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Yant Award Lecture at the American Industrial Hygiene Association, AIHA Congress in Montreal on 21 May 2013
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Global Estimates of the Burden of
Injury and Illness at Work in 2013
Dr Jukka Takala
Executive Director
Workplace Safety and Health Institute
May 2013
2
3
INDUSTRY PARTNER
Educating & Engaging Stakeholders, Promoting
WSH
WSHC Workplace Safety & Health Council
THINK TANK
Charting New Grounds for WSH Excellence and
Innovation
WSHI Workplace Safety & Health Institute
REGULATOR
Legislation, Policies, Compliance Assistance &
Enforcement
OSHD Occupational Safety & Health Division
Progressing WSH in Singapore
What we do
Singapore’s WSH Framework
5
s s
6
Region
Economically
active
population
Fatal
accidents
reported
to the ILO
(2008)
Fatal
accidents
best
estimate
2008
Accidents
causing at
least 4 days'
absence
Average est.
2008
Work-
related
diseases
Work-
related
mortality
Deaths
caused by
dangerous
substances
EME 427,681,309 11,210 15,159 14,252,505 269,989 285,148 90,400
FSE 193,354,716 2,111 14,519 13,650,601 170,166 184,685 56,976
CHN 740,792,400 180 97,542 91,706,292 334,138 431,680 111,879
IND 473,300,000 179 46,928 44,120,055 355,863 402,791 119,153
OAI 457,166,678 1,247 80,567 75,746,706 269,541 350,107 90,250
SSA 273,414,298 15 57,771 54,314,626 364,551 422,322 122,062
LAC 222,632,385 2,196 31,165 29,300,625 107,180 138,345 35,887
MEC 128,010,251 929 14,296 13,441,062 73,687 87,984 24,673
All 2008: 2,991,283,518 21,604 320,580 317,421,473 2,022,570 2,343,149 910,286
USA 154,287,000 5,214 5,370 5,594,188 95,808 101,179 38,016
EU-27 237,997,300 4,706 5,900 7,374,297 161,970 167,870 73,989
Singapore new 3,340,000 61 61 57,000 1,360 1,421 406
Finland 2,726,000 41 49 42,708 1,693 1,734 871
Work-related Fatalities – World 2.99 billion economically active, 2008 (some data 2003)
17%
32%
8% 23%
1% 1%
0.4% 18%
Communicable diseases Cancer
Respiratory Diseases Circulatory diseases
Mental Disorders Digestive systems diseases
Genitourinary system Accidents and violence
Deaths attributed to work, 2.3 million/year
Sources: Hämäläinen P, Takala J,
Saarela KL; TUT, ILO, EU-OSHA, 2008
Work-related Annual Deaths – World
3%
57% 6%
23%
4% 1%
0.4% 5%
Communicable diseases Cancers
Respiratory Diseases Circulatory diseases
Mental Disorders Digestive systems diseases
Genitourinary system Accidents and violence
Deaths attributed to work, 168 000/year
Work-related Annual Deaths – EU-27
Sources: Hämäläinen P, Takala J,
Saarela KL; TUT, ILO, EU-OSHA
Work-related Annual Deaths – EU-27 and pattern in other developed countries
Occupational Cancer
• UK: 8010 deaths/year (Rushton a.o.: Br Journal of Cancer, 2012)
• UK: ILO Attr.Fractions: 13 300 deaths/year
• see also V McCormack, J Peto, G Byrnes, K Straif and P Boffetta, BJC 2012
• USA today: 37 000 – 61 000 deaths/ year
• USA : 12,086 - 26,244 deaths/year, Steenland 2003
• Sources: http://www.nature.com/bjc/journal/v107/n1s/index.html
• http://www.ilo.org/wcmsp5/groups/public/@ed_protect/@protrav/@safework/documents/
publication/wcms_162662.pdf and TUT/WSH Institute/ILO/EU-OSHA documentation
• http://www.nature.com/bjc/journal/v106/n3/full/bjc2011563a.html
Estimation of work-related Fatalities – EU 27/USA
• 205/147 million people in employment
• 168,000/91,012 fatalities attributed to work-related accidents and
diseases in EU, and within that:
– 159,000/84,155 fatalities attributed to work-related diseases
– 7,460/6,857 fatalities caused by accidents at work
– 74,000/38,016 fatalities attributed to hazardous substances at work
(asbestos included)
• 95,581/51,900 work-related cancer deaths annually
(9.6% of all cancer deaths estimated to be attributable to work)
(2002)
Estimation of work-related Fatalities – EU 27/USAyear 2008
238/154 million people economically active
168,000/101,179 fatalities attributed to work-related accidents and diseases in EU, and within that:
o 162,000/96,000 fatalities attributed to work-related diseases
o 5,900/5,370 fatalities caused by accidents at work
o 72,426/46,950 fatalities attributed to hazardous substances at work (allergens, ETS, asbestos, diesel exhaust etc. included)
95,581/51,900 work-related cancer deaths annually (9.6% of all cancer deaths estimated to be attributable to work, 2002)
