1. naslovnica WORKPLACE HEALTH MONITORING IN SLOVENIA EVA STERGAR, MA, psychologist

2. STRUCTURE OF PRESENTATION GENERAL SITUATION OF WORK-RELATED HEALTH MONITORINGGENERAL SITUATION OF WORK-RELATED HEALTH MONITORING MAIN WORK-RELATED HEALTH PROBLEMSMAIN WORK-RELATED HEALTH PROBLEMS CVDs AND MENTAL ILL-HEALTHCVDs AND MENTAL ILL-HEALTH HEALTH PROMOTION AND WORKPLACE HEALTH PROMOTIONHEALTH PROMOTION AND WORKPLACE HEALTH PROMOTION RECOMMENDATIONSRECOMMENDATIONS

3. FACTS ABOUT SLOVENIA POPULATION: ~ 2 MILION (1,964,036POPULATION: ~ 2 MILION (1,964,036 – 2002 CENSUS) AREA: 20,273 KM 2AREA: 20,273 KM 2 CENTRAL EUROPEAN COUNTRYCENTRAL EUROPEAN COUNTRY CAPITAL: LJUBLJANACAPITAL: LJUBLJANA GDP PER CAPITA EUR: 9,383 (1998); 13,103 (2004)GDP PER CAPITA EUR: 9,383 (1998); 13,103 (2004) ACTIVE WORKING POPULATION (MAY 2004): 702,440 EMPLOYED, 78,914 SELF-EMPLOYED PERSONSACTIVE WORKING POPULATION (MAY 2004): 702,440 EMPLOYED, 78,914 SELF-EMPLOYED PERSONS CCA 65,000 ECONOMIC ENTITIES – OUT OF THEM 3,000 BIG, MEDIUM AND PUBLIC INSTITUTIONSCCA 65,000 ECONOMIC ENTITIES – OUT OF THEM 3,000 BIG, MEDIUM AND PUBLIC INSTITUTIONS MORE INFORMATION: http://e-uprava.gov.si/e- uprava/en/portal.eupravaMORE INFORMATION: http://e-uprava.gov.si/e- uprava/en/portal.euprava

4. naslovnica GENERAL SITUATION OF WORK-RELATED HEALTH MONITORING

5. WORK-RELATED HEALTH MONITORING PART OF NATIONAL STATISTICSPART OF NATIONAL STATISTICS LEGAL BASIS:LEGAL BASIS: NATIONAL STATISTICS ACT + MEDIUM- TERM PROGRAMME OF STATISTICAL SURVEYS 2003-2007NATIONAL STATISTICS ACT + MEDIUM- TERM PROGRAMME OF STATISTICAL SURVEYS 2003-2007 HELATH CARE SECTOR DATABASES ACT (2000)HELATH CARE SECTOR DATABASES ACT (2000) PENSION AND INVALIDITY INSURANCE ACT (2003)PENSION AND INVALIDITY INSURANCE ACT (2003)

6. DATA ON SICK-LEAVESICK-LEAVE INJURES AT WORKINJURES AT WORK WORK RELATED DISABILITYWORK RELATED DISABILITY HEALTH STATISTICS YEAR BOOK CHAPTER: MONITORING OF HEALTH STATUS OF EMPLOYEES

7. ORGANISATIONS/INSTITUTES RESPONSIBLE FOR WORK-RELATED HEALTH MONITORING HEALTH CARE PERFORMERSHEALTH CARE PERFORMERS THE NETWORK OF REGIONAL INSTITUTES OF PUBLIC HEALTHTHE NETWORK OF REGIONAL INSTITUTES OF PUBLIC HEALTH NATIONAL INSTITUTE OF PUBLIC HEALTH OF THE REPUBLIC OF SLOVENIANATIONAL INSTITUTE OF PUBLIC HEALTH OF THE REPUBLIC OF SLOVENIA HEALTH INSURANCE INSTITUTE OF SLOVENIAHEALTH INSURANCE INSTITUTE OF SLOVENIA INSTITUTE OF PENSION AND INVALIDITY INSURANCEINSTITUTE OF PENSION AND INVALIDITY INSURANCE SLOVENIAN LABOUR INSPECTORATESLOVENIAN LABOUR INSPECTORATE

