Workers’ Health in the Region of the Americas

1. Workers’ Health in the Regionof the Americas REGIONAL PLAN

2. Worker’s Health Resolution XIV 1990 • Strategic and • Programatic • Orientations • 1999-2002

3. Current Situation Trends Inequities Institutional Vacuum Worker’s Health Response Regional Plan of Workers’ Health

4. Worker’s Health ECONOMIC DEVELOPMENT HEALTH WELL-BEING ENVIRONMENT • Human Sustainable Development

5. Economically Active Population (EAP) • EAP Region • EAP USA and Canada • EAP Latin America and Caribbean 351 millions 100% 150 Millions 42.5% 201 Millions 57.5%

6. Determinants factors GLOBALIZATION INTEGRATION PROCESS Labor Market - Income Work Organization REFORM PROCESS Labor Force Composition Occupational Risks

7. Work Profiles • Transitional Economies • - Multinationals Corporations • - Medium - Small Industries • - Informal Sector • 51.6% Informal Sector • 20- 40% Incomes below cost of basic Market Baket • 8.5% Unemploment

8. Social - Environmental - SanitaryInequities • * Income differences rich/poor: 20:1 • * Formal Sector with Occupational Services: 30% • * Informal Worker: • > Risks • < Income • < Protection • < Access • * High Risk groups: Women, Children, Migrants, Indigenous, Elderly

9. Profile of the Working Woman • Participation Rate 45% • Women labor force remunerated 30% • Informal Work 30-50% • Average hrs/week 80 • Salary Difference Men-Women 40-71%

10. - LAC 15 millions (OIT) - USA 4 millions (OIT) - 20% children 10-14 years old working Profile child labor (UNICEF)

11. Risk Profiles • • Ergonomic • • Biological • • Physical • • Chemical • • Psychosocial

12. Drug abuse Atmospheric pollution High-risk sexual behavior Employment Tobacco use Lack of physical activity Malnutrition Malnutrición Alcohol consumption Poor access to drinking water and unhealthy sanitation Hypertension 0 50 100 150 200 250 0 50 100 150 200 250 Risk profiles Number of deaths

13. Atmospheric pollution Hypertension Lack of physical activity Tobacco use Malnutrition Poor access to drinking water and unhealthy sanitation Drug abuse High-risk sexual behavior Employment Alcohol consumption 0 1000 2000 3000 4000 5000 6000 7000 0 1000 2000 3000 4000 5000 6000 7000 Risk Profiles Years of Life with Disability

14. Impact: OccupationalInjuries • • 36 Injuries/minute • • 5 Million /year • • 90,000 fatal injuries • • 300 workers die daily

15. Notified Occupational Diseases and InjuriesCalifornia, USA 1989 Transmisibles Occupationals Gonorrhea Syphilis Hepatitis AIDS Shigellosis Salmonellosis Tuberculosis Measles Amebiasis Chicken pox Repetitive stress injuries Contusions, lacerations Fractures Burns Acute pesticide poisoning Carpal tunnel syndrome Cancer Pneumoconiosis Amputation Lead poisoning 74,195 199,038 18,106 103,270 40,490 11,081 6,481 9,740 2,118 5,468 2,024 5,224 1,800 4,212 1,596 3,053 1,100 1,568 1,000 1,000

16. Occupational Diseases Notification in Latin America And The Caribbean 1% - 5% of all cases

17. SocialInjusticeSyndrome Unemployment Occupational Cancer Homicides Suicides Violence Reproductive Problems Alcoholism Occupational stress Endemic diseases Poisoning Osteomuscular Problemas Accidents Cardiovascular Diseases Hearing Loss Respiratory Problems

18. Workers’ HealthResponse National Governments Labor Organizations Private sector Organizations Other key actors - Collaborating Centers - NGOs - Universities - Media International Organizations

19. • Universality • Equity • Participation • Comprehensive • Coherence • Opportunity Regional Plan for Workers’ HealthPrinciples

20. REGIONAL PLAN: purpose • To contribute to an improvement in the working environment, living conditions, health status and general well-being of workers, to advance towards sustainable human development with equity and social justice

21. REGIONAL PLAN : Programatic Areas Policy and Legislation Quality of Work Environment Political normative frame work Primary Prevention Workers’ Health Promotion Comprehensive Health Services Healthy Workplaces Primary Health Care

22. Premarket Testing Substitution and Elimination Engineering Control Primary Prevention Environmental Monitoring Personal Protective Devices Biological Monitoring Secundary Prevention Preclinical Medical Examination Diagnosis Tertiary Prevention Therapy Rehabilitation WORKERS’ HEALTHPREVENTION

23. REGIONAL PLAN : Environmental Quality • • Surveillance systems and Hazard control • Suavidero- Saiso • • Collection and Distribution of Information • • Development of human resouces: Industrial Higiene, Ergonomics, Toxicology, Epidemiology others. • • Instruments and programs for intervention

24. REGIONAL PLAN :Policy and Legislation • Explicit Policies • Modern Legislation • National - Subregional Plans • Reform Process • Integration Process • Development process

25. REGIONAL PLAN: Worker’s Health PromotionHealthy People in Healthy Environment • • New Work Culture • • Personal and Collective Development • • Raising Awareness • • Cummunity Participation • • Primary Environmental Care • • Healthy Cities, Healthy School, and other

26. REGIONAL PLAN: Comprehensive Health Services • Prevention, Promotion, Medical care, Rehabilitation • Ministry of Health • Social Security • Private Services • Workers’ Clinics

27. WORKERS’ HEALTH WELL-BEING SOCIAL JUSTICE HEALTH