Sources and methods, see also earlier: http://www.ilo.org/wcmsp5/groups/public/@ed_protect/@protrav/@safework/documents/publication/wcms_162662.pdfhttp://www.ttl.fi/en/publications/electronic_journals/asian_pacific_newsletter/archives/Documents/Asian_Pacific_Newsletter1_2000.pdf
Major causes of death by age group,
EU-25, 2001
Work –relatedness of common
diseases
A Leading Institute for WSH Knowledge and Innovations
12
WorkWork--relatedness of common diseasesrelatedness of common diseases
Overall work-relatedness of mortality, ILO: 6.7%
GDP loss, Australian method 5.9%
Global Burden of disease and injury in Europe, WHO 5.0%
Work –relatedness of common
diseases
A Leading Institute for WSH Knowledge and Innovations
13
New 4.8 % previous:
Magnitude of non-fatal work-related
illnesses and accidents
A Leading Institute for WSH Knowledge and Innovations
14
7 million in Europe in 2007
20 million in Europe 2007
11,113 reportable
workplace injuries in
Singapore in 2012
987 occupational diseases
(OD) were confirmed in
Singapore in 2012
15
Projected cases of Selected diseases - UK Population and working population, 2006-2030
For each of the following issues, please tell me whether it is of major concern, some concern or no concern at all in your establishment
% establishments, EU27
5344
38 3630
18 18
2635
41
22 31
19 19
20 21 20
41 38
62 62
0 .0
10 .0
2 0 .0
3 0 .0
4 0 .0
50 .0
6 0 .0
70 .0
8 0 .0
9 0 .0
10 0 .0
A ccident s M SD s W R St ress D angerous
subst ances
N oise and
vibrat ion
V io lence or
t hreat o f
vio lence
B ullying or
harassment
Major concern Some concern No concern DK/ NA
EU-OSHA Enterprise Survey of New
and Emerging Risks
Problem
New and emerging risks
• New risks – e.g. Nanotechnologies
• New industries – e.g. Green jobs
• Old risks – new concerns: combined exposures
Trends influencing occupational
safety and health
A Leading Institute for WSH Knowledge and Innovations
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1. Demographic trends
2. Globalisation
3. Changes in employment
structures
4. New technologies
Changes in employment structures
A Leading Institute for WSH Knowledge and Innovations
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• Tertiarisation of the workforce
• Higher percentage of women in employment
• More non-standard employment
– Part-time,
– Multiple jobs
– Self-employment
– Precarious work
– Informal sector / undeclared work
New Association between work and
health
Source: Jorma Rantanen, WSH Conference Singapore, 2012
Source: Jorma Rantanen, WSH Conference Singapore, 2012
New Association between work and
health
Cost of injury and illness, Australia,
2012, and other countries
A Leading Institute for WSH Knowledge and Innovations
26
4.8 % of GDP in 2008-09
3.2 % of GDP in Singapore, 2011 Others: 1.8%- 6 % of GDP source: www.safeworkaustralia.gov.au/
http://www.safeworkaustralia.gov.au/swa/AboutUs/Publications
/CostofWork-relatedInjuryandIllness.htm
http://www.safeworkaustralia.gov.au/sites/SWA/about/Publications/Documents/660/Cost%20of%
20Work-related%20injury%20and%20disease.pdf
www.wshi.gov.sg
Competitiveness and WSH: World
(selected countries)
-5
0
5
10
15
20
3
3.5
4
4.5
5
5.5
6
Fatal accidents /
100 000 workers
2008
Competitiveness Index
Competitiveness rank Death rates Linear (Death rates)
Source: WSH Institute and World Economic Forum 2012-2013
http://www3.weforum.org/docs/WEF_GlobalCompetitivenessReport_2012-13.pdf
And: Jorma Rantanen, WSH Conference Singapore, 2012, and JT
Iceland
Sustainable Work Life
Japan
Finland
Singapore
2012
Iceland
Norway, Switzerland
New Zealand
Source: OECD, Statistics Finland, WSH-Institute Singapore
Statistics, Finland: GDP 2007, Pensions 2007, Salaries 2007, premature pension payments: 4.5 billion eur/year in 2006 GDP in 2007: 178 billion (US billion= 1000 million =109 euro = mrd) euro, population of Finland 5.2 million
Price of premature retirement
Finland/EU27
Average age 58.1 years
Loss 6.9 years/person
77.109/7.7 million new retirements/year
EU27 estimate
Annual average salary: 30.000 eur
Average value (cost) of one work year 45.405 €
GDP/employed 73.500 eur
16 billion
24 billion
39 billion
1600 billion
2400 billion
3900 billion
712,108 million € in Europe = 712 billion (US billion = 10 9)
(based on Australian estimate on poor work environment costs)
Finland EU
The "Balance of Horror" in the
European Labour Market
Training OHS
WA promotion Recreation and culture
Corporate fitness Communication
Early retirement Sick-leaves Accidents
Permanent disability
****
(Presenteeism)
3000 Bill € / year 200 Bill € / year
Source: Prof. G.Ahonen, adaptation Dr. J.Takala
