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PAN AMERICAN HEALTH ORGANIZATION Pan American Sanitary Bureau, Regional Office of the

PAN AMERICAN HEALTH ORGANIZATION Pan American Sanitary Bureau, Regional Office of the WORLD HEALTH ORGANIZATION. XIII INTERAMERICAN CONFERENCE OF MINISTERS OF LABOR. SEPTEMBER 24 TO 26, 2003 SALVADOR, STATE OF BAHIA BRASIL. DR. LUZ MARITZA TENNASSEE. Inter–American System.

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PAN AMERICAN HEALTH ORGANIZATION Pan American Sanitary Bureau, Regional Office of the

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  1. PAN AMERICAN HEALTH ORGANIZATION Pan American Sanitary Bureau, Regional Office of the WORLD HEALTH ORGANIZATION XIII INTERAMERICAN CONFERENCE OF MINISTERS OF LABOR SEPTEMBER 24 TO 26, 2003 SALVADOR, STATE OF BAHIA BRASIL DR. LUZ MARITZA TENNASSEE

  2. Inter–AmericanSystem PAHO as a Specialized Agency of the UN and theInter–American System Specialized Agency of the Organization ofAmerican States UN System PAHO Regional Office of theWorld Health Organization Office of External Relations

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

  4. Organization of American States Globalization: impact on work III Summit of the Americas 2001 XII Inter-American Conference of the Ministers of Labor October 2001 • Declaration and Plan of Action (OAS, ILO, PAHO, IDB, WB, ECLAC)

  5. UN Millennium Development Goals Relation to Workers’ Health CONTRIBUTION: GOALS: Synergy with Labor and Health Ministers, Private Sector, NGOs Unions to Create and Maintain a Healthy Workplaces Eradicate Extreme Poverty and Hunger Basic Skills for Women to Improve Housing and Working Conditions 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

  6. 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

  7. 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

  8. Guatemala Dominican Republic • Accidents decreased to zero • Absenteeism decreased from 5% to 1% • Turnover of Personnel 45% - 12% • Absenteeism 80% • Operation costs 30% • Global efficiency 48%- 80% • Staff increase 30% • Production 350% • Return on investment 372% (costos/beneficios)!!! …the consequences of investing in health and safety...

  9. The Regional Plan on Workers’ Health Strategic and Programmatic Orientations 1999-2007 Resolution DC XIII 1999 Strategic Plan 2003-2007 Inter-disciplinary Transnational Intersectoral Human Sustainable Development

  10. Regional Plan on Workers Health Actors: - International - Governmental - Labor Organizations - Private Sector - NGOs - Universities - Media - Collaborating Centers “Improve the living conditions, health and safety in the workplace, and the well-being of the working population, to advance towards human sustainable development” Policy and legislation Comprehensive health services Quality of work environment Workers’ health promotion STRATEGIC AREAS

  11. 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

  12. DRIVING FORCES GLOBALIZATION I N T E G R A T I O N P R O C E S S E S … and Free Trade, Reform Processes, Labor Flexibilization

  13. PRESSURESNew Technologies:Biotechnology and Genetic Engineering

  14. Transfer of TechnologyIndustrial Free-Tariff Zones: Maquilas - 2nd largest source of foreign exchange in Mexico - 70% are U.S. owned - Fastest growing sector of the economies of Mexico and Central America - Chemical hazards: xylene, ethyl benzene, methylene chloride, acetone, toluene.

  15. MAQUILA SECTOR IN CENTRAL AMERICA • Increased Migration • 70%-80% Women • Chronometric control • Piece-work wages • Labor instability • Sexual harassment • Unhealthy environment and poor dwellings

  16. STATE Informal Sector

  17. • Ergonomic • Biological • Physical • Chemical • Psychosocial EXPOSURERisk Profiles

  18. EFFECTSImpact of Occupational Injuries and Diseases 36 Injuries/minute 5 Million/year 90,000 Fatal injuries/year 300 Deaths/day 9%-12% of GDP in LAC

  19. • Income below basic needs level: 20%-40% Salaried workers • Occupational health services: 30% of formal sector • Mortality rate non-professionals/professionals: 3:1 • Fatal occupational injuries LAC/USA: 3:1 • Mortality of Hispanics in USA (construction): + 40% • Higher impact: children, women, migrants, elderly, indigenous LABOR INEQUALITIES

  20. SocialInjusticeSyndrome Unemployment Homicides Suicides Violence Occupational Cancer Alcoholism and Substance Abuse Reproductive Problems Occupational Stress Infectious Diseases Musculoskeletal Disorders Poisoning Accidents and Injuries Cardiovascular Diseases Hearing Loss Respiratory Problems

