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1 International Commission on Occupational Health - ICOH Volume 9, Number 3 November 2011 Commission Internationale de la Santé au Travail - CIST Message from the President 1 From the Editor 3 Banding the World Together; the global growth of Control Banding and qualitative occupational risk management 4 Occupational Health in Fine Arts, Music and Literature 8 News from National Secretaries 10 Report from the Regional Meetings 11 Forthcoming Meetings 14 New Members 15 Chairs and Secretaries of the Scientific Committees 16 Résumé en français 17 ICOH Officers and Board Members 24 Message from the President Dear ICOH Colleagues, Prominent progress is seen in the ICOH activities for supporting the occupational health practice in many difficult situations. Discussion at the conferences of ICOH Scientific Committees I attended since the last Congress always focused on the practical support measures for comprehensive risk management in underserved sectors. These support measures seem effective when concrete procedures for risk assessment and control are presented. Recent progress is also noted about such procedures for promoting Basic Occupational Health Services (BOHS) and for managing multifaceted risks. This was typically seen during the ILO/ISSA World Congress on Safety and Health at Work, held in Istanbul last September and at the ICOH Conference on Occupational and Environmental Health in Small and Medium-sized Enterprises (SMEs), held last October in Accra, Ghana by the Scientific Committee on Occupational Health in Small-scale Enterprises and the Informal Sector. We can learn from the recent developments in action-oriented risk assessment procedures addressing multiple risks usually found in small-scale and informal workplaces. A good combination of workplace observations and the application of qualitative and other simple procedures is shown to lead to many practical improvements in risk reduction. Action-oriented training is being developed for using such procedures for BOHS and SMEs. In facilitating effective support procedures in this direction, an increasing number of international and regional projects are in progress. Interactive development of such projects is noteworthy. Trends in hazard monitoring and control Inter-country projects reported at the Accra and other ICOH-related conferences mostly concerned practical procedures for hazard monitoring and control. For example, comprehensive procedures for addressing physical, chemical and ergonomics-related risks are being developed particularly for small-scale workplaces. Significant progress is seen in facilitating direct observation of high-risk situations or in visualizing serious exposures to physical and chemical hazards. By knowing particularly hazardous operations, the identification of necessary control measures is made easier. In so doing, active participation of employers and workers in following the procedures can be promoted. The wider use of action-oriented training tools for improving small-scale workplaces is also noteworthy. Participatory training is successful when action-form checklists and easy-tounderstand guides are used for proposing practical risk-reducing improvements. These tools are utilized to focus on locally feasible improvements that have real impacts on risk reduction. November

2 Volume 9, Number 3 November ICOH Newsletter Vol. 9 No. 3 It is interesting that the tools are effective when based on good practices in multiple areas. The use of simple work environment survey methods and action-oriented tools is also spreading in BOHS training. By learning feasible risk reduction measures, workers and managers in SMEs are more easily guided to identify necessary measures available locally. The exchange of these action-oriented training tools through international or regional projects is particularly useful. Wider use of action-oriented procedures The increasing emphasis placed on the close link between general working conditions and psychosocial risks at work attracts our attention. Psychosocial risk management is now incorporated in occupational health practice practically in all forms of work, becoming a core theme in our scientific meetings. The debate at the conferences I attended proved the need to take a broad range of preventive actions also in SMEs and informal workplaces.. A new trend in addressing psychosocial risks at work is to take a comprehensive good-practice approach so that a broad range of feasible improvements can be planned and implemented by the initiative of workers and managers. For this purpose, actionoriented procedures are being developed for identifying work situations associated with psychosocial risks. It is of particular interest that participatory training is effective for taking multifaceted measures that can reduce stress at work. It is encouraging that the use of proactive stress-prevention tools emphasizing participatory steps for taking a broad range of workplace improvements is spreading in many regions. This comprehensive approach to addressing psychosocial risks is applicable in SMEs. We can learn