8. OCCUPATIONAL DISEASES NO DATANO DATA WITH EXCEPTION FOR DATA ON DISEASES CAUSED BY ASBESTOS

9. REMARKS ONLY DATA ON ILL HEALTH OF WORKERS AND HEALTH CARE STAFF, SPECIALIZED IN OTSMONLY DATA ON ILL HEALTH OF WORKERS AND HEALTH CARE STAFF, SPECIALIZED IN OTSM LACK OF MORE DETAILED DATALACK OF MORE DETAILED DATA NO PUBLICATIONS DEDICATED TO HEALTH MONITORING OF EMPLOYEESNO PUBLICATIONS DEDICATED TO HEALTH MONITORING OF EMPLOYEES

10. naslovnica MAIN WORK-RELATED HEALTH PROBLEMS

11. DATA ON SICK-LEAVE 1990 – 2004 I. % OF SICK-LEAVE BETWEEN 4.5% (1991) AND 5.2% (1992, 1998)BETWEEN 4.5% (1991) AND 5.2% (1992, 1998) DIFFERENCES BETWEEN GENDERSDIFFERENCES BETWEEN GENDERS CAUSES:CAUSES: MUSCULOSKELETAL DISEASESMUSCULOSKELETAL DISEASES INJURIES OUTSIDE WORKINJURIES OUTSIDE WORK WORK-RELATED INJURIESWORK-RELATED INJURIES RESPIRATORY DISEASESRESPIRATORY DISEASES MENTAL AND BEHAVIORAL DISORDERSMENTAL AND BEHAVIORAL DISORDERS

12. DATA ON SICK-LEAVE 1990 – 2004 II. THE AVERAGE DURATION OF SICK-LEAVE PER DIAGNOSIS FOR WOMEN IS LONGER DUE TO: COMPLICATIONS WITH PREGNANCY AND BIRTHCOMPLICATIONS WITH PREGNANCY AND BIRTH NEOPLASMSNEOPLASMS MENTAL AND BEHAVIOURAL DISORDERSMENTAL AND BEHAVIOURAL DISORDERS

13. DATA ON SICK-LEAVE 1990 – 2004 III. STRATIFICATION BY AGE:STRATIFICATION BY AGE: YOUNGER THAN 19 AND 20 - 44: INJURIESYOUNGER THAN 19 AND 20 - 44: INJURIES 45 – 64: MUSCULOSKELETAL DISEASES45 – 64: MUSCULOSKELETAL DISEASES STRATIFICATION BY ECONOMIC FIELDS:STRATIFICATION BY ECONOMIC FIELDS: TOBACCO PRODUCTIONTOBACCO PRODUCTION FORESTRYFORESTRY LEATHER PRODUCTION…LEATHER PRODUCTION…

14. DATA ON SICK-LEAVE 1990 – 2004 IV. SICK-LEAVES LONGER THAN 365 DAYS: MUSCULOSKELETAL DISEASESMUSCULOSKELETAL DISEASES MENTAL AND BEHAVIOURAL DISORDERSMENTAL AND BEHAVIOURAL DISORDERS NEOPLASMSNEOPLASMS

15. DEATHS AT WORK 1999 - 2005 SOURCE: SLOVENIAN LABOUR INSPECTORATE

16. naslovnica CARDIOVASCULAR DISEASES AND MENTAL ILL-HEALTH

17. CARDIOVASCULAR DISESES ONE OF MAJOR PUBLIC HEALTH PROBLEMS IN SLOVENIA – LEADING CAUSES FOR DEATH: CORONARY HEART DISEASECORONARY HEART DISEASE DIGESTIVE SYSTEM CANCERDIGESTIVE SYSTEM CANCER CEREBROVASCULAR DISEASESCEREBROVASCULAR DISEASES

18. SELECTED DATA ON MORTALITY DUE TO CVDS

19. SELECTED DATA ON MENTAL ILL-HEALTH

20. DATA ON LIFE STYLE UNHEALTHY NUTRITION: 46 %UNHEALTHY NUTRITION: 46 % LACK OF PHYSICAL ACTIVITY: 16,4 %LACK OF PHYSICAL ACTIVITY: 16,4 % SMOKING: 23,7 %SMOKING: 23,7 % ALCOHOL ABUSE: 12,4 %ALCOHOL ABUSE: 12,4 % POOR STRESS COPING: 24,9 %POOR STRESS COPING: 24,9 % SOURCE: ZALETEL-KRAGELJ ET AL. RISK BEHAVIUORS RELATED TO HEALTH, 2004

