Training courses for specialists in working conditions: Some survey results

Initial results are presented of a survey in 14 countries into the training of six professional groups in the area of working conditions. The groups are occupational physicians, occupational hygienists, safety advisors/engineers, ergonomists, occupational health nurses and health and safety/labour/ (social) insurance inspectors.The paper concentrates on the diversity of the professional groups involved in working conditions, the level, length and certification of their training, and, for a limited number of the countries surveyed, the overlap in training content between groups.Conclusions are drawn in respect of the potential for sharing of training content and materials.     

A graduate level course: Teaching stress management skills to occupational health physicians and practitioners

The WHO Study Group on Training and Evaluation in Occupational Medicine has recently emphasized the importance of incorporating theoretical and practical aspects of stress prevention and management in the professional training of occupational health practitioners. Such a course was developed for the Tel-Aviv University Medical School graduate program in occupational health. The course objectives are consistent with the current call for improved training in psychosocial issues in medical care. Twenty-three occupational health practitioners (physicians, nurses, hygienists and social workers) participated in a bi-semester course. The first part included a stress management and prevention program based on the RET (Rational-Emotive Training) model. The second involved developing and implementing a field project on primary and secondary prevention of stress and its outcomes. Pre-, mid-and post-course questionnaires showed significantly improved psychosocial ability and reduced irrational/dysfunctional thinking, considered a causal factor in stress and burnout. Acquiring such anti-stress resources may benefit practitioners and clients/patients, both potential victims of occupational stress alike. We recommend the inclusion of such extended courses to the professional training of occupational health practitioners.     

Working Life Across Cultures: “Work Life 2000: Quality in Work” and Occupational Health Education in Developing Countries

The article reflects on the changing world of work, and the challenges presented to both occupational health and occupational health education. We draw on the 63 preparatory workshops and the international conference in the “Work Life 2000: Quality in Work” program, an initiative of the Swedish Presidency of the European Union. The International Commission on Occupational Health is introduced, with particular concentration on a current practical project initiated by the Department of Health in South Africa, intended to lead to a set of projects, networking for occupational health education in developing countries. The practical initiatives cast light on a new set of issues that arise when occupational health and safety crosses cultural barriers, and previously separate comparative cases are linked.     

Worker training and education in occupational safety and health: A report on practice in six industrialized western nations : Part four of a four-part series

During 1980–1981, a study was conducted of worker training and education in occupational safety and health in Canada, Great Britain, Sweden, France, the Federal Republic of Germany, and the United States. This article is the fourth in a four-part series of the findings of this study. Part one discussed the genesis of the study and the study design, reported on the training requirements of the occupational safety and health legislation in each of the six countries, and considered the implications of this legislation for worker training and education. Part one also included information on how each country is organized to carry out worker training and education in occupational safety and health. Part two discussed the role perceived for worker training and education as an occupational injury and illness countermeasure and identified and described the major components of the occupational safety and health training infrastructure in each country in the study. Part three reported on strategies for worker training including course design, construction, delivery, evaluation, and costs. Part four provides synopses of worker training and education for selected subsets of the worker population, e.g., migrant workers, nonorganized workers, employees of small business establishments, and employees of the federal or central government. Worker training and education programs are discussed for the following industries: construction, marine cargo handling (longshoring), and petroleum refining and related industries.     

Worker training and education in occupational safety and health: A report on practice in six industrialized western nations : Part three of a four-part series

During 1980–1981, a study was conducted of worker training and education in occupational safety and health in Canada, Great Britain, Sweden, France, the Federal Republic of Germany, and the United States. This article is the third in a four-part series of the findings of this study. Part one discussed the genesis of the study and the study design, reported on the training requirements of the occupational safety and health legislation in each of the six countries, and considered the implications of this legislation for worker training and education. Part one also included information on how each country is organized to carry out worker training and education in occupational safety and health. Part two discussed the role perceived for worker training and education as an occupational injury and illness countermeasure and identified and described the major components of the occupational safety and health training infrastructure in each country in the study. Part three reports on strategies for worker training including course design, construction, delivery, evaluation, and costs. Part four will provide synopses of worker training and education for selected subsets of the worker population, e.g., migrant workers, nonorganized workers, employees of small business establishments, and employees of the federal or central government. Worker training and education programs will also be discussed for the following industries: construction, marine cargo handling (longshoring), and petroleum refining and related industries.     

