occupational health milestones and chamber’s response to key health issues. dr thuthula...
TRANSCRIPT
![Page 1: Occupational Health Milestones and Chamber’s Response to Key Health Issues. Dr Thuthula Balfour-Kaipa Head: Health Department Chamber of Mines SA MMPA](https://reader036.vdocuments.us/reader036/viewer/2022062409/5697c0251a28abf838cd56d8/html5/thumbnails/1.jpg)
Occupational Health Milestones and Chamber’s
Response to Key Health Issues.
Dr Thuthula Balfour-KaipaHead: Health DepartmentChamber of Mines SA
MMPA Annual Congress6 September 2014, Kloofzicht
![Page 2: Occupational Health Milestones and Chamber’s Response to Key Health Issues. Dr Thuthula Balfour-Kaipa Head: Health Department Chamber of Mines SA MMPA](https://reader036.vdocuments.us/reader036/viewer/2022062409/5697c0251a28abf838cd56d8/html5/thumbnails/2.jpg)
Outline
Occupational Health MilestonesProcess of revision at MHSC Assessment of progress on milestonesChallenges Other health issues
CompensationOne Stop CentresChamber position on TB in contractors
Conclusion
![Page 3: Occupational Health Milestones and Chamber’s Response to Key Health Issues. Dr Thuthula Balfour-Kaipa Head: Health Department Chamber of Mines SA MMPA](https://reader036.vdocuments.us/reader036/viewer/2022062409/5697c0251a28abf838cd56d8/html5/thumbnails/3.jpg)
Occupational Health Milestones
• Industry milestones for 2013 – Noise• After 2008 - no deterioration in hearing greater than 10% amongst
occupationally exposed individuals• 2013 - total noise emitted by all equipment installed in any workplace
must not exceed a sound pressure level of 110dB(A)
– Dust• 2008 - 95% of all exposure measurement results below OEL for
respirable crystalline silica of 0.1mg/m3
• 2013 - no new cases of silicosis will occur amongst previously unexposed individuals (exposed after 2008)
![Page 4: Occupational Health Milestones and Chamber’s Response to Key Health Issues. Dr Thuthula Balfour-Kaipa Head: Health Department Chamber of Mines SA MMPA](https://reader036.vdocuments.us/reader036/viewer/2022062409/5697c0251a28abf838cd56d8/html5/thumbnails/4.jpg)
Process of revision of milestones at MHSC
• Health and Safety Tripartite Summit: 18 -19 November 2014
• Collation of data from companies – early 2014• Engagement of expert to analyse health data• Tripartite discussions on new occupational
health milestones.
![Page 5: Occupational Health Milestones and Chamber’s Response to Key Health Issues. Dr Thuthula Balfour-Kaipa Head: Health Department Chamber of Mines SA MMPA](https://reader036.vdocuments.us/reader036/viewer/2022062409/5697c0251a28abf838cd56d8/html5/thumbnails/5.jpg)
Performance on current milestones
![Page 6: Occupational Health Milestones and Chamber’s Response to Key Health Issues. Dr Thuthula Balfour-Kaipa Head: Health Department Chamber of Mines SA MMPA](https://reader036.vdocuments.us/reader036/viewer/2022062409/5697c0251a28abf838cd56d8/html5/thumbnails/6.jpg)
Noise
•
• After 2008 - no deterioration in hearing greater than 10% amongst occupationally exposed individuals
Milestone not met
![Page 7: Occupational Health Milestones and Chamber’s Response to Key Health Issues. Dr Thuthula Balfour-Kaipa Head: Health Department Chamber of Mines SA MMPA](https://reader036.vdocuments.us/reader036/viewer/2022062409/5697c0251a28abf838cd56d8/html5/thumbnails/7.jpg)
Noise
• 2013 - total noise emitted by all equipment installed in any workplace must not exceed a sound pressure level of 110dB(A)
Milestone not met
![Page 8: Occupational Health Milestones and Chamber’s Response to Key Health Issues. Dr Thuthula Balfour-Kaipa Head: Health Department Chamber of Mines SA MMPA](https://reader036.vdocuments.us/reader036/viewer/2022062409/5697c0251a28abf838cd56d8/html5/thumbnails/8.jpg)
Dust• By 2008 - 95% of all exposure measurement results below
OEL for respirable crystalline silica of 0.1mg/m3
70
75
80
85
90
95
100
2009 2004 2005 2006 2007 2008 2010 2011 2012
Exposure level
%Compliance Target
Milestone not met
![Page 9: Occupational Health Milestones and Chamber’s Response to Key Health Issues. Dr Thuthula Balfour-Kaipa Head: Health Department Chamber of Mines SA MMPA](https://reader036.vdocuments.us/reader036/viewer/2022062409/5697c0251a28abf838cd56d8/html5/thumbnails/9.jpg)
