divsion of occupational health 2006 1 occupational health old workers in luxembourg dr. robert...

divsion of occupational health 2006

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Occupational HealthOccupational HealthOld workers in LuxembourgOld workers in Luxembourg

Dr. Robert GOERENSDr. Robert GOERENS

Direction of Health / Ministry of HealthDirection of Health / Ministry of Health


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Plan of presentationPlan of presentation

1.1. Situation on the labour market in Luxembourg of the old workersSituation on the labour market in Luxembourg of the old workers

22 Promotion of employment of the old workers Promotion of employment of the old workers

3.3. Occupational health in Luxembourg Occupational health in Luxembourg

4.4. Data about health at work of old workersData about health at work of old workers

5.5. Data about improvement of working conditionsData about improvement of working conditions

6.6. Legal action introduced to support the employment of the old Legal action introduced to support the employment of the old workersworkers

7.7. Law of July 25Law of July 25thth 2002 on the incapacity of workers and the 2002 on the incapacity of workers and the professional reintegrationprofessional reintegration

8.8. ConclusionConclusion

Data:Data:

DIRECTION OF HEALTHDIRECTION OF HEALTH

ADEM (Administration of Employment)ADEM (Administration of Employment)

STATEC (Central Service of the Statistics and the economic surveys)STATEC (Central Service of the Statistics and the economic surveys)

IGSS (Inspection of social security)IGSS (Inspection of social security)

CEPS / INSTEAD (Studies about population, environment)CEPS / INSTEAD (Studies about population, environment)

OECD (Organisation for Economic Cooperation and Development)OECD (Organisation for Economic Cooperation and Development)

STM (Occupational Health service S.M.E.)STM (Occupational Health service S.M.E.)

STI (Occupational Health service of industry)STI (Occupational Health service of industry)

STA (Occupational Health service of Arcelor)STA (Occupational Health service of Arcelor)


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1.1. Situation on the labour market in Situation on the labour market in Luxembourg of old workersLuxembourg of old workers


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Luxembourg: 448.000 inhabitantsLuxembourg: 448.000 inhabitants

Proportions of foreigners : 37 % (highest of OECD)Proportions of foreigners : 37 % (highest of OECD)

Foreign workforce: 65 % of the working populationForeign workforce: 65 % of the working population

Cross border workforce: 40 % of the working populationCross border workforce: 40 % of the working population

Ageing of the working populationAgeing of the working population

Labour in LuxembourgLabour in Luxembourg


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54.7%

43.2%

66.6%

56.8%

50.5%

63.2%

54.6%

45.1%

64.1%

41.0%

28.6%

53.7%

43.0%

28.0%

57.7%

0% 10% 20% 30% 40% 50% 60% 70%

Total

Women

Men

Luxembourg

Belgium

Germany

France

UE

Data: OECD 2004Data: OECD 2004

Age: 50 to 64 years

Activity rate (%) per age and sex in 2000Activity rate (%) per age and sex in 2000


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45,2%

27,8%

15,5%

11,5%

0% 10% 20% 30% 40% 50%

less than 35years

35 - 42 years

43 - 49 years

50 years andmore

Data: IGSS, march 2004Data: IGSS, march 2004

Age

Workforce by age groupsWorkforce by age groupsin Luxembourg companies in Luxembourg companies (>10 workers)(>10 workers)


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26,5%

16,9%

13,2%

13,1%

12,7%

12,4%

2,9%

1,2%

0,8%

0,3%

0% 10% 20% 30%

Manufactoring industries

Constructions

Trade repair

Transport & communication

Real estate & service

Financial activities

Restoration

Collective services

Production & distribution of electricity

Minings % of old Workers

Données: CEPS / INSTEADDonnées: CEPS / INSTEAD 2001 2001

Percentage of old workers in different sectors of Percentage of old workers in different sectors of industry in Luxembourg industry in Luxembourg (>10 workers)(>10 workers)


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Average age at end of the active life (2001)Average age at end of the active life (2001)

