3-5 November 2009 Düsseldorf , Germany

1. The Economic Crisis and Safety and Health at Work - Global and European Trends 3-5 November 2009 Düsseldorf, Germany Jukka Takala Director

2. Summary • Safety and Health Trends and Facts in Europe and in the World • Pan-European Opinion Poll on Safety and Health at Work • Economic Crisis and it’s impact on working conditions • Better data, attributable fractions, national surveys and studies on all work-related safety and health issues required • Economic factors • Good practices and campaigns, Risk Assessment, Napo for Chemical labelling and other future issues

3. Protecting worker health in a globalised but increasingly fragmented world…

4. … needs better integrated OSH prevention and information systems

5. Safety and Health Trends in Europe and in the World

6. Work-related Annual Deaths – World Sources: Hämäläinen P, Takala J, Saarela KL; TUT, ILO, EU-OSHA, 2008

7. Work-related Annual Deaths – EU-27 Sources: Hämäläinen P, Takala J, Saarela KL; TUT, ILO, EU-OSHA

9. EU Accident Fatality Rate Standardised* Incidence Rate of fatal accidents at work /100,000 workersin Europe by member state, 2006 (source:EUROSTAT) http://www.hse.gov.uk/statistics/european/fatal.htm

10. U.K. Data – Model for others? www.hse.gov.uk/statistics/history/index.htm • Key facts 2006 – Key Facts 2007 • • 2.0 million people were suffering from an illness they believe was caused or made worse by their current or past work. 2.1 million in 2007 • • Musculoskeletal disorders were by far the most common with 1 020 000 people suffering – 1 144 000, followed by stress, depression or anxiety with 420 000 people - 530 000. • • 523 000 were new (incidence) cases of work-related illness 646 000. In terms of people working in the last 12 months, this equates to a rate of 1600 per 100 000 people – 2100/ 100 000. • • Stress, depression or anxiety and musculoskeletal disorders accounted for a large proportion of new cases, 195 000 and 190 000 respectively – 247 000 and 245 000. • • 299 000 non-fatal reportable injuries occurred – 274 000, a rate of 1100 per 100 000 workers – 1 000/ 100 000. • • 30 million working days were lost overall - 36 million (1.3 days per worker 1.5/ worker), 24 million due to work-related illness – 30 million and 6 million due to workplace injury – 6 million.

11. Magnitude of non-fatal work-related illnesses Source: http://epp.eurostat.ec.europa.eu/portal/page/portal/product_details/publication?p_product_code=KS-SF-09-063

12. Magnitude of non-fatal work-related illnesses and accidents Expected 678,803, reported 872, 610 accidents in Spain, ILO 2003 680 000 accidents in Spain, LFS 2007 More than 1.1 million in Spain, LFS 2007

13. 8,6% of workers in the EU-27 experienced a work-related health problem

14. Limitations in everyday activities Sickness absence > 1 month Outcomes of main work-related health problems EU-27, percent of those who reported problems

15. OSH exposure trends – Europe,Established Market Economies • Exposures and attributable fractions (AF) for work- related mortality • Work-related cancer AF=8.4% (13.8 male, 2.2% female) • Asbestos, Europe: first up -2015 then down; lung cancer and mesothelioma AF=15% (Australia), 12.2% (Finland) • External tobacco (passive) smoke, lung cancer and circulatory diseases, many countries up, some others down, AF lung cancer =2.0-4.0% • Fatal accidents, stable or slight decrease • All accidents, down (target 25%), but baseline unclear for many countries • Circulatory diseases, AF=12.4% (14.4% m, 6.7% f) • Absenteeism, depending on criteria, trend up, ca. 5% • Work disability pensions, up increase, in particular, caused by psychosocial factors and MSDs

16. Pan-European opinion poll on occupational safety and health

17. Decisive factors when looking for a new job – EU27 • If you were deciding whether to take a new job, which of the following aspects would most influence your decision • Safe and healthy working conditions

18. Work as a cause of ill health – EU27 • In general, to what extent do you think that ill health is caused by the job people have?