from positive experiences in enhancing commitment of employers and workers in using these actionoriented tools. Renewed attention to ethical principles These recent developments underline the importance of the action-oriented advisory role of occupational health professionals. The ICOH Code of Ethics emphasizes that their advisory role (paragraph 1 of the section on duties and obligations) can be accomplished not only through professional competence and expertise (paragraphs 2-3) but also through special consideration given to the rapid application of simple preventive measures (paragraph 4). In its introduction, the Code highlights three basic principles: serving the health and social well-being of workers; integrity and impartiality in professional conduct; and full professional independence. I am pleased that the on-going review by us of the Code demonstrates our unanimous agreement about these ethical principles and the emphasis on a prompt preventive action. Collaboration of ICOH members in reviewing our Code of Ethics has been a unique experience in this triennium. The outline of the review activities were presented at the ICOH Midterm Meeting held in Milan in February The initial review draft was distributed through the Scientific Committees and National Secretaries. Based on the feedback from many members, the Code Review Group of the Ethics and Transparency Committee chaired by Peter Westerholm presented the review results last September. I was much impressed by the renewed strong interest in our ethical obligations and conduct. The review of the Code has demonstrated the need to strengthen the provisions relating to workplace action in occupational health services, privacy of health data, conditions for execution of professional functions and conflicts of interest. There is a general agreement to keep the current structure of the Code as it is widely accepted and incorporated also in laws and regulations in some countries. It is now proposed to further edit the extensive review results with a view to reinforcing our professional conduct in increasingly diversifying work situations. The forthcoming ICOH 2012 Congress will be a valuable occasion to deliberate on the future directions of our professional functions and the necessary changes in the Code text in line with these review results and recent developments. I look forward to seeing you all in Cancun soon! Kazutaka Kogi President of ICOH International Commission on Occupational Health, 2011 ISSN (Printed publication) ISSN (On-line publication)

3 From the Editor Contents of this Issue Control Banding for chemical management has been introduced in the issue of V9N1 (March, 2011). It is a good tool to evaluate and manage workplaces without sophisticated equipment and well-trained professionals, which are often unavailable in developing countries. Control Banding was initially designed to control chemicals, but it can be used for other occupational hazards. This issue invites Dr. David Zalk, who is the IOHA Co-leader of GPA Priority 2.1 in the WHOCC Network Workplan, to introduce Control Banding. The Toolkits, original version of Control Banding, are adapted in many modified models or translated into many languages. It seems that Control Banding is being used by both experts and non-experts, while more than half of the users work in small and medium-sized enterprises. The article provides the internet resources so that people can easily get the information. The detailed article is also available in the issue of V2 N4 of (Safety and Health at Work) at its website ( This issue contains the 3rd story of Work and disease in Italian opera by Prof. Michele Riva. As occupational health professionals, we are always concerned about the negative health effects caused by work, such as long working hours, job stress and hard work. However, human beings cannot stay healthy without working in a proper manner. Work stimulates humans to be alert, which in turn makes them stay healthy. However, the stimuli from work may also be stressful. This article shows the positive aspect of work for human health and wellbeing through the interpretation of the Italian Opera, Cavalleria Rusticana. There is an excellent report from the National Secretary of Ecuador. There have been some reports from National Secretaries, but not recently. The information on the activities of ICOH members or society in each country is worth sharing with other ICOH members. I encourage National Secretaries to send a short article (250 to 500 words) to the Newsletter. This issue introduces one regional meeting and two meetings of Scientific Committees: the triennial regional meeting of the African Regional Association of Occupational Health; the International Symposium on Safety and Health at Work 2011 by the Occupational Safety and Health Research Institute, which was organized in collaboration with SC of Health Service Research and Evaluation in Occupational Health (SC_HSREOH); and the first International Conference on Occupational Health in Ghana, held in collaboration with SC of Occupational Health and Development. Please send a report in 250 words