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By Oraldo De Toni EMCEF

Prague on 23rd – 24th March 2006, Conference on Chemicals Policy, REACH and Health and Safety in Central and Eastern Europe Facts and Figures on Occupational protection and experiences in the Chemical Industry. By Oraldo De Toni EMCEF. The Actors on Occupational Diseases (ODs).

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By Oraldo De Toni EMCEF

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  1. Prague on 23rd – 24th March 2006, Conference on Chemicals Policy, REACH and Health and Safety in Central and Eastern EuropeFacts and Figures on Occupational protection and experiences in the Chemical Industry By Oraldo De Toni EMCEF

  2. The Actors on Occupational Diseases (ODs) • The meeting of experts on updating the list of ODs ( ILO held in Geneva 13 – 20 December 2005) This meeting of experts maintained the tradition of attempting to reach decisions by consensus. This was not possible in relation to the adoption of a single updated list of ODs. At ILO level remains operative the R 194 List of ODs Recommendation, 2002. But it remains also open the discussion in another meeting of experts to proceed with the examination and adoption of an updated list of ODs. The items proposed to be included in the updated list are:

  3. The Actors on Occupational Diseases (ODs) • Diseases caused by agents chemicals (ammonia, isocyanates, pesticides, sulphur oxides, and other linked) • Diseases caused by physical agents (work in compressed and decompressed air, radiofrequency radiations, optical = ultraviolet visible light, infrared, extreme temperature, and other linked) • Diseases caused by biological agents (brucellosis, hepatitis B virus (HBV) and virus (HCV), tetanus, tuberculosis, and other linked) • Occupational respiratory diseases caused by (fibrogenic mineral dust, and other linked) • Occupational skin diseases caused by (allergic contact dermatoses, irritant contact dermatoses caused by other recognized irritants agents)

  4. The Actors on Occupational Diseases (ODs) • Occupational musculoskeletal disorders ( radial styloid tenosynovitis, chronic crepitant tenosynovitis of hand and wrist, prepatellar bursitis, epicondylitis, meniscus lesions, carpal tunnel syndrome , and other linked) • Mental behavioural disorders ( post traumatic stress disorder, psychosomatic psychiatric syndromes, and other linked) • Occupational cancer caused by (chromium VI and its compounds, arsenic and its compounds, beryllium and its compounds, cadmium and its compounds, ethylene oxide) • Diseases caused by formaldehyde (cancer)

  5. The Actors on Occupational Diseases (ODs) 2) The Commission Recommendation of 19 September 2003 concerning the European schedule of Occupational disease (ODs) Hereby recommends ( the more important) to Member States to: • introduce as soon as possible into their national lows the European schedule Annex I; • introduce provisions the right of worker to compensation in respect of ODs; • develop and improve effective preventive measures for the ODs; • ensure that all cases of ODs are reported; • introduce a system for the collection of information or data concerning the epidemiology of the diseases listed in Annex II; • forward to the Commission statistical and epidemiological data on ODs recognised at national level; • promote an active role for national healthcare system in preventing ODs.

  6. The Actors on Occupational Diseases (ODs) From the European Commission, Eurostat statistics on occupational diseases, in the framework of the EODS system( European Occupational Diseases Statistic) provide data regarding recognized occupational diseases in the EU Member States. Until now, only 11 countries have been able to provide the requested information. In order to improve quantity and quality of statistics, a new EU regulation is currently under discussion. From the gathering which took place in 2003, 54.454 (+8,4% compared to 2002) occupational diseases. The first 10 pathologies represent 85-90% of the whole registered events and the top of the classification belongs to diseases caused by physical agents (70% over the total). The group of pathologies caused by chemical agents is at the last position with 1,1%.

  7. The Actors on Occupational Diseases (ODs) Occupational diseases recognized in the EU by groups of diseases. (Table 1)

  8. The Actors on Occupational Diseases (ODs) Occupational diseases recognized in the EU (*) by type of disease years 2002 – 2003 (Table 2) (*) Includes only 11 member states: Germany, France, Ireland and Greece do not provide data. The first two pathologies are caused by physical agents and represent 37,7% over the total.

  9. The Actors on Occupational Diseases (ODs) 3) The national health insurance fund for employees (CNAMTS) decides to develop comparative information on ODs on the European level, commissioning EUROGIP to collect the statistics compiled in each country concerning claims for recognition and care actually recognized.

