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Implementing the Global Plan of Action for Workers' Health


									Journal of Occupational Safety and Health 18: 182-195 (2010)

                     Implementing the Global Plan of Action
                             for Workers’ Health
                                                     Marilyn A. Fingerhut
                       Co-Coordinator, WHO Network of Collaborating Centers in Occupational Health


              This article was set out to illustrate how strong partnering can assist countries to better
       protect the health and safety of workers affected by globalization and new technology, and to
       invite new partners to collaborate with the activities of World Health Organization (WHO)
       Global Network of Collaborating Centers in Occupational Health. Two Resolutions passed by the
       WHO World Health Assembly to address the health and safety of workers were introduced,
       including the Global Strategy on Occupational Health for All, endorsed in 1996, and the Global
       Plan of Action on Workers’ Health 2008-2017, endorsed in 2007. Examples of deliverables
       achieved, anticipated by 2012, and gaps to be filled were discussed. Further intensive focus will
      be designed into the next Global Workplan for 2013-2017.

       Keywords: Worker health, Global plan, World Health Organization

Correspondence to: Marilyn A. Fingerhut, NIOSH. E-mail:

                                                                Roles of Occupational Health Good Practices in Globalization

               Introduction                                Commission on Occupational Health (ICOH),
                                                           the International Occupational Hygiene
      The purpose of this article is to illustrate         Association (IOHA), the International
how strong partnering can assist countries to              Ergonomics Association (IEA) and the
better protect the health and safety of workers            International Labor Organization (ILO)[1].
affected by globalization and new technology,              The partners in this Network are working
and to invite new partners to collaborate with             together in a common 2009-2012 Workplan[2]
the activities of World Health Organization                to develop electronic resource libraries,
(WHO) Global Network of Collaborating                      practical tools, guidance, and increased
Centers in Occupational Health. The Network                capacity needed by countries to address the
includes WHO, 68 Collaborating Centers                     challenges of worker health. Partners outside
(CCs) in Occupational Health that are                      the Network are invited to coordinate and
primarily occupational health agencies and                 collaborate with us.
university departments, the International

      Figure 1 WHO Global Network of Collaborating Centers in Occupational Health

      The 193 Member Countries of the                      setting norms and standards, articulating
United Nations work on health-related issues               evidence-based policy options, providing
that are identified and endorsed by their                  technical support to countries and monitoring
Health Ministers, who gather in May of each                and assessing health trends. The International
year in Geneva as the World Health Assembly,               Labor Organization is the UN specialized
the supreme decision-making body for the                   agency which seeks the promotion of social
World Health Organization. WHO is                          justice and internationally recognized human
responsible for providing leadership on global             and labour rights. Together these organi-
health matters for the United Nations coun-                zations have maximal influence for working
tries, shaping the health research agenda,                 people.

Two Resolutions passed by the WHO
                                                            Roles of Occupational Health Good Practices in Globalization

