PAHO-2K Pan American Health Organization OHS Hemispheric Leadership Meeting PANAMERICAN HEALTH ORGANIZATION PREVENTION IN A GLOBALIZED WORLD SUCCESSS TRHOUGH PARTNERSHIPS GOALS, OBJECTIVES AND PARTNERSHIPS WSC PAHO-2K Pan American Health Organization PAHO as a Specialized Agency of the UN and the InterAmerican System Regional Office of the World Health Organization Health Agency of the Organization of American States PAHO-2K Pan American Health Organization PAHO-2K Pan American Health Organization Burden of Disease: Economic Impact Least- Development Countries Lower-Middle- Income Countries High- Income Countries Life Expectancy Mortality Under Five Years Population(Millions) Development Category , ,0941, GNP Per Capita (US Dls) Ref: Macroeconomics and Health. Investing in Health for Economic Development. WHO, 2001 PAHO-2K Pan American Health Organization Sources: World Competitiveness Report, Lausanne; ILO/SafeWork USA Finland Netherlands Switzerland Ireland Germany Sweden Canada Australia UK Norway Japan France Belgium Spain Malaysia Chile Hungary Korea R. Portugal China Thailand Brazil Mexico South Africa Indonesia Russia Index Competitiveness and Safety Fatal accidents/ workers Competitiveness (World Competitiveness Report) PAHO-2K Pan American Health Organization Workers Health Occupational Health and Safety: a high priority in the global, international and national agenda Kofi A. Annan Secretary General United Nations Johannesburg Summit 2002 Protect the health and safety of workers Strengthen and promote ILO and WHO programmes to reducr occupational deaths, injuries and illnesses. Link occupational health with public health promotion PAHO-2K Pan American Health Organization 1. Halving extreme poverty 2. Universal primary education 3. Promoting equality 4. Reducing under 5 mortality 5. Reducing maternal mortality 6. Reversing the spread of HIV/AIDS 7. Environmental sustainability 8. Global Partnership for Development MILLENNIUM DEVELOPMENT GOALS 2000 PAHO-2K Pan American Health Organization Community participation Inter- sectorality Social Protection PAHO-2K Pan American Health Organization UN Millennium Development Goals Relation to Workers Health GOALS: CONTRIBUTION: Eradicate Extreme Poverty and Hunger Promote Gender, Equality and Empower Women Reduce Child Mortality and Improve Maternal Health Combat HIV/AIDS Synergy with Labor Ministers, Private Sector, NGOs Unions to Create and Maintain a Healthy Workplaces Basic Skills for Women to Utilize Housing and Working Facilities Improvement in Working Conditions to promote and protect parental Health Through Promotion in the Workplace and healthcare Sector PAHO-2K Pan American Health Organization UN Millennium Development Goals Ensuring Environmental Sustainability TARGET CONTRIBUTION Integrate the Principles of Sustainable Development into Country Policies and Programs and reverse the loss of Environmental Resources Regional Plan on Workers Health/Health Workplaces Initiatives Linkages between Health and Labor PAHO/ILO By 2020 to have achieve a significant improvement in the Lives of at least 100 million slum Dwellers phase out and eradication Creation of Healthy, Safe and Decent Workplaces PAHO-2K Pan American Health Organization Human Rights Declaration. Global Strategy on Occupational Health for All. Resolution WHA Regional Plan on Workers Health. Resolution XIII. PAHO 41 st DC PAHO Strategic and Programmatic Orientations PAHO Strategies Plan Summit of the Americas. Quebec Globalization and Labor. Inter-American Conference of Ministers of Labor (IACML). OAS WORKERSHEALTH MANDATES PAHO-2K Pan American Health Organization The Regional Workers Health Plan Strategic and Programmatic Orientations Resolution DC XIII 1999 Inter-disciplinary Transnational Intersectoral Human Sustainable Development