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60 Years of FIOH – What's Next?. EASOM Summer School 25.8.2005 Harri Vainio, MD, Professor Director General. 2003. 2030. Men (thousands). Women (thousands). Women (thousands). Men (thousands). Finns are ageing. 1970. 1950. Statistics Finland. Finland in the 1940s.
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60 Years of FIOH – What's Next? EASOM Summer School 25.8.2005 Harri Vainio, MD, Professor Director General
2003 2030 Men (thousands) Women (thousands) Women (thousands) Men (thousands) Finns are ageing 1970 1950 Statistics Finland FIOH / Harri Vainio / 25.8.2005
Finland in the 1940s Largest branch of economy: agriculture and forestry Major occupational health issues: carbon monoxide, lead, benzene FIOH / Harri Vainio / 25.8.2005
Structural changes in working life Economically active population in various branches of economy Statistics Finland FIOH / Harri Vainio / 25.8.2005
Diminishing risks: CS2 + H2Sin the workroom air in viscose-rayon industry PPM CS2 + H2S 1950s 1960s 1970s 1980s 1990s 2000-3002 TLV until 1972 TLV 1972-1992 TLV since 1993 FIOH / Harri Vainio / 25.8.2005
Diminishing risks: CS2Risk ratio as a function of follow-up time Nurminen & Hernberg: British Journal of Industrial Medicine 1985 FIOH / Harri Vainio / 25.8.2005
Diminishing risks: CS2Impact of intervention on ischemic heart disease mortality Follow-up Year / Period Risk Ratio 1 - 7 1.7.1967 - 30.6.1974 3.2 8 - 15 1.7.1974 - 30.6.1982 1.0 The hypothetical number of deaths that would have occurred among the exposed cohort had the same mortality risk that prevailed before 1975 continued after 1974:59 instead of 19 (observed) Preventive fraction = (59 – 19)/59 = 68% Nurminen & Hernberg: British Journal of Industrial Medicine 1985 FIOH / Harri Vainio / 25.8.2005
Diminishing risks, emerging consequencies: Asbestos and mesothelioma FIOH / Harri Vainio / 25.8.2005
Emerging risks: stress Downsizing increases the risk of cardiovascular mortality All deaths Cardiovascular deaths 2,0 Other deaths 2,0* 1,5 1,5 1,4* 1,2 Risk of death 1,2 1,0 1,1 0,5 0,0 <8 8-18 >18 Downsizing (% of personnel) Vahtera et al. BMJ 2004 FIOH / Harri Vainio / 25.8.2005
The New York Times 5.9. 2004 FIOH / Harri Vainio / 25.8.2005
Innovations in the globalized world The share of high-tech exportsin some OECD countries R&D input in someOECD countries Finnish trade onhigh-tech products Statistics Finland OECD FIOH / Harri Vainio / 25.8.2005
Shared problem space Partner Research Shared problem space Research organization Group of clients Shared problem space Chain of clients Development Innovations in research From linear processes … … to co-operative networks Mervi Hasu, FIOH FIOH / Harri Vainio / 25.8.2005
Research partners shared problem space X X 1 2 shared problem space Workplaces, citizens, publicauthorities X X 3 4 shared problem space Mediating bodies FIOH strategy 2006-2010:We promote health and safety at workas part of a good full life • We create solutions for improving occupational health, safety and well-being together with our clients and partners • By applying our solutions, our clients can learn new things, improve their operations, and succeed in the changing environment • We learn from ourclients about theneeds in work life,and find newobjects for ourresearch anddevelopment activities FIOH FIOH / Harri Vainio / 25.8.2005
Strategic goals • At workplaces, the management of health hazards is part of management practices and corporate risk management • Work communities are innovative, regenerative and healthy • Each citizen has the competence to ensure his or her own occupational safety and well-being • The authorities are provided with information for promoting occupational health and safety • Work processes are smoothly flowing, and working methods and tools are safe and easy to use • Solutions are created in order to increase participation in work life • New occupational hazards are kept under control, and new opportunities are exploited. FIOH / Harri Vainio / 25.8.2005
PARTNERS Solve problems and learn together Provide expert services feedback Investigate and develop Collect, promote and evaluate scientific knowledge; develop methods Understand the issue at hand Evaluate and select methods Provide training feedback • originalarticles • overviews • criteria documents • methods • guides • handbooks • best practices Disseminate information, engage in marketing CLIENTS NEED SOLUTION Mode of operation FIOH / Harri Vainio / 25.8.2005
Renewed organizational structure FIOH • Work communities and organizations • Human factors • Development of the work environment • Health and work ability • Good practices and occupational skills • Internal services Centres of expertise Teams Units of excellence Thematic areas • Immunotoxicology • Psychosocial factors Projects, activities FIOH / Harri Vainio / 25.8.2005