1. Est–Fin Twinning on OHS 21.5.2003 Increase in the Coverage and Effectiveness of Occupational Health Services in Estonia Kari-Pekka Martimo Pre-Accession Advisor (PAA)

2. Est–Fin Twinning on OHS 21.5.2003 Milestones Estonian project ficheJuly 2002 launched MS proposal submitted Sept 2002 Letter of acceptance Oct 2002 from the EC Preparation of theSept 2002– Covenant March 2003 Approval of the April 2003 Covenant in EC Steering Committee Starting of the ProjectMay 2003

3. Est–Fin Twinning on OHS 21.5.2003 Facts Duration of the Project: 12 months 5 May 2003 – 4 May 2004 Financing: EU Phare Budget EUR 327,600 Twinning Partners Finnish Institute Estonian Ministry of Occupational of Social Affairs Health (FIOH) (MoSA) Project Leader Prof Jorma Rantanen Director General of the FIOH Pre-Accession Advisor (PAA) Dr Kari-Pekka Martimo Estonian Project Leader Mr Tiit Kaadu Head of the Working Environment Department, MoSA

4. Est–Fin Twinning on OHS 21.5.2003 Objectives To reduce the number of incidences of work-related diseases in Estonia in the long run To increase the coverage of, the availability of and the accessibility to occupational health services throughout Estonia To increase awareness of employers and employees on occupational health and safety issues To support the practical implementation of aquis communitaire

5. Est–Fin Twinning on OHS 21.5.2003 Acquis Communautaire underpinning the Twinning Project  Council Directive 89/391/EEC of 12 June 1989 on the introduction of measures to encourage improvements in the safety and health of workers at work  Council resolution 88/C28/01 of 21 Dec 1987 on safety, hygiene and health at work  Commission Decision 88/383/EEC of 24 Feb 1988 providing for the improvement of information on safety, hygiene and health at work  Commission recommendation (OJ L 80, 31.8.1962, p. 2181) to the Member States on company medical services Commission recommendation of 22 May 1990 to Member States concerning the adoption of a European schedule of occupational diseases Commission recommendation 66/464/EEC of 7 July 1966 addressed to Member States and concerning medical control of workers exposed to particular risks

6. Est–Fin Twinning on OHS 21.5.2003 INCREASED WELL- BEING AND PRODUCTIVITY OF ESTONIAN EMPLOYEES Effective prevention of work-related diseases Better knowledge, recognition and management of WRDs by Occupational physicians Family physicians Better coverage, quality, effectiveness and network of OHS system Better co-ordination of occupational health and safety issues at the national level Better awareness among employees and employers of factors influencing occupational health and its economical, ethical and legal considerations Better knowledge of the interaction between health and physical/psychosocial work environment among occupational health and safety services providers More training in WRDs and collaboration between occupational and family physicians; better diagnostics of WRDs at hospital level More qualified providers in every county and business branch; more special knowledge available at request; clinical guidelines of management of WRDs Close collaboration of OHS and Public Health Services; reliable national registry of ODs and WRDs

7. Est–Fin Twinning on OHS 21.5.2003 Elements Policies and Strategies The MoSA and other relevant authorities will be supported OHS The development of the OHS infrastructure for better coverage and quality in the provision of services. Work-related diseases The development of coverage, quality and effectiveness of recognition of ODs and other WRDs Networking Developing and further strengthening relevant OHS Networks; Preparation of county, community and sectoral OHS profiles Information * Awareness raising * Dissemination of information * Management of information General Informing relevant partners and stakeholders on the project; Steering and evaluation

8. Est–Fin Twinning on OHS 21.5.2003 Guaranteed results 1.Strengthened implementation of the Estonian Occupational Health Development Plan and the Ministry of Social Affairs’ Strategy for Occupational Health and safety 2003-7 for development of occupational health services system 2.Administrative structure and institutional capacity for recognizing occupational diseases has been described, discussed and approved as a part of national policy and strategy 3.Occupational health personnel and necessary public health personnel are trained on diagnostics, treatment and prevention of work-related diseases

9. Est–Fin Twinning on OHS 21.5.2003 Guaranteed results 4.Guidelines for ”Good Occupational Health Practice” will be distributed and trained to relevant practitioners 5.National, local and subject-oriented OH&S networks are strengthened. Indicators, profiles, research studies, information on the occurrence of work-related diseases and preventive activities of occupational health services are made available in the National Network of Occupational Health for specialists, social partners, and the general public. Up- to-date information on occupational health services and work-related diseases is available and disseminated

10. Est–Fin Twinning on OHS 21.5.2003 Key experts Tiit Kaadu Urmas Krass Ülle Sarap Ahe Vilkis Viive Pille Eva Tammaru Jaan Sõrra Ester Rünkla Katrin Lepisk Tanel Tomson Jorma Rantanen Matti Ylikoski Helena Taskinen Kari Kurppa Suvi Lehtinen Kaj Husman Anneli Vartio Taina Pääkkönen

11. Est–Fin Twinning on OHS 21.5.2003 Contact Info Pre-Accession Advisor Kari-Pekka Martimo Töötervishoiu Keskus, Hiiu 42, Tallinn Tel. 056 231 344 Email: kari-pekka.martimo@ttk.ee Assistant to PAA Liilika Raudhein Töötervishoiu Keskus, Hiiu 42, Tallinn Tel. 670 0101 Email: liilika.raudhein@ttk.ee http://www.sm.ee/Telematic/