Strategic Plan PAHO-2K Pan American Health Organization Globalization: Strengths and weaknesses Beneficial effect Adverse effect 57 % annual growth trade and world production Harder competition developing countries Global market provides benefit of scale Home markets are put under pressure Higher efficacy and quality Compromising health and safety standards Elimination of time dimension from global market Unphysiological time schedules, sleep debt, vigilance problems < costs of storage, high flow of production Tight deadlines, psychological stress. physical overload Adapt to global market unconventional work hours, source of flexibility: human labour PAHO-2K Pan American Health Organization State Workforce Composition, Migration, Precarious L.M, Poverty Feminization Effect Lost workdays, Occupational Accidents & Diseases, Lower Productivity, Social Costs ACTION Health Policies and Legislation Quality of the Work Environment Promotion of Workers Health Comprehensiv e Workers Services Pressure Technology Transfer, Non- traditional Expoprt Production Increase Maquila Exposure (Environmental) Psychosocial, Ergonomic, Chemical, Biological, Safety & Physical DPSEEA Model Driving Forces Globalization, Integration, Technological Change Reform of the State, Inequities The Workers Health Plan PAHO-2K Pan American Health Organization SITUATION ANALISIS IN THE AMERICAS INEQUITIES INSTITUTIONAL DISPERSION - REFORMS EAP: 351 million (> 50% Americas population) million below poverty line. - 52% Informal Sector ( women, children, migrants, indigenous) - 49% women - 24 million children work. 36 Injuries / minute 5 Million injuries / year 90,000 Fatal Injuries / year Morbidity: Traditional occupational illnesses, along with cancer, asthma, depression, cardiovascular, musculoskeletal, immunological, and nervous system, and re-emerging diseases. 9% - 12% of GDP in LAC 30% Receives Occupational Health Services (formal sector) EAP: 351 million (> 50% Americas population) million below poverty line. - 52% Informal Sector ( women, children, migrants, indigenous) - 49% women - 24 million children work. 36 Injuries / minute 5 Million injuries / year 90,000 Fatal Injuries / year Morbidity: Traditional occupational illnesses, along with cancer, asthma, depression, cardiovascular, musculoskeletal, immunological, and nervous system, and re-emerging diseases. 9% - 12% of GDP in LAC 30% Receives Occupational Health Services (formal sector) PAHO-2K Pan American Health Organization Economic impact Musculoskeletal 40% Heart diseases 16% Injuries 14% Respiratory diseases 9% Nervous Central System 8% Others 13% Other diseases include cancer, skin diseases and mental disorders The Breakdown of Costs for Work-related Injuries and Diseases Source: ILO, 1999 PAHO-2K Pan American Health Organization Regional Plan: Objectives Actors: - International - Governmental - Labor Organizations - Private Sector - NGOs - Universities - Media - Collaborating Centers To improve the living conditions, health and safety at work and the well-being of the working population, in order to advance towards human sustainable development with equity and social justice. Strenghten the technical and institutional capacityStrenghten the technical and institutional capacity PAHO-2K Pan American Health Organization Workers Health Prevention Primary Prevention Primary Prevention Secondary Prevention Secondary Prevention Tertiary Prevention Tertiary Prevention Clean Production Pre-market Testing Substitution and Elimination Engineering Control Environmental Monitoring Personal Protective Devices Biological Monitoring Pre-clinical Medical Examination Diagnosis Therapy Rehabilitation PAHO-2K Pan American Health Organization Regional Plan: Programmatic Areas Policy and Legislation Policy and Legislation Comprehensive Health Services