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Workers’ Health in the Region of the Americas. REGIONAL PLAN. Worker’s Health. Resolution XIV 1990. Strategic and Programatic Orientations 1999-2002. Current Situation Trends Inequities Institutional Vacuum. Worker’s Health. Response. Regional Plan of Workers’ Health.
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Workers’ Health in the Regionof the Americas REGIONAL PLAN
Worker’s Health Resolution XIV 1990 • Strategic and • Programatic • Orientations • 1999-2002
Current Situation Trends Inequities Institutional Vacuum Worker’s Health Response Regional Plan of Workers’ Health
Worker’s Health ECONOMIC DEVELOPMENT HEALTH WELL-BEING ENVIRONMENT • Human Sustainable Development
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%
Determinants factors GLOBALIZATION INTEGRATION PROCESS Labor Market - Income Work Organization REFORM PROCESS Labor Force Composition Occupational Risks
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
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
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%
- LAC 15 millions (OIT) - USA 4 millions (OIT) - 20% children 10-14 years old working Profile child labor (UNICEF)
Risk Profiles • • Ergonomic • • Biological • • Physical • • Chemical • • Psychosocial
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
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
Impact: OccupationalInjuries • • 36 Injuries/minute • • 5 Million /year • • 90,000 fatal injuries • • 300 workers die daily
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
Occupational Diseases Notification in Latin America And The Caribbean 1% - 5% of all cases
SocialInjusticeSyndrome Unemployment Occupational Cancer Homicides Suicides Violence Reproductive Problems Alcoholism Occupational stress Endemic diseases Poisoning Osteomuscular Problemas Accidents Cardiovascular Diseases Hearing Loss Respiratory Problems
Workers’ HealthResponse National Governments Labor Organizations Private sector Organizations Other key actors - Collaborating Centers - NGOs - Universities - Media International Organizations
• Universality • Equity • Participation • Comprehensive • Coherence • Opportunity Regional Plan for Workers’ HealthPrinciples
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
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
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
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
REGIONAL PLAN :Policy and Legislation • Explicit Policies • Modern Legislation • National - Subregional Plans • Reform Process • Integration Process • Development process
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
REGIONAL PLAN: Comprehensive Health Services • Prevention, Promotion, Medical care, Rehabilitation • Ministry of Health • Social Security • Private Services • Workers’ Clinics
WORKERS’ HEALTH WELL-BEING SOCIAL JUSTICE HEALTH