MAQOHSC – Skin Screening & Health Surveillance Program

2. MAQOHSC – Skin Screening & Health Surveillance Program Tim Nelson Corporate Health Group

3. Health Surveillance & Health Promotion Program Health Assessment • Initial focus on Data Collection has moved to the aim of making measurable improvements in Health Status • Blood Cholesterol & Glucose • Body Composition • Blood Pressure • Cardiac Risk Rating • Fitness Assessment • Nutritional Profile • Back Care Assessment

4. Health Surveillance & Health Promotion Program Health Assessment • Hearing • Vision • Lung Function • Comprehensive Health & Lifestyle Questionnaire • All tests are completely voluntary and confidential • Follow Up information at 3 and 6 months

5. Health Surveillance & Health Promotion Program Mine & Quarry Sites • 3435 Health Assessments conducted on 90 sites • 38 Sites less than 6 staff & 13 Sites more than 30 staff • Average Participation rate greater than 75% Population • 88% Male • 8% Living in Adelaide Metropolitan Area • Average age of 42

6. Health Surveillance & Health Promotion Program Results • Smoking Rate nearly double the national average • Average BMI of 28.4 and excess abdominal fat • Highest nutritional profile score of any industry or major company CHG have worked with • Just over ¼ of staff participating in ideal levels of physical activity and poor levels of aerobic fitness • Referral rates of approximately 25% for both Blood Pressure and Blood Cholesterol

7. Health Surveillance & Health Promotion Program Results • 6% of staff referred for elevated blood glucose levels • Very low self reported stress levels • Over 30% of staff at an unacceptable risk of Heart Disease • 40% of staff referred for further audiological assessment • 20% of staff referred for some deficiency in visual acuity

8. Health Surveillance & Health Promotion Program Changes to Health Status • There has been little change in the health status of this population over the past 7 years However • The results of the 387 staff who have participated in at least 3 health assessments show some significant differences

9. Health Surveillance & Health Promotion Program Changes to Health Status • Average age increased by 5 years • Massive reduction in smoking rates • Slight Improvement in average Aerobic Fitness levels • Significant improvements in Physical Activity participation • Nutritional Improvements equivalent to 1-2 dietary changes per participant • Major reduction in Cardiac Risk Rating • Slight decline in Body composition

10. Targeting this population Promotion & Participation • Separate medicolegal health screening from voluntary health promotion as much as possible • Promote the reasons behind your programs and push ‘Employee Benefits’ • Utilise activities that will interest staff in most need • Leadership or managerial involvement is essential • No substitute for ‘Face to Face’ promotion

11. Targeting this population Designing Your Program • Health literacy is not necessarily strictly related to normal literacy or numeracy literacy levels. • Motivation is as important as knowledge • Provide a holistic health promotion regardless of specific site focus • Aim should be around changing the culture of your workforce • Individual program components should be considered • Long term planning for an ongoing program is the key to success • Practical initiatives should be used where possible

12. Skin Screening Program Skin Cancer in Australia • Australia has the highest incidence of Skin Cancer in the world • Of the 9500 melanomas diagnosed annually in Australia, over 1200 deaths occur • Of the 375,000 non-melanoma skin cancers diagnosed annually in Australia, over 400 deaths occur • 99% of detected melanomas are treated successfully if detected before it has spread. This figure drops to 65% if spread within area of primary melanoma and 15% if it is widespread

13. Skin Screening Program Skin Cancer in this Industry • Outdoor workers are at a higher than average risk of developing skin cancer • Indoor workers exposed intermittently to high levels of UV radiation are thought to be at increased risk of developing melanomas • Smoking increases the risk of developing skin cancer • Only 25% of staff reported applying sunscreen ‘Most Times’ or ‘Always’ when in the sun for more than 10 minutes • 1st Workplace Skin Cancer Claim in Australia cam in 2003

14. Skin Screening Program MAQOHSC Program • 10 minute screening appointment • Participants with suspicious lesions are referred to their own GP • No treatment is done on-site or through CHG • Very small pool of experienced Doctors

15. Skin Screening Program Program Details • Over a 3 year period, 2121 screens conducted • 89 sites involved, many on 2 occasions • 70 sites had less than 15 staff

16. Skin Screening Program Results • 489 Referrals Total • 6 staff referred for suspected melanoma • 19 referrals for suspected SCS • 74 referrals for suspected BCC • 18 referrals for lesions that warrant immediate excision or biopsy • Confidential nature of program prevents discussion of treatment

17. Questions MAQOHSC • Wayne Hooper • P: 08 8204 9807 • E: hooper.wayne@saugov.sa.gov.au Corporate Health Group • Tim Nelson • P: 08 8354 9800 • E: tnelson@corporatehealthgroup.com.au