workers, hospital administration workers) and other professionals involved in this field.


The aim of this project is to educate and train healthcare workers in order to prevent injuries caused by microorganisms spread by healthcare establishments to the environment, which is due mainly to incorrect handling and disposal of healthcare waste. **This project could be part of the project AA3:H5 – Identification and Prevention of Occupational Risks for Health Care Workers, under the leadership of the National Institute for Occupational 83 Health (NIOH), SA.

Dissemination

1. Publication and distribution of the guideline document (toolkit) to the WHO Collaborating Centres in Occupational Health (2011). 2. Mailing and e-mailing the document to public and private hospitals in Brazil (2011). 3. Workshops about the Toolkit (2012).



activities planned for 2007: 1) Survey and diagnose the hospital litter situation in Brazilian medical clinics and hospitals 2) Research and analysis of materials, manuals and publications

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related to the subject. 3) Toolkit draft

(WHO) AA3:35 AA3:H6 Activity Area Number and title AA3: Practical approaches to identify and reduce occupational risks


Project title Risk assessment for health care workers Keywords risk assessment, health care workers Project leader Email address


Partners (of the CC Network) WHO, ILO

Other partners Funding National finance support of China, WHO, ILO


To give occupational health standard of Bloodborne Pathogens prevention and control to protect the corresponding health care workers.


Investigate the status about risks to Health Care Workers especially for sharp injury. The regulation about sharp injury, such as where is often happened. Standard established for occupational health protection and control of Bloodborne Pathogens.


Policy makers, occupational health and safety researchers, enterprise managers, health care workers


Investigate the institution, such as research institution, medical institution, disease prevention and control institution, laboratory etc. To study the status of injury of Bloodborne Pathogens. To establish occupational health standard of Bloodborne Pathogens protection and control. Select different region, different scale institution as pilot departments carrying out the standard.


Impact (global or regional) Both global and national


We have investigated the institution, such as research institution, medical institution, disease prevention and control institution, laboratory etc and analysed the data about health care workers’ injury. Now we have provided the opinion draft.

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(WHO) AA3:36 AA3:H7


Activity Area 3: Practical approaches to identify and reduce occupational risks

CC or NGO Name Southwest Center for Occupational and Environmental Health The University of Texas School of Public Health

Project title Manual for managers of hospital occupational health services managers

Keywords occupational health services; healthcare workers Project leader Email address

Sarah A. Felknor, DrPH, MS ([email protected] ) and George L. Delclos, MD, MPH, PhD ([email protected] ).


Pan American Health Organization

Other partners Funding Fogarty International Center ITREOH Training Grant Objective of the project

Development and dissemination of a practical “how to” manual for administrators responsible for occupational health services in healthcare settings.


Publication (by PAHO) of a manual entitled “Workers’ health and safety in the health sector. A manual for managers and administrators” (in Spanish and English).


Hospital staff and personnel with responsibilities for the management of occupational health services for the workers of that hospital, in Latin America.


This project is spearheaded by PAHO. A manual was published in 2006. Our center contributed several of the survey instruments that are included in the final version of the manual. The language of the manual is Spanish

Dissemination Responsibility of PAHO Impact (global or regional)

Regional.


Manual was published in 2006.

(WHO) AA3:37 AA3:H8


Activity Area 3: Practical approaches to identify and reduce occupational risks

CC or NGO Name National Institute for Occupational Safety and Health

Project title Assessment of Environmental and Health Risks in a Mega Hospital (Cairo University Hospitals)

Keywords Environment, health, risk, infection, ergonomic, musculo-skeletal,

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chemicals, radiation


Dr. Hussein abd el hay ibrahim E-mail : [email protected]


Other partners Kasr El-Aini Faculty of Medicine and Cairo University Hospitals (Cairo University)

Funding Egypt NIOSH (LE.20000)


Assessing various environmental and health risks present in Cairo University Hospitals and impacting the employees, patients, visitors, as

well as the service itself


Project outcomes (expected): 1. Have a clear "Environment and health risk model" in large hospitals, 2. Help the hospital management, through risk characterization report, to manage the identified risks, 3. Disseminate the outputs and lessons' learnt through training workshops targeting managers of hospitals and health care centers affiliated to Ministry of Health and Population. Deadline for completion of the project: December 2010


- Health care workers (physicians, nurses, technicians and workers) at the Cairo University Hospitals.


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 July 2007, at the Cairo University Hospitals (6000 beds and 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, musculo-skeletal, 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.


Help the hospital management, through risk characterization report, to manage the identified risks


1. Design and standardize the study tools (forms, checklists, measuring tools, etc.),

2. Having all related permissions for executing the study, 3. Execution of about one-half of the environmental survey,

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including measurements of workplace environmental concerns (chemicals, radiation, etc.)

4. Execution of health survey on about one-third of the target workforce

(WHO) AA3:38 AA3:Ag1


CC or NGO Name Occupational and Environmental Health Research Unit, Univ Cape Town, South Africa

Project title Control of Occupational hazards associated with pesticides in agriculture

Keywords Pesticides; surveillance; training; safety materials; policy; registration; hazard communication; risk perception; agriculture

Project leader Email address Professor L London [email protected]

Partners (of the CC Network) Tropical Pesticides Research Institute, Arusha, Tanzania

Other partners To be developed throughout Southern Africa as part of the network.

Funding Work and Health in Southern Africa (SIDA)


To develop capacity in Southern Africa to address pesticide hazards: surveillance; risk perceptions; training; exposure characterization; interventions to reduce pesticide usage and exposure


YEAR 2 ACTIVITIES (AS PER ORIGINAL PROPOSAL) 1. Joint protocols developed in the areas of: surveillance of

pesticide exposures and health impacts, proper risk assessment, hazard communication effectiveness, risk perceptions, effectiveness of different methodologies of pesticide safety training, assessment of the economic and health consequences of pesticide use

2. Training of pesticide registrars 3. Skills of practitioners and scientists will be upgraded through

short courses 4. A comprehensive investigation on needs of regional policy

activities, development projects and research 5. Networking workplan to be developed by UCT and TPRI. Will

include resource centre at TPRI and pesticides list-server at UCT POST YEAR 2 ACTIVITIES 1. A regional conference will be held to present overall findings 2. A Best Practice Manual will be compiled and published, including

examples developed in the project 3. Action programme developed at, at least, four major agricultural

sites against pesticide exposure Target group and/or beneficiaries

Occupational health professionals in Southern Africa; public officials concerned with pesticide policy; users: farmers and farm workers

Summary of the project (max 100

This project aims to establish a regional Resource Complex between TPRI and UCT to support the development of capacity to address

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words) pesticides hazards. The Resource Complex will act as the node for establishing a network of researchers, practitioners and policy makers across the region. This network will serve as the basis for disseminating training and safety materials, implementing improved surveillance for pesticides poisoning, policy interventions to reduce pesticide use and capacity building at all levels

Dissemination

Project will disseminate via: a) electronic list-server; b) WAHSA website; c) hard copy newsletter; d) regional meetings and conferences e) publication in development fora; e) publications in scientific journals f) presentations to policy makers (e.g. parliamentary portfolio committees)


Regional – interventions through regional policy makers International: Key driver with SALTRA programme in Central America to develop South-South collaborative networks.


Regional network developed; improved surveillance for pesticide poisoning; training and safety materials widely disseminated; policy consultation with pesticide registrars in the region; action undertaken in two sites by end 2008 (Phase I). Project will disseminate via: a) electronic list-server; b) WAHSA website; c) hard copy newsletter; d) regional meetings and conferences; e) publication in development fora; e) publications in scientific journals; f) presentations to policy makers (e.g. parliamentary portfolio committees)



CC or NGO Name Institute and Outpatient Clinic for Occupational and Environmental Medicine University Munich

Project title Lung disease in Agriculture – tools for assessment of exposure, burden of disease and prevention

Keywords Occupational lung disease, Agriculture


Holger Dressel MD MPH [email protected] Rudi Schierl, will be also Contact-Person and Co-Project leader [email protected]


Médecine du Travail, Faculté des Sciences de la Santé, Cotonou, Benin Institute of Occupational Medicine, Skopje, FYROM Other CCs interested in participating

Other partners Local agricultural professions associations cooperate in this project.

Funding Local agricultural professions associations Funding for the global spread of the project will be applied for

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Develop globally accessible tools to assess and reduce the burden of agricultural lung disease


Develop simple recommendations to reduce allergen exposure in farmers’ homes (by 2006) Develop tools for the evaluation of educational interventions (by 2007) Develop tools for secondary prevention (by 2008) Dissemination of tools through WHO CC centers (by 2009)


All occupations in the agricultural sector, public and private institutions dealing with compensation schemes for occupational diseases


We aim at developing tools to cover all aspects of lung disease in agriculture using a stepwise approach beginning with allergies to cow dander. One important issue is the transfer of allergens from the stables into living rooms, kitchens and beds. A study with 46 farmers showed clearly that concentrations of cow dander bos d2 allergens in dust samples from living-rooms and mattresses are above the supposed threshold level for risk of sensitization. In cases where farmers did not work in stables themselves anymore a transport of allergens is possible by family members. In a second step we currently evaluate educational and medical interventions in occupational asthma in agriculture.

Dissemination WHO/ILO documents; scientific papers; educational programs for agricultural workers



1. Data presented at the European Respiratory Society Congress 2006

2. Data will be presented at the German Congress for Occupational Health 2007.

3. Poster presentation in Buxton. 4. Results were also distributed by local press and television. 5. Currently planning studies to develop efficient screening strategies

to detect agricultural lung disease at an early stage and are planning cooperation with Médecine du Travail, Faculté des Sciences de la Santé, Cotonou, Benin and Institute of Occupational Medicine, Skopje, Macedonia.



AA:3: Practical approaches to identify and reduce occupational risks

CC or NGO Name IEA International Development Committee

Project title Ergonomics Checkpoints in Agriculture –A toolkit for developing countries

Keywords Ergonomic, agriculture, developing countries, workplace design, work environment.


Prof. David C Caple, Chair, [email protected]

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ILO, IOHA, IRET Costa Rica

Other partners

Funding Partial funding for workshops on the checkpoints has been provided by the ILO, SafeWork program, Geneva


To document at least 100 low cost practical solutions to ergonomic hazards faced by farmers in developing countries


To identify and document 100 checkpoints relating to ergonomic hazards in agriculture. • To test the validity of the checkpoints in South East Asia and India to provide a global document. Workshops already conducted in Vietnam, Laos and Cambodia in 2005. A further workshop conducted in India in December 2005.


Farmers and farm advisers in developing countries


Abstract. Following the success of the ILO publication, “Ergonomic Checkpoints” the IEA offered to develop a following publication targeted to farmers in developing countries. A series of workshops have been conducted to identify issues and to document low cost practical checkpoints. The document will be reviewed in 2006 to address a range of emerging issues such as the diversity of agriculture scenarios in developing countries with consideration to the roles of women Development of 100 checkpoints showing practical suggestions to address ergonomic and OHS risks in agriculture in developing countries.

Dissemination ILO document to be released as part of the SafeWork program. Impact: global/regional

Global


The IEA has now documented over 100 Checkpoints in agriculture and is finalizing the illustrations to go with them. The IEA has conducted a workshop for verification in India and hopefully will do another in southern Africa later this year. There is also interest to do one in Brazil. As usual the funding of these is the problem as they cost around $10,000 each for the preparation and expenses for the presenter and the local costs for the host committee and attendees. The technical leader of this project is Dr Kazutaka Kogi from Japan. The IEA is hosting an international conference on ergonomics in agriculture in Malaysia from the 27th – 29th November this year. The website will be www.aedec.org. This site will be operational from the 15th March The 1.5 day workshop will be held prior to the conference on Ergonomics in Agriculture. This conference is being convened by Dr Halimahtun Kahlid in Malaysia. The materials for the workshop in Malaysia are under development. A selection of persons working in OHS and ergonomics in developing countries relating to agriculture will be invited to attend. The exact number will depend on the amount of external funding that can be obtained. A range of international

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stakeholders including the WHO, ILO, ICOH, IOHA and NIOSH (USA) have been invited to attend.



Project title Development of risk assessment guidelines for agricultural workers.

Project leader ICPS, Milan, Italy Prof. Angelo Moretto, International Centre for Pesticides and Health Risk Prevention, [email protected]

Partners -Prevention Unit of the General Directorate of Health, Region of Lombardy. -University of Cape Town, South Africa

Potential to involve additional partners

We foresee to involve other national and international experts in the field of agricultural health and safety.

Funding ICPS. Issues to be addressed

To provide methods for assessment of health risks in agriculture, with particular focus on pesticide use.

Project outcomes

1. development of a generic model to perform risk assessment for agricultural workers exposed to plant protection products 2. definition of risk profiles for exposure to plant protection products in specific crops (greenhouses, vineyard, maize, rice). 3. development of a probabilistic approach for assessment of exposure to pesticides in selected scenarios. 4. elaboration of guidelines for health surveillance of agricultural workers. 5. organization of a regional/national conference to present the obtained results 6. publication and dissemination through scientific journals.

Dissemination Dissemination of the results will be channelled throughout the rural health network. The main results (risk profiles for crops of concern) will be translated in national languages of Eastern European countries.

Impact: global/regional Regional National


Risk profiles for exposure to plant protection products in specific crops will be soon available:

1) Risk profile for greenhouses is under validation process; the Prevention Unit of the General Directorate of Health, in the Region of Lombardy is performing environmental and biological monitoring on greenhouses worker exposed to chlorpyriphos and mancozeb. The results would be useful to validate the risk profiles for greenhouses.

2) Risk profile for maize and rice will be soon finalized.

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3) Risk profile for vineyard is in progress

(WHO) AA3:42 AA3:Co1 Activity Area Number and title AA:3: Practical approaches to identify and reduce occupational risks

CC or NGO Name Clinica del Lavoro “Luigi Devoto”, Milano

Project title Assessment of exposure to carcinogenic compounds, focusing on polycyclic aromatic hydrocarbons (PAHs), in construction workers.

Keywords Polycyclic aromatic hydrocarbons, construction workers, environmental and biological monitoring, bitumen fumes.


Dr. Laura Campo [email protected]


IAPA (potential)

Other partners Lombardy Region, (Prevention of Occupational cancers project) Fondazione Ospedale Maggiore “Policlinico, Mangiagalli e Regina Elena”, Milan.

Funding Lombardy Region, (Prevention of Occupational cancers project) University of Milan ISPESL/ICP Consortium for WHO Collaborating Center


1) Development of analytical methods to measure urinary biomarkers of exposure to carcinogenic compounds, with particular attention to exposure to polycyclic aromatic hydrocarbons (PAHs) and their application in workers exposed to bitumen fumes (asphalt workers and roofers). 2) Evaluation of the dermal exposure and comparison between dermal and inhalation exposure. 3) Evaluation of influence of genetic factors and of life style (tobacco smoking, diet) on PAHs exposure.


Definition of a toolkit for the evaluation and prevention of chemical risk in construction workers, i.e. dermal absorption and biological monitoring.


Workers, enterprises, prevention operators, occupational health physicians, institutions for safety and prevention at work.


Workers employed in the road construction and maintenance companies are potentially exposed to bitumen fumes during either production or laying of asphalt. Bitumen contains a large number of different compounds among which polycyclic aromatic hydrocarbons (PAHs). IARC has classified some PAHs as probable (class 2A) or possible (class 2B) carcinogen to humans. The primary objective of this study are: to assess exposure to PAHs by means of environmental and biological monitoring in asphalt workers, to evaluate the contribution of occupational exposure and life style (cigarette smoking, diet) to the internal dose, to compare dermal and inhalation exposure, to evaluate the importance of genetic factors.

Dissemination Scientific publications, guidelines for safety and prevention at work,

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WHO/ILO documents, booklets and training packages for workers and employees.


Global


In progress activities: 1) Literature review about urinary biomarkers used to assess PAHs exposure and about level of exposure in asphalt workers. 2) Recruitment of subjects and collection of biological samples.

(WHO) AA3:43 AA3:I1 Activity Area Number and title AA3 Practical approaches to identify and reduce occupational risks

CC or NGO Name Industrial Accident Prevention Association (IAPA) International Occupational Hygiene Association (IOHA)

Project title Initiation, Development & Implementation of an Injury Prevention Management Toolkit

Keywords Injury Prevention Managed systems Safety and health Control Banding Occupational Health & Safety Management Systems


Leonard Sassano [email protected] David Zalk [email protected]


IAPA, IOHA, ILO Others to be determined

Other partners To be determined

Funding Self-funded


To improve working conditions through the development and implementation of simplified injury risk reduction tools and methods. Integrate injury prevention toolkits with chemical toolkits, within sectoral toolboxes such as construction.


Initiate this project with a Control Banding Safety Workshop at the international Working on Safety Conference in the Netherlands on 13 September 2006. Investigate the role of safety & injury prevention in theory and practice from within the structure of control banding and existing toolkits. Seek appropriate development partners and pilot project opportunities by communicating this intent at conferences in 3 continents – by 2006. To develop a toolkit process that will be readily usable and user friendly – by 2008. Develop S&H toolkit integration in, for example, construction, food processing, metal manufacturing – by 2008 To pilot the toolkit in at least one region (possibly in Brazil, in conjunction with IAPA project, or China) – by 2009 To validate the effectiveness of the toolkit – by 2010


Small and medium sized enterprises (SMEs) that do not have access to sophisticated injury prevention expertise. They should be applicable globally, in developed and developing countries and those in transition.

Summary of the project (max 100

WHO and ILO have identified a need for practical procedures and tools for the management of injury prevention at work. These tools

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words) should be capable of dealing with the differences that exist between countries, sectors and enterprises, and suitable for development in developing countries and for use in developing countries as well as in SMEs. Using the approach of control banding strategies that have formed the basis for the development of chemical toolkits, some simplified injury risk reduction tools and methods can be developed that meet the criteria of simplicity, easy access, cost effectiveness, participation, practicality, and awareness raising. Integrating successful toolkits within the International Task Group for Control Banding. Implement an example of integrated Occupational Safety, Hygiene, and Health (OSHH). Control Banding toolboxes in sectoral applications such as construction, food processing, metal manufacturing.

Dissemination

The toolkit will be piloted in at least one developing country, region or country in transition, and the results evaluated and validated. Dissemination of the information will be done on CD ROM and via the internet, to assure global distribution. In addition, IAPA, IOHA and others will disseminate the information, best practices and success stories through our newsletters, the GOHNET newsletter, and international conferences and events, such as the IAPA National Conference, the (US) National Safety Council and the World Congress on Occupational Health & Safety.



• COMPLETED: Initiate this project with a Control Banding Safety Workshop at the international Working on Safety Conference in the Netherlands on 13 September 2006.

o Workshop was held and successful collaborative opportunities intiated.

• COMPLETED: Investigate the role of safety & injury prevention in theory and practice from within the structure of control banding and existing toolkits.

o Meeting was held 26 October 2006 in Hoofddorp, The Netherlands with IOHA, ArboUnie, TNO, TU Delft, and Arbouw represented. Topic was investigated and the term Barrier Banding considered. Safety in “bands” as risk levels was discussed, parameters to move this concept forward was broached.

• COMPLETED: Seek appropriate development partners and pilot project opportunities by communicating this intent at conferences in 3 continents – by 2006.

o Cooperative work in the U.S. and The Netherlands with IAPA Canada. 3rd continent has not yet been achieved, but approach is international. Manuscript on Barrier Banding submitted to the American Journal of Industrial Medicine by Swuste and Zalk.

• To develop a toolkit process that will be readily usable and user friendly – by 2008.

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(WHO) AA3:44 AA3: I2


CC or NGO Name Department of Occupational Health, Fudan University, China)

Project title Epidemiological Study of Occupational Injuries in an Iron & Steel Complex

Keywords Occupational Injuries, an Iron & Steel Complex, Epidemiological Study


Zhaolin Xia Email address: [email protected]


Other partners Baoshan Steel Company. Shanghai, China

Funding Each collaborating partner is responsible for its respective costs Grant from LMRIS.


to obtain the prevalence and distribution of fatal occupational injuries (FIO) and severe injuries (SI) in an Iron & Steel Corporation during the period of 1995-2002; then to identify and classify the risk factors in order to prevent and control the injuries; to investigate and understand the injury-induced burden, including the lost-work-time and the direct and indirect economic loss of occupational injuries.


the expected outcome: In collaboration with local institutes, to establish a research fields for following-up intervention study of the project; to establish a institution to integrate occupational safety and health consulting service in the Iron & Steel Corporation. the deadline: December 2008


Iron steel plant


In order to identify current status of the prevalence of occupational injury in iron steel plan.

Dissemination publishing papers and project reports Impact; global/regional Global


A paper “Epidemiology of Fatal Occupational Injuries in an Iron and Steel Complex during 1958-2001 in China ” was published in Chinese Journal of Environ. & Occup. Med. in April, 2006

(WHO) AA3:45 AA3:As1 Activity Area Number and title


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CC or NGO Name Occupational and Environmental Health Research Unit, University of Cape Town, South Africa

Project title Bakers allergy and asthma - Risk Management Toolkit Keywords Baker’s allergy, baker’s asthma, flour dust, supermarkets Project leader Email address

Prof Mohamed F Jeebhay [email protected]


TNO/ IRAS (institute of Risk Assessment), Univ of Utrecht, Netherlands • Department of Environmental Health Sciences, University of Michigan, U.S.A

Other partners Research Institute of Occupational Medicine of the Berufgenossenschaften (BGFA), Ruhr-University Bochum, Germany

Funding Partial funding has been secured from the National Research Foundation (THRIPP) and the Medical Research Council in South Africa


To evaluate the most appropriate intervention to reduce exposure to flour dust in supermarket bakeries in South Africa


State the outcomes of the project. • To develop a risk management toolkit (menu of engineering controls, work procedures and surveillance system) to reduce exposure to flour dust (2007) • To develop a training package (manual and CD ROM) for the toolkit (2008) • To integrate the toolkit into the provision of occupational health services for supermarket bakeries (2009) PUBLICATIONS include: 1. Jeebhay MF, Baatjies R, Terrazas M. Baker’s Asthma and Worker’s Compensation. The Baker Magazine, 10(7); 17-18, 2006 (http://www.thebaker.co.za). 2. Jeebhay MF. Managing individuals with Baker’s Asthma. The Baker Magazine, 10(6); 38-40, 2006 (http://www.thebaker.co.za). 3. Jeebhay MF, Baatjies R, Terrazas M. Strategies for preventing Baker’s Asthma. The Baker Magazine, 10(5); 10-12, 2006 (http://www.thebaker.co.za). 4. Jeebhay MF. Hidden allergens in flour dust causes baker’s asthma. The Baker Magazine, 10(4); 13-16, 2006 (http://www.thebaker.co.za).


All bakery enterprises – especially those located in supermarkets and SMME’s


Exposure to flour dust in bakeries is one of the most common causes of occupational asthma worldwide. Bread production has moved from large sale industrial bakeries to supermarkets and small scale traditional bakeries. Most of these bakeries have limited access to technology-informed interventions and relevant information to reduce the risk of bakers developing occupational allergies and asthma. The aim of this project is to evaluate different approaches in reducing exposure to flour dust in supermarket bakeries and in the process develop a risk management toolbox appropriate for supermarkets. The second aim is to develop a training programme for the use of this risk management toolbox. Finally, to assess the feasibility of integrating this approach into the provision of occupational health services for supermarkets. The results of the health and environmental survey showed that the

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overall 11% prevalence of baker’s asthma in South African supermarket bakeries is high. Job title more so than employment duration are important predictors of sensitization among supermarket bakery workers. Bakers on average, have twice as high flour dust exposures compared to confectioners. Counterhands, on the other hand, have the lowest exposures, almost half that of confectioners.

Dissemination WHO/ILO documents; university academic instruction; worker and industry meetings


Global


Outcomes: 1) The main baseline health study was completed in 2005 completing investigations on 517 workers from 31 bakeries. The baseline environmental study was completed in 2006 in which a total of 18 bakeries were evaluated in terms of flour dust exposures.2) Intervention: Design and content of the education and training manual and the lid for the flour mixers was completed in 2006, by bringing together bakery managers, engineers, bakers and OHS staff. HEPA vacuum cleaners have been acquired for introduction in the bakeries. IN PROGRESS ACTIVITIES: 1) Baseline exhaled nitric oxide examinations have commenced on all workers – this will be used as an indicator of allergic airway inflammation (present in baker’s asthma), together with environmental flour dust levels to measure the impact of the interventions to be introduced. 2) The training manual will be printed.3) The lid for flour mixers is being produced for introduction in the control bakeries.4) A training workshop for all managers will be scheduled for mid 2007

(WHO) AA3:46 AA3:Ec1 Activity Area Number and title AA3 Practical approaches to identify and reduce occupational risks


Project title Development of a Workplace Intervention Net-Cost (or WIN) Calculator

Keywords Economic evaluation, cost benefits, intervention cost Project leader Email address Dr Sweet Far Ho [email protected]

Partners (of the CC Network) University of Massachusetts Lowell – USA (Supriya Lahiri)

Other partners Funding Ministry of Manpower, Singapore


The objective is to develop a web-based tool to assist companies in estimating net-costs for health hazards control, applying the Net-Cost Model.


To develop a Workplace Intervention Net-Cost (WIN) Calculator that will help companies estimate the net-cost of their investment in engineering control measures to minimize exposure to health hazards (by 2010)

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Target group and/or beneficiaries Employers, employees, government agencies and OSH professionals


The WIN Calculator, which will be contextualised for application in Singapore, is based on the Net-Cost model developed by the University of Massachusetts Lowell. The model evaluates the cost effectiveness of interventions by addressing the net costs of such interventions, and adjusts these investment costs by including changes in productivity and cost savings due to prevention of ill-health. The WIN calculator will enable companies to carry out their own analysis and help them in decision making to make improvements to the workplace, creating greater awareness of the possible economic benefits of implementation of hazard control measures.




Currently, exploring with the academic institutions on the development of this tool, as well as, looking into what other collaborating centres have done in terms of accident cost analysis.

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Activity Area 4 Education, Training and Technical Materials

Manager: Leslie Nickels [email protected]

Deputy Manager: Norbert Wagner [email protected]

Subgroups:

A Academic Program CE Continuing Education TT Teaching Tools TM Technical Materials

(WHO) AA4:1 AA4:A1b


AA4: Education, Training and Technical Materials

CC or NGO Name Great Lakes Centres for Occupational & Environmental Safety and Health, University of Illinois School of Public Health, Chicago

Project title Curriculum development and enhancement for academic training in occupational health in Low-Resource Countries

Keywords Occupational medicine, occupational health nursing, training, education, curriculum development, developing countries

Project leaders Email address

Linda Forst; [email protected] David Rees; [email protected] Kalpana Balakrishnan, [email protected] Norber Wagner [email protected]


- Great Lakes Centers for Occupational and Environmental Health and Safety, University of Illinois at Chicago School of Public Health, Linda Forst, US - National Institute for Occupational Health, Johannesburg, South Africa - Department of Environmental Health Engineering, Sri Ramachandra Medical College & Research Institute, Chennai, India - Post-Graduate Training in Occupational Medicine in Nicaragua (UNAN Leon), Catharina Wesseling, Costa Rica - Dept of Preventive Medicine, College of Medicine, The Catholic University of South Korea, Seoul SOUTH KOREA - Center for Ergonomics and Human Factors, Faculty of Health Sciences, La Trobe University, Victoria AUSTRALIA - Dept of Community, Occupational and Family Medicine, Yong Loo Lin School of Medicine, National University of Singapore, SINGAPORE - Dept of Environmental Epidemiology, IIES, University of Occupational and Environmental Health (UOEH), Kitakyushu City JAPAN

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Other partners Department of Environmental and Occupational Health, College of Public Health, University of South Florida, Tampa USA

Funding


- Identify common problems in teaching undergraduate or graduate programs in occupational health developing countries - Share country-specific experiences (lessons learned, good practice) - Initiate and support new country-specific activities and training programs - Share resources for academic training available on a national/regional basis - Facilitate harmonization of curricula and skills development so that subsequent human resource utilization may be improved within a country/region


- Documentation of good practices in academic training - Compilation of used/reviewed teaching material to serve as educational material for trainers/students - Improved awareness about programmes, contents leading to better utilization of available resources - Improved networking amongst academic institutions Deadlines: On going


Academia/Professionals in industry involved in training


Developing countries face a lot of common problems in post-graduate education in OSH. These common problems are impacting syllabi, teaching methods, content, delivery of training and achievable goals. This set of problems, although somewhat different in each country are very different from the set of problems faced in industrialized countries. Common issues are: quality of students and prior secondary and university education, low computer skills, low self-learning and self-organizational skills, cultural inhibitions towards active and self-regulated learning, unclear legal frameworks and role definitions for OSH, severe ethical issues in OSH practice The goal of this activity is to create a common forum, support improvements in current and future training efforts and initiate more post-graduate training programs in developing countries. Country-specific experiences should be shared (lessons learned, good practice), other and new country-specific activities initiated.

Dissemination The working group will disseminate the experiences by - using the existing web portals available between partners - organizing working group meetings at other conferences - initiating specific symposiums on this topic at other conferences to promote good practice - publishing experiences, good practices and tested models for post-graduate programs in OSH - hosting joint teaching and training exercises through long –distance modes including video-conferencing

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Global Increased and improved training opportunities for medical/paramedical personnel in OSH and OM, improved occupational health services

Progress on Project The working group has complied a draft list of challenges and solutions in academic teaching in developing countries. The discussion uses categories of implementation research describing characteristics of provides, trainees, learning environment, learning culture and habits. The group is currently working on collecting good practices and solutions using a web-based wiki for collaborative work. Examples of work include: over the past year, five short term (5- 10 days) training modules in occupational health, hygiene and safety have been prepared. Information on the post graduate certificate and Masters programs in health, hygiene and safety are already available in the SRU website but will be hyperlinked to the WHO India office. The proposed curricula for the forthcoming MPH and MD programs in occupational health are being uploaded on the SRU website to seek feedback from network partners. A workshop is being planned for late 2007 to discuss curricular aspects amongst university related organizations within India. More info from current chair N. Wagner [email protected].

(WHO) AA4:2 AA4:A2a



CC or NGO Name Great Lakes Center for Occupational and Environmental Health and Safety University of Illinois at Chicago School of Public Health

Project title Post-Graduate Training in Occupational Medicine in Nicaragua

Keywords Occupational Medicine, doctors, training Project leader Email address

Linda Forst [email protected]


Linda Forst, US Catharina Wesseling, Costa Rica

Other partners Aurora Aragon, UNAN Leon Funding

Fulbright Senior Specialists program whom does this fund? How are the funds accessed?


To establish a post-graduate (residency) program for medical doctors in Nicaragua


Occupational Medicine Residency Program established and doctors enrolled. Anticipated date of completion: 2009


Workers in Nicaragua; physicians in Nicaragua. Could serve as a template for other countries

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Dr. Aurora Aragon has been working in her home country and with SALTRA in Central America (headed by Catharina Wesseling in Costa Rica) to develop post-graduate training in occupational health in Nicaragua at Universidad Nacional Autonoma de Nicaragua—Leon. At present there are only two practicing OM specialists in Nicaragua. The goal of this part of the overall effort is to establish a 4-5 year residency training program for physicians to specialize in Occupational Medicine. Learning objectives, and a list of activities will be written, as well as a scheme for establishing this program under the Nicaraguan system of medical education.

