ohs hemispheric leadership meeting panamerican health organization
DESCRIPTION
OHS Hemispheric Leadership Meeting PANAMERICAN HEALTH ORGANIZATION. GOALS, OBJECTIVES AND PARTNERSHIPS. WSC. PREVENTION IN A GLOBALIZED WORLD SUCCESSS TRHOUGH PARTNERSHIPS. PAHO as a Specialized Agency of the UN and the Inter–American System. Regional Office of the - PowerPoint PPT PresentationTRANSCRIPT
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health Organization
OHS Hemispheric Leadership Meeting
PANAMERICAN HEALTH ORGANIZATION
PREVENTION IN A GLOBALIZED WORLD
SUCCESSS TRHOUGH PARTNERSHIPS
GOALS, OBJECTIVES AND PARTNERSHIPSWSC
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health OrganizationPAHO as a Specialized Agency of the UN and the
Inter–American System
Regional Office of theRegional Office of the
World Health OrganizationWorld Health Organization
Health Agency of the Organization Health Agency of the Organization
of American Statesof American States
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 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
Ref: Macroeconomics and Health. Investing in
Health for Economic Development. WHO, 2001
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health Organization
Sources: World Competitiveness Report,Lausanne; ILO/SafeWork
90
0
80 70
60
50
40
30
20
10
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d
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ayJa
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Fran
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elgi
umS
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Mal
aysi
aC
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ea R
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naTh
aila
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exic
oS
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 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
• Protect the health and safety of workers
• Strengthen and promote ILO and WHO programmes to reducr occupational
deaths, injuries and illnesses.
•Link occupational health with public health promotion”
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health Organization
1. Halving extreme poverty
2. Universal primary education
3. Promoting equality
4. Reducing under 5 mortality
5. Reducing maternal mortality
6. Reversing the spread of HIV/AIDS
7. Environmental sustainability
8. Global Partnership for Development
MILLENNIUM DEVELOPMENT GOALS
2000
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health Organization
Community participation
Inter-sectorality
Social Protection
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 Ministers, Private Sector, NGOs Unions to Create and
Maintain a Healthy Workplaces
•Basic Skills for Women to Utilize Housing and Working
Facilities
•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 OrganizationUN Millennium Development Goals Ensuring Environmental Sustainability
TARGET
TARGET
CONTRIBUTION
CONTRIBUTION
Integrate the Principles of Sustainable Development into Country Policies and
Programs and reverse the loss of Environmental Resources
•Regional Plan on Workers’ Health/Health Workplaces Initiatives
•Linkages between Health and Labor PAHO/ILO
By 2020 to have achieve a significant improvement in the Lives of at least 100 million
slum Dwellers – phase out and eradication
Creation of Healthy, Safe and Decent Workplaces
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health Organization
•Human Rights Declaration.
•Global Strategy on Occupational Health for All. Resolution WHA 49.12 1996.
• Regional Plan on Workers’ Health. Resolution XIII. PAHO 41st DC. 1999
• PAHO Strategic and Programmatic Orientations 1999-2002.
• PAHO Strategies Plan 2003-2007
• Summit of the Americas . Quebec 2001. Globalization and Labor.
• Inter-American Conference of Ministers of Labor (IACML) . OAS
WORKERS’HEALTH MANDATESWORKERS’HEALTH MANDATES
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health OrganizationThe Regional Workers Health Plan
Strategic and Programmatic Orientations 1999-2002
Resolution DC XIII 1999
Inter-disciplinary
Transnational
Intersectoral
Human Sustainable Development
Strategic Plan 2003-2007
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health OrganizationGlobalization: Strengths and weaknesses
Beneficial effect Adverse effect 5–7 % annual
growth trade and world production
Harder competition developing countries
Global market provides benefit of scale
Home markets are put under pressure
Higher efficacy and quality
Compromising health and safety standards
Elimination of time dimension from global market
Unphysiological time schedules, sleep debt,
vigilance problems
< costs of storage, high flow of production
Tight deadlines, psychological stress.