and photos immediately after meetings or conferences organized by Scientific Committees or Regional ICOH representatives are finished. Election of new officers and board members New board members who will serve from 2012 to 2015 will be elected by the vote with the ballot paper, which has already been sent to eligible ICOH members. The President, two Vice-Presidents and Secretary General will be automatically elected because there are no competing candidates. Current officers will serve as new officers. However, board members will be selected by voting because only 16 out of the 30 candidates can be elected. Only voting by post mail using the ballot paper is valid. The result will be announced on Wednesday during the ICOH Congress 2012 in Cancun, Mexico. The voting rates were usually low. The voting rate of the last election was approximately 30%. Active participation of members is necessary to elect the most eligible board members. Please do not forget to send your vote using the ballot paper to the ICOH Secretariat on time. Ready for ICOH2012 Congress Please make sure to make reservations for your accommodation and other necessary bookings. I hope to see you all at the General Assembly in Cancun on March 18, Also visit at Members Contribution The next issue of the ICOH Newsletter will be out after ICOH 2012 Congress in Cancun, Mexico at the end of April The deadline for contribution is March 31, Please send your contribution to or net. Seong-Kyu Kang Editor in Chief ICOH Newsletter ICOH Board November

4 Banding the World Together; the global growth of Control Banding and qualitative occupational risk management* David M. Zalk and G.A. Henri Heussen IOHA Co-leaders of GPA Priority 2.1 in the WHOCC Network Workplan Basics of Control Banding Control Banding (CB) has as its aim the goal of preventing work-related illness, disease, and injury for the approximately 2.5 billion workers that do not have access to occupational safety, health, and hygiene (OSHH) professionals. This article seeks a bold and more global objective; your assistance in achieving our goal. CB originates from the Industrial Hygiene (IH) profession and represents a qualitative risk assessment process to generate solutions and control measures. CB strategies are most useful in preventing worker exposures in the absence of firm toxicological and exposure information. These strategies are often found in toolkits with categories, or bands, of health hazards, combined with exposure scenarios to determine the desired controls. CB originated as an alternative approach for controlling chemical exposures. This historical progression of research-based programs promoting solutions began with successive OSHH initiatives through the ILO, WHO and International Occupational Hygiene Association (IOHA). CB relies on decision rules derived from prior quantitative studies of various exposure factors. CB allows users to make meaningful inferences about likely exposures and controls, reducing them within 4 or 5 hazard bands (Figure 1). Thus CB represents qualitative risk assessment and risk management approaches. Figure 1. A generic Control Banding Risk Level (RL) matrix as a function of severity and probability. Severity Very High (76-100) High (51-75) Medium (26-50) Low (0-25) Extremely Unlikey (2-25) Probability Less Likely (26-50) Likely (51-75) Control bands: RL 1: General Ventilation RL 2 : Fume hoods or local exhaust ventilation RL 3 : Containment RL 4 : Seek specialist advice Probable (76-100) RL 3 RL 3 RL 4 RL 4 RL 2 RL 2 RL 3 RL 4 RL 1 RL 1 RL 2 RL 3 RL 1 RL 1 RL 1 RL 2 * This article is a summary of the paper being published in the No.4). Available from: 04 ICOH Newsletter Vol. 9 No. 3

5 An important application for CB is where uncertainty is high, such as when no occupational exposure limits exist but substances can be reliably grouped based on similarity to better studied substances. Such risk assessment is necessarily generic, so banding yields precautionary assumptions. While OSHH professionals have viewed CB and its simplification as a lesser option to quantitative methods, recent application of CB to nanomaterial exposure control has altered that view significantly. CB has grown significantly worldwide and is now seen as an excellent risk communication for workers and professionals alike. CB strategies have expanded to ergonomics and injury prevention and now address multidisciplinary topics like Occupational Health and Safety Management Systems and the construction trades. Existing toolkits and evaluations Your assistance will be necessary for expanding the use and evaluation of CB toolkits, therefore a brief discussion is necessary. For generic chemicals, existing toolkits are divided into two families: a) COSHH Essentials (UK) and adapted/translated versions like Silica Essentials (UK), International Chemical Control Toolkit (ICCT), Korean CB Toolkit, ICCT translations and sector versions in e.g., Chinese, Spanish, Portugese, and EMKG Expo-Tool (Germany); b) Tools based on the conceptual exposure model: Stoffenmanager (The Netherlands, with versions in Dutch, English, German and Finnish [end 2011]) and Chemirisk (Kjemirisk - Norway). Based on the same family division, CB Tools have also been developed for nanomaterials: the CB Nanotool (USA) and Stoffenmanager Nano (Dutch, English and Finnish [end 2011]). Controlled chemical use requires a stakeholder decision on which toolkit is best fitted for my exposure scenario? A consumer guide should help answer this, comparing all available tools based on set of criteria for comparison. The backbone for this comparison is based on two principles: November

