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naslovnica. WORKPLACE HEALTH MONITORING IN SLOVENIA. EVA STERGAR, MA, psychologist. STRUCTURE OF PRESENTATION. GENERAL SITUATION OF WORK-RELATED HEALTH MONITORING MAIN WORK-RELATED HEALTH PROBLEMS CVDs AND MENTAL ILL-HEALTH HEALTH PROMOTION AND WORKPLACE HEALTH PROMOTION RECOMMENDATIONS.

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

  2. STRUCTURE OF PRESENTATION • GENERAL SITUATION OF WORK-RELATED HEALTH MONITORING • MAIN WORK-RELATED HEALTH PROBLEMS • CVDs AND MENTAL ILL-HEALTH • HEALTH PROMOTION AND WORKPLACE HEALTH PROMOTION • RECOMMENDATIONS

  3. FACTS ABOUT SLOVENIA • POPULATION: ~ 2 MILION (1,964,036 – 2002 CENSUS) • AREA: 20,273 KM2 • CENTRAL EUROPEAN COUNTRY • CAPITAL: LJUBLJANA • GDP PER CAPITA EUR: 9,383 (1998); 13,103 (2004) • ACTIVE 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 INSTITUTIONS • MORE 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 STATISTICS • LEGAL BASIS: • NATIONAL STATISTICS ACT + MEDIUM-TERM PROGRAMME OF STATISTICAL SURVEYS 2003-2007 • HELATH CARE SECTOR DATABASES ACT (2000) • PENSION AND INVALIDITY INSURANCE ACT (2003)

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

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

  8. OCCUPATIONAL DISEASES • NO 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 OTSM • LACK OF MORE DETAILED DATA • NO PUBLICATIONS DEDICATED TO HEALTH MONITORING OF EMPLOYEES

  10. naslovnica MAIN WORK-RELATED HEALTH PROBLEMS

  11. DATA ON SICK-LEAVE 1990 – 2004I. % OF SICK-LEAVE • BETWEEN 4.5% (1991) AND 5.2% (1992, 1998) • DIFFERENCES BETWEEN GENDERS • CAUSES: • MUSCULOSKELETAL DISEASES • INJURIES OUTSIDE WORK • WORK-RELATED INJURIES • RESPIRATORY DISEASES • MENTAL 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 BIRTH • NEOPLASMS • MENTAL AND BEHAVIOURAL DISORDERS

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

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

  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 DISEASE • DIGESTIVE SYSTEM CANCER • CEREBROVASCULAR DISEASES

  18. SELECTED DATA ON MORTALITY DUE TO CVDS

  19. SELECTED DATA ON MENTAL ILL-HEALTH

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

  21. THE INCREASING IMPORTANCE OF MENTAL HEALTH • SUICIDE • ALCOHOL 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 USE • 2003: ACT ON RESTRICTION ON ALCOHOL USE • 1999: ACT ON SAFETY AND HEALTH AT WORK • 2003: THE RESOLUTION ON NATIONAL PLAN ON SAFETY AND HEALTH AT WORK • 2005: THE RESOLUTION ON THE NATIONAL PRORAMME OF NUTRITION POLICY 2005 - 2010

  25. STEPS TOWARDS HEALTHIER SLOVENIA II. • KNOWLEDGE AND SKILLS FOR HP / WHP ??? • ALLOCATION OF RESOURCES FOR HP / WHP??? • HELATH PROMOTING SCHOOLS, HEALTHY CITIES • HEALTHY NUTRITION, PHYSICAL ACTIVITY, NON-SMOKING • MENTAL 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 EPIDEMIOLOGY • OCCUPATIONAL DISEASES • WORK CAPACITY ASSESSMENT • ERGONOMY • PSYCHOLOGY AND HUMANIZATION OF WORKPALCES • TRAFFIC SAFETY & HEALTH • SPORTS MEDICINE • HEALTH 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 • DESIGN AND SPREAD PROGRAMMES • EVALUATION • FINDING WAY TO ENTERPRISES • INVOLVEMENT OF INSURANCE COMPANIES

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

  31. THANK YOU VERY MUCH FOR YOUR ATTENTION

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