compendium of projects work plan 2006- 2010 - who.int · • one or more ilo osm ms ‘tailored...

1

Prepublication

Compendium of Projects

Work Plan 2006- 2010

WHO Global Network of Collaborating Centers in Occupational Health

Project Templates within the Six Activity Areas

Compendium as of 1 June 2006

2

Table of Contents (Number of Projects)

11 May 2006

AA1: Global situation analysis (4) Page 3 Temporary Manager: Kaj Elgstrand, NIWL

Sweden AA2: Evidence for action to support national policies and delivery plans (29) Page 8 Temporary Manager: Andrew Curran, HSL UK AA3: Practical approaches to identify and reduce occupational risks (44) Page 48 Temporary Manager: Stavroula Leka, Univ Nottingham UK AA4: Education, training and technical materials (56) Page 106 Temporary Manager: Leslie Nickels, Univ Illinois, USA AA5: Development and expansion of occupational health services (11) Page 177 Temporary Manager: Timo Leino FIOH Finland AA6: Communication and Networking (19) Page 196 Temporary Manager: Claudina Nogueira, NIOH, South Africa Total Projects (163)

3

Activity Area 1: Global Situation Analysis 1 AA1:1

Activity Area Number and title

AA1: Global situation analysis

CC or NGO Name Swedish National Institute for Working Life

Project title Global situation analysis - overall project

Keywords Globalization, employment patterns, health consequencesProject leader Email address

Mr. Kaj Elgstrand Email address: [email protected]

Partners (of the CC Network)

Asociación Chilena de Seguridad : Dr. Marisol Concha TNO, the Netherlands : Prof. Frank Pot South African National Institute for Occupational Health : Prof. David Rees Vietnam Administration for Preventive Medicine : Dr. Nguyen Thi Hong Tu

Other partners Canadian Centre for Occupational Health and Safety: Dr. P.K. Abeytunga (consultant)

Funding Each collaborating partner is responsible for its respective costs

Objective of the project

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

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

A number of reports describing: 1. The ongoing globalization and changing employment patterns 2. Analyses of how these charges are influencing on the prerequisites for occupational safety and health 3. Actions to be taken, to consider in a creative way these changing prerequisites. The actions will be related to and when feasible integrated with the outcomes of other activity areas of the Global Work Plan. 4. Special studies on the health outcomes of globalization iChile, Vietnam and other countries. The report(s) related to the above mentioned stage 1 shouldbe completed before the end of 2007. The whole project should be completed before the end of 2010.

4

Target group and/or beneficiaries

Occupational health and safety professionals and policy-makers

Summary of the proje(max 100 words)

Analyses of the ongoing globalization and changing employment patterns and its health consequences and actioimplications. The project will consider the situation both in industrial and developing countries, and include a few national studies. The project is to be coordinated with othersimilar or related international activities, and when feasible integrated with other activity areas of the Global Work Plan WHOs Collaborating Centers in Occupational Health.

Dissemination WHO documents and national documents

Impact; global/region Global 2 AA1:2 Activity Area Number and title


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

Summary of the project (max 100 words)

Bibliographic research, countries comparisons, projected impact in health

Dissemination Governments, Labour and Health Ministers, International Organizations

Impact (global or regional)

Regional

5

3 AA1:3 Activity Area Numbeand title


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 address: [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.


The outcomes of the project: • To develop 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


- A description of the ongoing globalization and changing employment patterns in Vietnam

- An analysis of how these changes are influencing on the inequality in health care and prerequisites for occupational health and safety in Vietnam

- The identification of solutions to be taken Dissemination WHO documents Impact (global or regional)

Global

6

4 AA1:4 Activity Area Number and title

1 – Global Situation Analysis

CC or NGO Name

Centre for Ergonomics & Human Factors La Trobe University Australia

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

Keywords System management, legislative framework, community networks, safe communities, risk perception, participation, guidance


Dr Wendy Macdonald [email protected]


Key people from WHO CCs in different global regions will be invited to contribute (including participants in WHO CC Activity Area 1), along with representatives of the ILO-OSH Safe Work Programme.

Other partners

Centre for Ergonomics & Human Factors, La Trobe University, Australia; the possibility of involving the ILO in this project will also be investigated.

Funding Some baseline funding will be provided by the La Trobe University Centre for Ergonomics and Human Factors, and possibly also by the La Trobe University Institute for India and South Asia. Supplementary grants will be sought for specific activities at later stages.


The aim is to document current forms of OSH management systems in diverse regions of the world and in these contexts, to critically evaluate the applicability of the 2001 ILO guidelines for OSH management systems (ILO-OSH 2001). Important variables are expected to include: extent of OSH legislation and enforcement; variability in work conditions related to formal versus informal sectors; variability in employment patterns (e.g. proportions of casual, part-time and/or migrant workers); types of hazards and risk factors requiring control; diversity of workers’ own resources, capacities and related vulnerabilities (e.g. malnourishment, chronic illness); and the perceived utilities of potential risk control options, which are expected to vary significantly between workers in physically and culturally diverse environments. At this initial stage, the specific objectives are: • to identify some of the most important ways in which the ILO-OSH

management system guidelines may need to be adapted to suit local conditions

• raise awareness among those concerned with system management at national and international levels, and among occupational health and safety professionals more generally, of the importance of applying the ILO guidelines in ways that are appropriate to specific work conditions;

• in collaboration with one or more CCs in the Indian and South-East Asian region, to tailor the ILO-OSH management system guidelines to meet local conditions, and to formulate a proposal for further work to implement and evaluate these guidelines.

7


• a commercially published book, including chapters written by invited authors from WHO CCs in a variety of different regions (publication deadline: 2008).

• one or more project proposals (by 2008) for specific system management initiatives to be implemented and evaluated in Indian / South-East Asian work environments

• One or more ILO OSM MS ‘Tailored Guidelines’ appropriate for particular regional work situations, following the pattern of those already developed for the Japanese Construction and Manufacturing industries (by 2010). (see http://www.ilo.org/public/english/protection/safework/managmnt/index.htm)


Those responsible for designing and implementing OSH management systems at both national and organisational levels; the ILO SafeWork programme; occupational health professionals and students.


WHO CCs in diverse locations will be invited to contribute chapters to a book documenting and evaluate current regional approaches to OSH system management. This will draw on outputs from the WHO CC Activity Area 1 Global situation analysis; the ILO SafeWork programme; and research at La Trobe University on the core functions of OSH management systems. At least one local intervention project will be implemented and evaluated during Stage 2, in India and/or South East Asia. During the final stage, results will be used to formulate ILO OSH Management System ‘Tailored Guidelines’ for each such project.

Dissemination A commercially published book; professional and academic meetings and publications; ILO OSH Management System ‘Tailored Guidelines’ for selected work conditions.


Both global and regional.

8

ACTIVITY AREA 2: Evidence for action to support national policies and delivery plans Note: TheAA2 projects are accepted tentatively. CC Project Leaders are asked to review the project in light of the criteria for AA2. If the project will lead to policy change or to a delivery plan, the description should be revised to show this and the anticipated timeframe. Communications should be made with AA Temporary Manager Andrew Curran at [email protected]. Some projects may not fit the AA2 criteria. These can be withdrawn by the CC or discussed with Marilyn Fingerhut or Gerry Eijkemans or with any AA Manager if the Project Leader feels that the project might be suitable for one of the other Activity Areas. 1 AA2:1 Activity Area Number and title

Activity Area 2: 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.


Dr. Manuel Peña [email protected]


Other partners Funding EUROPEAN INSTITUTE OF HEALTH AND SOCIAL WELFARE 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 optimisation of resources.

Dissemination The EES could be published by WHO in CD or electronic support ( Internet)


Global.

9


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

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)

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 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

10

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


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

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 Informthe government and policy makers of these results

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

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

11

project 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 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

4 AA2:4 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 network)

Andrew Curran (HSL) 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.

12

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.



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

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 Magdalene Chan [email protected]


FIOH – Finland (Kari Kurppa)

Other partners Funding Occupational Safety and Health Division,

Ministry of Manpower, Singapore Objective 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.


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


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


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.

Dissemination WHO/ILO documents; Ministry reports and website; CDROM. Impact (global or Global

13

regional) 6 AA2:6 Activity Area Number and title



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



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

Other partners Funding Occupational Safety and Health Division,


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


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

14

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

Project title Developing of indicators for occupational health activities in Bulgartia

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


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

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

15


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


WHO Collaborating Centers in Occupational Health which 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


Area 2: Item: Development of indicators for occupational health

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]

16


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. 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


AA2 Evidence for action to support national action plans. This was originally submitted to AA3:

CC or NGO Name Institute and Outpatient Clinic for Occupational and

17

Environmental 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,

[email protected] Partners (of the CC Network)

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.

18


AA2 Evidence for action to support national action plans. This was originally submitted to AA3:

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

19


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 is prepared.

Dissemination Website Impact (global or regional)

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

12 AA2:12 Activity area Number and title

AA2: Evidence for action to support national action plans. This was originally submitted to AA3.

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] 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)

20

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 - 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

21

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.


AA2 Evidence for action to support national policies and plans. This was originally submitted to AA 3 .

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-Developpement of a urine sampling disposal for on-field use; 3-Organization of a scientific symposium in 2008

Target group and/or Occupational physicians, industrial hygienists of most

22

beneficiaries enterprises Summary of the project (max 100 words)

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


AA2 Evidence for action to support national policies and plans. This was originally submitted to AA3.

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


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.

23


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 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.

24


AA2 Evidence for action to support national action plans. This was originally submitted to AA 3

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, 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.

Summary of the project (max 100

Assessment of changes in selected lung function parameters in workers occupationally exposed to asbestos at an asbestos

25

words) 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


AA2 Evidence for action in support of national policies and plans. This was originally submitted to AA5.

CC or NGO Name Department of Occupational Medicine – ISPESL

Project title Protection of Reproductive Health in workplaces: the role of Occupational Health Services.

Keywords Reproductive health, occupational exposure, Project leader Email address

Dr. Alessandra Pera [email protected]


Other partners Funding Funded by ISPESL Objective of the project

• To improve the awareness of service operators on the importance of reproductive health in relation to occupational factors.

• To develop toolkits. • To monitor service’s activity in relation to

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

• Preliminary analysis of Italian situation (by 2007) • Definition of a toolkit on reproductive hazards (by

2008) • Identification of a sample of OSH and administration

of the toolkit (by 2008) • Analysis of results (by 2009) • Planning of new strategies to improve and to monitor

service’s activity in this regards (by 2010). Target group and/or beneficiaries

Occupational Health Services at different levels: enterprise, local health agency, labour inspectorate, Ministry of Health


The importance of Reproductive Health has been longly recognized not only for woman, but for men too. Factors affecting reproductive health do not act only during fertile age, but may be also important during prenatal life, infancy

26

and adolescence. The combined epidemiological, clinical and animal studies demonstrated that the intrauterine environment influences both growth and development of the fetus and subsequent development of adult diseases including those of reproductive tract. However, with the exception of pregnancy in female workers, until now little attention is spent by occupational health service in protecting reproductive health in its wider sense, which indeed should be fully included in Risk Assessment. For these reasons it’s necessary to increase the awareness of service operators on the importance of reproductive health in relation to occupational factors, giving them simple and suitable tools to improve the preventive activities in workplaces.

Dissemination Training courses, Supporting documents, meetings Impact (global or regional)

Regional


AA 2: Evidence for Action to support national policies and delivery plans. This was originally submitted to AA6.

CC or NGO Name Federal Institute of Occupational Health, 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

27

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

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

28

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


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

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

29

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.


AA 2: Evidence for Action to support national policies and delivery plans. This was originally submitted to AA6.

CC or NGO Name Federal Institute of Occupational Health, Germany 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]


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


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

30

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.



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

31

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.


AA2 Evidence to support national actions, policies and plans. This was originally submitted to AA 3.

CC or NGO Name National Institute of Industrial Health (NIIH), Japan 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 Funding Financial provisions will be covered by the budget of the

NIIH 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

32

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


AA2 Evidence for national action plans and policies. This was originally submitted to AA3.

CC or NGO Name CATHOLIC INDUSTRIAL MEDICAL

33

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

34

- Reports Impact (global or regional)

Global


AA2 Evidence for action to support national action plans. This was originally submitted to AA3.

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

35

establishing infrastructure for asbestos as the most important thing to solve this problem.

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

Dissemination - Results will be submitted to relevant journals for publication

- Presentation at relevant conferences and meetings

- Reports Impact (global or regional)

Global

22 AA2: 22 Activity Area Number and title

AA 2 Evidence for action, policy and national plans. This was originally submitted to AA 3.

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, as part of the overall

project on healthcare workers managed by Prof. Mary Ross 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

Summary of the Musculoskeletal disorders (MSDs) may develop from

36

project (max 100 words)

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 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


SADC region

23 AA2:23 Activity Area # and title

AA2 Evidence for action, national policies and action plans. This was originally submitted to AA1

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.

Project • In depth analysis of national and

37

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

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).

• Proposals for prevention strategies (by 2010).


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

24 AA2:24



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 Work-Related Injuries and Accidents - Multicenter Case-Control Study in Developing Countries: India and …

Keywords accidents, injuries, disability, work-related accidents, fatal accidents, causes, risk factors, evidence for policy

38


Norbert L. Wagner MD PhD; [email protected] Ralf Steinberg MSc Engg PhD; [email protected]


Possible partners (to be confirmed): Cc's in other developing countries are invited to join

Other partners Planned other partners: Department of Accident & Emergency Medicine, Sri Ramachandra Medical College & Research Institute, Chennai INDIA Department of Emergency Medicine, St. John's Medical College, Bangalore INDIA Occupational Health Unit, Department of Community Medicine, St. John's Medical College, Bangalore INDIA Employee State Insurance Hospital, Occupational Disease Ward, Chennai INDIA Injury Prevention Research Center, School of Public Health, University of North Carolina, Chapel Hill, North Carolina USA

Funding The CC will apply for funding


- To identify causes and risk factors of work-related accidents - To estimate the financial and social impact of injuries, disability or

unintentional deaths to the individual and their families - To generate evidence for policy with consequences for law

enforcement, legislature and judiciary - To identify good practices in reporting and prevention of work-

related accidents for future policy changes and reporting systems


From the start of funding, we expect following outcomes: - Results on causes and risk factors of work-related accidents in a

developing country taking India as one example (1to 2 year3) - Research report for publication and suggestions for policy

including estimates of impact and conclusions regarding law enforcement, legislature and judiciary (2 to 3 years)


- Registered and un-registered workforce in developing countries, informal workforce including their families

- Policy makers and law enforcement agencies in developing countries

- Trade unions and management of companies - Occupational Health & Safety professionals in developing

countries Summary of the project (max 100 words)

India is an example for a developing country in transition with a economically rapidly expanding registered industrial sector (5% of workforce in 2005), a vast informal manufacturing and service sector with SMEs (app. 30% of workforce) and a still pre-dominant, mostly informal agricultural sector (app. 60% of workforce). As in almost all low-resource countries, reporting on work-related accidents in India is quasi not existent. The Indian government has

39

reports only 200 to 300 fatal work accidents per year as compared to estimated 50,000 (conservative estimate) by ILO or up to 200,000 (estimate) by NGOs. Fatal work accidents are hence as important in numbers as all occupational diseases together. Disabling injuries are ten times more common. The impact of these work accidents often unknown as compensation systems do not exist for the majority of the workforce. Causes and risk factors of work accidents in such a developing country are hardly known. Directions for policy development, enforcement, educational and awareness programs lack often factual basis and knowledge of risk factors. This project wants to shed light into this often neglected sector. Recommendations for policy, public health programs and reporting systems will help the practical implementation.

