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Occupational Health Old workers in Luxembourg

Direction of Health / Ministry of Health. Occupational Health Old workers in Luxembourg. Dr. Robert GOERENS. Data: DIRECTION OF HEALTH ADEM (Administration of Employment) STATEC (Central Service of the Statistics and the economic surveys) IGSS (Inspection of social security)

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Occupational Health Old workers in Luxembourg

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  1. Direction of Health / Ministry of Health Occupational Health Old workers in Luxembourg Dr. Robert GOERENS divsion of occupational health 2006

  2. Data: DIRECTION OF HEALTH ADEM (Administration of Employment) STATEC (Central Service of the Statistics and the economic surveys) IGSS (Inspection of social security) CEPS / INSTEAD (Studies about population, environment) OECD (Organisation for Economic Cooperation and Development) STM (Occupational Health service S.M.E.) STI (Occupational Health service of industry) STA (Occupational Health service of Arcelor) Plan of presentation 1. Situation on the labour market in Luxembourg of the old workers 2 Promotion of employment of the old workers 3. Occupational health in Luxembourg 4. Data about health at work of old workers 5. Data about improvement of working conditions 6. Legal action introduced to support the employment of the old workers 7. Law of July 25th 2002 on the incapacity of workers and the professional reintegration 8. Conclusion divsion of occupational health 2006

  3. 1. Situation on the labour market in Luxembourg of old workers divsion of occupational health 2006

  4. Labour in Luxembourg • Luxembourg: 448.000 inhabitants • Proportions of foreigners : 37 % (highest of OECD) • Foreign workforce: 65 % of the working population • Cross border workforce: 40 % of the working population • Ageing of the working population divsion of occupational health 2006

  5. Activity rate (%) per age and sex in 2000 Age: 50 to 64 years divsion of occupational health 2006 Data: OECD 2004

  6. Workforce by age groups in Luxembourg companies (>10 workers) Age divsion of occupational health 2006 Data: IGSS, march 2004

  7. Percentage of old workers in different sectors of industry in Luxembourg (>10 workers) divsion of occupational health 2006 Données: CEPS / INSTEAD 2001

  8. Average age at end of the active life (2001) Âge divsion of occupational health 2006 Data: STATEC 2004

  9. Early retirement of workers > 50 years in Luxembourg • Since 1980: Luxembourg supported a policy of early retirement of the old workers through: • early retirement scheme in different activity sector (iron and steel industry) • wish of certain workforce to have an early retirement age. • Until 1996: Easy policy to obtain a disability pension • Consequence: the desire not to work until the legal age of retirement (65 years) is a common attitude for the social partners • Since 2000: deceleration of the economic activity: • gel of recruitment and internal policy to encourage the old workers to leave the company precociously • replacement of these early departures by younger, more flexible, more trained and less paid workers. divsion of occupational health 2006

  10. Employment and unemployment • Great difference between workers >50 years and <50 years • activity rate 25 - 49 years: 94 % in 2002 (Luxembourg 3rd of 30 behind Iceland and Mexico in OECD classification) • activity rate 50 - 64 years: men 58% women 30% in 2002 (Luxembourg men 23 and women 26 position of 30 countries in OECD classification) • Difference between employment rate of women and men • employment rate of women: 2 times lesser than of men • Employment of workers >50 years is not reactive with the rise during economic recovery Data: OECD 2004 divsion of occupational health 2006

  11. Reasons of inactivity of people aged 55-64 years, having worked until 50 years Age: 55 to 64 years divsion of occupational health 2006 Données: CEPS / INSTEAD 2001

  12. 2. Promotion of employment of the old workers divsion of occupational health 2006

  13. Measures made by the authorities to promote the employment of old workers • Measures intended to promote the employability of the old workers • Formation throughout life, access to formation to all workers • Measures intended to promote the improvement of the working conditions for older workers • Measures modifying the conditions of access to retirement, early retirement and disability pension • Measures intended to incite the workers financially to stay longer in activity • Measures intended to sensitize the companies with the problem of ageing divsion of occupational health 2006

  14. 3. Occupational health in Luxembourg Data about health at work of old workers divsion of occupational health 2006

  15. Occupational health in Luxembourg • Legal base since 1994 • Depends on the Ministry of Health / Direction of Health • First time examination: obligatory for all employees • Periodic examination: employees with risks at work • Periodicity depends on the risk • Periodicity does not depend on the age, except safety posts • All the occupational health services work since the beginning on computer base and can easily do research on their data bases • Obligation for all employers to do the inventory of all risks places at work divsion of occupational health 2006

  16. Occupational Health services:Statistics concerning old workers • Proportion of men and women examined • Body mass index (BMI) • Number of aptitude and inaptitude • Absenteeism by age groups • Average duration of sick leave by age in mine and steel industry for different pathologies • Number of detect pathologies in S.M.E. divsion of occupational health 2006

  17. Proportion of man and woman >50 years examined in S.M.E. Total of workers > 50 years: 15.682 = 8,5 % of the examined workers 61 % 30,2 % 7,5 % divsion of occupational health 2006 Data: STM 1995 - 2004

