disease and the workplace: it really is a matter of prevention
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Disease and the Workplace: It Really is a Matter of Prevention. National Occupational Health Nurses ’ Conference. Chris Martin, MD, MSc Professor and Director, Institute of Occupational and Environmental Health West Virginia University School of Medicine. Conference Theme. - PowerPoint PPT PresentationTRANSCRIPT
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Disease and the Workplace: It Really is a
Matter of Prevention
Chris Martin, MD, MScProfessor and Director,
Institute of Occupational and Environmental HealthWest Virginia University School of Medicine
National Occupational Health Nurses’ Conference
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Conference Theme
The Prevention of Known
Occupational Diseases
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Conference Theme
The Prevention of Known
Occupational Diseases
What are the known diseases?What can we do to prevent them?
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Prof Gordon Waddell CBE, DSc, MD, FRCS
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What employment status?
Associated with 40% increase in self-reported new health condition (blood pressure, diabetes) in first 1.5 years
Strully K. Soc Sci Med. 2009 Sep;69(5):768-76.
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What employment status?
More than doubles the risk of heart attack or stroke in people between 51 and 61 years over 6 and 10 years.
Gallo WT, Brand JE, Teng HM, Leo-Summers L, Byers AL.Res Aging. 2009 May 1;31(3):345-360.
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What employment status?
Increases the risk of death overall by 63% based on a review of 42 studies with data on more than 20 million persons.
Roelfs DJ, Shor E, Davidson KW, Schwartz JE. Soc Sci Med. 2011 Mar;72(6):840-54.
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Involves 1,604,900 Canadians (August 2012)
% C
anad
ian
Pop
ulat
ion
Source: Stats Can
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In addition…
Increased mental illness Economic impact Social exclusion
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Yet for most sick and disabled people, work: “is therapeutic; helps to promote recovery and rehabilitation; leads to better health outcomes; minimises the harmful physical, mental and
social effects of long-term sickness absence; reduces the risk of long-term incapacity; promotes full participation in society,
independence and human rights; reduces poverty; improves quality of life and well-being”.
IS WORK GOOD FOR YOUR HEALTH AND WELL-BEING? Gordon Waddell, A Kim Burton, 2006.
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Re-employment
Adverse health effects largely reversible However, depends on job
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So, what do we do?
Acknowledge and address the social context of our work
1.Change our attitude about work
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Culture:The collective attitudes, beliefs and behaviors that characterise a particular social group over time
Changing the culture of work & health
Slide courtesy Gordon Waddell, accessed from: www.cf.ac.uk/cwerc/events/seminar1/Gordon%20Waddell.ppt
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2. Employment
Secure, ‘healthy’ jobs Accommodations for the injured and ill Promote workplace wellness programs
for all health conditions.
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What is the leading cause of on-duty death in this group of workers?
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3. Individuals
Need to take greater responsibility for their health in general and rehabilitation following averse health events
…and live in an environment that makes healthy choices easy
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Traditional Occupational Disease remains with us Mostly incurable! Mostly affect lung and skin Mostly allergic and neoplastic We need to be vigilant
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PMF “Hot Spots”
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PMF “Hot Spots”
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1970-1974
1975-1979
1980-1984
1985-1989
1990-1994
1995-1999
2000-2004
2005-2006*
Per
cen
tag
e
0
5
10
15
20
25
30
35
0-9 years10-14 years15-19 years 20-24 years25+ years
Tenure in Mining
Percent of miners with CWP by tenure in mining, 1970-1999
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Percent of miners with CWP by tenure in mining, 1970-2006
1970-1974
1975-1979
1980-1984
1985-1989
1990-1994
1995-1999
2000-2004
2005-2006*
Per
cen
tag
e
0
5
10
15
20
25
30
35
0-9 years10-14 years15-19 years 20-24 years25+ years
Tenure in Mining
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Deaths with CWP, age 15-44, national data
Rising?
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For occupational disease
Surveillance systems always essential(even when they report few cases)
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1970-1974
1975-1979
1980-1984
1985-1989
1990-1994
1995-1999
2000-2004
2005-2006*
Per
cen
tag
e
0
5
10
15
20
25
30
35
0-9 years10-14 years15-19 years 20-24 years25+ years
Tenure in Mining
Percent of miners with CWP by tenure in mining, 1970-1999
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For occupational disease
Surveillance systems always essential(even when they report few cases)
Constant vigilance with primary prevention
When these measures are not in place, lives are lost needlessly
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For occupational disease
Surveillance systems always essential(even when they report few cases)
Constant vigilance with primary prevention
When these are not in place, lives are lost needlessly
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March 9, 2012
“Significant Milestone Reached to Reactivate St. Lawrence Fluorspar MineThe $100 million reactivation of St. Lawrence fluorspar mine is a step closer as the Provincial Government finalized the details of its $17 million repayable contribution to Canada Fluorspar Inc. (TSX-V: CFI). During the two-year construction phase, 370 full-time jobs are expected to be created while 175 full-time positions will be maintained at the facility once production begins”.
Source: http://www.releases.gov.nl.ca/releases/2012/ibrd/0309n01.htm