primary prevention of occupational hazards,            projects of the 2009-2012 Workplan[8] are
protection and promotion of health at work,            organi zed into five groups, each focused on
employment conditions, and improving the               one of the five Objectives of the Global Plan
response of health systems to workers’ health.         of Action for Workers’ Health.
It calls for occupational risk assessment and
management in the workplace, which is a key
area for action. It also calls for improving
workers’ health through involvement with                   Priorities of the 2009-2012
other public health disciplines, such as                            workplan
chemical safety, environmental health, health
systems, and disease prevention and control.
                                                              The institutions of the Network of
It urges close collaboration with labor and
                                                       WHO CCs in Occupational Health are carry-
other sectors, and with organizations of
                                                       ing out a broad range of national, regional,
employers, workers, and professionals. The
                                                       and global projects to assist countries to im-
content of the Resolution is organized
                                                       plement the commitments of the Global Plan
according to the specific Objectives of the
                                                       of Action (GPA). Because of the breadth of
                                                       the content in the Global Plan of Action, the
1. To devise and implement policy instru-              CC Network used a consultation process in
     ments on workers’ health;                         2008 to identify the Priorities toward which
2. To protect and promote health at the work-          the greatest intensive effort would be devoted.
     place;                                            The 2009–2012 Work Plan organizes the
3. To improve the performance of and access            projects into subgroups addressing the Pri-
     to occupational health services;                  ority topics[9] within each of the GPA Objec-
4. To provide and communicate evidence for             tives. Each subgroup of projects is coordin-
     action and practice; and                          ated by a volunteer CC Initiative Leader, who
5. To incorporate workers’ health into other           assists the volunteer GPA Objective Manager.
     policies.                                         Their work is done in cooperation with the
                                                       Network Co-Coordinators, and the occup-
                                                       ational health staff in Geneva and in the
The 2009-2012 workplan of the                          regional offices. The five GPA Objectives
  WHO network of CCs in                                and the Priority Areas are provided in Annex
     occupational health                               1, where examples of deliverables and the
                                                       Priority Leaders are also identified.
      The WHO Network 2009-2012 Work-                         The Eighth Meeting of the WHO Glo-
plan was developed to promote intensive                bal Network of Collaborating Centers in Oc-
activity toward addressing the Global Plan             cupational Health took place in Geneva,
of Action. The approximately 200 current               Switzerland from 19-21 October, 2009[10].

Journal of Occupational Safety and Health 18: 182-195 (2010)

The purpose of the Meeting was to assess the                         Anticipated by 2012, and Gaps to be Filled
progress of the Network 2009-2012                                    Discussions in the Priority Area Working
Workplan in achieving the outcomes of the                            Groups at the 8 th Global Meeting of the
Global Plan of Action; to note outcomes                              Network in Geneva led to the following
anticipated from the projects by 2012; to                            conclusions and commitments to filling of
identify critical gaps needing filling by 2012;                      gaps.
and to look forward to areas of emphasis
                                                                     1. GPA Objective 1: Devise and implement
anticipated for the next Workplan 2013-
                                                                        policy instruments on workers’ health
2017[11]. The Meeting hosted 14 Working
                                                                      (1) Priority 1.1: Develop or implement
Groups, one for each GPA Priority Area.
                                                                          profiles on workers’ health and evalu-
Prior to the meeting, all CCs were invited to
                                                                          ation of national action plans on work-
update progress on projects, including
                                                                          ers’ health.
identifying outcomes already achieved and
                                                                          A. Anticipated by 2012: Standardized
anticipated deliverables by 2012. This
                                                                          format agreed by ILO and WHO for
information was used in the Working Groups
                                                                          national profiles; global electronic repos-
to stimulate increased collaboration, generate
                                                                          itory of national policy instruments on
new or modified projects, and project the
                                                                          workers’ health.
level of success by 2012. The dates of 2012
                                                                          B . Gaps: Implementation and evalu-
and 2017 were selected as end dates of the
                                                                          ation of national policy instruments;
Network Workplan periods because WHO
                                                                          global list of worker health indicators;
must report to the 2013 and 2018 World
                                                                          systematic review of national policies
Health Assemblies on progress of the coun-
                                                                          and action plans.
tries on the commitments of the Resolution
60.26 Global Plan of Action on Workers’                               (2) Priority 1.2: the prevention of silica
Health. The Final Report of the Geneva                                    and other dust-related diseases.   .
Meeting describes the conclusions and the                                 A. Achieved: National Silicosis Plan,
plans for going forward within each of the                                silica lab, training and toolkit develop-
GPA Priority Areas[12].                                                   ment and usage in Chile.
      The Network Meeting was followed by                                 B. Anticipated by 2012: Electronic re-
three intensive Workshops held to                                         source library; wide sharing of tools,
substantially advance three key priorities of                             laboratory development and diagnosis
the Global Plan of Action: Capacity Building,                             training; increased technical ability.
Healthy Workplaces, and Healthcare                                        C. Gaps: Network of toolkit users; eva-
Workers. The Reports of these Workshops                                   luation of impact of tools and training.
indicate substantial accomplishments to date                         (3) Priority 1.3: the elimination of asbestos-
and strategic plans for the next few years[13].                          related diseases.
      Examples of Deliverables Achieved,                                 A. Achieved: Leadership of WHO and

