백 도명 서울대 보건대학원

1. The Right Question for Health&Safety:‘Why has it changed?’ rather than ‘How can it be changed?’ 백도명 서울대 보건대학원

2. 우리나라 산재발생의 변화

9. Dilution of Risk Transform of Risk Transfer of Risk

10. 우리나라 직업병의 규모

13. A Descriptive Model 왜 산업안전보건이 변화하는가?

14. EXPANSION PLATEAU FALL Phases of Change

15. Industrial Safety and Health Act of Japan, 1972 Industrial Safety and Health Act of Korea, 1981 Key Events

18. Industrial Safety and Health Act of Korea, 1981 First Mesothelioma Case in Korea, 1994 Phases of Change EXPANSION PLATEAU FALL

19. Source, Exposure, Effect, and Action (SEEA) Model of Asbestos Industry Foreign Investment Source Expansion Phase Plateau Phase Shrinkage Phase Exposure Administrative Regulation Repercussions Effect Asbestos Ban Action

20. A Theoretical Model 왜 산업안전보건이 변화하는가?

21. Data → Information → Knowledge → Wisdom

22. Risk Assessment and Management

23. Agents and Programs

24. Agenda Setting for Problem Solving

25. H&S Problem Solving Phase

26. H&S Problem Solving Phase

27. H&S Problem Solving Phase - Who

28. H&S Problem Solving Phase - Why

29. H&S Problem Solving Phase - What

30. H&S Problem Solving Phase - How

31. Industry, Exposure, Effect and Action Model for H&S Problem

32. Process Input Output Action Stakeholders Professionals Victims Politicians

33. IEEA Model의 검증

34. Analysis of National H&S Program • Focus on Input-Output-Outcome linkage → Exp Assmnt, DisAssmnt, and H&S Solution versus

35. Analysis of National H&S Program • Focus on whether H&S status is different by the membership history of the country • Membership • EU15+ : 15+Swiss+Norway • EU+12 : new 10+Bulgaria+Romania • Non-EU and Others • Status of I-P-O, scope, and content of the H&S Program

36. Questionnaire Survey • National Focal Points and CCs • 20 countries had answered • Because of the nature of the questions, not all countries could have provided relevant information • The current results are still provisional, and need to be confirmed by the providers • The survey is still open, and will continue to receive responses from other countries

37. Analysis of Data • Noise Assessment Coverage No of workers assessed for noise exposure = -------------------------------------------------- No of employees in 1st & 2ndary industries • NIHL Detection Rate No of NIHL Cases per year = -------------------------------------------------- No of employees in 1st & 2ndary industries • Accident Report Coverage No of workers for accident rate denominator = -------------------------------------------------- No of economically active employees

39. Croatia, even with active high level of noise assessment, low rate of detection of hearing loss

41. Israel, with lot of hearing loss cases, still high proportion of overexposed

43. Noise and Hearing Loss • As noise assessment coverage ↑ → No of Noise Induced Hearing Loss ↑ • No of Noise Induced Hearing Loss ↑ → Proportion of Noise Overexposure ↓ • EU15+ countries tend to have more Hearing Loss Cases and less Overexposures than EU+12 countries

44. Russia, high screening level with limited detection rate of pneumoconiosis

46. Dust and Pneumoconiosis • Pneumoconiosis screening coverage ↑ → Detection rate of pneumoconiosis ↑ • EU15+ countries are not that different from EU+12 countries in the screening coverage or detection rate of pneumoconiosis

49. Asbestos and Mesothelioma • Mesothelioma incidence ↑ → Asbestosis detection rate ↑↑ • EU15+ countries tend to have more asbestosis cases detected while with lower incidences of mesothelioma than EU+12 countries