59.9

59.1

60.5

63.1

62.2

63.2

58.1

58

58.2

57

55.9

60.7

60.4

60.9

56.8

55.3

57.8

57.5

0 10 20 30 40 50 60 70

Total

Women

Men

Luxembourg

Germany

Belgium

France

Irland

UE

Data: STATEC 2004Data: STATEC 2004

Âge


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Since 1980: Luxembourg supported a policy of early retirement of the Since 1980: Luxembourg supported a policy of early retirement of the old workers throughold workers through: :

early retirement scheme in different activity sector (iron and steel industryearly retirement scheme in different activity sector (iron and steel industry)) wish of certain workforce to have an early retirement age.wish of certain workforce to have an early retirement age.

Until 1996: Easy poliUntil 1996: Easy policy to obtain a disability pensioncy to obtain a disability pension

Consequence: the desire not to work until the legal age of retirement Consequence: the desire not to work until the legal age of retirement (65 years) is a common attitude for the social partners(65 years) is a common attitude for the social partners

Since 2000:Since 2000: deceleration of the economic activity: deceleration of the economic activity: gel of recruitment and internal policy to encourage the old workers to leave the gel of recruitment and internal policy to encourage the old workers to leave the

company precociouslycompany precociously replacement of these early departures by younger, more flexible, more trained replacement of these early departures by younger, more flexible, more trained

and less paid workers.and less paid workers.

Early retirement Early retirement of workers > 50 years in Luxembourgof workers > 50 years in Luxembourg


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Great difference between workers >50 years and <50 yearsGreat difference between workers >50 years and <50 years activity rate 25 - 49 years: 94 % in 2002 (Luxembourg 3rd of 30 behind activity rate 25 - 49 years: 94 % in 2002 (Luxembourg 3rd of 30 behind

Iceland and Mexico in OECD classification)Iceland and Mexico in OECD classification)

activity rate 50 - 64 years: men 58% women 30% in 2002 (Luxembourg activity rate 50 - 64 years: men 58% women 30% in 2002 (Luxembourg men 23 and women 26 position of 30 countries in OECD classification)men 23 and women 26 position of 30 countries in OECD classification)

Difference between employment rate of women and menDifference between employment rate of women and men employment rate of women: 2 times lesser than of menemployment rate of women: 2 times lesser than of men

Employment of workers >50 years is not reactive with the rise Employment of workers >50 years is not reactive with the rise during economic recoveryduring economic recovery

Employment and unemploymentEmployment and unemployment

Data: OECD 2004Data: OECD 2004


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55.7%

21.5%

66.8%

34.5%

39.6%

32.8%

1.7%

5.8%

0.4%

8.1%

33.1%

0.0%

0% 10% 20% 30% 40% 50% 60% 70%

Total

Women

Men

inactive people

survivor pension

disability pension

retirement and earlyretirement

Données: CEPS / INSTEADDonnées: CEPS / INSTEAD 2001 2001

Age: 55 to 64 years

Reasons of inactivity of people aged 55-64 years, Reasons of inactivity of people aged 55-64 years, having worked until 50 yearshaving worked until 50 years


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2.2. Promotion of employment of the Promotion of employment of the old workers old workers


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Measures intended to promote the employability of the old workersMeasures intended to promote the employability of the old workers

Formation throughout life, access to formation to all workersFormation throughout life, access to formation to all workers

Measures intended to promote the improvement of the working Measures intended to promote the improvement of the working conditions for older workersconditions for older workers

Measures modifying the conditions of access to retirement, early Measures modifying the conditions of access to retirement, early retirement and disability pensionretirement and disability pension

Measures intended to incite the workers financially to stay longer Measures intended to incite the workers financially to stay longer in activity in activity

Measures intended to sensitize the companies with the problem of Measures intended to sensitize the companies with the problem of ageingageing

Measures made by the authorities to promote Measures made by the authorities to promote the employment of old workersthe employment of old workers


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3.3. Occupational health in Luxembourg Occupational health in Luxembourg Data about health at work of old workersData about health at work of old workers


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Occupational health in LuxembourgOccupational health in Luxembourg