Dissemination A case report describe these efforts will be disseminated to other collaborating centers to be used as a model in other countries.


Increased training of medical personnel in OM, increased occupational health services to a needy population, a tested model for developing such a program.

Progress on Project Fulbright cut off funding to Nicaragua. Forst traveled there two times. ~20 students (primary care physicians, one psychologist and a couple hygienists) completed masters in Occupational Health.

(WHO) AA4:3 AA4:A2b



CC or NGO Name Occupational and Environmental Health Research Unit University of Cape Town, South Africa

Project title OHS capacity development , Research, training, and service

Keywords Education, training, capacity development in teaching research and service


Professor J Myers [email protected]


University of Michigan School of Public Health

Other partners Funding Funding is part of the normal University system apart from

scholarship and bursary funding which may be sought from time to time for a number of training slots or for specific candidates.


Postgraduate training programme at Masters level (linked with a Postgraduate Diploma (DOH)) in occupational health (MPhil) and an occupational medicine specialist training programme (MMed)


• To train 4 – 6 MPhils in over a 2 to 3 year period • To train 4 MMeds over the next 4 years


Occupational and environmental health and other appropriately qualified professionals wishing to engage in serious study at the postgraduate level with a view to obtaining research, teaching and service provision skills. The MPhil will serve mainly as a vehicle

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for non-medical students while the MMed will cater exclusively to medical graduates.


Two new programmes will commence from 2006 for appropriately qualified typically medical and non-medical graduates seeking to enroll in postgraduate study at the University of Cape Town. The first is a Masters of Philosophy degree in Occupational Health which is a research masters with 50% dissertation requirement interlinked with a postgraduate Diploma programme and is aimed at occupational health professionals and managers in the public and private sectors. The second is a Masters of Medicine in Occupational Medicine aimed at medical graduates and at producing a specialist cadre in the region.

Dissemination A combination of formal face to face and distance learning in formal postgraduate programmes at the University of Cape Town


Regional

Progress on Project The second round of the web-based postgraduate diploma in occupational health is in progress with 20 candidates, MPhil in Occupational Health 1 candidate, and 4 M Med registrars specializing in Occupational Medicine. A new web platform is being used for distance teaching. This is based on the global inter-institutional SAKAI open-source collaboration and is named VULA at the University of Cape Town. This has been most successfully used for distance teaching for students as far a field as Ghana, Zambia, Botswana and Angola.

(WHO) AA :4 AA : AA4


AA4:A2c

CC or NGO Name International Centre for pesticide Safety and Health Risk Prevention

Project title Education and Training in Risk Assessment and Risk Analysis at a Master level

Keywords Risk assessment, risk analysis, chemicals, biocides, pesticides Project leader Email address

Professor Angelo Moretto, International Centre for Pesticide Health and Risk Prevention (ICPS). [email protected]


WHO, Geneva WHO, ECEH-Rome

Other partners WHO, Geneva WHO, ECEH-Rome EFSA, Parma EC-Joint Research Centre, Ispra National Public Health Institute of Finland

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University of Milan-Bicocca - Italy University of Insubria - Italy University Hospital “L. Sacco”, Milan - Italy University Hospital “S. Paolo”, Milan - Italy

Funding The participating Universities and partners Objective of the project

To provide a qualification in human and environmental risk assessment and risk analysis of chemicals, in particular pesticides, biocides, persistent toxicants and other substances representing a risk for workers, the food chain, the consumers, and the environment in general.


• Graduate and post-graduate training of risk assessors Development of a risk assessment curriculum at European level.

• Involvement and networking of European Universities, and International Organizations (WHO, IPCS, EFSA) and private companies.

• Development of updated learning/technical materials (presentations, lectures, articles, case-studies, supplementary study material, reference-books, textbooks).

• Share and provision of e-learning and distant-learning materials.

October 2006- December 2006: lessons January 2007- June 2007: practical training in national/international organisations both public and private (JRC, WHO ECEH, ICPS, Hospital L. Sacco, University of Insubria, National Public Health Institute of Finland; Bayer)


people with a degree in medicine, chemistry, physics, engineering, biology


The Master aimed to provide a qualification in human and environmental risk assessment and risk analysis of chemicals, in particular pesticides, biocides, persistent toxicants and other substances representing a risk for workers, the food chain, the consumers, and the environment in general. The educational curriculum was the following: basic sciences, toxicology, ecotoxicology, bio-statistics and epidemiology, human risk assessment of chemicals, environmental risk assessment of chemicals, biological risk assessment, physical risk assessment, risk management and communication. Special focus was to the applications of Risk Assessment and Risk Management to: occupational exposure, indoor and outdoor pollutants, water and soil pollutants, pesticides and biocides, food additives and contaminants, chemicals in consumer products, emergent biological hazards, genetically modified organisms.

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Dissemination Dissemination and adaptation of the educational and training programs and the technical materials (UE legislation, WHO documents, national documents, etc..) will be developed at regional level throughout collaboration with WHO CCs


European-Global

Progress on project A practical training (March-July 2007) took place in national/international organizations both public and private. A thesis was prepared in collaboration with the Master partner during the practical training and was finally defended in July 2007. The Master created technicians with a broad expertise in risk assessment. Many of them are now employed in national and international organizations involved in the frame of risk assessment and Risk management. This will enforce risk assessment activities both at the national (Italian) and International level (UE). Outcomes include so far a website dedicated and a detailed report of the second edition as well as the written thesis.

(WHO) AA4:5 AA4:A2d

Activity Area Numband title


CC or NGO Name Fudan University School of Public Health, Shanghai Project title Master program for occupational medicine Keywords Master programme, occupational medicine Project leader Email address

Taiyi JIN Email address: [email protected]

Partners (of the CCNetwork)

Department of Occupational Health, Fudan University Department of Occupational Medicine, Huashan Hospital, Shanghai, China

Funding Objective of the Project

To provide an academic course for occupational medicine for physicians working in occupational medicine field.


The expected outcome: Around 50 physicians working in occupational medicine will obtained an academic training course in occupational medicine for 3 years. The deadline: June 2010

Target group and/obeneficiaries

Physician in occupational medicine


We have a master programme for public health. Within this programme, we prepare to develop a master programme for occupational medicine, which will be designed as a typical course for those working in the field of occupational medicine.

Dissemination Around 50 physicians working in occupational medicine will obtain

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an academic course for occupational medicine. Impact; global/regional

China

Progress on Projec There are 7 masters of public health (MPHs) major in occupational health and we are planning to enroll physicians for occupational health training in this training.

(WHO) AA4:6 AA 4:A2e




Project title Supplementary modular development of postgraduate study in occupational and environmental health

Keywords Educational technology, e-learning, occupational health, environmental health, training





Funding is currently being sought for the development of further modules suitable for offering in the context of postgraduate programmes at University level, and also possibly at lower levels. Funding is also being sought for maintenance and improvement of existing materials.


To provide a resource for occupational and environmental health training at postgraduate level in additional topics to those already developed and at different levels of complexity and depth for different target audiences.


• To develop supplementary modular materials on CD Rom or other appropriate online learning platforms on a steady basis from 2006 to 2010 • To use this package in face to face and also distance learning as part of formal postgraduate occupational health training and also by stand-alone modular training to appropriate health professionals at different levels


All occupational and environmental health professionals mainly those at postgraduate level in the university sector, as well as specific groups of professionals operating at other levels – for instance factory inspectors or state sector employees working in these areas.


8 modules covering occupational and environmental health topics have been developed for a postgraduate diploma in occupational health. The intention is to supplement these by breadth of coverage and/or by depth in order to round out the syllabus for the coursework masters programme level of postgraduate training. Target audiences at different levels such as factory inspectors of government employees responsible for the area are

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also envisaged with appropriate modification of materials. Maintenance of updating of existing materials in included. Training software to be provided on CD Rom or online learning platforms as appropriate.

Dissemination Via stand-alone modular training packages or as part of formal postgraduate study.


Regional and possibly global

Progress on Project Ongoing modular materials are organic and mainly constitute updating existing modular materials as the current 2-year teaching round progresses. Energy has been diverted by the change of the teaching software platform from WebCT to VULA (SAKAI).

(WHO) AA4:7 AA4:A2f



CC or NGO Name Nofer Institute of Occupational Medicine, Lodz, Poland Project title Utility of competencies acquired during specialization

training in occupational medicine - evaluation an self-evaluation tool

Keywords occupational medicine/health; specialization training; utility of competencies; evaluation of competencies


Andrzej Boczkowski, PhD [email protected]


Other partners University of Glasgow Funding

Funding for first phase will be secured through Nofer Institute of Occupational Medicine


Elaboration and validation of evaluation and self-evaluation tools for occupational medicine physicians concerning utility of their competencies


• To develop the evaluation and self-evaluation tools that will be readily usable and user-friendly (2007) • To develop evaluation packages for the above tools deliverable through e-learning and face-to-face (2008) • To integrate the evaluation tools in the provision of basic occupational health services (2009)


Physicians - specialists in occupational medicine/health; centers of the training in occupational medicine/health


The cognitive and practical aim of the project is objective identification and description of anachronisms, faults and inadequacies existing in the specialists' training programs in the field of occupational medicine/health as well as obtaining from practicing occupational/health physicians their postulates concerning the contents of these training programs. The research and consultations cycles are provided to develop and validate in practice the evaluation and self-evaluation tools and procedures

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enabling collection of data among occupational/health specialists and the flow of information to the training centers.

Dissemination Training materials and documents; occupational/health physicians meetings


Regional

Progress on Project In the second part of 2006 the sociological survey was realized aiming at questions mentioned above. A structured questionnaire was mailed to over 840 Polish occupational physicians (a random sample of physicians certified as specialists in occupational medicine, with the response rate over 35%. Results have concerned the problems as follows: motivations to specialize in occupational medicine; benefits from such a specialization; the impact of being specialized in OM on professional career; the assessment of the effectiveness of specialist education/training; the assessment of the professional usefulness of the specialist training program; the assessment of the applicability (in Polish conditions) of an anticipated European training program in OM; the assessment of the occupational physicians prestige.

(WHO) AA4:8 AA4:A2g


Activity Area 4: Education, Training and Technical Materials


Project title Support of master’s degree programs in occupational health in Latin America

Keywords master’s ; graduate education ; Latin America




Other partners Costa Rica: Instituto Tecnológico de Costa Rica/IRET Nicaragua: Universidad de León Colombia: Universidad Javeriana/Centro de Estudios en Ergonomía

Funding Fogarty International Center ITREOH Training Grant

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To provide consultation on curriculum development, faculty for course delivery and financial support (via stipends) of master’s students in recently developed master’s programs in occupational health and ergonomics.


Project is ongoing and implemented.


Professionals interested in an academia/research career in occupational health in Latin America. Latin American university programs.


Dissemination


Regional (Central and South America)


The master’s programs in all 3 countries have been started and are in progress.

(WHO) AA4:9 AA4:CE1



CC or NGO Name National Institute for Occupational Health (NIOH), South Africa Project title Silica, silicosis and tuberculosis Keywords Practical solutions, dust control, prevention of tuberculosis,

training materials, managers, workers, practitioners, inspectorate Project leader Email address

Prof. David Rees [email protected]


NIOH, South Africa

Other partners 1. University of the Witwatersrand, South Africa 2. Occupational Health Management Board, Zambia 3. Eduardo Mondlane University, Mozambique 4. National Institute for Public Health, Sweden

Funding

The project is funded through the Swedish International Development Cooperation Agency and is a component of the Work and Health in Southern Africa (WAHSA) Programme, and supported by the NIOH, South Africa.

Objective of the Develop education, training and technical materials for

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project The reduction of silica dust exposure in key industries in the region Improved prevention of tuberculosis in silica exposed

workers Project outcome(s) and deadline(s) for completion of the project

• A training course for OHS inspectors on the measurement and control of dust by mid-2006. Presented in 3 countries by end 2006 • A costed and tested set of practical solutions for dust control in the quarry industry appropriate for the region by end 2007. • Information materials for workers, managers and practitioners by end 2007 • Information materials on chemoprophylaxis for silica exposed workers for practitioners by end 2007.


Silica exposed population, occupational health and safety practitioners and inspectors, enterprise managers.


Silica exposure with its attendant diseases, particularly tuberculosis, is a major issue in the southern African region. A multi-faceted approach is needed to reduce exposure and prevent disease. This project aims to improve the capacity of the health and safety inspectorates by developing and presenting a course on dust measurement and control, to develop practical dust control solutions in a key sector (the quarry industry) which will serve as a model and be widely disseminated, to improve knowledge of the key stakeholders (workers, managers and practitioners) through information materials appropriate for the region, to promote appropriate practice on tuberculosis prevention through expert group meetings and dissemination of consensus statements.

Dissemination Worker and enterprise meetings and associations, professional associations, WHO/ILO documents; regional Departments of Labour and Health, as well as appropriate electronic dissemination.


Southern African region primarily but useful for developing countries in general.

Progress on Project Programs conducted throughout the SADC region included: (1) Workshops/courses/ seminars on Dust Control and Measurement in the Quarry Industry (2) Dust control intervention introduced at three quarries – in Zambia, Mozambique and Lesotho. (3) A regional Expert Group Meeting – “Preventing TB in silica-exposed workers” formulation of guidelines for treating silica-exposed workers and (5) development materials for practitioners (WAHSA and other programmes in the SADC Region):

Resource on silicosis for health practitioners Ntate Thabang and Sello’s Story - training DVD in Sotho,

with English subtitles, for mining workforce Manual Preventing Silicosis – a guide for H&S

representatives Deskpad – A Silicosis Information Resource – aimed at

managers and occupational health practitioners Document from the expert group meeting – Guidelines of

isoniazid preventive therapy (IPT) Handbook for quarry managers – Control of Dust in Resource

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Poor Quarries in Southern Africa (WHO) AA4:10

AA 4:CE2a



CC or NGO Name

National Institute for Occupational Safety and Health (NIOSH)

Project title Protecting Health Care Workers in International Settings Keywords HIV, Infectious disease, Injuries, Health Care workers Project leader Email address

Ahmed Gomaa, MD, ScD [email protected] Walter Alarcon [email protected]


WHO; PAHO; NIOEH Vietnam; NIOH South Africa

Other partners

Funding NIOSH – HIV activity Objective of the project

This project advances WHO’s efforts to reduce HIV and Hepatitis B and C virus infections due to needlestick injuries among health care workers in international settings.


Between 2006-2010 the following outcomes are planned: 1) WHO will identify occupational health professionals through ICOH, WHO Collaborating Centers, health care worker representative (unions), and professional associations; compile interests and resources and publish an annotated list of resources available globally. WHO will facilitate regional teleconferences between partners to share resources and build a network of support for country policy on health care worker safety. 2) An Aide Memoire for health care worker occupational health and safety will be developed and disseminated. 3) In Vietnam, the project will expand to consider all hazards to health care workers and develop occupational health services for health care worker health and safety. The experience in Vietnam will be shared widely in Southeast Asia and technical assistance provided to countries to develop national health care worker safety policy and programs. 4) WHO will explore the development of a campaign to immunize health care workers against Hepatitis B in collaboration with the WHO Hepatitis B immunization programs and the MOH Expanded Program of Immunizations (EPI). 5) WHO OHP and project staff will explore implementation of the needlestick prevention project in the Eastern Mediterranean Region . 6) WHO Occupational health program will consult on health & safety education curriculum with the model health care waste management project between WHO, the UN Environment Program (UNEP). 7) With NIOSH, PAHO and new Latin American partners, this project will adapt, translate, implement training, and evaluate the success of the Toolkit in Latin America.

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The world’s 35 million health care workers.


This project advances the WHO’s efforts to reduce blood-borne pathogen infection due to needlestick injuries among health care workers in international settings. It expands and continues a pilot project funded by NIOSH from 2002-2005 in Vietnam, Tanzania and South Africa that assessed and revised a WHO Toolkit to reduce sharps injuries for use in this expanded project on all continents, with many new partners.

Dissemination

Various approaches will be taken to announce the availability of products, as mentioned above. The availability of the Toolkit in Latin America will be announced on listservs in Spanish and English (Red de Seguridad y Salud de los Trabajadores, Duke Occupational and Environmental Medicine listserv), through the NIOSH eNEWS, and through PAHO, WHO and ILO and other partner email lists. The Toolkit will be available at the NIOSH, PAHO, and WHO Web sites and it should be identified in any search of “hepatitis”, “SIDA”, “inyecciones”, “herramientas” (Spanish for hepatitis, AIDS, injections, tools). Also, an overview will be presented at upcoming national and international public health meetings. Finally, two new booklets will be published in the WHO Protecting Workers Health series: 1) a summary of preventing needlestick injuries lessons learned and best practices and 2) a general summary of health hazards to health care workers and control measures


Global

Progress on Project

The tool kit was made available from WHO website both in English (http://www.who.int/occupational_health/activities/pnitoolkit/en/index.html ) and in Spanish (http://www.who.int/occupational_health/activities/pnitoolkit/es/index.html). The toolkit in Spanish has been broadly disseminated in CD-ROM, its availability announced through list servers, and has been evaluated in Venezuela. A revised version is under development.

(WHO) AA4:11 AA4: CE2b



CC or NGO Name

Institute of Work, Health & Organisations, University of Nottingham

Project title International education and training in occupational health psychology

Keywords Occupational health psychology, psychosocial issues at work, work-related stress, education, training, awareness

Project leader

Email address

Dr Stavroula Leka [email protected]


FIOH – Finland CCOHS - Canada NIOH – South Africa

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Other partners

George Mason University – USA Colorado State University – USA EPUC - Chile University of Cyprus European Academy of Occupational Health Psychology US Society of Occupational Health Psychology

Funding Funding will be sought through the EC Erasmus Mundus programme Objective of the project

Development of international collaboration in education and training in occupational health psychology


• To develop a model core curriculum of occupational health psychology that will serve as the basis for the development of OHP courses on a global basis • To establish a network of centres of excellence in OHP education and training that will be promoted through a website


All occupational health and safety organizations, associations, training institutions; Higher education institutions; occupational health and safety professionals; students


This project will promote occupational health psychology (OHP) across Europe and beyond it. This will be achieved through a network of institutions across the world, supported by the World Health Organization (WHO) Network of Collaborating Centres in Occupational Health, the European Academy of Occupational Health Psychology (EA-OHP) and the US Society of Occupational Health Psychology (SOHP). The project will run over a two year period and will include the following phases: • Review of OHP education and training provision across the world. This will be achieved though web-based searches, contacting and collecting information from higher education institutions, educational, training and relevant professional associations as well as public or private bodies active in the field of higher education. The review will identify lack of provision of OHP education and training and will serve as the basis for a subsequent awareness raising campaign. • A network of OHP education and training institutions will be formed with the aim of promoting OHP across the world. • A model OHP curriculum will be developed that will be used as the basis of OHP courses in countries where the discipline is not well-developed. • An awareness raising campaign will take place that will include: o the development of a website that will be promoted through the WHO, the EA-OHP and the SOHP o seminars and workshops in different countries o an OHP conference

Dissemination Website; seminars; workshops; conference; publications Impact (global or regional)

Global

Progress on Project

The first application for funding was not successful but we will apply again this year.

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(WHO) AA4:12 AA 4:CE3a



CC or NGO Name National Institute for Occupational Health (NIOH), South Africa

Project title Developing Capacity in Biological Monitoring in Occupational and Environmental Health

Keywords biological monitoring, biological markers, chemical exposures Project leader Email address

Ms. Inakshi Naik [email protected]


NIOH: South Africa University of Cape Town (UCT): South Africa HSL (UK) FIOH - Finnish Institute of Occupational Health

Other partners IOSEM - Institute and Outpatient Clinic for Occupational, Social and Environmental Medicine of the University of Erlangen-Nuremberg (Germany), Nordic Institute of Advanced Training in Occupational Health and Safety (NIVA, Finland)

Funding

The project will be partially supported by NIOH By paid delegates for the Biological Monitoring Course By funding obtained for analyses to establish baseline

levels of metals in South Africa Objective of the project

To develop capacity in biological monitoring in occupational and environmental health in South Africa and other southern Africa countries To set baseline standards for the general population in

South Africa. Project outcome(s) and deadline(s) for completion of the project

To establish baseline metal levels in unexposed populations in South Africa from rural, informal, urban and semi urban areas (by end of 2007) To train scientists from SADC countries, at NIOH laboratories,

to measure chemical exposures (metals and solvents) in biological samples (2006-2010) To organize and present a comprehensive five-day course:

“Biological Monitoring in Occupational and Environmental Health” for South African and SADC participants (early 2007) To develop an information sheet/poster for employees, on the

prevention of chemical exposures in the workplace To develop guidelines on biological monitoring of chemical

exposures in the workplace, for employers (end 2007) Target group and/or beneficiaries

Occupational health care professionals Scientists with limited laboratory training, from SADC countries,

will be trained to measure chemical exposures in biological samples Employers and employees from industries there are possible

chemical exposures Summary of the project (max 100 words)

There is no formal training in biological monitoring in occupational health in South Africa and therefore this project aims to build capacity through presenting an in depth course for health care professional on biological monitoring and providing in-service laboratory training to scientist from southern African countries.

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Reference values of environmental exposure in the general, non-occupationally exposed population are needed, for comparison to occupationally exposed individuals. No reference values exist in South Africa, hence laboratories are currently using reference values established in the UK, USA or Germany. It is therefore the responsibility of the NIOH to identify reliable reference values for the population.

Dissemination Publish finding of baseline values in local and international journals. Disseminate information to the Departments of Labour and Health. Using various means - courses, workshops, posters, pamphlets, CDs - to inform employers and employees. Advertise the in-service laboratory training at NIOH in “African Newsletter on Occupational Health and Safety”


South Africa and other SADC member countries

Progress on Project One objective of this activity was to establish baseline levels for metals in unexposed populations in South Africa from rural, informal, urban and semi urban areas by end of 2007. This task was done in two stages.

A) A pilot study was conducted in which 100 blood and urine samples were collected from unexposed office workers, employed in a electricity supplying company from an urban setting in Witwatersrand. Trace metals were measured which includes aluminium, cadmium, chromium, cobalt, copper, lead, manganese, mercury, and nickel. The paper is in the process of being written and will be submitted early 2008.

B) Blood and urine samples from 2000 unexposed subjects are collected from urban, rural, deep rural and informal sector from the North West Province, South Africa to establish baseline metal levels. The estimated completion time will be approximately the end of 2009.

Another objective was to develop guidelines on biological monitoring of chemical exposures in the workplace, for employers. An information brochure has been written on “Biological Monitoring in the Workplace” for employees and is been modified for the employers. – Completion date Mid 2008

(WHO) AA4:13 AA4:CE3b


AA4: Education, training and technical materials

CC or NGO Name INRS - FRANCE Project title E-training in occupational risk prevention for prevention

organisers in Africa Keywords e-training, multidisciplinarity, prevention organisers, Africa, Project leader Email address

Martine Plawner, INRS Training Division [email protected]

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Paul Guenoun, Annie Leprince Partners (of the CC Network)

URESTE (Unité d’enseignement et de recherche en santé au travail et environnement), Cotonou, Bénin (Pr Benjamin Fayomi)

Other partners Funding INRS and trainee’s institutions or enterprises Objective of the project

Training of prevention organisers in French speaking Sub-Saharian African Countries, with the aim of developing a multidisciplinary approach of occupational risks and prevention.


The project has already been developed successfully in France. A tool (CD-ROM with Internet access) and a network of coaches are already available. It would be possible to train about ten persons each year at first, and secondly to identify the most susceptible to become coach, in order to multiply the number of trainees


Prevention organisers in Institutions involved in occupational risks prevention and in enterprises.


The training centres around four general objectives: 1. Acquisition of a prevention approach: knowing the basic principles of prevention; appraising the current situation at work place in terms of health and safety; detecting and assessing risks; initiating, carrying out, and monitoring actions. 2. Application of this prevention approach to specific risks: physical activity, biological agents, chemical agents, thermal environment, noise, etc. 3. Discovery of prevention organizer’s tasks through case studies. 4. Availability of references.

Dissemination French speaking African Sub-Saharian Countries Impact (global or regional)

To enhance occupational risks prevention in Sub-Saharian French Speaking Africa.

Progress on Project The training tool previously developed by INRS was examined with regard to its applicability to African countries. It was fairly appropriate, only a few adaptations were necessary. The training is built to lasts 6 months, with exchange with a coach by internet.

URESTE was in charge of selection and registration of trainees who should have an appropriate IT equipment and an internet access. It was possible to retain only three, located in Benin, Mali and Cameroon. The training started in January 2007. At the end of the training, one of the trainees has finalised the course successfully, the other two gave up before the end for unknown reason. The causes for this failure will be considered in the next step of the project.

(WHO) AA4:14 AA4:CE3c




156

Project title Strengthening of occupational and environmental health research in Central America and the Caribbean

Keywords Central America, Caribbean, Research, Occupation, Environment


Dr. Catharina Wesseling ([email protected])


Karolinska Institute (Sweden), University of Texas School of Public Health.

Other partners University of Washington, Stockholm University, Central American universities

Funding

SAREC, Sida, Fogarty Project University of Texas, collaborating institutes


Generation and strengthening of qualified human resources and scientific-technical knowledge for occupational and environmental health in Central America.


Continuous


Scientists and science administrators in Central America


Project scope: - Multicentric and bilateral research projects in Central America - Central American research training programs - Continuing education program. Training in all Central American countries and interchange of local training within the countries.

Dissemination Academic, technical and popular dissemination Impact (global or regional)

Regional

Progress on Project Project going on in four countries in Central America on chronic renal failure in workers health; Central American research training programs plans to continue to develop this regionally, although continues in Costa Rica; continuing education program training in all Central American countries and interchange of local training within the countries; organized 3-4 national courses in Costa Rica for about approximately 100 participants and three regional courses 3 for about 75 people. Organized courses in each country through the network about 3 courses in each of 7 countries. Pre course and post course evaluations are completed. Plan on same level of activity in the next year. EPICOH-NEUROEPI conference is being planned collaboratively to take place in Costa Rica June 9-13, 2008. Organizing committee includes international partners (UIC, too).

(WHO) AA4:15 AA4:CE3d



157

CC or NGO Name ISPESL – Italy Project title METROnet: joint training programme Keywords Occupational Safety and Health, Training Project leader Email address

Sergio Iavicoli, MD PhD [email protected]


INRS – France and INSHT – Spain

Other partners ISHST – Portugal Funding Self-funding Objective of the project

Training for Occupational Safety and Health professionals to develop prevention of emerging and traditional occupational risks


Advanced courses will be organized each year. No deadline is planned: scheduled until at least 2010


Physicians, Hygienists, Risk Assessment Experts, Managers and Researchers


The courses are organized on international basis. They consist of presentations followed by a discussion with the speakers; practical sessions may be also scheduled. The first advanced course was organized in 2005 on occupational cancer and chemical risk. The next one will be organized in 2006 on occupational exposure to nanoparticles.

Dissemination Courses, presentations, documents Impact (global or regional)

Global

Progress on Project The “Advanced training course on the risks relating to occupational exposure to nanoparticles”, has been organized in Paris on April 11-14, 2006 with 25 participants from various countries. The next “Advanced Training Course on Biological Hazard” has been scheduled on November 2007 in Spain. All the training activities are organized in joint effort with the other partners in this project: INRS from France, INSHT from Spain and ISHST from Portugal.

(WHO) AA4:16 AA 4: CE3e



CC or NGO Name National Institute for Occupational Health (NIOH), South Africa Project title Training on asbestos and its identification Keywords asbestos, microscopy, identification, crocidolite, amosite,

chrysotile, tremolite-actinolite. Project leader Email address

Dr. James Ian Phillips [email protected]


HSL, UK

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Other partners University of the Witwatersrand, School of Public Health, South Africa Relevant partners as required

Funding NIOH Objective of the project

To increase knowledge and capacity to identify asbestos in the SADC region


• Develop training materials and training course content (during 2006) • Present the training courses (2007) • Establish a regional reference and training centre in conjunction with the Occupational Hygiene Section of the NIOH (2008)


Occupational and Environmental Hygienists


Because of the potential of asbestos to cause adverse health effects, there is a need to identify asbestos in the workplace and the environment. The techniques used at the NIOH are of international standard. The capacity to perform asbestos analysis is not available in all parts of the region. Simpler, less costly methods can be useful in determining the presence of asbestos and determining its type. The workshop aims to increase the capacity to identify asbestos in the region.

Dissemination - SADC Region - Associations of occupational and environmental hygienists

Progress on Project Agreement has been reached by the cooperating centres – NIOH and HSL to conduct a workshop in September/October 2008. The workshop will be held at the NIOH Johannesburg and a representative from the HSL, Barry Tylee will be coming to Johannesburg to assist with the workshop. A smaller, local workshop is being piloted on the 8th Novemebr 2007. It is hoped that feedback from this workshop will assist in the content of the WHO collaborative w/s.

(WHO) AA4:17 AA 4:CE3f




Project title Radiological Occupational Lung Diseases Surveillance (ROLDS)

Keywords Radiological surveillance, occupational lung diseases, training Project leader Email address



Asbestos Relief Trust – Dr Jim TeWaterNaude


Funding is currently being sought for incorporation of radiographs of asbestos-related lung disease

Objective of the To provide a resource for self-training and training under expert

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project supervision for occupational health professionals operating in remote locations on how to diagnose occupational lung diseases including pneumoconioses using chest radiographs with potential application to the silicosis elimination programme.


State the outcomes of the project. For example: • To develop a training and diagnostic package on CDRom to achieve the project objectives by 2007 • To use this package in face to face and also distance learning as part of formal postgraduate occupational health training and also by stand-alone modular training to appropriate health professionals


All health professionals working to eliminate silicosis and other pneumoconioses in any locations or organizations particularly those in remote locations working without easy access to relevant specialist radiological and occupational medicine expertise.


A training module for radiological surveillance of occupational lung diseases (OLDs) which is restricted to silicosis and tuberculosis is to be expanded to include asbestos-related diseases. The project includes a rapid triage process of radiological abnormalities as well as a more detailed diagnostic process for the particular type of OLD. The software enables health professionals to teach themselves radiographic interpretation of OLDs and to identify problems that need follow-up by relevant occupational medical specialists globally. It is suitable for delivery as a stand alone programme in radiological surveillance skills or as part of formal postgraduate programmes in occupational medicine.

Dissemination Via stand-alone modular training packages or as part of formal postgraduate study.


Regional and possibly global

Progress on Project Because of lack of resources, there has been no progress on this project.

(WHO) AA4:18 AA4:CE3g



CC or NGO Name WHO CC National University of Singapore

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


Dr CHIA Sin Eng Email [email protected]


WHO CC, University of Occupational and Environmental Health, Japan (responsible person Dr Ken Takahashi)

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National Institute for Occupational Health (NIOH), South Africa

Other partners National Cheng Kung University and Medical Center, Taiwan (responsible person Dr Leon Guo )

Funding None. Funded by respective WHO CCs. Objective of the project

To assist participants from developing countries on the different type of personal protective equipment (PPE) that could be use 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 number of participants without them having to travel to other countries for the training Builds on experience of 2005 in implementing tele-conference on occupational health among several of the above institutions.