Dissemination WHO/ILO document on Good Practices Scientific report on results and recommendations, to be published Transfer of results possible for other developing countries Questionnaires useful for duplicating study in other developing countries


Global, mainly developing countries




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]

Partners (of the CC NIOSH

40

Network) 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


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]


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

41

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 promary prevention of cancer pathology among workers of enterprises dangerous from cancer 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

42

the Central and Eastern Europe.


AA 2 Evidence for National Policies and Action Plans

CC or NGO Name Institute of Public Health, Chile

Project title Characterization of worker exposure to fibers substitutes of asbestos and an approach to its effects in health

Keywords fiber, exposure, respiratory health of the workers, effects. Project leader Email address

Bélgica Bernales – [email protected] Rodrigo Solís – [email protected]


Collaborating Centre (to confirm).

Other partners Institutions related to the worker health, in countries of the region that have banned the use of asbestos.

Funding

Instituto de Salud Publica de Chile


To know the reality that the country must face in the use of new fibers after the asbestos banning and to propose appropriate measures for its control.


To develop the profile of exposure to these fibers (2006 - 2007). To make the health profile of workers exposed to these fibers (2006 - 2007) and its Surveillance (2010). To develop a meeting of experts (2008). To give a report with recommendations and their diffusion at regional level (2008).


Exposed workers to new fibers that replace the asbestos of countries of the Region that have prohibited the use of the asbestos.


- Bibliographical compilation of the substitutes of the asbestos in the country and the effects in health. - To identify the areas of use, involved and working volumes exposed. - To visit different workplaces to to take air samples and a health questionnaire. - To make medical evaluation and pertinent examinations to a representative sample of the exposed workers. Later a periodic surveillance to this sample is made. - To make a meeting of experts with the purpose of showing the found results and discussing the environmental limits. - To make recommendations to the national authority respect to the measures of prevention, protection and protocols of health monitoring.

Dissemination Meetings of work with the local Sanitary Authority and to share information with the other CC.

43


Regional

Example 13 28 AA2: 28 Activity Area Number and title


CC or NGO Name WHO CC for Occupational Health Germany (DEU)

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 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

44

languages.


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




3 – Practical approaches to identify and reduce occupational risks

CC or NGO Name WHO CC for Occupational Health Germany (DEU)

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




The guide helps workers and employers in the music and entertainment 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.

45




AA 3: Practical approaches to identify and reduce occupational risks

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 analysis. Set a database and conduct statistical analysis. Discuss

46

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

AA2: 31 Activity Area Number and title


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

Project leader Prof. Marco Maroni, International Centre for Pesticides and Health Risk Prevention.

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

47

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.

48

AA3 – Practical Approaches to Identify and Reduce Occupational Risks

1 AA3:Ch1Activity Area Number and title

AA3 Practical approaches to identify and reduce occupation risk

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.

Project leader

Email address

Marcela Gerardo Ribeiro, PhD chemistry researcher, Occupational Hygiene Division


----

Other partners SESI/SP and SEBRAE Funding Fundacentro Objective of the project 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)


Small and Medium Enterprises – Foundry and Printers

49


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 2 AA3:Ch2Activity Area Number and title



Project title Adaptation of available Chemical Toolkits for application in developing and newly industrialized countries

Keywords Chemical hazards, control banding, specific control measures, chemical inventory, chemical management, exposure to hazardous substances


Ralf Steinberg, MSc Engg PhD; [email protected] Sankas Sambadam; [email protected]


Possible Partners to be confirmed: NIOH, Ahmedabad, India Benin Brazil

NIOH, Johannesburg, South Africa

Other partners GTZ Convention Project Chemical Safety


Objective of the project To identify modifications needed to implement Chemical Toolkits in developing countries

To compile “stories of success” from countries using Chemical Toolkits

To develop and disseminate control measures appropriate for local conditions

50

To compile sector specific good practices To assist in collection of relevant information on

hazardous properties To eradicate inconsistencies of available Toolkits To explore possible integration of a Chemical

Toolkit into legal requirements


Documentation of experiences made in different countries where Chemical Toolkits have been developed and/or applied (1-2 years after starting of funding)

Amended Toolkit adapted to the needs and conditions in developing countries (2 years after starting of funding)

Training packages for a toolkit combined with adapted, sector-specific control measures (2-3 years after starting of funding

Basic chemical safety guide for use in primary health care settings and semi-literate population (2-3 years after starting of funding)


All enterprises, especially those where expertise and resources are missing such as SMEs

Employees due to improved working conditions


Control banding tools such as COSHH Essentials (HSE, UK) and ILO Risk Assessment Tool are considered to be appropriate for risk assessment of chemical management in small and medium scale enterprises to enhance capabilities in health and safety issues. Since risk assessment tools were primarily developed for application in developed countries it is necessary to explore possibilities and limitations of practically applying these Chemical Toolkits in developing countries. Recent studies have shown that it is of importance i) to adapt toolkits to local condition, ii) to provide concepts for applicable control measures and iii) to simplify access to information on hazards.

Dissemination WHO/ILO documents, publications in respective journals, university studies, training workshops

Impact (global or regional) Global 3 AA3:Ch3Activity Area Number and title


51


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

Keywords Chemical hazards, control banding, chemical inventories, chemical management, environmental monitoring, pesticides, environmental health


Ralf Steinberg, MSc Engg, PhD, [email protected] Kalpana Balakrishnan, MSc, PhD, [email protected]


Possible partner: NIOH, Hanoi, Vietnam and other CCs located in South and Southeast Asia

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

52


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


Regional for Asia



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

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

Keywords Control strategies, risk management

53

Project leader

Email address

T.J. Lentz ([email protected]) Rick Niemeier ([email protected])

Scott Earnest([email protected]) Chris Gjessing([email protected])


HSE (United Kingdom), FIOH (Germany), IOHA, WHO, ILO

Other partners OSHA (United States) Funding NIOSH and OSHA Objective of the project

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 evin o 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 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 evin o after those developed by the U.K. HSE, the WHO/ILO, and the U.S. pharmaceutical industry. Specific aims include:

• 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

• 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”)

• Developing print and electronic resources (control guidance primer, NIOSH Web page, CD-ROM) to provide control banding information and resources, and utilizing networks

54

and partnerships for translating and disseminating materials to a broader audience

• Coordinating and fostering control banding research efforts throughout the Institute and its international partners

• Performing demonstration projects with selected industries and SMEs to evaluate the applicability and utility of control-focused approaches.

Dissemination Dissemination will be 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)


Global



CC or NGO Name Federal Institute of Occupational Health, Germany Project title Further development and implementation of the „GTZ Chemical

Management Guide“

Keywords chemical management, developing countries, small and medium

sized enterprises, control banding Project leader

Email address

Gesellschaft für Technische Zusammenarbeit (GTZ), Convention Project Chemical Safety

Dr. Alberto Camacho [email protected] Bundesanstalt für Arbeitsschutz und Arbeitsmedizin (BAuA)

Dr. Martin Tischer (4.1) [email protected] Partners (of the CC Network)

NIOSH

Other partners EU

55

Funding GTZ Objective of the project

The project aims to further develop the GTZ ChemicaI Management Guide with regard to the following issues:

• Introduction of a practical tool for the assessment and management of risks from dermal contact

• A basic compatibility concept for the storage of chemicals • A basic concept for fire /explosion prevention • Visualisation of hazards and corresponding control measure

by means of pictograms • Simplifying the guide where ever possible and so to

strengthen its applicability

It is intended to implement the CM Guide in a number of small and medium sized companies in Vietnam, Morocco and South India.


Updated English, Hindi, Tamil, Vietnamese versions of the GTZ Chemical Management Guide and the corresponding Training Manual are available in the internet in December 2006.


Small and medium sized enterprises in developing countries


The GTZ Chemical Management Guide has been developed to ensure the careful management of chemicals in small and medium sized enterprises in developing countries. The guide describes a step-by-step approach which is based on identifying ‘hot-spots ’ as a first step, and making a chemical inventory as a second step. These steps provide the information for the third step, that aims to calculate losses, consider substitutes, and determine and evaluate adequate controls on the basis of the ILO Toolkit.

The CM Guide has been tested in Indonesia, South Africa and Vietnam and proved to be suitable tool for risk assessment and risk management in SME’s. The companies feedback showed that the essentials of the training approach were clearly understood and appreciated. Nevertheless a number of issues for further development of the CM-Guide were identified. For instance, it is desirable to have a “one stop shop” that covers both chemical and physical risks (e.g. fire and explosion). Such a concept should also address the compatible storage of chemicals. There is also a need for a practical approach for assessing and managing dermal risks.

The revised version of the CM-Guide will address these issues. It is intended to test and implement the revised version in a number of SME’s in South India, Morocco and Vietnam.

56

The updated guide will also serve as a basic document for adapting and implementing training in the USA under NIOSH guidance.

Dissemination The training and methodology should be anchored in a WHO focal point institution in the different countries.


Increased awareness on chemical management in SME’ s and at different levels in the countries




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 Magdalene Chan

[email protected]


IOHA (Heather Jackson)

Other partners HSE - UK (Paul Evans) Funding Occupational Safety and Health Division,


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

57

words) 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.

Dissemination State the method of disseminating the project outcomes.

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


Global

7 AA3: Ch7 Activity Area Number and title

Activity Area 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



Other partners Institute for Infocomm Research (I2R), Singapore

Funding Ministry of Manpower, Singapore Objective of the project

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)

58


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.



Global



CC or NGO Name National Centre of Public Health Protection, Bulgaria Project title Developing of indicators for occupational health activities in

Bulgaria Keywords working conditions parameters, workers exposures, simplified risk

assessment procedure Project leader

Email address

Prof. Emilia evin o


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

Other partners Ministry of Health, Employers organisation (Bulgarian industrial Association), Trade unions

Funding Government of Bulgaria Objective of the project

Provide evidence for necessity of change in the existing measurement oriented practice and enforcement of simplified risk assessment approaches in the field of workers health and safety


Toolkit for chemical and psycho-social factors at work

2008


Decision makers at national and company level, social partners

Summary of the Over the years, a strong measurement oriented approach has

59

project (max 100 words)

been implemented in the national occupational health system. A need has been identified through the work of the WHO’s Network of Collaborating Centres (CCs) in Occupational Health for practical procedures and tools for the management of occupational health and safety at work. This need is still not recognised widely neither by specialists, nor by authorities and employers in Bulgaria. Simplified procedures and tools, based on the existing information should be suitable for use in big companies as well as in small and medium-sized enterprises (SMEs). Such an approach as control banding that has formed the basis for the development of chemical toolkits has been initiated, but it was recognised, that its implementation requires activities for raising awareness of the necessity of rapid actions for improvement the working conditions instead of workers compensation. Using simplified risk reduction tools and methods as a guide (simplicity, easy access, cost effectiveness, participation, practicality, awareness raising), aims at the development of tools and methods for the management of occupational risks that will be useful especially in contexts where expertise is missing, such as SMEs.

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

social partners Impact (global or regional)

National and regional

9 AA3:Ch9


AA3 Practical Approaches to Identify and Reduce occupational risks

CC or NGO Name CC URESTE/LUSTE University of Abomey-Calavi (Benin)

Project title MANAGEMENT OF CHEMICAL WASTES IN AFRICA:OCCUPATIONAL AND ENVIRONMENTAL HEALTH ASPECTS

Keywords Chemical wastes, Management, Environmental health


Fayomi, Benjamin Professeur Unité de Recherches et d’Enseignement en Santé au Travail et

60

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-Guissou, Pierre Dr en Médecine Professeur UFR/Sciences de la Santé Université de Ouagadougou, Ouagadougou, Burkina Faso 2- El Kholti, A Dr. en medicine Professeur Unité de Santé au Travail - Faculté de Médecine de Casablanca BP 9154 – Casablanca – 20100 MAROC

Funding Not yet defined

Objective of the project This project is aimed at finding chemical waste management systems that would fit local conditions.


The outcome of this research would be profitable to Benin and other countries in terms of waste management. It would also allow the training of public health researchers and give, thought the quality of the work that will be done, an international dimension to the scientific activities in the sub-region. Deadline: March 2007


Populations of Benin, Burkina Faso and Morocco.


Technical activities in developing countries convolve not only knowledge to be carried out, but also skills and well-adapted organisation to manage the waste generated. Because chemicals are used in the process, the informal sector activities produce waste which management system is not well known. That makes then the activities that bring about the most problems in west and North Africa. Developing

61

countries are peculiar because that waste is potentially re-used, causing not only occupational heath problems but also environmental and public health trouble. The stock of that waste is an important hazard to the environment. The key objective of this project is to determine waste management systems that will fit local conditions. This will be done through evaluating quantitatively the question of the exposure to chemical and their waste is certain informal sector activities (painting…). An insight of the tools used to evaluate risks in the specific situations faced will be given. The project will be first realised in Benin and Burkina Faso. Indeed, these countries possess the typical economies of African francophone countries as well as institutions both of research and public health. All the above give a good scope of success to the project. The out comes of the research will therefore be firstly practical to Benin and other countries of the sub-region in terms of all sort of waste management.

10 AA3: Ch10


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, Nationwide survey for detail information of processes using selected chemicals.


Seong-Kyu Kang, M.D., Ph.D. Director of Department of Occupational Health, KOSHA(Korea Occupational Safety and Health Agency) [email protected] Jang-Jin RYOO, Department of Occupational Health, KOSHA [email protected]

62


Other partners Ministry of Labour (Korea)

Funding KOSHA, MOL (Korea)

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


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 small to medium enterprises.


Occupational diseases caused by chemicals have mostly appeared in workers in small to medium scale enterprises (SMEs). Information and control measure are not reachable to the 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. For this project, intensive nationwide survey will be conducted to get detail information about work-process using the chemicals. The survey will be conducted for 30 chemicals which have frequently caused occupational diseases in Korea. KOSHA will develop the web-based information and control measures based on surveyed information

Dissemination Web-bases chemical control toolkit (English version of control measure will be available globally), Final reports for the selected chemicals surveyed every year.