6 a) Model validation (technical): Addresses conceptual or internal validation (theoretical model structure and corresponding uncertainties) and external validation (comparison of model outcome with independent measurement data). b) Operational analysis (implementation): Addresses variability of exposure estimates caused by tool application with different users. Simply put: are users able to perform a complete and reliable assessment and ensure safe use? When looking at the literature, model validations of toolkits are (well) described. On the contrary, operational analyses are rarely found in peer-reviewed literature. Tool developers mostly have ideas about implementation aspects, but these are based more on ad-hoc information than on a thorough analysis. This means that a plan, do, check, act, verify cycle in the development process and toolkit implementation is often incomplete: the check and act in operational analyses is missing, as is verify to ensure recommended controls remain functionally in place. As a consequence, it is often not known if toolkits in use lead to successful interventions at individual workplaces. Not unravelling this puzzle might lead to virtual safe workplaces without knowing if workers are truly protected. To elucidate, four examples of operational analyses will be presented. The first example is from a previous ICOH newsletter where three different toolkits were evaluated in Southern India. The authors concluded that as could be expected, no one toolkit can provide solutions for all types of work settings and exposures, especially in complex and resource limited work environments prevalent in developing countries. In view of the resources needed for traditional exposure assessments, such approaches may be the only kind feasible for risk management. The second example is from the Netherlands, where a series of technical evaluations led to an operational analysis of the Stoffenmanager tool last year. In this latest analysis three phases were distinguished: a) is the tool understandable and of practical value for the users? b) is there a match between the tool and the users? c) a quality check at user level, i.e. at the individual workplace. Results from the first two phases showed that the tool is being used both by experts and non-experts (all kinds of job titles) and that about half of the users work at SMEs (14% at micro-companies with 1-10 employees). The main conclusion is that the tool s aim (i.e., being a personal coach for SMEs in Do-It-Yourself chemicals management) was fulfilled. In parallel the tool shifted from solely a technical exposure assessment model towards a broader risk communication tool for raising awareness. In addition to the quality check at the user level, the Stoffenmanager consortium has started an implementation workshop project in 45 companies to improve and study both the tool s implementation, and sound chemical management in general. For this, a 7-step implementation evolutionary ladder is defined and the ambition is helping companies to progress at least one distinct level of the ladder. The third example is the CB Nanotool, where a thorough evaluation was published of both the risk matrix input criteria and a successful comparison of this toolkit s outcomes against IH professionals. Finally, following ongoing research on the EMKG, a new EU project 06 ICOH Newsletter Vol. 9 No. 3

7 coordinated by the German BAuA institute has started validating Tier 1 exposure models under EU-REACH. In the project, the tools mentioned in the REACH guidance (i.e., ECETOC TRA, EMKG-Expo-Tool and Stoffenmanager) will be compared both on technical and operational aspects. The project results are expected to become available Q Request for your assistance In the ICOH Workplan, President Kazutaka Kogi lists in his plan-of-action: advancing proactive risk assessment and control at work; and developing action-oriented toolkits for field use. He emphasized in all these domains, we need to develop action-oriented procedures for workplace risk assessment and control. Today, CB approaches have become a leading focus for researchers worldwide. This has led to significant increases in OSHH publications emphasizing primary prevention. Modern day CB applications are seen by some as the best occupational risk management approach to control exposures. Therefore, on behalf of the WHOCC, ICOH, and IOHA, we would sincerely appreciate if you would add to this vital research. Please let us know if we can help. About the Authors Internet Resources - Control Banding Toolkits CB Nanotool [download]: COSHH Essentials [web-based]: COSHH Essential Sector guidance sheets (eg. silica) [web-based]: EMKG-Expo tool [download] Exposure.html (download) ECETOC TRA [download] International Chemical Control Toolkit (ICCT) [web-based]: ctrl_banding/toolkit/icct/index.htm Stoffenmanager [web-based]: Stoffenmanager Nano [web-based]: David M. Zalk: IOHA Envoy. Web: G. A. Henri Heussen: Arbo Unie, Expert Centre for Chemical Risk Management, Web: November