Worker training and education in occupational safety and health: A report on practice in six industrialized western nations: Part two of a four-part series

During 1980–1981, a study was conducted of worker training and education in occupational safety and health in Canada, Great Britain, Sweden, France, the Federal Republic of Germany, and the United States. This article is the second in a four-part series of the findings of this study. Part one discussed the genesis of the study and the study design, reported on the training requirements of the occupational safety and health legislation in each of the six countries, and considered the implications of this legislation for worker training and education. Part one also included information on how each country is organized to carry out worker training and education in occupational safety and health. Part two discusses the role perceived for worker training and education as an occupational injury and illness countermeasure and identifies and describes the major components of the occupational safety and health training infrastructure in each country in the study. Part three will report on course design, construction, delivery, evaluation, and costs. Part four will provide synopses of worker training and education for selected subsets of the worker population, e.g., migrant workers, nonorganized workers, employees of small business establishments, and employees of the federal or central government. Worker training and education programs will also be discussed for the following industries: construction, marine cargo handling (longshoring), and petroleum refining and related industries.     

中美职业安全健康法对比

通过对中美职业安全健康立法目的和背景的考察,对比分析职业安全健康法涉及的6项具体内容,即体例结构、适用范围、监管方式、监管体制、教育与培训、法律责任,并指出国情不同是造成中美职业安全健康法立法巨大差异的原因之一。经对比分析,可得出几点结论:从中国国情出发,走逐步完善的职业安全健康立法路径,建立独立的职业安全健康法律体系,是我国安全生产的治本之策;对从业人员的职业安全健康保护具有首要性,须明晰保护劳动者的上层法律要求,《安全生产法》并不能代替《职业安全健康法》;完善中国职业安全健康法律制度须走一体化整合的道路。     

Worker training and education in occupational safety and health: A report on practice in six industrialized western nations: Part one of a four-part series

During 1980, a study was conducted of worker training and education in occupational safety and health in Canada, Great Britain, Sweden, France, the Federal Republic of Germany, and the United States. This article is the first in a four-part series of the findings of this study. Part one discusses the genesis of the study and the study design, reports on the training requirements of the occupational safety and health legislation in each of the six countries, and considers the implications of this legislation for worker training and education. Part one also includes information on how each country is organized to carry out worker training and education in occupational safety and health. Part two will review the role perceived for worker training and education as an injury and illness countermeasure and will identify the major training sources and the role of each. Part three will report on course design, construction, delivery, evaluation, and costs. Part four will provide synopses of worker training and education for selected subsets of the worker population, e.g., migrant workers, nonorganized workers, employees of small business establishments, and employees of the federal or central government. Worker training and education programs will also be discussed for the following industries: construction, marine cargo handling (longshoring), and petroleum refining and related industries.     

Student and faculty issues in distance education occupational safety and health graduate programs

PROBLEM: There is increasing interest in delivering degree programs without requiring students to attend traditional classroom-based classes. There are many differences between classroom and distance courses that must be addressed to have effective distance programs. METHOD: Occupational safety and health faculty and occupational safety and health professionals were surveyed to determine the need for graduate occupational safety and health programs, delivered by means of distance education, and the best means to deliver the program from the perspective of faculty and working occupational safety and health professionals. RESULTS: Adequate time is the largest problem issue for potential students and the distance student's needs must be considered when developing program policies and procedures. Faculty must be sufficiently trained in pedagogy, technology, and communications so that they have the same comfort level with this method of instruction as they do for the more familiar classroom, and technical and instructional support personnel need to be readily available to work with the faculty and support course development. IMPACT ON INDUSTRY: Findings indicate that there is interest in a distance education-based program and it is believed that industry will be positively impacted as educational opportunities expand for working professionals.     

