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bfu – Beratungsstelle für Unfallverhütung
Recipe for successful accident prevention
April 2019Brigitte Buhmann, The Swiss Recipe for Accident Prevention
–Quelle: www.paisdelocos.com
bfu – Beratungsstelle für Unfallverhütung
The Swiss Recipe for Accident Prevention
ÅRSKONFERANSE 2019 «KLOK AV SKADE?
Oslo, 4th of April 2019
Brigitte Buhmann, Dr. rer. pol.
Managing Director bfu, until December 2018
April 2019Brigitte Buhmann, The Swiss Recipe for Accident Prevention
bfu – Beratungsstelle für Unfallverhütung
Fatalities per 1 million inhabitants, 1970
358
345
326318
304
277
266258
246 246238
230 229
210
200
186 183178 175
163158
146140 139
125
109
98
0
50
100
150
200
250
300
350
400
SLO A F B AUS D CH USA DK NL CDN NZ FIN J CZ P IRL NIRL ISR S H N UK GB GR PL IS
April 2019Brigitte Buhmann, The Swiss Recipe for Accident Prevention
bfu – Beratungsstelle für Unfallverhütung
Fatalities per 1 million inhabitants, 1980
292
277
265
251243
227 225 223
193 192 189
168 166
152 150 149142
135
122116
111 110 110 109102
9789
0
50
100
150
200
250
300
350
400
SLO P A F B CDN USA AUS D CH NZ PL IRL H GR NIRL NL DK CZ FIN ISR IS UK GB S J N
April 2019Brigitte Buhmann, The Swiss Recipe for Accident Prevention
bfu – Beratungsstelle für Unfallverhütung
Fatalities per 1 million inhabitants, 1990
283
259
234
214
203 202 199 198192
179
149140 139 137 136
131125 124
118 116
95 94 94 92 91 89
78
0
50
100
150
200
250
300
350
400
P SLO H NZ A GR B F PL USA CDN D CH AUS IRL FIN CZ DK J NIRL IS UK GB NL S ISR N
April 2019Brigitte Buhmann, The Swiss Recipe for Accident Prevention
bfu – Beratungsstelle für Unfallverhütung
Fatalities per 1 million inhabitants, 2000
187181
163158
153145 144
136
122 121 120115
110102
95 95 93 9183 82
77 7672
68 6761 60
0
50
100
150
200
250
300
350
400
GR P PL SLO USA CZ B F A NZ H IS IRL NIRL CDN AUS DK D CH J FIN N ISR NL S UK GB
April 2019Brigitte Buhmann, The Swiss Recipe for Accident Prevention
bfu – Beratungsstelle für Unfallverhütung
Fatalities per 1 million inhabitants, 2005
150 147143
129 127 126118
10499
93 93 91 8880 78
7265 65 65 62 61
55 55 5549 48 46
0
50
100
150
200
250
300
350
400
GR USA PL SLO H CZ P B NZ IRL A CDN F AUS NIRL FIN D IS ISR J DK UK CH GB S N NL
April 2019Brigitte Buhmann, The Swiss Recipe for Accident Prevention
bfu – Beratungsstelle für Unfallverhütung
Fatalities per 1 million inhabitants, 2010
111107
102
88 86
76 7468 67 66 65 64 64 64 61
54 51 47 46 46 45 45 43 42
32 31 28
0
50
100
150
200
250
300
350
400
GR USA PL P NZ CZ H I SLO A CDN NIRL L F AUS E FIN IRL ISR DK J D N CH NL GB S
April 2019Brigitte Buhmann, The Swiss Recipe for Accident Prevention
bfu – Beratungsstelle für Unfallverhütung
Fatalities per 1 million inhabitants, 2015
April 2019Brigitte Buhmann, The Swiss Recipe for Accident Prevention
109
7773 70 69
65 6458 57 56 56 54 53 51 49
43 40 38 38 36 35 31 31 31 27 2723
0
50
100
150
200
250
300
350
400
USA PL GR CZ NZ H L SLO P I A F CDN* AUS FIN D NIRL J ISR E IRL DK NL CH GB S N
bfu – Beratungsstelle für Unfallverhütung
Fatalities per 1 million inhabitants, 2016
April 2019Brigitte Buhmann, The Swiss Recipe for Accident Prevention
109
7973 69
64 61 58 58 57 54 53 53 51 5046
40 40 39 39 39 38 37 3729 27 26 26
0
50
100
150
200
250
300
350
400
USA PL GR NZ L H CZ SLO P I F CDN* AUS A FIN IRL NIRL ISR E D J DK NL GB S CH N
bfu – Beratungsstelle für Unfallverhütung
Fatalities per 1 million inhabitants, 1970
358
345
326318
304
277
266258
246 246238
230 229
210
200
186 183178 175
163158
146140 139
125
109
98
0
50
100
150
200
250
300
350
400
SLO A F B AUS D CH USA DK NL CDN NZ FIN J CZ P IRL NIRL ISR S H N UK GB GR PL IS
