SOCSO’s Workers Health Promotion Seminar 2014 “Employees Health Care” Speaker Datuk Hj Shamsuddin Bardan Executive Director Malaysian Employers Federation (MEF) THE ISSUE 2 Non Communicable Disease (NCDs) is now a major threat to Malaysians. WHO indicates NCDs accounted for 73% of total deaths in Malaysia. Malaysia the most obese nation in South East Asia. MALAYSIAN EMPLOYERS FEDERATION THE ISSUE 1.5 million adults suffer diabetes. 4.8 million adults suffer hypertensions. Heart disease is the leading cause of deaths in government hospitals. Sources : Annual Report 2010 , Disease Control Division Ministry of Health. 3 MALAYSIAN EMPLOYERS FEDERATION THE ISSUE 4 Probability of death between ages 30 and 70 years from 4 main NCDs is 20% - (WHO) i.e. : Cardiovascular disease Cancer Chronic respiratory disease Diabetes MALAYSIAN EMPLOYERS FEDERATION THE ISSUE 5 Leading NCDs in Malaysia: Heart diseases Stroke Cancer Diabetes Chronic respiratory disease MALAYSIAN EMPLOYERS FEDERATION OCCUPATIONAL DISEASES Cases Payment (RM) 2011 1,537 299,457 2012 2,109 255,207 37.22% (14.78%) Increase/Decrease (%) Causes of occupational diseases: 6 40.3% caused by physical agents such as noise induced hearing loss 59.7% caused by other factors such as chemicals, cancer and radiation MALAYSIAN EMPLOYERS FEDERATION NUMBER OF APPLICATIONS FOR DIALYSIS TREATMENT FACILITIES 2008 - 2012 Source : SOCSO Annual Report 2012 7 MALAYSIAN EMPLOYERS FEDERATION EXPENDITURE FOR DIALYSIS TREATMENT FACILITIES 2008 - 2012 Source : SOCSO Annual Report 2012 8 MALAYSIAN EMPLOYERS FEDERATION THE IMPACT TO BUSINESS 9 Workers health is as important as Safety at the workplace. The health status of a worker is critical in his / her performance of work. Poor health conditions may: lead to worker being unfit to work. cause human errors at work leading to accidents. Employers recognise that good health of workers influence work environment and productivity MALAYSIAN EMPLOYERS FEDERATION AVERAGE MAN DAYS LOST THROUGH MC Average number of man-days loss in 2009 due to sick leave (non hospitalisation: 4.04 days per employee. Out of 35,661 employees surveyed - 46,442 cases of non hospitalisation sick leave Total number of man-days loss due to non hospitalisation leave was 187,393.75 days SICK LEAVE (NON HOSPITALISATION) No. of Cases Average No. of Man-days Loss per employee (days) 9,398 36,730.07 3.91 35,939 147,785.77 4.11 Expatriates 108 275.30 2.56 Foreign Workers 997 2,602.61 2.61 46,442 187,393.75 4.04 Local Employees TOTAL Executives No. of Mandays Loss Non Executives No. of Resp. Co. Loss Rate (%) 71 1.96 Source: MEF Survey on Man-days Loss 2010 10 MALAYSIAN EMPLOYERS FEDERATION AVERAGE COST OF SICK LEAVE Cost per Employee per Year (RM/year) Wages paid for sick leave taken 294.62 Medical expenses 511.09 Overtime to cover those on sick leave 462.30 Total 1268.01 Source: MEF Survey on Man-days Loss 2010 11 MALAYSIAN EMPLOYERS FEDERATION ESTIMATED CUMULATIVE COST OF SICK LEAVE Estimated cumulative cost of sick leave for 6.5 million private sector employee nationwide: RM1,268 x 6.5 million = RM8.22 billion Cost per Employee per Year (RM/year) * 6.5 million private sector employees Estimated Total in billion (RM) Wages paid for sick leave taken 294.62 * 6.5 million private sector employees 1.92 Medical expenses 511.09 * 6.5 million private sector employees 3.3 Overtime to cover those on sick leave 462.30 * 6.5 million private sector employees 3.0 Total 12 1268.01 8.22 MALAYSIAN EMPLOYERS FEDERATION COST OF 1 DAY M/C e.g. An employee with RM1,000 salary a) Salary - 1,000 - RM 33.30 per day b) Medical Fees RM 50.00 30 - c) Overtime work 4.80 x 1.5 x 8 RM 57.60 TOTAL COST RM140.90 Additional Cost 13 323% MALAYSIAN EMPLOYERS FEDERATION WHAT EMPLOYERS CAN DO 14 Employers may assist employees to adopt the followings: More exercise Healthy diet Non-smoking Programmes on the above may significantly improve the employees health and wellbeing. MALAYSIAN EMPLOYERS FEDERATION WHAT EMPLOYERS CAN DO More exercise – Employers may: 15 Allocate time for employees to do light exercise – at work, during work and after work. Work design to avoid static posture at work. Establishing of gymnasium or recreational room. Encourage use of staircase for ascending. Conduct weekend outings. Family day outings. MALAYSIAN EMPLOYERS FEDERATION WHAT EMPLOYERS CAN DO Healthy diet – Employers may: 16 promote healthy eating at canteen by subsidising healthy food eliminate junk food and high sugar food. Distribute healthy menu and recipe for workers to try at home. Promote use of calorie intake monitoring software in smart phones. This will allow employees to monitor what they consume and the amount of calorie on a daily basis. MALAYSIAN EMPLOYERS FEDERATION WHAT EMPLOYERS CAN DO 17 Non-smoking – Employers may: Promote quit smoking campaign. Provide support group for smokers. Restrict smoking areas at the workplace. Distribute and display posters on smoking. Prohibit cigarette sale at canteen. MALAYSIAN EMPLOYERS FEDERATION WHAT EMPLOYERS CAN DO Health screening – Employers may: 18 Conduct health screening on a regular basis for workers how are exposed to hazardous chemical at work or as recommended by the Chemical Health Risk Assessment under the OSH Act 1994. Require employees age 40 and above to undergo health screening Issue – Employees not giving consent to medical practitioners to share results of health screening with employers MALAYSIAN EMPLOYERS FEDERATION Conclusion 19 NCDs is a national issue and the stakeholders (employers, employees, trade unions and the authorities) must work together to enhance healthcare Employer can play major role at the workplace to promote health programmers It is important to focus on activities that may reduce the risks of NCDs MALAYSIAN EMPLOYERS FEDERATION THANK YOU 20 MALAYSIAN EMPLOYERS FEDERATION