1. Vilnius, November 2007 Anne Degrand-Guillaud 1 Public and Occupational Health: beyond the classical boundaries Dr. Anne Degrand-Guillaud European Commission Vilnius, November 2007 Directorate General for Employment, Social Affairs and Equal Opportunities

2. Vilnius, November 2007 Anne Degrand-Guillaud 2 Content 1.A unique opportunity 2.Conventional occupational health and public health 3.Present-day interconnectedness 4.Social determinants and health – the ‘causes of the causes’

3. Vilnius, November 2007 Anne Degrand-Guillaud 3 Unique opportunity within international bodies Convergence of EU and UN priorities –EU Community Strategy on Health and Safety at work, 2007 –EU Strategic approach for Health, 2007 –ILO Promotional Framework for Occupational Safety and Health, 2006 –WHO Global Plan for Workers’ Health, 2007 Strong political basis for action

4. Vilnius, November 2007 Anne Degrand-Guillaud 4 Occupational Health and Public Health traditionally separated issues Public Health Communicable diseases: –Tuberculosis –Sexually Transmitted Diseases e.g syphilis Hygiene Vaccinations Occupational Health High-risk sectors: Mining, steel and chemical industries Protect the workforce Legislative corpus Labour inspections

5. Vilnius, November 2007 Anne Degrand-Guillaud 5 Occupational Health and Public Health closely related fields Public Health Mental Health Education Lifestyle changes: Nutrition, physical activity Occupational Health Psychosocial risks Awareness raising Training Behavioural change Good practice

6. Vilnius, November 2007 Anne Degrand-Guillaud 6 Growth Occupational Health Occupational Health, Public Health and Growth WorkersHolistic Health Health Citizens SocialWelfare Public

7. Vilnius, November 2007 Anne Degrand-Guillaud 7 Beyond the classical boundaries Continuous exposure Noise Stress Smoking Food and drink Preventive Measures Workplace AND Home Reduce risk at the source Holistic Health Empowerment

8. Vilnius, November 2007 Anne Degrand-Guillaud 8 Social Determinants and Health Identify ‘causes of causes’ of poor health Social hierarchy is a key health determinant Behaviour – smoking, nutrition, alcoholism – has socio-economic causes Effects between and within countries Source: M. Marmot, The Lancet, September 2007.

9. Vilnius, November 2007 Anne Degrand-Guillaud 9 Education and Gender Source: Navarro V, Muntaner C, Borrell C, et al. Politics and health outcomes. Lancet 2006; 368: 1033–37. MenWomenEducation University Intermediate Elementary Data from Russia

10. Vilnius, November 2007 Anne Degrand-Guillaud 10 Angus Deaton, Princeton University, 2004

11. Vilnius, November 2007 Anne Degrand-Guillaud 11 Health Minister Finance Minister Wealth and Welfare Health system Social Protection Growth and Jobs Workers and Citizens Economic prosperity and social cohesion Labour Minister

12. Vilnius, November 2007 Anne Degrand-Guillaud 12 Northern Partnership agreement Focuses on linked issues of work and health Calls for preventive strategies Urges strong government leadership Uses workplace for health promotion

13. Vilnius, November 2007 Anne Degrand-Guillaud 13 Conclusions We can do better Deeper coordination Closer link to education and employment Better balance between curative and preventive action Greater emphasis on health at all levels We are doing better

14. Vilnius, November 2007 Anne Degrand-Guillaud 14 It is a work in progress!