April 2019Brigitte Buhmann, The Swiss Recipe for Accident Prevention
bfu – Beratungsstelle für Unfallverhütung
Fatalities per 1 million inhabitants, 1980
292
277
265
251243
227 225 223
193 192 189
168 166
152 150 149142
135
122116
111 110 110 109102
9789
0
50
100
150
200
250
300
350
400
SLO P A F B CDN USA AUS D CH NZ PL IRL H GR NIRL NL DK CZ FIN ISR IS UK GB S J N
April 2019Brigitte Buhmann, The Swiss Recipe for Accident Prevention
bfu – Beratungsstelle für Unfallverhütung
Fatalities per 1 million inhabitants, 1990
283
259
234
214
203 202 199 198192
179
149140 139 137 136
131125 124
118 116
95 94 94 92 91 89
78
0
50
100
150
200
250
300
350
400
P SLO H NZ A GR B F PL USA CDN D CH AUS IRL FIN CZ DK J NIRL IS UK GB NL S ISR N
April 2019Brigitte Buhmann, The Swiss Recipe for Accident Prevention
bfu – Beratungsstelle für Unfallverhütung
Fatalities per 1 million inhabitants, 2000
187181
163158
153145 144
136
122 121 120115
110102
95 95 93 9183 82
77 7672
68 6761 60
0
50
100
150
200
250
300
350
400
GR P PL SLO USA CZ B F A NZ H IS IRL NIRL CDN AUS DK D CH J FIN N ISR NL S UK GB
April 2019Brigitte Buhmann, The Swiss Recipe for Accident Prevention
bfu – Beratungsstelle für Unfallverhütung
Fatalities per 1 million inhabitants, 2005
150 147143
129 127 126118
10499
93 93 91 8880 78
7265 65 65 62 61
55 55 5549 48 46
0
50
100
150
200
250
300
350
400
GR USA PL SLO H CZ P B NZ IRL A CDN F AUS NIRL FIN D IS ISR J DK UK CH GB S N NL
April 2019Brigitte Buhmann, The Swiss Recipe for Accident Prevention
bfu – Beratungsstelle für Unfallverhütung
Fatalities per 1 million inhabitants, 2010
111107
102
88 86
76 7468 67 66 65 64 64 64 61
54 51 47 46 46 45 45 43 42
32 31 28
0
50
100
150
200
250
300
350
400
GR USA PL P NZ CZ H I SLO A CDN NIRL L F AUS E FIN IRL ISR DK J D N CH NL GB S
April 2019Brigitte Buhmann, The Swiss Recipe for Accident Prevention
bfu – Beratungsstelle für Unfallverhütung
Fatalities per 1 million inhabitants, 2015
April 2019Brigitte Buhmann, The Swiss Recipe for Accident Prevention
109
7773 70 69
65 6458 57 56 56 54 53 51 49
43 40 38 38 36 35 31 31 31 27 2723
0
50
100
150
200
250
300
350
400
USA PL GR CZ NZ H L SLO P I A F CDN* AUS FIN D NIRL J ISR E IRL DK NL CH GB S N
bfu – Beratungsstelle für Unfallverhütung
Fatalities per 1 million inhabitants, 2016
April 2019Brigitte Buhmann, The Swiss Recipe for Accident Prevention
109
7973 69
64 61 58 58 57 54 53 53 51 5046
40 40 39 39 39 38 37 3729 27 26 26
0
50
100
150
200
250
300
350
400
USA PL GR NZ L H CZ SLO P I F CDN* AUS A FIN IRL NIRL ISR E D J DK NL GB S CH N
bfu – Beratungsstelle für Unfallverhütung
The Swiss Recipe for Accident Prevention
1. Legal foundation of accident prevention in Switzerland
2. Organisation of bfu
3. Working principle: The Prevention Cycle and more
4. Conclusions for successful accident prevention
April 2019Brigitte Buhmann, The Swiss Recipe for Accident Prevention
bfu – Beratungsstelle für Unfallverhütung
The Swiss Recipe for Accident Prevention
1. Legal foundation of accident prevention in Switzerland
2. Organisation of bfu
3. Working principle: The Prevention Cycle and more
4. Conclusions for successful accident prevention
April 2019Brigitte Buhmann, The Swiss Recipe for Accident Prevention
bfu – Beratungsstelle für Unfallverhütung
1. Legal foundation of accident prevention in
Switzerland
Private – Public Partnership
April 2019Brigitte Buhmann, The Swiss Recipe for Accident Prevention
bfu – Beratungsstelle für Unfallverhütung
April 2019Brigitte Buhmann, The Swiss Recipe for Accident Prevention
1. Legal foundation of accident prevention in
Switzerland
–Art. 88 of the Accident Insurance Law (1984)
–a) Insurers promote the prevention of non-occupational-accident.
