1. SIHLWA Sub-Group on Occupational Safety and Health

2. OSH Sub-Group Participants Wiking Husberg, Chair Remigijus Jankauskas Kari Kurppa Elisa Iwanowics Viktorija Ambraciene Rokho Kim Suvi Lehtinen Paula Karppinen Bernd Treichel Roman Litviakov Timo Leino

3. Topics discussed 1.Brief summaries of recent events Suvi Lehtinen reported on the developments of recent activities within the Baltic Sea Network on Occupational Health and Safety Meeting in Riga, 29-30 March 2007 Rokho Kim reported on the results of the Fifth European Network Meeting on Occupational Health, Buxton, UK 14- 16 March 2007 6 conclusions: Coordination of activities – role of WHO Regional Office for Europe, National Focal Points, Programme activities – close collaboration among WHO, ILO and EU, Funding – Collaborating Centres were encouraged to respond to FP7 calls – multi-centre projects, Dissemination of information was emphasized. Global Plan of Action on Workers’ Health 2008-2017 endorsed by WHA in May 2007, with 5 objectives – It was concluded that this Global Plan of Action can be utilized in the introductory text of the PAC meeting.

4. Roman Litviakov reported on the results of the North-West Russian Project ILO-OSH2001 has been approved as an Inter-state standard, as a stand- alone document The national certification system of the safety management systems available A great deal of regional collaboration has been established Collaboration of the Project with training centres allows the further training of enterprises Close collaboration with the Occupational Safety Centre was also mentioned The Swedish training manual has been translated and adapted to Russian conditions, training is provided by separate training centres, e.g. Perm The Project also works with the Federal Ministries in the Russian Federation

5. Planning of the PAC, 15-16 Nov. 2007 The name of the PAC was lively discussed on the basis of following proposals Health – for a long lasting work life Healthy life – healthy work Working together Good for all of us Workplaces as settings for better health Better health for working populations Workers’ health in all policies Narrowing health inequities of working populations The conclusions of the Chair will be presented to the PAC meeting Key presentations and comments from Ministers: to convince the Ministers with their presentations - what message we want to convey – 2-hour session The first day programme – WHO Global Plan of Action on Workers’ Health could be taken as a starting point for the programme. ILO will be included as a linkage to the Ministries of Labour EU will be invited One Northern Dimension country Minister of Health

6. Scope and purpose Conclusions from the Chair Policy level approach of NDPHS – international instruments How they can be implemented in practice –Examples from practice

7. Policy paper - structure Background Strategy documents Arenas available for activities Conclusions from the Chair Three strategies boiled, health systems, what policy means in practice The Conclusions from the Chair do not have a specific format

8. The Way Forward The WHO Global Plan of Action on Workers’ Health should be linked to other strategies and the reports of the countries on their problems and challenges should be utilized to write the contents of the Policy Paper The written National Policy on OSH and the National Programme on Occupational Health are needed in the countries Incorporation of health in all policies The three different platforms – WHO, ILO, EU strategies How to provide assistance – that would be the core of conclusions

9. Names of PAC 1) Health - for a long safe working life; 2) Healthy life - lasting work ability; 3) Decent and healthy work for all 4) Work place as setting for better health 5) Workers’ health in all policies 6) Better health for the working population 7) Healthy life - healthy work 8) Equal health at work 9) Reduce health burden at work 10) Strengthening health system 11) Better workers’ health –good for all of us 12) Global action for workers’ health Workers’ health: global plan of action in ND countries.

10. Names of PAC Healthy life - healthy work Partnership for health and safety at work

11. Healthy life - healthy work Partnership for health and safety at work Policy developers Practical implementers Health and OSH specialists SIHLWA specialists Other EGs Present, discuss and streamline WHO, ILO and EU/SANCO OSH policies Develop a health at work strategy for NDPHS Promote a systematic approach to health and safety at work Share experience on practical implemention Scope and purpose

12. Healthy life - healthy work Partnership for health and safety at work 15 November 2007 10.00 Opening - Chair Part I: Policy platform –Speakers (4-5 pers) –Discussion, Round table  NDP Health at work Policy Part II: Best practice –Cases (SEE, NW Russia, HIV/AIDS, etc) –Discussion among projects  Food for thought for EGs “SIHLWA cross-fertilisation” 17.00 End of day 16 November 2007 9.00 2 h thematic discussion 2 key speakers Round table Conclusions of the Chair (Policy paper) 11.00 “PAC mandatory programme” Timing