Regional, Global

63

11 AA3: Ch11


AA3 (Practical Approaches to Identify and Reduce Occupational Risks)

CC or NGO Name Centre of Environmental and Occupational Health National Institute of Health – Porto, Portugal (Recognition as CC WHO in progress)

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, Paula Neves. [email protected]


FUNDACENTRO (*) NIOH South Africa NIOSH ???? (contact in progress) (*) this project could be link with a similar project propose by Fundacentro (Brasil)

Other partners 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 de used on training courses (2009-2010)

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

Impact (global or Global

64

regional)

12 AA3:S1Activity Area Number and title


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 Project leader

Email address

Dr Habibullah N Saiyed

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

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 US scientists)


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


• 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

65

words) 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


Region



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

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

----

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

66

• 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


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:

1. 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

2. An estimation of the potentially exposed population by economic sectors through a job exposure matrix method

3. A ban on the use of sand as a blasting agent in the Brazilian territory

67

4. 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.


Regional



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

Email address

Aaron L Sussell


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

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

Funding NIOSH and partner countries Objective of the project

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

68

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.


global


AA3 Practical approaches to identify and reduce occupation risk Was submitted to AA 3

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]


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) to train chilean professionals in control banding (2006),

69

and deadline(s) for completion of the project

to train 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)


workers expose 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 an quarries an second year on dental labs and stone art craft.

Dissemination training course to Chilean professional and, later on, to other countries interested in.


Regional



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]

70


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) Objective of the project

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.


Global



Cc or NGO Name Institute for Occupational Health, Kiev, Ukraine

71

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.


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).


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 finall 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

72

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.

18 AA3: S7Activity Area Number and title


CC or NGO Name International Occupational Hygiene Association (IOHA) Project title Demonstration and evaluation of control banding applications

nationally and globally in silicosis prevention and control. Keywords Control strategies, risk management

Project leader

Email address

Paul Oldershaw

Paul Evans

[email protected]


IOHA, HSE (UK), ILO (Dr. Fedotov) and WHO (Dr. Eijkemans)

Other partners National Institutes and any other interested organisations Funding Involved organisations Objective of the project

Develop a toolkit based on control banding concept for identification of potential hazards and making recommendations for reduction and control of silicosis.


• To develop a simple and easy understandable method for making risk assessment and recommendations for dust prevention and control in workplaces.

• To make a draft guideline for trial practice by voluntary organisations or national institutes

• To have a final version by 2010 to assist the goal proposed by ILO/ WHO on reduction of silicosis globally


Small and medium-sized enterprises (SMEs) and others where exposures to silica dust hazard are imminent


• IOHA/ ILO/WHO in collaboration with HSE (UK) for the development of special version of toolkit for dust

73

words) prevention and control in workplaces by 2007 • National institutes or interested organisations can adopt

the pilot scheme and try out the protocol for a period of time

• Giving feedback to IOHA/ ILO/ WHO for evaluation of the overall performance and effect of the protocol by late 2009 or the specified time

• Revision of the protocol by 2010; the updated guideline can assist ILO/ WHO in fulfilling the goal in the reduction and elimination of silicosis in majority of the countries.


• National institutes or university studies • International conferences • Workshops and training seminars in collaboration

centres • Professional groups and networks (e.g. WHO/ILO

International Technical Group on Control Banding)


Global

19 AA3:P1Activity Area Number and title


CC or NGO Name Clinica del Lavoro “Luigi Devoto”, Milan

Project title Bullying at work: practical tools for prevention

Keywords Psychosocial issues at work, bullying at work, mobbing, mental

health at work

74

Project leader

Email address

Silvia Punzi

[email protected]


(Potential)

- National Institute of Occupational Safety and Health

- Finish Institute of Occupational Health

- Institut Universitaire Romand de Santè au Travail

- Fundacion Iberoamericana de Seguridad y Salud Occupational (FISO), Colombia

- National Institute of Industrial Health (NIIH) Kawasaki, Japan 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

75

at work and intervention addressed to all players involved.

Dissemination WHO documents; worker and enterprise meetings; scientific

seminars Impact (global or regional)

Global



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. Project leader

Email address

Giuseppe Paolo Fichera


To be identified

Other partners To be identified

Funding

-ISPESL/ICP Consortium for the WHO Collaborating Center -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 well-being (2008).

Target group and/or Employers, health professionals, decision makers, managers,

76

beneficiaries human resources directors, legal community, unions and workers


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.

Dissemination WHO documents; worker and enterprise meetings; scientific seminars


Global



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


World Health Organization – EURO, European Agency for Safety and Health at Work, Swedish Work Environment Authority, FIOH - Finland

Other partners Funding Self - funding Objective of the project

• 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

77

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).


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 problems the “stress at work” is a priority of research in the UE policy for the OSH sector. In the view of the recent UE 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 Impact (global or regional)

Regional

22 AA3:P4



CC or NGO Name Occupational Safety and Health Division,

Ministry of Manpower, Singapore 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.

78

Project leader

Email address

Dr Magdalene Chan

[email protected]


Other partners • Health Promotion Board, Singapore • Changi General Hospital, Singapore • Singapore Anti-Tuberculosis Association

Funding Ministry of Manpower, Singapore Objective of the project

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.



Global

79

23

AA3:P5



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


FIOH – Finland

BAuA – Germany

ISPESL - Italy

TNO - Netherlands

National Institute for Working Life – Sweden Other partners Funding Funding for first phase has been secured through SALTSA

(Sweden) Objective of the project

Development of a psychosocial risk management toolkit 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)

• 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)



80


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). 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


Global

81



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


Lucía Artazcoz, [email protected]



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)


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. It has also applied to the EU for a project which one of its objectives is to develop a took for health restructuring. This is a collaborative project with partners from Italy and the Netherlands. Finally, we have experience in studies about psychosocial hazards assessment and can contribute to de Spanish adaptation of the Psychosocial risk management toolkit

Dissemination Scientific articles, reports, internet


Global

82

25 AA3: E1Activity Area Number and title


CC or NGO Name IEA International Development Commmittee Project title “Ergonomics Checkpoints” A Tool for the Work Place Keywords ergonomic, musculoskeletal, design, work environment,

skeletal disorders, workstation Project leader Email address


ILO

Other partners Funding Partial funding from the ILO SafeWork Program,

Geneva Objective of the project

To review and relaunch a 2nd edition of the ILO best selling “Ergonomics Checkpoints” (1996) publication


To complete the review of the text and illustrations by January 2006. Finalise new checkpoints and illustrations by February 2006. Launch publication at IEA2006 Congress in July 2006.


Supervisors and workers in the manufacturing industry sectors of developing countries


An international workshop was hosted by the IEA in Bali in May 2005 to review the Checkpoints and to identify new issues for inclusion. New illustrations have been developed in Vietnam with consideration of clear images and cultural considerations. The ILO will review the draft text submitted by the IEA in early 2006 to enable a launch at the IEA Congress in July. A total of 120 checkpoints have been documented for inclusion

Dissemination ILO document to be released as part of the SafeWork program


Global

26 AA3:E2Activity Area Number and title


83

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. Jóźwiak, PhD.,Eng.


To be identified

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 integrate the toolkit into the provision of basic occupational health services (beginning in 2009)


Construction workers, health care workers (nurses, dentists)


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 helpfull 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 chackpoint for workplace improvement) will help in reducing physical overload and prevalence of musculo-skeletal symptoms observed in these groups of workers.

Dissemination Worker and enterprise meetings and trainings, papers in journals for occupational safety staff

84


global



CC or NGO Name Department of Work Environment, University of Massachusetts Lowell (UML)

Project title Economic Evaluation of Interventions to Reduce

Occupational 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


Dr. Supriya Lahiri [email protected] Charles Levenstein [email protected]


Heleno Rodrigues Corrêa Filho, Assistant Professor, Department of Social and Preventive Medicine (http://www.fcm.unicamp.br/) and Maria Inês Monteiro, RN, DrPH, Associate Professor, Department of Nursing (http://www.fcm.unicamp.br/).University of Campinas, Brazil , Ana Isabel Bruzzi Bezerra Paraguay, Assistant Professor, Department of Environmental Health, School of Public Health, São Paulo State University (http://www.fsp.usp.br/).


Seed Funding FOGARTY, NIH


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

85

occupational health professionals deliverable through e-learning and face-to-face (by 2009)


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


Global



CC or NGO Name Project title Joint IEA / IOHA project on toolkits

Keywords Ergonomics, occupational hygiene, control banding, checkpoints

86

Project leader

Email address

Prof. David C Caple, Chair, IEA International

Development Committee

[email protected]




To collaborate between IEA and IOHA to develop a consistent

approach to communicating practical OH & S advice to industry


To conduct a joint IEA / IOHA workshop at IEA Congress in

July 2006 to identify the current approaches.

To exchange materials and programs to enable a common

approach to be developed by March 2007.

To promote a joint position once developed by 2008.


All enterprises with special focus on SME.


Both the IEA and IOHA have been separately developing

practical advice to industry based on their respective

research outcomes. Both relate to the elimination or reduction o

risk but document the advice in a variety of methods.

This collaboration between the professions at an international lev

will assist industry in providing a more compatible approach. Dissemination • Professional associations, universities, ILO


Global

87

29 AA3: E5


3 – Practical approaches to identify and reduce occupational risks

CC or NGO Name LaTrobe University Australia

Project title Hazard surveillance to manage MSD risks of repetitive work

Keywords Musculoskeletal disorders, repetitive work, ergonomics, psychosocial hazards, guidance


Dr Wendy Macdonald [email protected]


Office of the Australian Safety & Compensation Council, Department of Employment and Workplace Relations, Australia

Other partners Centre for Ergonomics & Human Factors, La Trobe University, Australia

Funding Funding for the first stage has been secured through the Office of the Australian Safety & Compensation Council, Dept of Employment and Workplace Relations, Canberra, Australia

Objective of the project · To develop, implement and evaluate a system of physical and psychosocial hazard surveillance to reduce the risk of cumulative musculoskeletal disorders for people performing repetitive work, and on this basis to produce a guidance document suitable for wider use by non-experts. · To establish the basis for subsequent projects to modify and further evaluate the system within culturally different environments, in collaboration with CCs in the Indian – South-East Asian region.


· a physical and psychosocial hazard surveillance and management system for use in reducing the risk of musculoskeletal disorders associated with highly repetitive work, that will be readily usable and user-friendly (by 2009) · a guidance document to support use of this method (by 2010) · one or more project proposals to amend the system as necessary for use in Indian / South-East Asian work environments.

88


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 musculoskeletal disorders related to highly repetitive work. The first stage will review and report on current approaches to assessing and controlling all relevant hazards, to be completed by June 2006. The second stage will entail field work with industry partners to formulate, implement (using the PRIMAT procedural format) and evaluate a hazard surveillance and management system, including review of changing levels of worker wellbeing, injury rates and lost-time durations. Finally, a guidance document promoting the wider use of this system by non-experts will be produced.

Dissemination Industry and WHO/ILO documents; professional and academic meetings and publications; worker and enterprise-level meetings


Global

30 AA3: E6Activity Area Number and title



nationally and globally in ergonomics. Keywords Control banding, occupational hygiene, ergonomics, checkpoints Project leader

Email address

David Zalk


IOHA, IEA, WHO and ILO

Other partners National Institutes and any other interested organisations Funding Involved organisations Objective of the project

Develop a toolkit based on control banding concept for identification of potential hazards and making recommendations for improvement of ergonomic problems in workplaces


To collaborate with IEA for development of guidelines for applications in industries

89


Small and medium-sized enterprises (SMEs) and others who are interested


• IOHA/IEA would identify the current approaches at IEACongress in July 2006

• Exchange materials and programs to enable a commonapproach to be developed by early 2007

• Promote a joint position once developed by early 2008.


Presentations in IOHA/ IEA Conferences e.g. IOHA 2008and IOHA 2010 (tentative).

Professional associations, universities, ILO/ WHO publications


Global

31 AA3:H1Activity Area Number and title


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 Project leader

Email address

Dr. Marisol Concha, Sr. Rodrigo Pezo

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

Universidad Andrés Bello

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

90

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



CC or NGO Name Institute of Occupational Health, WHO Collaborating Center, Skopje, Macedonia

Project title Development of toolkit for management of psychosocial risks

at work in health care workers in transitional countries

Keywords Mental health at work, work-related stress, Burn-out

syndrome, health care workers Project leader

Email address

Prof Dr Jovanka Karadzinska Bislimovska, MD, PhD

occhemed@on. net. mk Partners (of the CC Network)

Other partners Macedonian Medical Chamber; Macedonian Society of Occupational Health-Macedonian Medical Association; Ministry of Health , Republic of Macedonia;

Department of Ecology and Occupational Health, Medical Faculty, Tuzla, Bosnia and Herzegovina-possible partner

Funding

Institute od Occupational Health, WHO CC, Skopje Macedonia , for the first stage , possible other sources of funding


• Developing procedures and tools for management of psychosocial risk at work, suitable for use in developing countries and countries in transition in health care

91

sector. • Piloting the toolkit in selected health services in the

country • Strengthening the capacities of OHS to deal with work-

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

• Toolkit on assessment and management of psychosocial risks at work in health care workers

• Awareness rising in the national occupational health and safety system on the problem of psychosocial risks at work in health care workers


Health care workers, health managers, professional associations


Last two decades, the work-related stress is one of the major threats to health in the world of work. The globalisation, the process of transition, high rate of unemployment and change in working conditions emphasized the problem of work-related stress in different sectors in transitional countries . According to the specific occupational psychosocial risks at work, health care workers are a specific vulnerable group. There is a indication by the previous research data in the country for a strong need to develop simplest tools and methods for psychosocial risk management in health care workers. The example of a country in transition to provide new opportunity for an international collaboration on mental health issue should be supported.

Dissemination WHO documents, Meetings and workshops of health care

workers, health managers, health and labour administration


Global



Project title Prevention of risks in health care workers exposed to anaesthetic gases in surgical theatres

Keywords Exposure assessment; health care workers; anaesthetic gases; industrial hygiene; prevention; neurobehavioral effects

92

Project leader

e-mail address

Dr. Silvia Fustinoni, [email protected]

Dr. Virgilio Somenzi, [email protected] Partners (of the CC network)

Istituto Nacionale de Salud de los Trabajadores (INSAT), LA HABANA-Cuba

We have asked Temporary Manager of Area 3 (Stravoula Leka) to help us in finding other possible partners.

Other partners Associazione Italia-Cuba

Fondazione Ospedale Maggiore “Policlinico, Mangiagalli e Regina Elena”, Milano.

Founding ISPESL/ICP Consortium for WHO Collaborating Centre Objective of the project

− Set protocols to assess occupational exposure to anaesthetic gases and neurobehavioral effects in health care workers of surgical theatres;

− Transfer know-how and technical experience between the operators of prevention of the CC/OMS involved in the project;

− Identify possible solutions for risk reduction at low and/or sustainable costs

− Test the validity of the adopted solutions


Improvement of working and health conditions in healthcare operators;

Improvement of know-how for prevention operators. Target group and/or beneficiaries

Healthcare workers, prevention operators, occupational health physicians, institutions for safety and prevention at work.


Set methods for airborne exposure and biological monitoring to assess exposure to anaesthetic gases.

Apply methods to evaluate exposure in health care workers of surgical theatres;

Apply neurobehavioral tests to study the effect of such exposure on workers;

Study solutions for the reduction of exposure and apply them in polluted environments in new industrialised countries;

Test the efficacy of the adopted solution using again environmental and biological monitoring.

