Post on 13-Jan-2016
description
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health Organization
PAN AMERICAN HEALTH ORGANIZATIONPan American Sanitary Bureau, Regional Office of the
WORLD HEALTH ORGANIZATION
XIII INTERAMERICAN XIII INTERAMERICAN CONFERENCE OF CONFERENCE OF
MINISTERS OF LABORMINISTERS OF LABOR
SEPTEMBER 24 TO 26, 2003SEPTEMBER 24 TO 26, 2003
SALVADOR, STATE OF BAHIA SALVADOR, STATE OF BAHIA
BRASILBRASIL
DR. LUZ MARITZA TENNASSEEDR. LUZ MARITZA TENNASSEE
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health OrganizationPAHO as a Specialized Agency of
the UN and theInter–American System
Inter–AmericanSystem
PAHOPAHOUN
SystemUN
System
Regional Office Regional Office of theof the
World Health OrganizationWorld Health Organization
Regional Office Regional Office of theof the
World Health OrganizationWorld Health Organization
Specialized Agency Specialized Agency of the Organization of the Organization
ofofAmerican StatesAmerican States
Specialized Agency Specialized Agency of the Organization of the Organization
ofofAmerican StatesAmerican States
Office of External Relations
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health Organization
PAHO-2KPAHO-2K
048TEN2K4
Pan American Health OrganizationPan American Health Organization
Workers’ Health in the AmericasWorkers’ Health in the Americas
Human Sustainable DevelopmentHuman Sustainable Development
HumanRights
DemocracyEquity
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health Organization Workers’ Health
“Occupational Health and Safety:
a high priority in the global, international
and national agenda”
Kofi A. AnnanSecretary General United Nations
Johannesburg Summit 2002
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health Organization
Organization of American States
Globalization: impact on work
III Summit of the Americas 2001
XII Inter-American Conference of the Ministers of Labor
October 2001
•Declaration and Plan of Action (OAS, ILO, PAHO, IDB, WB, ECLAC)
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health OrganizationUN Millennium Development Goals
Relation to Workers’ Health
GOALS: CONTRIBUTION:
• Eradicate Extreme Poverty and Hunger
•Promote Gender, Equality and Empower Women
•Reduce Child Mortality and Improve Maternal Health
•Combat HIV/AIDS
•Synergy with Labor and Health Ministers, Private Sector, NGOs Unions to Create and Maintain a
Healthy Workplaces
•Basic Skills for Women to Improve Housing and Working
Conditions
•Improvement in Working Conditions to promote and
protect parental Health
•Through Promotion in the Workplace and healthcare
Sector
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health Organization
Sources: World Competitiveness Report,Lausanne; ILO/SafeWork
90
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80 70
60
50
40
30
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orw
ayJa
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pain
Mal
aysi
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hile
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gary
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ea R
.P
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exic
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outh
Afr
ica
Indo
nesi
aR
uss
ia
Ind
ex
Competitiveness and Safety
Fatal accidents/100 000 workers
Competitiveness (World Competitiveness Report)
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health OrganizationBurden of Disease: Economic Impact
Least-Development
Countries
Lower-Middle-Income
Countries
High-Income
Countries
Life Life ExpectancyExpectancy
Mortality Under Mortality Under Five YearsFive Years
PopulationPopulation
(Millions)(Millions)Development Development
CategoryCategory
891 25,730 78
2,094 1,200 70
643 296 51
GNP Per CapitaGNP Per Capita
(US Dls)(US Dls)
159
39
6
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health OrganizationDominican
RepublicGuatemala
Turnover of Personnel 45% - 12%
Absenteeism 80%
Operation costs 30%
Global efficiency 48%- 80%
Staff increase 30%
Production 350%
Return on investment 372% (costos/beneficios)!!!
Accidents decreased to zero
Absenteeism decreased from 5% to 1%
…the consequences of investing in health
and safety...