13. Healthy life - healthy work Partnership for health and safety at work Part I: Policy platform –WHO: Workers’ health –ILO: Systematic approach –EU: European strategy  NDP Health at work Policy Part II: Put into practice –WHO-ILO SEE Case –ILO NW Russia OSH project –EG on HIV/AIDS –others  Food for thought for Expert Groups PAC meeting 2 h thematic discussion 2 key speakers Round table Conclusions of the Chair (Policy paper) “PAC mandatory programme” Content

14. Day 1: Possible org’ns/topics/experts Policy WHO ILO EU/SANCO NDPHS – Minister of Health Practice SEE project representative ILO NW Russia OSH project EG HIV/AIDS IOM ALC sub-group Other cases Topics Systems development (health services, management) Lifestyles HIV/AIDS Economic impact of OSH Workplaces as settings for…. Alcohol Migration Drug abuse Prison health Adolescent health Good speakers Jorma Rantanen Jukka Takala Charles Woolfson Sir Michael Marmot Toru Itani, ILO Susanne Weber, WHO EU Commissioner/SA NCO, Director Minister of Health – NDP country

15. OSH situation in the countries The situation analysis on OSH in the countries was started in 2 nd SIHLWA meeting, Nov. 2006 A questionnaire sent to the countries, end of January 2007, deadline end of February 2007 Planning meeting in Riga, 28–29 March 2007 Replies from Lithuania, Poland have been received Latvia, Estonia, Russian Federation, Norway, Denmark, Finland preparing This information will also be inserted in due course to the NDPHS data base

16. Project proposal on Workplace as a setting for CVD prevention CVD morbidity is one of the priority problems in most countries Related to life-styles and work A great deal of space for preventive activities Cardiovascular problems – increased rates in transport Workplace as a setting for preventive activities Problem tree: Poor health care and poor work organization lead to ill-health and diseases and loss of productivity ‘Causes-of-causes’ also need to be taken into account – weak national OHS infrastructures, lack of awareness of risks related to work, poor awareness of life-style risks Solution tree: Provision of health services, increasing awareness, etc.

17. Diabetes 2 Diseases, ill health, loss of productivity Metabolic syndrome Central obesity Hyper- lipidemia Sleep problems Undiagnosed diseases and conditions Undertreatment Insulin resistance High BP Work stress Work time problems Physical inactivity Unhealthy nutrition Poor work organisation & management Poor health care, deficient OHS services Underlying constraints: - causes-of-causes Weak national OHS infrastructure Attitudinal and behavioural constraints Poor OHS management systems Economical gains not understood Lack of awareness about work-related health risks Weak statistics and monitoring systems Lack of research to provide data to convince decision makers Problem tree Binge drinking Tobacco smoking Draft kk 1.4.07 Depression Poor awareness about life-style health risks

18. Decline in morbidity Less: Sickness absence Early retirement Loss of life More: Work ability Productivity Quality of life smoking nutrition physical activity sleep problems general stress alleviation work organisation working time Health examinations early diagnosis treatment Workplace health promotion Improve working conditions Provide competent OH services Provide health care Strengthen OHS infrastructures Change attitudes and behaviours Strengthen OHS management systems at enterprises Economical gains from OHS investment Company policy statement on OHS Increase awareness about life-style related risks Increase understanding about work-related health risks Address underlying constraints: causes-of-causes Solution tree Draft kk 1.4.07

19. Implementation of a project Partners to be defined Enterprises to be selected Benefits from the project to be described  Social marketing  Healthy drivers, safe public transport Indicators to be defined The BSN focal points have expertise about enterprises and workplace setting of public health problems Partnerships need to be established at the country level and a proper stakeholder analysis would be needed from each of the participating countries The institutions/countries need to commit themselves to the preparation and implementation of the project Prevention of CVD morbidity in road transport has been planned as a topic of the project Prevention of alcohol problems is another topic around which the project could be built up

20. A project proposal Prevention of alcohol problems in public transport companies in capital cities