Legal base since 1994Legal base since 1994

Depends on the Ministry of Health / Direction of HealthDepends on the Ministry of Health / Direction of Health

First time examination: obligatory for all employeesFirst time examination: obligatory for all employees

Periodic examination: employees with risks at workPeriodic examination: employees with risks at work

Periodicity depends on the risk Periodicity depends on the risk

Periodicity does not depend on the age, except safety postsPeriodicity does not depend on the age, except safety posts

All the occupational health services work since the beginning on All the occupational health services work since the beginning on computer base and can easily do research on their data basescomputer base and can easily do research on their data bases

Obligation for all employers to do the inventory of all risks Obligation for all employers to do the inventory of all risks places at workplaces at work


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Occupational Health services:Occupational Health services:Statistics concerning old workersStatistics concerning old workers

Proportion of men and women examinedProportion of men and women examined

Body mass index (BMIBody mass index (BMI))

Number of aptitude and inaptitudeNumber of aptitude and inaptitude

Absenteeism by age groups Absenteeism by age groups

Average duration of sick leave by age in mine and steel industry for Average duration of sick leave by age in mine and steel industry for different pathologiesdifferent pathologies

Number of detect pathologies in S.M.E.Number of detect pathologies in S.M.E.


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Proportion of man and woman >50 years Proportion of man and woman >50 years examined in S.M.E.examined in S.M.E.

Total of workers > 50 years: 15.682 = 8,5 % of the examined workers

6136

3426

3219

1520

707

466

0

2000

4000

6000

8000

10000

12000

14000

50 < Age <55 55 < Age < 60 60 < Age < 65

Woman

Men

Data: STM 1995 - 2004Data: STM 1995 - 2004

61 %

30,2 %

7,5 %


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BMI of workers >50 yearsBMI of workers >50 years

Data: STM 1995 - 2004Data: STM 1995 - 2004

Number of workers >50 years: 15.682

30,9% 31,0%

38,0%

0%

10%

20%

30%

40%

50%

BMI > 3025 < BMI < 30BMI < 25

workers >50 years

BMI = weight (kg) / size (m2)

Overweight > 25 kg/m2

Obesity > 30 kg/m2


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Number of aptitude and inaptitude of workers in Number of aptitude and inaptitude of workers in relationship to the age in the iron and steel sectorrelationship to the age in the iron and steel sector

0,1%

27,2%

72,7%

0,1%

50,5% 49,4%

0%

20%

40%

60%

80%

100%

workers <50 years (5332 examen)

workers >50 years (3155 examen)

Inaptitude

Aptitude with restrictions

Aptitude

Total examination: 8.487Age average : 44 years

Data: STA 1999 - 2004Data: STA 1999 - 2004


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Average duration of sick leave by ageAverage duration of sick leave by age in the iron and steel industry in the iron and steel industry

7 77.8

78.3 8

9

1210.2

11 11.5

14 14.3

20.1

16.3

24.1

15.7

20

0

5

10

15

20

25

30

> 20 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59

group of age

Luxembourg

Arcelor

Data: STA 1989 - 1991Data: STA 1989 - 1991


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Average sick leave by age groups for different Average sick leave by age groups for different pathologies in the iron and steel industrypathologies in the iron and steel industry

Gonalgia37,2

17,6

12

5,1

0

5

10

15

20

25

30

35

40

20-25 30-35 40-45 50-55

Da

ys

Tendinitis18,618,2

6,2 6,8

0

2

4

6

8

10

12

14

16

18

20

20-25 30-35 40-45 50-55

Da

ys

Lumbago 14,413,3

10,5

4,84,6

0

2

4

6

8

10

12

14

16

>20 20-25 30-35 40-45 50-55

Da

ys

Gonalgia:Number of cases: 161Number of lost days: 4324

Lumbago:Number of cases: 327Number of lost days: 5584

Tendinitis:Number of cases: 1102Number of lost days: 14982

Data: Data: STASTA 1989 - 1991 1989 - 1991

Age

Age Age


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NNumber of detected pathologiesumber of detected pathologies

