3-5 November 2009 Düsseldorf, Germany Jukka Takala Director The Economic Crisis and Safety and Health at Work - Global and European Trends

2 Summary  Safety and Health Trends and Facts in Europe and in the World  Pan-European Opinion Poll on Safety and Health at Work  Economic Crisis and it’s impact on working conditions  Better data, attributable fractions, national surveys and studies on all work-related safety and health issues required  Economic factors  Good practices and campaigns, Risk Assessment, Napo for Chemical labelling and other future issues

3 Protecting worker health in a globalised but increasingly fragmented world…

4 … needs better integrated OSH prevention and information systems

5 Safety and Health Trends in Europe and in the World

6 Work-related Annual Deaths – World Sources: Hämäläinen P, Takala J, Saarela KL; TUT, ILO, EU-OSHA, 2008

7 Work-related Annual Deaths – EU-27 Sources: Hämäläinen P, Takala J, Saarela KL; TUT, ILO, EU-OSHA

8 Work-related Fatalities – EU million economically active, employment 205 million - – 167,000 fatalities (ILO estimate) attributed to work- related accidents and diseases in EU, and within those: 159,500 fatalities (ILO estimate) attributed to work- related diseases in the EU, and 5,720 fatalities (EUROSTAT covering 87% of workforce, 2006) caused by accidents at work; ILO estimate: 7,460 EU27, based on 2003 data 74,000 fatalities attributed to hazardous substances at work in the EU (asbestos included)

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10 EU Accident Fatality Rate Standardised* Incidence Rate of fatal accidents at work /100,000 workers in Europe by member state, 2006 (source:EUROSTAT)

11 Key facts 2006 – Key Facts million people were suffering from an illness they believe was caused or made worse by their current or past work. 2.1 million in 2007 Musculoskeletal disorders were by far the most common with people suffering – , followed by stress, depression or anxiety with people were new (incidence) cases of work-related illness In terms of people working in the last 12 months, this equates to a rate of 1600 per people – 2100/ Stress, depression or anxiety and musculoskeletal disorders accounted for a large proportion of new cases, and respectively – and non-fatal reportable injuries occurred – , a rate of 1100 per workers – 1 000/ million working days were lost overall - 36 million (1.3 days per worker 1.5/ worker), 24 million due to work-related illness – 30 million and 6 million due to workplace injury – 6 million. U.K. Data – Model for others?

12  U.K. (2008): 4.5 % of those ever employed, 6.8% of economically active (2.0 million of 29 million workers) report annually one or more work-related illnesses that cause absence from work  Finland: 8.3%  Europe: 15.4 – 18.7 million work-related illnesses  World: 198 – 242 million work-related illnesses Magnitude of non-fatal work-related illnesses If conditions were comparable to those in the UK and Finland

13 Magnitude of non-fatal work-related illnesses Source:

14 Magnitude of non-fatal work-related illnesses and accidents accidents in Spain, LFS 2007 More than 1.1 million in Spain, LFS 2007 Expected 678,803, reported 872, 610 accidents in Spain, ILO 2003

15 8,6% of workers in the EU-27 experienced a work-related health problem

16 Outcomes of main work-related health problems EU-27, percent of those who reported problems Limitations in everyday activitiesSickness absence > 1 month

17 OSH exposure trends – Europe, Established Market Economies  Exposures and attributable fractions (AF) for work- related mortality oWork-related cancer AF=8.4% (13.8 male, 2.2% female) oAsbestos, Europe: first up then down; lung cancer and mesothelioma AF=15% (Australia), 12.2% (Finland) oExternal tobacco (passive) smoke, lung cancer and circulatory diseases, many countries up, some others down, AF lung cancer = % oFatal accidents, stable or slight decrease oAll accidents, down (target 25%), but baseline unclear for many countries oCirculatory diseases, AF=12.4% (14.4% m, 6.7% f) oAbsenteeism, depending on criteria, trend up, ca. 5% oWork disability pensions, up increase, in particular, caused by psychosocial factors and MSDs

18 Pan-European opinion poll on occupational safety and health

19 Decisive factors when looking for a new job – EU27  If you were deciding whether to take a new job, which of the following aspects would most influence your decision Safe and healthy working conditions

20 Work as a cause of ill health – EU27  In general, to what extent do you think that ill health is caused by the job people have?