  18. BMI of workers >50 years Number of workers >50 years: 15.682 BMI = weight (kg) / size (m2) Overweight > 25 kg/m2 Obesity > 30 kg/m2 divsion of occupational health 2006 Data: STM 1995 - 2004

  19. Number of aptitude and inaptitude of workers in relationship to the age in the iron and steel sector Total examination: 8.487 Age average : 44 years divsion of occupational health 2006 Data: STA 1999 - 2004

  20. Average duration of sick leave by age in the iron and steel industry divsion of occupational health 2006 Data: STA 1989 - 1991

  21. Average sick leave by age groups for different pathologies in the iron and steel industry Age Age Gonalgia: Number of cases: 161 Number of lost days: 4324 Lumbago: Number of cases: 327 Number of lost days: 5584 Tendinitis: Number of cases: 1102 Number of lost days: 14982 Age divsion of occupational health 2006 Data: STA 1989 - 1991

  22. Number of detected pathologies Total of workers : > 50 ans : 6.288 Total of workers : < 18-50 ans : 61.283 divsion of occupational health 2006 Données: STI 1995 - 2004

  23. Data about improvement of working conditions Inquiry 2006: 1.300 companies divsion of occupational health 2006

  24. Improvement of working conditions for old workersInquiry done by 1.300 companies > 10 workers • Reorganization in the type or tasks of work done by 16,3% of the companies • Adaptations of working time and adaptation of working tasks by 8% of the companies • Development of specific missions by 4% of the companies • Transfer of old workers to post with better working conditions by 8% of the companies Data: CEPS / INSTEAD 2006 N = 1300 enterprises divsion of occupational health 2006

  25. Reorganization done by 208 enterprises for old workers in relationship to the size of the enterprise Data: CEPS / INSTEAD 2006 N = 208 enterprises divsion of occupational health 2006

  26. Reorganization done by 208 enterprises forold workers in relationship to the proportionof old workers in the enterprise Data: CEPS / INSTEAD 2006 N = 208 enterprises divsion of occupational health 2006

  27. 5.Legal action introduced to support the employment of the old workers divsion of occupational health 2006

  28. Legal action to promote employment of old workers • In 1996: more restrictive access to get a disability pension • Incitation for workers to stay longer in activity, especially the last years of career, to get a better pension • Reform of the public function with possibilities of part-time work and promotion of maintenance in activity beyond the legal age of retirement • Refunding of social security costs for 7 years for companies which engaged workers >50 years. • Suppression of the conditions needed to obtain an authorization to work after having an old-age pension • Obligation since 2002 to reclassify workers with reduced capacity of work divsion of occupational health 2006

  29. 6. Law of July 25th 2002 on the incapacity of workers and the professional reintegration divsion of occupational health 2006

  30. Law of July 25th 2002 concerning the disability and the professional reintegration • Conditions for workers to benefit from this law: • Workers having an affiliation to the Luxembourg Social Security (12 months during the last 3 years) • Workers in prolonged sick leave (4 months) • Workers having get a refusal of their demand for a disability pension • Workers declared inapt to stay at their last work station by the occupational health physician • Workers having had a withdrawal of their temporary pension divsion of occupational health 2006

  31. Procedure of professional reintegration • Decision maker: • Joint Commission of the ADEM (Administration of employment) • Members of this commission: State, Employers, Trade unions • Joint Commission decides on internal and/or external reclassification on the base of the following elements: • Number of workers with handicap already occupied in the company • Number of workers who got better working conditions after being declared unfit by the occupational health physician • Opinion of the employer • Opinion of the occupational health physician of the company and of the administration of employment divsion of occupational health 2006

  32. Reclassification • Internal reclassification: • Assignment at another work station and/or organization of work (ex: reducing hours), and/or better working conditions • Can be refused if the employer has lesser than 25 employees, or if the employer have not the quota stated by law of workers with an handicap • External reclassification: • For employer with lesser than 25 employees, or if the employer have the quota stated by law of workers with an handicap • For employer who have no adapted post to continue to employ the worker with incapacity • Workers are apply for unemployment benefit during 1,5 year max. • Without reclassification on the labour market after the end of unemployment, pension paid by the Fund for Employmentuntil the worker reached the legal age for pension. divsion of occupational health 2006

  33. Law 2002 concerning the disabilityand the professional reintegration:age of workers concerned 2004 Total of workers : 1232 Distribution by sex: Men 772 (62,66 %) Women 460 (37,34 %) Distribution by status: Workers: 952 (77,27 %) Employees: 280 (22,73 %) 36.85 % 38,07% 19,48 % 3,90 % 1,70 % divsion of occupational health 2006 Data: ADEM 2004

  34. Law 2002 concerning the disabilityand the professional reintegration:decision of the joint committee 2004 57 % Total of workers: 1077 26 % 17 % divsion of occupational health 2006 Data: ADEM 2004

  35. 7.Conclusion divsion of occupational health 2006

  36. Conclusion • Very high foreign labour force and cross border workers • Low rate activity for old workers in Luxembourg • Statistics concerning the health of old workers can be realised easily by the occupational health services • Since 1996 promotion of employment of old workers done by the authorities • Implementation of legal actions to promote employment of old workers as for example: reclassification of workers with reduced capacity of work divsion of occupational health 2006

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