21. THE INCREASING IMPORTANCE OF MENTAL HEALTH SUICIDESUICIDE ALCOHOL DEPENDENCYALCOHOL DEPENDENCY

22. ALCOHOL CONSUMPTION Source: WHO/Europe, European HFA Database, June 2005

23. naslovnica HEALTH PROMOTION AND WORKPLACE HEALTH PROMOTION - CVDs AND MENTAL HEALTH

24. STEPS TOWARDS HEALTHIER SLOVENIA I. 1996: ACT ON RESTRICTION ON TOBACCO USE1996: ACT ON RESTRICTION ON TOBACCO USE 2003: ACT ON RESTRICTION ON ALCOHOL USE2003: ACT ON RESTRICTION ON ALCOHOL USE 1999: ACT ON SAFETY AND HEALTH AT WORK1999: ACT ON SAFETY AND HEALTH AT WORK 2003: THE RESOLUTION ON NATIONAL PLAN ON SAFETY AND HEALTH AT WORK2003: THE RESOLUTION ON NATIONAL PLAN ON SAFETY AND HEALTH AT WORK 2005: THE RESOLUTION ON THE NATIONAL PRORAMME OF NUTRITION POLICY 2005 - 20102005: THE RESOLUTION ON THE NATIONAL PRORAMME OF NUTRITION POLICY 2005 - 2010

25. STEPS TOWARDS HEALTHIER SLOVENIA II. KNOWLEDGE AND SKILLS FOR HP / WHP ???KNOWLEDGE AND SKILLS FOR HP / WHP ??? ALLOCATION OF RESOURCES FOR HP / WHP???ALLOCATION OF RESOURCES FOR HP / WHP??? HELATH PROMOTING SCHOOLS, HEALTHY CITIESHELATH PROMOTING SCHOOLS, HEALTHY CITIES HEALTHY NUTRITION, PHYSICAL ACTIVITY, NON-SMOKINGHEALTHY NUTRITION, PHYSICAL ACTIVITY, NON-SMOKING MENTAL HEALTH PROGRAMMESMENTAL HEALTH PROGRAMMES

26. IT SEEMS BETTER TIMES FOR WHP ARE NEAR… THE RESOLUTION ON NATIONAL PLAN ON SAFETY AND HEALTH AT WORK – FIT FOR WORK PROGRAMME

27. CLINICAL INSTITUTE OF OCCUPATIONAL, TRAFFIC AND SPORTS MEDICINE - NCO WORKPLACE EPIDEMIOLOGYWORKPLACE EPIDEMIOLOGY OCCUPATIONAL DISEASESOCCUPATIONAL DISEASES WORK CAPACITY ASSESSMENTWORK CAPACITY ASSESSMENT ERGONOMYERGONOMY PSYCHOLOGY AND HUMANIZATION OF WORKPALCESPSYCHOLOGY AND HUMANIZATION OF WORKPALCES TRAFFIC SAFETY & HEALTHTRAFFIC SAFETY & HEALTH SPORTS MEDICINESPORTS MEDICINE HEALTH PROMOTIONHEALTH PROMOTION

28. FIT FOR WORK PROGRAM SURVEY – SPRING 2005 PHARE PROJECT - LIFELONG LEARNING FOR HEALTHY WORK AND LIFE – MAY 2005 – JULY 2006 IMPLEMENTATION – 2006 ON

29. NCO SLOVENIA LONG TERM GOALS NEW APPROACHES TO HEALTH IN VARIOUS WORK SETTINGS CO-OPERATION – BUILDING NETWORKS CO-OPERATION – BUILDING NETWORKS DESIGN AND SPREAD PROGRAMMES DESIGN AND SPREAD PROGRAMMES EVALUATION EVALUATION FINDING WAY TO ENTERPRISES FINDING WAY TO ENTERPRISES INVOLVEMENT OF INSURANCE COMPANIES INVOLVEMENT OF INSURANCE COMPANIES

30. RECOMMENDATIONS HEALTH POLICY HEALTH POLICY HP / WHP STRATEGY HP / WHP STRATEGY HP / WHP DEVELOPMENT SUPPORTED HP / WHP DEVELOPMENT SUPPORTED SOFISTICATED DATA ON WORK- RELATED HEALTH SOFISTICATED DATA ON WORK- RELATED HEALTH MORE RESEARCH OF PSYCHOSOCIAL FACTORS INFLUENCING HEALTH, HEALTH BEHAVIOUR … MORE RESEARCH OF PSYCHOSOCIAL FACTORS INFLUENCING HEALTH, HEALTH BEHAVIOUR …

31. THANK YOU VERY MUCH FOR YOUR ATTENTION