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

Impact (Global or Global

93

regional) 34 AA3:H4Activity Area Number and title


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,


National Institute for Occupational Safety & Health (NIOSH), USA


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)


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.

94

Dissemination Publications, university studies, reports Impact (global or regional)

Global



CC or NGO Name National Institute for Occupational Health (NIOH), SA 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

Director of NIOH: Prof. Mary Ross


OEHRU CC (University of Cape Town), SA

Singapore CC (National University of Singapore)

HSL CC (UK)

NIWL, Sweden (through WAHSA initiative on HIV in HCWs)

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)

Funding

Will be investigated but would start with self-funding of component projects by collaborating partners


Develop and pilot practical tools and methods for risk assessments in health care settings and both primary and secondary preventive intervention.


State the outcomes of the project.

• To develop a health care workers’ toolkit comprising: risk assessment tools, case studies and materials for

95

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)


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 Global Impact (global or regional)

Global

36 AA3:Ag1Activity Area Number and title


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


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) Objective of the project

To develop capacity in Southern Africa to address pesticide hazards: surveillance; risk perceptions; training; exposure characterization; interventions to reduce pesticide usage and exposure


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).

Target group and/or Occupational health professionals in Southern Africa; public

96

beneficiaries officials concerned with pesticide policy; users: farmers and farm workers


This project aims to establish a regional Resource Complex between TPRI and UCT to support the development of capacity to address 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.



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

Project leader

Email address

Holger Dressel MD MPH


We aim at the evaluation and dissemination of tools through CC Network partners interested in agricultural health

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

Objective of the Develop globally accessible tools to assess and reduce the

97

project burden of agricultural lung disease Project outcome(s) and deadline(s) for completion of the project

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) Target group and/or beneficiaries

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


Global



CC or NGO Name IEA International Development Commmittee Poject title Ergonomics Checkpoints in Agriculture –A toolkit for

developing countries Keywords Ergonomic, agriculture, developing countries, workplace

design, work environment. Project leader

Email address

Prof. David C Caple, Chair,


Other partners Funding Partial funding for workshops on the checkpoints has

been provided by the ILO, SafeWork program, Geneva

98


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

Dissemination • ILO document to be released as part of the SafeWork program.


Global



Project title Development of risk assessment guidelines for agricultural workers.

Activity Area AA3 Ag Project leader Prof. Marco Maroni, International Centre for Pesticides

and Health Risk Prevention. Partners - Prevention Unit of the General Directorate of

Health, Region of Lombardy. - University of Cape Town, South Africa


We foresee to involve other national and international experts in the field of agricultural health and safety.

99

Funding ICPS. Issues to be addressed To provide methods for assessment of health risks in

agriculture, with particular focus on pesticide use. Project outcomes 8. development of a generic model to perform risk assessment for

agricultural workers exposed to plant protection products 9. definition of risk profiles for exposure to plant protection products

in specific crops (greenhouses, vineyard, maize, rice). 10. development of a probabilistic approach for assessment of

exposure to pesticides in selected scenarios. 11. elaboration of guidelines for health surveillance of agricultural

workers. 12. organization of a regional/national conference to present the

obtained results 13. 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 Regional, National. 40 AA3:Co1Activity Area Number and title


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.

Project leader

Email address

Dr. Laura Campo

[email protected]

Partners We have asked Temporary Manager of Area 3 (Stravoula Leka) to help us in finding other possible partners.

Other partners

Lombardy Region, (Prevention of Occupational cancers project)

Fondazione Ospedale Maggiore “Policlinico, Mangiagalli e Regina Elena”, Milan.

100

Funding

Lombardy Region, (Prevention of Occupational cancers project)

University of Milan

ISPESL/ICP Consortium for WHO Collaborating Center


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).

Evaluation of the dermal exposure and comparison between dermal and inhalation exposure.

Evaluation of influence of genetic factors and of life style (tobacco smoking, diet) on PAHs exposure.

Project outcomes and deadlines for completation of the project

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.

Summary of the project

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, WHO/ILO documents, booklets and training packages for workers and employees.

Impact (global or regional) Global.

101

41 AA3:I1Activity Area Number and title


CC or NGO Name Industrial Accident Prevention Association (IAPA)

Canada Project title Injury Prevention Management Toolkit

Keywords Injury Prevention

Managed systems

Safety and health Project leader

Email address

Leonard Sassano [email protected]

Michael Abromeit [email protected]

Joan Burton [email protected] Partners (of the CC Network)

IAPA

Others to be determined Other partners To be determined Funding Self-funded Objective of the project

To improve working conditions through the development and implementation of simplified injury risk reduction tools and methods.


• Assess the current status of control banding and toolkits in other content areas – by 2006

• To develop a toolkit that will be readily usable and user friendly – by 2008

• To pilot the toolkit in at least one country (possibly in Brazil, in conjunction with IAPA project 2) – by 2010

• To evaluate 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 developing countries and those in transition as well.


WHO has identified a need for practical procedures and tools for the management of injury prevention at work. These tools should be capable of dealing with the differences that exist between countries, sectors and

102

enterprises, and suitable for use in developing countries as well as in SMEs. Using the approach of control banding that has 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.

Dissemination The toolkit will be piloted in at least one developing country

or country in transition, and the results evaluated. Dissemination of the information will be done via the internet, to assure global distribution. In addition, IAPA will disseminate the information, best practices and success stories through our newsletters, the GOHNET newsletter, and international conferences and events, such as the (US) National Safety Council and the World Congress on Occupational Health & Safety.


Global

42 AA3:I2Activity Area Number and title



nationally and globally for prevention of health and safety at work

Keywords Control banding, occupational health and safety. Project leader

Email address

David Zalk


IOHA, WHO and ILO

Other partners All are welcome Funding Objective of the project

Expand the concept of control banding for prevention and control safety hazards in workplaces


Develop a toolkit based on control banding concept for identification of potential health and safety hazards and making recommendations for improvement in workplaces

To outline the development of guidelines for applications in the coming workshop in September 2006.


Small and medium-sized enterprises (SMEs) and others who are interested

103


• Initial workshop to be held at Netherlands from 12 to 15 September 2006

• Seeking out appropriate partner(s) within ~ 3 yrs


Presentations in IOHA Conferences Professional associations, universities, ILO/ WHO

publications


Global

43 AA3:As1Activity Area Number and title


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


• 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)

104

• 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)


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.

Dissemination WHO/ILO documents; university academic instruction; worker and industry meetings


Global

44 AA3:Ec1 Activity Area Number and title

AA3 Practical approaches to identify and reduce occupation risk Was originally submitted to AA 2: Evidence for


Project title Development of a Workplace Intervention Net-Cost (or WIN) Calculator

Keywords Economic evaluation, cost benefits, intervention cost Project leader Email address



University of Massachusetts Lowell – USA (Supriya Lahiri)

Other partners Funding Ministry of Manpower, Singapore Objective of the project

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.

105


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)




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.



Global

106

AA4: Education, Training and Technical Materials 1 AA4:A1aActivity Area Number and title

AA4: Education, Training and Technical Materials

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 Post-Graduate Training in Occupational Medicine in Nicaragua (UNAN Leon)

Keywords Occupational Medicine, doctors, training


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. Number of resdents anticipated? Timeline? Anticipated date of completion: 2009


Workers in Nicaragua; physicians in Nicaragua. Could serve as a template for other countries


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

107

for developing such a program.

2 AA4:A1b




Project title Development of a Example 'Masters in Occupational Medicine' Program in India

Keywords Occupational Medicine, masters program, residence program, MPH, post-graduate degree


Norbert L. Wagner MD PhD; [email protected] Jayachandran P.; [email protected]


Possible partners (to be confirmed): NIOH (National Institute for Occupational Health) Ahmedabad, India Great Lakes Center for Occupational & Environmental Safety & Health, University of Illinois at Chicago, Chicago, USA NIOH (National Institute for Occupational Health) Johannesburg, South Africa Fogarty International Centre, Dept of Environmental Health Sciences, School of Public Health, University of Michigan Ann Arbor, MI, USA

Other partners Medical Council of India National Board of Examinations, Ministry of Health, India Indian Association of Occupational Health

Funding The CC will fund internal and in-country cost for personnel and travel. For international travel the CC will apply for funding.


The project will be used to develop and implement an expert post-graduate training program for doctors to become specialists in Occupational and Environmental Medicine (OEM) [equivalent to an Indian MD degree or a US residency with board exam]. The students should become the most trained reference persons for prevention of work-related and environmental diseases at the workplace, in the community, in government and public life. This specialist program should be comparable to requirements of other countries (e.g. European countries).

Project outcome(s) Syllabus, curriculum, teaching methods & modes and training material of the Master in Occupational Medicine

108

and deadline(s) for completion of the project

Report and publication on experiences and evaluations Training material appropriate for situations and working conditions in developing countries Program is expected to start Jan 2007.


Medical professionals in Occupational Health, company doctors


In many other developing countries such as in India, the disciplines of Occupational and Environmental Medicine (OEM) are not well established academically if at all. In India such a MD Program for OEM does presently not exist. This MD program would be India's first academic program in OEM. It can and should serve as a model for other developing countries regarding the feasibility, cost, content and practical orientation. Our suggestion: As Occupational and Environmental Medicine does not take place in the hospital but in the factories, institutions and organizations, a purely hospital-based training is not appropriate nor desirable. Usually a MD Program in OEM starts with clinical training, mostly in internal medicine. It is then followed by a one year distance-education theory course (400 hours) and basic workplace training, internships and advanced training modules in Occupational Medicine, Epidemiology, Industrial Hygiene, OSH management etc. The input of other WHO CCs will be helpful to establish quality, develop the profession and possibly exchange students.

Dissemination Publication of syllabus, curriculum, teaching methods and training material via GeoLibrary Publication of experiences and evaluations in scientific literature on medical education



3 AA4:A1cActivity Area Number and title


CC or NGO Name RAMS Institute of Occupational Health 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

109

Health E-mail: [email protected]; [email protected]

Partners (of the CC Networks)

Interested specialists and organizations

Other partners Funding State budget 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 OH 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.


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

110

of auditorium, having a special purpose.

Dissemination Organizations and establishments in the field of public health, including specialized


Global

4 AA4:A1d Activity Area Number and title


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 of Occupational Health Sciences (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

Project outcome(s) and deadline(s) for

So far, 19 cases are available in German. In addition, all partners have created up to two new cases. These cases are

111

completion of the project

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. (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.

5 AA4:A1eActivity Area Number and title


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]


To be identified

Other partners University of Glasgow Funding

Funding for first phase will be secured through Nofer Institute of Occupational Medicine

112


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 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

6 AA4: A1fActivity Area Number and title


CC or NGO Name Institut universitaire romand de Santé au Travail, University of Lausanne, 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 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”

113

- 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 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

7 AA 4:A2




Project title Development and Implementation of Occupational Health Nursing Program

Keywords Occupational Health, nursing, advanced nursing practice, post-graduate degree,

114


Norbert L. Wagner MD PhD; [email protected] Zareen Mohammed MD MSc in Occ Med; [email protected]


Possible partners (to be confirmed): FIOH, Helsinki, Finland IUSTE Strasbourg, France

Other partners Indian Council of Nursing University of North Carolina, NC OSHERC

Funding The CC will fund internal and in-country cost for personnel and travel. For international travel the CC will apply for funding.


The project will be used to develop and implement a post-graduate certificate training program for nurses to become nurse specialists in Occupational and Environmental Health.


- Syllabus, curriculum, teaching methods and training material of the Occupational & Environmental Health Nursing Program

- Report and publication on experiences and evaluations - Training material appropriate for situations and working

conditions in developing countries Program is expected to start Jan 2007.


Primary: Nurses who work in occupational health as occupational health nurses or nurse aids. Secondary: employers, workers


A curriculum for a six month post-graduate certificate course for nurses to become nurse specialists in Occupational & Environmental Health (OHN) will be developed (till end of 2006). The course is supposed to start in 2007. The timeframe is in accordance to the regulations of the Indian Council of Nursing. The input of other WHO CCs will be helpful to establish quality, develop the profession and possibly exchange students. This OHN program would be India's first academic program in OEH for nurses. It can and should serve as a model for other developing countries regarding the feasibility, cost, content and practical orientation.

Dissemination Publication of syllabus, curriculum, teaching methods and training material via GeoLibrary Publication of experiences and evaluations in scientific and secondary literature on medical education

115



8 AA4: A3aActivity Area Number and title


CC or NGO Name Institute of Occupational Health Sciences, 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


Prof. Michel Guillemin Email address : [email protected]


IOHA and other interested partners (to be defined)

Other partners Professional associations, ENSHPO ?, AISS ?, EASOM ? others ?

Funding

Grants to be found from interested parties


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

116

releases, etc. Impact (global or regional)

Regional

9 AA4:A3b



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

Project title Training materials

Keywords



Other partners University of Porto (Biomedical School and Medical Faculty) Health Technology School

Funding

Portuguese Government


Pos-Graduate Course on Occupational Medicine Master Degree on Public Health (Occupational Health) Occupational Hygiene and Safety training



Occupational physicians Public health technicians Safety engineers Occupational hygienists


Training modules:

- Occupational health: 48 horas - Safety and occupational hygiene: 108 horas - Safety and Health in Lab: 30 horas - Safety and Health in Health Care Units

Dissemination Training material in portuguese language (for African countries with portuguese language


Global

117

10 AA4:A4aActivity Area Number and title



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




Any recommendations?

Other partners Khuloud Dajani, Dean, Al Quds University School of Public Health; Rafael Carel, Professor, Haifa Univeristy, Israel

Funding

Have applied to MERC


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.

11 AA4:A4bActivity Area Number and title


CC or NGO Name Great Lakes Centers for Occupational and Environmental

118

Health and Safety University of Illinois at Chicago School of Public Health

Project title Distance Education in Occupational Health

Keywords Occupational health, training, public health




Norbert Wagner, Chennai India


Unclear, what funding is needed to do this?


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 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? Meeting of academics?


Increased availability of courses in occupational health, worldwide.

12 AA4:A5aActivity Area Number and title


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

Project title Strengthening of occupational and environmental health research in Central America and the Caribbean

119

Keywords Central America, Caribbean, Research, Occupation, Environment


Dr. Catharina Wesseling ([email protected]) Dr. Luisa Castillo ([email protected])


Karolinska Institute, National Institute of Working Life (Sweden), University of Texas.