From input to outcome: Changes in OHS-education and training

Work organization, technology and working population characteristics change rapidly in many countries, although not always in the same direction. In many industrialized countries new trends are a growing services sector, an aging working population, and an increased work pressure.The participation rate of women is growing in the Netherlands, in contrast with the rate of handicapped workers. In the working population, work-related musculoskeletal diseases and psychic problems like mental break-down and burn-out prevail. Sickness absence and disability are important issues. Risk assessment and health and safety information are new duties of the employer.Nowadays Occupational Health and Safety Services are more multidisciplinary organized and have to prove their quality and utility. Therefore, occupational health and safety professionals have to learn skills like risk assessment, health and safety promotion, consultation, rehabilitation, and interdisciplinary cooperation.Experiential learning connects the practical experience of the participants with reflection and new insights during the course.     

安全工程专业学历教育方案的中西对比研究

根据学科研究对象的异同 ,对中外不同名称的安全科学技术学科领域间对应关系的分析表明 ,我国的安全科学技术学科与美国、英国等西方国家称为公共健康的学科 ,我国的安全工程与西方国家的职业安全健康学科分别在宽泛和具体的意义上基本对应 ,相应的学历教育方案具有可比性。以此为据 ,运用案例比较研究了安全工程与职业安全健康学科专业学历教育方案中课程设置的多方面差别 ,分析了通过改善学历教育方案、加强职业安全培训途径来提高我国安全管理水平的努力方向。     

Occupational health and safety professionals and management: identity, marriage, servitude or supervision?

The role and training of occupational health and safety professionals is a continuing subject of debate in the light of recent European legislation. This paper discusses the possible roles of professionals in the context of the complexities of Occupational Health and Safety (OHS) management. It presents the roles using the metaphor of parent-adult-child relationships (Harris, 1970) and discusses the ways in which different relationships can lead to different problems of functioning. It concludes with presenting the possible role of training in tackling these problems.     

2000-2009年全国职业中毒状况规律分析和对策探讨

职业中毒是我国的主要职业病之一,严重影响着劳动者的健康和社会的和谐稳定。根据卫生部2000-2009年公布的职业病统计数据,分析总结我国职业中毒的发生规律。结果表明：职业中毒是仅次于尘肺病的第二大类职业病。职业中毒占职业病总数的12.8%-18%,在职业中毒病例中,急性职业中毒占22.4%-39.6%,慢性职业中毒占60.4%-77.6%。职业中毒总人数变化从2000年到2005年较平稳,从2006年起,呈波浪形上升趋势,但其增幅远小于职业病总数和尘肺病新发病例人数的增幅。其中,急性职业中毒总人数略有下降趋势,慢性职业中毒总人数呈波浪形上升趋势。引起急性职业中毒占前两位的化学毒物主要是一氧化碳和硫化氢,引起慢性职业中毒占前两位的化学毒物主要是铅及其化合物和苯。中小企业职业中毒发生率高。建议各级职能部门重点加强相关行业的监管,尤其是其中的中小企业的监管;履行指导的职责,加强有效果的安全教育和培训;同时加强职业监控监护。     

Global trend according to estimated number of occupational accidents and fatal work-related diseases at region and country level

Background

Although occupational accidents and work-related diseases have been of interest for a long time, due to lack of proper recording and notification systems the official numbers of occupational accidents and work-related diseases are missing for many countries. Presently, the demand for effectiveness and an interest in the economic aspects of accidents have increased prevention activities at company and country levels.

Methods

Occupational accident data of selected countries and of World Health Organization regional divisions together with the global burden of disease were used in estimating global occupational accidents and fatal work-related diseases. The trend of global occupational accidents and work-related diseases is presented at region and country levels. The years 1998, 2001, and 2003 are compared in the case of occupational accidents and the years 2000 and 2002 in the case of work-related diseases.

Results

The total number of occupational accidents and fatal work-related diseases has increased, but the fatality rates per 100,000 workers have decreased. There were almost 360,000 fatal occupational accidents in 2003 and almost 2 million fatal work-related diseases in 2002. Every day more than 960,000 workers get hurt because of accidents. Each day 5,330 people die because of work-related diseases.

Conclusions

Information on occupational accidents and work-related diseases is needed so that countries may understand better the importance of occupational health and safety at country and company level. Especially companies in developing countries are not familiar with occupational safety and health. Statistical data is essential for accident prevention; it is a starting point for the safety work.     