–b) Together they actuate an institution, which
– - contributes to non-occupational-accident prevention through
public awareness and general safety measures
– - coordinates similar efforts.
bfu – Beratungsstelle für Unfallverhütung
April 2019Brigitte Buhmann, The Swiss Recipe for Accident Prevention
1. Legal foundation of accident prevention in
Switzerland
–Financing non-occupational-accident prevention
–a) Surcharge on non-occupational-accident insurance premium
(0,7% of netto-premium)
–b) collected through insurers (payed by employers)
–c) Level of the surcharge is determined by the government
–Reporting
–a) yearly reporting to the government
bfu – Beratungsstelle für Unfallverhütung
Surcharges on insurance premium in Switzerland
- Surcharge on non-occupational-accident insurance premium (bfu)
- Surcharge on occupational-accident insurance premium (Suva)
- Surcharge on health insurance premium for health promotion
- Surcharge on car liability insurance premium for road safety
- Surcharge on alcohol consumption for alcohol prevention
April 2019Brigitte Buhmann, The Swiss Recipe for Accident Prevention
bfu – Beratungsstelle für Unfallverhütung
The Swiss Recipe for Accident Prevention
1. Legal foundation of accident prevention in Switzerland
2. Organisation of bfu
3. Working principle: The Prevention Cycle and more
4. Conclusions for successful accident prevention
April 2019Brigitte Buhmann, The Swiss Recipe for Accident Prevention
bfu – Beratungsstelle für Unfallverhütung
Organisation of bfu
1938 Formation as a private establishment
- public insurance company “Suva” and trade unions
1984 Conversion to a private foundation
- board of foundation: public and private insurance companies
______
130 employees, 110 full time equivalents
1’200 safety delegates in communities
April 2019Brigitte Buhmann, The Swiss Recipe for Accident Prevention
bfu – Beratungsstelle für Unfallverhütung
Goals and working principles
Goal:
▪ To reduce human suffering and economic costs
______________________
The bfu
▪ works on behalf of the entire population
▪ is politically independent
▪ works according priorities, without neglecting the needs
(whishes) of population
April 2019Brigitte Buhmann, The Swiss Recipe for Accident Prevention
bfu – Beratungsstelle für Unfallverhütung
Working areas, core skills and effect
April 2019Brigitte Buhmann, The Swiss Recipe for Accident Prevention
Advisory Services Communications
Research / Knowledge
Management
Training
Road Traffic Sports Home and Leisure
Legal remit
Accident prevention
Education EmergencyEngineering EnforcementEconomic
Incentives
bfu – Beratungsstelle für Unfallverhütung
Research and Knowledge Management: www
▪ What happens?
▪ Why does it happen?
▪ What works (how can it be prevented)?
