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The EuroWorksafe Service Impact on Occupational Cancer Prevention in Bulgaria

This article discusses the impact of the EuroWorksafe service on occupational cancer prevention in Bulgaria. It highlights the main causes of cancer incidence in the country and the occupational exposures to carcinogens. The article also examines the national legislation on protection of workers from risks related to exposure to carcinogens and mutagens at work.

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The EuroWorksafe Service Impact on Occupational Cancer Prevention in Bulgaria

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  1. The EuroWorksafe Service Impact on the Occupational Cancer Prevention in Bulgaria Dr. Ekaterina T. Mirkova Elena Alexandrova, Nadezhda Todorova National Center of Public Helath Protection, Sofia, Bulgaria EWS Workshop “Prevention and Occupational Cancer: Communication & IT”, February 14, 2008, Genoa, Italy

  2. National Center of Public Health Protection Sofia, Bulgaria

  3. NCPHP is a scientific and specialist organization of the Bulgarian Ministry of Health on public health protection and promotion. The NCPHP main activities refer to the research and development for prevention, diminishing or elimination the health risk related to the adverse effects of the environmental and occupational factors, food and nutrition and unhealthy lifestyle; education and dissemination of information in the field of public health protection, workplace and environmental health and safety and risk assessment, incl. cancer risk assessment and prevention; health promotion and integrated diseases prevention. Director of the NCPHP Prof.Dr.Lyubomir Ivanov, Ph.D., D.Sc National Center of Public Health Protection Sofia, Bulgaria

  4. Professor Dr. Liubomir Atanasov Ivanov, DSc is the Director of the National Center of Public Health Protection (NCPHP). The Director of the NCPHP, Prof. Dr. Liubomir Ivanov, DSc is the National Consultant to the Ministry of Health on social medicine and health management, deputy chairman of the Higher Medical Council at the Ministry of Health. Prof. Ivanov has been working as WHO Advisor at the Ministry of Health of Georgia, special representative of the WHO Regional Director for Europe in Tadjikistan and chief coordinator of the UN on medical aid during the humanitarian campaign in Afghanistan. Prof. Ivanov is the author of more than 170 scientific publications in the field of public health care, including 16 monographs in English, French, Russian and Bulgarian. He has been cited in WHO editions, "Biosys" information system, Bulgarian, German, Hungarian and other international publications.

  5. Main Causes of Death in Bulgaria (2006)

  6. PERCENTAGE DISTRIBUTION OF CANCER INCIDENCE IN MALES BULGARIA 2004 PERCENTAGE DISTRIBUTION OF CANCER INCIDENCE IN FEMALES BULGARIA 2004

  7. The transitional period with economic recession accompanied by insufficient resources for: improving old technologies renovating worn-out equipment Serious deterioration of OSH at work with carcinogens in high risk industrial sectors: mining; metallurgy; chemical and petroleum industry; rubber manufacturing; coke production Occupational Exposures to Carcinogens in Bulgaria in late 1980s

  8. Occupational Exposures to Carcinogens in Bulgaria (1990)

  9. Occupational Exposures to Carcinogens in Bulgaria (1990)

  10. Highly increased levels of workplace exposure to human carcinogens – Group 1 (IARC); Cat.1 (EU) In 65% of chemical industry enterprises air concentrations of carcinogens (TWA, 8hr) exceeded the respective national OEL Values (in times): 100  Cr, hexavalent; lead; vinyl chloride; 10  benzene; Cd; up to 10  benzo(a)pyrene; Al. Data on occupational exposure to carcinogens not systematically collected Occupational Exposures to Chemical Carcinogens in Bulgaria (1990)

  11. Action Plan in the health strategy’s key thematic area: “Cancer” Portfolio of measures to minimise by 25% up to 2010 the premature cancer death rates in the age group <60 yrs, incl. implementation of effective OSH measures to prevent and minimise workplace-related cancer risks. Bulgarian Ministry of HealthNational Health Strategy, 2001“Better Health for Better Future of Bulgaria”

  12. Transposition of the Council Carcinogens Directives 90/394/EEC, 97/42/EC and 1999/38/EC into the national law: Ordinance No 10 of 26 September 2003 on the protection of workers from risks related to exposure to carcinogens and mutagens at work Council Carcinogens Directive 2004/37/EC is nottransposed into the national law Transposition of the Council Asbestos Directives 83/477/EEC, 91/382/EEC and 2003/18/EC into the national law: Ordinance No 9 of 04.08.2006 on the protection of workers from risks related to exposure to asbestos at work National Legislation on Protection of Workers from Risks Related to Exposure to Carcinogens and Mutagens at Work