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health OrganizationThe Regional Plan on Workers’ Health
Strategic and Programmatic Orientations 1999-2007
Resolution DC XIII 1999
Strategic Plan 2003-2007
Inter-disciplinary
Transnational
Intersectoral
Human Sustainable Development
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health Organization
Regional Plan on Workers Health
““Improve the living Improve the living conditions, health conditions, health and
safety in the workplace, safety in the workplace, and the well-being of and the well-being of
the working populationthe working population, , to advance towards to advance towards human sustainable human sustainable
development”development”
““Improve the living Improve the living conditions, health conditions, health and
safety in the workplace, safety in the workplace, and the well-being of and the well-being of
the working populationthe working population, , to advance towards to advance towards human sustainable human sustainable
development”development”
Actors:
- International
- Governmental
- Labor Organizations
- Private Sector
- NGOs
- Universities
- Media
- Collaborating Centers
STRATEGIC AREAS
• Quality of work environment
• Workers’ health promotion
• Policy and legislation
• Comprehensive health services
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health Organization Workers’ Health Prevention
PrimaryPrevention Primary
Prevention
SecondaryPrevention
SecondaryPrevention
Tertiary Prevention
Tertiary Prevention
Clean Production
Pre-market Testing
Substitution and Elimination
Engineering Control
Environmental Monitoring
Personal Protective Devices
Biological Monitoring
Pre-clinical Medical Examination
Diagnosis
Therapy
Rehabilitation
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health Organization DRIVING FORCES
… and Free Trade, Reform Processes, Labor Flexibilization
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health Organization PRESSURES
New Technologies:Biotechnology and Genetic Engineering
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health Organization Transfer of TechnologyIndustrial Free-Tariff Zones: Maquilas
- 2nd largest source of foreign exchange in Mexico
- 70% are U.S. owned
- Fastest growing sector of the economies of Mexico and Central America
- Chemical hazards: xylene, ethyl benzene, methylene chloride, acetone, toluene.
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health OrganizationMAQUILA SECTOR IN CENTRAL AMERICA
Increased Migration
70%-80% Women
Chronometric control
Piece-work wages
Labor instability
Sexual harassment
Unhealthy environment and poor dwellings
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health Organization STATE
Informal Sector
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health Organization EXPOSURE
Risk Profiles
• Ergonomic
• Biological
• Physical
• Chemical
• Psychosocial
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health Organization
• 36 Injuries/minute
• 5 Million/year
• 90,000 Fatal injuries/year
• 300 Deaths/day
• 9%-12% of GDP in LAC
EFFECTSImpact of Occupational Injuries and
Diseases
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health Organization
• Income below basic needs level:
20%-40% Salaried workers
• Occupational health services:
30% of formal sector
• Mortality rate non-professionals/professionals: 3:1
• Fatal occupational injuries LAC/USA: 3:1
• Mortality of Hispanics in USA (construction): + 40%
• Higher impact:
children, women, migrants, elderly, indigenous
LABOR INEQUALITIES
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health Organization
UnemploymentUnemployment
SocialInjustice
Syndrome
OccupationalCancer
OccupationalCancer
ReproductiveProblems
ReproductiveProblems
OccupationalStress
OccupationalStress
MusculoskeletalDisorders
MusculoskeletalDisorders
Accidents and InjuriesAccidents and Injuries
Hearing LossHearing Loss
Cardiovascular Diseases
Cardiovascular Diseases
Infectious DiseasesInfectious Diseases
Homicides Suicides Violence
Homicides Suicides Violence
Alcoholism and Substance AbuseAlcoholism and
Substance Abuse
PoisoningPoisoning
RespiratoryProblems
RespiratoryProblems
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health Organization
Workers’ Health PromotionWorkers’ Health Promotion
BrazilIndustrial Sector
SESI Informal Sector
Central America • Agreement PAHO- 8 Ministers of Labor
• CARICOM 19 COUNTRIES• IDB• DOL (USA)
Hispanics in USA EPA, NSC, OSHA,
NAHH
- New Working Culture- Personal and Collective Development- Public Participation- Improvement of Working and Community Environments
HEALTHY WORKPLACES
Regional Global network (HECONET)
• Network of Collaborating Centers: Chile - Canada-
Colombia
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health OrganizationPAHO/WHO COLLABORATING
CENTERS
U MichiganU Michigan
U IllinoisU Illinois
U Mass. LowellU Mass. Lowell
U TexasU Texas
John Hopkins UJohn Hopkins U
ISPISP
ACHSACHS
MINSAMINSA
INSAT INSAT
NIOSH NIOSH
CINBIOSE CINBIOSE
Centre Hospitalier
de Québec
Centre Hospitalier
de Québec
FUNDACENTROFUNDACENTRO
CBNSCBNS AREAS OF COLLABORATION
• Research
• Training
• Information
• Outreach
AREAS OF COLLABORATION
• Research
• Training
• Information
• Outreach
CCOHS
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health Organization
HORIZONTALHORIZONTAL
COOPERATIONCOOPERATION
INTER-AGENCY SUPPORTINTER-AGENCY SUPPORTPAHO - AOSPAHO - AOS
CONSOLIDATED PROGRAMS
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health Organization
Comprehensive ServicesComprehensive Services
Organize Pilot Projects. Organize Pilot Projects.