-> Statistics
-> Prevention research
April 2019Brigitte Buhmann, The Swiss Recipe for Accident Prevention
bfu – Beratungsstelle für Unfallverhütung
Training (teach the teacher)
Courses and materials or:
▪ School teachers (courses, materials)
▪ Policemen, who go to school
▪ Sport teachers (ski teachers, sport teacher in the army, swim
teachers, gymnastic teachers)
▪ Architects, engineers
▪ Safety specialists enterprises
▪ Play ground designers
▪ Driving instructors
April 2019Brigitte Buhmann, The Swiss Recipe for Accident Prevention
bfu – Beratungsstelle für Unfallverhütung
Advisory Services (technical Advisory)
Direct Advices for technical questions
▪ National authorities, cantons, communes
▪ Enterprises, schools
▪ Privat persons
-> 1200 Safety delegates in communes
April 2019Brigitte Buhmann, The Swiss Recipe for Accident Prevention
bfu – Beratungsstelle für Unfallverhütung
Communication
▪ Press releases (often political statements)
▪ Campaigns
April 2019Brigitte Buhmann, The Swiss Recipe for Accident Prevention
bfu – Beratungsstelle für Unfallverhütung
April 2019Brigitte Buhmann, The Swiss Recipe for Accident Prevention
bfu – Beratungsstelle für Unfallverhütung
April 2019Brigitte Buhmann, The Swiss Recipe for Accident Prevention
bfu – Beratungsstelle für Unfallverhütung
Financing (26 Mio. Euros)
April 2019Brigitte Buhmann, The Swiss Recipe for Accident Prevention
75 %
15 %
10 %Surcharge on non-
occupational accident
premium: 75 %
Road Safety Fund: 15 %
Third-party funds
(research mandates,
commissioned
campaigns, reports, etc.):
10 %
bfu – Beratungsstelle für Unfallverhütung
bfu’s success factors
▪ Steered by evidence-based prevention knowledge
▪ Independent from economic and political vested interests
▪ Secure basic financing
▪ International networks
▪ Regionally anchored
-> Good reputation
April 2019Brigitte Buhmann, The Swiss Recipe for Accident Prevention
bfu – Beratungsstelle für Unfallverhütung
The Swiss Recipe for Accident Prevention
1. Legal foundation of accident prevention in Switzerland
2. Organisation of bfu
3. Working principle: The Prevention Cycle and more
4. Conclusions for successful accident prevention
April 2019Brigitte Buhmann, The Swiss Recipe for Accident Prevention
bfu – Beratungsstelle für Unfallverhütung
Ingredient 1: Prevention cycle
April 2019Brigitte Buhmann, The Swiss Recipe for Accident Prevention
bfu – Beratungsstelle für Unfallverhütung
Ingredient 2: The 5 E’s
Education Behaviour, training/further training
Engineering Infrastructure/product safety
Enforcement Law and its implementation
Economy Economic incentives
Emergency Rescue services
April 2019Brigitte Buhmann, The Swiss Recipe for Accident Prevention
bfu – Beratungsstelle für Unfallverhütung
Ingredient 3: prevention principles
1. Frequency and severity determine accident focal points.
2. Efficacy, cost-effectiveness and ethical criteria determine
the main intervention priorities.
- Accident prevention before limitation of damage
- Infrastructural prevention before behavioural prevention
- Large population groups before small high-risk groups
- Prioritize measures according to ‘return on prevention’
- Involuntary risk before voluntary risk
- Endangerment of others before self-endangerment
April 2019Brigitte Buhmann, The Swiss Recipe for Accident Prevention
bfu – Beratungsstelle für Unfallverhütung
The Swiss Recipe for Accident Prevention
1. Legal foundation of accident prevention in Switzerland
2. Organisation of bfu
3. Working principle: The Prevention Cycle and more
4. Conclusions for successful accident prevention
April 2019Brigitte Buhmann, The Swiss Recipe for Accident Prevention
bfu – Beratungsstelle für Unfallverhütung
4 Conclusions for successful accident prevention
Successful (accident) prevention needs:
- a lead institute
- research infrastructure
- clear, realistic and quantitative targets (SMART)
- clear, evidence-based, agreed programmes
- a clear will to work together.
April 2019Brigitte Buhmann, The Swiss Recipe for Accident Prevention
bfu – Beratungsstelle für Unfallverhütung
Conclusions for successful accident prevention
A successful lead institute:
- is steered by evidence-based prevention knowledge
- does not depend on economic and/or political vested interests
- has secure funding
- is nationally and internationally integrated.
April 2019Brigitte Buhmann, The Swiss Recipe for Accident Prevention
bfu – Beratungsstelle für Unfallverhütung
Conclusion of the conclusion
April 2019Brigitte Buhmann, The Swiss Recipe for Accident Prevention
bfu – Beratungsstelle für Unfallverhütung
Together we are strong
April 2019Brigitte Buhmann, The Swiss Recipe for Accident Prevention
bfu – Beratungsstelle für Unfallverhütung
Thank you very much for your attention!
April 2019Brigitte Buhmann, The Swiss Recipe for Accident Prevention