  13. Transposition of the Council Chemical Agents Directive 98/24/EC into the national law: Ordinance No 13 of 30.12.2003 on the protection of workers from risks related to exposure to chemical agents at work OELVs set up for 27 occupational carcinogens of Cat.1 and 2 manufacture and industrial use of 4 aromatic amines banned (2 NAPH, benzidine, 4 aminobiphenyl and their salts; 4 nitrobiphenyl) biological limit values set up for 5 occupational chemical human carcinogens (benzene, vinyl chloride, Ni, Pb, Cr) National Legislation on Carcinogens(Cont’d)

  14. Bulgarian Industrial Enterprises and Workforce (2002)

  15. Manufacture of carcinogens in Bulgaria ~ 189000 tonnes/yr of chemical carcinogens (benzene, bitumen, ethylene oxide, formaldehyde, acrylnitrile, divinyl, styrene etc. ~ 60 tonnes/yr of asbestos Industrial use of carcinogens in Bulgaria 82000 tonnes/yr of chemical carcinogens 50 tonnes/yr asbestos 1155 enterprises of high OSH risk at work with dangerous substances, incl. carcinogens 3880 employees with workplace exposure to chemical carcinogens and asbestos dust Occupational Exposures to Carcinogens in Bulgaria (2000-2003)

  16. 7 national inspection campaigns for OSH at work with dangerous substances, incl. carcinogens and mutagens carried out in industry sectors at risk (chemical industry, metallurgy), 2000-2003: Positive trend observed in implementation of good practices for workplace carcinogen exposure prevention and reduction in some large companies: Cessation of chemical carcinogens manufacture benzene, vinyl chloride, azo dyes; antioxidant Neoson “D” use in the rubber industry ceased; Cessation of asbestos production and use, manufacture of asbestos-cement, asbestos-textile products and asbestos insulations; asbestos-containing friction goods’ manufacture substantially reduced Regulatory Control of Compliance with Provisions of the National Legislation on OHS at Work with Carcinogens and Mutagens: The Executive Agency “Chief Labour Inspectorate”

  17. Major shortcomings observed in complying with essential employers’ duties under the national OHS legislation on carcinogens, particularly in SME, as regards: occupational cancer risk assessment, prevention, risk management and intervention; effective OHS policy implementation at work with carcinogens. Substantially increased levels of workplace exposure to carcinogens, exceeding national OELVs recorded (benzene, formaldehyde etc.) Regulatory Control of Occupational Carcinogens: The Chief Labour Inspectorate Activities(Cont’d)

  18. The main reason for low levels of legislation compliance in SME: lack of knowledge of occupational cancer risks and applicable regulations, due to lack of specific and comprehensive information and guidance poor skills in occupational cancer risk management and implementation of risk intervention programmes lack of adequate occupational training of managers and workers in workplace-related cancer risks prevention and workers protection Regulatory Control of Occupational Carcinogens: The Chief Labour Inspectorate Activities(Cont’d)

  19. NCPHP Final EWS Service Validation Trials

  20. NCPHP Final EWS Service Validation Trials: Scientific Users

  21. NCPHP Final EWS Service Validation Trials: Industrial Users

  22. Promotes the development and implementation of a national strategy for occupational cancer prevention Guarantees proper implementation of the EU legislation on carcinogens in the national law ensure updating of existing national OHS legislation on carcinogens and enhance its implementation in practice The EWS Service Impact on Occupational Cancer Prevention in Bulgaria: Key Issues

  23. Offers a comprehensive information of: EU Carcinogens Directives and adopted amendments; EU Member States Regulations on carcinogens and OHS legislation on workers protection from occupational cancer risks; Guidances to practical implementation of the carcinogens legislation in force and of the new EU chemicals legislation REACH and GHS as related to regulation of carcinogens; EU and EU Member States OELVs for control of workplace carcinogen exposures; Guidance to setting OELVs for carcinogens. The EWS Service Impact on Occupational Cancer Prevention in Bulgaria: Key Issues(Cont’d)

