1. Role of occupational health services in promotion of health of the working population Role of occupational health services in promotion of health of the working population Phare Twinning kickoff 21.05.2003 Ain Aaviksoo, MD Public Health Department Ministry of Social Affairs

2. What is health? Reason to live and behave in a right way or Resource for everyday life

3. What is health promotion? Developing healthy lifestyles or Process enabling people to control over, and to improve, their health Ottawa Charter for Health Promotion, WHO 1986

4. Community approach Universal approach – safety regulations and promoting healthy behaviour Workplace as a community – interacting group of people with shared environment, interests and aims

5. Source: WHO HFA database Premature death

6. Inequalities in health in Estonia Source: Social inequalities in health in Estonia Kunst et al 2002

7. Change of paradigm Reduction risks from physical, chemical and biological environment at work place versus Health, environment, safety and social management in enterprises - HESME

8. What are we aiming at? Work-related diseases Largely in the community Multifactioral Workplace exposure possible Notification and compensation possible Occupational diseases Mainly among workers Cause is specific Workplace exposure essential Notifiable and compensatable

9. Development ladder for employer A reactive organisation identifies and rectifies manifest ill-health byh means of curative care and rehabilitation A conscious organisation identifies and prevents ill-health A successful organisation adopts strategies for health promotion