Fighting Heart Disease and Stroke in Enterprises Dr. Helmut Minten | DCMO | Deutsche Post DHL | European Heart Network - Workshop on Diet, Physical Activity and Cardiovascular Disease Prevention in Europe | Berlin | 14.03.2012

Deutsche Post DHL Maintainig a global infrastructure network for the management and the transport of goods and informations Expectations from - customers - employees - investors - societies 470.000 employees in 220 countries and territories Business Challenge Ressources

Challenges

‘Health’ is the ‘Enviroment’ Topic of the Future Sept. 2011: UN High-Level Meeting on Prevention of Non Communicable Diseases Focus: Prevention of chronic diseases - Diseases of the heart / vessels - Metabolic diseases - Mental diseases - Respiratory diseases - Cancer Globally enterprises are the biggest global prevention setting Every invest in the health of the employees, is an invest in the society Source: The Global Economic Burden of Non-communicable Diseases - A report by the World Economic Forum and the Harvard School of Public Health, September 2011

Focal Points of Health Promotion DP DHL (Germany): Up to 44.000 measures of health promotion / year 43.739 measures in 17 fields of health promotion 2009 in % Vaccination / protection of infections 20 Nutrition 18 38 11 Muscel- and sceletal system / physical exercise 7 7 Others Cancer prevention Prevention of cardio-vascular diseases

Heart Check On The Job Prescreening initiative for 245.000 employees (‚PROCAM‘) Medical examination of 11.342 employees with prospective higher risk via occupational health physicians in the company (5528 men / 35-65 yrs. and 5814 women / 41-65 yrs.) The calculated risk to suffer from heart infarction within 10 years was age adjusted approximately 40% higher for the screened employees than the control group Every third men and every fourth women: on spec of lipometabolic disorder At 12,5% of men + 5,9% of women: on spec of high blood pressure At 3,2% of men + 2 % of women : on spec of Diabetes mellitus Higher proportion of smoking employees in comparison to PROCAM population (men: 31,0 % vs. 21,2 %, women: 29,7 % vs. 24,4%).

Prevention at work – Measures For over a third of the participants direct interventions to influence the current lifestyle or to start a medical therapy with a medical specialist were initiated Examples of intervention programs - Quit Smoking campaigns - Sports-/Movement Campaigns - Regular offer of Health Check Up´s for employees - „Stress“-Coping-Programs, etc. Further measures - Designing of special educational programs (e.g. targeted for executives, trainees…) - Regular offer of Health Check Up´s for employees - Creating a healthy workplace (ergonomics, workplace climate, influence one´s work) - Analyzing data, e.g. from health reporting, risk assesments, employee opinion survey - Promotion of social networks (e.g. via sport and CSR initiatives)

‘Go by Bike’ 2011 Goal After one year / 2009 - 250.000 km driven by bike instead of using a motor vehicle - Physical exercise / CO2 reduction - International activity After one year / 2009 562.000 km - 100 TO CO2 reduction - Engagement of colleages from 12 countries - High emotional employee engagement - Founding of bike alliances - Conjunction with fundraising activities 2011 910.000 km 17 countries

Summary - Growing Challenges for Systematic Health Management Health is a core topic of the 21st century - economically - ethically Ageing workforces and a steep increase in chronic diseases worldwide are placing new demands on a systematic health management The enterprises are the biggest societal setting for an effective prevention of illnesses - Occupational Health – as preventative medical discipline - has the key role in integrating Health Management activities in the companies - the Occupational Health discipline must be part of an integrated system of medical care and health promotion

„Health is the ability to love and to work" Do not forget Sigmund Freud „Health is the ability to love and to work" „You either live, or stick to your principles“ Erich Kästner (1899 - 1974, famous German Writer) 10 10

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