Comprehensive Health Services Quality of Work Environment Quality of Work Environment Workers Health Promotion Health for All Equity Universal Access Poverty Reduction MDGs PAHO-2K Pan American Health Organization Organization of American States The Regional Workers Health Plan III Summit of the Americas October 2001 XII`-XIII Inter-American Conferences of the Ministers of Labor Declaration and Plan of Action * COSATE - CEATAL * OAS, ILO, PAHO, IDB, WB, ECLAC Workers Health Proactive Actions PAHO-2K Pan American Health Organization 1. More efficient social protection system XII-XIII IACML Priority Areas 2. Safety and Health Surveillance at work In the context of the sub regional and regional integration 3. Institutional strengthening of Labor Ministries with a multidisciplinary and interinstitutonal approach 4. Enhance the efficiency of policies and actions directed to the promotion of decent work 5. Child Labor Eradication PAHO-2K Pan American Health Organization Agreement PAHO - ILO Extend Social Protection and Health Coverage within Excluded Groups (ESPHC) Approved by Directive Council 2002 PAHO-2K Pan American Health Organization PAHO/WHO-ILO INITIATIVE Expected Results Country Level Greater knowledge of social exclusion and its potential solutions Increase awareness of the problem Enhance political and social dialogue Development in technical cooperation Regional Level Share of national experiences and lessons learned Developing methods for establishing, evaluating and applying policies and strategies for ESPHC Support activities among countries PAHO-2K Pan American Health Organization Healthy Workplaces Initiative (HWI) Nicaragua, Honduras, El Salvador and Guatemala Maquila and Floriculture SIDA-Sweden/IADB Implementation Toolkit ValidationImplementation Toolkit Validation * Development of Health Standards* Development of Health Standards PAHO-2K Pan American Health Organization 8 Min. of Labor, PAHO, SICA, COMISCA, RESSCAD OPPORTUNITIES FTAA 2005 CA NAFTA IACMT SICA COMISCA RESSCAD PRIVATE SECTOR HWI CONSTRAINTS POLITICAL INSTABILITY STRIKES NATIONAL EMERGENCIES HRR SLOW PROCESS COORDINATION CERSSO SICA / IRET ILO IDB PAHO-2K Pan American Health Organization NETWORKS HEALTHY WORPLACE INITIATIVE NETWORKS HEALTHY WORPLACE INITIATIVE INTEGRATION MECHANISMS INTERINSTITUTIONAL AND INTERSECTORIAL COORDINATION INTERPROGRAMMATIC ACTION PARTICIPATIVE PLANNING PAHO/WHO - IDB - PROALCA/USAID - ILO SIDA USDOL -NIOSH SICA COMMISCA RESSCAD CERSSO PLAGSALUD IRET ICAES ITCA Network NGOs, Workers, Employers, Civil Society MoH MoLISS MoE National Councils of Occupational Health Health and Safety Committees NIC M* NIC M* ELS M* ELS M* HON M* HON M* GUA F* GUA F* * Maquiladora (M) - Floriculture (F) PAHO-2K Pan American Health Organization INTERCONNECTIVITY IRET PAHO COSTA RICA SAN LUIS UNIVERSITY, GUATEMALA OEA IDB AREAS OF COLLABORATION Research Training Information Outreach COLOMBIA COMBIOSE QUEBEC U. LEON NICARAGUA CCOHS HAMILTON ONTARIO CERSSO, EL SALVADOR ECOSYSTEM APPROACH PAHO-2K Pan American Health Organization AREAS OF COLLABORATION Research Training Information Outreach AREAS OF COLLABORATION Research Training Information Outreach COLLABORATING CENTERS PAHO/WHO FUNDACENTRO U Illinois U Michigan U Texas MINSA ISP ACHS CCOHS Centre Hospitalier de Qubec INSAT CINBIOSE NIOSH John Hopkins U U Mass. Lowell CBNS IRET IAPA PAHO-2K Pan American Health Organization Hiwsq1reih nn2 HISPANIC FORUM INITIATIVE Vision VISION Reduce the disparities in Occupational and Environmental Health Status and Services within the Hispanic Population PAHO-2K Pan American Health Organization Hispanic Forum Sponsors Memorandum of Understanding HISPANIC FORUM The National Safety Council Pan American Health Organization The Environmental Protection Agency Occupational Safety and Health