19. Development of safety and health risks – EU27 • Do you think that over the last 5 years health and safety at work in your country has got…? Pan-European opinion poll on occupational safety and health – June 2009 Percent Difference to 100 percent: worse / much worse / don´t know / no answer; Universe: population aged 18+

20. Better data, attributable fractions, national surveys and studies on all work-related safety and health issues required

21. Adapting to a changing target group Economic structure Tertiarisation: usually implies fewer accidents but more psychosocial factors and MSDs Employment structure Part-time, seasonal, temporary agency work, subcontracting, self-employment, tele-work Legislation and best practice e.g., to encourage the integration of people with disabilities at work requires more attention to workers’ health status (including chronic diseases) …about 50% of the reduction in non-fatal injury rate since 1986 is due to changes in occupations… Globalisation leads to structural change that automatically improves accident statistics – in the EU and other EME countries

22. Major causes of death by age group, EU-25, 2001

23. Work-related cancer Self-reported work-related illness and workplace injuries in 2006/07: Results from the Labour Force Survey http://osha.europa.eu/en/OSH_world_day/occupational_cancer

24. Attributable Fractions, 2008, lung cancer • ETS (passive smoking) at work: RR (relative risk)= 1.24 (CI 1.18- 1.29, meta-analysis 22 studies, Stayner & others AJPH Jan 2007), for both m/f Exposed in EU = 24.9% of male workers, 14.1 female workers (EUROFOUND Dublin 2007) AF = (1.24-1)/1.24 x 0.249 = 4.8% for males, (used 3 %) AF = (1.24-1)/1.24 x 0.141 = 2.7% for females, (used 2 %) • Asbestos and tobacco smoke (active smoking): Asbestos alone RR = 2 - 5, smoking alone RR = 8-10, Combined RR = 50-80 AF = 50-1/50 x exposed, used AF = 14.0% men, AF = 0.6% women Combined low fiber exposure, low ETS exposure, huge group of exposed AF=?

25. OSH exposure trends – Europe and other Established Market Economies • Exposures and attributable fractions (AF) for work- related mortality • Work-related mortality AF = 6.7% of all deaths are attributed to work AF = 10.2 % male AF = 2.1 % female

26. Magnitude of problem Work disability pensions in Finland • 11% of those employed, main diagnosis: • mental disorders: 42.1 % of males, 46.1 of females • musculoskeletal disorders: 21.6 % of males, 26.8 of females: 42.3 % of males, 46.3 of female disability pensions 21.7 of male , and 27.0 of female disability pensions All retired of ages 16-64 years: 17.7% of those employed Absenteeism: ca. 5% Unemployment: 6.4 % of work force (today some 8%) Out of work: some 25% , this figure can be radically reduced by targeted action to improve work and working conditions

28. Economic Factors and Impact of the Crisis on Safety and Health

29. Impact of the Economic Crisis – UE27 • Do you expect or not that safety and health conditions at work in your country might deteriorate due to the economic crisis?

30. Impact of the Economic Crisis

31. Cost of injury and illness, Australia, March 2009 5.9% of the GDP in Australia Calculation by Australian Government, source: http://www.ascc.gov.au/ http://www.ascc.gov.au/NR/rdonlyres/6F97309C-9A36-43DD-975C-B476A1752AB3/0/CostsofWorkRelatedInjuryAndDisease_Mar2009.pdf

32. Good practices and Campaigns, Risk Assessment, NAPO for Chemical Safety, and Other Future Issues

33. European Campaign on Risk Assessment • Risk assessment is the cornerstone of managing health and safety in the workplace • We need to demystify it • We need to show people how to do it • We need to remind people that there is a legal obligation to carry it out • We need to emphasize that it is an ongoing process

34. “Reduce burden on business” - Stoiber Group:no written RA report – exemption for SME’s

35. Healthy Workplace Initiative – Campaign Available in 14 languages: English + 12 new Member States + Croatian http://hwi.osha.europa.eu/about/material/rat2007

36. Online RA tool consist of • Free interactive software; • Sector-specific; • Checklist with additional information; • Automatic generation of “to do” lists and plans of measures; • Automatic action plan could include: hazards, actions, sorting on priority, person in charge, deadlines, updateable status, …; • An option to include additional risks to the assessment on issues/hazards not covered by the questions. • Mobile component

37. Online RA tool consist ofMobile component

38. Thank you More information at: Website http://osha.europa.eu/ Risk assessment campaign website http://hw.osha.europa.eu/ information@osha.europa.eu http://osha.europa.eu/en/blog