CRACOW WORKSHOP 15 th of October 2006 WORKHEALTH II Workshop “Hearts and Minds at Work: Work – Related Health Monitoring in the New Member States” CURRENT STATUS OF WORK – RELATED HEALTH MONITORING IN BULGARIA. RELEVANCE OF CVDs AND MENTAL ILL – HEALTH IN THE WORLD OF WORK CURRENT STATUS OF WORK – RELATED HEALTH MONITORING IN BULGARIA. RELEVANCE OF CVDs AND MENTAL ILL – HEALTH IN THE WORLD OF WORK Dr. Zaprian Zapryanov, Dr. Nikola Vasilevski, Dr Hristo Hinkov, National Centre of Public Health Protection, Sofia №1

DATA ON THE HEALTH STATUS OF EMPLOYEЕS (% confidence acc. to expert opinion; source of data) DATA ON THE HEALTH STATUS OF EMPLOYEЕS (% confidence acc. to expert opinion; source of data) Mortality rate (NIS, NCHI) Fatal Occup.Diseases (NII, NCPHP) Morbidity of working population (NCHI) Sickness absence (NCHI) Compensated occup. Diseases (NII) Early retirement due to occup. disease (NII) Early retairement due to morbidity (NII) New invalidity(NII) №2

№3 HEALTH DETERMINANTS (% confidence acc. to expert opinion, source of data) (% confidence acc. to expert opinion, source of data) Blood pressure (NCPHP, GPs) Serum cholesterol (NCPHP, GPs) BMI (NCPHP, GPs) Smoking (NCPHP, GPs) Alcohol (NCPHP) Illicit drug use, narcotics etc. (NCA) Nutrition at work (NCPHP) Physical activity (NCPHP, OHS) Movement at work (OHS) Outdoor air (RIEW) Indoor air at work (OHS) 50h / week (GLI) Harmful factors (OHS) Sedentary work (GLI,OHS) Meaningfull work, company climate, job satisfaction (NCPH) Assistance, conflicts (NCPHP)

№4 DATA ON HEALTH AND SAFETY SYSTEMS (% confidence acc. to expert opinion, source of data) Risk assessment (GLI) Integrated OSH (GLI) Programmes (GLI) Employees participation Ergonomic design (GLI) Safe / ergonomic equipment (GLI) Safe / ergonomic workplaces (GLI) Information on risks (OHS, GLI) Informed employees on risks (OHS, GLI) Training on the start of work (ESHW, GLI) Training for high risk jobs (ESHW, GLI) Training on the start of work Preplacement ME (OHS) Coverage PME (OHS) Periodic OME (OHS) Coverage POME (OHS) OHS Management Systems (GLI)

№4№4 DATA ON HEALTH AND SAFETY SYSTEMS (% confidence acc. to expert opinion, source of data) (Continuation) Number and coverage by safety engineers (GLI) Coverage by recording and compensations of OA and OD (NII) Treatment Centers for Chem. Poisonings (MH) OSH Networks of companies (NCPHP) Training units in OHS (GLI) Tripartite bodies on OHS (GLI) Safety managers and specialists (GLI) Occupational physicians (MH) Coverage by health (OHS) services (GLI) Labour inspectors (GLI) Other specialists in companies / OHS (MH, GLI) Academic institutions educating in OHS (NCPHP) Number graduated (NCPHP) Academic R&D (NCPHP) % GLP and % GNP for OHS and WHP (NCPHP) Rehabilitation (MH, MLSP, GLI

WORK RELATED HEALTH MONITORING  Supportive new legislation, old Ordinance on occupational medical examinations (OME)  OME carried regularly – no data collection at regional and national level  Most frequently diagnosed occupational diseases: of peripheral nervous system, of musculoskeletal system, pulmonary diseases caused by dusts CVDs AND MENTAL ILL – HEALTH AND WORK Serious issue for Bulgarian preventive and health care systems  “CINDI – CVD” National Programme in 8 districts covering persons  Twining project with Finland on development of mental health care services in Bulgaria. National Mental Health Policy and Action Plan 2004 – Mental Health Chapter in the Health Act №5№5