Other partners University of Washington, Stockholm University, Central American universities

Funding

SAREC, Sida, 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 - Establishment of a Central American scientific-professional network

Dissemination Academic, technical and popular dissemination


Regional

13 AA 4:A5b



CC or NGO Name Occupational and Environmental Health Research Unit Univ Cape Town SA

Project title OHS capacity development (research, training and service development)

Keywords Education, training, capacity development in teaching

120

research and service. Project leader Email address

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 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 an 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

121

14 AA 4:A6Activity Area Number and title


CC or NGO Name Occupational and Environmental Health Research Unit, Univ Cape Town, South Africa

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

122

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 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

15 AA4:CE1aActivity Area Number and title


CC or NGO Name Swedish Natl Inst for Working Life

Project title Advanced International Training Programme in Occupational Safety and Health & Development

Keywords Training, development, project


Nils F Petersson; [email protected]


Swedish Work Environment Authority


Sida – Swedish International Development Cooperation Assosciation


Train 24 OSH experts in Latin America


Each participant will have carried out an individual development project at her/his workplace. Programme starts October 2006 and ends November 2008 Another Programme for Africa starts 2007 and ends 2009; A third Programme for Asia starts 2008 and ends 2010


OSH experts in the region


Two years Training Programme in Occupational Safety and Health & Development for Latinamerica, Africa and Asia respectively. 24 participants for each of the three Programmes. The objective is that each participant will be able to plan, carry out and evaluate a practical development project.

123

Dissemination Through Swedish Embassies and former participants


Regional impact in the participants’ countries

16 AA4:CE1bActivity Area Number and title


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

17 AA4: CE1c Activity Area Number and title

4 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]

124


To be asked: FIOH, Finland (Vainio) To be asked: Federal Institute OSH, Germany (Bieneck) To be asked: CCOHS, Canada (Abeytunga)

Other partners Netherlands School of Public and Occupational Health (NSPOH) Amsterdam, The Netherlands (Van der Klink and Vlek, agreed) European Association of Schools of Occupational Medicine, EASOM (Weel, agreed) To be asked: University of Modena, Italy (Franco) To be asked: University of Cape Town, South Africa (Myers) To be asked: University Manchester, UK (Agius)

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-

125

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, crossreferences in the Technical Report in preparation by WHO ‘How to use research information to improve the quality of occupational health practice’ (2006).


Global



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,


Zbigniew W. Jóźwiak, PhD.,Eng. [email protected]


To be identified

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 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 this workers. A programme will consists of two main elements: theoretical training and a set of physical exercises. The theoretical training comprises:

126

• 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.

Dissemination Worker and enterprise meetings and trainings, special lessons entitled Ergonomics in construction sector, papers in journals for occupational safety staff


global



CC or NGO Name • High Institute for Management , National Institute Health, Porto. Portugal

• Instituto Superior De Gestao (ISG)

Project title Distance Learning in ergonomics for Portuguese speaking countries in Africa

Keywords Ergonomics, distance learning.


Anabela Simoes, [email protected]


Other partners University of Nottingham, UK.

Funding

Self funding


To translate an existing respected Distance Learning program from English to Portuguese for use in Africa


Formalise the agreement between the IEA and both universities by December 2005. Complete the first draft of the translation into Portuguese bSeptember 2006. Pilot the program in Mozambique or Angola by April 2007

Target group and/or Worker representatives, students and supervisors

127

beneficiaries Summary of the project (max 100 words)

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 Instituto Superior De Gestao (ISG) – High Institute for Management – Porto, Portugal.


Africa

20 AA 4: CE2c



CC or NGO Name National Institute for Occupational Health (NIOH), SA Project title Ergonomics and musculoskeletal disorders

Keywords Ergonomics, ergonomic risk factors, musculoskeletal

disorders

Project leaders Email address

Ms. Busisiwe Nyantumbu [email protected] Ms. Sindiswa Dyosi [email protected]


Institute of Occupational and Environmental Medicine, University of Birmingham (UK) to be approached National Institute of Working Life (Sweden) to be approached


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

128

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.

Dissemination Presentations at meetings and workshops of unions, worker organizations and professional societies


Regional




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

129

ISPESL - Italy TNO - Netherlands National Institute for Working Life – Sweden


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; websites


Global


AA4: Education, Training and Technical Materials This was originally submitted to AA3

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 U.S. Department of State (contacted) 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)

130

project 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.

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)

23 AA 4: CE4aActivity Area Number and title



Project title Silica, silicosis and tuberculosis Keywords Practical solutions, dust control, prevention of tuberculosis,

training materials, managers, workers, practitioners, inspectorate


Prof. David Rees [email protected]


1. NIOH, South Africa 2. NIWL - National Institute for Working Life, Sweden

131

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.


Develop education, training and technical materials for

The reduction of silica dust exposure in key industries in the region

Improved prevention of tuberculosis in silica exposed workers


• 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.

132




Project title Training programs and guidance materials for surveillance, diagnosis, and treatment of silica exposed workers globally

Keywords Silicosis, silicosis diagnosis, medical surveillance Project leader Email address

Joe Burkhart, DRDS [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 funding in place for Zambia. Funding not yet established for other activities.


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.

133

Dissemination Through direct contract with personnel in the partner

countries and though NIOSH information products.


Global




Project title Training on asbestos and its identification

Keywords asbestos, microscopy, identification, crocidolite, amosite, chrysotile, tremolite-actinolite.


Dr. James Ian Phillips [email protected]


HSL, UK

Other partners University of the Witwatersrand, School of Public Health, SA Relevant partners as required

Funding

NIOH


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.

134

Dissemination - SADC Region - Associations of occupational and environmental hygienists

26 AA4:CE5b Activity Area Number and title

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, mesotelioma, 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 coordinations 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

27 AA 4:CE6a



135

CC or NGO Name Occupational and Environmental Health Research Unit, Univ Cape Town, SA

Project title Radiological Occupational Lung Diseases Surveillance (ROLDS)

Keywords Radiological surveillance, occupational lung diseases, training




Asbestos Relief Trust – Dr Jim TeWaterNaude


Funding is currently being sought for incorporation of radiographs of asbestos-related lung disease


To provide a resource for self-training and training under expert 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 followup 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

136

programmes in occupational medicine. Dissemination Via stand-alone modular training packages or as part of

formal postgraduate study. Impact (global or regional)


28 AA 4:CE6b



CC or NGO Name Occupational and Environmental Health Research Unit, Univ Cape Town, SA

Project title Spirometric Medical surveillance programme for Occupational Lung Diseases Surveillance (SPIROACCESS)

Keywords Spirometric surveillance, occupational lung diseases, training




Asbestos Relief Trust – Dr Jim TeWaterNaude


Funding is currently being sought for integration of spirometric surveillance into a long term surveillance programme of asbestos related disease sufferers with potential expansion to the silicosis elimination programme.


To provide a resource for self-training and training under expert supervision for occupational health professionals operating in remote locations on how to diagnose occupational lung diseases including pneumoconioses using spirometric records.


• To develop a training and diagnostic package on

CDRom to achieve the project objectives by 2007 or 2008

• 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 reduce or eliminate occupational lung disorders in any locations or organizations particularly those in remote locations working without easy access to relevant specialist occupational medicine expertise.

137


A training module for spirometric surveillance of occupational lung diseases (OLDs) is to be integrated into a long term surveillance and compensation system for asbestos-related lung disease. The project includes a system for functionally classifying asbestos-related lung for compensation and health surveillance purposes. The software enables health professionals to teach themselves spirometric evaluation of patients with OLDs for both compensation and treatment perspectives. 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.






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 ICN, Latin American and other global partners to be identified 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.

138

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.


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

139

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.

30 AA4:CE7b Activity Area Number and title


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) National Institute for Occupational Health (NIOH), South Africa (responsible person Dr Mary Ross)

Other partners National Cheng Kung University and Medical Center, Taiwan (responsible person Dr Leon Guo )

Funding

None. Funded by respective WHO CCs.


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

140

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.

31 AA 4:CE8Activity Area Number and title


CC or NGO Name Institute of Maritime and Tropical Medicine in Gdynia, Medical University of Gdansk, Poland

Project title Postgraduate Training in Maritime Occupational Health

Keywords Training, maritime medicine

141


Dr Stanislaw Tomaszunas, Head, WHO CC in Gdynia E-mail: [email protected]


University of Brest, France Rovira i Virgili University of Tarragona, Spain University of Southern Denmark, Esbjerg, Denmark

Other partners Other WHO CCs on the health of seafarers Funding

Expected support from external sources


To conduct international postgraduate training courses for medical practitioners who provide health services for seafarers and fishermen, particularly in countries of Central and East Europe and in developing countries


To train specialists in maritime occupational health in those countries 2 courses are planned for the 5 years period (2006-2010), if adequate resources would be available


Target group are medical officers in the above mentioned countries. They, and maritime workers who will be medically examined and treated, are the beneficiaries of this project


Three such international WHO postgraduate training courses for medical officers were already conducted in Gdynia, and 80 medical officers from 17 countries were trained in them and acquired specialist knowledge. The continuation of this activity is planed in future, in collaboration with the University of Brest, France, in 2006-2009, with the participation of 2 other WHO CCs in OH.

Dissemination Trained doctors will go back to their countries and after getting new knowledge they will improve their services for the national maritime workers


The impact of this project is global

32 AA4: CE9Activity Area Number and title



Project title Training Materials on Occupational Lung Disease for use in a post-graduate, 16 hours course, in Spanish and English

142

Keywords Occupational lung disease, lung disease, training materials




Linda Forst & Robert Cohen—Unive IL Chicago 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? Medical education programs?


Increased training of medical personnel in occupational lung disease. Through PAHO reachout to programs in medical education programs?



CC or NGO Name Office of the Australian Safety and Compensation Council (Office of the OASCC), Department of Employment and Workplace Relations

Project title Provision of agreed occupational health and safety expert advice and support to United Nations Institute for Training and Research (UNITAR) Global Harmonisation of Chemicals (GHS) projects in Asia-Pacific regional developing countries

Keywords Support, Global Harmonisation of Chemicals, Asia-Pacific Region


Dr Peta Miller [email protected]

143


Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Japan. WHO CC, Asia Pacific Regional CC

Other partners United Nations Institute for Training and Research Australian Government aid and training organisations Agencies within the nominated Asia Pacific region who are recipients of the training

Funding

Australian Government


To improve nominated developing country/ies ability to identify and control exposure to hazards substances.


Provision of agreed occupational health and safety expert advice and support around the Global Harmonisation of Chemicals for UNITAR ASEAN projects (eg. Thailand, Philippines, Indonesia and Malaysia). This may include support for participation of a national GHS expert at one or more of the UNITAR ASEAN project pilot countries' national GHS workshops in the above countries. Stage I: Identify current regional GHS technical requirements and available programmes - 2006 Stage 2: Fund GHS technical support – 2006-9 Stage 3: Programme evaluation & reporting - Deadline 2009-10


Regional governments and their authorities within nominated Asia-Pacific developing countries.


To provide technical and advice to UNITAR Global Harmonisation of Chemicals projects. Stage One: Undertake bilateral discussions with global and regional WHO CCs, UNITAR, ILO training representatives, regional developing countries, and others to identify GHS technical support needs within the Asia- Pacific region. Development of detailed project plans and objectives. With the assistance of the appropriate regional WHO CC & UNITAR representatives negotiate with potential recipient countries for the provision of agreed support and training. Stage Two:: Provision of agreed support. Stage Three: Evaluation and reporting of project(s) by the OASCC and regional WHO CC representatives to WHO CC and the Australian Government.

Dissemination WHO website; Australian Safety and Compensation Council website (http://www.ascc.gov.au) recipient countries’ websites; international and national annual reports; meetings, conferences and symposia.


Multi country/Asia- Pacific Region as technical support and training should be sensitive to regional needs and resources.

34 AA4:CE10bActivity Area AA4: Education, Training and Technical Materials

144

Number and title CC or NGO Name Institute of Industrial Ecological Sciences, University of

Occupational and Environmental Health, Japan Project title Regional Networking of International Training Opportunities

in Occupational Health Keywords Education & Training, Training Trainers, Asia-Pacific Region,

Networking Project leader Email address

Dr TAKAHASHI Ken Email [email protected]


WHO CC, Occupational Health and Safety Policy, Office of the Australian Safety and Compensation Council (responsible officer Dr Peta Miller)

Other partners Department of Environmental Health Engineering, Sri Ramachandra Medical College and Research Institute, Chennai, India (responsible person Dr Kalpana Balakrishnan) Occupational Safety and Health Center, Quezon City, Philippines (responsible person Dr. Maria Brenda L. Villafuerte)

Funding

None. Funded by respective WHO CCs and institutes.


To periodically discuss and collate information on various available training opportunities in the region to ultimately develop an inventory; maintain it on pertinent website. To conduct gaps-analysis on resources (curriculum and manpower), needs and achievements as regards training opportunities. To evaluate quality of existing courses, collaborate on curricular improvement, provide training tools and co-ordinate with WHO and ILO for possible accreditation


Project Outcomes o Training and education opportunities in the region will be

collated and undergo scrutiny by a regional network of experts.

o Areas prompting more effort and resources will be identified by gaps-analysis, which can be utilized by WHO and ILO.

o Existing training courses will be provided with quality-assured training tools and tips for curricular improvement. Courses exceeding quality standards will be recognized or accredited.

Deadlines We plan to have an international meeting on the issue in 2006 with a possible follow-up in 2007 according to level of interest and commitment. The CD of the conference should be ready within a month or two from the date of the conference


Potential trainees as well as academicians, particularly from developing countries


The regional networking of international training opportunities aims at collating information on existing training opportunities available to the region and develop an inventory thereof. It

145

will also conduct a gaps-analysis so as to identify the strengths and weaknesses of the current efforts. Ultimately it should provide quality-assured training tools that can be shared and lay grounds for accreditation of courses satisfying quality standards.

Dissemination Via WHO CC channels and existing regional occupational health & safety networks


Regional as training opportunities should be sensitive to regional needs and resources.

35 AA 4: CE 11Activity Area Number and title


CC or NGO Name IACP Project title PREP 2006 Keywords Psychotherapy, Counselling, HIV/AIDS Project leader Email address

Alberto Zucconi [email protected]


IACP (ITALY),

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. Other partners are welcome, they will need to fund their own contribution to the project

Funding Funding asked to the EU Objective of the project

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 counsellors operating at different levels in the public health system. Specifically, the project will address the development of health promotion competencies in psychotherapists and counsellors 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 counselling interventions in the public health sector, and for the validation of the effectiveness of training programs for psychotherapists and counsellors. The definition of a common metric between the different approaches, and the listing of the specific protocols for the different approaches. 2011


Psychotherapists, counsellors, private and public training institutes, private and public health agencies


Validation of the effectiveness of training programs for psychotherapists and counsellors. 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 counsellors involved in services dealing with people living

146

with HIV/AIDS. Dissemination The results will be spreaded 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

36 AA4: CE12 Activity Area Number and title



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


FIOH – Finland

CCOHS - Canada

NIOH – S. Africa 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

147

website


All occupational health and safety organisations, 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 Global

148

regional)

37 AA4:CE13 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 specialised in occupational health and safety in Benin Republic and African francophone countries.

Keywords Distance learning, nurses, occupational health and safety.


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

Not yet defined


Promote workers safety and health in all sectors of economics activity.


To reinforce the skills of nurses in the work environment, 180 nurses will be trained to be specialised in occupational health and safety. The training wills last 5 years, meaning 20 nurses per year, from the end of the second year after the beginning of the training. Deadline: March 2006.


Musses of Benin, Ivory Coast, Togo.