Project Outcomes • HCW will know what type of PPE to use to protect themselves against different type 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 it. • That other WHO CCs will also adopt this method of training for some of education packages. Deadlines We plan to have this 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 with a week from the date of the Seminar.


Health Care workers, particularly from developing countries


This Video-Conference Seminar includes lectures, forum and panel discussion among expert in this field from Singapore, South Africa, Japan and Taiwan. Speakers and participants will participate in the lectures, forum and panel discussion via video-linked with the respective countries. The Seminar will be recorded in CD and make available to all WHO CC who needs it.

Dissemination

Via WHO CC channels


Global as participants will be coming from different countries with a large portion from the developing countries.

Progress on Project Dr Mary Ross, the director of National Institute for Occupational Health (NIOH), South Africa has left NIOH. We are trying to reestablish contact again. Counterpart at National Cheng Kung University and Medical Center, Taiwan have left the university for National Taiwan University (NTU). We have established link with him at NTU.

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The International Society for Respiratory Protection (ISRP) have agreed to join us. It would be able to provide valuable assistance in producing training package for usage of respiratory and perhaps sponsored some N95 respirators for us in developing countries

(WHO) AA4:19 AA4:CE3h



CC or NGO Name

CC URESTE/LUSTE University of Abomey-Calavi (Benin)

Project title Human resource development in occupational health and safety project: training of nurses specialized in occupational health and safety in Benin Republic and African francophone countries

Keywords Formation à distance, Infirmier,Santé et sécurité au travail Project leader Email address

Fayomi, Benjamin Professeur Unité de Recherches et d’Enseignement en Santé au Travail et environnement/LUSTE ; Faculté des Sciences de la Santé, Université d’Abomey-Calavi Bénin [email protected]


Droz, Pierre-Olivier PhD, PD Institut universitaire romand de Santé au Travail Suisse

Other partners 1-Jean-Sylvain BONNY Dr en Médecine Professeur de médecine du trail UFR/Santé au travail Université d’Abidjan Cote d’Ivoire

Funding Objective of the project

Promouvoir la sécurité et la santé des travailleurs dans toutes les branches de l’activité économique


Le renforcement des capacités des infirmiers intervenant en milieu de travail, aboutira à la formation de 180 infirmiers spécialistes en sécurité et santé au travail sur une période de cinq ans à raison de 20 infirmiers par an à partir de la fin de la deuxième année après le début de la formation. La capacité annuelle de recrutement est de 20 infirmiers. Deadline : Mars 2006


Infirmiers du Bénin, de la Cote d’Ivoire et du Togo


Dans le souci de lutter efficacement contre la pauvreté, Le Bénin a opté pour une agriculture intensive et à une industrie moderne en vue d’accroître les revenus. De ce fait il aspire à une croissance économique rapide.

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La protection de la santé des travailleurs, principaux acteurs de développement constitue aujourd’hui une préoccupation majeure de l’Etat qui depuis les années 90 est en train de consentir d’innombrables efforts pour la promotion de la sécurité et de la santé au travail. Son champ d’application ne concerne pas encore tous les travailleurs.

Ainsi, les actions de sécurité et de santé au travail s’étendront-elles à tous ces acteurs de la vie économique nationale qui sont exposés à d’innombrables facteurs de nuisances. Ce qui accroît aujourd’hui l’importance des conséquences des risques professionnelles. Les multiples actions en SST ont eu un impact limité sur la promotion de la sécurité et santé au travail, en raison de l’insuffisance de formations spécialisées en matière de sécurité et santé au travail et du nombre limité de spécialistes en sécurité et santé au travail. A ce titre, le Bénin compte au 30 novembre 2005 dix huit (18) médecins du travail et six infirmiers spécialistes en santé au travail.

C’est pour ces raisons et pour mieux assurer la prise en charge de la santé des travailleurs que le présent projet de mettre en place un programme national de formation des Infirmiers spécialistes en sécurité et santé au travail a été initié.

Dissemination Bien être des travailleurs


Le renforcement des capacités des infirmiers intervenant en milieu de travail, aboutira à la formation de 180 infirmiers spécialistes en sécurité et santé au travail sur une période de cinq ans à raison de 20 infirmiers par an à partir de la fin de la deuxième année après le début de la formation. La capacité annuelle de recrutement est de 20 infirmiers.

(WHO) AA4:19 AA4:CE3h Activity Area Number and title


CC or NGO Name

CC URESTE/LUSTE University of Abomey-Calavi (Benin)

Project title Human resource development in occupational health and safety project: training of nurses specialized in occupational health and safety in Benin Republic and African francophone countries

Keywords Distance learning, nurse, occupational health and safety workers


Fayomi, Benjamin Professeur Unité de Recherches et d’Enseignement en Santé au Travail et environnement/LUSTE ; Faculté des Sciences de la Santé, Université d’Abomey-Calavi Bénin [email protected]


Droz, Pierre-Olivier PhD, PD Institut universitaire romand de Santé au Travail Suisse

Other partners 1-Jean-Sylvain BONNY Dr en Médecine

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Professeur de médecine du trail UFR/Santé au travail Université d’Abidjan Cote d’Ivoire


Promote workers health and safety in all the sectors of economic activities


20 nurses will be trained per year starting from the second year after the beginning of the program. Deadline : Mars 2006


Nurses from Benin, Ivory Coast and Togo


To efficiently fight poverty and increases resources, Benin has turned an intensive agriculture and a modern industry. The country expects a rapid economic growth. The protection of the worker’s health is nowadays a major issue for the government. Indeed, since they are the major actors of the country’s development, the government is promoting occupational health and safety. Unfortunately, the scope of action has not reached all the workers. The question is to know whether occupational health and safety actions will extend to all the actors of the national economic exposed to many factors. This increases the importance of the professional risks impact. The numerous SST actions have had a limited impact on the promotion of occupational health and safety because of the limited of number of specialists and specialized training on the topic. Indeed as at 2005, only 18 occupational health specialists and 6 nurses were employed in Benin. For above reasons and to better take care of the health of workers, a national occupational health and safety training for nurses has been initiated.

Dissemination Workers well being


To reinforce the capacity of the nurses in work environment, 180 nurses specialized in occupational health and safety will be trained over 5 years. 20 nurses will be trained per year starting from the second year after the beginning of the program.


1. We have started a training of 12 nurses, specialized in occupational are 11 Benines and 1 Togolese 2. Côte d’Ivoire is on the way to start to.

(WHO) AA4:20 AA4:CE3i

Activity Area AA4 Education, Training and Technical Materials

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Number and title CC or NGO Name Instituto de Salud Publica de Chile

Project title Promoting a Regional Diagnosis of exposure to silica.

Keywords Diagnosis, silica, exposure, evaluation Project leader Email address

Juan Alcaíno - [email protected] Juan Ferruz – [email protected]


Other partners Andean community. Institutions responsible for the health of workers in the region Andean community.

Funding

Instituto de Salud Publica de Chile


To make technological transference to the countries of the Region for the elaboration of a national diagnosis of exposure to silica.


To train in topics like criteria and strategies of sampling, chemical analysis of samples, to offer the participation in laboratory intercomparison program for respirable free silica samples, bibliographical support, statistical analysis. All this will be made in period 2006-2010.


Countries of the region.


Instituto de Salud Publica de Chile offers an apprenticeship to the countries of the region interested in the elaboration of a national diagnosis of exposure to silica. Instituto de Salud Publica support bibliographical items, in country traveling, training and sample shipment for the intercomparison program. Tickets (to Chile) and per diem should be financed by the interested countries.

Dissemination Offering the course to countries of the Region. Impact (global or regional)

Regional

Progress on Project Two ISP experts went to CENSOPAS, belonging to the Peruvian National Institute of Health, to give a training course in chemical agents, focusing on silica and asbestos. This training was directed to personnel of CENSOPAS and Peruvian OSHA. One person from CENSOPAS visited ISP for a apprenticeship about silica and chemical agents in hospitals.

(WHO) AA4:21 AA4:CE3j


AA4 Education, Training and Technical Materials

CC or NGO Name Instituto de Salud Publica de Chile Project title Contributing to the quality assurance of Occupational

Health examinations in the Region.

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Keywords Quality, exposed worker to noise, interlaboratory comparison programs, examinations of Occupational Health


Mauricio Sánchez – [email protected] Juan Ferruz – [email protected]


Other partners Institutions responsible for the worker health in countries of the region

Funding

Instituto de Salud Publica de Chile


Technical transference to contribute to the improvement of quality of toxicological laboratory examinations (As, Hg and Pb) and Audiometric Centers.


To train in subject of requirements for quality toxicological and audiometric exams. To give advise in the implementation of Programs of external quality evaluation of toxicological laboratories and audiometric centers. This will be made in period 2006-2010.


Exposed workers to noise and chemical agents (As, Hg and Pb).


Interested countries (in the implementation of external evaluation programs for toxicological laboratories and audiometric centers) in the region will be contacted by Instituto de Salud Publica de Chile which will offer an apprenticeship. Tickets (to Chile) and per diem should be financed by the interested countries

Dissemination Offering the course to countries of the Region. Impact (global or regional)

Regional

Progress on Project No update

(WHO) AA4:22 AA4:CE3k



CC or NGO Name RAMS Institute of Occupational Health, Moscow, Russian Federation

Project title Development and approbation of educational modules for postgraduate education in occupational health for specialists of practical services (hygienic assessment, clinical researches, laboratory diagnostics)

Key words Postgraduate education, occupational health, qualification rise, working conditions; industrial safety, control occupational factors, chemical factors, physical factors, biological factors, health effects, bioethics, methods of assessment

Project leader E-mail address

N.F. Izmerov Director of WHO CC in OH RAMS Institute of Occupational Health, Moscow, Russian Federation

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E-mail: [email protected]; [email protected] Partners (of the CC Networks)

Interested specialists and organizations, Great Lakes Centres for Occupational and Environmental Safety and Health, University of Illinois School of Public Health, (Chicago, USA)

Other partners Funding State budget, Financial support of WHO and other involved

companies and organizations is necessary Objective of the project

-To work out and approbate programs-modules for postgraduate education in occupational health for doctors and technical specialists, who work in the area of occupational health with attraction of contemporary methods of hygienic assessment, clinical and laboratory diagnostics. -To raise a qualification in the field of occupational factors parameters control (chemical, physical, biological factors) and working environment and also in the field of diagnostics of professional and work-related diseases. -Educational activity in the area of occupational health bioethics. - To raise a qualification in X-ray diagnostics of professional diseases.


Results of work will let us develop the educational modules for postgraduate education in occupational health, taking into account a specific character of a country with economy of a transitional period. 2006 - 2010.


WHO CC in occupational health; Ministry of Health of RF, For specialists of a wide circle, occupied in the different fields of occupational health, doctors specialized in professional pathology.

Summary pf the project (max 100 words)

It is proposed to work out a system of education and increase of specialists’ qualification in occupational health, which includes questions of hygienic assessment, diagnostics of professional and work-related diseases and also methods of laboratory diagnostics. Works according to project are to focus on working out of programs and methods, selection and substantiation of education form (for example – external courses, seminars, lectures or external education – distant education through Internet and etc.), organization aspects of such activity. Equally with it a program of educational activity in the field of bioethics in occupational health is proposed to be worked out, this program will be directed to attract attention and to inform on problems of bioethics in occupational health of specialists and wide strata of public. Programs are to include a choice of auditorium, having a special purpose; (workers and employers, doctors specialized in professional pathology, hygienists or specialists in bioethics), apportionment of a basic circle of pressing questions of occupational bioethics, working our of a complex of educational measures corresponding to interests of auditorium, having a special purpose.

Dissemination Organizations and establishments in the field of public health, including specialized

Impact (global or Global

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regional)


(WHO) AA4:23 AA4:CE3l



CC or NGO Name Great Lakes Centers for Occupational and Environmental Health and Safety University of Illinois at Chicago School of Public Health

Project title Training Materials on Occupational Lung Disease for use in a post-graduate, 16 hours course, in Spanish and English

Keywords Occupational lung disease, lung disease, training materials




Catharina Wesseling, Costa Rica

Other partners Aurora Aragon, UNAN Leon Funding

University of Illinois at Chicago-International Programs University of Washington at Seattle (Keifer et al)


To develop, evaluate, refine, and disseminate classroom based training materials on occupational lung disease in Spanish


Power point slides and description of activities for a 16 hour course in Occupational Lung Disease timeline


Professionals in medicine, hygiene, public health who want advanced training in Occupational Lung Disease in Spanish; teachers of that audience


Training materials were developed for a two day course by an occupational physician and a pulmonologist in the US. They were translated to Spanish, used and evaluated in a post-graduate course in Nicaragua, and are now being refined and prepared for posting on the new geolibrary.

Dissemination Will be posted on the geolibrary website. June 2006 identify conference opportunities, professional meetings, and medical education programs.


Increased training of medical personnel in occupational lung disease. Through PAHO outreach to programs in medical education programs.

Progress on Project Dr. Linda Forst and Dr. Robert Cohen taught occupational pulmonary medicine in Nicaragua in a three day course for the Master in Occupational Health program. There is a listed agenda for a pulmonary course in Spanish. All slides are translated to Spanish. Ready to be uploaded to GeoLibrary.

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(WHO) AA4:24 AA 4:CE3m



CC or NGO Name IACP

Project title

FOLIC: A Training Model for Healthy Workers

Keywords Heath Promotion at work, Counseling, workers over 45 E-Learning


Alberto Zucconi [email protected]


University of Nottingham (England), ISPESL (ITALY)

Other partners ARCNAM des Pays de la Loire ( France), BKK (Germany), University of Magdeburg - Hochschule Magdeburg-Stendal (Germany), Health Promotion Department, of the Malta Ministry of Health.

Funding

Leonardo da Vinci Program (UE) Funding in place


Design and testing of a training model, to be delivered on line, directed to “in house” consultants, on the subjects of counseling methods and techniques for health promotion on the work place, and human potential development focused on workers over 45 year of age.


Gratuite e-learning program, open to small, medium and large workplaces in different languages ( at the moment English, French, Italian, German and Spanish language are planned). 2007


Private and public organizations, health and safety managers, HRD people, workers, workers over 45


To create an innovative approach to counseling services on the work-place, to help people in the definition of individual learning and career plans; in particular for workers “over 45. Badly made self-development plans determine the waste of funds and resources: the intellectual resources of workers aren’t effectively re-addressed (with negative effects on the quality of life); financial resources for training programs are ineffectively used. The reinforcement of counselling services within companies allows increasing the capabilities of workers to convey conscious requests of support to their own self-development. The cost/benefit gain of health promotion in the work place is consolidated with a cost/benefit positive relationship, lowering absenteeism rates, unhealthy behaviors, and accidents at work.

Dissemination web site, book, dissemination trough public and private organizations( at the moment English, French, Italian, German and Spanish language are planned)

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At the moment 6 nations participate in the project: Italy, France, United Kingdom, Spain, Malta, Germany more partner are welcomed, the new partners will have to provide their own funding.

Progress on Project On September 11th we organized a FOLIC Project final Workshop at the International Union House in Bruxelles. Dr. Evelyn Kortum and Dr. Rokho Kim where representing WHO/Int. and WHO/Euro among several other stakeholders. The project will be completed at the end of 2007. Participants were from Italy, United Kingdom, Germany, France, and Spain

(WHO) AA4:25 AA4:CE3n


AA4 – Education, Training and Technical Material


Project title Professional Capacity Building in Occupational Health and Safety

Keywords Occupational Safety, training, distance education

Project Leader Email Address

Dr. Vitor Gomes Pinto (55.61.33688106) [email protected] Dr. Fernando Coelho Neto (55.61.33179478) [email protected] Prof. Vilma Oliveira (55.61.33179308) [email protected] Dr. Antonino Germano – (55.51.33478586) [email protected]

Partners (Of the CC Network)

Centre for Research and Teaching in Occupational Ergonomics, Health & Safety, La Trobe University, Australia. Senac (National Service for Commercial Education) Jabaquara Training Unit – São Paulo.

Other Partners Confederação Nacional das Indústrias (National Industry Confederation) - CNI/UNISESI Universidade Federal da Bahia - UFBA



To develop competences that enable the professionals who work with Health and Occupational Safety (SST) to improve the management, programming, execution and evaluation of the SST processes. To provide the basic understanding of the issues which involve SST. To enable them to understand the SST processes in general, especially those that involve the characteristics of a globalized world.

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To provide a modern view of people management and business competitivity.

Project Outcome(s) And deadline(s) for completion of the project

• To increase the quality in the development of SST processes, considering the globalized world and business competitivity. • To offer courses, seminars, workshops, video conferences etc. to Latin America, Caribe and other Portuguese-speaking countries, in order to promote the improvement of quality in the SST processes. • 2010


Professionals who work with SST (physicians, engineers, phonoaudiologists, chemists, social assistants, psychologists, dentists, nutritionists, nurses, among other professions), in institutions and in companies of the industrial sector.


To specialize professionals in a new professional profile in the health and occupational safety area, developing an integrated management based on evidences, information production, communication and negotiation, legislation and, when necessary, systems of SST certification.

Dissemination Didactic material electronically available and publications to be accessed on the Internet, assistance to institutions in order to share knowledge.


Global.

Progress on Project OHS Specialization Course to 60 trainees (150 enrolled) • Extension courses (10 courses attended by 382 of the 857 trainees enrolled) • Regular training to professionals from six Brazilian states, developed in Canada as part of the Project on OHS Strengthening in the Brazilian Industry, supported by the Canadian government, CIDA and Ryerson University of Toronto. • Training to six SESI’s professionals in Spain, at the Master Course on Social Services and OHS Management of the Organización Iberoamericana de Seguridad Social – OISS in 2007. As future scenarios of work by the end of 2007 and in 2008-2010, the project intends to keep and enhance the existing work lines; deliver new courses to professionals from Brazil, Portuguese-speaking African countries and Latin American countries; new courses and seminars or short- and medium-term modular knowledge. To achieve that, the project foresees new agreements with the Federal University of Bahia, OISS and the WHO Collaborating center (in designation) of Senac Sao Paulo.

(WHO) AA4:26

AA 4:CE3o

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CC or NGO Name

Great Lakes Centers for Occupational and Environmental Health University of Illinois at Chicago

Project title Fundamentals of Occupational Health and Safety Keywords Industrial hygiene, occupational medicine, introductory course Project leader Email address

Leslie Nickels [email protected] Lorraine Conroy [email protected] Steve Lacey [email protected]


NIOH South Africa Ina Naik Department of Environmental Health Engineering, Sri Ramachandra Medical College & Research Institute, Chennai, India

Other partners

Nayati International, India

Funding NIOH, Nayati International Objective of the project

This project advances WHO’s efforts to increase capacity to anticipate, recognize, control and prevent workplace hazards


Between 2006-2010 the following outcomes are planned: 1) WHO Modules will be adapted to address mining, chemical

and petroleum industries. 2) Course will be offered for public health sector, mining, and

others in South Africa July 2008 3) Course will be offered in Hyderabad, India February 2008 4) Course will be adapted and offered as a train the trainer

course in 2009 Target group and/or beneficiaries

The WHO Modules in occupational health, hygiene and safety are designed to provide education for professionals who are charged with the responsibility of protecting the health of workers: public health officers, physicians, nurses, policy makers, labor inspectors, and worker health and safety advocates.


The materials are organized into three 16-hour, case based modules for a multidisciplinary audience, by economic sector: agriculture, manufacturing, and service. Occupational health encompasses many disciplines-- toxicology, epidemiology, industrial hygiene, and safety. It employs the methods of hazard/risk identification, characterization, and evaluation and touches on issues related to policy and ethics. We have used the "economic sector" as an organizing format; classroom exercises are built around cases related to each sector and cover each of the occupational health disciplines in one classroom. The instructor may choose to re-organize the content to fit a different student group. For example, the hygiene-related exercises may be pulled out and re-assembled to educate a group of physicians in exposure assessment.

Dissemination

Partners have organized venue and preliminary agenda. GLC is applying for a translation research grant in 2008 to support evaluating the impact of the program. Materials will be housed on the GeoLibrary and information about the course will be disseminated at conferences.

Impact India, South Africa

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(global or regional) Progress on Project

Course has been scheduled in India for February 2008 and in South Africa in July 2008. Impact evaluation grant applied for and was not funded. Reapplication due in February 2008.

(WHO) AA4:27 AA4:CE3p


Activity Area 4: Education, Training and Technical Materials


Project title Short/intensive course curriculum in occupational health (various topics)

Keywords continuing education ; short course




Other partners Costa Rica: Instituto Tecnológico de Costa Rica/IRET Nicaragua: Universidad de León Colombia: Universidad Javeriana/Centro de Estudios en Ergonomía Venezuela: Centro de Estudios en Salud de los Trabajadores, Universidad de Carabobo (Maracay)

Funding Fogarty International Center ITREOH Training Grant


Development, delivery and evaluation of 2 to 5 day courses on a variety of occupational health topics.


These courses have been developed (and continue to be developed) and delivered on an annual basis, since 1995.


Collaborating institutions, through our Fogarty ITREOH training grant, in Venezuela, Costa Rica, Nicaragua and Colombia. Occupational health professionals and students in these

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same countries.


2 to 5-day (16 to 30 hour) short courses developed, delivered and evaluated by our faculty, in partnership with our collaborators, to build a repository of courses in the collaborating country. Examples (since 2005): - Spirometry - Occupational asthma - Hospital-based occupational health services - Survey development - Psychosocial risk factors

Dissemination Spanish-speaking universities and academic institutions. Course materials will be entered into the GeoLibrary.


Regional (Latin America)


These courses have been developed and delivered on a regular, annual basis since 1995 (and continue to do so). New courses for 2008 include:

- Ethics in occupational health (Venezuela) - Certificate program in industrial hygiene (a hybrid

course, i.e., face-to-face plus distance learning) (Colombia)

(WHO) AA4:28 AA4:CE4a



CC or NGO Name INRS - FRANCE Project title Workplace First aid educators and instructors training Keywords First aid, training, work accident, emergency Project leader Email address

Annie Leprince, Eric Durand, INRS [email protected] [email protected] Paul Guenoun, INRS


URESTE (Unité d’enseignement et de recherche en santé au travail et environnement), Cotonou, Bénin (Pr Benjamin Fayomi)

Other partners IAPRP (Interafricaine de prévention des risques professionnels) CRAM d’Alsace Moselle, France (Jacques Pachod) USAT (Unité de Santé au travail), Casablanca, Maroc.

Funding INRS and trainee’s institution Objective of the project

Training of first aid educators and instructors, in order to implement specific first aid training at the workplace in African

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enterprises, with the aim of reducing work injuries consequences.


The training program has already been used in France for several years. Tools are available for a specific training adapted to the work place and could be easily used in Africa with regards to the local situation. So this project could be implemented very soon.


African Institutions involved in occupational risks prevention and African enterprises and workers.


The aim of the project is to train instructors and educators in order to develop and disseminate first aid at the workplace in Africa and to set up resource centres. The specific INRS program is focused on occupational risks and is also a good introduction to risk assessment in enterprises. The program is based on first aid and resuscitation international guidelines. The pedagogy is specially targeted at workers and based on practical cases. It is easily accessible to all workers, because the step by step procedure is very easy to understand and follow. At the end of the learning process, the trainee is able to provide appropriate first aid when needed.

Dissemination French speaking African Countries Impact (global or regional)

Wide spreading of this specific training should decrease the consequences of work injuries and promote preventive behaviour.

Progress on Project In Benin, two people (occupational nurses) have been trained to be instructors. The administrative system has been implemented. A company has provided dummies free of charge. The training programme is now under review in collaboration with the Urgency Medical services in Cotonou in order to check its applicability to the African countries, and it will be possible to begin the training soon.

In parallel, the training already in place in Morocco is going on.





Project title Distance Education in Occupational and Environmental Health in Israel and the Palestinian Authority

Keywords Distance Education, occupational health, Training in the middle east




Other partners Khuloud Dajani, Dean, Al Quds University School of Public Health; Rafael Carel, Professor, Haifa Univeristy, Israel

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Funding


To establish online teaching expertise for occupational and environmental health faculty in two mid-eastern universities; to foster collaboration between the Palestinian Authority and Israel


Online courses and expertise among faculty members. Timeline. Anticipated date of completion: 2008 (depends on funding)


Faculty and students in Middle East


A proposal has been submitted to obtain funding for developing an online course with faculty from two universities in Israel and the PA.

Dissemination A description of this model will be presented at international conferences and in the peer-reviewed literature.


It is anticipated that this expertise could be carried over to other Mideast countries, and using Arabic language.

Progress on Project We submitted an application for funding. It did not get funded. This collaboration is not viable at this time.

(WHO) AA4:30 AA4:CE4c




Project title Distance Education in Occupational Health Keywords

Occupational health, training, public health Project leader Email address



Norbert Wagner, Chennai India

Other partners Funding Objective of the project

To train teachers in developing and conducting online education in Occupational Health


Increased international expertise in online teaching timeline Anticipated date of completion: 2010


Teachers of occupational health


Linda Forst and Norbert Wagner have been teaching occupational and environmental health on line using the Blackboard learning platform. The goal is to help university faculty use this modality for teaching occupational health. Plans

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are being made to establish 1-2 day workshops at international conferences where interested parties will come to computer labs with a set of learning objectives, text/resource materials, and learn to mock up a semester long course in Blackboard.

Dissemination Will advertise courses. Will conduct “CE” activity at ICOH meeting and meeting of academics.


Increased availability of courses in occupational health, worldwide.

Progress on Project Norgert Wagner new location at University of South Florida We have put in a request to ICOH to conduct this pre-course. We are in communication with Max Lum, Marilyn Fingerhut, Jonny Myers. Blackboard will not provide support.

(WHO) AA4:31 AA4:CE4d


AA 4 Education, Training and Technical Materials

CC or NGO Name Instituto de Salud Publica de Chile Project title Support in the methodology to train workers involved in

asbestos removal activities. Keywords Asbestos, asbestosis, mesothelioma, qualification, removal. Project leader Email address

Juan Alcaíno Lara – [email protected]


Other partners Institutions responsible for the worker health in countries of the region

Funding

Delivering of the original manual (hard copy), manual in CD, phone conferences, and any support via fax and e mail will be paid by the Instituto de Salud Publica.


To give enough knowledge to asbestos removal workers to do theses activities in a safely way.


To establish coordination with institutions indicated in “Other Partners”, to make effective the offering (2006-2010). - to give advice through the indicated ways (2006-2010).


Workers of the region working in asbestos removal activities.


Firstly, Instituto de Salud Publica de Chile stablishes communications with interested countries. After that, they are given the manual for workers involved in removal activities and the CD. Bilateral coordinations settle down to specify forms and timetable. Chilean professionals could give in field assistance but interested countries should fund this.

Dissemination Institutional communications Impact (global or regional)

Regional


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(WHO) AA4:32 AA4:CE4e



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


Joe Burkhart, DRDS ; [email protected]; Kristin Cummings [email protected]; Maria Lioce-Mata [email protected]


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


To provide guidance and training concerning standardized diagnostic procedures for silicosis.


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”. Deadlines to be worked out with partners in Zambia and Chile.


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.


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.


Global

Progress on Project Radiologic reading and spirometry courses were taught in Zambia and in Chile.

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(WHO) AA4:33 AA 4: CE5a




Project title Ergonomics and musculoskeletal disorders

Keywords Ergonomics, ergonomic risk factors, musculoskeletal disorders


Ms. Busisiwe Nyantumbu [email protected] Ms. Sindiswa Dyosi [email protected]


Other partners Funding National Institute for Occupational Health (NIOH)


Prevent musculoskeletal disorders and thereby improve working life.


1. Produce a toolkit to be used in education and training of workers 2006 2. Train the trainers in the application of the toolkit. 2007 3. Produce information materials (posters and 2010 brochures)


Office workers, computer users, laboratory workers


Musculoskeletal problems are a huge problem in many developed countries. Although there is dearth of information about musculoskeletal problems in the developing world, it is expected to be worse because of lack of infrastructure and resources. The prevention of musculoskeletal disorders by applying ergonomic principles and also training the workers is important. This will prevent the pain, suffering, disability and possible early retirement caused by these disorders. Also cost saving benefits due to medical treatment and compensation. In this project education and training of workers utilizing an ergonomic toolkit for computer and laboratory work will be done. The project will be conducted at the National Health Laboratory Service (NHLS) laboratories which will be used as a model to be applied to other computer workstation and laboratory settings in South Africa and SADC countries.

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Dissemination Presentations at meetings and workshops of unions, worker organizations and professional societies


Regional

Progress on Project The health and safety representatives have been identified as the target group for training. They will then train the workers in their respective work areas. Information to be used in the toolkit is being collected. One of the project leaders attended the Work With Computing Systems (WWCS) conference in Stockholm, Sweden on 21-24 May 2007 to get current information on the use of computers, development of musculoskeletal disorders and their prevention. This information is going to be used in the development of the toolkit.




CC or NGO Name Institute of Work, Health & Organisations, University of Nottingham

Project title Development of training packages for the Psychosocial Risk Management toolkit, deliverable through e-learning and face-to-face

Keywords Training package, psychosocial risk management toolkit


Dr Stavroula Leka [email protected]


FIOH – Finland BAuA – Germany ISPESL - Italy TNO - Netherlands


Funding for first phase has been secured through SALTSA (Sweden)


Development of comprehensive training packages to support the psychosocial risk management toolkit that will be developed by the same group






Dissemination WHO/ILO documents; University studies, publications; worker and enterprise meetings; newsletters and press releases;

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websites Impact (global or regional)

Global

Progress on Project Materials will be developed from May 2008 onwards. (WHO) AA4:35 AA4:CE5c


AA4: Education, Training and Technical Materials This was originally submitted to AA4

CC or NGO Name National Institute for Occupational Safety and Health (NIOSH) (USA)

Project title Road safety toolkits for organizations whose employees travel abroad within the PAHO region

Keywords Occupational safety, road safety and security, employees working abroad, educational materials

Project leader

Email address

Stephanie Pratt (NIOSH)


Pan American Health Organization (PAHO)

Industrial Accident Prevention Association (IAPA, Canada) Other partners Funding NIOSH can provide start-up funding during 2007 and 2008 Objective of the project

The objective of the project is to develop a toolkit that provides information on road safety and security to employees working abroad in the Americas.


Develop a draft toolkit for stakeholder review (2007-2008)

Finalize products based on review (2008)

Adapt products for Internet access from NIOSH, PAHO, and stakeholder Web sites (2009)


All organizations with international operations in the Americas will benefit. Small and medium-sized firms with few resources to devote to worker safety do not provide employees who travel abroad with information on road safety and security, especially for those who travel to low- or middle-income nations. Even large organizations with comprehensive road safety programs for domestic employees may not adequately address this issue for employees who travel abroad.


In collaboration with PAHO and other interested groups in the PAHO region, we propose to develop tool kits that could be used by businesses, governments, and NGOs to provide information on roadway safety and security for employees who travel abroad within the PAHO region. The toolkit will include information on traffic laws and penalties, personal safety while on the roadway, use of private and public transportation modes, and special safety and health concerns of business travelers. Products will be specific to each nation, and will be made available in English, Spanish, Portuguese, and possibly French.

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Dissemination Products will be disseminated in printed form to trade associations, labor organizations, and individual mailing lists of organizations. They will also be made available via the Internet through NIOSH, PAHO, and other stakeholders’ Web sites.


