2009 - 2012 Workplan of the
WHO CC in OH
GPA Objective 1 - CLOSING
Claudina M C A Nogueira
National Institute for Occupational Health (NIOH)
of the National Health Laboratory Service (NHLS)
Johannesburg, South Africa
22 October 2009
A WHO Collaborating Centre and ILO/CIS National Centre
SUMMARY
GPA Objective 1
Devise and implement policy instruments
on workers’ health:




Priority
Priority
Priority
Priority
1.1
1.2
1.3
1.4
–
–
–
–
National Profiles
Silica Diseases
Asbestos Diseases
Health Care Workers
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CONCLUSIONS
MAIN DELIVERABLES 2012, 2016

Priority 1.1 – National Profiles on Workers’
Health

Standardised format for national profiles to
be developed and approved by ILO and WHO
Consider the Southeast European National
Profile Programme and the Finnish National
Profile as model and guideline
Establish a global repository of national
policy instruments on workers' health


3

Priority 1.2 – Silica Disease Prevention

Pneumoconioses resources in electronic
library format
Increased number of national programmes
Digital reading accreditation
Laboratory network of CC experts led by
NIOSH to provide technical expertise to
develop laboratories
Continued translation, implementation,
evaluation and sharing of strategies
between countries




4

Priority 1.3 – Asbestos Disease Prevention

Compilation of National Profiles (NPEAD) in
multiple countries – collaboration with PAHO
on Regional Atlas
Increase in number of countries supported
by WHO CCs to ratify ILO Convention N.162
(currently = 28)
Review and update estimates of current and
future burden of disease for all ARDs


5

Priority 1.4 – Health Care Worker Programmes

Global framework for national programmes for
health workers
Revision of WHO/NIOSH/PAHO toolkit
Protecting Health Workers – and expand to
airborne hazards
• Hepatitis B immunisation campaigns
• Respiratory assessment and protection
• Health and safety committee training and
walk-through materials
• Surveillance systems
WHO Guidelines for HCW immunisation


6
RECOMMENDATIONS
Priority 1.1 – National Profiles
 Develop global list of workers’ health
indicators
 Gather evidence for action on workers'
health
 Implement systematic review of national
policies, action plans and profiles in
workers' health
 Assist in enabling the ministries of health
to provide leadership for activities related
to workers’ health
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Priority 1.2 – Silica Disease Prevention
Develop Silica Fact Sheet and WHO/ILO
policy paper
 Share surveillance system
 ILO/WHO and regions to encourage
national accreditation schemes
 Establish Industrial Hygiene sampling
strategy and analysis courses, including a
train-the-trainer component and follow-up
on usage and impact

8
Priority 1.3 – Asbestos Disease Prevention
Update available data on ARDs and
asbestos exposure: direct / indirect /
environmental
 Develop job exposure matrices in
collaboration with environmental and public
health institutions – use NPEAD data
 Augment the limited data available on the
effectiveness of preventive measures
(1o to 3o)

9
Priority 1.4 – Health Care Worker Programmes
Implement review of national programmes for
OH of health workers - in 50% of countries
reporting in the WHO GPA Member State
survey
 Coordinate and standardise tools, training, &
information systems to avoid duplication and
enhance quality and comparability across
countries
 Review immunisation campaigns for health
workers – 35% of countries reported full
requirement for HBV immunisation

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WAY FORWARD
For Priorities 1.1 – 1.4




Aim to strengthen national capacities and to
promote focused inter-sectoral collaboration and
social dialogue
Use existing resources and established initiatives /
networks as benchmarks and guidelines for new
proposals and their implementation
Cross-reference with projects across the other 4
GPA objectives and respective priorities; add new
projects from WHO CCs to address identified gaps
Design appropriate communication strategies to
showcase products; promote marketing and
uptake interventions
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 Thank you to Priority Leaders 1.1 – 1.4
Jovanka Bislimovska
Ken Takahashi
(IOH, Macedonia)
(IIES, UOEH, Japan)
Maria Sofia Lioce-Mata
Catherine Beaucham
Faye Rice
Ahmed Gomaa
Margaret Kitt
(NIOSH,
(NIOSH,
(NIOSH,
(NIOSH,
(NIOSH,
Susan Wilburn
Ivan Ivanov
(WHO)
(WHO)
Marilyn Fingerhut
(Retired
USA)
USA)
USA)
USA)
USA)
)
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