  10. The Actors on Occupational Diseases (ODs) Claims for recognition per 100,000 insured persons (Table 3) In Austria, Belgium, Finland, Italy and Switzerland the trend is constantly decreasing. In Germany and Denmark, it remains stable, as in Portugal, Ireland and Luxembourg. In France it is constantly in creasing, in Sweden it is constantly decreasing.

  11. The Actors on Occupational Diseases (ODs) The five diseases giving rise to the greatest number of claims for recognition (Table 4)

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  15. The Actors on Occupational Diseases (ODs) The new cases of recognized ODs per 100,000 insured persons (Table 5)

  16. The Actors on Occupational Diseases (ODs) The 5 most frequently diseases recognized as occupational (Table 6)

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  21. The Actors on Occupational Diseases (ODs) Ratio of recognized ODs to declared ODs (Table 7)

  22. The Actors on Occupational Diseases (ODs) Data on occupational diseases per country (Table 8)

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  36. The Actors on Occupational Diseases (ODs) 4) The behaviour of companies and of their Associations in the social dialogue with employees and Trade Unions • I have chosen the company BASF, the most important in the EU for its size, innovative processes and products, which is obliged to involve Trade Unions, employee and citizens to assert a widespread culture on sustainable development. BASF has developed the tool of eco-efficiency analysis to dress not only environmental issues posed by the marketplace, politics, product strategy and research. It is based on assessing environmental behaviour, environmental impact, possible effect on human health end ecosystems, and the cost of products and processes from the cradle to the grave. The goal of eco-efficiency analysis is to quantify the sustainability of products and processes.

  37. The Actors on Occupational Diseases (ODs) “The ODs are a thing of the past”, said BASF. The company has developed a program on health protection called “Occupational medicine”. This program includes eight performance standards that apply to various fields of occupational medicine and which are valid worldwide. • The European Responsible Care Conference of the Chemical Industry, which took place in Dublin, in 2005, has encouraged continuous improvement in Safety, Health and Environment performances and was focused on the delivery of product stewardship. This is the “Statement” of FECC ( European Association Chemicals Distribution): Product stewardship is the way we work and communicate with our partners along the supply chain to manage existing partners and new products and meet the increasing demands for Health, Safety, Environmental protection and sustainability.

  38. The Actors on Occupational Diseases (ODs) • And CEFIC in order to show you the following figures: • Fatalities 1996 – 2002 Fatalities cases per • 100,000 workers of 20 countries in the EU • Fatalities 1996 – 2002 Fatality Cases per 100,000 workers (EU Chemical Industry) (Table 9)

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  41. The Actors on Occupational Diseases (ODs) • We have seen national trends and “cultures” regarding occupational diseases in general and particularly in the chemical industry. We can therefore assert the following indications: • Among the most common occupational diseases regarding the ones that are claimed and compensated, one can find the diseases caused by physical agents which cognitive framework shows that there is a change of the previous causal nexus by effect of the new raw materials and technologies. Whereas the last epidemiological studies show new causal nexus , always by physical agents (diseases caused by repetitive movements of arms and musculoskeletal disorders). 4) Conclusions

  42. The Actors on Occupational Diseases (ODs) • There is the development and a strong pressure for recognition of physiologic diseases (stress, mobbing, others). • We are faced to increased attention and pressure (epidemiological studies) regarding tumours caused by chemical agents, nevertheless the number of professional diseases caused by chemical agents in the EU countries is negligible:586 cases in 2003 over 54.454. • Basic knowledge, continuous flow of information and training aimed to increase the quality of work in the chemical industry are indicators that show in a precise manner, the way to be followed regarding prevention and protection of health, safety and environment at workplace.

  43. The Actors on Occupational Diseases (ODs) • As it is the case in the chemical industry, the management systems and the integrated management of each system are necessary to increase the quality of work (less injuries at work, less occupational diseases, less accidents and negative environmental impact). The result it is a better quality of management regarding production and processes by increasing the productivity of the company. • This it is the departure focal point to implement together with the downstream users prevention and protection of human health and to start an information process to the attention of consumers regarding chemical products and products containing chemical substances.

  44. The Actors on Occupational Diseases (ODs) End of presentationFacts and figures on occupational protection and experiences in the chemical industry By Oraldo De Toni EMCEF

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