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OHS Hemispheric Leadership Meeting PANAMERICAN HEALTH ORGANIZATION

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

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OHS Hemispheric Leadership Meeting PANAMERICAN HEALTH ORGANIZATION

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  1. OHS Hemispheric Leadership Meeting PANAMERICAN HEALTH ORGANIZATION GOALS, OBJECTIVES AND PARTNERSHIPS WSC PREVENTION IN A GLOBALIZED WORLD SUCCESSS TRHOUGH PARTNERSHIPS

  2. PAHO as a Specialized Agency of the UN and theInter–American System Regional Office of the World Health Organization Health Agency of the Organization of American States

  3. Burden of Disease: Economic Impact GNP Per Capita (US Dls) Population (Millions) Life Expectancy Mortality Under Five Years Development Category Least-Development Countries 159 643 296 51 Lower-Middle-Income Countries 2,094 1,200 70 39 High-Income Countries 25,730 6 891 78 Ref: Macroeconomics and Health. Investing in Health for Economic Development. WHO, 2001

  4. Competitiveness and Safety Sources: World Competitiveness Report, Lausanne; ILO/SafeWork 90 80 Competitiveness (World Competitiveness Report) 70 60 50 Index 40 30 20 Fatal accidents/100 000 workers 10 0 USA UK Brazil Chile Spain Finland Canada Mexico Ireland Russia China France Sweden Japan Korea R. Norway Belgium Hungary Germany Malaysia Thailand Netherlands Switzerland Australia Portugal Indonesia South Africa

  5. Workers’ Health “Occupational Health and Safety:a high priority in the global, international and national agenda” Kofi A. AnnanSecretary General United Nations 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” Johannesburg Summit 2002

  6. MILLENNIUM DEVELOPMENT GOALS 2000 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

  7. Community participation Inter-sectorality Social Protection

  8. UN Millennium Development Goals Relation to Workers’ Health CONTRIBUTION: GOALS: Synergy with Labor Ministers, Private Sector, NGOs Unions to Create and Maintain a Healthy Workplaces Eradicate Extreme Poverty and Hunger Basic Skills for Women to Utilize Housing and Working Facilities Promote Gender, Equality and Empower Women Improvement in Working Conditions to promote and protect parental Health Reduce Child Mortality and Improve Maternal Health Through Promotion in the Workplace and healthcare Sector Combat HIV/AIDS

  9. UN Millennium Development Goals Ensuring Environmental Sustainability Integrate the Principles of Sustainable Development into Country Policies and Programs and reverse the loss of Environmental Resources TARGET Regional Plan on Workers’ Health/Health Workplaces Initiatives Linkages between Health and Labor PAHO/ILO CONTRIBUTION By 2020 to have achieve a significant improvement in the Lives of at least 100 million slum Dwellers – phase out and eradication TARGET Creation of Healthy, Safe and Decent Workplaces CONTRIBUTION

  10. WORKERS’HEALTH MANDATES 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

  11. The 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

  12. Globalization: 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 Unphysiological time schedules, sleep debt, vigilance problems Elimination of time dimension from global market < costs of storage, high flow of production Tight deadlines, psychological stress. physical overload unconventional work hours, source of flexibility: human labour Adapt to global market

  13. The Workers’ Health Plan Driving Forces Globalization, Integration, Technological Change Reform of the State, Inequities ACTION Health Policies and Legislation Quality of the Work Environment Promotion of Workers Health Comprehensive Workers’ Services Pressure Technology Transfer, Non- traditional Expoprt Production Increase Maquila State Workforce Composition, Migration, Precarious L.M, Poverty Feminization Exposure (Environmental) Psychosocial, Ergonomic, Chemical, Biological, Safety & Physical Effect Lost workdays, Occupational Accidents & Diseases, Lower Productivity, Social Costs DPSEEA Model

  14. SITUATION 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)

  15. Economic impact The Breakdown of Costs for Work-related Injuries and Diseases Injuries 14% Heart diseases 16% Musculoskeletal 40% Respiratory diseases 9% Nervous Central System 8% Others 13% Other diseases include cancer, skin diseases and mental disorders Source: ILO, 1999

  16. Regional Plan: Objectives “To improve the living conditions, health and safety at work and the well-being of the working population, in order to advance towards human sustainable development with equity and social justice. ” Actors: - International - Governmental - Labor Organizations - Private Sector - NGOs - Universities - Media - Collaborating Centers Strenghten the technical and institutional capacity

  17. Primary Prevention Secondary Prevention Tertiary Prevention Workers’ Health 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

  18. Health for All Regional Plan: Programmatic Areas Policy and Legislation Quality of Work Environment Comprehensive Health Services Workers’ Health Promotion Equity Universal Access Poverty Reduction MDG’s

  19. 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

  20. 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

  21. Agreement PAHO - ILOExtend Social Protection and Health Coverage within Excluded Groups(ESPHC) Approved by Directive Council 2002

