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CRACOW WORKSHOP 15 th of October 2006

№1. WORKHEALTH II Workshop “Hearts and Minds at Work: Work – Related Health Monitoring in the New Member States”. CRACOW WORKSHOP 15 th of October 2006. CURRENT STATUS OF WORK – RELATED HEALTH MONITORING IN BULGARIA. RELEVANCE OF CVDs AND MENTAL

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CRACOW WORKSHOP 15 th of October 2006

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  1. №1 WORKHEALTH II Workshop “Hearts and Minds at Work: Work – Related Health Monitoring in the New Member States” CRACOW WORKSHOP 15th of October 2006 CURRENT STATUS OF WORK – RELATED HEALTH MONITORING IN BULGARIA. RELEVANCE OF CVDs AND MENTAL ILL – HEALTH IN THE WORLD OF WORK Dr. Zaprian Zapryanov, Dr. Nikola Vasilevski, Dr Hristo Hinkov, National Centre of Public Health Protection, Sofia

  2. №2 DATA ON THE HEALTH STATUS OF EMPLOYEЕS (% confidence acc. to expert opinion; source of data) Mortality rate (NIS, NCHI) New invalidity(NII) Fatal Occup.Diseases (NII, NCPHP) Early retairement due to morbidity (NII) Morbidity of working population (NCHI) Sickness absence (NCHI) Early retirement due to occup. disease (NII) Compensated occup. Diseases (NII)

  3. №3 HEALTH DETERMINANTS (% confidence acc. to expert opinion, source of data) Blood pressure (NCPHP, GPs) Serum cholesterol (NCPHP, GPs) Assistance, conflicts (NCPHP) Meaningfull work, company climate, job satisfaction (NCPH) BMI (NCPHP, GPs) Sedentary work (GLI,OHS) Smoking (NCPHP, GPs) Harmful factors (OHS) Alcohol (NCPHP) Illicit drug use, narcotics etc. (NCA) 50h / week (GLI) Indoor air at work (OHS) Nutrition at work (NCPHP) Outdoor air (RIEW) Physical activity (NCPHP, OHS) Movement at work (OHS)

  4. №4 DATA ON HEALTH AND SAFETY SYSTEMS (% confidence acc. to expert opinion, source of data) Integrated OSH (GLI) Risk assessment (GLI) Programmes (GLI) OHS Management Systems (GLI) Employees participation Coverage POME (OHS) Ergonomic design (GLI) Safe / ergonomic equipment (GLI) Periodic OME (OHS) Safe / ergonomic workplaces (GLI) Coverage PME (OHS) Information on risks (OHS, GLI) Preplacement ME (OHS) Informed employees on risks (OHS, GLI) Training for high risk jobs (ESHW, GLI) Training on the start of work (ESHW, GLI) Training on the start of work

  5. №4 (Continuation) DATA ON HEALTH AND SAFETY SYSTEMS (% confidence acc. to expert opinion, source of data) Number and coverage by safety engineers (GLI) Rehabilitation (MH, MLSP, GLI Coverage by recording and compensations of OA and OD (NII) % GLP and % GNP for OHS and WHP (NCPHP) Treatment Centers for Chem. Poisonings (MH) OSH Networks of companies (NCPHP) Academic R&D (NCPHP) Number graduated (NCPHP) Training units in OHS (GLI) Tripartite bodies on OHS (GLI) Academic institutions educating in OHS (NCPHP) Safety managers and specialists (GLI) Other specialists in companies / OHS (MH, GLI) Occupational physicians (MH) Labour inspectors (GLI) Coverage by health (OHS) services (GLI)

  6. №5 SUMMARY "CURRENT STATUS" • WORK RELATED HEALTH MONITORING • Supportive new legislation, old Ordinance on occupational • medical examinations (OME) • OME carried regularly – no data collection at regional and • national level • Most frequently diagnosed occupational diseases: of peripheral nervous system, of musculoskeletal system, pulmonary diseases caused by dusts • CVDs AND MENTAL ILL – HEALTH AND WORK • Serious issue for Bulgarian preventive and health care systems • “CINDI – CVD” National Programme in 8 districts covering • 700000 persons • Twining project with Finland on development of mental health care services in Bulgaria. National Mental Health Policy and Action Plan 2004 – 2012. Mental Health Chapter in the Health Act

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