Overview of Occupational Health in Asia – ANROEV and AMRC
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Transcript Overview of Occupational Health in Asia – ANROEV and AMRC
“It is estimated that 2.34 million people die from work-related
accidents or diseases each year of which 2.02 million were caused by
wide range of work related diseases. This equates to an average of
more than 6,300 work-related deaths every day, 5500 are caused by
work related diseases. In addition 160 million cases of non-fatal
work related diseases occur annually”
1.1 million persons are estimated to die in Asia due to work related
reasons
86 % are deaths due to Occupational Diseases
This is yet tip of the iceberg as these figures are just ‘estimates’
and extrapolation
The ILO estimates that work related accidents and diseases result
in an annual 4% loss in global gross domestic product (GDP), or
about US$2.8 Trillion, in direct and indirect costs of injuries and
diseases
United
Nations
Environment
Programme (UNEP) estimates – 6.6
million people die every year in Asia due
to various environmental health
reasons. This attributes to about one
quarter of all deaths in the region.[1]
Some 200 million Chinese workers
serving in more than 30 sectors have
been exposed to various health hazards
in the workplace on the mainland”,
Health Minister Chen Zhu November
2010
[1] http://www.environment-health.asia/
Country
/Region
Fatal
Estimate by
Accidents
the ILO
Reported to
ILO in 2001
Fatal
Estimate by
Accidents
the ILO
Reported to
ILO in 2003
China
12736
(12%)
90295
180
(0.18%)
98000
India
222
(0.55%)
40133
179
(0.32%)
48000
Rest of
Asia
3051 (4%) 76886
1247
(1.5%)
81000
Victims are everywhere
Released a book titled “Invisible Victims of
Development – Workers Health and Safety in Asia” to
highlight the serious lack of data and figures and to
put a human face to numbers
Contained reports from 6 Countries – Cambodia,
China, India, Indonesia, Philippines and Thailand
The report highlighted lack of statistics with the major
problem being
Lack of Diagnosis and acceptance of
Occupational Diseases in Asia!
The Survey
A survey conducted to ascertain the reasons and
problems for this lack of diagnosis and lack of data
Questionnaire sent to network Members
Members participation from 12 Asian Countries
Done in January 2013
Some Questions in the Survey
What are the Health and Safety problems being faced by the
workers and community
How many cases of Occupational Diseases have been
identified in last 3 years.
Where do the workers go for diagnosis / treatment?
Are the doctors and medical practitioners aware of
occupational disease and ways to diagnose them
What are the difficulties faced during medical diagnosis or
treatment of workers.
What trainings would you like these doctors to receive to
enable them to help you better
Result of the Survey - Lack of Diagnosis
The local doctors lack the knowledge about occupational health
and diseases. Misdiagnosis is common
The diagnostic methods and machines are either not available
or the tests are extremely expensive
Getting a certificate for diagnosis is also a very difficult task and
can take from a few days to a few months
Universities offering courses on OSH are few and there is lack of
training infrastructure. The few doctors who complete such
courses are employed by the industry
Doctors in public health are not aware or trained on OSH
Even competent doctors do not diagnose due to risk of liability
OSH is not taught as part of Primary health Care Curriculum
Result of the Survey
No official figures for the number of occupational diseases or
accidents in the region
Governments are not acknowledging the problem of
occupational health and safety
Workers have to spend a lot of time (several hours in most
cases) to reach hospitals or doctors at their own cost
The workers have to bear the brunt of paying for the
treatment and the treatment is expensive
Workers are not aware of the labour laws and the attached
benefits
Result of the Survey
Suggestions for Training content
Experience of work-illness relationship. Doctors should get to
understand the work being done and what hazards the work
can bring. Importance of workplace in treatment,
rehabilitation and prevention of diseases.
Information about labour laws. Benefits for the workers and
their responsibilities as per law
Diagnostic knowledge on Occupational diseases like
Asbestosis, Byssinosis and other lung diseases.
Availability of diagnostic tools like PFT machines, ILO X-Ray
plates etc and training of doctors on such tools
Maintenance of data
Need for this Meeting
To ensure doctors are available for correct diagnosis
proper diagnosis of occupational diseases by providing
sufficient diagnostic clinics and specialists that are
independent, transparent, and accountable
Trainings to be held in collaboration with affected groups to
enable them to become active agents of change
To find best way to collaborate
Developing a Training Program; Answering Key Questions
Who is it for?
When do we aim for the first training?
Role of the training
Preparing Content and Modules
Different Level of Trainings
Sectors specific or Disease specific and more
What will change if Workers
are correctly Diagnosed?