1 / 12

OEH Training Summary Thoughts Hong Kong 29 October 2013

OEH Training Summary Thoughts Hong Kong 29 October 2013. Thomas H Gassert MD MSc Harvard School of Public Health. OEH Diagnosis and Causation. Two steps: Medical diagnosis requires quality OEH training Causation (work related, or not) should be an impartial judgment

tawny
Download Presentation

OEH Training Summary Thoughts Hong Kong 29 October 2013

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. OEH Training Summary ThoughtsHong Kong29 October 2013 Thomas H Gassert MD MSc Harvard School of Public Health

  2. OEH Diagnosis and Causation • Two steps: • Medical diagnosis requires quality OEH training • Causation (work related, or not) should be an impartial judgment • Need to use subject and group information • Epidemiology, toxicology, risk assessment • Understanding work place and job imperative • Causation is a judgment (more probable than not): • Strength of association • Consistency • Specificity • Time relationship • Biological gradient • Biological plausibility • Coherence (synthesis of evidence) OEH Summary Thoughts

  3. Obstacles for Parties to OEH OEH Summary Thoughts

  4. OEH Motivation & Advantages OEH Summary Thoughts

  5. Approaches – Two? • Obstacles are serious • Two approaches • Root levels, subtle but strong, holistic, integrated, from bottom-up • Choose motivated partners from all parties • Start with work-site OEH skills (e.g., safety reps) • Empower workers with knowledge of OEH recognition, diagnoses and how to relate with OSH profs and medical • Emphasize training primary care in OEH • Public • Campaigns, expert and grassroots publications, ratings, media, handbooks (Hesperian style), videos • Call out abuses and reward good practices using science and experts (medical and legal) OEH Summary Thoughts

  6. Projects - ? • Signed resolution stating need for training • Identify rapid and practical ways to integrate OEH training locally with existing PHC services • Complete baseline needs assessment, nation-by-nation (publish and post) • Assemble an interim international OE medical panel to assist urgent cases and disasters OEH Summary Thoughts

  7. Possible Solutions • Root work to educate all parties • OEH/OSH prevention skills (1, 2, 3 levels) • Technical skills and knowledge transfer • Shop floor • Medics, hygienists, engineers, managers, gov’t workers • Raise legal (labour and OEH law) and medical standards • OD diagnoses (see WHO handout from Finland) • Access to health care and primary prevention experts • Accreditation/certification of medical teams • Integrate and embed OEH training in primary care service • Consider Taiwan NODIS internet OD reporting system as it has had significant boost to OD diagnosis and compensation (see handout article from IJOEH 2013) • Bring “value-added” achievable projects to funders • Funds will come if payors see value-added (benefits outweigh costs) • Establish new generation of OEH specialists by having national capacity building in OEH training, certification and materials OEH Summary Thoughts

  8. WorkSite Technical Training • Walk-through survey and checklists • OSH committee (labour and management) • Periodic inspections • Access to experts and records/reports • Occupational hygiene, safety manager, consultant • Nursing, Rehab, Medical • Worker has right to his/her medical and exposure records • Hazard Communication tools, access • Barefoot epidemiology • Each case • Group applications OEH Summary Thoughts

  9. Final Thought • Training and Funding • Jump start for OEH at all levels • Eliminate costs and financially support those being trained in OEH skills/knowledge • Use international support to eventually build national competencies/capacity • New Generation Univ – U. British Columbia linked with superior programs for certifications (Harvard, U.I. Chicago, U. Wash., others) • Work with Partners in Health to create Partners in Occupational & Environmental Health • Realize human rights to OEH • Access funding from World Bank for team training OEH Summary Thoughts

  10. 17 Ways NextGenU Differs from MOOCs* and Traditional Education • Credit • Free • Financial sustainability • Higher level education • Best available resources • Coordinated curriculum • Competency-based foundation • Multiple languages • Extensive human interactions • Interactive computerized learning • Extensive computer and human assessment • Open use • Customizable • Active educational partnerships • A new way to teach • Open research policy • Warm prestige *MOOCs=Massive Open Online Courses

  11. Seek Free Methods 4 Freedoms • Cost • Barriers • Ads • Carbon New Gen U Partnerships OEH Summary Thoughts

  12. Motivation • Feel impowered • Feel motivated • Try not to feel overwhelmed • Seek global support, partners • Integrate environment with occupational • There’s no turning back! OEH Summary Thoughts

More Related