Dust
2007 2008 2009 2010 2011 20120%
1%
2%
3%
4%
5%
6%
7%
6.20%
3.50%
3.02%
2.15%
1.30%
3.20%2.88%
6.28%
3.59%
4.06%
1.35%
4.42%
% of individual personal RCS measurements > 0.1 mg/m3% of employees exposed to RCS measurements ≥ OELSilica Milestone target
Milestone met
![Page 10: Occupational Health Milestones and Chamber’s Response to Key Health Issues. Dr Thuthula Balfour-Kaipa Head: Health Department Chamber of Mines SA MMPA](https://reader036.vdocuments.us/reader036/viewer/2022062409/5697c0251a28abf838cd56d8/html5/thumbnails/10.jpg)
Dust
• 2013 - no new cases of silicosis will occur amongst previously unexposed individuals
![Page 11: Occupational Health Milestones and Chamber’s Response to Key Health Issues. Dr Thuthula Balfour-Kaipa Head: Health Department Chamber of Mines SA MMPA](https://reader036.vdocuments.us/reader036/viewer/2022062409/5697c0251a28abf838cd56d8/html5/thumbnails/11.jpg)
Challenges thus far
• Milestones that were unrealistic – NIHL• Milestones that were not measured –
equipment, silicosis after 2008.• Health has not been effective in reporting due
to lack of accurate data – AMR– 2011 Regulation on Reporting of Occupational
Diseases
![Page 12: Occupational Health Milestones and Chamber’s Response to Key Health Issues. Dr Thuthula Balfour-Kaipa Head: Health Department Chamber of Mines SA MMPA](https://reader036.vdocuments.us/reader036/viewer/2022062409/5697c0251a28abf838cd56d8/html5/thumbnails/12.jpg)
Other health issues
![Page 13: Occupational Health Milestones and Chamber’s Response to Key Health Issues. Dr Thuthula Balfour-Kaipa Head: Health Department Chamber of Mines SA MMPA](https://reader036.vdocuments.us/reader036/viewer/2022062409/5697c0251a28abf838cd56d8/html5/thumbnails/13.jpg)
Compensation
• Collapse of the compensation system for occupational lung diseases.
• Proposed amendments to ODMWA• Chamber request for extension of deadline for
submissions by Advisory Committee.• Support through Ex-Mineworker Project
![Page 14: Occupational Health Milestones and Chamber’s Response to Key Health Issues. Dr Thuthula Balfour-Kaipa Head: Health Department Chamber of Mines SA MMPA](https://reader036.vdocuments.us/reader036/viewer/2022062409/5697c0251a28abf838cd56d8/html5/thumbnails/14.jpg)
One Stop Centres
Vision of DOH• Serves all workers• Can handle all enquiries;
UIF, COIDA, ODMWA• Provides promotive,
preventive, treatment and rehabilitation services.
• Require a doctor.
Support through COM• Focused on ex-mineworkers• Benefit medical
examinations• Nurse based• Support for 2 years.
![Page 15: Occupational Health Milestones and Chamber’s Response to Key Health Issues. Dr Thuthula Balfour-Kaipa Head: Health Department Chamber of Mines SA MMPA](https://reader036.vdocuments.us/reader036/viewer/2022062409/5697c0251a28abf838cd56d8/html5/thumbnails/15.jpg)
One Stop Centres
• Mthatha • Carletonville – April 2014• DOH intend to have more in:– Kuruman– Burgersfort– SADC countries
• Limited funding.
![Page 16: Occupational Health Milestones and Chamber’s Response to Key Health Issues. Dr Thuthula Balfour-Kaipa Head: Health Department Chamber of Mines SA MMPA](https://reader036.vdocuments.us/reader036/viewer/2022062409/5697c0251a28abf838cd56d8/html5/thumbnails/16.jpg)
Chamber Position on TB and Contractors
• Standard/position that, by the end of 2014, contractors should be managed similarly to permanent employees in the provision of TB services.
• Position adopted by Chamber Council in March 2014.
![Page 17: Occupational Health Milestones and Chamber’s Response to Key Health Issues. Dr Thuthula Balfour-Kaipa Head: Health Department Chamber of Mines SA MMPA](https://reader036.vdocuments.us/reader036/viewer/2022062409/5697c0251a28abf838cd56d8/html5/thumbnails/17.jpg)
Conclusion
• Much still needs to be done.
• Challenge for industry is to raise the bar for our performance.
• “Where there is a will, there is a way.”
![Page 18: Occupational Health Milestones and Chamber’s Response to Key Health Issues. Dr Thuthula Balfour-Kaipa Head: Health Department Chamber of Mines SA MMPA](https://reader036.vdocuments.us/reader036/viewer/2022062409/5697c0251a28abf838cd56d8/html5/thumbnails/18.jpg)
THANK YOU