Regional (PAHO region)

Progress on Project No update (WHO) AA4:36 AA 4: CE5d



CC or NGO Name National Institute for Occupational Health (NIOH), South Africa Project title Prevention of Needlestick Injuries in Healthcare Workers Keywords Health, safety, needlestick, injury, healthcare workers,

bloodborne diseases Project leader Email address

Ms. Busisiwe Nyantumbu [email protected]


NIOH, South Africa WHO

Other partners International Council of Nurses Democratic Nursing Organisation of South Africa Department of Health, South Africa SADC AIDS Network for Nurses and Midwives

Funding NIOH - as part of the overall project on healthcare workers managed by Prof. Mary Ross


Prevention of needlestick injuries and bloodborne infections in healthcare workers


1. Produce piloted and tested materials from the WHO Injection Safety toolkit to educate and train healthcare workers 2006 2. Facilitate training of healthcare workers using these materials 3. Incorporate the materials in the curricula for medical students 4. Produce information materials (posters and brochures)


Healthcare workers including doctors, interns, registered nurses, student nurses, assistant nurses, general assistants and allied workers


Healthcare workers are exposed to many hazards. One of them is needlestick injury. Needlestick injury can transmit infections of bloodborne pathogens namely Hepatitis B (HBV), Hepatitis C (HCV) and the virus that causes AIDS (HIV). It is estimated that 2 million needlestick injuries occur in healthcare workers worldwide. The bulk of needlestick injuries occur in the developing countries. The global burden of acquired infections from occupational exposure including needlestick injuries is 40% HBV, 40% HCV and 2.5% HIV. This has implications on healthcare service delivery. Needlestick injuries can be prevented through education and training of workers.

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Therefore, the aim of this project is to use education and training of healthcare workers to prevent the occurrence of needlestick injuries and associated infections. Initially, this project is going to be conducted at the National Health Laboratory Services (NHLS) Laboratories followed by the public hospitals in South Africa and will also be appropriate for the SADC countries.

Dissemination Presentations at meetings and workshops of medical organizations, professional societies and unions


Regional

Progress on the project

The education, training and technical materials, which this project seeks to do is dependent on the WHO Pilot Project on the prevention of needlestick injuries in healthcare workers. In this pilot project, the WHO injection Safety toolkit was piloted in two health care facilities in South Africa. The aim of the pilot was to determine the effectiveness of the toolkit. The last part of the pilot which is crucial in deciding whether the toolkit works or not has not been done. At the end of June, the pilot project team is going to have a meeting to decide on the way forward and finalization of the polite. There is hope that the pilot project will be finalized before the end of 2007 which will pave way for the current project “Promotion of the Health and Safety of Healthcare Workers.”

(WHO) AA4:37 AA4:CE6



CC or NGO Name Great Lakes Center for Occupational and Environmental Health and Safety University of Illinois at Chicago School of Public Health

Project title Online Training Courses Keywords Occupational and environmental health, training, online Project leader Email address

Linda Forst [email protected] Leslie Nickels [email protected] Lorraine Conroy [email protected]


Linda Forst, US; Leslie Nickels, US; Lorraine Conroy, US. Julietta Rodriguez, Colombia (Unbosque is applying for CC status); PAHO


In kind. UIC is allowing international students to take public health courses online.


To establish continuing education in occupational health for Latin America


Enhanced training and continuing education certificate for medical, governmental agency, NGO staff. Ongoing courses

Target group and/or Medical doctors, nurses, governmental and ngo practioners of

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beneficiaries public/occupational health Summary of the project (max 100 words)

Dr. Linda Forst received approval from UIC to add international students to her UIC asynchronous, online courses. She has taught international students in a 15-week course entitled, Principles of Occupational and Environmental Health three years in a row. She had three international students in her real-time online course in Occupational Diseases. Leslie Nickels and Lorraine Conroy are utilizing Centra Symposium, a synchronous online modality, to gain expertise in offering online courses for international audiences.

Dissemination Impact (global or regional)

Increased training of in OM. Increased capacity in utilizing online platforms. Increased familiarity with internet resources.

Progress on Project Currently teaching 21 students from Latin America, identified by PAHO and Julietta Rodriguez. Will conduct an impact assessment in January, 2008. There has been an additional 25 students trained in this modality, to date.

(WHO) AA4:38 AA4:TT1a



CC or NGO Name Institute and Outpatient Clinic for Occupational and Environmental Medicine, University of Munich, Ziemssenstr. 1, D-80336 Munich

Project title NetWoRM – Netbased Training of Work-Related Medicine Keywords web-based learning – case-based training – international

programme – teaching Project leader Email address

Dr. Katja Radon MSc, Dr. Stefanie Kolb, Dr. Jörg Reichert [email protected]


Finish Institute for Occupational Health Helsinki Institute for Work and Health (IOHS) Lausanne Institute of Occupational Health, University of Birmingham National Institute for Occupational Safety & Health (NIOSH),

Other partners Schools/Institutes for Occupational Medicine in: Austria, Poland, Romania, France, Great Britain, Belgium, Spain, Finland, Switzerland, Croatia, USA, Canada, Columbia, Israel, India, South Africa

Funding

EU Minerva Programm Klaus Tschira Foundation gGmbH Virtual University of Bavaria Lieselotte und Dr. Karl Otto Winkler Foundation


Creation and dissemination of web-based learning modules in occupational medicine, sharing of multimedia material


So far, 19 cases are available in German. In addition, all partners have created up to two new cases. These cases are currently being translated into English. This English “standard version” is then translated into the local languages (English, French, Spanish, Polish, Romanian, German) and adapted to the local requirements. After validation by two experts the cases are implemented into training and evaluated by users.

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(www.casus.net; login: “who-ce”; password: “occupation”). In addition, the first case for pupils and vocational trainees has been developed.


Medical students; health care professionals learning occupational medicine


Occupational medicine has a wide range of aspects, and prevention is a major topic. In order to enhance the learning experience and to integrate patient-oriented and practical knowledge, we developed a case and web-based distance-learning tool. This was implemented in our regular training (lectures, small group sessions, factory visits) and offered to other German universities. The web-based training programme in occupational medicine, primarily developed for medical students, has been adapted for training of health care professionals and the international use. The international network has started within the Socrates programme of the EU. In addition, cases are used in secondary schools and vocational schools.

Dissemination www.networm-online.de Impact (global or regional)

Better knowledge about occupational medicine and occupational safety for medical students and physicians.

Progress on Project By now, 26 cases have been developed in a standard English version, and more than 10 cases each are now available for the local situation in 10 developing and industrialized countries covering a broad range of training for OM at the under- and postgraduate level. The user evaluation showed that it is easy to work with the cases, that they well accept the cases, and were interested in working with them. For dissemination the project has been presented at scientific conferences and scientific papers have been published. New funding has been found (EU, DAAD) and new partners involved.

(WHO) AA4:39

AA4: TT1b


AA4 Education, training and technical materials

CC or NGO Name Coronel Institute of Occupational Health AMC, University of Amsterdam, The Netherlands

Project title Electronic lesson on evidence-based medicine for occupational health professionals

Keywords Evidence-based medicine, occupational health, distant learning, electronic lesson, training material


Prof. Dr. Frank van Dijk [email protected]


Other partners Netherlands School of Public and Occupational Health (NSPOH) Amsterdam, The Netherlands (Van der Klink and Vlek)

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European Association of Schools of Occupational Medicine, EASOM (Weel)

Funding

Funding for first phase, the development of the electronic lesson has been organized by the Coronel Instituut and NSPOH and has been sponsored by the Dutch Ministry of Social Affairs and Employment; the lesson is now available in Dutch language. The funding for the translation is not yet available


Development of an English version of an available electronic lesson on evidence-based medicine for occupational health


To develop an English version of an electronic lesson on evidence-based medicine for occupational health. A Dutch version has been completed in 2005. The English version can be completed in 2006. To inform professionals and collaborating centers about the availability of this lesson (by 2006 and 2007) To strengthen the impact of the publication in 2006 of ‘How to use research information to improve the quality of occupational health practice. Protecting Workers’ Health Series WHO Occupational and Environmental Health Programme (Eds Verbeek, Van Dijk)


1. Occupational health professionals in practice, especially occupational physicians but also other disciplines such as occupational hygienists, toxicologists, occupational psychologists, ergonomists, occupational health nurses, safety experts 2. Experts, scientific institutes, guideline offices and panels of experts in occupational health, who are not experienced in evidence-based medicine


Knowledge is basic for occupational health professionals. Finding information in scientific articles and practice guidelines is crucial. The skills in professional practice and in expert centers of occupational health, to find and appraise the quality of sources are poor developed. In the Netherlands an electronic lesson has been developed about evidence-based medicine, tailor-made for occupational health, that is soon available for free through Internet. This lesson will be translated and edited in English for international target groups of professionals and experts. An international group of national experts has to evaluate the draft lesson to make the lesson appropriate for international audience.

Dissemination Website WHO, ICOH meetings and congresses, announcements in professional journals, cross references in the Technical Report in preparation by WHO ‘How to use research information to improve the quality of occupational health practice’ (2006).


Global


The first draft of the English version has been completed, a second draft is almost ready (July 1 2007) and will be distributed to about ten countries in July/August 2007 (Japan, South Africa, USA, UK, Croatia, Greece, etc), many are WHO

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collaborating centres. In Oktober/November 2007 a scientific evaluation will be performed in good international collaboration, on the feasibility and effectiveness of the lesson on the increase of knowledge and skills in EBM. We will explore facilities in knowledge infrastructure needed in the various countries. The results of the study will be published in the first half of 2008. The improved lesson will be available January 2008.

(WHO) AA4:40 AA4: TT1c



CC or NGO Name Institute for Work and Health, Lausanne, Switzerland Project title Harmonization of education and training in occupational

hygiene and safety in the European region Keywords Occupational hygiene, safety, curriculum, education material,

short courses, harmonization, mutual recognition Project leader Email address

Prof Brigitta Danuser [email protected]


IOHA

Other partners Funding Objective of the project

Identify the relevant actors (experts, too often called “competent persons”), clarify their respective role and competencies and find an international consensus


• To develop a European network of educational centers sharing the same pedagogical objectives (by 2008) • To develop training packages deliverable through e-learning and/or face-to-face (by 2010) • To promote real multidisciplinary approaches by publishing a set of case field studies


States and agencies. Enterprises and social partners.


Beside Occupational Medicine which is clearly defined in terms of field and competencies, the other professions related to health and safety are not at all well defined. This leads to inadequate work practice and inefficient risk management. This project will build up of a network of educational centers willing to improve the situation and to find a consensus for the education of health and safety specialists. A redefinition of the professions is urgently needed to solve the problems related to hygiene, ergonomics, psychology, economics which need to be included in the curricula of “generalists” adequate for SMEs. Appropriate courses and materials will be developed.

Dissemination Usual channels : WHO and ILO documents, articles in peer reviewed journals, conferences and workshops, press releases, etc.

Impact (global or Regional

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regional) Progress on Project This project has not been implemented due to a lack of

resources (personnel and budget) and to different activities through ENSHPO (European Network of Safety and health Professional Organizations), local initiatives (German speaking countries) and input of large companies such as BP. Harmonization in the field of hygiene and safety education remains a problem that should be addressed at a higher level than this one.



AA 4: Education, training and technical materials

CC or NGO Name Canadian Centre for Occupational Health and Safety Project title Violence in the workplace: awareness, prevention and actions Keywords Violence, prevention, workplace bullying, stress-related disorders,

psychological wellbeing Project leader e-mail address

P.K. Abeytunga, MSc, PhD. [email protected]


Clinica del Lavoro “Luigi Devoto”, Italy, e-mail: [email protected]

Other partners Objectives of the project

To provide a free service in the form of an e-learning course available through the world wide web to increase public awareness about workplace violence, its effects on psychophysical health and work environment.

Project outcomes(s) and deadline(s) for the completion of the project

• Increased public awareness on workplace violence and the need to recognize risk and establish a prevention program • Increased public awareness on the violence outcomes on psychophysical health and wellbeing at the workplace • The e-learning course has been completed and is available to the public

Target group and /or beneficiaries

Committee members, managers, supervisors and workers, facility managers, human resources managers, senior managers, occupational health physicians, occupational health psychologists and others with health and safety responsibilities.


Free on line course, visual and auditory, on topics including: what is workplace violence? Behaviors associated with workplace violence, sources of violent behavior, outcomes on psychophysical health, strategies of primary and secondary prevention.

Dissemination http://www.ccohs.ca/products/courses/violence_awareness/ http://www.cdldevoto.it


Global

Progress on Project

The course has been available to the public since April 2006 in English and since July 2006 in French. The course is updated from time to time, and is being widely used.

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CC or NGO Name National Institute of Health, Porto High Institute for Education and Science / Instituto Superior de Educação e Ciências (in Portuguese) – ISEC

Project title Distance Learning in ergonomics for Portuguese speaking countries in Africa

Keywords Ergonomics, distance learning. Project leader Email address

Anabela Simoes, [email protected]


Other partners University of Nottingham, UK Funding

Self funding


To translate and update an existing respected Distance Learning program from English to Portuguese for use in Africa


Formalise the agreement between the IEA and both universities byDecember 2005. Complete the first draft of the translation into Portuguese by September 2006. Pilot the program in Mozambique or Angola by April 2007.


Worker representatives, students and supervisors


Abstract. The development of a basic introductory training program in ergonomics is not available in Portuguese suitable for developing countries. The University of Nottingham has developed and offered a distance learning course which they have offered for translation. This will then enable countries in Africa to utilise the course. An expectation exists that a proportion of the students would continue with further studies leading to formal qualifications

Dissemination • National Institute of Health, Porto • High Institute for Education and Science / Instituto Superior deEducação e Ciências


Africa

Progress on Project The agreement with the University of Nottingham to translate the manual of Ergonomics for distance learning education involves 3 partners: ISEC, the University of Nottingham and the International Ergonomics Association (IEA). The IEA promoted the project and the relevant actions to get the signature of the different partners. After the IEA Council meeting on July 2005, the agreement was accepted and was finalized in early 2006. After the signature, the manual was received in Portugal to be translated. This action required a first lecture of the manual and the identification of missing contents and update needs. As the

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first edition of the manual was issued in 1997, those needs were reported to the IEA President and an agreement for the necessary adjustments was obtained. Then, a new table of contents composed of 14 chapters was defined. A team of seven experts was selected to carry out the work. At this stage, the first draft of the manual is expected to be delivered on December 2007 to be submitted to the IEA Standing Committee on International Development. After the approval by the IEA board, the manual will be edited, the relevant training materials will be developed and the contacts with Mozambique will be carried out to allow the pilot test for the project evaluation and validation of the training program, which is expected to be running during the second semester of 2008.

(WHO) AA4:43 AA 4: TT3b Activity Area Number and title


CC or NGO Name


Project title Young Workers Occupational Safety and Health Curriculum Keywords Young workers, training Project leader Email address

Carol M. Stephenson, PhD [email protected]


Other partners University and NGO partners in the USA Funding NIOSH Objective of the project

To widely disseminate an occupational safety and health curriculum recently developed by NIOSH for schools and community based entities who can train teen workers.


Outcomes of the project. • To finalize development of the curriculum (by early 2006) • To translate the curriculum into Spanish (by 2007) • To widely disseminate the curriculum electronically through the NIOSH web site and WHO educational gateway beginning in 2006 • To provide a model for use or modification by others To gather and share globally OSOH curricula from other countries for young workers


Beneficiaries of the completed project include all entities interested in preventing occupational safety and health injuries and fatalities in young workers: High school teachers, parents, employers, training and apprentice programs, NGOs providing services to teens, and government agencies responsible for teen workers.


A curriculum has been developed and pilot tested in the U.S. It will be finalized early in 2006 and made available through electronic distribution. It is designed to train youth and their teachers in basic occupational safety and health principles to that they will enter the workplace more aware of hazards, have skills recognizing occupational safety and health hazards, and have knowledge as to how to seek assistance in correcting dangerous work situations. The

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curriculum is designed for participatory learning. Dissemination Method of dissemination: Web based dissemination of the curriculum

teacher’s guide and classroom materials so that teachers may print off and create materials they need. NGO partners may choose to disseminate printed versions of the curriculum.


Global

Progress on Project

The curriculum has been published and is available for free at http://www.cdc.gov/niosh/talkingsafety/

(WHO) AA4:44 AA4:TT3c



CC or NGO Name European Institute of Health and Social Welfare, Madrid, Spain Project title Integral Management in Environment, Quality and

Occupational Health Keywords Integration elements, Common procedures, Measure and

optimising. Project leader Email address



Other partners Funding European Institute of Health and Social Welfare Objective of the project

Dissemination of training material for developing countries professionals. Specially for Quality, Environment and Occupational Health managers. Languages: English, French and Spanish


To include the training material is in GEO Library. The training material is accepted and used by the professionals. A common model is used to guarantee an integral management.

Target group All professionals. Summary of the project (max 100 words)

This training material is a course that deals with: integration of the management through documentation system, common procedures and integration elements, managers compromise, responsibility, authority and communication. It is a global proposal management based in a recognised and international normative.

Dissemination Through GEO Library Impact (global or regional)

Global.

Progress on Project

The project is in process of design. We collaborated with Chile CC and with Geolibrary for the project´s dissemination. We have completed the index and 80% of the syllabus and pedagogic guides. We are working now on the follow contents: -Concept of Integral Management -Needs and Benefits of the Integration -Main Features of a Management System of Occupational Health

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-Management of Quality and the process of continue improvement -Management Environment -Organization Model of Integral Management -Certification and Normalization of Integral Management System -Indicators of Good manners in Management of Environment, Quality and Occupational Health. -Direction Abilities -Corporate Social Responsibility

(WHO) AA4:45 AA4:TT3d Activity Area Number and title


CC or NGO Name Nofer Institute of Occupational Medicine, Lodz, Poland Project title Preventive programme designed to reduce musculoskeletal

pain for construction workers and students of construction schools

Keywords Manual materials handling, ergonomics, WMSDisorders, RSI, Project leader Email address

Zbigniew W. Jóźwiak, PhD.,Eng. [email protected]


Other partners National Labour Inspectorate Funding

Project is financed by the Nofer Institute of Occupational Medicine, Lodz, Poland


Preventive programme


• To develop a programme that will be user-friendly (by 2008) • To develop training packages for the toolkit deliverable through e-learning and face-to-face (by 2009) • To integrate the toolkit in the provision of construction workers and students (beginning in 2009)


Construction workers, students of construction schools


The preventive programme for construction workers and students will help to reduce physical overload and prevalence of musculo-skeletal symptoms in these workers. A programme will consists of two main elements: theoretical training and a set of physical exercises. The theoretical training comprises: • basic information on the anatomy of the musculo-skeletal system • ways to avoid static loads • use of professional and ad hoc means to simplify manual lifting and handling of weights • a set of simple physical exercises to be performed at home without the need to use special appliances. The set includes both relaxing and fitness exercises promotion of physical exercise during leisure time.

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Dissemination Worker and enterprise meetings and trainings, special lessons entitled Ergonomics in construction sector, papers in journals for occupational safety staff


Global

Progress on Project

The physical workload data using photo registration and stadiometer was collected. Now we are analyzing these data with NIOSH reviewd equation and REBA methods. The first CD version of Powerpoint presentation was prepared.

(WHO) AA4:46 AA4: TT3e



CC or NGO Name Institute for Work and Health, Lausanne, Switzerland (IURST) Institute of Occupational and Radiological Health (IORH), Belgrade, Serbia and Montenegro

Project title DEVELOPMENT OF CORE CURRICULUM IN OCCUPATIONAL HEALTH

Keywords Core competencies, Core curriculum, Harmonization Project leader Email address

Prof. Brigitta Danuser, MD, PhD IURST [email protected] Prof. dr Petar Bulat, IORH, [email protected]


IORH, Occupational Health Department, Faculty of Medicine, University of Belgrade, Belgrade, Serbia and Montenegro, Institut universitaire romand de Santé au Travail (IST), Lausanne, Switzerland, Department of Occupational Medicine

Other partners Faculty of Medicine, University “Sts. Cyrill and Methodius” - Skopje, Macedonia, Department for Environmental and Occupational Health, Andrija Stampar School of Public Health, University of Zagreb, Croatia

Funding Swiss National Science Foundation Bern (Switzerland) granted 90.000 Swiss francs.


Harmonization of occupational medicine curriculum in Eastern European countries and improvement of the occupational health knowledge transfer to other stakeholders in work and health


Identification of the common core competencies required for occupational specialists (physicians, hygienists, inspectors) in Eastern Europe (by 2008) Development of a core curriculum for education and training in occupational health (by 2009)


Occupational specialists (physicians, hygienists, inspectors)


The proposed activities are divided into two groups: (1) Development of core curriculum in occupational health and (2) Building-up of a database of case studies. The first set of activities includes workshops for situation analysis and needs assessment, development of core curriculum and preparation of teaching materials. The second set of activities includes preparation of guidelines for case studies, collection, review and

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publishing of the case studies. The database is seen as a dynamic, searchable and updatable tool for improvement of access to study materials and of the efficiency in occupational health education and training.

Dissemination Workshops, Regional Summer Schools, Partner Country Meetings, Teaching materials


Regional

Progress on Project All partners met in Zagreb in January 2006. The following approach has been decided:

Agreement on the general topic: analyses of risks. To organise workshops with the local stakeholders and

practitioners to assess their needs. A structure in order to collect case studies was set up:

http://studiorum.org.mk/BlueLeaves/case-index.html During 2006 the three eastern European partners organised workshops inviting all relevant stakeholders in the field, including academic community, governmental bodies and occupational health practitioners. In September 2007 all partners visited Switzerland and the structure and content of the Winter School which will be organised in Macedonia end of January 2008 was planned.

(WHO) AA4:47 AA4:TT3f Activity Area Number and title

AA 4. Training materials

CC or NGO Name IACP Project title PREP 2006 Keywords Psychotherapy, Counselling, HIV/AIDS Project leader Email address



IACP (Italy), NIOH (South Africa), ACHS (Chile), INST(Cuba), WHO-AFRO, CCOHS (Canada), TNO (Netherlands)

Other partners Istituto di Psicologia Generale e Clinica Università di Siena, Klinik Medizinische Psychologie und Psychoterapie Innsbruck, Austria, School of Psychology University of Leeds, UK, Person-Centered Approach Institute, Bratislava, Slovacchia, Department of Psychology, University of Malta.


Increase the effectiveness of training and service delivery. Creation of a common European approach for the design of high-quality training schemes for psychotherapists and counselors operating at different levels in the public health system. Specifically, the project will address the development of health promotion competencies in psychotherapists and counselors involved in services dealing with people living with HIV/AIDS and their families.


Definition of protocols for the evaluation of the outcomes of psychotherapeutic and counseling interventions in the public health sector, and for the validation of the effectiveness of

194

project training programs for psychotherapists and counselors. The definition of a common metric between the different approaches, and the listing of the specific protocols for the different approaches. 2011


Psychotherapists, counselors, private and public training institutes, private and public health agencies


Validation of the effectiveness of training programs for psychotherapists and counselors. The data will be collected in all the partner nations, and for all the therapeutic approaches represented in the partnership. To identify common training curricula for the building of specific capacities in psychotherapists and counselors involved in services dealing with people living with HIV/AIDS.

Dissemination The results will be spread though the website www.ipeppt.net and specialized journals, newsletters, the attendance to national and international meetings, the dissemination of the results between educational institutions, and other actors of the public health system.


Global

Progress on Project IACP wrote a grant request for PREP 2006 to the Public Health Sector of the European Union and the project was not funded even if the evaluators wrote appreciative comments on its values. Other sources of funding where explored and none yet found. The project is stalled and will not be actualized unless funds will be located.

(WHO) AA4:48 AA 4: TT3h



CC or NGO Name Great Lakes Center for Occupational and Environmental Safety and Health University of Illinois at Chicago School of Public Health

Project title GeoLibrary: Database of teaching materials and practice tools Keywords Curriculum, training, technical materials Project leader Email address

Leslie Nickels [email protected]


NIOSH, University of Texas Houston, FIOH

Other partners All CC Funding UIC, CDC, NIOSH, Abbot Objective of the project

To create a library of occupational health education, training and technical materials


Data base of education, training and technical materials that is searchable in multiple languages. The library can house an unlimited number of materials. Expected date of completion Dec 2006 2007-2009 work with all CC to add materials to library, provide information for “marketing” the library to potential users,

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evaluate use and update. Target group and/or beneficiaries

Occupational health educators, workers, employers, and health providers.


Geolibrary.org is an electronic library of occupational and environmental health training materials. This library contains training materials which are in the public domain and which are available to the user free of charge. The training materials contained in this library come from a wide variety of sources, including international organizations, governmental institutes and agencies, academic institutions, corporations, unions, and non-governmental organizations.

Dissemination Via the internet and CDROM, presentations at conferences Impact (global or regional)

Increased access to training and technical materials related to occupational health

Progress on Project New active partner at Fundacentro Brazil, European Institute of Health and Social Welfare, Coronel Institute of Occupational Health, Curtin University of Technology and US Environmental Protection Agency. Presentation at international conferences, 500 occupational health materials in library, accessed by individuals in over 30 countries. Materials most often viewed: Occupational Health a Manual for Primary Health Care Workers; Introduction to Occupational Health; Community Based Participatory Research; and Introduction to Ergonomics.

(WHO) AA4:49 AA 4: TM1a



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


Gregory R. Wagner, M.D. Senior Advisor, NIOSH [email protected]


WHO, ILO


NIOSH funds for the production of the document.


Revise the 1996 WHO Monograph entitled “Screening and Surveillance of Workers Exposed to Mineral Dusts”


• Obtain reviews of the original document by 12/2006 • Draft revised monograph by 12/2007 • Complete final review/revision/publication by 12/2008


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

196

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.


Global

Progress on Project as of November 9, 2007

• Progress has been substantially delayed • Electronic copies (all 3 languages) of the original

monograph must be obtained from the WHO publications office to facilitate circulation, review, comment, and revision.

• Some reviewers have been identified and await electronic copies of the original text.

• Updated literature relevant to monograph revision is being collected.

• The timeline for completion will depend on the extent to which reviewers recommend necessary revisions. Reviews should be completed by the end of Q1 2008.

(WHO) AA4:50 AA 4:TM1b




Project title Latex Allergy & Asthma – Risk management programme for healthcare workers

Keywords Latex, allergy, asthma, healthcare workers


Ms. Tanusha Singh [email protected]


NIOH: South Africa University of Cape Town (UCT): South Africa

Other partners BGFA (Germany)

Funding

The project will be partially supported by NIOH, UCT


To develop a comprehensive latex risk management programme in public health care settings.


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

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prevention directed at employees and employers, available both electronically and in hard copy (by end 2007)


Healthcare facilities, clinics and dental institutions and laboratories, particularly in rural settings


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.


Global – the intention is for the project to be a model for use in other countries.

(WHO) AA4:51 AA 4:TM1c




Project title Enhanced diagnosis and management of pulmonary tuberculosis: flow sheet for healthcare workers

Keywords PTB, diagnosis, performance review Project leader Email address

Prof. Jill Murray [email protected]


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.


An improved, internationally applicable one page evidence based flow sheet for the enhanced diagnosis and management of PTB. December 2007


All occupational health practitioners


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

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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 38th 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 UK.

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WHO) AA4:52 AA4:TM1d Activity Area Number and title


CC or NGO Name

Federal Institute of Occupational Health, Germany

Project title Good solutions in nursing

Keywords Health, nursing, employee participation


Stephan Schwarzwälder (3.3) [email protected]



New Quality of Work Initiative (INQA) - Federal Institute for Occupational Safety and Health (BAuA)


The translation of a booklet which describes the projects of 8 organizations, including hospitals, ambulant care and homes for the elderly. Examples of best practice are presented to support the international exchange.


A booklet which illustrates examples of a health-promoting work-design of German healthcare organizations. The booklet will be available in August 2006.


Nurses, healthcare managers, health and safety specialists


The booklet illustrates models of best practice. Different ways towards a health-promoting work design are shortly presented. The descriptions include positive and negative factors during the implication of the project as well as positive outcomes. A contact person for each project is named for further questions.

Dissemination The manual will be available to everybody who is interested. The distribution through the CC network would be of interest.


Global

Progress on Project

The project is carried out by a project partner in Gelsenkirchen, Germany, the Institute for Work and Technique (IAT) and started in April 2007; hompage (in German)http://www.iatge.de/projekt/projektinfo.php?projekt_id=589&status=suche&akt_jahr=&schwerp=&p=&stat. Their task is to develop the text for the brochures (in cooperation with approximately 40 geriatric care facilities and home care services in the western part of Germany) and to recommend illustrations for a better understanding of the different topics we address. We are planning to finish and print the brochures in spring 2008. The brochures will be available free of charge (besides most likely postage). For the nursing area, this is only the second time that we will print a brochure in English and I am not quite sure

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(WHO) AA4:53 AA4:TM1e



CC or NGO Name • Andrija Stampar School of Public Health, School of Medicine University of Zagreb, Zagreb, Croatia • Institute of Occupational Health, WHO Collaborating Center, Skopje, Macedonia

Project title COUNTRIES IN TRANSITION: HOW TO PROMOTE HEALTH AT WORK IN HEALTH ORGANIZATIONS

Keywords healthcare workers, stress at work, burn out, mobbing, work ability index, risk assessment


• Professor Jadranka Mustajbegovic, MD, PhD [email protected] • Professor Jovanka Karadzinska Bislimovska,MD,PhD occhemed@on. net. mk,[email protected]


Institute of Occupational and Radiological Health, Beograd-Serbia & Montenegro

Other partners School of Medicine University of Tuzla, Department of Occupational and Environmental Health, Bosnia & Herzegovina

Funding Croatian and Macedonian Ministry of science; Croatian and Macedonian Ministry of health; Institute of Occupational Health, WHO CC, Skopje Macedonia; Macedonian Medical Chamber; Social partners.

Objective of the project To spread awareness, knowledge and skills in work-related stress within healthcare workers in tackle work-related stress; to co-ordinate stress risk assessment; to educate workers and management in health organizations how to work in partnership to address work-related stress throughout the organization; to provide some solutions & directions. Train the trainer materials, documents and materials


• To develop curriculum and toolkit to tackle work-related stress (by 2007); • To list the mayor stressors in healthcare workers (by 2008);

how high the demand for them will be and how the a possible distribution over the WHO would work. Therefore, we will most likely start with a smaller print first.But maybe you can tell me more what usually happens with the project results? The main task for the participating WHO/CC´s is to write about and maybe illustrate the topic they are interested in, "good leadership in nursing", respectively "reducing time-pressure". For the text and other materials they want to contribute, they are in direct contact with the project coordinator of the IAT, Christa Schalk [email protected] . The project is running from April 2007 to March 2008.

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• To assess stress and work ability index in the representative sample of healthcare workers (by 2009) international application or adaptation; • To create the stress guidance pack– curriculum for training and education (by 2010).


All workers in health organizations, especially health workers and health managers


Globalisation, process of transition, high rate of unemployment emphasized the problem of work-related stress in transitional countries. Stress, mobbing and burnout are believed to be due to bad work organization in healthcare services. Activities are designed to explore the major determinants of work-related stress in healthcare workers using European Foundation for Living and Working Environment methodology for workplace surveys developed. Develop common set of indicators and develop national plans of actions on work-related stress. Intercountry collaboration could take the form of regional fora: conferences, workshops in particular area of stress at work with participation of the social partners.