                                                           Roles of Occupational Health Good Practices in Globalization

         ILO; banning in several countries.                resource library; implementation and
    B. Anticipated by 2012: Awareness-                     evaluation of toolkits; Network of
         raising activities; training; tools.              experts.
    C. Gaps: Evaluation of preventive mo-                  C. Gaps: Inclusion of toolkits in Basic
         dels; toolkits; technical capacity.               Occupational Health Services; technical
(4) Priority 1.4: the comprehensive pro-                   capacity; broad acceptance of value of
    tection and promotion of health for                    ‘simple guidance’; inclusion of variety
    health care workers, emphasizing Hep-                  of toolkits into one ‘toolbox’ for coherent
    atitis B immunization.                                 usage.
    A. Achieved: WHO/PAHO Train-the-                   (2) Priority 2.2: a global framework and
    trainer toolkit to prevent needlesticks                guidance on healthy workplaces.
    adapted, translated and implemented in                 A. Achieved: WHO Healthy Workplace
    countries; Toolkit and models of imple-                Framework document reviewed and
    mentation / valuation available for use                agreed at October 2009 Global Network
    globally.                                              meeting.
    B. Anticipated by 2012: Global Fra-                    B. Anticipated by 2012: Publication of
    mework for National Programs for Health                WHO guidance on Healthy Workplaces;
    Workers addressing all risks for health-               adaptation of guidance to country,
    care workers; widespread Hepatitis B                   community, sector, company, culture;
    immunization campaigns.                                piloting and evaluation of guidance in
    C. Gaps: Geographical gaps; dissemin-                  countries; training modules and train-
    ation of tools and best practices; compre-             the-trainer approach; electronic availabi-
    hensive package for hazard assessment,                 lity of materials and tools.
    prevention and control of all hazards to               C. Gaps: Awareness; inclusion of em-
    health workers.                                        ployers and labor; cost-effectiveness.
                                                       (3) Priority 2.3: toolkits for the assessment
2. GPA Objective 2: To protect and pro-                    and management of global health
   mote health at the workplace                            threats including HIV, tuberculosis,
(1) Priority 2.1: practical toolkits for the               malaria, and influenza (emphasizing
    assessment and management of occup-                    vulnerable groups (e.g. migrant work-
    ational health risks.                                  ers).
    A. Achieved: Twenty-five toolkit de-                   A. Anticipated by 2012: Guidance for
    velopment projects underway at CCs;                    vulnerable groups; WHO guidance on
    European PRIMA psychosocial frame                      pandemic preparedness.
    work for toolkit.                                      B. Gaps: Models of success for preven-
    B. Anticipated by 2012: Electronic                     tion in migrant groups.

Journal of Occupational Safety and Health 18: 182-195 (2010)