Agreement PAHO - ILOAgreement PAHO - ILOExtend Social Protection Extend Social Protection
and Health Coverage and Health Coverage within Excluded Groupswithin Excluded Groups
Agreement PAHO - ILOAgreement PAHO - ILOExtend Social Protection Extend Social Protection
and Health Coverage and Health Coverage within Excluded Groupswithin Excluded Groups
ProjectFASBASE - PAHO - World Bank
Conceptual Framework
ProjectFASBASE - PAHO - World Bank
Conceptual Framework
Development of Training GuidesDevelopment of Training Guides
Coordination:
• Ministers of Health• Municipalities• Public and Private Social Security• Companies• NGOs • Workers’ Clinics
www.cepis.ops-oms.org
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health Organization
PAHO, Min. of Labor, SICA, COMISCA, RESSCAD
PROGRAM ONWORKERS’ HEALTH, GENDER AND EQUITY
- New working culture- Personal and collective development- Public participation- Improvement of working and community environments
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health Organization
•==
DEVELOPMENT OF TOOLS
TO FACILITATE THE
IMPLEMENTATION OF THE INITIATIVE
HEALTH STANDARDS
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health Organization
OCCUPATIONAL HEALTH STANDARDSOCCUPATIONAL HEALTH STANDARDS.
.
Objectives Objectives LevelsLevels
REGIONAL & SUB-REGIONAL
NATIONAL
SECTORAL
WORKPLACE
• IMPROVE THE WELL-BEING AND PRODUCTIVITY OF THE LABOR FORCE AND OF SOCIETY
• NEGOTIATE FAVORABLE WORKING CONDITIONS WITHIN INTEGRATION AND FREE TRADE PROCESSES
• STRENGTHEN THE CAPACITY TO IMPLEMENT WORKERS HEALTH STANDARDS AND TO PROMOTE PREVENTIVE PROGRAMS
• PROVIDE A BASIS FOR THE FORMULATION OF PUBLIC POLICY, LEGISLATION AND ADVOCACY
• STRENGHTEN THE CAPACITY OF COUNTRIES TO PROMOTE AND PROTECT WORKERS HEALTH
• PROMOTE FOLLOW-UP MECHANISMS FOR WORKERS HEALTH
• ENSURE THE WORKERS RIGTHS TO INFORMATION AND PARTICIPATION
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health Organization Workers’ Health StandardsWorkers’ Health Standards
National Country Projects
HONM
HONM
CORM/F
CORM/F
PANF
PANF
NICM
NICM
ELSM
ELSM
BELMM
BELMM
GUAF
GUAF
DORM.
DORM.
PAHO/WHO - IDB - PROALCA/USAID - ILO - SID
SICA
COMMISCA
RESSCAD
MASICA
(PLAGSALUD)
IRET
ICAES
ITCA
MoH MoL ISS MoE
Network NGOs, Labor, Employers, Civil Society
National Councils of Occupational Health
...
Health and Safety Committees
INTEGRATION MECHANISMS
INTERINSTITUTIONAL AND INTERSECTORAL
COORDINATION
INTERPROGRAMMATIC
ACTION
PARTICIPATIVE
PLANNING
Maquiladora (M) - Floriculture (F)
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health Organization PAHO/WHO
COLLABORATING CENTERS
IRET PAHO
COSTA RICA
SAN LUIS UNIVERSITY, GUATEMALA
OEA
IDB AREAS OF COLLABORATION
• Research
• Training
• Information
• Outreach
COLOMBIA
COMBIOSE QUEBEC
U. LEON NICARAGUA
CCOHS HAMILTON ONTARIO
CERSSO, EL SALVADOR
FUNDACENTRO
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health Organization Healthy Workplaces
Nicaragua, Honduras,El Salvador and Guatemala
Maquila and Floriculture
PAHO- ILO - DoL (CERSSO)
ToolkitToolkit
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health OrganizationThe novelty of this toolkit - HWI-The novelty of this toolkit - HWI-::
Seeks to strengthen the active participation of people involved in workplaces: that is, workers and
employers who execute most of the activities, which are monitored by a
team of facilitators.
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health Organization Health of Hispanic Workers
TOPICS
• Inequities
• Environmental Justice
• Migrant Workers
• Border Health
ACTORS• EPA, OSHA, NIOSH (public sector)
• NSC, 3M (private sector)
• National Alliance for Hispanic Health (NGOs)
• PAHO, ILO, NAALC (international organizations )
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health OrganizationHEALTHY HOTELS & OCCUPATIONAL HEALTH IN
THE REFORM OF THE HEALTH SECTOR
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health Organization
WORKERS’ HEALTH
Basic Rights, Working Conditions, Safety and Health, Occupational Health Services