physical overload
Adapt to global market unconventional work
hours, source of flexibility: human labour
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health Organization
StateWorkforce Composition,
Migration, Precarious L.M, Poverty Feminization
EffectLost workdays,
Occupational Accidents & Diseases, Lower Productivity, Social
Costs
ACTION
Health Policies and Legislation
Quality of the Work
Environment
Promotion of Workers Health
Comprehensive Workers’
Services
PressureTechnology Transfer, Non-
traditional Expoprt Production Increase
Maquila
Exposure (Environmental)
Psychosocial, Ergonomic,Chemical, Biological,
Safety & Physical
DPSEEA Model
Driving ForcesGlobalization, Integration,
Technological ChangeReform of the State, Inequities
The Workers’ Health Plan
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health OrganizationSITUATION ANALISIS IN THE AMERICASSITUATION ANALISIS IN THE AMERICAS
INEQUITIES – INSTITUTIONAL DISPERSION - REFORMS
• EAP: 351 million (> 50% Americas population).
- 69 million below poverty line.
- 52% Informal Sector ( women, children, migrants, indigenous)
- 49% women
- 24 million children work.
36 Injuries / minute
5 Million injuries / year
5 Million injuries / year
90,000 Fatal Injuries / year
• Morbidity: Traditional occupational illnesses, along with cancer,
asthma, depression, cardiovascular, musculoskeletal , immunological,
and nervous system, and re-emerging diseases.
9% - 12% of GDP in LAC
30% Receives Occupational Health Services (formal sector)
• EAP: 351 million (> 50% Americas population).
- 69 million below poverty line.
- 52% Informal Sector ( women, children, migrants, indigenous)
- 49% women
- 24 million children work.
36 Injuries / minute
5 Million injuries / year
5 Million injuries / year
90,000 Fatal Injuries / year
• Morbidity: Traditional occupational illnesses, along with cancer,
asthma, depression, cardiovascular, musculoskeletal , immunological,
and nervous system, and re-emerging diseases.
9% - 12% of GDP in LAC
30% Receives Occupational Health Services (formal sector)
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health Organization Economic impact
Musculoskeletal 40%
Heart diseases 16%
Injuries 14%
Respiratory diseases9%
Nervous Central System8%
Others13%
Other diseases include cancer, skin diseases and mental disorders
The Breakdown of Costs for Work-related Injuries and Diseases
Source: ILO, 1999
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health Organization Regional Plan: Objectives
Actors:
- International
- Governmental
- Labor Organizations
- Private Sector
- NGOs
- Universities
- Media
- Collaborating Centers
““To improve the living To improve the living conditions, health and safety at conditions, health and safety at work and the well-being of the work and the well-being of the working population, in order to working population, in order to
advance towards human advance towards human sustainable development with sustainable development with
equity and social justice. ”equity and social justice. ”
•Strenghten the Strenghten the technical and technical and
institutional capacityinstitutional capacity
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
Regional Plan: Programmatic AreasRegional Plan: Programmatic Areas
Policy andLegislationPolicy andLegislation
ComprehensiveHealth ServicesComprehensiveHealth Services
Quality of Work Environment
Quality of Work Environment
Workers’ Health Promotion
Health for All
Equity Universal Access Poverty Reduction MDG’s
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health Organization
Organization of American States
The Regional Workers’ Health Plan
III Summit of the Americas October 2001
XII`-XIII Inter-American Conferences of the Ministers of Labor
Declaration and Plan of Action
* COSATE - CEATAL
* OAS, ILO, PAHO, IDB, WB, ECLAC
Workers’ Health Proactive Actions
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health Organization
1. More efficient social protection system
XII-XIII IACML
Priority Areas
2. Safety and Health Surveillance at work In the context