  24. Supports defining national priorities for intervention strategies to prevent and minimise occupational exposure to carcinogens and reduce future burden of occupational cancer in Bulgaria, promoting: National profiling exercise for: the nature and extent of use of, and workplace exposure to chemical carcinogens, and management of risks from exposure to chemical carcinogens in current workplaces in Bulgaria, in order to target the sectors and companies at increased workplace-related cancer risks The EWS Service Impact on Occupational Cancer Prevention in Bulgaria: Key Issues(Cont’d)

  25. Supports mainstreaming of occupational cancer prevention policy in other national policy areas: Education better information, raising occupational cancer risks and prevention awareness; improved occupational training for more effective workers protection from workplace-related cancer risks. The EWS Service Impact on Occupational Cancer Prevention in Bulgaria: Key Issues(Cont’d)

  26. Research setting joint priorities for national public health and research institutes to include key OHS issues of work with carcinogens and mutagens in their research programmes Supports the development of national occupational cancer prevention promotion campaigns The EWS Service Impact on Occupational Cancer Prevention in Bulgaria: Key Issues(Cont’d)

  27. Cover the industry needs for: specific and comprehensive information and guidance on all key areas of workplace-related cancer risk assessment; prevention and risk management, as well as for, easy access to specific, sector and workplace-oriented, professional advise and quality consultancy on-demand with a view of closing the know-how gap and providing companies with well-adapted practical occupational cancer risks prevention and risk management solutions The EWS Service Impact on Occupational Cancer Prevention in Bulgaria: Industry

  28. Supports SME in the implementation of: the national OHS legislation on carcinogens in force and its established prevention practices, ensuring high levels of compliance for adequate workers protection by, the provision of up-to date specific, easy to understand and apply information and guidance on how to introduce systematic workplace-related cancer risk assessment, prevention and risk management The EWS Service Impact on Occupational Cancer Prevention in Bulgaria: SME

  29. Good practices; Guidelines on assessment of occupational exposures to carcinogens; Guidance documents on cancer risk assessment for different occupations; Recommendations for developing risk intervention programmes. Guidances on occupational cancer risk prevention and management

  30. Supports SME in: the implementation of the OHS policy at work with carcinogens aimed at encouraging employers to adopt health-focused preventive approaches and promoting healthy attitudes among employees Supports occupational cancer prevention promotion campaigns, incl.: occupational cancer risk awareness-rising campaigns in specific risk industry sectors to promote OHS management at work with carcinogens in high-risk SME. The EWS Service Impact on Occupational Cancer Prevention in Bulgaria: SME(Cont’d)

  31. Provision of guidances, professional advice and on-demand consultancy to help stakeholders understand their task and fulfill their duties under the new EU chemicals regulation “REACH” Guidance to successful REACH implementation REACHing the workplace: industry obligations; risk assessment in REACH and in workers protection legislation; substitution in REACH authorisation. The EWS Service Impact on Occupational Cancer Prevention in Bulgaria: Meeting the Specific Information and Consultancy Needs of Industrial Users

  32. REACH: Challenge for Industry Technical Guidance Documents and supporting IT tools provided Authorisation applications concerning the control of risks from SVHC, incl. liable to workplace exposure control Carcinogens and Mutagens Cat.1 and 2, and their safe replacement The EWS Service Impact on REACH Implementationin Bulgaria

  33. Guidance documents on: GHS Regulation (re-classification) Assessment of differences between current system of classification and labeling of hazardous chemicals, incl. carcinogens and mutagens and GHS; Analysis of the GHS compatibility with REACH requirements. The EWS Service Impact on GHS Implementationin Bulgaria

  34. EMF and Human Health: Cancer The EWS provides evidence-based information on possible cancer risks from exposure to: RFR – wireless communications (mobile phones, base stations) ELF – high voltage power lines; increased risk of childhood leukaemia(IARC, 2B Gr.) IF – increasing exposure due to new and emerging technologies; need of proper cancer risk assessment Static magnetic fields – occupational exposure to MRI equipment personnel and need of cancer risk assessment The EWS Service Meeting Specific Information Needs of Industrial Users

  35. The EWS provides guidances to implementation of OHS regulations of exposure to EMF and workers protection Guidelines for the assessment, measurement and calculation of workers exposure to EMS and risk assessment; EMF exposure monitoring and compliance measurements; occupational exposure limits; EMF risk communication strategies and risk management. EMF and Cancer: From Science to Safer Workplaces

  36. Thank you for your attention ! Please visit: www.euroworksafe.eu

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