3. GPA Objective 3: To improve the perfor-                                collaborations with employers, unions,
   mance of and access to occupational                                    primary healthcare, labor inspectorates,
   health services                                                        universities and professional associations
(1) Priority 3.1: provide technical assist-                          4. GPA Objective 4: To provide and com-
    ance to countries for organization, de-                             municate evidence for action and prac-
    livery and evaluation of basic occup-                               ice
    ational health services (BOHS).                                  (1) Priority 4.1: practical research on
    A. Achieved: Piloting of basic occup                                  emerging issues, including nanoma-
    ation health services programs in several                             terials and climate change
    countries.                                                            A. Achieved: Many Collaborating Cen-
    B. Anticipated by 2012: Publication of                                ters are expert nanotechnology research
    practical BOHS delivery models and                                    centers.
    practices; train-the-trainer programs;                                B . Anticipated by 2012: WHO guid-
    programs of grass-root level OSH train-                               ance for handling nanomaterials for low-
    ing; implementation and evaluation of                                 income countries; communication system
    models.                                                               to inform low-income countries of risks
    C. Gaps: Definition of BOHS stand-                                    and solutions of nanomaterials; review
    ardized minimum package of services;                                  of efforts to identify and prevent worker
    evaluation of BOHS practices; inclusion                               risks enhanced or created due to climate
    in national government systems; tech-                                 change; position paper on preventive
    nical capacity.                                                       and corrective actions.
(2) Priority 3.2: training materials and                                  C. Gaps: Worldwide limitations in un-
    training for international capacity                                   derstanding and experience with conse-
    building in OH.                                                       quences and solutions for workers hand-
    A. Achieved: Electronic Geolibrary[14]                                ling nanomaterials or affected by climate
     of training materials                                                change.
    B. Anticipated by 2012: Electronic                               (2) Priority 4.2: develop the global rese-
    open educational resource repository and                              arch agenda for workers’ health.
    an active community of educators motiv-                               A. Achieved: Many Collaborating Cen-
    ating and assisting OSH capacity build-                               ters are expert OSH research centers.
    ing; Broad preliminary framework defin-                               B. Anticipated by 2012: Identification
    ing occupational health disciplines and                               of practical research priorities for low-
    competencies; Train-the-trainer models                                resource countries.
    and products ; Inclusion of interested                                C. Gaps: Recognition of occupational
    educators into the community.                                         health and safety needs by countries.
    C. Gaps: Materials in other languages;                           (3) Priority 4.3: include occupational hea-
    OSH academic programs in countries;                                   lth in the ICD classification[15].

                                                           Roles of Occupational Health Good Practices in Globalization

    A. Anticipated by 2012: Inclusion of                   Network including consumer groups,
    occupational health components in the                  Corporate Social Responsibility progr-
    11th revision of the International Class-              ams, Fair Trade movement, international
    ification of Diseases.                                 agencies and NGOs; international fun-
    B. Gaps: Recognition of the importance                 ding agencies, national and local agen-
    of occupational risks for disease.                     cies and NGOs; professional associations
5. GPA Objective 5: To incorporate work-                   and universities.
   ers' health into other policies.                    (3) Priority 5.3: implement sectoral toolkits
(1) Priority 5.1: studies to clarify the eco-              for the assessment and management
    nomic benefits of workers’ health.                     of OH risks in the most hazardous sec-
    A. Achieved: Working party formed in                   tors and for vulnerable workers.
    October 2009 Meeting of 18 CC memb-                    A. Agriculture
    ers to advance cost-benefit analyses with-               (A) Achieved: Latin American Net-
    in the Network.                                          work on Rural Medicine and Health
    B. Anticipated by 2012: Conceptual fr-                   and Mediterranean and Balkan Net-
    amework for inclusion of cost-benefit                    work on Rural Medicine and Health
    analyses in CC intervention projects (e.g.               active and hosting 2010 Conferences
    implementation of silica toolkits); Models               in Cuba and Albania.
    for use by in ternational funding bodies,                (B) Anticipated by 2012:Resource
    and at national, company and individual                  library for sharing of tools, model
    levels.                                                  policies, examples of successful pes-
    C. Gaps: Limited experience in the                       ticide registration systems, training for
    Collaborating Centers.                                   rural populations
(2) Priority 5.2: managing risks associated                  (C) Gaps:Adequate national legisl-
    with the effects of globalization on                     ation for OSH in agriculture, BOHS
    workers’ health.                                         in agriculture.
    A. Anticipated by 2012: Global situa-                  B. Transport
    tion analysis on OSH in a globalized                     (A) Achieved:International Congress
    world that identifies various types of                   on Global Road Safety for Workers;
    problems, interventions, target groups,                  Electronic library of good practices for
    potential partners, examples of succe-                   workers on roads[16].
    ssful interventions; linking of analyses                 (B) Anticipated by 2012:Implement-
    to practical outputs of the 2009-2012                    ation and evaluation of road safety
    Workplan projects targeting migrants,                    practices; Guidance for chemical
    healthcare workers, vulnerable groups.                   safety of European maritime work-
    C. Gaps: Partnerships outside the WHO                    ers in harbors.