32
s s
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PERCEIVED AND REAL RISKS
PERCEIVED RISK
Airline accident
Mobile phones
Terrorist attack Violent
robbery
Avian flu Stock exchange crash
Glass of vine
REAL RISK
Heat wave
WAR activities, anywhere
Traffic Accident Cancer
Circulatory diseases
Work-
related Work-
related
Sources: S. Hertlich, M.Hamilo, S.kuvalehti (FI), WHO/ILO/J.Takala
Work-
related
Work-
related
Work-
related
Work-
related
WORK
all
WORK
all
Work-
related
Work-
related Work-
related
Evidence 2 Policy
Evidence 2 Practice
A Leading Institute for WSH Knowledge and Innovations 34
UN Secretary General Kofi Annan in 2003:
http://www.ilo.org/wcmsp5/groups/public/---ed_protect/---protrav/---safework/documents/publication/wcms_208226.pdf
H in Workplace Safety and Health
Work-related cancer
Work-related circulatory diseases
Accidents Infectious and
parasitic diseases
Musculo-skeletal
disorders
Psychosocial disorders
Asbestos Shift and night work, overwork
Lack of company policy, man. System, worker/employer collaborative mechanism, poor safety culture
Poor quality drinking water
Heavy lifting, loads, shapes of materials
Lack of control
Carcinogenic substances, processes, silica and other dusts
Strain by high demands, low decision making latitude
Lack of knowledge, solutions and good practices
Poor sanitation and sewage system
Repetitive movements
Poor work-life balance
Ionizing radiation, radioactive materials
High injury risk Lack of guidance or poor gvt policies, poor legislation and poor enforcement and tripartite collaboration
Poor hygiene, lack of knowledge
Poor design of seats, tables, tools, processes
Poor organisational culture
UV-radiation Chemicals Lack of incentive-based compensation system
Protection against animals, insects, snakes
Low temperatures, vibration
Role ambiguity or conflict, unclear or changing priorities
ETS (passive smoking at work)
ETS (passive smoking at work)
Lack or or poor OH services
Diesel engine exhaust
Poor recording and notification systems
Trends – change of mindset
Challenge, not just for today
but for life
A Leading Institute for WSH Knowledge and Innovations
38
• To achieve a sustainable
working life
• The challenge to
employment
• A holistic approach
• Good Work!
http://www.theworkfoundation.com/assets/docs/publications/216_bupa_report.pdf
http://www.theworkfoundation.com/DownloadPublication/Report/316_Good%20Work%20High%20Performance%20and%20Productivity.pdf
A Leading Institute for WSH Knowledge and Innovations
39
Total Workplace Safety and Health
(Total WSH)
A Leading Institute for WSH Knowledge and Innovations
40
A comprehensive and integrated approach to
managing workplace safety and health:
To provide and maintain a safe and healthy working
environment for all employees.
To identify and address WSH risks in a proactive and
integrated way with the active participation of
employees.
SAFETY ISSUES
HEALTH ISSUES
GOVERNMENT
MANAGEMENT
WORKER Occupational
Diseases
General
Diseases
Health Promotion
Benefits of Total WSH
A Leading Institute for WSH Knowledge and Innovations
41
Key Benefits
Enhanced WSH Culture
Sustainable WSH gains
Lengthen productive working life
Attract & retain
employees
International Best Practice
Corporate Image
Enhanced Productivity
42 A Leading Institute for WSH Knowledge and Innovations
Ergo@WSH ~10,000 downloads
• Launched at Singapore WSH Conference - Sept 2012 • Awarded CIO 100 Honouree 2013
Accidents – injuries –
exposures or …
Design for Safety,
Control Banding, GHS…evidence4action
http://www.asse.org/professionalaffairs_new/PtD/Opening%20Session/Paul%20Schulte.pdf
A multifaceted approach to prevention
A Leading Institute for WSH Knowledge and Innovations
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Policy,
strategy,
programmes,
management
Laws and
regulations
Enforcement,
compliance,
inspection
Knowledge,
informationPromotion,
advocacy
Technical
assistance,
advice, OSH
Services
Systems
approach
Infra-
structures
Collaboration
TOOLBOX FOR SAFETY AND HEALTH
. .
World Day for Safety and Health at Work: Singapore reaffirms its commitment to safety and health
A Leading Institute for WSH Knowledge and Innovations 45
http://www.ilo.org/safework/events/safeday/WCMS_211661/lang--en/index.htm
Lee Hsien Loong, Prime Minister of Singapore,
April 28, 2013
46
s s
From Fragmentation to Leadership
A Leading Institute for WSH Knowledge and Innovations 47
Conclusion
Conclusion
Conclusion
Conclusion