Work-related Injuries and Illnesses

Safety and Health Culture, Factors and Prevention

“Safe Work - Healthy Work – For Life”

Dr Jukka Takala

Workplace Safety and Health Institute, Singapore

Ankara , Turkey, 28 April 2015

2

ss

OVERVIEW

2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

No. of Workplace Fatal Injuries 83 71 62 63 67 70 55 61 56 59

Workplace Fatal Injury Rate 4.9 4.0 3.1 2.9 2.8 2.9 2.2 2.3 2.1 2.1

3-year rolling average 4.0 3.3 2.9 2.9 2.6 2.5 2.2 2.2

4.9

4.0

3.12.9

2.82.9

2.22.3

2.1 2.1

4.0

3.3

2.9 2.9

2.62.5

2.2 2.2

0.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

4.0

4.5

5.0

0

10

20

30

40

50

60

70

80

90

Rate (per 100,000 employed persons)

Number ofWorkplace Fatal Injuries

Singapore Injury Rate Performance Note: Figures exclude road traffic accidents on board transport in the course of work

In 2008:Target of 1.8 per 100, 000 employed persons by 2018

Turkeyin EURO

group

2.5%

53.0%

5.7%

28.0%

6.0%

0.8% 1.0%

2.4%

Communicable Diseases

Malignant neoplasms

Neuropsychiatricconditions

Circulatory diseases

Respiratory diseases

Digestive diseases

Genitourinary diseases

Accidents & violence

Circulatory

Diseases

Cancers

In EU28, cardiovascular and circulatory diseases accounts for 28%

and cancers at 53%. They were the top illnesses responsible for 4/5

of deaths from work-related diseases. Occupational injuries and

infectious diseases together amount accounts for less than 5%.

% Work-related Deaths caused by Illness in EU28

Singapore 2.3

Rate (per 100 000 workers)

Standardised incidence rates (per 100 000 workers) of

fatal accidents at work for 2011 (Eurostat)Note: Figures exclude road traffic accidents on board transport in the course of work

Turkey 6.4 (reported) – 9.4 (ILO estimate)

Note: Singapore and Turkey rates not standardised

Occupational

cancer

Deaths, Western Europe, selected causes by GBD

Occupational

injuries

http://vizhub.healthdata.org/gbd-cause-patterns/

Cancer, AFwork=13.8%

CVD,

AFwork=14.4%

Injuries

Deaths in men in 2010 by age, Western Europe, selected work risks

AF= Attributable

Fraction, re workCommunicable AF=4.8%

Cancer, AFwork=13.8%

CVD, AFwork=14.4%

Injuries

Deaths in 2010 by age, Turkey, selected work risks

Communicable AFwork=4.8%

Musculoskeletal,

AFwork= 37%

Cancer

CVD, AFwork=13.2%

stress related

DALYs in 2010 by age, Turkey, selected work risks

Injuries

Mental health,

AFwork= 30+ %

DALY= Disability

Adjusted Life Years

Globally, 2.3 Million Deaths caused by Work

25,801 Work-related Deaths in Turkey

Turkey

23,686 Fatal Work-related Illnesses

= 20 workers

= 500 workers

= 1,000 workers

2,116 Fatal Accidents

2% (511)

25% (6,369)

2 % (638)

62% (15,682)

0.4% (114)1,3% (322)

0.3% (83) 7% (1,646)

Communicable diseases Cancers

Respiratory Diseases Circulatory diseases

Mental Disorders Digestive systems diseases

Genitourinary system Accidents and violence

Deaths attributed to work, Turkey 25,801 and WHO Euro area (%)

Work-related Annual Deaths – EU-27

Sources: WSH Institute Singapore 2014, Hämäläinen P, Takala J, Saarela KL; TUT, ILO, WHO,

EU-OSHA, WSH Institute Singapore, JOEH May 2014, ref. data: WHO Euro region (mid –income)

Work-related Annual Deaths –Turkey: number of fatal injuries and illnesses,

WHO Euro % of total 224,825

http://vizhub.healthdata.org/gbd-cause-patterns/http://vizhub.healthdata.org/gbd-cause-patterns/

Safety and health in Construction

Biggest killer in construction?

• Falling from high, working machinery?

Safety and Health in Construction

Biggest killer in construction?

• Falling from high, working machinery?

Answer: DUST

Occupational cancer kills in the U.K.:

• 3909 asbestos caused cancer

• 652 diesel engine exhaust (all sectors

• 789 silica dust

• 334 painting and decorating products and activities

In Turkey (estimate)

Cancer at work kills• 1000-2000 asbestos

caused cancer (consumption adjusted)

• 635 silica dust

• 525 diesel engine exhaust (all sectors)

• 454 mineral oils

• 445 shift work

• 269 painting and decorating products and activities

• ………http://www.notimetolose.org.uk/

Singapore 2011

1 fatal

99 accidents, 30 days+

663 accidents, 4 days+

1204 accidents with sick leave

1597 accidents, all

EU 28 average 2011

1 fatal

362 accidents, 30 days+

880 accidents, 4 days+

1208 accidents with sick leave

1646 accidents , all

Singapore 2011- 2014

1 fatal

4.4 illnesses, 30+ days

43 illnesses, 4 days+

121 illnesses with sick leave

257 illnesses, all

EU 28 average 2011

1 fatal

30 illnesses, 30 days+

n/a illnesses, 4 days+

69 illnesses with sick leave

111 illnesses, all

1 deathM

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cau

se

Germany

TakeLeadership

Commitment

1

IdentifyHazards

and Risks

2

Set Targets for Safety &

Health3

Ensurea Safe

System

4

UseSafe & Healthy

Technology

5

TRAINING

ImproveQualification6

Invest inPeople 7

30

PERCEIVED AND REAL RISKS

PERCEIVED RISK

Airlineaccident

Mobilephones

Terroristattack Violent

robbery

Avian flu Stock exchange crash

Glass of wine

REAL RISK

Heat wave

WAR activities, anywhere

Traffic Accident Cancer

Circulatory diseases

Sources: S. Hertlich, M.Hamilo, S.kuvalehti (FI), Journal Occ Env Hyg, 11: 326–337, May 9, 2014; Takala J ao.

Work-

related

Work-

related

Work-

related

Work-

related Work-

related

Evidence 2 Policy

Evidence 2 Practice

31

PERCEIVED AND REAL RISKS

PERCEIVED RISK

Airlineaccident

Mobilephones

Terroristattack Violent

robbery

Avian flu

Stock exchange crash

Glass of wine

REAL RISK

Heat wave

Cancer

Circulatory diseases

Work-

related

Work-

related

Work-

related

Work-

related

WORK

all

Work-

related

Evidence 2 Policy

Evidence 2 Practice

WORK

all

Sources: S. Hertlich, M.Hamilo, S.kuvalehti (FI), Journal of Occ Env Hyg, 11: 326–337, May 9, 2014; Takala ao.

WAR activities, anywhere

Traffic Accident

Conclusion