Administration OAS (IACD-ESDU) National Higway Traffic Safety Administration National Alliance for Hispanic Health PAHO-2K Pan American Health Organization Hispanic population grew by 58% between 1990 and 2000: 38.3 Million in the US, 3.8 Million in Puerto Rico 12.5% of the workforce is Hispanic. They bear 15% of the total US fatal occupational injuries. Fatal occupational accidents have decreased overall, but risen alarmingly among the Hispanic labor force. In the US there has been a 40 % increase in fatalities among Hispanic workers in the construction sector. Alarming Increases in Work Accidents among Hispanics Work Related Fatalities are Projected to Keep rising without preventive interventions PAHO-2K Pan American Health Organization Susan Harwood Grants OSHA PAHO Hispanic Forum 3M Summit of the Americas- OAS NIOSH Communications Workshop US-Mexico BHA NSC Puerto Rico NATIONWIDE NETWORK: AN INVITATION TO JOIN AND SUPPORT Interconnectivity and Support PAHO-2K Pan American Health Organization Border Issues PAHO-2K Pan American Health Organization Migrant Farm Workers Most farm workers have no insurance. 3 to 5 million of them are Hispanic. Most migrant workers are men in their 20s and send their earnings home to their families in Mexico, Guatemala, Honduras, El Salvador or Haiti. Most live in poor housing and unsanitary living conditions. PAHO-2K Pan American Health Organization High Burden of Disease attributable to Occupational Environment Health Systems Lower Performance Healthcare Sector in LAC >7 million workers, gender and labor inequities, Scarcity of Data PAHO Series of Manuals for the Healthcare Sector In Preparation: Manual for Managers PAHO Learning Projects Awareness raising, Mobilizing, Capacity building Assessing the Situation Proposing Interventions Empowering and Learning Physical HazardsChemical Hazards Biological Hazards Org. & Psychological Hazards Occupational Health Promotion in the Health Sector PAHO-2K Pan American Health Organization INTER-AGENCY SUPPORT PAHO - OAS 1.Portfolio of Consolidated Programs 2.Hemispheric Workshop. CERSSO 3.Workshop of Leadership on Occupational Safety and Health 4.Alliances and Innovations for Development: Corporative Social Responsibility 5.Self instructive course on Occupational Health and Safety 6.Agreement with the European Agency of Safety and Health at Work PAHO-2K Pan American Health Organization PAHO-2K Pan American Health Organization Risk Evaluation and Occupational Surveillance Srengthening of Occupational Hygiene, Ergonomics, Toxicology, etc. English Caribbean I njuries Plagsalud: TCC D.C. UCLA Queens NIOSH Back pain Pesticides Injuries University of Stockholm Ecotoxicology Lulea University of Technology Center for Ergonomics for Developing Countries (CEDC) University of Stockholm Ecotoxicology Lulea University of Technology Center for Ergonomics for Developing Countries (CEDC) Cuba PAHO-2K Pan American Health Organization OCCUPATIONAL SURVEILLANCE Central America PLAGSALUD Chile SAISO Venezuela SUAVIDERO/WIZARD USA NIOSH Chile, Jamaica, Mexico Injuries Chile, Jamaica, Mexico Injuries Cuba Brazil SUS Canada Compensation System Experts Meeting 1999 Regional Meeting 2000 Indicators Guidelines 2004 PAHO-2K Pan American Health Organization Directing Council September 2004 (Proposal Strategic Alliance Health- Labor) Preparatory Meeting for Summit Argentina June 2005 Strategic Alliances Health and Labor Implications for 2005 IV Summit of the Americas XIV IACML XVII WSC PAHO-2K Pan American Health Organization Next Steps Continue working along with the working groups from the XIII Interamerican Conference of Ministers of Labor toward the XIV IACML Third Hispanic Forum within the XVII World Congress on Safety and Health at Work, (Orlando, Florida 2005) Summit of the Americas, (Argentina 2005)