Données: STI 1995 - 2004Données: STI 1995 - 2004

28,9%

12,2%

27,8%

5,7%

15,6%

4,1%

0%

20%

40%

60%

Detected pathologies Professional diseases Disease with rrelationshipto work

workers >50 years

workers 18-50 years

Total of workers : > 50 ans : 6.288Total of workers : < 18-50 ans : 61.283


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4.4. Data about improvement of working conditionsData about improvement of working conditions

Inquiry 2006: 1.300 companiesInquiry 2006: 1.300 companies


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Reorganization in the type or tasks of work done by 16,3% of Reorganization in the type or tasks of work done by 16,3% of the companiesthe companies

Adaptations of working time and adaptation of working tasks by Adaptations of working time and adaptation of working tasks by 8% of the companies8% of the companies

Development of specific missions by 4% of the companiesDevelopment of specific missions by 4% of the companies

Transfer of old workers to post with better working conditions by Transfer of old workers to post with better working conditions by 8% of the companies8% of the companies

Improvement of working conditions for old workersImprovement of working conditions for old workersInquiry done by 1.300 companies > 10 workersInquiry done by 1.300 companies > 10 workers

Data: CEPS / INSTEAD 2006 Data: CEPS / INSTEAD 2006 N = 1300 enterprisesN = 1300 enterprises


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Reorganization done by 208 enterprises for old Reorganization done by 208 enterprises for old workers in relationship to the size of the enterpriseworkers in relationship to the size of the enterprise

Data: CEPS / INSTEAD 2006Data: CEPS / INSTEAD 2006N = 208 enterprisesN = 208 enterprises

10.0%

14.0%

17.0%

31.0%

38.0%

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

250 andmore

100 - 25050 - 10020 - 50 10 - 20

workers


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Reorganization done by 208 enterprises forReorganization done by 208 enterprises forold workers in relationship to the proportionold workers in relationship to the proportion

of old workers in the enterpriseof old workers in the enterprise

Data: CEPS / INSTEAD 2006Data: CEPS / INSTEAD 2006N = 208 enterprisesN = 208 enterprises

8,0%

25,0%

34,0%33,0%

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

17% and more10% - 17%4% - 10%0 - 4%

workers


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5.5. LLegal action introduced to support the egal action introduced to support the employment of the old workersemployment of the old workers


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In 1996: more restrictive access to get a disability pensionIn 1996: more restrictive access to get a disability pension

Incitation for workers to stay longer in activity, especially the last Incitation for workers to stay longer in activity, especially the last years of career, to get a better pensionyears of career, to get a better pension

Reform of the public function with possibilities of part-time work Reform of the public function with possibilities of part-time work and promotion of maintenance in activity beyond the legal age of and promotion of maintenance in activity beyond the legal age of retirementretirement

Refunding of social security costs for 7 years for companies which Refunding of social security costs for 7 years for companies which engaged workers >50 years.engaged workers >50 years.

Suppression of the conditions needed to obtain an authorization to Suppression of the conditions needed to obtain an authorization to work after having an old-age pensionwork after having an old-age pension

Obligation since 2002 to reclassify workers with reduced capacity Obligation since 2002 to reclassify workers with reduced capacity of workof work

Legal action to promote employment of old workersLegal action to promote employment of old workers


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6.6. Law of July 25Law of July 25thth 2002 on the incapacity of 2002 on the incapacity of workers and the professional reintegrationworkers and the professional reintegration


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Conditions for workers to benefit from this law:Conditions for workers to benefit from this law:

Workers having an affiliation to the Luxembourg Social Security Workers having an affiliation to the Luxembourg Social Security (12 months during the last 3 years(12 months during the last 3 years))

Workers in prolonged sick leave (4 months)Workers in prolonged sick leave (4 months)

Workers having get a refusal of their demand for a disability Workers having get a refusal of their demand for a disability pensionpension

Workers declared inapt to stay at their last work station by the Workers declared inapt to stay at their last work station by the occupational health physicianoccupational health physician

Workers having had a withdrawal of their temporary pensionWorkers having had a withdrawal of their temporary pension