8 Occupational Health in Fine Arts, Music and Literature* Work and diseases in Italian operas Episode 3 This is a new stage of our musical journey in work and disease in Italian operas. In the previous issues of ICOH Newsletter we listened to the Anvil Chorus from Il Trovatore by Giuseppe Verdi and entered the noisy forge of Il Barbiere di Siviglia by Gioacchino Rossini. Now we want to reflect on the meaning of work, while listening to a passage from Cavalleria Rusticana by Pietro Mascagni. Track 3 Cavalleria Rusticana by Pietro Mascagni Cavalleria Rusticana (Rustic Chivalry) is a one-act opera by Pietro Mascagni ( ) to an Italian libretto adapted from a short story written by Giovanni Verga ( ). Considered as one of the classic verismo operas, it was first performed in Rome on May 17 th, This opera has figured in the sound track of several movies, most notably in the opening of Raging Bull (1980) and in the conclusion of The Godfather Part III (1990). In a Sicilian village, the young and charming Turiddu had returned from military service to find that while he was gone, his fiancée, Lola, had married Alfio, the prosperous village carter. However, Lola still loves Turiddu and has an affair with him. Alfio is made aware of her betrayal, so he challenges Turiddu to a duel and kills him. In Easter morning, Alfio, the carter, comes into the square, cheerfully singing the praises of his carter s life and also of the beauty of his wife Lola, still ignoring her betrayal (Act 1, Scene 4). * Correspondence: Michele A. Riva, ICOH SC on History. University of Milano Bicocca, Italy. 08 ICOH Newsletter Vol. 9 No. 3

9 ALFIO Il cavallo scalpita, i sonagli squillano, schiocchi la frusta. Ehi là! Soffi il vento gelido, cada l acqua e nevichi, a me che cosa fa? UOMINI O che bel mestiere fare il carrettiere, andare di qua e di là! ALFIO M aspetta a casa Lola che m ama e mi consola ch è tutta fedeltà DONNE Ah ALFIO Il cavallo scalpita, i sonagli squillano, è Pasqua ed io sono qua! CORO, ALFIO O che bel mestiere fare il carrettiere, andare di qua e di là! ALFIO The horse stamps, the bridle-bells jingle the whip cracks. Ho-La! Let freezing winds blow let it rain, let it snow, what should I care? MEN Oh what a fine trade that of a carter, travelling here and there! ALFIO At home Lola awaits me, my love and my comfort who is all faithfulness WOMEN Ah ALFIO The horse stamps, the bridle-bells jingle it s Easter, and I am here. CHORUS, ALFIO Oh what a fine trade that of a carter, travelling here and there! What is now the meaning of work? Recently, in a Supplement of La Medicina del Lavoro, entirely devoted to the issue when work is health, Sapelli has written that work has a meaning only if the workers psychophysical integrity is protected and if by working the individuals can get their own self-fulfillment through technical and professional competence. Without selffulfillment, individuals may become depressed and lose the sense of living [2]. In the same issue, Bertazzi, describing work as a basic human need and health promoting factor, has analysed some studies on the relationship between unemployment and lack of physical and mental health. The rise of the former, due to the recent world economic crisis, has led to an increase of anxiety disorders, depression and suicides [1]. Indeed, among the unemployed the mortality increases for all causes and, particularly, for tumours and cardiovascular diseases, as shown also by a survey by Costa and Segnan in the Turin area [3]. Bertazzi has concluded that the role of occupational health physician is to recognize the possible negative effects of working condition and at the same time promote a positive approach to work, even in difficult conditions. [ ] To be aware of the meaning of work makes work itself more liveable and more productive, contributing to the development of the economy and society [1]. Alfio s praises of his work and the beauty of his wife can well summarise the view of life as expressed by Sigmund Freud ( ), who, to the question of what a healthy human should be able to do, answered by saying lieben und arbeiten (love and work) [4]. The praise of his own work, sung by Alfio, is an example of selffulfilment and occupation s positive value, highlighting the meaning of work in the past. Since prehistoric era, men have drawn from their ability to work not only the livelihood but also the way to satisfy their own needs for creativeness, constructiveness and fulfillment. In ancient times, this need was very clear among craftsmen and was partially reduced by the advent of machinery during the Industrial Revolution [1]. References 1. Bertazzi PA. [Work as a basic human need and health promoting factor]. Med Lav 2010;101(Suppl 2): Italian 2. Sapelli G. [Does work have a meaning? Basis for a positive work culture]. Med Lav 2010;101(Suppl 2):7-10. Italian 3. Costa G, Segnan N. [Mortality and occupational status in the Turinese longitudinal study]. Epidemiol Prev 1988;10: Italian. 4. Bertoli M. [Work as a possible means of self-esteem]. Med Lav 2010;101(Suppl 2): Italian. November