  22. 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

  23. Healthy Workplaces Initiative (HWI) Implementation Toolkit – Validation * Development of Health Standards Nicaragua, Honduras, El Salvador and Guatemala Maquila and Floriculture SIDA-Sweden/IADB

  24. OPPORTUNITIES • FTAA 2005 • CA – NAFTA • IACMT • SICA • COMISCA • RESSCAD • PRIVATE SECTOR COORDINATION • CERSSO • SICA / IRET • ILO • IDB HWI CONSTRAINTS • POLITICAL INSTABILITY • STRIKES • NATIONAL EMERGENCIES • HRR SLOW PROCESS 8 Min. of Labor, PAHO, SICA, COMISCA, RESSCAD

  25. NETWORKS HEALTHY WORPLACE INITIATIVE PAHO/WHO - IDB - PROALCA/USAID - ILO – SIDA – USDOL -NIOSH CERSSO PLAGSALUD IRET ICAES ITCA SICA COMMISCA RESSCAD NIC M* ELS M* HON M* GUA F* National Councils of Occupational Health MoH MoE MoL ISS Network NGOs, Workers, Employers, Civil Society Health and Safety Committees INTEGRATION MECHANISMS INTERINSTITUTIONAL AND INTERSECTORIAL COORDINATION INTERPROGRAMMATIC ACTION PARTICIPATIVE PLANNING * Maquiladora (M) - Floriculture (F)

  26. AREAS OF COLLABORATION • Research •Training •Information •Outreach INTERCONNECTIVITY ECOSYSTEM APPROACH COMBIOSE QUEBEC OEA IDB CCOHS HAMILTON ONTARIO U. LEON NICARAGUA COLOMBIA SAN LUIS UNIVERSITY, GUATEMALA CERSSO, EL SALVADOR IRET PAHO COSTA RICA

  27. COLLABORATING CENTERS PAHO/WHO CCOHS Centre Hospitalier de Québec U Illinois CINBIOSE U Michigan U Mass. Lowell AREAS OF COLLABORATION • Research • Training • Information • Outreach CBNS IAPA John Hopkins U NIOSH INSAT IRET U Texas MINSA ISP FUNDACENTRO ACHS

  28. Vision Vision HISPANIC FORUM INITIATIVE Hiwsq1reih nn2 VISION Reduce the disparities in Occupational and Environmental Health Status and Services within the Hispanic Population

  29. Hispanic Forum Sponsors Memorandum of Understanding The National Safety Council National Higway Traffic Safety Administration Pan American Health Organization HISPANIC FORUM OAS (IACD-ESDU) The Environmental Protection Agency Occupational Safety and Health Administration National Alliance for Hispanic Health

  30. 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 Work Related Fatalities are Projected to Keep rising without preventive interventions

  31. NATIONWIDE NETWORK: AN INVITATION TO JOIN AND SUPPORT Hispanic Forum 3M US-Mexico BHA NIOSH Communications Workshop PAHO Summit of the Americas-OAS NSC Puerto Rico OSHA Interconnectivity and Support

  32. Border Issues

  33. 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.

  34. Occupational Health Promotion in the Health Sector Physical Hazards Chemical Hazards Biological Hazards Org. & Psychological Hazards • High Burden of Disease attributable to Occupational Environment • Health Systems’ Lower Performance Healthcare Sector in LAC >7 million workers, gender and labor inequities, Scarcity of Data Assessing the Situation PAHO Series of Manuals for the Healthcare Sector In Preparation: Manual for Managers Proposing Interventions Empowering and Learning PAHO “Learning Projects” Awareness raising , Mobilizing, Capacity building

  35. INTER-AGENCY SUPPORT PAHO - OAS • Portfolio of Consolidated Programs • Hemispheric Workshop. CERSSO • Workshop of Leadership on Occupational Safety and Health • Alliances and Innovations for Development: Corporative Social Responsibility • Self instructive course on Occupational Health and Safety • Agreement with the European Agency of Safety and Health at Work

  36. www.oea-ue-sso.or www.oas-eu.ohs.org

  37. Risk Evaluation and Occupational Surveillance Srengthening of Occupational Hygiene, Ergonomics, Toxicology, etc. UCLA Queens D.C. NIOSH Cuba Injuries English Caribbean Plagsalud: TCC Back pain University of Stockholm Ecotoxicology Lulea University of Technology Center for Ergonomics for Developing Countries (CEDC) Pesticides Injuries

  38. OCCUPATIONAL SURVEILLANCE Canada Compensation System USANIOSH BrazilSUS VenezuelaSUAVIDERO/WIZARD ChileSAISO Cuba Chile, Jamaica, Mexico Injuries Central America PLAGSALUD Indicators Guidelines 2004 Regional Meeting2000 Experts Meeting1999

  39. Strategic Alliances Health and Labor Implications for 2005 IV Summit of the Americas XIV IACML Preparatory Meeting for Summit Argentina June 2005 Directing Council September 2004 (Proposal Strategic Alliance Health-Labor) XVII WSC

  40. 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) Next Steps

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