Dissemination Meetings and workshops of health care workers, health managers, health and labour administration; WHO/ILO documents;


Regional (countries)

Progress on Project Cross-sectional study was conducted in four clinical hospitals in Zagreb, over the 6 months, ending January 2007. Self-reporting questionnaires about work-related stressors and Work Ability Index were completed by 395 physicians and 1086 nurses. Factor analysis classified the stressors into 7 groups: Work management and financial issues, Public criticism, Shift work, Professional demands, Interpersonal communication, Professional health hazards, Job dissatisfaction. Physicians reported organization of work, financial issues, public criticism, law suits, shift work, professional and intellectual demands as very stressful. Nurses with secondary school perceive all of the 7 groups of stressors more stressful than nurses with higher education. Hazards perception and dissatisfaction with job contribute to low (WAI<37), while professional and intellectual demands, and job satisfaction cause higher chance for a good and excellent work ability (WAI>37).

(WHO) AA4:54 AA4:TM1f



CC or NGO Name Federal Institute of Occupational Health, Germany TM2 Project title Elaboration of a European Guide to support the new

European Directive 2003/10/EEC on the requirements regarding the exposure of workers to the risks arising from

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the physical agent noise Keywords Project leader

Email address

Dr. Patrick Kurtz (2.6)


Other partners INRS, CIOP und HSL Funding The project is funded by the European Commission. Objective of the project




To support the new European Physical Agents Directive on Noise the European Commission sponsors a project to prepare a guide helping employers and employees to comply with the requirements of the Directive to reduce the noise exposure of workers. The task to prepare such a guide was given to a consortium of different OHS institutions of the member states. These institutions are the INRS from France, CIOP from Poland, HSL from the UK and the BAuA from Germany. The guide will be finalised in 2006 and deals with subjects like: Basis of acoustics, measurement and exposure evaluation, design of the workplace, techniques of noise reduction, hearing protectors, hearing damage, purchase of quiet machines, noise reduction in the entertainment sector, etc.. A list of keywords guides the reader through the text. The whole guide is written in a plain style including a respective glossary explaining technical terms. Although the guide is prepared to support the European Directive it can be used as a general information about noise reduction at workplaces.

Dissemination The guide will be disseminated in the EU in all member state languages.


Although the guide is supporting European legislation it provides a general tool to reduce noise at workplaces.

Progress on Project

The preparation of a first document for a European guide on noise at the workplace to support employers to comply with the requirements of the new Physical Agents Directive, Noise 2003/10/EC was finished in February 2006 by the consortium of working members (INRS, CIOP, HSE, BAuA). It was given to the EU Commission to prepare a final version. Until now no guide has been officially published. Owing to the latest news from the Commission we expect that the Commission will publish the EU Guide on Noise in 2008. A concrete date however was not given.

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(WHO) AA4:55 AA4:TM1g



CC or NGO Name Department of Maritime Medicine, (Central Institute for Occupational Medicine , Hamburg Germany

Project title Evidence-based guidelines for the prevention of occupational asthma

Keywords occupational asthma, prevention, evidence-based, guidelines Project leader

Email address

Ute Latza, Institute for Occupational Medicine and Maritime Medicine, Hamburg, Germany Email: [email protected]


- Finnish Institute of Occupational Health, Finland - Institute and Outpatient Clinic for Occupational and Environmental Medicine, Germany

Other partners - Departement of Occupational Medicine Haukeland, Norway - Departement of Respiratory Medicine, United Kingdom, - Environmental and Occupational Health Division, Institute for Risk Assessment Sciences, Netherlands, - Universita degli Studi di Padova Dipatimento di Medicina Ambientale e Sanita Pubblica , Sede die Medicina del Lavoro, servicio di Fisiopatologia Respiratoria, Italy, - Department of Environmental and Occupational Medicine, Denmark,

Funding Proposal for funding by European respiratory Society (ERS) Objective of the project

The objective is the substantial improvement of the prevention of occupational asthma in order to obtain a reduction of symptoms, morbidity, mortality and expenses


- Evidence-based guidelines for the prevention of occupational asthma with a declaration of the levels of evidence (introduction-chapter with definitions, e.g., occupational asthma, aggravation of pre-existing asthma, background-chapter including a summary of the current knowledge on causes, prevalence / incidence, dose-response relations, risk factors of work-related asthma, objectives of prevention, economic impact, and levels of evidence) - Booklets for the different target groups (e.g., guidelines for primary care physicians and for industrial physicians to initiate appropriate diagnostic and therapeutic measures in suspected cases with occupational asthma).


The target group of the intended guideline are workers in all sectors of activity. The target audience are all health care practitioners, i.e. occupational physicians and primary care physicians for fostering education. Given legal differences in the different countries, addition to industrial physicians, workers representatives with specific responsibility for the safety and health of workers may benefit from the guideline.


The proposed output of evidence-based guideline for the management of work-related asthma will be: Introduction with definitions (e.g., new onset work-related

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asthma, aggravation of pre-existing asthma) Background chapter (including a summary of the current knowledge on causes, prevalence / incidence, dose-response relations, risk factors, primary prevention, and diagnostic tools) Compilation of useful information, e.g. legal framework conditions for the management of work-related asthma in the European Union Evidence-based facts on the management of work-related asthma with special regard to treatment by anti-inflammatory agents and/or bronchodilators and interventions, such as stopping/reduction of causative exposure.

Dissemination The guidelines will be published as a long version as an internet file and as a short version in an international journal


Global

Progress on Project

The project asked the European Respiratory Society (ERS) to fund a task force for “Evidence-based guidelines for the prevention of occupational asthma in Europe”. In march 2007, the ERS approved a revised version focusing on the “Management of work-related asthma”. After meetings in Kopenhagen and Munich, the entire group held a third meeting on September, 19th, 2007 in Stockholm. Carrie Redlich (Yale School of Medicine, USA) and Paul Henneberger (National Institute for Occupational Safety and Health (NIOSH), USA) joined as collaborators.

(WHO) AA4:56 AA4:TM1h



CC or NGO Name

TNO Quality of Life / Work & Employment

Project title BLIND SPOT IN HEALTH CARE FOR WORK- RELATEDNESS Revitalizing Ramazzini’s legacy

Keywords Attending physicians; blind spot; work-relatedness; health care Project leader Email address

Dr. PC Buijs [email protected]


NIOSH: dr Max Lum Arbetslivetinstitutet:dr Mikael Sjoberg INRS: dr Bernard Siano ISPESL: dr Sergio Iavicoli University Singapore:dr Chia Sin Eng IACT: dr Alberto Zucconi Nofer Institute of Occupational Medicine, Lodz: dr Stanislaw Tarkowski

Other partners

University of Belo Horizonte, Brasil: dr René Mendes; University of Casablanca, Morocco: dr El Kohlti

Funding

TNO already did a blind spot project, funded by the Dutch Department of Social Affairs and Employment, and supported by

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an international e-mail working party. In the proposed WHO-project, we will disseminate results of this former project, to be funded by TNO Quality of Life.


To inform attending physicians and other health care professionals about possible work-relatedness of complaints and diseases of patients, and about taking this relatedness into account in diagnosis, advice and treatment.

Project outcome and deadline for completion

WHO brochure, deadline summer 2007

Target group or/ and beneficiaries

Attending physicians, practitioners in health care


An important WHO principle for Global Action is: “coordinated response by all parts of the health system with regards to workers health issues.” However, there seems to be a blind spot for work-relatedness in healthcare, widely spread globally, leading to insufficient care for workers and endangering their work ability. So the results and outcomes of an international TNO-project on 'Blind Spot' will be translated in a brochure text informing health care workers about in/outs of work-relatedness of complaints and diseases.

Dissemination Brochures to partners of the CC network. Further distribution by the partners and by internet


Global

Progress on Project

On a global scale (S and N-America, Asia (China), Africa and Europe) experts have confirmed or been asked to contribute to the booklet. A template is almost ready. Jorma Rantanen (ICOH) and Chris van Weel (WONCA) will write the Preface, and Gerry Eijkemans will provide the 'WHO- view' on the "BLind Spot issue". Our goal is to deliver the text in the summer of 2008.

(WHO) AA4:57 AA 4: TM1i



CC or NGO Name National Institute for Occupational Health (NIOH), South Africa Project title The use of autopsy data as a gold standard to develop a

set of digital X-rays for silicosis which can be used as reference standards

Keywords silicosis, pneumoconiosis, digital X-rays


Ms. Ntombizodwa Ndlovu [email protected] Prof. Jill Murray [email protected]


NIOSH (USA), HSL (UK)

Other partners MBOD - Medical Bureau for Occupational Diseases (South Africa), Department of Radiology, University of the

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Witwatersrand (South Africa) South African Mine Medical Services

Funding

Possible sources of funding - South African Mine Medical Services South African Mine Health and Safety Council


To produce a set of digital X-rays verified by autopsy findings that can be used for the diagnosis of silicosis.


To establish if there is enhanced sensitivity for the diagnosis of less extensive silicosis with the use of digital X-rays. To produce a set of digital X-rays.


All occupational health practitioners


Several studies have shown that the specificity of standard X-rays for the diagnosis of silicosis is greater than 90% but the sensitivity is much lower. Digital X-rays are now being widely used in medical surveillance programs. It is believed that these X-rays are more sensitive in the detection of less extensive pneumoconiosis than standard X-rays (e.g. ILO category 0/1 or 1/0). Autopsy findings and pre-mortem digital X-rays in silica exposed subjects (South African gold miners) will be used to establish if there is enhanced sensitivity. If so, a set of reference digital X-rays will be developed.

Dissemination Web based Impact (global or regional)

Global

Progress on Project

25-02-2008. This project is to form part of a larger project, to be funded by the Mine Health and Safety Council SA, to develop a set of reference xrays, taking into account problems of high tb prevalence settings. The MHSC is still seeking a project manager. Hopefully the project will get underway late this year.

(WHO) AA4:58 AA4: TM1j

Activity Area Number


CC or NGO Name Office of the Australian Safety and Compensation Council (Office of the ASCC), Department of Employment and Workplace Relations

Project title Contributing to the evidence on occupational health Keywords Systematic reviews, occupational health, manual handling,

back pain, construction industry, agriculture industry, pre employment testing, shift work


Dr Peta Miller [email protected]

Partners (of the Collaboration Centres Network)

Finnish Institute of Occupational Health

Other partners Other research institutes undertaking reviews

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Funding Australian Government Objective of the project

To improve the evidence base about the causes of occupational injury and disease and their prevention by supporting the work of the Cochrane Occupational Health Field at the Finnish Institute of Occupational Health


To conduct systematic reviews on occupational health issues Commencement date 2005 project ongoing


International health and occupational health regulators, policy agencies, researchers, employers, unions, and workers.


This will be an ongoing project providing financial and practical support for the Cochrane Occupational Health field. Projects include: 2006: manual handling training, prevention of falls in construction industry, injury prevention in agriculture industry, efficacy of pre employment testing, health effects of shift work 2007-2010: topics to be determined

Dissemination The systematic reviews will be reported on the international Cochrane review website, international journals and the Australian Safety and Compensation Council website http://www.ascc.gov.au and at international and national annual reports, meetings, conferences and symposia.


Global

Progress on Project

Project 1. Manual material handling advice for preventing and treating back pain in workers, a systematic review for the Cochrane Collaboration. This project has been now finished, and the review will be published in the March issue of the Cochrane Library (see http://www.cochrane.org/reviews/en/ab005958.html). Project 2. Systematic review of the effectiveness of interventions to prevent injuries in the construction industry. This project has been now finished, and the review will be published in the October issue of the Cochrane Library (see http://mrw.interscience.wiley.com/cochrane/clsysrev/articles/CD006251/frame.html). A journal article from this topic is currently being prepared. Project 3. A Systematic Review of the effectiveness of interventions to prevent occupational injuries in the Agricultural Industry. This project is currently subject to peer review and is due for completion in 2008. Project 4. Effectiveness of Health and Functional Examinations of Workers, a systematic review within the framework of the Cochrane Collaboration. This project has commenced and is due for completion in 2008.

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(WHO) AA4:59 AA4:TM1k


AA4: Education, training, and technical materials


Project title Development of National Action Plan for Health Promotion Enterprises in China 2005-2010

Keywords National action plan, health promotion enterprises Project leader Email address



WHO, ILO, University Illinois, USA


National finance support of China, WHO, ILO


To build 100 Health Promotion Enterprises in China.


Manual for how to build Health Promotion Enterprises. Standard established for Health Promotion Enterprises. Build National Action Plan for Health Promotion Enterprises. Spread the successful experiences and models to other enterprises.




Establish a standard for health promotion enterprises to carry out the law of occupational disease prevention and control of P.R.C. Write a manual to guide enterprises how to build Health Promotion Enterprises. By examining the enterprises about occupational health prevention and control, select several good examples by different industries as Health Promotion Enterprises.



Progress on Project

We have conducted several training courses to spread the knowledge about how to establish health promotion enterprises. We arranged seven training courses which topic is about the standard to evaluate the national enterprise model, how to apply suitable technology to control benzene poison, propagandizing for the law of occupational diseases prevention and control related regulations, technical requirement of occupational health facility and personal protection providing, etc. Over 750 participants from provincial institutions and enterprise groups attended. Also we held two meetings about national enterprise model and over 500 participants from MOH, SAWS, labour union, enterprises,

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guild and CDC attended the meetings and changed their experiences. Now we are organizing itinerant lectures to spread the experiences.

(WHO) AA4:60 AA4:TM1l

Activity area, number and title

AA4: Technical materials

CC or NGO name Institute for Occupational Physiology at Dortmund University, Federal Republic of Germany

Project title Guidelines for shift work Key words Shift work, night work, adverse physiological and social

effects, individual intolerance, adaptation to night work, preventive measures

Project leader, email address

Barbara Griefahn, Professor, MD, [email protected]


1. Dr. Beate Beermann, Federal Institute of Occupational Health (FIOH), Federal Republic of Germany, [email protected] 2. Thebe Pule, WHO/AFRO, [email protected] 3. Dr. Wendy Macdonald, La Trobe University, Melbourne, Australia, [email protected] 4. P.K. Abeytunga, MSc, PhD, Canadian Centre for Occupational Health and Safety, Canada, [email protected]; 5. Dr. Kalpana Balakrishnan, Department of Environmental Health Engineering, SRI Ramachandra Medical College & Research Institute, Porur, India, [email protected] 6. Masaya Takahashi, Ph.D., National Institute of Occupational Safety and Health, Japan, [email protected] 7. Stanislaw Tomaszunas, Institute of Maritime and Tropical Medicine, Godynia, Poland, [email protected]

Other partners Janusz.Pokorski, MD, PhD, Jagiellonian University, Krakow, Poland [email protected], Dr. Ulrike Hellert, Moderne Arbeitszeiten, Dortmund, [email protected] Hellert,

Funding In place Objective of the project

To inform employers, management and employees about the effects of shift work and suitable preventive measures

Project outcome (S)

Guidelines, WHO brochure

Deadline (S) for completion of the project

The authors Barbara Griefahn and Beate Beermann will send the draft of the guidelines to the partners who give advise concerning the applicability in their areas/countries. Overall 24-30 months are realistic.


Shift workers and employers/managers


The guidelines describe the current situation including basic statistics (numbers of shift workers in various areas), the various types of shift work and their effects on social behaviour, physiological functions, and long-term adverse

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effects, such as cardiovascular diseases. The guidelines identify particularly vulnerable persons and conditions. Based on this they focus on preventive measures to be applied by administration, management and the workers themselves. Generally available measures such as a suitable temporal organization of the day (sleep times, exercise, prevention of day light, nutrition, stimulating substances) are in the foreground, but treatment with sophisticated measures (e.g. bright light) will be mentioned as well.

Dissemination WHO documents Impact (global or regional)

Global

Progress on Project

No update

(WHO) AA4:61 AA4:TM1m




Project title Seminar: Preventive Interventions in the Workplace and Resulting Health Benefits

Keywords Health, safety, preventive interventions, practical approaches, toolkits


Rosangela Gonçalves Ribeiro [email protected] Tatiana Pincerno Ribeiro [email protected]


Other partners Funding Senac Objective of the project

To disseminate, among Latin American countries, the toolkits developed in the WHO Work Plan 2001-2005 and the new toolkits to be developed under the Work Plan 2006 - 2010, as well as the best practical experiences in using these toolkits.


1. A Seminar with expected 400 participants from Latin America, Central America and North America (2010). 2. Publication of the papers presented in the seminar, in English, Spanish and Portuguese (2010). 3. Dissemination of this publication among the WHO Collaborating Centres (2010).


Policy makers, governmental agencies, researchers, managers, occupational physicians and nurses, occupational hygienists, safety engineers and other OH&S professionals, as well as workers.


This Seminar aims at presenting and disseminating the WHO toolkits and training materials in the field of occupational health. Senac will invite the Collaborating Centres involved in their development and application to present the benefits of

211

the toolkits. The Seminar also aims at stimulating their application in Latin American countries. Toolkits that could be presented at the Seminar: - Chemical Control; - Silica Control; - Psychosocial Risk Management; - Ergonomics Checkpoints; - Injury Prevention Management; - Prevention of Needlestick Injuries in Healthcare workers.

Dissemination 1. Publication of the papers presented in the Seminar, in English, Spanish and Portuguese (2010). 2. Distribution of the papers produced to WHO Collaborating Centres in Occupational Health (2010).


Global

Progress on Project

This Seminar had been initially planned for 2010, but it was anticipated and will be held in November 2008. A preparatory meeting will be held at Senac-SP, in May 2008, in order to discuss further details, including the selection of the main topics for the Seminar.

(WHO) AA4:62 AA4:TM1n



CC or NGO Name Senac (National Service for Commercial Education ) Jabaquara Training Unit – São Paulo

Project title Translation and dissemination of the WHO document: PACE – Hazard Prevention and Control in Work Environment: Airborne Dust

Keywords Health, safety, airborne dust, hazard prevention. Project leader Email address



Fundacentro

Other partners Funding Senac Objective of the project

To broaden and update the knowledge on airborne dust in the work environment, thus helping organizations to apply prevention and control measures, through the translation and dissemination of the WHO document: “WHO (1999) Prevention And Control Exchange: PACE, Hazard Prevention and Control in the Work Environment: Airborne Dust, WHO/SDE/OEH/99.14, World Health Organization, Geneva, Switzerland”.


1. Translation into Portuguese and publication of the above mentioned WHO document to help organizations in preventing exposure to airborne dust (2008)

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2. Workshops and meetings for the dissemination and promotion of this document among enterprises, academia, and occupational health professionals and practitioners (2008)


Governmental agencies, managers, occupational physicians and nurses, occupational hygienists, safety engineers and other OH&S professionals, as well as workers.


The aim of this document is to educate and train people on the prevention and control of dust in the workplace. The translation of this document into Portuguese will allow its dissemination in Brazil, Portugal and other Portuguese Speaking Countries. The workshop will contribute to the understanding, dissemination and application of this document, including in small and medium enterprises in Brazil. SESI and Fundacentro will be important partners in disseminating this document among concerned enterprises. Senac will follow up on the application of this document in Portuguese speaking countries.

Dissemination 1. Distribution of the document in Brazil, Portugal and other Portuguese speaking countries (2008) 2. Publication of the written materials presented during the workshop, in English, Spanish and Portuguese (2008) 3. Posting of the document in relevant occupational health Websites. (2009)


Global

Progress on Project

The translation of the document into Portuguese has been concluded.

(WHO) AA4:63 AA4:TM1o



CC or NGO Name Federal State Scientific Institution Ufa Research Institute of Occupational Health and Human Ecology of Federal Service for Surveillance on Consumer Rights Protection and Human Well-being.

Project title Assessment of the present working conditions and specific features of promoting health, safety and well-being in health care sector in the Republic of Bashkortostan

Keywords Working conditions, health promotion, occupational morbidity, occupational risks, prevention

Project leader

Email address

Director of the Ufa Research Institute of Occupational Health and Human Ecology, M.D., prof. Akhat B. Bakirov


Health Ministry and Academy of Sciences of the Republic of Bashkortostan

Other partners Regional Department of the Federal Service for Surveillance on Consumer Rights Protection and Human Well-being in the Republic of Bashkortostan;

Bashkortostan republican organisation of the Russian Federation of health care workers trade union

213


The objectives of the project are to obtain better knowledge on the causes of occupational diseases, to reduce occupational and work-related morbidity, to study working conditions influencing work ability, to identify individual risk factors of health care workers in the Republic of Bashkortostan


To develop a toolkit in the prevention of occupational diseases (by 2008)

To develop methodological materials for publication (by 2009)


The government of the Republic of Bashkortostan

Public health care Summary of the project (max 100 words)

The project focuses on assessment and analysis of workplace health promotion, safety and work ability in health care work environment depending on the occupation; general and occupational morbidity among health care workers; assessment of the immune status of the body and microflora of the mucous membranes of the nose and pharynx: development of early diagnostic methods of occupational diseases including allergic and infection genesis (tuberculosis, hepatitis, HIV); rehabilitation methods, criteria of occupational selection and occupational suitableness.

Dissemination WHO/ILO documents; methodologic recommendations (Ministry of Health); meetings in the trade unions of health care units.


Regional

Progress on Project

No update

(WHO) AA4:64 AA4:TM2



CC or NGO Name Fudan University School of Public Health, Shanghai Project title Edition of occupational health and occupational

medicine in Chinese for preventive medicine students. Keywords Textbook occupational health and occupational medicine, in

Chinese Project leader Email address

Taiyi JIN Email address: [email protected]


Department of Occupational Health, Fudan University 24 professors in occupational health over the country are invited as the co-editors.

Funding Chinese Peoples Health Publisher Objective of the Project

A textbook of <occupational health and occupational medicine> will be edited.


The expected outcome: A textbook of <occupational health and occupational medicine> will be completed. the deadline: June 2007

214


Preventive medicine students in China


A textbook of occupational health and occupational medicine will be completed.


China

Dissemination A textbook will be published in the middle of 2007. Progress on Project The textbook occupational health and occupational medicine

in Chinese for preventive medicine students has been edited. 22 professors in occupational health from 18 universities over the country are invited as the co-editors. At present the textbook has been submitted and will be published in the middle of 2007.



AA4: Education, Training and Technical Materials.

CC or NGO Name Occupational Health Department, High Institute of Public Health. Alexandria University, Egypt.

Project title Two phases Approach to Update Formal Professional Training of Occupational Health& Safety in Egypt and the Arab World.

Keywords Occupational Health and Safety, Formal Professional training, factory inspectors& OHS specialists in Arab region.


Adel Zakaria; [email protected] Faten Nofal; [email protected]


National Institute of Occupational Health and Safety, Cairo, Egypt and Institute of Occupational Health and Safety, Tunis

Other partners Expected partners: 1-Ministry of Manpower and Immigration, Egypt. 2-Arab Labor Organization. 3-Faculty and Experts of Occupational Health& Safety in Arab World.

Funding

Negotiation with expected partners 1&2 is ongoing.


Phase1: -To develop and implement two levels (basic and advanced) one week face to face training program for all factory inspectors (about 2000) of Ministry of Manpower and Immigration in Egypt. Phase2: -To update the Arabic syllabus used in formal obligatory

215

training of occupational health and safety specialists in Egypt.


Phase1: -Establish a documented and well defined formal training program for factory inspectors considering the common features of the Arab region (by 2008). -The program is aimed to be valid in the Arab Countries and easily adapted to the local regulations (application in Egypt as an example). -Develop and update occupational health and safety knowledge, attitude and practice of factory inspectors in the Arab Countries. Phase2: -Documentation of an updated Arabic syllabus, equivalent to resembled international syllabus, for formal training of occupational health and safety specialists in the Arab Region (2008-2010). -Improve the formal training of occupational health and safety specialists in the Arab countries leading to enhance OHS practice in these countries.


Phase1: Factory inspectors in Egypt and Arab countries. Phase2: Occupational health and safety specialists in Egypt and Arab countries.


This project address the problem of nonexistence of formal update training program for factory inspectors(in phase1) and the obsolete Arabic syllabus of OHS specialists formal professional training(in phase2).The main goal of the project is to establish a competitive tailor-made training program for factory inspectors in Egypt which would be valid for other Arab countries. Also the formulation of an updated comprehensive Arabic syllabus for formal training of OHS specialists in the Arab region. The highly qualified Arab faculty and experts in the field will be invited to participate in achieving that goal followed by continuous coordination and collaboration with WHO-EMRO and ALO. A competent and high qualified official OHS Arabic specialist capable of risk assessment and management of work environment according to international and local standards and regulations is the strategic target of the project.

Dissemination Hard copy, power point presentations, CDROM, workshops, WHO<ILO<ALO publications.


Regional.


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AA4: Education, Training And technical Materials

CC or NGO Name Institute of Occupational Health and Safety - Tunisia -ISST

Project title Module of continuous training for occupational Health physicians

Keywords Modulate formation - harmful noise -physiology at work- professional asthmas


Dr. Nouaigui - Dr. Ben Laiba [email protected]


Occupational Health Department, High Institute of Public Health, Alexandria University, Egyt

Other partners National experts in health and safety at work Funding Budget of the ISST Objective of the project

- To adopt a step diagnosis with respect to certain professional pathologies. - To develop the technical skills of occupational Health physicians , relating to the new techniques of prevention of occupational hazards.


- A better performance of occupational Health physicians and in particular within the framework of their practical activities . - Better control of workers presenting high levels of exposure to occupational hazards, by the occupational Health physicians - limiting Date: October 2008


- services of occupational Health physicians – trainee Doctors


This module is a training scheme intended for occupational Health physicians. It concerns specialized continuous training during which several topics will be examined about the daily activity of the occupational Health physicians. This continuous training aims at a development of knowledge of the occupational Health physicians in the field of prevention of professional pathologies, paraclinic exploration and the legal medical aspects....

Dissemination occupational Health departments, companies and universities of medicine


National

Progress on Project (Maximum 100 words)

the start of the continuous training is envisaged on March 11-2008

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Activity Area 5 Development and Expansion of Occupational Health Services

Manager:

Timo Leino, FIOH, Finland [email protected]

Subgroups:

AA5:1 Occupational Health Service Model Development AA5:2 Occupational Health and Safety Management Systems and Quality AA5:3 Occupational Health Services of Small Scale Industries AA5:4: Integrating Occupational Health into Public Health Care

(WHO) AA5:1 AA5:1a


AA5: Development and Expansion of Occupational Health Services

CC or NGO Name

Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Japan

Project title

East Asian Networking of Occupational Health Service Model Development

Keywords

Occupational Health Service, Professional Competence, Service Model, Networking


Dr HIGASHI Toshiaki [email protected]


WHO CC, Catholic Medical University, School of Public Health,Korea (responsible person Dr Lee Se-Hoon),Beijing University, School of Medicine, China (responsible person Dr Wang Sheng)

Other partners

Wenzhou Medical College, School of Public Health, China (responsible person Dr Chenping Huang); NIOEH, VietNam

218

(responsible person: Dr Nguyen Duy Bao) Funding

Funded by respective WHO CCs and institutes: contribution and application of research fund..


To develop effective and evidence-based occupational health service in East Asian countries which has similar situation in cultural background and rapidly aging society To develop database and guidelines to support evidence-based occupational health services and prevent international threat for human health. To evaluate quality of project outcomes, collaborate on curricular improvement, provide training tools and co-ordinate with Korea-Japan-China Joint Conference (KJCJC), WHO and ILO for possible accreditation.


Project Outcomes Effective and evidence-based model for occupational health service in East Asian countries which has similar situation in cultural background and rapidly aging society. Database and guidelines which are available for evidence- based occupational health services and prevent international threat for human health Deadlines OHS Model: end of 2008 Databases and Guidelines: mid-2010 for the first comprehensive version, each parts of major 3-4 topics of DB and Guidelines will be completed by 2007-2009

Target group and/or Beneficiaries

Planners (political and administrative) and providers of OHS among Eastern Asian countries which has close cultural and geographical relationship.


A model of OH services (OHS) will be developed through research of contents and system of institutions in each country and market research of employers and employees. Through the participation of voluntary researchers from KJCJC members and collaborating institutions, effective and suitable OHS system model for workers including small and middle enterprises will be proposed. Evidence-based service contents and procedures for eastern Asian society will be collected into a common database for OHS. Evaluation and audit is performed by KJCJC and ACOH meeting and affiliated committee meetings.

219

Dissemination

Via WHO CC channels and existing regional occupational health & safety networks.


Global as harmonization of protection and promotion methods of workers’ health comprise borderless activities of enterprises in Asian countries, which should benefit OHS in Asian countries.


We gathered recent information about the situation of industry, economy and occupational health services in 13 countries from participants of IIES, and organized an international course on management of Occupational and Environmental Health. The information was partially presented at IIES International Symposium in October 2006, and the final data will be summarized at the end of March, 2008. We reported on a Japanese future model (T Higashi, Industrial Health, 2007) and an international comparison of education and training of occupational health professionals. Counterparts of Korea, China and Japan agreeded to make a comparable study and to make an “East Asian” service model for aged workers. We finished the preparation of final reports on prevention of MSDs in 2007.

(WHO) AA5:2 AA5:1b


AA5: Development and Expansion of Occupational Health Services

CC or NGO Name RAMS Institute of Occupational Health, Moscow, Russian Federation

Project title Development and Adaptation of Occupational Health System and Services in Russian Federation

Key words

Occupational health, working conditions; occupational safety; hygienic assessment of new technologies; workers’ health state; methods of hazard agents control, transitional period

Project leader E-mail address

N.F. Izmerov Director of WHO CC in OH RAMS Institute of Occupational Health Moscow, Russian Federation [email protected] [email protected]

Partners (of the CC Networks)

Institute for Occupational Health, Kiev, Ukraine Interested specialists and organizations

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Other partners

Federal centre of state sanitary and epidemiological inspection Federal fund of compulsory medical insurance Trade unions

Funding

State budget. Financial support of WHO and other involved companies and organizations is necessary.


1. Comparative analysis of systems of workers’ health safety according to international (WHO, ILO, EU and etc.) and national (USA) strategic programmes and working out of proposals on national strategy of occupational health. 2. Criteria’s analysis and basis of life, health, functional abilities, duration of forthcoming life, next generations’ health and etc. safety in order to work out a contemporary conception of occupational health, concerning workers’ health safety and strengthening. 3. Scientific basing of occupational health services models, including system of quality management of service, occupational health standards and elements of system of business social responsibility.


Results of work will let us conduct analysis of securing system of workers' health safety in the Russian Federation on a contemporary phase (economy of a transitional period) and define basic directions of its improvement and ways of realizations on the base of complex, expert, social-hygienic, epidemiological and analytical searches. - Comparative analysis of occupational health services in Russia and abroad to choose the best appropriate system, which will provide effective interrelations of all chains (occupational hygiene, occupational safety, work physiology, psychology, toxicology, occupational medicine, education) - 2006 - 2008.

- Elaboration of adequate legal mechanism to provide state support for development and adaptation of occupational health system and services in Russian Federation - 2009 - 2010.


WHO CC in occupational health; Ministry of Health of RF, Enterprises’ leaders of different ways of property.