of the sub regional and regional integration
3. Institutional strengthening of Labor Ministries
with a multidisciplinary and interinstitutonal approach
4. Enhance the efficiency of policies and actions directed
to the promotion of decent work
5. Child Labor Eradication
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health Organization Agreement PAHO - ILO
Extend Social Protection and Health Coverage within Excluded Groups
(ESPHC)
Agreement PAHO - ILOExtend Social Protection and Health Coverage
within Excluded Groups(ESPHC)
Approved by Directive Council
2002
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health Organization
PAHO/WHO-ILO INITIATIVEExpected Results
PAHO/WHO-ILO INITIATIVEExpected Results
Country Level Greater knowledge of
social exclusion and its
potential solutions
Increase awareness of
the problem
Enhance political and social
dialogue
Development in technical
cooperation
Regional Level Share of national
experiences and lessons
learned
Developing methods
for establishing, evaluating
and applying policies and
strategies for ESPHC
Support activities among countries
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health OrganizationHealthy Workplaces Initiative (HWI)
Nicaragua, Honduras,El Salvador and Guatemala
Maquila and Floriculture
SIDA-Sweden/IADB
•Implementation Toolkit – ValidationImplementation Toolkit – Validation•* Development of Health Standards* Development of Health Standards
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health Organization
8 Min. of Labor, PAHO, SICA, COMISCA, RESSCAD
OPPORTUNITIES• FTAA 2005• CA – NAFTA• IACMT• SICA• COMISCA• RESSCAD• PRIVATE SECTOR
HWICONSTRAINTS
• POLITICAL INSTABILITY
• STRIKES
• NATIONAL EMERGENCIES
• HRR SLOW PROCESS
COORDINATION
• CERSSO
• SICA / IRET
• ILO
• IDB
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health Organization
NETWORKS
HEALTHY WORPLACE INITIATIVE
NETWORKS
HEALTHY WORPLACE INITIATIVE
INTEGRATION MECHANISMS
INTERINSTITUTIONAL AND INTERSECTORIAL
COORDINATION
INTERPROGRAMMATIC
ACTION
PARTICIPATIVE
PLANNING
PAHO/WHO - IDB - PROALCA/USAID - ILO – SIDA – USDOL -NIOSH
SICA
COMMISCA
RESSCAD
CERSSO
PLAGSALUD
IRET
ICAES
ITCA
Network NGOs, Workers, Employers, Civil Society
MoH MoL ISS MoENational Councils of Occupational Health
Health and Safety Committees
NICM*
NICM*
ELSM*
ELSM*
HONM*
HONM*
GUAF*
GUAF*
* Maquiladora (M) - Floriculture (F)
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health Organization
INTERCONNECTIVITY
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
ECOSYSTEM APPROACH
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health Organization
AREAS OF COLLABORATION
•Research
•Training
•Information
•Outreach
AREAS OF COLLABORATION
•Research
•Training
•Information
•Outreach
COLLABORATING CENTERS PAHO/WHO
FUNDACENTRO
U Illinois
U Michigan
U Texas
MINSA
ISP
ACHS
CCOHSCentre Hospitalier
de Québec
INSAT
CINBIOSE
NIOSH
John Hopkins U
U Mass. Lowell
CBNS
•IRET
IAPA
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health Organization
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HISPANIC FORUM
INITIATIVE
Vision•Vision
VISION
Reduce the disparities in Occupational and Environmental Health Status and
Services within the Hispanic Population
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health Organization
Hispanic Forum Sponsors Memorandum of Understanding
HISPANIC FORUM
The National Safety Council
Pan American Health Organization
The Environmental Protection AgencyOccupational Safety
and Health Administration
OAS (IACD-ESDU)
National Higway Traffic Safety
Administration
National Alliance for Hispanic Health
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health Organization
Hispanic population grew by 58% between 1990 and 2000:38.3 Million in the US, 3.8 Million in Puerto Rico
12.5% of the workforce is Hispanic. They bear 15% of the total US fatal occupational injuries.
Fatal occupational accidents have decreased overall, but risen alarmingly among the Hispanic labor force.
In the US there has been a 40 % increase in fatalities among Hispanic workers in the construction sector.