To fight poverty and increase resources output, the Benin government has decided to go for modern industry and intensive agriculture in order to assure rapid economic growth. Therefore, since the quos, the government is doing its best to promote the occupational health and

149

safety of the workers who are the key actors of the development. All workers are not yet concerned though. Will these occupational health and safety actions be extended to all the actors of the national economic life who are still exposed to many harmful factors? That situation increases the importance of the consequences of professional risks. The many actions took in SST have had limited impact on the promotion of occupational health and safety, due to the lack of training on the subject and the limited, number of specialists of the topic. Indeed, on the 30th November 2005, Benin had 8 occupational health specialists and 6 specialised nurses. It is for all the above reasons and to take better care of the health of workers that a national training program for nurses specialised in occupational health has been initiated.

Worker’s well-being.


The reinforcement of the skills of nurses operating in occupational environment will end in the training of 180 nurses specialised in occupational health and safety during 5 year. 20 nurses will be trained per year from the end of the second year after the beginning of the program. 20 nurses will be recruited each year

38

AA4:CE14 Activity Area Number and title

AA4 Education, Training and Technical Materials Was submitted to AA 3

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


Juan Alcaíno - [email protected] Juan Ferruz – [email protected]


Fundacentro (to confirm).

Other partners Andean community. Institutions responsible for the health of workers in the region andean community.

Funding



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

150

project 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.


Regional

39


AA4 Education, Training and Technical Materials Was submitted to AA 3

CC or NGO Name Instituto de Salud Publica de Chile Project title Contributing to the quality assurance of Occupational Health

examinations in the Region. Keywords Quality, exposed worker to noise, interlaboratory

comparison programs, examinations of Occupational Health Project leader Email address

Mauricio Sánchez – [email protected] Juan Ferruz – [email protected]


Collaborating Centre to confirm.

Other partners Institutions responsible for the worker health in countries of the region

Funding



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

151

apprenticeship. Tickets (to Chile) and per diem should be financed by the interested countries

Dissemination Offering the course to countries of the Region.


Regional

40


AA4 Education, Training and Technical Materials Was submitted to AA6: Communication and Networking

CC or NGO Name

Canadian Centre for Occupational Health and Safety

Project title Violence in the Workplace Awareness Keywords Violence, prevention, Project leader

Email address

P.K. Abeytunga, MSc, PhD.


Other partners Funding CCOHS Objective 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.


Increased public awareness of workplace violence and the need to recognize risks and establish a prevention program.

The e-learning course has been completed and is available to the public.


Committee members, managers, supervisors and workers, Facility managers, human resources managers, senior managers and others with health and safety responsibilities


Free on-line course, visual and auditory, on topics including: what is workplace violence? Behaviours associated with workplace violence, sources of violent behaviour, etc.

Dissemination http://www.ccohs.ca/products/courses/violence_awareness/

152


Global

41


AA4 Education, Training and Technical Materials


Action AA4 Education, training and technical materials

CC or NGO Name Centre of Environmental and Occupational Health National Institute of Health – Porto, Portugal (Recognition as CC WHO in progress)

Project title Training materials on Occupational Health / Occupational Hygiene

Keywords Education, training


Olga Mayan [email protected]


Fundacentro (Brasil) NIOH South Africa

Other partners University of Porto Others (African countries)

Funding

Portuguese Government (INSA) Others not yet identified


Train OSH expert in Portugal and African countries of Portuguese language


Continuous Deadline: 2010


Occupational hygienists Occupational physicians Public health technicians


Professional training modules: - Safety and Health in Lab: 15 hours - Noise exposure. How to Measure and Analyse the Results (6 hours) - Chemical Risk Assessment (qualitative): 6 hours To revised and to introduce some adjusts on pos-graduate education – University of Porto (Master degree on Public Health and Occupational Medicine Course). In order to fill in gaps in already existing courses, some specific training modules will be developed, namely - Occupational health hazards identification methodology - Chemical risk assessment and risk management

153

Dissemination Manual and other training materials (lessons. Brochures) in Portuguese to be used on OHS train


Global

42


AA4 Education, Training and Technical Materials

Project title Education and Training in Risk Assessment and Risk Analysis at a Master level

Project leader Professor Marco Maroni, International Centre for Pesticide Health and Risk Prevention (ICPS)

Partners University of Milan, University of Utrecht, University of Surrey, Karolinska Institute, University of Padua. IPCS, ECEH-WHO, EU-JRC, Private Companies


Collaboration sought of other academic and non-academic partners

Funding The participating Universities and partners Issues to be addressed

Development of a Master curriculum and delivery of Master courses for 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, consumers and the environment.

Project outcomes • 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. Expected capacities to be built • Understand and describe the process of risk assessment and risk analysis. • Identify and locate resources that can assist in risk assessment and risk analysis. • Develop the ability to conduct a risk assessment and risk analysis. • Distinguish between different levels of risk (acceptable and unacceptable risk). • Assessment of dossiers prepared for registration of pesticides or biocides. • Analysis of case studies for substances of interest. • Performance of risk assessment for workers, operators, consumers, and the environment. • Design, performance and evaluation of research projects in the

154

field of risk assessment. Project beneficiaries Governments, Agencies and Industry that need to develop

risk assessment and risk analysis capacity, expecially in Eastern Europe and in the developing countries of other continents.

Dissemination Dissemination and adaptation of the educational and training programs and the technical materials will be developed at regional level throughout collaboration with WHO CCs

Impact European-Global

43 AA 4: TM1Activity Area Number and title


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 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


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, evaluate use and update.


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

155

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, make presentations at conferences, which conferences?


Increased access to training and technical materials related to occupational health

44

AA4:TM 2


AA4: Education, Training and Technical Materials (This was originally submitted to AA3)

CC or NGO Name Federal Institute of Occupational Health, Germany 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)


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

156

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.

45 AA4:TM3aActivity Area Number and title



Education, Training and Technical Materials

CC or NGO Name Andrija Stampar School of Public Health, School of Medicine University of Zagreb, Zagreb, Croatia

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]


Institute of Occupational and Radiological Health, Beograd-Serbia&Montenegro

Institute of Occupational Health, Republic of Macedonia Other partners School of Medicine University of

Tuzla,Bosnia&Herzegovina Funding Ministry of science; Ministry of health; 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 or technical materials? to tackle work-related stress (by 2007) AA 3;

• To list the mayor stressors in healthcare workers (by 2008);

• To assess stress and work ability index in the

157

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


Stress, mobbing and burnout are believed to be due to bad work organization in healthcare services. Activities in the project are designed to explore the major determinants of work-related stress and related phenomena in healthcare workers using the methodology for workplace surveys developed by the European Foundation for Living and Working Environment. Develop a common set of indicators for healthcare workers and develop a national plans of actions on work-related stress. Intercountry collaboration in that area could take the form of regional fora, e.g. conferences and workshops in particular area of stress at work with participation of the social partners.

Dissemination Workshops where; Publications which; WHO/ILO documents; meetings; timeline


Regional (countries)

46 AA4:TM3bActivity Area Number and title


CC or NGO Name EUROPEAN INSTITUTE OF HEALTH AND SOCIAL WELFARE, Madrid, Spain

Project title Integral Management in Environment, Quality and Occupational Health.. Training material for GEO Library.

Keywords Integration elements, Common procedures, Measure and optimising.




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.

158


All professionals.


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.

47 AA 4: TM4aActivity Area Number and title


CC or NGO Name National Institute for Occupational Health (NIOH), SA Project title Prevention of Needlestick Injuries in Healthcare Workers

Keywords Health, safety, needlestick, injury, healthcare workers,

bloodborne diseases


Ms. Busisiwe Nyantumbu [email protected]


NIOH, SA WHO

Other partners International Council of Nurses Democratic Nursing Organisation of South Africa Department of Health, SA 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

2007-2010

159

words) 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. 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

48-1

AA4:TM4b

This is one of five submitted projects that will be combined into a single project


AA4: Education, Training and Technical Materials (It was originally submitted AA3)

CC or NGO Name Federal Institute of Occupational Health, Germany Project title The management of time-pressure in nursing Keywords Healthcare, nursing, mental workload, psychosocial hazards Project leader

Email address

Stephan Schwarzwälder (3.3)


Other partners Co-operating partners still need to be found in the beginning of 2006.

Funding

New Quality of Work Initiative (INQA) - Federal Institute for Occupational Safety and Health (BAuA).


To develop simple, easy to use guidelines to reduce time-pressure in nursing. Methods and procedures will be described which can be implemented within a small financial budget. Pictures will be used for a better illustration of the content.


The manual will be available in a printed and in an online version. The manual can be ordered free of costs. It is envisaged that the manual can be used to initiate the exchange of different strategies

160

project and procedures to reduce time-pressure in nursing within the occupational health community.

The project is scheduled to be completed by December 2007. Target group and/or beneficiaries

Nurses, healthcare managers, health and safety specialists


Time-pressure is a major stressor in nursing. A high amount of documentation, quality control and a fast changing work environment in the healthcare system with a growing profit-oriented outlook leads to a high workload for nurses.

Models of good practice show that time-pressure can be (partly) reduced by easy means. Possible ways include the re-organisation of work, the braking-up of old routines and the implementation of a more flexible, client-oriented work-allocation.

Dissemination The manual will be available to everybody who is interested. The

distribution through the CC network would be of interest


Global

48-2 AA4:TM4b




CC or NGO Name Federal Institute of Occupational Health, Germany Project title Good leadership practices in nursing

Keywords Health, nursing, leadership, psychosocial hazards, work-

satisfaction Project leader

Email address




Funding


Objective of the To improve the health of nurses and reduce psychosocial stressors

161

project through good leadership. Pictures will be used for a better illustration of the content.


The manual will be available in a printed and in an online version. The manual can be ordered free of costs. It is envisaged that the manual can be used to initiate the exchange of different strategies and procedures to reduce time-pressure in nursing within the occupational health community.

The project is scheduled to be completed by December 2007. Target group and/or beneficiaries



Good leadership skills of the head-nurse and other healthcare managers play an important role in the job-satisfaction of nurses. The transparency of processes, the participation of the employees in the decision-making process and the support of the employees in their personal and professional development are some examples. The project will present various aspects of good leadership and provide helpful tools for a good management.

Dissemination The manual will be available to everybody who is interested. The distribution through the CC network would be of interest.


Global

48-3 AA4: TM4b



Formerly 3 –Practical approaches to identify and reduce occupational risks/AA4

CC or NGO Name Federal Institute of Occupational Health, Germany Project title Work & family: guidelines for nurses Keywords Health, nursing, work-life balance, psychosocial hazards Project leader

Email address




Funding New Quality of Work Initiative (INQA) - Federal Institute for Occupational Safety and Health (BAuA).


As in example 3 the goal is to develop simple, easy to use guidelines to improve the health of nurses. Pictures will be used for a better illustration of the content.


The manual will be available in a printed and in an online version. The manual can be ordered free of costs. It is envisaged that the manual can be used to initiate the exchange of different strategies

162

project and procedures to reduce time-pressure in nursing within the occupational health community.

The project is scheduled to be completed by December 2007.




Nurses have a physically and psychologically demanding job. Feelings of responsibility and a high commitment to take care of others can lead to personal exhaustion.

To maintain the own health it is necessary to find an individual balance between work and relaxation. The project will address the topic to support the individual awareness towards this topic and different ways for a good work-live balance will be illustrated.



Global

48-4 AA4:TM4b




CC or NGO Name Federal Institute of Occupational Health, Germany Project title Good communication in nursing Keywords Health, nursing, communication, psychosocial hazards, team-

climate, work-climate Project leader

Email address




Funding



To improve the health of nurses and reduce psychosocial stressors through good communication. Pictures will be used for a better

163

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

The manual will be available in a printed and in an online version. The manual can be ordered free of costs. It is envisaged that the manual can be used to initiate the exchange of different strategies and procedures to reduce time-pressure in nursing within the occupational health community.

The project is scheduled to be completed by December 2007.




Social support is a major resource to cope with a demanding work environment. An open and trustful communication is a prerequisite for a mutual trust and social support. The project will illustrate to pitfalls of communication, misunderstandings and ways to improve the communication and information exchange at work. The importance of a respectful interaction, recognition and a frequent positive feedback for the individual well-being and satisfaction at work will be presented.



Global

48-5 AA4:TM4b




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]




Objective of the project The translation of a booklet which describes the projects of 8 organisations, including hospitals, ambulant care and homes for the elderly. Examples of best practice are presented to support the international exchange.

164


A booklet which illustrates examples of a health-promoting work-design of German healthcare organisations. The booklet will be available in August 2006.




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.



Global

49 AA 4:TM4cActivity Area Number and title


CC or NGO Name National Institute for Occupational Health (NIOH), SA 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]


Seeking partners in developing countries e.g. India, China

Other partners Medical School, University of the Witwatersrand (SA) Funding

A tool was developed and evaluated in the South African mining industry using funding provided by the South African Mine Health and Safety Council (http://www.simrac.co.za). A small amount of funding US$10 000 will be needed for the roll out of this project beyond the borders of South Africa.


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

165

practice habits. Implementation of the program in the South 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


Global

166

50 AA 4:TM4d




Project title Latex Allergy & Asthma – Risk management programme for healthcare workers

Keywords Latex, allergy, asthma, healthcare workers


Ms. Tanusha Singh [email protected]

Partners (of the CC

Network)

NIOH: South Africa University of Cape Town (UCT): South Africa HSL (UK) – to be confirmed

Other partners BGFA (Germany)

Funding

The project will be partially supported by NIOH, UCT Additional funding will be sought for 2007.


To develop a comprehensive latex risk management programme in public health care settings.

Project outcome(s)

and deadline(s) for

completion of the

project

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 prevention directed at employees and employers, available both electronically and in hard copy (by end 2007)

Target group and/or

beneficiaries

Healthcare facilities, clinics and dental institutions and laboratories, particularly in rural settings

Summary of the

project (max 100

words)

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.

Impact (global or Global - the intention is for the project to be a model for use in other countries.

167

regional)

51 AA4:TM4.e


AA4: Education, Training and Technical Materials (It was originally submitted to AA2 and AA3)


Project title Health Care Worker's Safety - Need Assessment and Intervention

Keywords health care workers (HCW), hospitals, safety, needle stick injury, infection control, ergonomics, chemical safety


Norbert L. Wagner MD PhD; [email protected] Jayachandran P.; [email protected]


Possible partners (to be confirmed):

CC: NIOH, Ahmedabad India CC's in other developing countries are invited to join

Other partners Possible other partners (to be confirmed):

WHO Safe Injection Global Network, Geneva Indian Council of Nursing Employee State Insurance Hospital Consortium, India Employers' Liability Insurance for the Health Care Sector, Hamburg Germany



The goal is to a. Identify needs to protect health care workers in a

developing country such as India regarding training, equipment, medical follow-up and policy changes

b. Identify the extent of risk for HCW in rural and urban health care settings

c. Identify, implement and evaluate intervention programs to prevent occupational diseases in HCWs.