Journal of Occupational Safety and Health 18: 182-195 (2010)

        (C) Gaps: Active network of global                                            Discussion
        road safety experts focused on OSH;
        failure of OSH community to address                                 The members of the Global Network of
        road safety for workers; few projects                        Collaborating Centers in Occupational Health
        by Collaborating Centers.                                    are all actively engaged in this broad
      C. Construction                                                partnership effort to develop tools and
        (A) Anticipated by 2012: Electronic                          capacity to address worker health and safety
        resource library to share and connect                        risks throughout the world. The members
        existing recourses; sector-based simple                      include WHO headquarters and regions, ILO,
        guidance implementation and evalu-                           68 individual Collaborating Centers and the
        ation.                                                       three international NGOs in formal affiliation
        (B) Gaps: Guidance and tools suitable                        with WHO: ICOH, IEA and IOHA. The
        for informal sector and migrant work-                        priorities on which they are working were
        ers; partnerships outside the WHO Net-                       endorsed by the UN Member States in May
        work including employers, labor, insur-                      2 0 0 7 a s t h e Wo r l d H e a l t h As s e mb l y
        ance companies; few projects by Coll-                        Resolution 60/26 Global Plan of Action for
        aborating Centers                                            Workers’ Health 2008-2017. The intent of
      D. Vulnerable workers                                          the Network effort is to focus on deliverables
        (A) Achieved: ILO/WHO Technical                              by 2012 that will assist the countries to fulfill
        Committee on Young Workers and                               their commitments agreed by endorsing the
        Child Labor to provide leadership and                        Resolution. Further intensive focus will be
        connect partners.                                            designed into the next Global Workplan for
        (B) Anticipated by 2012: Resource                            2013-2017.
        library to share OSH tools, training                                Success in assisting countries to act for
        and practices for all groups of vulner-                      workers’ health will require active engage-
        able workers (child labor, young and                         ment of the Network with numerous partners
        older workers, informal sector, migrant                      knowledgeable about and committed to work-
        workers, precariously employed work-                         er health and safety, from all areas of the
        ers, workers in disadvantaged ethnic                         globe, and at various levels in international
        groups, vulnerable women workers                             agencies and NGOs and professional associa-
        (e.g. pregnant) and workers with chr-                        tions, in national ministries, agencies and
        onic illnesses or disabilities.                              NGOs; in professional associations, univer-
        (C) Gaps: Integration of vulnerable                          sities, companies and unions; and in or resp-
        worker issues into Basic Occupational                        onsible for the informal sector. Please consider
        Health Services; few projects by Coll-                       coordinating or collaborating with us to
        aborating Centers.                                           advance the worker health efforts in your area

of interest. Please especially note the gaps
identified above and assist in addressing the
needs of workers and of countries. Together,
we can have a substantial impact on the health
and safety of working people.

         Acknowledgements wpact on the 24.98aps
Journal of Occupational Safety and Health 18: 182-195 (2010)

     2009 (Available from U R L http://                                   Materials (Available from URL                     
     4_Jan_cc_report.pdf)                                            [15] Note: This is a new Priority identified
[13] Final Reports of Workshops of October                                as needed at the October 2009 Network
     2009 (Available from U R L http://                                   Meeting and added to the existing list of                                  14 Priorities and resulting in a set of 15
     work/collaborating_centres_meeting                                   Priorities.
     /en/index.html)                                                 [16] Electronic library of good practices for
[14] Global Environmental and Occupational                                workers on roads (Available from URL
     Library (Geolibrary) of OH Training                           

                                                                        Roles of Occupational Health Good Practices in Globalization

Annex 1 Workplan of the Global Network of WHO Collaborating Centres for Occupational
        Health for the period 2009-2012
This workplan represents the contribution of the Global Network of WHO Collaborating Centres for Occupational
Health to the implementation of the WHO Global Plan of Action on Workers' Health, 2008-2017: The Network includes government, research,
professional and academic institutions from 37 countries, and three international professional associations The 2009-2012 workplan is organized
into 5 objectives, reflecting those of the Global Plan of Action, and 15 priorities. Projects associated with each priority
can be found at For more information, contact