Occupational health system on a contemporary phase is to be oriented toward safety and development of working potential, taking into account tasks of state’s economical development. Acceleration of its forming is dictated also by necessity of its integration into contemporary industry in order to improve quality management of produced production

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and increase of industry economic effect and ability for competition of home goods and services at a world market. In this connection it is planned to conduct a comparative analysis of occupational health in Russia and abroad for exposure of more effective models, which provide for workers’ health safety. Work results will let us unify approaches to activity organization of medical establishments of different organization- legal forms, levels and administrative state territories according to workers’ medical securing, including hazard and unfavorable working conditions.

Dissemination

WHO CC, Ministry of Health of RF, Organizations and establishments in the field of public health; Enterprises’ leaders of different ways of property.


Regional and global.


16.3.2007, Buxton Meeting with Izmerov, Rantanen, Leino, Lehtinen The objective is to prepare and promote an occupational health system suitable for the transition towards market economy in Russia using European experience. 1. The first step is for the Russian side to prepare a background paper on the demographic and occupational health situation in Russia and displaying best practices in Russian and abroad. 2. This process needs to include the involvement of occ health expertise as well as the social partners and political decision makers. 3. European and international practices will be added into the background paper will be included from the WHO, ICOH and FIOH side. 4. A preparatory technical meeting is planned for mid June 07 5. A seminar in mid December 07 on occ health systems, presenting the scope of the problem and best practices, aimed at setting the foundation of the work and building networks and communication channels. It is foreseen that a working group will take the issue forward after the seminar. 6. The event need to be used to place the question on the political agenda, link it to the demographic problems and the health of the working population in Russia and mobilise political support for further development of occ health services.

(WHO) AA5:3 AA5:1c


AA5 Development and expansion of Occupational Health Services

222

CC or NGO Name

Institute for Occupational Health, Kiev, Ukraine

Project title

Develop the 2006-2010 Plan for Introduction of the National Strategy for Providing Safe and Healthy Conditions for Workers in Ukraine as a Demonstration Area for CIS Countries

Keywords

National policy in medicine and occupational safety, improvement of occupational health


Prof. Yuriy Kundiyev [email protected]


Institute of Occupational Health of the Academy of Medical Sciences of the Russian Federation

Other partners

Trade unions, Ministry of Health, Ministry of Labour and other governmental bodies of Ukraine

Funding

Budget funding of the Academy of Medical Sciences of Ukraine, WHO Grant


To decrease the risk of development of occupational and work-related morbidity among workers of dangerous professions and those of production processes, basing on social and hygienic monitoring conducted jointly with Partners in Ukraine, providing joint efforts of national and international partners in this field.


The Project will be implemented in 3 stages: Stage I – to develop the information system for accumulation and

analysis of the data related to work conditions at enterprises of Ukraine and to elaborate Plan for introduction of the Strategy on three-party levels (2006-2007);

Stage II – in the framework of the Strategy to develop a system of the primary prophylaxis of professions with high occupational risk (2008-2009);

Stage III – to introduce the Strategy at the national level in the framework of the section of the national Program “Health of the Nation” and to assess its efficiency (2009-2010).


Workers of dangerous professions and those engaged in dangerous production processes, administrations of dangerous enterprises, services of occupational pathologists, Government, Federation of Employers of Ukraine.


The problem of prevention of occupational diseases remains to be studied in Ukraine not in full extent as a result of the lack of the combined three-party system for occupational risk management and preventive intervention at the governmental and regional levels. There was no distinct strategy for providing occupational health. The presented Project is focused directly to solving the mentioned problems.

Dissemination

The results of investigations will be used by the Government of Ukraine and by the Ministry of Health, Ministry of Social Policy and Labour, Ministry for Emergency Measures, Academy of Medical Sciences of Ukraine and for Businessmen and Trade Unions. They will

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be also used for training Workers and Businessmen, medical students, occupational physicians, physicians-hygienists and engineers in occupational safety.


There will be developed an effective system of the state monitoring of workers of dangerous occupations and the system of the primary prevention of occupational morbidity among workers at enterprises with high occupational risk. The global level, i.e. to consider Ukraine as a WHO demonstration area in implementation of the Strategy for improving working conditions of workers.


The information system for collection and analysis of the data related to work conditions at enterprises of Ukraine and a Plan for introduction of the Strategy at the three-party level (2006-2007) was developed. A set of priority tasks for inclusion in the Draft of the State Program for Improvement of Safety, Occupational Health and Working Environment on 2007-2011 has been developed for Ukrainian government. The draft of the Recommendation «Development of methods for risk assessment of exposure to chemical, physical, biological and physical factors of the working environment in conditions of the modern production” is in the process of adoption. The developed methodical approaches were taken into account in the «Decree of the Cabinet of Ministers of Ukraine on 22 February 2006, № 182 «On adoption of the procedure of the state social and hygienic monitoring».

(WHO) AA 5:4 AA5 :1d


AA5 : Development and Expansion of Occupational Health Services

CC or NGO Name Institute of Occupational Health, WHO Collaborating Center, Skopje, Republic of Macedonia

Project title Development of innovative models for organization and provision of occupational health services in South East Europe

Keywords occupational health services, development, sub-regional, social dialogue


Prof Dr Jovanka Karadzinska Bislimovska, MD, PhD occhemed@on. net. Mk [email protected]


Institut of Occupational Health and Radiological Protection, « Dr Dragomir Karajovic »Belgrade, Serbia FIOH, Finland, Dr Timo Leino

Other partners Ministry of Health, Republic of Macedonia; Croatian Institute of Occupational Health, Zagreb, Croatia; Department of Environmental and Occupational Health School of Public Health”Andrija Stampar” Medical Faculty,Croatia;

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Department of Ecology and Occupational Health, Medical Faculty, Tuzla, Bosnia and Herzegovina

Funding Institute od Occupational Health, WHO CC, Skopje Macedonia for the first stage , BCA Macedonia, possible further on funding : TAIEX, FP7 and others.


• Situation analysis which will give a picture of how the ongoing transition is influencing the infrastructure, quality and relevance of occupational health services and improve our knowledge and understanding, identification of problems

• Identification of needs for establishing and developing functional and accessible occupational health services, adaptable for local conditions, especially for underserved sectors

• Development of system of quality assurance for OHS • Provision of review of the situation and the progress made

and benchmarking between the individual SEE countries and some other countries from the European region.

• Participation of social partners , collaboration and identification of actions to be taken for establishing new models of OHS

• Strengthening governmental stewardship function, i.e. legislation, program for development and support of services.

• Dissemination of information, experiences and approaches


• Strengthening capacities of the health system to address occupational health risk factors in SEE countries through National programs for occupational health services (2008)

• Elaboration and modification an essential package for provision of basic occupational health services (2009)

• Training of OH experts in organization and methods of work in basic occupational health services on sub-regional level (2010)


Enterprises, ( especially small and medium sized ), all workers (especially women, young people, aging workers, agriculture, informal sector, self employed), OH experts


The countries in SEE are experiencing a transitional process with high rate of unemployment, fragmentation of enterprises, increased number of SMEs, and self employed, growth of informal sector and parallel economics as well as increased employment insecurity and a reduction in the coverage of labor protection system. Changing work life brings pressure for changes in occupational health services for this region and it is the crucial moment to establish or redefine and further develop OHS concerning their infrastructure and quality from passive and disease oriented towards new comprehensive models - specialized, multidisciplinary, risk oriented and active. Collaboration and social dialogue between Governments, employers, workers, service provision professionals should strengthen national policies, clarify priorities and enable control and surveillance.

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Dissemination conferences and technical workshops in particular areas of common interests with participation of the social partners ; WHO documents


Regional


In December 2006, Institute of Occupational Health Skopje, Macedonia, organized the First Sub-Regional Workshop " Strengthening Health Systems to Address Occupational Health Risks in the South-Eastern Europe" with participants from 7 SEE countries, WHO/EURO and ICOH representatives. The meeting resulted in establishment of the SEE Network on Workers Health for joint actions including this project.The reports on occupational health situation in the SEE Countries, based on the Questionnaire, were introduced ( Situational Analysis), recognizing a number of strengths of the Sub-Region and identifying the gaps and needs for further development of occupational health services system.In this process of development, the key element should be WHO/ILO/ICOH BOHS approach with the priority on the high-risk sectors.Buxton Meeting in March 2007, confirmed WHO HQ, ICOH and FIOH’ support through project proposal addressed to the potential EU funding.

(WHO) AA5:5 AA5:2a


AA5 Development and Expansion of Occupational Health Services

CC or NGO Name

The Industrial Accident Prevention Association, (IAPA), Canada a WHO Collaborating Centre for Workplace Injury and Illness Prevention

Project title

Enhancement of Occupational Health and Safety in Mexican Industry

Keywords

Integrated management system Occupational health & safety


Leonard Sassano, Director, Strategic Alliances [email protected]

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IAPA

Other partners

Mexican Ministry of Labour: Direccion General De Seguridad Y Salud En El Trabajo (DGSST) Secretaria Del Trabajo Prevencion Social (STPS)

Funding

Funding provided by the Mexican government.


The Mexican government is committed to promoting the integration of HS&E into Mexican industries through its voluntary compliance program known as the SASST programme program (Systema de Administration Salud y Seguridad en el Trabajo). The objective is to apply SASST within workplaces to improve the health and safety of workplaces and working conditions for all workers. It is realized that Mexican workplaces require to engage a managed approach and adopt a management system to successfully apply SASST. The project will focus on the development and engagement of a managed system to successfully integrate the SASST compliance programme.


1. Completed May 2003: Developed and delivered a four day

training program on SASST programme implementation to 40 STPS assessors and DGSST inspectors from across Mexico.

2. Completed October 2003: Presentations on SASST and OHS Management Systems completed at two major OHS conferences in Mexico and at regional workshops across Mexico involving government, employers and worker groups.

3. Completed November 2003 – December 2004: A Consultant Certification process was developed to enable Mexican assessors to provide services to enterprises enrolled in the SASST programme.

4. September 2005: To deliver consultant certification to assessors. 5. December 2007: Pilot applications and evaluate results of

interventions. Make necessary modifications and refinements based of results. Apply nation wide. Completion by 2008.


The Mexican government will benefit by having a roster of qualified consultants who can assist enterprises to develop and implement a quality health and safety program, using an integrated management system with proven effectiveness. All enterprises will benefit by having access to qualified consultants to assist them to comply with SASST, in a manner that is of high quality and consistency.

Summary of the

The project will achieve a number of results:

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project (max 100 words)

• The achievement of healthier and safer workplaces for Mexican workers.

• The development and implementation of an OHS Management System to successfully apply the SASST voluntary compliance programme. This will lead to improvement of working conditions and reduction of injuries and illnesses within the workplace.

• The empowerment of workers, and improved communication and cooperation between management and workers through the successful engagement of SASST and a managed approach towards HS&E.

• To contribute towards sustainability and building capacities among STSP, DGSST, and independent assessors to lead the successful integration of SASST together with a managed system’s approach into Mexican workplaces.

Dissemination

The project outcomes will be disseminated by the increasing numbers of qualified Mexican assessors and certified consultants, who will coach and train Mexican enterprises. The project outcomes will also be published in IAPA’s various communications vehicles, (magazine, website) and discussed at national and international conferences.


National (Mexican) and regional (Americas)


This project should be considered dormant, due to the change in the Mexican Government last year. We have had no indication that the new government wishes to continue this project. If it becomes active again in the future, we will inform you.

(WHO) AA5:6 AA5:2b


AA5 Development and Expansion of Occupational Health Services

CC or NGO Name

The Industrial Accident Prevention Association, (IAPA), Canada a WHO Collaborating Centre for Workplace Injury and Illness Prevention

Project title

Enhancement of Occupational Health and Safety in Brazilian Industry

Keywords

Integrated management systems

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occupational health and safety


Leonard Sassano, Director Strategic Alliances [email protected]


IAPA Canadian Centre for Occupational Health and Safety (CCOHS)

Other partners

Canadian Partners: • Ryerson University

Marsha McEachrine Mikhail, Ryerson University, Toronto [email protected]

• Occupational Health & Safety Research Institute Robert-Sauvé (IRSST)

• Ontario Service Safety Alliance (OSSA) • Ontario Forestry Safe Workplace Association (OFSWA) • BRI International

Brazilian Partners: • SESI- Industrial Social Service National Department, Brasilia • Fundacentro

International Partners: • PAHO • ILO

Funding

The project is co-funded by the Canadian International Development Agency (CIDA) and ABC Transfer of Technology Fund for Brazil.


The purpose of the project is to strengthen the capacity of small and medium sized enterprises (SME’s) within selected sectors in the participating states for integrating workplace health and safety into their organizational culture, performance goals and management systems, and to reduce illnesses, injuries and fatalities for all workers. Furthermore, the project aims to enhance the capacity of participating industries and their SESI Occupational Health and Safety Departments to effectively address challenges in the development, implementation, management and evaluation of OHS services and programs for all workplace participants.


1. Needs assessments & stakeholder engagement Completed April

2005. 2. Training of individuals that have responsibility for the development

of the information system and web portal. Completed December 2005

3. Develop consulting skills and begin the development of the SESI

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management system framework. December 2005 4. Support SESI in the design and development of an

Epidemiological Information System. By 2009 5. Development of a OHS web portal to enhance SESI’s capacity to

use OHS technical knowledge and information as a strategy to improve OHS within work environment of SME’s. By 2009

6. Development and implementation of OHS management systems within SME’s. To develop and deliver enhanced SESI managed OHS technical and management services to SME’s. By 2009


Brazilian industrial workers in SMEs are the target, and will benefit by achievement of greater health and safety equity, and the reduction of injuries, illnesses and fatalities. SESI will benefit from the combined expertise and experience of a consortium of highly credible Canadian organizations.


Project Results will include: • The achievement of healthier and safer work environments for

Brazilian workers. • An increase in the number of SMEs implementing effective and

efficient OHS programs that comply with Brazilian OHS legislation and international standards.

• The establishment of an effective SESI managed OHS Information System to identify needs, set priorities, and evaluate industry programs, as well as inform SESI service delivery to address identified OHS issues including workplace related injuries, illnesses and deaths.

• Strengthening the ability of men and women to exercise equally, their recognized fundamental right to know.

• Improved attention to gender specific health and safety issues. • The empowerment of workers, and improved communications

and co-operation between management and workers, through increased OHS awareness and education, and the formation of joint OHS committees within participating industries.

Dissemination

The project outcomes will be disseminated by the Brazilian partners, who will continue the work after the project is completed. The project outcomes will also be published in IAPA’s various communications vehicles, (magazine, website) and discussed at national and international conferences such as the National Safety Council (US) and the World Congress on OH&S.


National (Brazil) and regional (the Americas)

Progress on Project • Training of SESI consultants in managed systems and

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(max 100 words) consulting skills is in progress and is to be completed March 2009. Some of this training is being done in Brazil, and some in Toronto, Ontario, Canada.

• Pilot projects are being carried out in 6 regions with 18 enterprises to develop and implement occupational health and safety management systems (OHSMS) utilizing OHSAS 18001 as the underlying system. The pilot project is to be completed March 2009.

• Workers in each of the 18 enterprises are actively participating in the development and implementation of the OHSMS.

• Workplace gender and diversity considerations are being addressed throughout the development and implementation of the OHSMS.

• A key principle underlying the pilot project is building capacity and capability of each enterprise to continue the maintenance and enhancement of their OHSMS.

(Much more detail on this project is available in IAPA’s Annual Report to WHO/PAHO for 2006.) (Note that project AA2:NP7 is part of this overall project, but it is being carried out by IRSST, another partner in the Canadian consortium.)

(WHO) AA5:7 AA5:2c


AA 5: Development and Expansion of Occupational Health Services

CC or NGO Name International Centre for Pesticides and Health Risk Prevention (ICPS), Italy

Project title Quality Assessment and Audit of Occupational Health Services

Keywords


Professor Angelo Moretto [email protected]


We foresee to involve experts in the field of occupational health and safety assessment.

Other partners None

Funding ICPS


Development and implementation of a system for quality assessment and audit of policies and practices of occupational health and safety services.


Realization and periodical testing of the quality and safety systems (ISO 9001/200 and OHSAS 18001:1999) in occupational health

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services and in its development over time. Qualification of auditors to the international standard "Occupational Health and Safety Assessment Series" OHSAS 18001:1999.


Safety Prevention service and Occupational Health Departments among public hospitals in the region of Lombardy (ITALY)


Quality management systems are being developed and applied in several hospitals and other health care structures. Such experiences have shown that the integration of quality system with the existing OH & S structures has a synergic impact on the quality of both systems that in past years were developed independently one to the other. The approach was based on the application of the following guidelines and norms:

ISO 9001: the eight quality management principles of the norm are customer focus, leadership, people Involvement, process approach, system approach to management, continual improvement, factual approach to decision making, mutually beneficial supplier relationships.

OHSAS 18001 is applicable to enable an organization to control its risk and improve its performance.

Deming PDCA Cycle. The key components of the Deming’s approach are Plan, Do, Check, Act. This one is a simple process to support continuous improvement.

The guidelines ISO 19011 for quality and safety management systems auditing provides the principles of auditing, managing audit programmes, conducting audits.

Based on the above reference guidelines, specific procedures have been created, developed and applied. A specific set of indicators has been created and developed. The results of the experience, highlighted during the periodical Quality and Safety Audits, have been:

Implementation of an integrated Quality and Safety overall management system:

Effectiveness of the management of risks Capability to maintain and exceed compliance with regulatory

requirements Adequacy of the emergency preparedness and response Implementation of operational risk control, monitoring and

measurement Continuous improvement of management system performance.

Dissemination Dissemination activities will include communication of progress and results with the panel of experts; the ICPS web-site; presentation of the results on public health scientific meeting.


Regional, national and European level policies.


The 1st edition of the course has been completed in March 2007. Further editions of the course will be developed in this year and in 2008.

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(WHO) AA5:8 AA5 :3a


AA5 :Development and Expansion of OH Services

CC or NGO Name

National Institute of Occupational Safety and Health, Japan

Project title

Occupational Health Services of Small Scale Industries

Keywords

OSH management, SMEs, checklists, training manuals


Dr. Shigeki Koda E-mail address:[email protected]


Prof. Naomi Hisanaga, Aichi University of Education, Japan E-mai addressl:[email protected]

Other partners

Funding Each collaborating partner is responsible for its respective costs Objective of the project

The objective of this project is to establish and develop support system for OSH management in small scale industries.


The reports of good practices in small scale industries related to: 1. Improving for working environments and conditions. 2. Improving ergonomic stress 3. Identify OSH risk in the workplaces by using action checklists and

training manuals. This will be completed before the end of 2010.


Employers of small scale industries and occupational health and safety professionals


We will visit many small scale industries, examine occupational health and safety risk in the workplaces, and discuss with employers and employees using action checklist and training manuals. These activities will develop good practices in small scale industries. The good practices include feasible and cheap improvements in working environments and conditions, good working organization and the development of OSH services. These good practices will provide good hints for occupational health and safety professionals engaging in OSH activities for small scale industries in many countries.

Dissemination

National documents


Global


We have visited several small scaled factories of manufacturing industries. Visiting small scale industries is ongoing. And we are developing action checklists and training manuals in order to identify occupational health and safety risk, and discussing good practices in

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the workplaces with employers and employees in small scale industries.

(WHO) AA5:9 AA5:3b



CC or NGO Name Department of Occupational Health, Korea Occupational Safety and Health Agency (KOSHA), Incheon, Republic of Korea

Project title Occupational Health Service Support for small scaled enterprises (SSE) to promote their ability to enhance health status of workers

Keywords Small-scale enterprises, Occupational Heath Service Support (OHSS) program, Governmental subsidy


Seong-Kyu Kang, M.D., Ph.D., [email protected] Young-Soo You, [email protected]


FIOH (Dr. Timo Leino) Catholic University, Seoul, Korea National Institute of Occupational Safety and Health, Japan

Other partners Any WHO-CC which wishes to develop occupational health service in SSEs

Funding KOSHA, MOL (Korea),


The key objective of this project is to provide occupational health service for SSEs having less than 50 employees which don't have legal responsibility on hiring or consulting occupational health manager


Occupational Health Service Support (OHSS) program to SSEs. Development of outcome markers for effects of OHSS (2007)


Focusing group is definitely SSEs with less than 50 employees.


According to the Industrial Safety and Health Act of Korea, employers with more than 50 employees have legal responsibility on hiring or consulting to occupational health manager in their company. However, SSEs having less than 50 employees are exempted. The KOSHA has been launching OHSS program since 1993, because SSEs lack not only occupational health intelligence but also economic ability. The services have been provided by private professional occupational health organization with governmental subsidy. OHS includes work environment measurement, special medical examination, and

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education to workers. Outcome markers will be developed for achievement of OHS. The OHSS program has been updated through customer satisfaction surveys.

Dissemination Report on result and evaluation of the program. Outcome markers for achievement of OHS


Regional, Global


Technical assistance has been provided to more than 15,000 workplaces with less than 50 employees, including visits by occupational nurses and hygienists, counseling about industrial health management, and providing work environment measurements. Through this assistance, workplaces’ general performance of observing the Industrial Safety and Health Act was improved.

(WHO) AA5 :10 AA5:4a


AA5: Integrating Occupational Health into Public Health Care

CC or NGO Name Department of Environmental Health Engineering, Sri Ramachandra University, Chennai, India

Project title Development and integration of Basic Occupational Health Services into Primary Health Care in Southern India

Keywords Basic Occupational Health Services, Primary Health Care, training, education, informal sector, rural sector


Jayachandran Paulsamy; [email protected] Kalpana Balakrishnan ; [email protected]


National Institute of Occupational Health Ahmedabad, India Finish Institute of Occupational Health, Finland

Bureau of Occupational and Environmental Diseases, Thailand Other partners None

Funding Yet to be identified


The project will - provide a training needs assessment for OSH for PHC [primary health care] workers who serve mainly the rural and informal sector - Develop a set of

o OSH training modules for health care workers (PHC workers, nurses, doctors) in PHC settings and o practical tools for intervention by these trained persons o evaluated models of basic occupational health

services - Conduct and evaluate the training of HCW [health care workers]

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in community medicine programs in Southern India - Monitor and evaluate the impact and usefulness of the modules

and intervention tools - Increase coverage of occupational health services, specifically it will increase the OHS service for the rural population and the informal sector


- A core group of trainers will be able to continue the program - Appropriate educational material in several languages (e.g. English and local languages such as Tamil and Kannada) will be available such as: (a)Educational material for PHC workers in OSH (b)Teachers' and trainers' course handbook (c)General information material for use in villages and for quasi-illiterate populations (d)Possibly: training material for general practitioners as 'first providers' -Articles of "good practice" examples and models of introducing OSH into PHC settings published in peer-reviewed literature The project is planned for 3 years from start of funding


Primary health care physicians, social workers and other first line health care personnel working in areas where there is no professional OHS service available.


The overall goal of the project is to develop strategies, models and appropriate material to integrate OSH into the delivery of primary health care (PHC) and to gain experience in the possibilities and difficulties in training the PHC providers in principles of prevention of occupational & environmental diseases. In India, OSH services are only available for approximately 0.5% of the workforce. Nearly 90 % of the workforce is not covered under the current regulatory framework and have no access to OSH services. The selection of occupational & environmental health topics, development of training materials and creation of a framework for integrating Basic occupational Health services in Public Health Care are to be developed in close co-operation with the PHC staff.

Dissemination The educational satellite portals available to SRU through its telemedicine networks will be used to generate awareness in the rural areas. In the peri-urban areas fliers and or booklets may be used along the on-going health promotion campaigns being currently undertaken by the PHCs.


Global

Progress on Project as of July 2007 (max 100 words)

SRU is organizing a two –day workshop in November 2007 for initial discussions with stakeholders. A draft training plan is expected to be finalized at the meeting. SRU has requested the Department of Public Health, Govt. Of Tamil Nadu to collaborate in this activity and funds

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are being sought through the WHO India office.

(WHO) AA5:11 AA5:4b



CC or NGO Name Bureau of Occupational and Environmental Diseases, Thailand Project title Occupational Health and Safety Quality Assurance for Primary

Health Care Unit

Keywords Occupational Health Services, Primary Health Care Unit, Underserved working group


Dr.Somkiat Siriruttanpreuk [email protected]


Sri Ramachandra Medical College & Research Institute, Chennai, India

Other partners Department of Occupational & Environmental Health, College of Public Health, University of South Florida, USA (Dr.Norbert Wagner)

Funding International Labour Organization and Governmental budget Objective of the project

1. To develop guidelines for OHS quality assurance for primary healthcare unit 2. To develop quality of OHS services at primary healthcare level


- Manual of guidelines for OHS quality assurance for primary healthcare unit - Manual describe process of OHS quality assurance for primary healthcare unit


Health officers, occupational health professional, policy makers, informal sector, Thai National Health Security Office


The project aims to develop guidelines for OHS quality assurance for primary healthcare unit that will help increasing the quality of OHS services at primary healthcare level in the country.

Dissemination Manual of guidelines for OHS quality assurance for primary Health care unit, national documents, ILO documents


Regional


- Training of health officers at pilot primary care units - Develop guideline and tools - Interview and evaluate of health services - Focus group interview for target population to assess the occupational health problems and occupational health services need

(WHO) AA5:12 AA5:4c



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Project title Pilot study: Establishment and development of a model for occupational health service provision

Keywords Provincial occupational health services, health care workers, occupational health service model


Dr Spo Kgalamono [email protected]


1. FIOH ? 2. Singapore CC (National University of Singapore) ? 3. Sri Ramachandra Medical College & Research Institute,

Chennai, India (Dr. Norbert Wagner)? Institute of Occupational Health, Skopje, Macedonia (Dr. Jovanka Bislimovska) ?

Other partners • Prof Mohamed Jeebhay (University of Cape Town, SA)• Prof. Rajen Naidoo (University of KwaZulu-Natal, SA) • Provincial Departments of Health, South Africa • University of the Witwatersrand, South Africa

Government departments in other SADC (Southern African Development Community) countries, currently involved with the long term programme, WAHSA (Work & Health in Southern Africa), sponsored by Sida

Funding National Institute for Occupational Health (NIOH), SA Objective of the project

1. To identify barriers 2. To develop a model for optimum use in South Africa


1. Develop guidelines for the South African model 2. Implement relevant intervention for the barriers identified


Health Care Workers, employees from Small and Medium enterprises, public sector


South African workplace occupational health services are not adequate for all employees hence the state has a responsibility for offering accessible services through provincial structures not only for its employees (health care workers); but for the public at large. These provincial occupational health services are not adequate, are provided in a fragmented manner and there are no guidelines for provision within the weak structure; hence the National Institute for Occupational Health (NIOH) is investigating the barriers to efficient provision of these services so as to develop a model for optimum use in South Africa

Dissemination Provincial and National Departments of Health, Health Care Workers, SADC Occupational Health units and occupational health practitioners


Regional


3 of the 9 provinces have granted permission to do the study in their different facilities. Awaiting response from 6 other provinces. Once

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permission has been granted, data collection will take no more than 5 working weeks

(WHO) AA5:13 AA5:4d



CC or NGO Name

National Institute of Occupational Health and Poison Control, Chinese Centre for Disease Control and Prevention, Beijing

Project title

Development an expansion of a pilot project for occupational health services in China

Keywords

Expansion, pilot project, occupational health services


Li Tao [email protected]


WHO, ILO, University Illinois, USA

Other partners

-

Funding

National finance support of China, WHO, ILO


To train the health care workers at county and township levels the ability of occupational health services (OHS), so that they could provide basic occupational health services (BOHS) for workers in small and middle-scale enterprises (SMEs).


Manual for health care workers about how to provide BOHS for workers in SMEs. Training course for health care workers in villages and township levels on OHS. Spread the successful experiences and models to other villages and towns.



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Select 10 provinces and 18 counties to be investigated. It will be involved 540 towns and 600 health care workers. Compile a manual of occupational protection and prevention for workers in SMEs. To train health care workers in villages and township levels about OHS. Spread the successful experiences and models to other villages and towns in China.

Dissemination

WHO documents and national documents.


Both global and national.


Organizing a national strategy for BOHS in China, drawing up profiles and implementing 19 provincial, county and a local level pilot projects, manuals for BOHS implementation.

(WHO) AA5:14 AA5:4e Activity Area Number and title



Project title Health promotion programs for selected groups in Central America

Keywords Central America, Health promotion, Safety promotion, Prevention, Social context


Dr. Catharina Wesseling [email protected]

With subproject coordinators Partners (of the CC Network)

PAHO

Other partners National Institute of Public Health (Sweden); Central American Universities and Institutes for Social Security; Central American Integration System; Universidad San Carlos de Guatemala; Universidad de Panamá; Universidad de El Salvador; Universidad Nacional Autónoma de Nicaragua; Instituto Tecnológico de Costa Rica; Belizean Sugar Industries; Universidad Autónoma de Honduras; four hospitals in Guatemala and Panama; local community and health authorities; local ILO and IMO offices; associations of coffee producers in Costa Rica; indigenous communities; human rights associations.

Funding Sida and collaborating institutions

Objective of the Promotion of worker and community health in priority populations in

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project Central America. Project outcome(s) and deadline(s) for completion of the project

Diagnostic phase to be completed for all subprojects by November 2007 at latest. Impact evaluations of first full-scale interventions completed by Nov 2007 at latest.


Workers, their families and communities; target industries; community, district and national health and labor authorities; trade unions; health care providers.


These programs are undertaken in three overlapping phases: (i) assessment of priorities; (ii) implementation of interventions; and (iii) continuous evaluation. They will be implemented in construction workers (safety promotion only); sugarcane workers; hospital workers; workers in hotels and restaurants; migrant coffee workers; and urban informal-sector communities. Rapid priority assessment will be followed by evaluated intervention. Interventions take the form of workplace and community health promotion and will be defined with the workers, community members and the social context, within the constraints of available resources.

Dissemination Local, national, regional and wider dissemination has been designed, using a large variety of channels and media, and a variety of modes (interactive/popular/technical/scientific).


Local impact will be disseminated nationally, regionally and globally for the diffusion effect of successful interventions. A regional worker health promotion policy will be outlined.


Construction workers. Safety training and interventions have been implemented in Honduras. Improvement of pertinent legislation has been negotiated with a Government agency. Sugarcane workers. Health risk assessments and workplace interventions have been conducted in worksites in Belize, El Salvador, Nicaragua and Costa Rica. Hospital workers. Risk assessments have been conducted in three hospitals in Guatemala and Panama. Interventions have been started on vaccinations, diet, stress management and workplace exposures. Informal sector. Health risks have been assessed for 10,000 migrant coffee pickers in Costa Rica, and interventions started on living conditions. The migrants will be brought into a social security program that guarantees health care services.

Health risk assessment and medical interventions are underway in street vendors in Honduras.

(WHO) AA5:15 AA5:4f



CC or NGO Name

Fudan University School of Public Health, Shanghai, China

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Project title

Workplace health promotion demonstration program in different types of enterprises in Shanghai

Keywords

Workplace health promotion, Shanghai


Feng Li [email protected]


Other partners

Fudan University School of Public Health, Shanghai

Funding

Each collaborating partner is responsible for its respective costs


Health promotion strategies in workplaces and integrated intervention including smoking control, physical activity promotion, healthy food, safety workplace will be implemented in some demonstration enterprises in Shanghai.


