Safe Work - Healthy Work – For LifeHSE Excellence, Europe

Dr Jukka TakalaWorkplace Safety and Health Institute, Singapore

Vienna, 21 May 2014

2

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OVERVIEW

Good for You – Good for Business

Elimination of exposures, new strategies, programmes, new

paradigm, or business as usual?

Introduction

Priority Problems at Work

17%

32%

8%

23%

1%1%

0.4% 18%

Communicable diseases Cancer Respiratory Diseases

Circulatory diseases Mental Disorders Digestive systems diseases

Genitourinary system Accidents and violence

Deaths attributed to work, 2.3 million/year

Sources: Hämäläinen P, Takala J, Saarela KL; TUT, ILO, EU-OSHA, 2008

Work-related Annual Deaths – World

8% (3%)

46% (57%)

6 % (6%)

32% (23%)

0.3% (4%)0.3% (1%)

4% (0.4%) 4% (5%)

Communicable diseases Cancers Respiratory Diseases

Circulatory diseases Mental Disorders Digestive systems diseases

Genitourinary system Accidents and violence

Deaths attributed to work, Singapore (Residents) 834, [ EU: 168,000 ]

Work-related Annual Deaths – EU-27

Sources: WSH Institute Singapore 2014, Hämäläinen P, Takala J, Saarela KL; TUT, ILO, WHO, EU-OSHA, WSH Institute Singapore, ref. data: MOH/MOM and WHO A region

Work-related Annual Deaths – Singapore and EU distribution of fatal injuries and illnesses, EU in brackets

Cancer

CVD

Injuries

Deaths in men in 2010 by age, Western Europe

Cancer

CVD

Deaths in women in 2010 by age, Western Europe

Injuries

DALYs in men in 2010 by age, High-income Asia-Pacific

Musculoskeletal

Mental health

Cancer

CVD

Transport injuries

Injuries

Musculoskeletal

Mental/behaviouraldisorders

Cancer

CVD

Injuries

Musculoskeletal

Mental/behaviouraldisorders

Cancer

CVD

http://www.healthmetricsandevaluation.org/gbd/visualizations/regional

DALY= Disability Adjusted Life Years

DALYs in women in 2010 by age, high-income Asia-Pacif.

http://www.healthmetricsandevaluation.org/gbd/visualizations/regional

Injuries

Musculoskeletal

Mental health

Cancer

CVD

DALY= Disability Adjusted Life Years

10 leading causes of Deaths in East Asia

Murray et al. Lancet 2012,

http://www.healthmetricsandevaluation.org/gbd/visualizations/regional

10 leading causes of Deaths in East Asia

Murray et al. Lancet 2012,

http://www.healthmetricsandevaluation.org/gbd/visualizations/regional

WORK-related

Work-related cancer

Work-related circulatory diseases

Accidents Infectious and

parasitic diseases

Musculo-skeletal

disorders

Psychosocial disorders

Asbestos Shift and night work, overwork

Lack of company policy, management system, worker/employer collaborative mechanism, poor safety culture

Poor quality drinking water

Heavy lifting, loads, shapes of materials

Lack of control,Effort –reward imbalance

Carcinogenic substances, processes, silica and other dusts

Strain by high demands, low decision making latitude

Lack of knowledge, solutions and good practices

Poor sanitation and sewage system

Repetitive movements

Poor work-life balance

Ionizing radiation, radioactive materials

High injury risk Lack of guidance or poor gvt policies, poor legislation and poor enforcement and tripartite collaboration

Poor hygiene, lack of knowledge

Poor design of seats, tables, tools, processes

Poor organisational culture

UV-radiation Chemicals Lack of incentive-based compensation system

Protection against animals, insects, snakes

Low temperatures, vibration

Role ambiguity or conflict, unclear or changing priorities

ETS (passive smoking at work)

ETS (passive smoking at work)

Lack or or poor OH services

Job insecurity

Diesel engine exhaust

Poor recording and notification systems

No disability

Sickness absence

Retirement on health groundschronic disease

Premature death

Basic associations

Psychosocial factors

Kivimäki 2013Source:

Cost of injury and illness, ILO, Australia,Singapore and others in 2012

A Leading Institute for WSH Knowledge and Innovations14

4 % of GDP, ILO global

4.8 % of GDP in 2008-09, Australia

3.2 % of GDP in Singapore, 2011

Others: 1.8%- 6 % of GDP

source: www.safeworkaustralia.gov.au/ http://www.safeworkaustralia.gov.au/swa/AboutUs/Publications/CostofWork-relatedInjuryandIllness.htm

http://www.safeworkaustralia.gov.au/sites/SWA/about/Publications/Documents/660/Cost%20of%20Work-related%20injury%20and%20disease.pdf

www.wshi.gov.sg

MOM Ad–hoc survey results in 2008

• Based on the findings of the OSH ad hoc survey in 20085, it was stated that 1.5%; 95% CI, 1.1%,1.9% of employed residents claimed to have work injury 6.9%; 95% CI, 6.1%, 7.7% of employed persons suffered ill-health.

Injuries Ill healthNo. of resident workers

No. of foreign workers

No. of resident workers

No. of foreign workers

33,683 22,920 159,490 64,799

Total 56,603 219,739

5 ‘Findings of Ad-hoc Survey on Occupational Safety and Health’ is an internal report conducted by Manpower Research and

Statistics Department (MRSD), Ministry of Manpower (MOM). This survey was conducted in 2008 on 4,869 economically active

residents to find out the number of persons who suffered work-related injuries and health problems at or during the course of

work based on self reporting. The number of foreign workers were estimated using the ratio of injured local vs foreign workers

from WIC data.

The "Balance of Horror"

TrainingOHS

WA promotionRecreation and culture

Corporate fitnessCommunication

Early retirementSick-leavesAccidents

Permanent disability

****

(Presenteeism)

EU: 3,000 bill. € /yearFinland: 30 bill. € /ySingapore: ?

EU: 200 bill. € / yearFinland: 2 billion € /ySingapore: ?

Source: Prof. G.Ahonen, adaptation Dr. J.Takala

Finland

Singapore

2013

Iceland

Norway, Switzerland

New Zealand

Source: OECD, Statistics Finland, WSH-Institute Singapore

Sweden

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PERCEIVED AND REAL RISKS

PERCEIVED RISK

Airlineaccident

Mobilephones

Terroristattack Violent

robbery

Avian flu Stock exchange crash

Glass of wine

REAL RISK

Heat wave

WAR activities, anywhere

Traffic Accident Cancer

Circulatory diseases

Sources: S. Hertlich, M.Hamilo, S.kuvalehti (FI), Journal Occ Env Hyg, 11: 326–337, May 9, 2014; Takala J ao.

Work-related

Work-related

Work-related

Work-related Work-

related

Evidence 2 PolicyEvidence 2 Practice

19

PERCEIVED AND REAL RISKS

PERCEIVED RISK

Airlineaccident

Mobilephones

Terroristattack Violent

robbery

Avian flu Stock exchange crash

Glass of wine

REAL RISK

Heat wave

Cancer

Circulatory diseases

Work-related

Work-related

Work-related

Work-related

WORKall

Work-related

Evidence 2 PolicyEvidence 2 Practice

WORKall

Sources: S. Hertlich, M.Hamilo, S.kuvalehti (FI), Journal of Occ Env Hyg, 11: 326–337, May 9, 2014; Takala ao.

WAR activities, anywhere Traffic

Accident

JOEH http://www.tandfonline.com/doi/pdf/10.1080/15459624.2013.863131

COSTS: http://www.wshi.gov.sg/files/Economic%20Cost%20of%20Work-related%20Injuries%20and%20Ill-health%20in%20Singapore.pdf

Trends – change of mindset

Occupational Diseases Are CommonCommon Diseases are Occupational

Conclusion

Zero Harm -Vision Zero

Thank You