 GPA Objective 1: to devise and implement policy instruments on workers’ health Manager:
 Claudina Nogueira, NIOH, South Africa
 Priority 1.1:                  Priority1.2: Develop           Priority1.3: Develop              Priority 1.4: Conduct
 Develop/update                 and disseminate                and disseminate                   studies and develop
 national profiles on           evidence-based                 evidence-based tools              evidence-based tools
 workers’ health and            prevention tools and           and raise awareness               and information
 provide evidence base          raise awareness for            for the elimination of            materials for the
 for development,               the prevention of              asbestos-related                  comprehensive
 implementation and             silica- and other dust-        diseases.                         protection and
 evaluation of national         related diseases.                                                promotion of health for
 action plans on                                               Outputs: Estimates of             health care workers,
 workers’ health                Outputs: Evaluation            the burden of                     emphasizing HBV
                                of national                    asbestos-related                  immunization.
 Outputs:                       programmes,                    diseases, review of               Outputs: Tools,
 Comparative analysis           packages of essential          good practices for                guidance, assistance
 of national strategies         interventions and              substitution of                   to countries for
 and action plans,              good practices, for            asbestos and                      training, implementing
 national profiles, and         dust control,                  prevention of                     and evaluating
 reports on lessons             exposure and                   exposure to asbestos,             programs
 learned                        diagnostic criteria for        health surveillance of            Support: CC: Ahmed
 Support:                       pneumoconiosis                 exposed workers                   Gomaa and Maria
 CC: Jovanka                    Support:                       Support:                          Lioce-Mata, NIOSH,
 Bislimovska, Institute         CC: Catherine                  CC: Ken Takahashi                 US
 of OH, FYR of                  Beaucham, Maria                Institute of Industrial           Partners: ILO Julia
 Macedonia                      Lioce-Mata, and Faye           Ecological Sciences,              Lear; PSI Jorge
 WHO/HQ: Ivan                   Rice, NIOSH US                 Japan                             Mancillas
 Ivanov                         Partner: Igor                  Partner: Igor Fedotov,            WHO/HQ: Susan
                                Fedotov, ILO                   ILO                               Wilburn; PAHO:
                                WHO/HQ: Ivan Ivanov            WHO/HQ: Ivan Ivanov               Marie-Claude Lavoie

Journal of Occupational Safety and Health 18: 182-195 (2010)

 GPA Objective 2 : to protect and promote health at the workplace
 Managers: Stavroula Leka and Aditya Jain, Univ. of Nottingham, UK
 Priority 2.1: Develop                          Priority 2.2: Healthy Workplace   Priority 2.3: Develop toolkits
 practical toolkits for the                     programmes and guidance to        for the assessment and
 assessment and                                 inform country frameworks         management of global health
 management of OH risks                                                           threats including HIV,
 (focus: chemical, physical,                    Outputs: Review of                tuberculosis, malaria,
 biological, psychosocial                       effectiveness of existing         influenza, emphasizing
 risks)                                         programmes for healthy            vulnerable groups, in
                                                workplaces, tools for creating    particular migrant workers
 Outputs: Tools, inventory,                     healthy workplaces including a
 framework document,                            health-promoting culture and      Outputs: Tools, inventory,
 mapping of use and types of                    OH&S principles                   framework, mapping of use
 tools, evaluation, definition of                                                 and types of tools, evaluation,
 common criteria of toolkits                    Support:                          and definition of toolkits
                                                CC: Abeytunga, CCOHS,
 Support:                                       Canada                            Support:
 CC: David Zalk, IOHA,                          Fernando Coelho, SESI, Brazil     CC: Jadranka Mustajbegovic,
 Wendy Macdonald, La Trobe                                                        Medical School University of
 University, Australia ,                        Partner: Valentina Forastieri,    Zagreb, Croatia
 Stavroula Leka and Aditja                      ILO                               WHO/HQ: Susan Wilburn
 Jain, University of                            WHO/HQ: Evelyn Kortum
 Nottingham, UK                                 WHO/PAHO: Marie-Claude
 WHO/HQ: Evelyn Kortum                          Lavoie