The expected outcome: models of workplace health promotion suitable for different types of enterprises are expected to be developed. The deadline: December 2008.


Enterprises

Summary of the proje(max 100 words)

Two enterprises from each one of 4 types of ownership enterprises (nation-ownership, domestic private ownership, foreign invested ownership and domestic and foreign co-invested) will be selected. Health promotion strategies in workplaces will be employed and integrated intervention including smoking control, physical activity promotion, healthy food, safety workplace will be implemented in these demonstration enterprises.

Dissemination

Publishing papers and project reports.

Impact; global/regiona

China

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One master student has passed his dissertation and one paper has been published in Chinese academic journal.

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Activity Area 6: Communication and Networking

Manager: Claudina Nogueira, NIOH, SA [email protected]

Deputy Manager : Max Lum [email protected]

Subgroups:

KTBP Knowledge Transfer & Best Practices SWI Successful Workplace Interventions WBD Web-based databases NM Nanomaterials

1 AA6:KTBP1


AA 6: Communication and Networking Subgroup: Knowledge Transfer & Best Practices – KTBP 1

CC or NGO Name Great Lakes Center for Occupational and Environmental Safety and Health

Project title Recruiting young scientists and engineers to occupational hygiene

Keywords outreach, recruitment, occupational hygiene


Steven E. Lacey, PhD [email protected]


University of the Witwatersrand (proposed) University of Cape Town (proposed)

Other partners • AIHA Student Activities Working Group (SAWG) • Southern African Institute for Occupational Hygienists

(SAIOH) • Association of Societies for Occupational Safety & Health

(ASOSH) Funding AIHA Student Activities Working Group

Objective of the project Knowledge transfer to young scientists and engineers of occupational hygiene as a career option


• To share the outreach framework with two CCs (2006) • To expand the AIHA SAWG current efforts to an international

level (2007) • To establish a functional occupational hygiene career

outreach program at the national level in additional countries (2008)

• To establish an active network of individuals interested in

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promoting occupational hygiene as a career option to young scientists and engineers (2009)


Undergraduate and graduate scientists and engineers; the field of occupational hygiene at large.


In 2003, the AIHA Engineering Committee initiated an outreach program to attract young engineers to the field of occupational hygiene. This evolved into the development of the AIHA Student Activities Working Group, dedicated to attracting and retaining young scientists and engineers to the field of occupational hygiene. This project seeks to expand these efforts on a global level to ensure an adequate supply of occupational hygiene professionals for all nations. Current efforts will provide the basic framework to be adapted and evolve to suit others. This project will facilitate communication and networking among like-minded individuals that recognize the importance of training new hygienists.

Dissemination Project outcomes will be reported on participating CC websites and in AIHA printed materials.


Global

PROGRESS ON PROJECT

While these efforts have been continuing in the US, it has been difficult to expand to the international level. Our initial attempt at seeking collaborators was challenging, but an attempt to re-initiate this effort is planned for early 2008. In addition, Dr. Lacey has developed several new international relationships that may serve as a mechanism to accomplish our goals. A recent outcome includes the initial steps to develop inaugural student-related activities at the ICOH 2009 conference. It is anticipated these activities and further networking at this conference will facilitate the expansion of our outreach efforts.

2 AA6:KTBP2Activity Area Number and title


CC or NGO Name European Institute of Health and Social Welfare, Madrid Project title “Occupational Health Latin-American Forum” Keywords Occupational safety and health, Latin- American forum, Project leader Email address



• Asociacion Chilena de Seguridad - Chile (Marisol Concha [email protected])

• IRET – Costa Rica (Caterina Wesseling; Patricia Monge [email protected]; [email protected])

• Senac (National Service for Commercial Education) Jabaquara Training Unit, São Paulo – Brazil

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(Rosangela Gonçalves Ribeiro; Tatiana Pincerno Ribeiro [email protected]; [email protected])

• NIOH - South Africa (Claudina Nogueira [email protected])

Other partners • Ministries of Health, and Labour of the Governments which will take part.

• Centre of Environmental & Occupational Health, National Institutes of Health Dr. Ricardo Jorge, Port, Portugal (Olga Mayan [email protected])

• Department of Occupational Health, National School of Public Health, New University of Lisbon, Portugal (Antonio de Sousa Uva [email protected])

Funding Fund would be set by Governments NGO and CC themselves.


Create a discussion forum for Latin-American countries in order to share scientific information and other experiences in local/national projects


To enhance effective communication among Spanish-speaking countries. To integrate and make dynamic all that multi-country information. To identify, promote and integrate actions to be taken.


All the implicated actors (Governments, CC, NGOs, Academic Institutions and Enterprises)


The aim of this project is to enhance the effective union of the Latin-American countries implicated in the Global CC Network Plan, through a multi country and multi disciplinal forum. This would involve several social, political and academicals institutions and could be an important opportunity to establish action lines in compromise with the political authorities.

Dissemination Forum consensus report. WHO bulletins and Internet. Impact (global or regional)

Multi-country

Progress on Project as of 1 OCTOBER 2007

The Occupational Health Latin-American Forum will be celebrated in November 2009, in Madrid (Palacio de Congresos de Madrid). This forum will take place inside the 9th SALUSLABORIS Fair. We are working with partners and are preparing the framework for the meeting. Different people (WHO collaborating centres representatives, enterprise directors, social speakers, experts, and people responsible of Environment, Quality and Occupational Health Management), will be invited to form an Organizing and a Scientific Committee. We are in contact with the follow partners (of the CC Network): Asociación Chilena de Seguridad- Chile, and IRET –Costa Rica for the preparation of dossiers about the following subjects, which will be included in the meeting´s agenda: Work and aging, tobacco and spaces without smoke; mental load and migraines, occupational

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cancer, vaccination, occupational stress, mobbing and burnout. The meeting will be financed by sponsors, public and private enterprises.



CC or NGO Name


Project title Global Silica Information Dissemination

Keywords Silicosis, Information, Dissemination


Faye Rice, Epidemiologist [email protected]


• 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 [email protected]; [email protected]; [email protected])

• Fundacentro, Brazil (Ana Maria Bom, Alcinéia Santos [email protected]; [email protected])

• CENSOPAS, Peru (Luis Santa-Maria)

Other partners Silica experts throughout NIOSH West Virginia University University of Cincinnati

Funding

NIOSH


To produce and disseminate NIOSH information products and provide training and technical assistance to prevent silica-related disease.


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

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products


NIOSH information products are disseminated worldwide. Partner countries without silica subject matter experts are a specific target of the project.


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


Global

PROGRESS ON PROJECT

NIOSH staff provided training and technical assistance to ISP Chile in 2006 and 2007. A review of existing materials was conducted and the development of information products is in progress.


AA6: Communication and Networking Subgroup: Knowledge Transfer & Best Practices – KTBP 4

CC or NGO Name Institute of Maritime and Tropical Medicine in Gdynia, Medical University of Gdansk, Poland (WHO Inter-Regional Collaborating Centre on Maritime Occupational Health) Powstania Styczniowego 9 B, 81-519 Gdynia, Poland

Project title Publishing the journal INTERNATIONAL MARITIME HEALTH Keywords Publishing, research work, maritime occupational health, training

materials Project leader Email address

Dr Stanislaw Tomaszunas, Head of the WHO CC in Gdynia [email protected]


• University of Brest, France • University of Southern Denmark, Esbjerg, Research Unit on

Maritime Medicine

Other partners • Ministry of Health, Poland • CIRM, Rome

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• Norwegian Centre of Telemedicine • Department Maritime Medicine of Central Institute of

Occupational Medicine, Hamburg, Germany (Marcus Oldenburg, Xaver Baur [email protected])

Funding Funding from the resources of the Medical University of Gdansk, and additional support from outside, occasionally

Objective of the project To continue publishing this international scientific journal which exists from 1946, and in 2004 volume 55 of it was published. To distribute the journal to Universities, research institutes in maritime countries, port health centres, and WHO CC in OH. To provide postgraduate training materials for medical officers specializing in maritime occupational health, and medical practitioners who care for health of maritime workers in developing countries.


To publish volumes 57-58-59, 60 and 61 of the IMH journal in the years 2006-2010


The target group is medical officers who take care of the health of seafarers, fishermen, dockers, divers, and shipyard workers; and scientists in all countries of the world. They, and maritime workers, are the beneficiaries of the project


The INTERNATIONAL MARITIME HEALTH is the only scientific journal of maritime medicine and health published in English since 1946. (There are similar journals in Japan, China, Spain and Ukraine, but they are published in the national languages). Volumes of the IMH are the standard source of information and data on the occupational health of seafarers and fishermen. The journal is indexed in Medline, ILO-CIS Bulletin and other bibliographical database. It is distributed to Universities and research institutes in almost all maritime countries of the world. The authors of the papers published in the IMH journal are medical officers and scientists from countries in Europe, Asia, Africa, Australia and America.

Dissemination Published volumes of the journal are mailed to the addresses in all the continents.


The impact of this project is global

PROGRESS ON PROJECT

In 2005, volume 56/2005 of the International Maritime Health journal(207 pages) was published and distributed by the Institute of Maritime and Tropical Medicine, Medical University of Gdansk, Poland. It contained 26 original and review papers and other articles contributed by authors from 13 countries. In 2006, volume 57/2006 (256 pages) was published by the Institute in Gdynia in close cooperation with the University of South Britanny, France, the organizer of the International Symposium ErgoMare, and distributed to medical libraries and maritime occupational health specialists in 40 countries. It contained 32 original and review papers and other articles on maritime occupational health and tropical medicine.

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Plans are in place to publish the journal in 2007, and also for it to be published on the internet (subject to receiving external financial support).

5 AA6: KTBP5Activity Area Number and title

AA6: Communication and Networking Subgroup: Knowledge Transfer & Best Practices – KTBP 5


Project title Seminar: Preventive Interventions in the Workplace and Resulting Health Benefits

Keywords Health, safety, preventive interventions, practical approaches, toolkits. Project leader Email address



• Asociacion Chilena de Seguridad - Chile (Marisol Concha [email protected])

• IRET – Costa Rica (Caterina Wesseling; Patricia Monge [email protected]; [email protected])

• Fundacentro – Brazil (Marcela Rebeiro, Walter Pedreira [email protected]; [email protected] )

• NIOH - South Africa (Claudina Nogueira [email protected])

Other partners Centre of Environmental & Occupational Health, National Institutes of Health Dr. Ricardo Jorge, Porto, Portugal (Olga Mayan [email protected])

Funding Senac Objective of the project

To disseminate, among Latin American countries, the toolkits developed in the WHO Work Plan 2001-2005 and the new toolkits to be developed under the Work Plan 2006 - 2010, as well as the best practical experiences in using these toolkits.


4. A Seminar with expected 400 participants from Latin America, Central America and North America (2010).

5. Publication of the papers presented in the seminar, in English, Spanish and Portuguese (2010).

6. Dissemination of this publication among the WHO Collaborating Centres (2010).


Policy makers, governmental agencies, researchers, managers, occupational physicians and nurses, occupational hygienists, safety engineers and other OH&S professionals, as well as workers.


This Seminar aims at presenting and disseminating the WHO toolkits and training materials in the field of occupational health. Senac will invite the Collaborating Centres involved in their development and application to present the benefits of the toolkits. The Seminar also aims at stimulating their application in Latin American countries. Toolkits that could be presented at the Seminar:

- Chemical Control; - Silica Control; - Psychosocial Risk Management;

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- Ergonomics Checkpoints; - Injury Prevention Management; - Prevention of Needlestick Injuries in Healthcare workers.

Dissemination 3. Publication of the papers presented in the Seminar, in English, Spanish and Portuguese (2010).

4. Distribution of the papers produced to WHO Collaborating Centres in Occupational Health (2010).


Global

PROGRESS ON PROJECT

As for the Senac projects included in its proposal to be a WHO CC, we would like to communicate that Senac is starting to organize the steps of each one and, about Communication and Networking (AA6), there is a seminar on Preventative Interventions in the Workplace and Resulting Health Benefits which will be held in 2010. Therefore, we do not have, for the time being any, activities related to this project to report. However, about the chosen theme on preventative interventions, we intend to hold meetings and conferences during the next years in order to prepare the referred Seminar. We will inform you about these events through short reports. We are at your disposal for everything you need to broaden and disseminate information on Occupational Health.

6

AA6: KTBP6



CC or NGO Name CINBIOSE - Center for Interdisciplinary Studies in Biology, Health, Environment and Society (CINBIOSE), University of Quebec at Montreal, Canada

Project title Community of Practice in Ecosystem Approaches to Human Health to Reduce Toxic Exposure in Latin America and the Caribbean

Keywords Ecohealth, networking, global approach Project leader Email address

Donna Mergler [email protected] Catharina Wesseling : [email protected]


Instituto Regional de Estudio en Sustancias Tóxicas (IRET), the Universidad Nacional Insituto Nacional de Salud Pública, Cuernavaca, México

Other partners Centro de Estudios de la Mujer (CEM), Santigao, Chili Centro de Desenvolvimento Sustentável at the Universidade de Brasíia (CDS-UnB), Brasilia, Brazil Fundação Saúde, Ambiente e Desenvolvimento (FUNSAD), Quito, Ecador

Funding

International Development Research Centre (IDRC), Canada


Establish a Community of Practice of researchers, policy-makers and NGOs to integrate global, ecohealth approaches, whose pillars include interdisciplinary work, gender sensitive methods and community participation, into research and policy-making with a view to reducing exposures to toxic substances in workplaces and the environment.

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Centres of Excellence in ecohealth approaches in the 5 regions of Latin America and the Caribbean (Mexico, Central America and the Caribbean, Andean Region, Brazil, Southern Cone) with local outreach to researchers, NGOs and policy makers and strong transversal ties. Funding ends in December 2008, with possibility for 3 year renewal


Academics, policy-makers, NGOs, unions, civil society.


This project is establishing a Community of Practice on ecohealth research to reduce toxic exposure in Latin America and the Caribbean (CoPEH-TLAC), in partnership with Canadian researchers. It promotes and supports ecohealth research with policy intervention by progressively building on a nodal structure, strongly rooted in existing institutions that have demonstrated their capacity for interdisciplinary, intervention-oriented research and links to policy making. The Centres are focal nodes for outreach to their region and activities are co-ordinated by a Canada-LAC Core Committee. CoPEH-TLAC activities foster sharing, cross-fertilization and multilateral support. Inter-regional synergy is contributing to development, consolidation, integration and policy applications of ecohealth Approaches throughout LAC.

Dissemination Dissemination is both transversal and vertical. CoPEH-TLAC participates in international, national and regional events and locally each Centre has a plan for dissemination. Each Centre is likewise responsible for a specific theme: vector-borne diseases, pesticides in agriculture, mining and metals, up-scaling the ecohealth approach and structural re-adjustment and gender. Thematic and regional workshops have been held in all of the regions. The ecohealth approach is serving to foster a better integration occupational and environmental health concerns and more global solutions.


Through our participation in events organized throughout the world, and notably in international events organized in Latin America and the Caribbean. CoPEH-TLAC. In each region, CoPEH-TLAC has established links with universities, ministries, unions and groups within civil society for dissemination of ecohealth approaches with a view to providing global and viable solutions to reduction of toxic exposures.

Progress on Project

CoPEH-TLAC has been highly successful. Beginning with a group of 13 members (7 women and 6 men), we now have an active membership of over 100 persons in the 5 regions. Each Centre has developed differently, reflecting the needs of their region, supporting regional projects in research and intervention. We initiated a transversal training program and laid the basis of a program for institutionalization and outreach to academics, policy makers, unions and civil society. We initiated an innovative evaluation process, based on network communication theory, and are building our website (http://www.insp.mx/copeh-tlac/esp/inf). An International Forum on Ecohealth that will be held in December 2008 in México, will mark the end of the first Phase.

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7

AA6:KTBP 7



CC or NGO Name Southwest Center for Occupational and Environmental Health The University of Texas School of Public Health, USA

Project title Support of peer-reviewed, Spanish-language Scientific Occupational Health Journals

Keywords peer review ; scientific journal ; Archivos de Prevención de los Riesgos Laborales ; Salud de los Trabajadores


Sarah A. Felknor, DrPH, MS ([email protected]) George L. Delclos, MD, MPH, PhD ([email protected])


See note below re: Barcelona Center (pending designation).

Other partners Centro de Estudios en Salud de los Trabajadores, Universidad de Carabobo, Maracay, Venezuela Occupational Health Research Unit, Universitat Pompeu Fabra, Barcelona, Spain – pending designation as a WHO CC Catalan Society for Occupational Medicine and Safety, Spain

Funding Fogarty International Center ITREOH Training Grant ; The University of Texas School of Public Health Division of Environmental and Occupational Health Sciences (discretionary funds) ; Catalan Society for Occupational Medicine and Safety


Dissemination of rigorously reviewed, up-to-date, scientific information in occupational and environmental health


This activity has been ongoing (and remains very active) since 1999. A major objective for the 2006-2010 period is to successfully obtain indexing in MEDLINE for at least one of our two supported journals.


Spanish-speaking occupational health professionals and students in Latin America and Spain.


Two journals are supported: Salud de los Trabajadores (Venezuela) and Archivos de Prevención de los Riesgos Laborales (Spain, with dissemination to Latin America). Support is in the form of:

- Financial (subscriptions to key institutions in Latin America) - Editorial board membership - Translation and quality control of all English abstracts - Preparation of application for MEDLINE indexing - Peer review of manuscripts

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Dissemination Spanish-speaking universities and academic institutions Spanish-speaking professionals and students in occupational health


Global (Latin America and Spain)

Progress on Project All of the activities described under Summary of project are in effect and ongoing. An application for MEDLINE indexing (for Archivos de Prevención de los Riesgos Laborales) has been submitted and is pending review

8 AA6:SWI1Activity Area Number and title

AA 6: Communication and Networking Subgroup: Successful Workplace Interventions – SWI 1

CC or NGO Name National Institute for Occupational Safety and Health (NIOSH) USA Project title Sharing workplace OSH practices through sector-based global

collaborations (NORA) Keywords NORA Sector Interventions Best Practices Globalization


Dr. Max Lum, Global Collaborations Manager, NIOSH [email protected] and Dr. Marilyn Fingerhut, Global Collaborations Coordinator, NIOSH [email protected]


Anticipated partners: • ISPESL, Italy; • JNIOSH, Japan; • CCOHS Canada; • IOHA, IEA, ICOH and others • Department of Occupational Health, Korea Occupational Safety

and Health Agency (KOSHA), Incheon, Republic of Korea (Seong-Kyu Kang [email protected])

Other partners Anticipated partners: OSHA US; BG Germany; HSE UK; IRSST Quebec; ORC US; DOL Poland; Netherlands; multinational corporations; international unions, and various NORA partners

Funding

NIOSH NORA Global Collaborations funding; funding by global partners


To expand the application in workplaces in the U.S. and globally of interventions that successfully prevent work-related injuries and illnesses.


Partnerships globally to share successful sector based practices, interventions and services (in place in 3 sectors by December 06)

Communication system (e.g. newsletter and/or weblinks) in place (Dec 06)

Application in at least 100 new workplaces of shared practices, interventions or services (by Dec 08)

Multinational corporations or international unions provide assistance to 10 developing/transitional nation OSH professionals or local community workplaces to improve OSH services and practices (by Dec 09)

Global network of members established for sustainable

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continuation of this work (by Dec 10) Target group and/or beneficiaries

Workplaces globally will benefit. Sector based sharing of successes will increase applications and lower costs. Multinational corporations and international unions and OSH institutes, associations and NGOs globally are key partners for success in developing and transitional nations.


NIOSH is initiating in the U.S. a sector based National Occupational Research Agenda aimed at increasing preventive practices and interventions in workplaces. (See www.cdc.gov/niosh/nora.) Eight Sector Research Councils (SRC) will have broad membership in order to act to solve the worst problems of workplaces in the Sector. The sector groupings are:

Agriculture, Forestry, & Fishing Mining Construction Manufacturing Trade Transportation, Warehousing, & Utilities Services Healthcare & Social Assistance

Global Collaborations will be developed in each SRC to share sector based successful solutions across countries. Global partnerships will include employers, unions, OSH institutes, professionals, and associations. Assisting developing and transitional nations and small businesses in developed countries to implement successful practices will be a priority.

Dissemination NIOSH is sponsoring the sector based National Occupational Research Agenda (NORA) in the U.S. and information will be disseminated by NIOSH, WHO and other partners. A Global Collaborations electronic communication system will be put in place to encourage partnerships and sharing of successful practices and to ensure sustainability of the effort.


Global

PROGRESS ON PROJECT 1 OCTOBER

All 8 NORA Sector Councils have been formed and are working on identifying the worst problems in the sector and stating objectives for public review. Global Collaborations is one of 27 cross-cutting programs (www.cdc.gov/niosh/programs/global) working with the Sector Councils. Projects are underway with the Transport Sector in Global Road Safety for Workers and with the Mining and Construction Sectors in the Americas Silicosis Initiative. Additional bridges are being built with other sectors.

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Project title Sharing on the internet, case studies of successful safety solutions and health hazards control

Keywords WHO Global Web Portal, best practice information, successful hazards control


Dr. Ho Sweet Far [email protected]


• CCOHS - Canada (P. K. Abeytunga [email protected]) • Office of the Australian Safety & Compensation Council,

Department of Employment & Workplace Relations (Peta Miller, Anh-Thu Stuart [email protected]; [email protected])

• National Institute for Occupational & Environmental Health (NIOEH), Vietnam (Nguyen Khac Hai [email protected])

• Department of Occupational Health, Korea Occupational Safety and Health Agency (KOSHA), Incheon, Republic of Korea (Seong-Kyu Kang [email protected])

• National Institute of Occupational Safety and Health, Japan (JNIOSH) (Ippei Mori [email protected])

Other partners Organisations and companies with best practices and winning solutions Funding Ministry of Manpower, Singapore Objective of the project

The objective is to make available through the internet, specifically through the WHO Global Web Portal, case studies of successful safety solutions and health hazards control.


To strengthen and populate the WHO Global Web Portal for sharing of best practices and successful OSH control solutions (by 2010).


Employers, employees, government agencies and OSH professionals


Currently available on the internet through Singapore’s link to the WHO Global Web Portal, the existing repository of successful cases of noise and chemical hazards control, as well as ergonomic solutions, will be further populated and enlarged to include safety solutions, starting with fall prevention solutions. The case studies will comprise examples from winners of national OSH awards, including the Occupational Safety and Health Best Practices Award to be launched in 2006. The indexed database has a search function for retrieval by industry, hazard or keywords, with digital images of control measures, as well as information on cost aspects.



Global

PROGRESS ON The current database has 81 successful case studies (Noise Control -

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PROJECT 50, Chemical control - 17, Ergonomic & IAQ – 9, Safety Solutions - 5). Case studies comprise of control solutions from winners of the Workplace Safety and Health Awards, an event which is held annually. Moving forward, we will continue to populate the WHO Global Web Portal for sharing of good practices and successful OSH control solutions. We will also be working with our partners and industry players to refine the current template and enhance the searching capability.



CC or NGO Name Finnish Institute of Occupational Health; COHF Project title Cochrane Occupational Health Field Keywords knowledge transfer, evidence, Cochrane collaboration Project leader Email address

Jos Verbeek [email protected]


• Coronel Institute, Amsterdam, the Netherlands • Office of the Australian Safety and Compensation

Council, Department of Employment and Workplace Relations (Peta Miller, Anh-Thu Stuart [email protected]; [email protected])

• National Institute for Occupational Health, NIOH – SA (Danuta Kielkowski [email protected])

Other partners All WHO CCs wishing to contribute to the reviewing Funding Finnish Ministry of Social Affairs and Health, FIOH, Australian SCC,

Dutch Ministry of Social Affairs Objective of the project

To collect and summarize evidence on occupational health interventions


For the time period 2006-2010 there will be 20 reviews of occupational health and safety interventions available through the Cochrane Library. During every year of the time period about 5 reviews will be finished. The titles of reviews to be finished can be found on the website of the Cochrane Occupational Health Field at www.cohf.fi


Cochrane reviews are made in a global context. The target groups that can benefit from occupational health reviews are policy makers who can make more informed decisions. Next, occupational health professionals can benefit in making decisions about which interventions to apply in practice. Professional associations can use the information to provide better clinical practice guidelines.


The aim of the Occupational Health Field is to gather the evidence on the effectiveness of occupational health interventions and to stimulate the completion of systematic reviews on these interventions.

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The scope of the Field covers all interventions related to the prevention or treatment of occupational or work-related diseases, injuries and disorders. Trials that include a comparison group will be considered as evidence. Occupational health interventions are activities aimed at reducing exposure to health hazards, worker behaviour that is unfavourable to health, occupational or work-related diseases, injuries or disorders, or occupational disability and avoidable sickness absence.

Dissemination To this end the Field will maintain a database of controlled trials and systematic reviews on the effectiveness of occupational health interventions and make the results available to all those who are working in Occupational Health through their website www.cohf.fi


The project aims at improving the quality of occupational health activities at a global level

PROGRESS ON PROJECT

The Cochrane Occupational Health Field is a well established entity in the Cochrane Collaboration. Six reviews have been published in the Cochrane Library which is available in most countries free of charge, through www.thecochranelibrary.org. Protocols for another 9 reviews have been published and it is expected that these will become available during the next year. Another 8 titles have been registered and it is envisaged that these will also progress into full reviews. The topics of the reviews cover a wide range, from injury prevention to pre-employment examinations and return to work after depression. Thus, the project is on schedule according to the initial proposed planning.



CC or NGO Name Department Maritime Medicine of Central Institute of Occupational Medicine, Hamburg, Germany

Project title Establishment of an international working group for the utilisation of telemedicine to reduce health risks of seafarers

Keywords Telemedicine, merchant ships, accidents, emergencies, seafarers Project leader Email address

Marcus Oldenburg, Xaver Baur, ([email protected])


• Institute of Maritime and Tropical Medicine in Gdynia, Medical University of Gdansk, Poland (Stanislaw Tomaszunas [email protected])

• University of Brest, France • University of Southern Denmark, Esbjerg, Research Unit on

Maritime Medicine Other partners CIRM, Rome, and the Norwegian Centre of Telemedicine Funding Objective of the project

The aim of this project is to promote the introduction of suitable telemedical equipment on board of ships without a physician to improve medical care of ill/injured seafarers


The preliminary concept includes • Ascertaining the number and suitability of telemedical equipment

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(e.g. ECG by semiautomatic defibrillators, X-rays and photos) by considering ship-specific hazards (frequently injuries and diseases) (by 2006)

• Reinforcing international standardisation, harmonisation and co-operation (by 2006)

• Testing medical devices and the quality of transmitting telemedical signals on board (by 2007)

• Project completion: December 2007 Target group and/or beneficiaries

Seafarers, health staff in departments of health/labour institutions, ship owners, insurance agencies, trade unions of seafarers


Seafaring jobs belong to the most dangerous occupations due to the large number of traumatic work-related accidents. In case of accidents and diseases at sea, professional medical help is mostly not available. Therefore, telemedicine is an extremely useful new technology providing shipboard medical assistance. A pilot study involving the following steps has been started: Further development of medical equipment, suitability and applicability tests, especially in simulated emergencies and diseases, e.g. cardiac and skin diseases, injuries. A further step will be an appropriate, intensive education and training of ship officers.

Dissemination Impact (global or regional)

Global

PROGRESS ON PROJECT

In 2006/2007, we continued our suitability tests by means of four different semi-automatic defibrillators with telemedical function for their use on merchant ships at sea. In this context, 40 ship officers performed a medical emergency training comprising the administration of an electric shock by defibrillators. Moreover, the telemedical transmission of a 1-canal ECG by these devices was simulated. Afterwards, the ship officers evaluated the devices. The revised German Regulation on Medical Care on Board of Seagoing Ships prescribes to have semi-automatic defibrillators with telemedical function available aboard merchant ships. A comprehensive information and presentation of our study on shipboard defibrillators is planned for November 2007.

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AA6 Communication and Networking Subgroup: Successful Workplace Interventions – SWI 5

CC or NGO Name Great Lakes Centers, University of Illinois, Chicago, USA Project title WHO/Trade Unions Network on Implementing Workers Health

Initiatives Keywords Trade Unions, ICFTU, SustainLabour Project leader Email address

Dr Peter Orris [email protected]


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


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


Workers, their families, and communities


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.


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.

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13 AA6:WBD1Activity Area Number and title

AA 6: Communication and Networking Subgroup: Web-based Databases – WBD 1

CC or NGO Name National Institute of Occupational Safety and Health, Japan (JNIOSH) Project title Active Surveillance of occupational diseases and exposures – a

web-based information system Keywords Internet, work-related disease, occupational physician, online resources Project leader Email address

Dr Ippei Mori [email protected]


• Office of the Australian Safety & Compensation Council, Department of Employment and Workplace Relations (Peta Miller; Anh-Thu Stuart [email protected]; [email protected])

• National Institute for Occupational & Environmental Health (NIOEH), Vietnam (Nguyen Khac Hai [email protected])

• Occupational Safety & Health Division, MInistry of Manpower, Singapore (Ho Sweet Far [email protected])

• Department of Occupational Health, Korea Occupational Safety and Health Agency (KOSHA), Incheon, Republic of Korea (Seong-Kyu Kang [email protected])

• CCOHS - Canada (P. K. Abeytunga [email protected]) Other partners Occupational Physicians, Academic Researchers, Government Officials

in Japan and East/Southeast Asian countries Funding Financial provisions will be covered by the budget of the JNIOSH Objective of the project

To establish a web-based data collection system for the active surveillance for work-related diseases and occupational exposures, and to develop a web based information publication system for supporting occupational safety and health practitioners working in various enterprises.


The outcome until now (2002-2004) Main pages have been developed. Web data collection system was upgraded to satisfy requirement for privacy protection. Several doctors

MERCURY : The World Medical Association at it's 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 SustainLabour 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.

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project registered for this system to test the user-interface and functions. No actual data has been reported as yet. The outcome expected henceforth (2006-2010) A new research project on work-related disease surveillance will be launched. The present system is expected to be fully utilized for this project.


Occupational safety and health staff in companies, occupational physicians, and industrial hygienists


This project develops a cutting-edge web-based information collection system for the active surveillance of work-related diseases and occupational exposures. It also incorporates a web-based publication system for information dissemination to occupational safety and health practitioners. The system is designed for use by occupational safety and health staff in companies, as well as occupational physicians and industrial hygienists. It also distributes information to companies or providers of work environment measurement systems, with regard to occupational exposure levels. From 2005, a new research project on work-related disease surveillance will be launched and the present system is expected to be fully utilized for this project.

Dissemination Peer-reviewed scientific publications, Conference Abstracts, Online dissemination via the website, Presentations at society meetings (e.g. Japan Society for Occupational Health)


Regional

PROGRESS ON PROJECT

Under the WorldSurv (Work-Related Surveillance) Project, launched in 2005, we have developed a web-based data collection system and interactive websites for providing/sharing information and experiences. There are three subsystems: (1) Job-history registration system (2) Reporting system for work-related asthma and dermatitis (3) Needlestick injury reporting system (Web-episys) For each reporting subsystem, we provide an interactive website, and we are also preparing to host national/international project websites, such as the Scientific Committee on Respiratory Disorders (SC-RD) of ICOH, and the training course of physicians for reading radiographs of pneumoconiosis, according to the ILO International Classification of Radiographs of Pneumoconiosis, jointly organized by the Asian Academic Societies for Occupational Medicine ("AIR Pneumo", Asian Intensive Reader of Pneumoconiosis).