Project outcome(s) and deadline(s) for

- better data on health risks, exposure, training needs and policy needs to protect HCWs (1 - 2 years from start of

168

completion of the project

funding) - experiences of interventions, recommendations for policy

changes (2 - 3 years from start of funding)


health care workers, hospital administrations, schools of nursing


HCW are one of the high-risk occupational groups in developing countries. Their function as essential frontline providers of healthcare makes them especially vulnerable for emerging and old diseases, ergonomic problems. The complex situation of HCW in developing countries is often disregarded in curricula oriented towards industrialized countries. The lack of awareness of hazards in policy, nursing community and hospitals, missing legislation and non-existing law enforcement put HCW at un-necessary risk. Adequate needs assessment and support for corrective action is needed.

Dissemination WHO/ILO document on Good Practices, if possible Scientific report on project evaluation available, to be published Manual on Health Care Workers appropriate for different country situations Workshops and trainings


Global. Transfer and distribution possible for all English speaking, low literacy countries with a PHC system;

52 AA4:TM4.f


AA4: Education, Training and Technical Materials (It was originally submitted to AA1 and AA2)

CC or NGO Name TNO Quality of Life/Work&Employment

Project title Blind spot for work-relatedness in health care

Keywords Attending physicians; blind spot; work-relatedness; health care


Dr. PC Buijs [email protected]


NIOSH (Max Lum, partner in TNO-project) Arbetslivetinstitutet (Kaj Elgstrand to be asked by Frank Pot or Peter Westerholm, partner in TNO-project)

Other partners Instituten René Mendes en El Kohlti Funding The blind spot project has been funded by the Dutch

169

Department of Labour. An international email working party participated in this project. In the present proposed project, we will disseminate the results of this project . Funding by TNO Quality


1) To inform attending physicians and other health care professionals about the possible work-relatedness of complaints and diseases. 2) To take this relatedeness into account in diagnosis, advice and treatment.


WHO brochure, deadline end 2006


Attending physicians, health care workers in all countries


Results and outcome 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. This blind spot for work-relatedness in healthcare seems to be a widely spread global problem, leading to insufficient care for workers and endangering their work ability. Also the outcome of the Special session on the ICOH-Centennial, Milano 2006, organised by our group, will be used as input for this brochure

Dissemination Brochures to partners of the CC network. Further distribution by the partners and by internet.


Global

53 AA4:TM5


AA4: Education, Training and Technical Materials (It was originally submitted to AA3.)

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, Ordinariat und Zentralinstitut für Arbeitsmedizin, Hamburg, Germany

Email: [email protected] Partners (of the CC Network)

- Finnish Institute of Occupational Health, Finland,

- Institute and Outpatient Clinic for Occupational and Environmental Medicine, Germany

Other partners - Department of Occupational Medicine, Bergen,

170

Haukeland, Norway

- Departement of Respiratory Medicine, Birmingham,United Kingdom,

- Medical University Dept. Pneumology & Allergy, Poland,

- Environmental and Occupational Health Division, Institute for Risk Assessment Sciences,Uthrecht, Netherlands,

- Department of Environmental and Occupational Medicine, Aarhus University, Denmark,

- Department of Occupational and Environmental Medicine, Goteborg Unirversity, Sweden

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 objective is to summarize the available evidence-based facts. This comprises information on frequency and causes of occupational asthma in order to show urgent necessity for intensified prevention of occupational asthma. Evidence regarding prevention, diagnostic tools and management is critically reviewed. Evidence-based recommendations will be proposed. Useful information, e.g. legal framework conditions for the prevention of occupational asthma in order to describe the basis for the improvement of primary and secondary prevention will be compiled. A set of cases in

171

order to compare compensation systems for OA in different countries and to publish leaflets for guidance for different users will be included.

Dissemination The guidelines will be published as a long version as an internet file and as a short version in an international journal


Global

54 AA 4: TM6aActivity Area Number and title


CC or NGO Name National Institute for Occupational Health (NIOH), SA 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 (SA), Department of Radiology, University of the Witwatersrand (SA) 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

172

sensitivity. If so, a set of reference digital X-rays will be developed.

Dissemination Web based


Global

55 AA 4: TM6bActvity Area Number and title


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. Publication costs to be determined


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 Target group and/or beneficiaries

Public health and occupational physicians, ministries of health and labor, and others involved in the WHO-ILO Global Program for Elimination of Silicosis and international efforts at asbestos disease prevention.


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

173

countries participating in the Global Program for Elimination of Silicosis.


Global

56 AA 4: TM7




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]

Partners (of the CC

Network)

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,

174

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. 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”

Impact (global or

regional)

South Africa and other SADC member countries

57 AA 4: TM8Activity Area Number and title


CC or NGO Name

National Institute for Occupational Safety and Health (NIOSH)

Project title Young Workers Occupational Safety and Health Curriculum Keywords Young workers, training, Project leader Email address

Carol M. Stephenson, PhD [email protected]

175


CC partners desired

Other partners University and NGO partners in the USA Funding

NIOSH


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 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

58 AA4: TM9

176

Activity Area Number

AA4: Education, Training and Technical Materials Was originally submitted to AA 2:

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



Partners (of the Collaboration Centres Network)

Finnish Institute of Occupational Health

Other partners Other research institutes undertaking reviews 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

177

AA 5: Development and Expansion of Occupational Health Services

1 AA5:1Activity Area Number and title

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 [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); NIOSH, Malaysia

Funding

None. Funded by respective WHO CCs and institutes.


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

178

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


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.

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.

2 AA5:2 Activity area Number and title

Now AA5 Development and expansion of OSH Was 1. Global situation analysis

CC or NGO Name RAMS Institute of Occupational Health Project title Development and adaptation of occupational

health system and services in the Russian Federation as in the country with transitional economy.

Key words Occupational health, working conditions; occupational safety; hygienic assessment of new technologies; workers’ health state; methods of hazard agents control, transitional period.

179

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]

Partners (of the CC Networks)

Interested specialists and organizations

Other partners Funding State budget Objective of the project

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 RF 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. 2006-2010


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 and increase of industry economic effect and ability for competition of home goods and services at a world market. In this

180

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.


global


AA5 Development and expansion of Occupational Health Services (This was originally submitted to AA2

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

181

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 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.


Activity Area 5: Development and Expansion of Occupational Health Services

CC or NGO Name Institute of Occupational Health, WHO Collaborating Center, Skopje, Macedonia

Project title Development of innovative models for organization and provision of occupational health services in South East Europe

182

Keywords occupational health services, development, sub-regional, social dialogue


Prof Dr Jovanka Karadzinska Bislimovska, MD, PhD occhemed@on. net. mk


Institut of Occupational Health and Radiological Protection, « Dr Dragomir Karajovic »Belgrade, Serbia and Montenegro

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; 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 , possible further on funding : TAIEX 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 quality assurance system 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)

183


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.

Dissemination conferences and technical workshops in particular areas of common interests with participation of the social partners ; WHO documents


Regional



CC or NGO Name The Industrial Accident Prevention Association, (IAPA), 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]

184


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

185

consultants to assist them to comply with SASST, in a manner that is of high quality and consistency.


The project will achieve a number of results: • 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)



CC or NGO Name The Industrial Accident Prevention Association, (IAPA), a WHO Collaborating Centre for Workplace Injury and Illness Prevention

Project title Enhancement of Occupational Health and Safety in Brazilian Industry (EOHSBI)

Keywords Integrated management systems occupational health and safety


Leonard Sassano, Director Strategic Alliances [email protected]

186


IAPA Canadian Centre for Occupational Health and Safety (CCOHS) (It is understood that SESI is on the path to become a CC in the near future.)

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 (Serviço Social Da Indústria, • 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 management system framework. December 2005

4. Support SESI in the design and development of an

187

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

188

OH&S.


National (Brazil) and regional (the Americas)

7 AA5:7




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


Norbert L. Wagner MD PhD [email protected]


Possible partners (to be confirmed): CC: NIOH Ahmedabad, India CC: FIOH – Finland ICOH Scientific Committee on Education and Training & Scientific Committee on OSH & Development

Other partners Occupational Health Unit, Department of Community Medicine, St. John's Medical College, Bangalore, Karnataka INDIA (confirmed)



The project will (1) provide a training needs assessment for OSH for PHC [primary health care] workers who serve mainly the rural and informal sector (2) Develop a set of

(a) OSH training modules for health care workers (public and private sector, PHC workers, nurses, doctors) in PHC settings and

(b) practical tools for intervention by these trained persons

(c) evaluated models of basic occupational health services

(3) Conduct and evaluate the training of HCW [health care

189

workers] in community medicine programs in Southern India (4) Monitor and evaluate the impact and usefulness of the modules and intervention tools (5) 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 trained nurse teachers 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:

a. Educational material for PHC workers in OSH ("OSH manual for PHC") in a simple way: practical and immediately applicable

b. Teaching material for nursing students

c. Teachers' and trainers' course handbook

d. General information material for use in villages and for quasi-illiterate populations

e. Possibly: training material for general practitioners as 'first providers'

- Articles of "good practice" examples and models of introducing OSH into PHC settings; to be published for general information

The project is planned for 3 years from start of funding


Primary health care workers and other frontline health care personnel working in areas where there is no professional OHS service available. Finally, the un-registered, informal workforce including their families, mainly in rural areas will profit from the extension of occupational & environmental health knowledge


The overall goal of the project is to develop strategies, models and appropriate material to integrate OSH into the delivery of primary health care and to gain experience in the possibilities and difficulties in training the PHC providers in principles of prevention of occupational & environmental diseases. In India, OHS services are only available for approximately 0.5% of the workforce. Only 8% of workforce is registered, 92% of workforce is un-registered sector, mainly agriculture which is served by rural PHC centers. It can therefore serve as a model country for implementation and development. It is known that PHC providers are already overloaded with other campaigns, activities and responsibilities ranging from mother & child care to public health & hygiene. The selection of occupational & environmental health topics, appropriate

190

teaching material and the best the model under which OHS services can be provided is the goal of this project. Different approaches and strategies have to be explored.

Dissemination WHO/ILO document on Good Practices, if possible; Scientific report on project evaluation available, to be published Manuals for OHS in PHC settings distributed to Departments of Community Medicine Workshops and trainings


Global. Transfer and distribution possible for all English speaking, low literacy countries with a PHC system;

8 AA5:8


AA 5: Development and Expansion of Occupational Health Services Was submitted to AA 4:

CC or NGO Name National Institute of Industrial Health (NIIH), Japan Project title Development of a support system for occupational

safety and health management in small enterprises in Japan

Keywords Small scale enterprise, training, checklist, public sector Project leader Email address

Dr Yasutaka Ogawa [email protected]


None

Other partners Institute for Science of Labour, Japan Funding Financial provisions will be covered by the budget of

the NIIH Objective of the project

The purpose of this project is to establish a support system for occupational safety and health management in small enterprises.


The outcome until now (2001-2005) We developed training materials for lead battery manufacturing, developed a checklist for work improvement in lead battery manufacturing, published the results of the baseline survey on OSH management in 84 small and medium scale enterprises in Japan, and identified many cases of good practice useful for the improvement of working

191

conditions in small enterprises. Regarding the construction industry, it was suggested that a construction workers’ health insurance society could contribute to the upgrading and improvement of occupational health status in small-scale enterprises and self-employed workers. The outcome expected henceforth (2006-2010) The results of the studies will be published as original articles. Practical methodologies for OSH management shall be developed in 3 years.


Occupational safety and health staff in public sectors and companies, and occupational safety and health service providers.


This study is designed to further the uniform development of occupational health for all workers in Japan. The project developed various tools for occupational safety and health management, which are optimized for small enterprises. A preliminary training activity for establishing self-sustaining OSHMS based on participatory work improvement training was conducted in 2003. Documents and checklists used in the training were original components developed by the project staff in Japanese. Researchers also looked at ways to elucidate an effective way to improve the occupational health status of small-scale enterprises and self-employed workers in the construction industry. From this program, many cases of good practice useful for the improvement of working conditions in small enterprises were identified.

Dissemination Peer-reviewed scientific publications, Conference Abstracts


Global



Was submitted to A3 CC or NGO Name Central American Institute for Studies on Toxic Substances

(IRET) Project title Health promotion programs for selected groups in Central

America Keywords Central America, Health promotion, Safety promotion,

192

Prevention, Social context Project leader

Email address

Dr. Catharina Wesseling

[email protected]

With subproject coordinators Partners (of the CC Network)

National Institute for Working Life (Sweden); 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 and four hotels/restaurants/bars in Guatemala and Panama; local community and health authorities; local ILO and IMO offices; associations of coffee producers; indigenous communities; human rights associations.

Funding

Sida and collaborating institutions


Promotion of worker and community health in priority populations in Central America.


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

193

variety of modes (interactive/popular/technical/scientific). Impact (global or regional)

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.

10 AA5:10


AA5 Development and expansion of occupational health services


Project title Occupational Health Service Support for small enterprises to promote their ability to enhance health status of workers

Keywords Small enterprises, Occupational Heath Service Support (OHSS) program, Governmental subsidy


Seong-Kyu Kang, M.D., Ph.D. Director of Department of Occupational Health, KOSHA(Korea Occupational Safety and Health Agency) [email protected] Young-Soo You, Department of Occupational Health, KOSHA [email protected]

Partners (of the CC Network) Private occupational health service agencies-

Other partners Ministry of Labor (Korea)

Funding KOSHA, MOL (Korea),

Objective of the project The key objective of this project is to provide occupational health service for small enterprises 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 small scale enterprises. Development of outcome markers for effects of OHSS (2007)

194


Focusing group is definitely small enterprises 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, small enterprises having less than 50 employees are exempted. The KOSHA has been launching OHSS program since 1993, because small enterprises 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 education to workers. The OHSS program has been updated through customer satisfaction surveys.

Dissemination Report on result and evaluation of the program. a workshop of professionals involved.

Impact (global or regional) Regional, Global 11 AA5:11


AA5 Development and expansion of occupational health services

Project title Quality Assessment and Audit of Occupational Health Services.

Project leader Prof. Marco Maroni, International Centre for Pesticides and Health Risk Prevention.


We foresee to involve international experts in the field of Occupational Health and Safety Assessment.

Funding ICPS. Issues to be addressed Development and Implementation of a System for Quality

Assessment and Audit of policies and practices of Occupational Health and Safety Services.

Project outcomes 14. Realization and periodical testing of the Quality and Safety Systems (ISO 9001/2000 and OHSAS 18001:1999) in occupational health services and in its development over time..

15. Qualification of auditors to the international standard “Occupational Health and Safety Assessment Series" OHSAS 18001:1999

Dissemination Dissemination activities will include: communication of progress and results among the panel

195

of experts; the ICPS web-site; presentation of the results on a public health scientific meeting.

Impact Regional, National and European Level policies.

196

Activity Area 6: Communication and Networking

1 AA6:1


AA 6: Communication and Networking

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

Project leader

Email address

Steven E. Lacey, PhD


University of the Witwatersrand (proposed)

University of Cape Town (proposed) Other partners AIHA Student Activities Working Group (SAWG) 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 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.