 GPA Objective 3 : to improve the performance of and access to occupational health services
 Managers: Timo Leino, FIOH and Leslie Nickels, UIC
 Priority 3.1: Develop working methods, provide                            Priority 3.2: Adapt and disseminate
 technical assistance to countries for organization,                       curricula, training materials and
 delivery and evaluation of basic OH services in the                       training for international capacity
 context of primary health care, with particular focus on                  building in OH
 underserved populations and settings with constrained
 resources                                                                 Output: Model materials and
                                                                           courses for BOHS, inventory,
 Output: Good practices and demonstration projects for                     technical support for delivery of
 organization and delivery of OH services, evaluation of                   international courses and on-line
 service delivery, international knowledge networks of                     training, national training programs in
 service providers, website clearinghouse of information                   low- and medium-income countries,
 materials for OH practice                                                 introduction of OH into professional
 Support:                                                                  education
 CC: Timo Leino, FIOH, Finland, Norbert Wagner,
 University of Illinois at Chicago, Frank VanDijk, Coronel                 Support:
 Institute, The Netherlands;                                               CC:, Jonny Myers, University of
 Partner: Igor Fedotov, ILO                                                Cape Town, Linda Grainger, ICOH
 WHO/HQ: Ivan Ivanov                                                       WHO/RO: Rokho Kim

                                                         Roles of Occupational Health Good Practices in Globalization

GPA Objective 4 : to provide and communicate evidence for action and practice Managers: Jo
Harris-Roberts and Ed Robinson, HSL, UK
Priority 4.1: Encourage practical       Priority 4.2: Further          Priority 4.3: Revision of the
research on emerging issues,            develop the global             International Statistical
including nano-materials and climate    research agenda for            Classification of Diseases
change                                  workers’ health                and Related Health Problems
                                                                       (ICD) to include occupational
Output: Research reports and            Output: Research               causes in the eleventh
communication strategies with low-      report matrix to identify      edition.
and medium income countries on          relevant gaps in
interventions to ensure workers'        research                       Output: Occupational health
health                                                                 and disease components
Support:                                Support:                       added to ICD-11
CC: Nano-materials Rosemary             CC: Jo Harris-Roberts,
Gibson HSL, UK and Vladimir             Ed Robinson, HSL, UK           Support:
Murashov, NIOSH USA                     WHO/HQ: Ivan Ivanov            CC: Jo Harris-Roberts, Ed
Climate change Jo Harris-Roberts,                                      Robinson, HSL, UK
Ed Robinson, HSL, UK                                                   WHO/Euro: Rokho Kim
WHO/HQ: Ivan Ivanov

GPA Objective 5: to incorporate workers’ health into non-health policies and projects
Manager: Wendy Macdonald, La Trobe University, Australia
Priority 5.1: Collate   Priority 5.2: Develop     Priority 5.3: Implement toolkits for the
and conduct cost-       specific and relevant     assessment and management of OSH hazards
benefit studies to      recommendations to        in high risk industry sectors and for vulnerable
clarify the economic    manage risks              worker groups
benefits of workers’    associated with the
health                  impacts of                Output: Tools, inventory, framework document,
                        globalization on          mapping of use and types of tools, evaluation
                        workers’ health           Support:
Output: Published                                 CC Hazardous sectors: Catherine Beaucham,
articles and            Output: Guidance for      NIOSH, USA
information posted to   development banks,        Agriculture: Claudio Colosio , University of
WHO website             non-health sector         Milan, Italy
                        entities to improve       Transport: Lygia Budnik, CIOM, Hamburg and
Support:                workers' health           Jane Wilkins, NIOSH, USA
CC: Jos Verbeek,                                  Vulnerable workers: Owen Evans and Jodi
FIOH, Finland, Diana    Support:                  Oakman, La Trobe Univ. Australia
Gagliardi, ISPESL,      CC; David Rees,           Partner: Young workers: Susan Gunn, IPEC
Italy                   NIOH, South Africa        ILO, Annie Rice SafeWork, ILO


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