Project title Access to Occupational Safety & Health Information in the SADC Region and in Portuguese-speaking countries (Portugal, Brazil, Mozambique)

Keywords electronic networks, OSH information, dissemination, coordination

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Ms. Claudina Nogueira [email protected]


2. NIOH, South Africa 3. IACP, Italy (Alberto Zucconi [email protected]) 4. University of Cape Town (UCT), South Africa (Mohamed

Jeebhay [email protected]) 5. NIOSH, USA (Max Lum; Marilyn Fingerhut [email protected];

[email protected]) 6. CCOHS, Canada (P. K. Abeytunga [email protected]) 7. HSL, UK (Andrew Curran [email protected]) 8. Fundacentro (Jorge Duprat Figueiredo Foundation of

Occupational Safety and Medicine), Brazil (Alcinéia Santos [email protected] and Gilmar Trivelato [email protected]; [email protected])

9. FIOH, Finland (Suvi Lehtinen; African Newsletter [email protected])

Other partners 1. Worker’s Health Programme, University of

Kwazulu-Natal, SA 2. Occupational Health Management Board, Zambia 3. Sida-WAHSA Resource Complexes in Tanzania 4. Mozambique – Centre for Industrial Studies, Safety and

Environment (CEISA), Eduardo Mondlane University, Maputo (Custódio Muianga [email protected])

5. Mozambique - Ministries of Health and Labour 6. Centre of Environmental and Occupational Health, National

Institute of Health (INSA), Dr. Ricardo Jorge, Porto, Portugal (Paula Neves [email protected])

7. Department of Occupational Health, National School of Public Health, New University of Lisbon, Portugal (Antonio de Sousa Uva [email protected])

8. Senac (National Commercial Training Service), Brazil (Berenice Goelzer [email protected] and Regina Helena Ribeiro [email protected])

9. Medical School, University of Porto, Portugal (Olga Mayan [email protected])

Funding

Part of this project is funded through the Swedish International Development Cooperation Agency (Sida) and is a component of the Work and Health in Southern Africa (WAHSA) Programme, and supported by the NIOH, SA. Close collaboration with Sweden is an integral part of the WAHSA Programme. This project has the endorsement and support of the WHO, and OSH meetings held thus far for Portuguese-speaking countries have received some sponsorship from the WHO.


Comprehensive OSH information to be established at the NIOH Clearing House, and to be made readily available in all SADC countries, and Portuguese-speaking countries (Portugal, Brazil, Mozambique). This will include information on professional training, research programmes, international development programmes and

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practical solutions to dust control and the elimination of silicosis, relevant laws and policies. A comprehensive electronic network of OSH professionals in the SADC member states (including Mozambique and Angola), Portugal and Brazil will be established to support the Clearing House and to promote the dissemination and exchange of OSH information in Portuguese-speaking countries.


• Recommendations for improving the NIOH Clearing House to be established and implemented, following an evaluation of the information functions of the NIOH in December 2005. The recommendations will include ways that SADC and member countries can promote the collection and dissemination of pertinent information as well as ways to enhance its use to support OSH in the Region (early 2006)

• A follow-up audit will be conducted by the Sida-WAHSA Regional Programme Director and experts from the NIWL, after the recommendations have been presented and the process of implementation starts. This audit will include an assessment of the Clearing House functions by clients of the Clearing House, as well as an evaluation of the electronic network of practitioners (mid 2007).

• Training courses to be offered by NIOH Clearing House on access to OSH information to OSH information officers in various SADC countries (2007 – 2008)

• A network of Portuguese-speaking countries is to be established, for the promotion of OSH – inter-country dissemination of teaching and training materials, research findings, brochures, and any relevant OSH information in Portuguese


Clients of the NIOH Clearing House, in the SADC Region (OSH professionals and institutions, enterprises, trade unions, governmental agencies), international agencies supporting the Clearing House e.g. ILO and WHO, Resource Complexes that are in the SADC Region, and are collaborators of the Sida-WAHSA Programme, NIOH staff members. Another target group will be the OSH professionals, practitioners and trainers at various institutions in Portugal and Brazil, and it is envisaged that more Portuguese-speaking countries in Africa, beyond the SADC member states, will be included in the near future.


Adequate access to information is a basic principle of OSH – practitioners and social partners require the technical information to recognize and control workplace hazards. The right information is also required to promote coordination and to avoid duplication in the planning of research projects and actions for change. Despite this very real need, the Southern African region has inadequate access to information on many aspects of OSH. SADC has recognized this need, and requested that an OSH Clearing House be established at the NIOH to serve the SADC member states. The process of establishing the Clearing House at the NIOH was started following a meeting in 2000, but a number of changes and improvements are required to correspond to the functions originally attributed to the Clearing House, to serve the SADC region. A network of professionals active in OSH in the public and private sectors and in organizations supporting the social partners and communities will be

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established and maintained. Another function will be the standardization of format for regional web-based projects – this will provide international compatibility and linkage with other AAs, eg AA4).

Dissemination Worker and enterprise meetings and associations, professional associations, academic and training institutions, WHO/ILO documents; regional Departments of Labour and Health. Links to related websites. OSH journals: “Occupational Health, Southern Africa” and “African Newsletter on Occupational Health & Safety”


SADC Region, Brazil, Portugal and other Portuguese-speaking countries in Africa

PROGRESS ON PROJECT

One of the findings of the evaluation conducted in December 2005 was the need for further training of the NIOH staff members who are responsible for delivering library, SADC Clearing House and information dissemination services. To this end, the NIOH hosted Mr. Peter Lindgren, Specialist Librarian from the then Swedish National Institute for Working Life (NIWL), in March 2007, for comprehensive training on Information Management. The 7-day course was attended by all NIOH staff members from the Information Services and Training & International Liaison Sections; as well as the librarians from the National Institute for Communicable Diseases (NICD) and the parent organization of both the NIOH and the NICD – the National Health Laboratory Service (NHLS). Some proposals for the way forward have already been implemented: a new appointment was made in September 2007 – NIOH Information Manager, and the services of all 3 libraries are in the process of being consolidated into one new entity – The National Library Information Services. This new entity will focus strongly on the acquisition of E-journals which can be accessed by scientific and technical staff at all three institutes. Progress has also been made with establishing stronger links with Portuguese-speaking countries – Brazil, Portugal and Mozambique.



CC or NGO Name IACP Project title

ECO RE Economic Resources Toolbox

Keywords funding, grant assistance, economic resource, WHO CC Project leader Email address



• IACP (Italy), • NIOH (South Africa), • HSL (England), • ACHS (Chile), • University Texas (USA), • TNO (Netherlands), • CCOHS (Canada),

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• WHO-AFRO Other partners Other partners are welcome, they will need to fund their own

contribution to the project Funding

Funding in place


To provide an on line data base providing information and assistance on where, how and when to get funds for your WHO CC projects and activities


2011


WHO Collaborating Centers


A web site dedicated exclusively to the WHO CC Network in OH: where to find information, suggestions and help on how to access economic and other resources in order to have additional support to fulfill the CC missions and especially to get funding for the WHO CC projects

Dissemination web sites


Global

PROGRESS ON PROJECT

The ECO RE is operational. At present any interested WHO OH CC can find web links to public and private funding sources. Some tutorials for grant requests are available on the ECO RE Community website, as well as tips on writing grant proposals and raising funds. The calendar section includes deadline dates of calls for proposals. All are welcome and encouraged to share useful information through the ECO RE - an electronic community exclusively dedicated to the WHO OH CC Network; to join, please go to http://www.communityzero.com/eco-re?key=553-11687BC0950, and follow the instructions.



CC or NGO Name Finnish Institute of Occupational Health Project title Work Ability Index (WAI) Global Network Keywords Work Ability Index, promotion of work ability, Work Ability Index data

banks Project leaders Email address

Juhani Ilmarinen [email protected]


• Bundesanstalt für Arbeitsschutz und Arbeitsmedizin, Berlin,Germany

• University of Milan, Milan, Italy • University of Occupational and Environmental Health,

Kitakyushu, Japan

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Other partners • Institute of Rehabilitation, Ljubljana, Republic of Slovenia

• Fundação de Apoio Institucional ao Desenvolvimento Científico e Tecnológico, São Carlos, Brazil

• Centro de Estudos e Investigação em Saúde da Universidade de Coimbra, Coimbra, Portugal

• The Netherlands Foundation of Occupational Health and Aging, EH Middelburg, The Netherlands

• Swiss State Secretariat for Economic affairs (SECO), Bern. Switzerland

• Centro Nacional de Condiciones de Trabajo (INSHT), Barcelona, Spain

• Albany Medical Center, Albany, USA • Institut für betriebliche Gesundheitsförderung (IBG),

Wien, Austria • University of Jagellonica, Krakow, Poland • Statens arbeidsmiljöinstitutt, Oslo, Norway • Arbeijdsmiljoinstitutet (AMI), Copenhagen, Denmark


• Implementation and support of the Work Ability Index (WAI) worldwide

• Exchanging information on results and experiences of using the WAI

• Creating a WAI data bank network • Developing the assessment of human work ability


• WAI global network • WAI data banks • Training of occupational health service personnel • International meetings and conferences every two years • Publishing the proceedings of the conferences for further

information dissemination • Global report on Work Ability


• Institutions of Occupational Health • Occupational health services • Practitioners and researchers


The Work Ability Index is a validated and evidence based method for assessing the human abilities to work. It has been translated into 23 languages (2005). WAI is intended to be used as a tool in occupational health services. With the help of WAI the needs to promote work ability as well as to evaluate the effects of actions and measures at the workplaces can be made. The aim of the project is to build up an international network among institutions interested in WAI. In conferences, country reports may be given on the topic. From national data banks the global report on work ability can be prepared every three years. The final goal is to create national concepts and models on how to promote work ability during aging.

Dissemination Local institutions will disseminate the WAI and provide user support and reference data.


Global impact will be the valid way of assessing work ability (culture-free). Comparable data among the countries and

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continents. Regional solutions for promotion of work ability.

PROGRESS ON PROJECT

The WAI-Network has been established in Germany by Bundesanstalt fur Arbeitsschutz und Arbeitsmedizin (BAuA) in Berlin and by the Bergische Universität Wuppertal, Germany. The German WAI-Network has about 170 enterprises and work organisations that are using the work ability index (WAI). The BAuA has published two booklets, which are introducing the WAI for the users. Also a WAI-data bank is available (contact details: [email protected]).

The Government of the Netherlands has allocated 400 000 Euros for the implementation of WAI during the next two years. Also a national data bank is under preparation. The Finnish Institute of Occupational Health (FIOH) in Helsinki is calling German and Dutch WAI experts to Helsinki in January 2008, with the aim of planning for Finnish-German-Dutch data banks of WAI. The national data banks should be constructed in a way that allows the utilisation of WAI-data for research and reference purposes.

In October 2007, the Third International Symposium on Work Ability was organised by the ICOH Committee on Aging and Work, in Hanoi, Vietnam. Approximately 100 presentations from 20 countries described the wide use of WAI globally. The first studies using Vietnamese translation of WAI, were presented. One of the next translations of WAI will be the Persian one.




Project title Development of a database system for occupational health and working environment monitoring in Vietnam

Keywords occupational hazards, occupational diseases, occupational injuries, high risk occupations, occupational health resource database, working environment, monitoring system, website portals, information network


Dr. Nguyen Khac Hai [email protected]


• NIOSH • FIOH • NIWL • Department of Occupational Health, Korea Occupational Safety

and Health Agency (KOSHA), Incheon, Republic of Korea (Seong-Kyu Kang [email protected])

• Occupational Safety & Health Division, Ministry of Manpower, Singapore (Ho Sweet Far [email protected])

• National Institute of Occupational Safety and Health, Japan (JNIOSH) (Ippei Mori [email protected])

Other partners The University of Washington, USA

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Funding

Vietnamese government and WHO


• To establish, maintain and enhance the communications capacity of occupational health in WHO CC network

• To enhance the working environment monitoring capacity at lower levels (from provincial level)


• To establish an occupational health database system and a working environment monitoring system in Vietnam (by 2007)

• To develop the web-based information access for the OH network in Vietnam (2008)

• To disseminate the training materials and best practices and encourage and support the resource mobilization (2008)

• To improve the working environment monitoring capacity at lower levels by provision of knowledge and equipment (2010)

• To establish a database system of the working environment by industries, provinces and regions (2010)


Policy makers, occupational health and safety researchers, enterprise managers, workers, OSH officers, students, lecturers


- Collection of basic OH and working environment data by province, region, types of industries, geographic regions and timelines, etc. over the country based on the annual OH report

- Establishment of key organizations for monitoring the working environment by provinces, industries, regions

- Establishment of a monitoring network - Building monitoring capacity for lower levels by improving

knowledge and provision of equipment - Development of software to input the data - Development of GIS - Development of web-based information access and a working

environment database - Promotion of resource mobilization and use of scientific

information products

Dissemination Web-based database, information, WHO documents, Impact (global or regional)

National, regional and global

PROGRESS ON PROJECT

In 2006, in collaboration with the Administration of Preventive Medicine of the Ministry of Health, a software programme on OH - 6 months and annual report - was developed. With the financial support from the WHO, in December 2006, NIOEH organised two training courses on OH software of a regular reporting system. These courses were attended by 80 participants from provincial preventive medicine Centers and the Centers for Occupational Health and Environment in the provinces and industries. These activities contribute to improving knowledge and practices on occupational health, and to the development of human resources at provincial and industry levels. These activities also strengthen the occupational health network throughout the country and establish the database on OH.

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During 2007, this new software has served to report on various issues to NIOEH and the Ministry of Health. This OH information, received from the various provinces and industries, has included the following: working environment monitoring, occupational diseases examination and expertise, occupational injuries, human resources, OH equipment, etc.

18 AA6:WBD6



CC or NGO Name Canadian Centre for Occupational Health and Safety (CCOHS)

Project title OSH Answers Service

Keywords Workplace, health and safety, occupational




WHO Network of Collaborating Centres, University of Nottingham, UK (Stavroula Leka [email protected])

Other partners None Funding CCOHS Objective of the project The primary objective of OSH Answers Service is to provide a

worldwide web based information service with information in a form suitable for all workplace participants to be able to understand, identify and know how to make positive changes or solve workplace health and safety concerns. OSH Answers is a collection of documents written by CCOHS staff in an easy-to-read, question-and-answer style. As of 1 October 2007, there are 670 documents containing about 6000 questions and answers. These are available in both English and French, and are accessible free-of-charge on the CCOHS web site and through the Occupational Health website.


The use of this free question-and-answer service continues to increase yearly, serving 2.4 million in 2006, and the documents were visited more than 6.5 million times in 2006. Reach has extended to the world with almost 145 countries accessing our information. The OSH Answers and Réponses SST (French version) documents also provide additional outreach to the public. For example, many inquirers have asked to reproduce these documents for education and training use in schools, workplaces and for newsletters, magazine articles, text books, and even for redistribution in offices of health care providers. OSH Answers is an ongoing project, with updates and new documents added regularly.


Workers (and their families), managers, practitioners, others active in Occupational Health & Safety.

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OSH Answers, and the full French counterpart, Réponses SST, allow instant access to reliable and relevant health and safety information 365 days a year, 24 hours a day, 7 days a week. The topics on which questions and answers are available through this service are priority concerns of most people. In addition to the selected documents available in Spanish via Respuestas OSH, those relevant to Brazil are currently being translated into Portuguese by SESI- Industrial Social Service National Department, Brasilia

Dissemination http://www.ccohs.ca/oshanswers/


Global

PROGRESS ON PROJECT

OSH Answers is an ongoing project. We continually add new documents and update existing records with 85 documents being new, revised, or verified since October 2006. Priorities for new topics are identified through needs analysis, requests via our national Inquiries Service, and by monitoring for emerging topics and issues on a national and global scale. There are currently 670 documents in the collection. CCOHS invites other CCs to help expand this service and to undertake translation into relevant languages, as well as to add specific information not yet featuring on the site, but which is of particular relevance to your country.



CC or NGO Name Canadian Centre for Occupational Health and Safety Project title Bringing Health to Work Web Portal Keywords Healthy workplaces, nutrition, exercise, Project leader Email address



WHO Network of Collaborating Centres University of Nottingham, UK (Stavroula Leka [email protected])


CCOHS


The Web Portal Service is dedicated to providing free and easy access to a comprehensive range of credible resources and practical tools for creating and promoting healthy workplaces.


Help to improve the health of organizations, their employees and their work environments and hence their homes and communities. The program has been launched and is ongoing with content continually improved and expanded. For the Network this would imply active contribution to enlarge the scope to global level issues. CCOHS invites

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CCs to discuss how they can best contribute and participate in this project.


Workers, managers, practitioners, others active in Occupational Health and Safety


Access to several hundreds of the most authoritative and reliable sources of workplace health and well-being information on the Web including: key websites for research, programs and tools, case studies, policies, resources and more.

Dissemination http://www.ccohs.ca/healthyworkplaces/ Impact (global or regional)

Global

PROGRESS ON PROJECT

Visits to the website are increasing as more and more discover the site through referrals and web searches. In the past year users in countries throughout the world, e.g. Australia, Kenya, Thailand, UK, France and the US have visited the site. The site is more heavily used in October when Canada’s Healthy Workplace Week occurs. Among the topics included are: active living, healthy eating, work-life balance, stress, violence prevention and shift work. Statistics to date: Jan-Oct 2007 (YTD) Visitors: 28,815 Hits: 45,050 March 2006 (launch)- Oct 2007 Visitors: 50,340 Hits: 82,161

20

AA6:WBD8Activity Area Number and title

AA6: Communication and Networking Subgroup: Web-based Databases – WBD 8

CC or NGO Name IACP Project title Work in Progress of the WHO C.C. Electronic Community Keywords Electronic Community, C.C. Work Plan, monitoring Project leader Email address



ICPS (Italy) NIOH (South Africa) WHO INT.

Other partners Funding Funding for the creation of the electronic Community provided by

IACP Objective of the project

Facilitate and increase the effectiveness of the monitoring of the work in progress of the WHO CC in actualizing the projects of the 2006-2010 work plan, offer a place where to find partners, information about resources, increase collaboration and exchange of information among the CC, offer an user friendly way to have an update of the work done by each AA.


Electronic Community, update of the work done by each partner in the WHO C.C. work plan 2006-2010.

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project Completion date: 2011 Target group and/or beneficiaries

WHO. INT, WHO C.C. in O.H.


Create an user friendly electronic Community for the monitoring of the work in progress of the WHO C.C. in actualizing the project of the 2006-10 work plan, offer a place where to find partners, information about resources, increase collaboration and exchange of information among the C.C., offer an user friendly way to have an update of the work done by each AA.

Dissemination WHO. INT, WHO C.C. in O.H. Impact (global or regional)

Global

PROGRESS ON PROJECT

The Electronic Community architecture has been completed. Among its features, is the possibility of chat groups and e-mailing facilities that will allow the sending of e-mails to all the registered WHO OH CC. Once approval has been received from the WHO, the activation date of the Electronic Community is expected to be in December 2007.

21 AA6:NM1Activity Area Number and title

AA 6: Communication and Networking Subgroup: Nanomaterials – NM 1

CC or NGO Name Federal Institute for Occupational Safety & Health (BAuA), Germany Project title Dialogue on nanoparticles

Keywords Nanotechnology, nanoparticle, nanofibre


Dr. Bruno Orthen [email protected]


• Institute for Work and Health, Lausanne, Switzerland (Michael Riediker [email protected])

• National Institute for Occupational Safety and Health (NIOSH), USA, (Charles Geraci; Vladimir Murashov [email protected]; [email protected])

• Health and Safety Laboratory, UK (Rosemary Gibson [email protected])


[Note: The Office of the ASCC has commissioned a review of the potential OHS implications of nanotechnology. The report entitled “A Review of the Potential Occupational Health and Safety Implications of Nanotechnology” has been published and is available on the ASCC website http://www.ascc.gov.au/ascc/AboutUs/Publications/ResearchReports/AReviewofthePotentialOccupationalHealthandSafetyImplicationsofNanotechnology.htm

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• Institute of Occupational Medicine, UK (Lang Tran [email protected]

Other partners • Federal Environment Ministry (BMU) • Federal Environmental Agency (UBA) • iku GmbH (Dortmund, Germany) • Federal Institute for Risk Assessment (BfR) • Ministry of Research and Education, OECD-WPMN

Funding


The purpose is to initiate a dialogue with stakeholders to debate the impact of engineered nanoparticles on health and the environment. The main objectives are: to identify and evaluate the occupational and environmental exposure; to identify and evaluate health and environmental effects and risks; to specify the need for research, action and coordination; and to initiate a dialogue and exchange views between different stakeholders (industry, research, administration, trade unions, media, NGOs, political parties etc.)


Continuous activity for the next years


Industry, research institutions, administration, trade unions, media, NGOs, political parties etc.


Nanotechnology is considered as a future technology of high economic potential and societal importance. In addition nanoparticles, which are part of nanotechnology, were identified as the most important emerging risk in a survey among experts in occupational hygiene. The exposure, the hazard and risk of exposure against nanoparticles cannot be assessed sufficiently though a partly widespread exposure is assumed. Therefore the Federal Institute for Occupational Safety and Health (BAuA) started a project on research and evaluation of Nanotechnology and nanoparticles. Communication and exchange of information is considered as a very important prerequisite to gain a transparent and objective discussion about a new technology. In cooperation with the Federal Environment Ministry (BMU), the Federal Environmental Agency (UBA) BAuA initiated a dialogue with stakeholders to debate the impact of engineered nanoparticles on health and environment. Organised by iku GmbH (Dortmund) a conference was held at the Federal Ministry for the Environment, Nature Conservation and Nuclear Safety in Bonn, Germany on 11 and 12 October 2005 (http://www.dialog-nanopartikel.de/downloads.html). Industry, research, administration, trade unions, media, NGOs and political parties, overall 200 participants, were invited to express their views and in some workshops and further activities were discussed. The following action points were decided: • BAuA develops in cooperation with the German association of

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chemical industry (VCI, http://www.vci.de) a questionnaire about exposure against nanoparticles that is submitted to over 200 companies involved in nanotechnology;

• BAuA develops a research program to elucidate the toxicological effects of nanoparticles;

• BAuA organizes a discussion group for experts in occupational medicine to discuss cases of injured workers involved in nanotechnology (if those are noticed);

• VCI develops in cooperation with BAuA a code of practice.

Dissemination


Global

PROGRESS ON PROJECT

Update submitted in March 2007: New partners have been added to this project – Federal Institute for Risk Assessment (BfR); Ministry of Research and Education, OECD-WPMN The above-mentioned questionnaire activity is finalized. Results will be published soon. The questionnaire (document: Questionnaire on aspects of worker protection during the production and handling of engineered nanomaterials) can be found under: http://www.baua.de/de/Themen-von-A-Z/Gefahrstoffe/Nanotechnologie/Aktivitaeten.html__nnn=true Secondly, the draft research strategy on EHS effects that was initiated and coordinated by BAuA was developed (see link: http://www.baua.de/en/Topics-from-A-to-Z/Hazardous-Substances/Nanotechnology/Nanotechnology.html__nnn=true). It is based on a networking activity of national Federal Institutes covering occupational as well as consumer and environmental issues. National and international experts (e g WHO-partners) were asked for comment. It was presented on a national scale at the ministry for environmental affairs in November 2006. In addition, the global network of OECD-activities (WPMN) was supported by providing the Research Strategy, participating in different subgroups and hosting an OECD-Meeting in Dortmund in March 2007. Thirdly, little information on injuries etc. caused by nanomaterials, has been noticed. Fourthly, the Code of Practice as cooperation between BAuA and VCI is nearly finalized and will be published soon.



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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 [email protected]


• Federal Institute for Occupational Safety & Health (BAuA), Germany (Bruno Orthen [email protected])

• National Institute for Occupational Safety and Health (NIOSH) (Charles Geraci; Vladimir Murashov [email protected]; [email protected])


• Institute of Occupational Medicine, UK (Lang Tran [email protected])

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


To develop guidelines for the assessment of safety measures for the production, application, use and disposal of manufactured nanoparticles.


• 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


All bodies dealing with occupational health risks related to nanoparticles (governments, insurances, industries)


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.


Global

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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).



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 [email protected]; [email protected]


• Institute for Work and Health, Lausanne, Switzerland, (Michael Riediker [email protected])



• Institute of Occupational Medicine, UK (Lang Tran [email protected])

Other partners • US Dept. of Labor/OSHA • US Environmental Protection Agency • US Organization Resource Counselors • ISO • Additional partners are welcome

Funding

NIOSH and partners


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.


1. Develop and maintain NIOSH best practice documents such as web-based “Nanotechnology

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Information Exchange” on safe approaches to nanotechnology (ongoing)

2. Develop a NIOSH “Current Intelligence Bulletin” on Working with Engineered Nanomaterials in collaboration with national and international partners (2006). 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.

3. 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 2010).

4. 4. Provide ongoing analysis of occupational health and safety issues and practices regarding nanomaterials (through 2010).


Researchers, workers and business owners in developed and developing countries engaged in the creation, development, manufacture and use of nanomaterials.


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:

1. NIOSH Nanotechnology Information exchange on the Institute’s Web presenting the latest information on nanotechnology and providing viewers a means to provide feedback

2. Technical reports and guidelines on best practices, validated exposure assessment and PPE/engineering control testing methods developed and published through ISO

3. Linkages among institutions globally that are developing best practices

Dissemination Dissemination will occur through multiple routes including: 1. Posting information on the NIOSH web site. 2. Sponsoring national and international symposia. 3. Publications and tool kits from NIOSH and other

partners. 4. International standardization organizations such as

ISO. 5. Collaborations with government and professional

organizations: AIHA, OSHA, EPA, UK HSE, IOHA, ICOH, and other national and international partners.


Global

PROGRESS ON PROJECT

NIOSH has made significant progress in the development and dissemination of occupational safety and health information on

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nanotechnology. Specific accomplishments include: 1. NIOSH posted and updated the document "Safe Approaches to Nanotechnology: An information Exchange with NIOSH" on its web site (http://www.cdc.gov/niosh/topics/nanotech/safenano/) 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".


AA6: Communication and Networking Subgroup: Nanomaterials – NM 4

CC or NGO Name Health and Safety Laboratory, UK

Project title Nano-Comms: A Technical Observatory for the dissemination of information regarding nanoparticle health and safety issues

Keywords Nanoparticles, nanomaterials, nanotechnology


Rosemary Gibson [email protected]


• FIOH • Institute of Occupational Medicine, UK (Lang Tran

[email protected]) • Federal Institute for Occupational Safety & Health (BAuA),

Germany (Bruno Orthen [email protected]) • Canadian Centre for Occupational Health & Safety (CCOHS;

P. K. Abeytunga [email protected]) • European Institute of Health and Social Welfare

(Manuel Peña [email protected]) • Institute for Work and Health, Lausanne, Switzerland (Michael

Riediker [email protected]) • National Institute for Occupational Safety and Health

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(NIOSH), USA, (Charles Geraci; Vladimir Murashov [email protected]; [email protected])


Other partners • ICOH • IOHA

Funding In place


This project will help to coordinate the production, management and provision of information regarding the health and safety issues surrounding the development, manufacture and use of nanoparticles in collaboration with national and international partners.


1. To develop a network of international experts in the field of

health and safety issues of nanoparticles 2. To identify processes that involve manufacture of

nanoparticles and may lead to exposure 3. To review exposure modelling processes 4. To Categorise and map Health Risks associated with

exposure 5. To assist the development of standards (including the best

ways to communicate current evidence base) 6. To engage with regulators, manufacturers, down-stream

users and researchers to ensure communications meet the needs of the audience

7. Target group and/or beneficiaries

Industry, research institutions, trade unions, NGOs


This project will develop a portal for the collection, production and dissemination of information regarding health and safety issues of nanoparticles

Dissemination Dissemination will occur through a number of routes including: 1. Information posted on the HSL website 2. Presentations at national/international meetings

Provision of a Q&A service Impact (global or regional)

Global

PROGRESS ON PROJECT

Significant progress has been made in developing a network of international experts through:

• Participation in a Coordination Action submitted to EU Framework 7, coordinated by Michael Riediker (AA6: project 16), involving >80 researchers world-wide.

• Presentations at international conferences.

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HSL summarises the published literature on engineered nanoparticles in a NanoAlert bulletin (now available on HSE’s website), which has generated very positive global feedback.

HSL has launched the Centre for Interdisciplinary Nano-Research (CiNR), with the aims of addressing the potential health and safety risks of nanoparticles and is engaging with nanomaterials trade associations (e.g. NIA, ENTA), and individual businesses.

25 AA6:NM5 Activity Area Number and title

AA6: Communication and Networking Subgroup: Nanomaterials – NM 5

CC or NGO Name Institute of Occupational Medicine, Edinburgh, UK Project title Assessing the Hazard of Nanomaterials Keywords nanoparticles, nanotubes, in vitro tests, toxicology Project leader Email address

Dr Lang Tran [email protected]


• Institute for Work and Health, Lausanne, Switzerland, (Michael Riediker [email protected])


• National Institute for Occupational Safety and Health (NIOSH), USA, (Charles Geraci; Vladimir Murashov [email protected]; [email protected])


- University of Edinburgh, UK - Napier, UK - GSF, Germany - NIOH, Denmark - University of Venice, Italy

Other partners Funding Funding for 1st phase already available through FP6 project

PARTICLE_RISK Objective of the project

The project will seek to assess the hazard of nanomaterials generated by new, emerging sciences and technologies. Specifically, the project will seek

to determine which nanoparticle attributes are most influential in driving toxicity on different target organs and species;

to use results to inform a risk assessment framework for nanoparticles in an occupational setting.

To disseminate the results to existing networks on nanomaterials health/safety issues.


The outcomes should be: Recommendation of in vitro toxicology tests for nanoparticles

and nanotubes; Identification of nanoparticle/nanotube attributes which can be

used in risk assessment.

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Dissemination of results at international conferences (2007) and in peer-reviewed journals (2008).


Professionals in Toxicology; Stakeholders: Governmental and NGO regulatory agencies; new and emergent sciences and technologies industry.


New and emerging sciences and technologies produce nano-scaled materials which could pose a hazard to the human and environment health. The mechanisms by which these materials cause the adverse effects are not clearly understood. In this project we will be investigating the toxic effects, of a panel of nanoparticles/nanotubes, on the body systems, e.g. pulmonary, central nervous, hepatic and cardio-vascular systems.

Dissemination international conferences international peer-reviewed journals specially held workshops bringing together stakeholders such as governmental and non-governmental agencies


Global

PROJECT PROGRESS AT 1 OCTOBER 2007

The following project objectives have been achieved thus far:

• Implementation of the experimental protocols • Recruitment and training of staff in working safely with NESTP • Distributing funding to all partners • Implementing the WP

o WP1 facilitated local and project meetings o WP2 procured, distributed (to the corresponding

partners) and characterised the NESTP o WP3 performed in vitro and animal experiments o WP4 performed in vitro and animal experiments o WP5 constructed exposure assessment models o WP6 arranged PARTICLE_RISK results, which were

presented at the International Conference on Nanotoxicology, held in Venice (April 2007)