197


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



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

Project title Sharing workplace OSH practices through sector-based global

collaborations

Keywords NORA Sector Interventions Best Practices Globalization

Project leader

Email address

Dr. Max Lum, Global Collaborations Manager, NIOSH [email protected] and Dr. Marilyn Fingerhut, Global Collaborations Coordinator, NIOSH [email protected]


Anticipated partners: ISPESL, Italy; NIIH, Japan; CCOHS Canada; IOHA, IEA, ICOH and others

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

198


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 continuation of this work (by Dec 10)


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

199

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



CC or NGO Name National Institute of Industrial Health (NIIH), Japan Project title Development of a web-based information collection system for the

active surveillance of work-related diseases and occupational exposures and for information dissemination to occupational safety and health practitioners

Note: would suggest change of title to “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


None

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 NIIH 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 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

200

project. Target group and/or beneficiaries

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




Project title Access to Occupational Safety & Health Information in the SADC

Region Keywords electronic networks, OSH information, dissemination, coordination

Project leader

Email address

Ms. Claudina Nogueira

[email protected]


3. NIOH, South Africa 4. NIWL, Sweden 5. IACP, Italy 6. University of Cape Town (UCT), South Africa 7. NIOSH, USA 8. CCOHS, Canada 9. HSL, UK

201

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 – Eduardo Mondlane University and the

Ministries of Health and Labour

5. A potential partner in Brazil /Portugal to be identified – a work in progress

Funding

The 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 NIWL, Sweden is an integral part of the WAHSA Programme.


Comprehensive OSH information to be established at the NIOH Clearing House, and to be made readily available in all SADC countries. This will include information on professional training, research programmes, international development programmes and 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 will be established to support the Clearing House.


• 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)

202


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.


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 established and maintained.

Dissemination Worker and enterprise meetings and associations, professional associations, 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




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

Project leader

Email address

Dr Magdalene Chan

[email protected] Partners (of the CC CCOHS - Canada (P. K. Abeytunga)

203

Network) Other partners Organisations and companies with best practices and winning

solutions Funding Occupational Safety and Health Division, 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).




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



CC or NGO Name

EUROPEAN INSTITUTE OF HEALTH AND SOCIAL WELFARE, Madrid Spain

Project title “Occupational Health Latin-American Forum” Keywords Occupational safety and health, Latin- American

forum, Project leader Email address



204

Other partners Ministries of Health, and Labour of the Governments which will take part.

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.


Multi-country



CC or NGO Name IACP, Italy

Project title

ECO RE Economics Resources Toolbox

Keywords funding, grant assistance, economic resource, WHO CC Project leader Email address

Alberto Zucconi [email protected]


IACP (ITALY), NIOH ( South Africa), HSL (England)

Other partners other partners are welcome, they will need to fund their own contribution to the project

Funding Funding in place

205


To provide an on line data base providing informations and assistance on where, how and when to get funds for your WHO C.C. projects and activities


2011


WHO Collaborating Centers


A web site made exclusively for the WHO OH C.C. where to find Informations, suggestions and help on how to access economic resources and other for of help in order to have additional support to fulfill you mission and especially to get funding for your WHO Collaborating Centers projects

Dissemination web sites


Global



CC or NGO Name Office of the Australian Safety and Compensation Council (Office of the ASCC), Department of Employment and Workplace Relations

Project title Participation in Regional Events - Contribution to the communication network of WHO Collaborating Centres

Keywords Participation, information, dissemination, web activity Project leader Email address



All collaboration centres

Other partners ILO CIS network; GEOLibrary Funding Australian Government Objective of the project

To contribute to the global effort to promote activities of collaborating centres and disseminate best practice models


Outcome: effective sharing of data sources and best practice models Commenced: 2004 Completion date: 2010


Members of the collaboration network

206


The Office of the ASCC will continue active participation in the network and the activities of the WHO collaborating centres by:

o attending WHO/ILO regional meetings; o participating in international forum and conferences

on workplace safety and health; o contributing to the development of regional website;

and o respond to requests for information and participate in

international surveys and questionnaires. Dissemination WHO website, Australian Safety and Compensation Council

website http://www.ascc.gov.au, international meetings, conferences and symposia


Global & regional



CC or NGO Name Office of the Australian Safety and Compensation Council, Department of Employment and Workplace Relations

Project title Asia-Pacific Regional Website - Maintenance of the Southeast Asia OHS regional website

Keywords Participation, information, dissemination, web activity


Amanda Grey [email protected]


University of Occupational and Environmental Health, Japan Regional collaboration centres

Other partners ILO, CIS Funding Australian Government Objective of the project

The Asia-Pacific Occupational Safety and Health website is a collaborative effort of the countries in the Asia-Pacific Region. The objective is to share information across the region for those working in occupational health and safety from government departments, universities and research institutes, professional organisations, unions and employer organisations. The site will include country profiles, news, upcoming events, links to professional organisations, & training database, regulations, standards and guidance material and links to other relevant websites e.g. Global e-library on Occupational Health.


Development of a prototype webpage - completed 2005 Contributions provided to Office of the ASCC by other WHO CC – 2006 Launch of website late 2006

207

Completion date: 2010 Target group and/or beneficiaries

Members of the collaboration network


The Office of the ASCC will support the maintenance of an effective regional OHS website to provide a vehicle for information dissemination.

Dissemination Regional website


Regional




AA6: Communication and Networking

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


Juhani Ilmarinen [email protected]


Bundesanstalt für Arbeitsschutz und Arbeitsmedizin, Berlin, Germany University of Milan, Milan, Italy University of Occupational and Environmental Health, Kitakyushu, Japan

Other partners

Institute of Rehabilitation, Ljubljana, Republic of Slovenia Fundacao de Apoio Institucional ao Desenvolvimento Cientifico e Technologico, Sao Carlos, Brazil Centro de Estudos e Investigacao em Sauide 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),

208

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

Funding


• 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

209

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 continents Regional solutions for promotion of work ability



CC or NGO Name

Finnish Institute of Occupational Health; COHF

Project title Cochrane Occupational Health Field

Keywords knowledge transfer, evidence, Cochrane collaboration


Jos Verbeek [email protected]


Coronel Institute, Amsterdam, the Netherlands Australian Safety and Compensation Council

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


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

210

Occupational Health Field at ww.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. 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




Project title Development of an occupational health database system in Vietnam

Keywords occupational hazards, occupational diseases, occupational

injuries, high risk occupations, occupational health resource database, website portals, information network, etc.


Dr. Nguyen Khac Hai, Director, National Institute of Occupational & Environmental Health (NIOEH), 1B Yersin Str., Hanoi, Vietnam

211

Email address: [email protected]


NIOSH, FIOH, NIWL, etc.

Other partners The University of Washington, US. Funding

Vietnamese government and WHO


To establish, maintain and enhance the communications capacity of occupational health in WHO CC network


The outcomes of the project: • To establish an occupational health database system in

Vietnam (by 2007) • To develop the web-based information access for OH

network in Vietnam (2008) • To disseminate the training materials and best practices

and encourage and support the resource mobilization (2008)


Policy makers, occupational health and safety researchers, enterprises’ managers, workers, students, lecturers


- Collection of basic OH data by province, region, types of industries, geographic and timeline, etc over the country based on the annual OH report

- Development of software to input the data - Development of GIS - Development of web-based information access - Promotion of resource mobilization and use of

scientific information products

Dissemination Web-based database, information, WHO documents, Impact (global or regional)





Project title Development of a network of working environment monitoring system over the country

Keywords occupational hazards, working environment, monitoring system, website portals, information network, etc.


Dr. Nguyen Khac Hai, Director, National Institute of Occupational & Environmental Health (NIOEH), 1B

212

Yersin Str., Hanoi, Vietnam Email address: [email protected]


NIOSH, FIOH, NIWL, etc.

Other partners The University of Washington, US. Funding

Vietnamese government and WHO


To enhance the working environment monitoring capacity at lower levels (from provincial level)


The outcomes of the project: • To establish the working environment monitoring

system over the country (by 2007) • To improve the working environment monitoring

capacity at lower levels by provision of knowledge and equipment (2010)

• To establish database system of working environment by industries, provinces and regions (2010)


Policy makers, occupational health and safety researchers, enterprises’ managers, workers, OSH officers


- Collection of basic working environment data by province, region, types of industries over the country

- Establishment of key organizations for monitoring working environment by province, industries and regions

- Establishment of monitoring network - Building monitoring capacity for lower levels by

improvement of knowledge and provision of equipment

- Development of working environment database and web-based information access

Dissemination Web-based database, information, WHO documents, Impact (global or regional)


14 AA6:14

Activity Area Number and title AA6 Communication and Networking

213


AA 6: Communication and Networking Was originally submitted to AA2

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 adress

Marcus Oldenburg, Xaver Baur, Department Maritime Medicine of Central Institute of Occupational Medicine, Hamburg, Germany ([email protected])


Other partners CIRM, Rome, and the Norwegian Centre of Telemedicine

Funding


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 (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.


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.

Impact (global or regional) global

214

CC or NGO Name Federal Institute of Occupational Health, Germany Project title Dialogue on nanoparticles

Keywords Nanotechnology, nanoparticle, nanofibre


Dr. Bruno Orthen (4.3) [email protected]


Other partners Federal Environment Ministry (BMU), Federal Environmental Agency (UBA), iku GmbH (Dortmund, Germany)

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

215

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 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



Was originally submitted to AA3 CC or NGO Name Institute for Occupational Health Sciences, 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


To be defined

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

Objective of the To develop guidelines for the assessment of safety

216

project 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

17 AA6:17


AA 6: Communication and Networking Was originally submitted to AA1: Global Situation Analysis

CC or NGO Name

National Institute for Occupational Safety and Health (NIOSH/)

Project title Best practices globally for working with nanomaterials

217

Keywords Nanotechnology, information, best practices, occupational exposure


Charles Geraci; Vladimir Murashov [email protected]; [email protected]


ICOH, IOHA, HSE (United Kingdom); additional partners are welcome

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 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. 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,

218

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


AA 6: Communication and Networking Was originally submitted to AA 2 Evidence for Action

CC or NGO Name

National Institute for Occupational Safety and Health (NIOSH)

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

Other partners Silica experts thoughout NIOSH

219

Funding

NIOSH.


To produce and disseminate NIOSH information products and provide training and technical assistance to prevent silica-related disease.


A new three-year project with deadlines to be determined for these anticipated outcomes:

review existing NIOSH materials on laboratory analyses, exposure assessment, exposure control, diagnosis, and treatment

determine the form of NIOSH information products to best serve our international partners

design and produce the information products provide technical assistance to customers in developing

countries obtain feedback from partners to help evaluate and/or improve

our products


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

19 AA6:19


AA6 Communication and Networking


220

Project title Technical Assistance and Training Program for Developing Countries in Asia.

Keywords Asian international partnership for occupational health, Developing countries, Technical assistance and training program,


Seong-Kyu Kang, M.D., Ph.D. Director of Department of Occupational Health, KOSHA(Korea Occupational Safety and Health Agency) [email protected] Joon-Won Lee. Director of International Cooperation Team, KOSHA [email protected]


ILO (International Labour Organization)

Other partners Ministry of Labour (Korea)

Funding KOSHA, MOL (Korea)

Objective of the project The key objective of this project is to promote and enhance skill and system of developing countries in occupational safety and health as the international partnership.


Provide technical assistance and training program to developing countries.


Target groups are developing countries in Asia; Vietnam, Thailand, Mongolia, China, Nepal, Bangladesh, Indonesia, Cambodia, Laos, Sri Lanka, Iran, Philippines, Malaysia and Timor.


As a member of OECD, Korea is committed to providing health and safety technology to developing countries. In 1999, KOSHA initiated international partnership for occupational health with Mongolia and has currently entered into an agreement with three countries; Mongolia, Vietnam and Indonesia. This program includes on-site technical guidance, the exchange of information, and training professionals for occupational safety and health. Until 2005, KOSHA has trained seventy seven personnel in fourteen countries and dispatched eight KOSHA experts in three countries to provide technical consultation. KOSHA is also collaborating with ILO to further extend this program.

221

KOSHA will continuously provide this program for Asian network of Occupational Safety and Health.

Dissemination Report on result and evaluation of the program.


Regional

` 20 AA6:20



CC or NGO Name Canadian Centre for Occupational Health and Safety (CCOHS)

Project title OSH Answers Service

Keywords Workplace, health and safety, occupational


P.K. Abeytunga, MSc, PhD. [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. There are some 650 documents containing about 3500 questions and answers. These are available in both English and French, and are accessible free-of-charge on the CCOHS web site and through WHO Collaborating Centres website..


The use of this free question-and-answer service has increased dramatically – from about 477,000 inquirers in 2000 to 2.1 million in 2005, and the documents were visited more than 5.8 million times in 2005, up from 1.5 million times in 2000. Reach has extended to the world with almost 145 countries accessing our information. In the survey conducted for CCOHS, 74% of a sample of users of the Service said that their use of the information relates to current or future changes to the workplace that my result in improved occupational

222

health and safety.

This service has been launched and is an ongoing program.


Workers (and their families), managers, practitioners, others active in Occupational Health & Safety,


OSH Answers, and the French counterpart, Reponses SST, were created to 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.

Dissemination http://www.ccohs.ca/oshanswers/


Global

21 AA6:21



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




Jointly by Human Resources & Skills Development Canada (HRSDC) and 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.

223


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

22 AA6:22



CC or NGO Name Canadian Centre for Occupational Health and Safety

Project title International Web Portal Keywords International, ILO, CIS, WHO, occupational health and safety Project leader

Email address

P.K. Abeytunga, MSc, PhD.


WHO Network of Collaborating Centres

Other partners Funding Joint funding by ILO, WHO and CCOHS Objective of the project

To increase the availability and accessibility of scientific and practical information from the WHO Collaborating Centres and the CIS National Centres across the world to support occupational health practice, training, research and communication.


Make OSH information from the key occupational health and safety organizations throughout the world available worldwide.


Trilingual (English, French and Spanish)


This Portal is the product of the ongoing co-operation between the World Health Organization (WHO), the International Labour Organization (ILO), and their National and Collaborating Centres all over the world. The goal of this Portal is to help its members and the rest of the world to find information from the

224

participating countries on subjects related to occupational health and safety.

Dissemination http://www.ciscentres.org/ Impact (global or regional)

Global

23 AA6:23



CC or NGO Name

Canadian Centre for Occupational Health and Safety

Project title WHO Collaborating Centres Web Portal

Keywords WHO, occupational health and safety, Project leader Email address



WHO Collaborating Centres Network

Other partners

Funding Jointly by WHO and CCOHS Objective of the project

To increase the availability and accessibility of scientific and practical information from the WHO Collaborating Centres throughout the world to support occupational health practice, training, research and communication..


Global access to health and safety information from respected institutions. Information exchange among international institutions.


Trilingual (English, French and Spanish)


The portal accommodates information from the CCs under content pages for each country and for each category of information identified, with searchable archives, and with links to other information

225

sources as identified by the Centres and agreed with WHO. It also includes an e-mail-based discussion group for the CCs.

Dissemination http://www.whoocchealthccs.org/


Global