Alarming Increases in Work Accidents among Hispanics
0
200
400
600
800
1000
1200
1400
1600
1800
2000
0
1000
2000
3000
4000
5000
6000
7000
Fatal Work Injuries involving Hispanics Hispanic Construction Workers
Fatal Work Injuries Counts 2 per. Mov. Avg. (Fatal Work Injuries Counts)
2 per. Mov. Avg. (Fatal Work Injuries involving Hispanics) 2 per. Mov. Avg. (Hispanic Construction Workers)
Work Related Fatalities are Projected to Keep rising without preventive interventions
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health Organization
US-Mexico Chamber of Commerce
IDB
Hispanic Workers Safety and Health
Susan Harwood Grants
OSHA
PAHO
Hispanic Forum
3M
Summit of the Americas-
OAS
NIOSH
Communications
Workshop
US-Mexico BHA
NSC
Puerto Rico
NATIONWIDE NETWORK: AN INVITATION TO JOIN AND SUPPORT
Interconnectivity and Support
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health Organization Border Issues
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health Organization Migrant Farm Workers
•Most farm workers have no insurance.
• 3 to 5 million of them are Hispanic.
•Most migrant workers are men in their 20s and send their earnings home to their families in Mexico, Guatemala, Honduras, El Salvador or Haiti.
•Most live in poor housing and unsanitary living conditions.
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health Organization
High Burden of Disease attributable to Occupational EnvironmentHealth Systems’ Lower Performance
Healthcare Sector in LAC>7 million workers, gender and labor inequities, Scarcity of Data
PAHO Series of Manuals for the Healthcare SectorIn Preparation: Manual for Managers
PAHO “Learning Projects”Awareness raising , Mobilizing, Capacity building
Assessingthe Situation
Proposing Interventions
Empowering and Learning
Physical Hazards Chemical Hazards Biological HazardsOrg. & Psychological
Hazards
Occupational Health Promotion in the Health Sector
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health Organization
INTER-AGENCY SUPPORTINTER-AGENCY SUPPORTPAHO - OASPAHO - OAS
1. Portfolio of Consolidated Programs
2. Hemispheric Workshop. CERSSO
3. Workshop of Leadership on Occupational Safety and Health
4. Alliances and Innovations for Development: Corporative Social Responsibility
5. Self instructive course on Occupational Health and Safety
6. Agreement with the European Agency of Safety and Health at Work
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health Organization
www.oea-ue-sso.or www.oas-eu.ohs.orgwww.oea-ue-sso.or www.oas-eu.ohs.org
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health Organization Risk Evaluation and Occupational
Surveillance
Srengthening of
Occupational
Hygiene,
Ergonomics,
Toxicology, etc.English Caribbean
Injuries
Plagsalud: TCC
D.C.
UCLAQueens
NIOSH
Back pain
Pesticides
Injuries
University of StockholmEcotoxicology
Lulea University of TechnologyCenter for Ergonomics for Developing Countries (CEDC)
University of StockholmEcotoxicology
Lulea University of TechnologyCenter for Ergonomics for Developing Countries (CEDC)
Cuba
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health OrganizationOCCUPATIONAL SURVEILLANCEOCCUPATIONAL SURVEILLANCE
Central America PLAGSALUD
Central America PLAGSALUD
ChileSAISOChile
SAISO
VenezuelaSUAVIDERO/WIZARD
VenezuelaSUAVIDERO/WIZARD
USANIOSHUSA
NIOSH
Chile, Jamaica, Mexico
Injuries
Chile, Jamaica, Mexico
Injuries
CubaCuba
BrazilSUS
BrazilSUS
Canada Compensation
System
Canada Compensation
System
Experts Meeting1999
Experts Meeting1999
Regional Meeting2000
Regional Meeting2000
Indicators Guidelines 2004
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health Organization
Directing Council September 2004
(Proposal Strategic Alliance Health-
Labor)
Preparatory Meeting for Summit
Argentina June 2005
Strategic Alliances Health and Labor
Implications for 2005 IV Summit of the Americas
XIV IACML
XVII WSC
PAHO-2KPAHO-2K
Pan American Health OrganizationPan American Health Organization Next Steps
Continue working along with the working groups from the XIII Interamerican Conference of Ministers of Labor toward the XIV IACML
Third Hispanic Forum within the XVII World Congress on Safety and Health at Work, (Orlando, Florida 2005)
Summit of the Americas, (Argentina 2005)