1. www.ilo.org/safework 11th World Congress of Public Health 8th Brazilian Congress of Collective Health (21-25 August 2006, Rio de Janeiro) ILO Policy Perspective for Occupational Health Igor Fedotov, MD, Ph.D. Senior Specialist on Occupational Health International Labour Office - Geneva fedotov@ilo.org

2. www.ilo.org/safework PROTECTION OF WORKERS HEALTH IS NOT HIGH ON POLITICAL AGENDASPROTECTION OF WORKERS HEALTH IS NOT HIGH ON POLITICAL AGENDAS LACK OF COHERENT NATIONAL SAFETY AND HEATH POLICIESLACK OF COHERENT NATIONAL SAFETY AND HEATH POLICIES

3. www.ilo.org/safework Safe and Healthy Work Environment Fundamental Human Right “Protection of the worker against sickness, disease and injury arising out of his employment” (ILO Constitution,1919) “Everyone has the right to work, free choice of employment, to just and favourable conditions of work” (Art.23, Universal Declaration on Human Rights, United Nations, 1948) “Covenant recognises the right of everyone to enjoyment of just and favourable conditions of work which ensure safe and healthy working conditions” (Art.7, Int. Covenant on Economic, Social and Cultural Rights, United Nations, 1976)

4. www.ilo.org/safework Global Estimates Global workforce: 2.8 billion Work related fatalities:2.2 million Occupational accidents:270 million Work-related diseases:160 million Global GDP (income)30 000 billion USD Lost GDP in accidents/diseases 4 % Illiterate:1000 million People in poverty:1000 million Child workers:246 million

5. www.ilo.org/safework Current Situation - Statistics 270 million work-related accidents 350’000 fatal accidents 160 million occupational diseases 30 - 40% lead to chronic diseases 10% lead to permanent disability 4-5% loss of GNP Access to OH Services: 5-10% in developing and 20-50% in industrialized countries

6. www.ilo.org/safework Work-related Annual Deaths - World

7. www.ilo.org/safework Decent Work Deficit Estimated work-related deaths in 2002 : 2.2 – 2.4 million « There can be no decent work without safe work » Mr Juan Somavia Director General of the ILO

8. www.ilo.org/safework SOCIAL Lack of efficient national OSH infrastructures for occupational health practice Social inaqualities in coverage by OH practiceECONOMIC Losses due to work-related injuries and diseases (society, enterprise) Low productivity, loss of qualified labour

9. www.ilo.org/safework

10. Occupational Health - Globalization PROMISE Sustainable Economic Development Better Living StandardsTHREAT Income Inequalities Worker Protection SystemsPROBLEM Economic and Social Development are not equalCHALLENGE New mechanisms for better labour protection

11. www.ilo.org/safework Protection of Health Children, young persons, elderly Vulnerable groups, disabled persons Public employees Self-employed Unemployed Workers in organized sector Workers in informal sector (SMEs) Agricultural workers

12. www.ilo.org/safework Occupational Health Practice Wide spectrum of activities Multidisciplinary and multisectoral Commitment – society, enterprise, individual Systematic development at all levels Continuous quality improvement Primary, secondary and tertiary prevention Administrative, organizational, operative systems

13. www.ilo.org/safework THE WAY FORWARD

14. www.ilo.org/safework Strategy - Investment in Health New Concept of Productivity Impact – Health, Environment, Quality of Life Balance – Economic and Social Goals Health - Total Quality Management Corporate Social Responsibility - CSR Good Health is Good Business Reduced social costs of work-related illnesses Healthy workforce – sustainable economy Priority for disease prevention

15. www.ilo.org/safework Health Recovery Impairment DEATH Pre-clinicalAbnormality ManifestDisease DISEASE PREVENTION STRATEGY PrimaryPrevention SecondaryPrevention Tertiary Prevention TreatmentRehabilitation

16. www.ilo.org/safework Health Recovery Impairment DEATH Pre-clinicalAbnormalityManifestDisease DISEASE PREVENTION STRATEGY PrimaryPrevention SecondaryPrevention Tertiary Prevention TreatmentRehabilitation

17. www.ilo.org/safework Investment in Health - Approaches Institutional arrangements optimized Total Health – preventive and curative health care Coverage - disease prevention, health promotion, rehabilitation, compensation Aim – better integration of OH & PHC systems Emphasis – quality and effectiveness of services Evaluation – relevance and management Coordination – financing and providing health care

18. www.ilo.org/safework Occupational Health in Socio-economic Development Added value in Sustainable Development Indicators of Success in Social Policy Comprehensive National Policy on OSH Development of Occupational and Public Health Services Equity, Affordability and Accessibility Priority - Disease Prevention, Health Promotion CSR to include Safety & Health at Work

19. www.ilo.org/safework Globalize Social Progress Decent Work must be safe work Create quality jobs Increase social protection Comprehensive health care preventive and curative Decrease social costs work-related injuries and diseases Better Protection for All

20. www.ilo.org/safework New ILO Framework Convention for OSH – the way forward Policy – National Program – Safety Culture – Systems Approach – Plan – Do – Monitor – Steady improvement of OSH Structure Promotional Convention - All ILO member States could ratify Strategic country objectives: measurable, time bound, regularly reviewed

21. www.ilo.org/safework 21 www.ilo.org/safework Information CollaborationEnforcement Standards and codes Values and principles

22. www.ilo.org/safework REQUIRED ACTIONS Quality of working life and health of workforce Intensifying decision- and policy- making Socio-economic dimension – technical, social, financial and institutional implications Improvement of work environment and delivery of OH Services Public health interventions in OH Practice Prevention, health promotion, rehabilitation, compensation and return to work Development of effective national OSH Systems

23. www.ilo.org/safework Main Conclusions Global alliance and partnerships social justiceProtection of health – promotion of social justice Combat against sickness, unemployment, poverty Better work conditions – better quality of life Reduction in social costs due to prevention of work-related illnesses Increased economic growth and richer societies through efficient labour protection

24. www.ilo.org/safework Message from UN Secretary General “Safety and health at work is not only a sound economic policy, it is also a basic human right.” Kofi Annan Secretary General of the United Nations

25. www.ilo.org/safework Thank You! More from: www.ilo.org/safework