  21. HEALTHY WORKPLACES - New Working Culture - Personal and Collective Development - Public Participation - Improvement of Working and Community Environments Brazil Industrial SectorSESI Informal Sector Central America • Agreement PAHO-8 Ministers of Labor • CARICOM 19 COUNTRIES • IDB• DOL (USA) Hispanics in USAEPA, NSC,OSHA, NAHH Regional Global network (HECONET) • Network of Collaborating Centers: Chile - Canada- Colombia Workers’ Health Promotion

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

  23. INTER-AGENCY SUPPORT PAHO - AOS HORIZONTAL COOPERATION CONSOLIDATED PROGRAMS

  24. Comprehensive Services Agreement PAHO - ILO Extend Social Protection and Health Coverage within Excluded Groups Organize Pilot Projects. Project FASBASE - PAHO - World Bank Conceptual Framework Coordination: • Ministers of Health • Municipalities • Public and Private Social Security • Companies • NGOs • Workers’ Clinics Development of Training Guides www.cepis.ops-oms.org

  25. PROGRAM ON WORKERS’ HEALTH, GENDER AND EQUITY - New working culture - Personal and collective development - Public participation - Improvement of working and community environments PAHO, Min. of Labor, SICA, COMISCA, RESSCAD

  26. DEVELOPMENT OF TOOLS TO FACILITATE THE IMPLEMENTATION OF THE INITIATIVE = HEALTH STANDARDS

  27. OCCUPATIONAL HEALTH STANDARDS . Objectives Levels IMPROVE THE WELL-BEING AND PRODUCTIVITY OF THE LABOR FORCE AND OF SOCIETY REGIONAL & SUB-REGIONAL NEGOTIATE FAVORABLE WORKING CONDITIONS WITHIN INTEGRATION AND FREE TRADE PROCESSES PROVIDE A BASIS FOR THE FORMULATION OF PUBLIC POLICY, LEGISLATION AND ADVOCACY STRENGHTEN THE CAPACITY OF COUNTRIES TO PROMOTE AND PROTECT WORKERS HEALTH NATIONAL STRENGTHEN THE CAPACITY TO IMPLEMENT WORKERS HEALTH STANDARDS AND TO PROMOTE PREVENTIVE PROGRAMS SECTORAL PROMOTE FOLLOW-UP MECHANISMS FOR WORKERS HEALTH ENSURE THE WORKERS RIGTHS TO INFORMATION AND PARTICIPATION WORKPLACE

  28. PAHO/WHO - IDB - PROALCA/USAID - ILO - SID NIC M HON M COR M/F PAN F BEL M ELS M DOR M. GUA F National Country Projects Workers’ Health Standards Maquiladora (M) - Floriculture (F) INTEGRATION MECHANISMS INTERINSTITUTIONAL AND INTERSECTORAL COORDINATION INTERPROGRAMMATIC ACTION PARTICIPATIVE PLANNING IRET ICAES ITCA RESSCAD MASICA (PLAGSALUD) SICA COMMISCA ... National Councils of Occupational Health MoH MoE MoL ISS Network NGOs, Labor, Employers, Civil Society Health and Safety Committees

  29. PAHO/WHO COLLABORATING CENTERS COMBIOSE QUEBEC OEA IDB CCOHS HAMILTON ONTARIO AREAS OF COLLABORATION • Research •Training •Information •Outreach U. LEON NICARAGUA COLOMBIA SAN LUIS UNIVERSITY, GUATEMALA CERSSO, EL SALVADOR IRET PAHO COSTA RICA FUNDACENTRO

  30. Healthy Workplaces Toolkit Nicaragua, Honduras, El Salvador and Guatemala Maquila and Floriculture PAHO- ILO - DoL (CERSSO)

  31. The novelty of this toolkit - HWI-: Seeks to strengthen the active participation of people involved in workplaces: that is, workers and employers who execute most of the activities, which are monitored by a team of facilitators.

  32. Health of Hispanic Workers TOPICS • Inequities • Environmental Justice • Migrant Workers • Border Health ACTORS • EPA, OSHA, NIOSH (public sector) • NSC, 3M (private sector) • National Alliance for Hispanic Health (NGOs) • PAHO, ILO, NAALC (international organizations)

  33. HEALTHY HOTELS & OCCUPATIONAL HEALTH IN THE REFORM OF THE HEALTH SECTOR

  34. WELL-BEING SOCIAL JUSTICE HEALTH WORKERS’ HEALTH SOCIAL JUSTICE Basic Rights, Working Conditions, Safety and Health, Occupational Health Services

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