美国职业卫生法规、监管及统计体系

美国是工业发达国家,是世界上最早建立“职业安全和卫生法”的国家之一。基于该法,美国确立以职业安全卫生监察局(OSHA)为执法机构、职业安全卫生复审委员会(OSHRC)为监督机构的职业卫生监管体系;同时,以劳工统计局(BLS)为统计主管机构,建立以“1904规范”为基础的企业雇主对其作业场所职业卫生记录和报告制度,并辅以两种形式的政府主动调查,形成了自下至上和自上至下相结合的调查统计体系。目前,我国职业卫生的调查统计体系尚未形成。因此,需要从工业发达国家的职业卫生法规、监管入手,以系统的方法和思路,分析其调查统计体系,学习工业发达国家的经验。研究结果认为美国的职业卫生统计体系具有上层法律及相关条例完备、组织体系职责分明、形成了政府主动调查与企业记录报告相结合的调查统计体系等明显的特点。     

中国钢铁工业职业卫生40年回顾和今后展望

通过对中国钢铁工业职业卫生四十年的回顾,笔者认为:钢铁工业卫生管理体制已基本形成,但管理水平急需提高;主要的传统职业危害有所抑制,而今后任务仍十分艰巨;随着钢铁工业生产技术的发展广大职工又面临新的职业危害的挑战。本文最后对90年代钢铁工业职业卫生的形势进行了展望,提出了新的对策。在执行「八五」职业卫生规划的基础上,还需加强职业互生服务机构,扩大服务覆盖面,提高专业素质、开展普及教育、加强专业队伍的自身建设,这些任务是实现十年战略目标的重要保证。     

Epidemiological and biomechanical evaluation of airline baggage handling

Objectives. Musculoskeletal disorders (MSDs) are prevalent among airline baggage handlers due to manual materials handling. In this study, the Nordic musculoskeletal questionnaire (NMQ), the revised National Institute for Occupational Safety and Health (NIOSH) lifting equation, and the University of Michigan 3D Static Strength Prediction Program? (3DSSPP) were used to analyze MSDs among baggage handlers. Methods. The NMQ was filled out by 209 baggage handlers and 46 arbitrarily selected baggage handlers were evaluated using the NIOSH method and 3DSSPP. Results. The obtained results showed that the most common MSDs occurred in the lower back region. The next risky regions included knees, neck, and upper back, respectively. The NIOSH results confirmed that the subjects lifted loads heavier than the permitted limit and their lifting postures were inappropriate. The results of the 3DSSPP also indicated that compression forces exceeded the NIOSH limit in these awkward postures. Conclusions. Relying on this study, holding compulsory ergonomic lifting training courses could be proposed for workers and regulations adjusting an upper limit for maximum baggage weight must be also enacted in order to improve occupational health and prevent the prevalence of increasing MSDs.     

Implementation of ophthalmological tests in periodic eye checkups for VDT workers in Japan

The National Federation of Industrial Health Organizations has offered training courses for medical staff belonging to Occupational Health Organizations to overcome the difficulty of carrying out periodic eye-checkups for VDT workers in Japan since 1991. Through detailed evaluation by participants, the course contents have been improved. Today the participants in the courses number 643, thus contributing to the improved medical examinations for VDT operators.     

A new training specification for workplace health promotion

The field of workplace health promotion has seen developments of concepts, practice and interest in recent years. However, recent EC wide research has pointed to problems which constrain its development. These include a lack of awareness amongst the major players who are in a position to implement workplace health promotion, difficulties in transmitting the concept of and organising genuine inter-disciplinary approaches to workplace health promotion, and a lack of training courses in the area.This paper describes a project to develop a training specification for workplace health promotion targeted at a range of professional and non-professional groups. These include occupational physicians and nurses, safety engineers, personnel managers, health and safety representatives and others.The project has developed a modular training specification — each trainee group can undertake all modules to an appropriate level of detail. It focuses on two broad areas — the health promotion process and the roles necessary to support that process. The first area defines an idealised health promotion process, which has been divided into 7 phases, while the second area outlines 6 principal roles in relation to interacting with that process. Future work will see the implementation of the training specification in a number of test sites.