Law of July 25Law of July 25thth 2002 concerning the disability 2002 concerning the disability and the professional reintegrationand the professional reintegration


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Decision maker:Decision maker:

Joint Commission of the ADEM (Administration of employment)Joint Commission of the ADEM (Administration of employment)

Members of this commission: State, Employers, Trade unionsMembers of this commission: State, Employers, Trade unions

Joint Commission decides on internal and/or external Joint Commission decides on internal and/or external reclassification on the base of the following elementsreclassification on the base of the following elements: :

Number of workers with handicap already occupied in the companyNumber of workers with handicap already occupied in the company

Number of workers who got better working conditions after being declared Number of workers who got better working conditions after being declared unfit by the occupational health physicianunfit by the occupational health physician

Opinion of the employerOpinion of the employer

Opinion of the occupational health physician of the company and of the Opinion of the occupational health physician of the company and of the administration of employment administration of employment

Procedure of professional reintegration


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Internal reclassification:Internal reclassification: Assignment at another work station and/or organization of work (ex: Assignment at another work station and/or organization of work (ex:

reducing hours), and/or better working conditionsreducing hours), and/or better working conditions

Can be refused if the employer has lesser than 25 employees, or if the Can be refused if the employer has lesser than 25 employees, or if the employer have not the quota stated by law of workers with an handicapemployer have not the quota stated by law of workers with an handicap

External reclassification:External reclassification: For employer with lesser than 25 employees, or if the employer have the For employer with lesser than 25 employees, or if the employer have the

quota stated by law of workers with an handicapquota stated by law of workers with an handicap For employer who have no adapted post to continue to employ the worker For employer who have no adapted post to continue to employ the worker

with incapacitywith incapacity Workers are apply for unemployment benefit during 1,5 year max.Workers are apply for unemployment benefit during 1,5 year max. Without reclassification on the labour market after the end of Without reclassification on the labour market after the end of

unemployment, pension paid by the Fund for Employmentunemployment, pension paid by the Fund for Employment until the worker reached the legal age for pension.

ReclassificationReclassification


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Law 2002 concerning the disabilityLaw 2002 concerning the disabilityand the professional reintegration:and the professional reintegration:

age of workers concerned 2004age of workers concerned 2004

Data: ADEM 2004Data: ADEM 2004

Total of workers : 1232

1731 76

164

172

282

184

285

1110

0

100

200

300

400

500

600

20-29 years 30-39 years 40-49 years 50-69 years >60 years

Men

Women

Distribution by sex:Men 772 (62,66 %)Women 460 (37,34 %)

Distribution by status:Workers: 952 (77,27 %)Employees: 280 (22,73 %)

3,90 %

19,48 %

36.85 % 38,07%

1,70 %


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Law 2002 concerning the disabilityLaw 2002 concerning the disabilityand the professional reintegration:and the professional reintegration:

decision of the joint committee 2004decision of the joint committee 2004

Data: ADEM 2004Data: ADEM 2004

Total of workers: 1077Total of workers: 1077

108

175

223

387

86

98

0

100

200

300

400

500

600

Internal reclassifications External reclassifications Inadmissibles files

Men

Women

26 %

57 %

17 %


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7.7. ConclusionConclusion


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Very high foreign labour force and cross border workersVery high foreign labour force and cross border workers

Low rate activity for old workers in LuxembourgLow rate activity for old workers in Luxembourg

Statistics concerning the health of old workers can be realised easily by the Statistics concerning the health of old workers can be realised easily by the occupational health servicesoccupational health services

Since 1996 promotion of employment of old workers done by the authorities Since 1996 promotion of employment of old workers done by the authorities

Implementation of legal actions to promote employment of old workers as for Implementation of legal actions to promote employment of old workers as for example: reclassification of workers with reduced capacity of work example: reclassification of workers with reduced capacity of work

ConclusionConclusion

divsion of occupational health 2006 1 occupational health old workers in luxembourg dr. robert...

Documents

occupational healthold

percentage of old workers

early retirement of

old workersformation

old workers7

early retirement age

paid workers

incapacity of workers