21 Development of safety and health risks – EU27  Do you think that over the last 5 years health and safety at work in your country has got…? Pan-European opinion poll on occupational safety and health – June 2009 Percent Difference to 100 percent: worse / much worse / don´t know / no answer; Universe: population aged 18+

22 Better data, attributable fractions, national surveys and studies on all work-related safety and health issues required

23 Adapting to a changing target group  Economic structure oTertiarisation: usually implies fewer accidents but more psychosocial factors and MSDs  Employment structure oPart-time, seasonal, temporary agency work, subcontracting, self-employment, tele-work  Legislation and best practice oe.g., to encourage the integration of people with disabilities at work orequires more attention to workers’ health status (including chronic diseases) …about 50% of the reduction in non-fatal injury rate since 1986 is due to changes in occupations… Globalisation leads to structural change that automatically improves accident statistics – in the EU and other EME countries

24 Major causes of death by age group, EU-25, 2001

25 Self-reported work-related illness and workplace injuries in 2006/07: Results from the Labour Force Survey Work-related cancer

26 Attributable Fractions, 2008, lung cancer 1.ETS (passive smoking) at work: RR (relative risk)= 1.24 (CI , meta-analysis 22 studies, Stayner & others AJPH Jan 2007), for both m/f Exposed in EU = 24.9% of male workers, 14.1 female workers (EUROFOUND Dublin 2007) AF = (1.24-1)/1.24 x = 4.8% for males, (used 3 %) AF = (1.24-1)/1.24 x = 2.7% for females, (used 2 %) 2.Asbestos and tobacco smoke (active smoking): Asbestos alone RR = 2 - 5, smoking alone RR = 8-10, Combined RR = AF = 50-1/50 x exposed, used AF = 14.0% men, AF = 0.6% women Combined low fiber exposure, low ETS exposure, huge group of exposed AF=?

27 OSH exposure trends – Europe and other Established Market Economies  Exposures and attributable fractions (AF) for work- related mortality oWork-related mortality AF = 6.7% of all deaths are attributed to work AF = 10.2 % male AF = 2.1 % female

28 11% of those employed, main diagnosis: - mental disorders: 42.1 % of males, 46.1 of females - musculoskeletal disorders: 21.6 % of males, 26.8 of females: Magnitude of problem 42.3 % of males, 46.3 of female disability pensions 21.7 of male, and 27.0 of female disability pensions Work disability pensions in Finland All retired of ages years: 17.7% of those employed Absenteeism: ca. 5% Unemployment: 6.4 % of work force (today some 8%) Out of work: some 25%, this figure can be radically reduced by targeted action to improve work and working conditions

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30 Economic Factors and Impact of the Crisis on Safety and Health

31 Impact of the Economic Crisis – UE27  Do you expect or not that safety and health conditions at work in your country might deteriorate due to the economic crisis?

32 Impact of the Economic Crisis EFFECTTrend Accidents, overall number Accident frequency, (less new/young workers) Temporary work, contract work, part time work, self- employment, fragmentation Negative effects on health of restructuring Female workers employment Migrant workers, employment Psychosocial disorders Cardiovascular disorders, deaths Risk of long-term disability, if more than 6m out Working and OSH-Culture

33 Cost of injury and illness, Australia, March % of the GDP in Australia Calculation by Australian Government, source: /

34 Good practices and Campaigns, Risk Assessment, NAPO for Chemical Safety, and Other Future Issues

35  Risk assessment is the cornerstone of managing health and safety in the workplace  We need to demystify it  We need to show people how to do it  We need to remind people that there is a legal obligation to carry it out  We need to emphasize that it is an ongoing process European Campaign on Risk Assessment

36 “Reduce burden on business” - Stoiber Group: no written RA report – exemption for SME’s

37 Available in 14 languages: English + 12 new Member States + Croatian Healthy Workplace Initiative – Campaign

38 Online RA tool consist of  Free interactive software;  Sector-specific;  Checklist with additional information;  Automatic generation of “to do” lists and plans of measures;  Automatic action plan could include: hazards, actions, sorting on priority, person in charge, deadlines, updateable status, …;  An option to include additional risks to the assessment on issues/hazards not covered by the questions.  Mobile component

39 Online RA tool consist of Mobile component

40 Thank you More information at: Website Risk assessment campaign website