10 News from National Secretaries Ecuador On May 23, 2011 the first meeting of the National Secretary of Ecuador was held in Quito. The main objective of the meeting was to introduce ICOH activities and the National Secretary of ICOH in Ecuador. The meeting was supported and hosted by the Graduate School of the Technological Equinoctial University UTE (See the flyer used for outreach). Fifty attendees, consisting of representatives of OHS Regulatory Agencies (Social Security), Safety professionals and consultants, graduate students in OHS and faculty of the University were present during the event. Current ICOH members also attended the meeting. After welcome words offered by Dr. Raul Harari, former ICOH National Secretary of Ecuador and Director of the Graduate School of UTE and Fausto Freire, Director of the Master Program in Safety and Risk prevention of UTE, the meeting started. The meeting consisted of two sessions. The first session was a 45-minute presentation on "Occupational Hygiene in the Construction Sector" delivered by ICOH National Secretaty, Homero Harari. Two case studies were presented. The topic was selected given the growing interest in Occupational Hygiene and the importance of construction industry in Ecuadorian economy. Welcome words. From left to right: Dr. Raul Harari(UTE), Homero Harari and Fausto Freire(UTE) The seminar was followed by questions and answers from the audience. After a coffee break provided by the Ecuador National Secretariat and UTE, the second session started with a presentation about ICOH s mission and goals. Special emphasis was put on ICOH s Code of Ethics for OHS professionals. ICOH Newsletters were distributed as well as registration forms for potential new members. It was also highlighted the upcoming ICOH Conference in Cancun, Mexico, 2012 and it was encouraged the submission of abstract for the conference. The attendance of Jornadas Cientificas en Cusco organized by colleagues ICOH National Secretaries was also encouraged. As a result of the meeting, it is important to highlight the interest of new membership of professionals. The National Secretary offered support letters for all the professionals interested. A second activity will be programmed in the future as well as sponsorship for OHS Scientific Seminars organized by the University and international Speakers visiting Ecuador. Homero Harari National Secretary Flyer used in outreach activities 10 ICOH Newsletter Vol. 9 No. 3

11 Report from the Regional Meetings The Africa Regional Association of Occupational Health (ARAOH)/ South African Society of Occupational Medicine (SASOM) Congress Care for the occupational health needs of the worker: Biological, Physical and Psychological (August 2011). The ARAOH/SASOM Congress near Johannesburg, South Africa was a huge success, judging by the compliments received from the Congress presenters and attendees. Jenny Acutt, South Africa Project Coordinator SASOM National Office Delegates and presenters came from Botswana, Brazil, Cameroon, Canada, France, Ghana, Iraq, Italy, Ivory Coast, Kenya, Malawi, Netherlands, Nigeria, Senegal, South Africa, the United Kingdom, United States of America, Zambia and Zimbabwe. Excellent presentations addressed every aspect of Care for the occupational health needs of the worker: Biological, Physical and Psychological. The number of parallel sessions on travel medicine, hazardous chemical substances and hazardous biological agents, and the tracks on the International Commission on Occupational Health, the SA Society of Occupational Health Nursing Practitioners, the SA Institute of Occupational Hygiene and Elixir Health, left the delegates spoilt for choice. The Neil White Memorial Seminar was incorporated into the programme and excellent presentations addressed occupational lung conditions, including asbestosis, mesothelioma, lung cancer and occupational asthma. Much networking and several business meetings took place during the three days. The enthusiasm and camaraderie was tangible. The original ARAOH Board of eight persons swelled to 17 as officials from the different countries wished to contribute to ARAOH in future. See the accompanying photograph. The next ARAOH Congress is scheduled for 2014 and offers to host the event are awaited by the ARAOH Board. The ARAOH Secretariat can be contacted at Members of the ARAOH Board and others at the meeting held at the ARAOH/ SASOM Congress on 27 August At the back from the left: Dr Tim Ngozo (Zimbabwe), Dr Chiekh Cisse (Senegal), Dr Leon Seymore (South Africa). Dr Musa Nyandusi (Kenya), Dr Dingani Moyo (Zimbabwe) Dr Kader Toure (Senegal), Dr Charles Roos (ICOH National Secretary South Africa), Dr Okon Akiba (SOEPHON, Nigeria), Dr Babacar Fall (ICOH National Secretary, Senegal), Dr Ferdie Smith (South Africa), Prof Daan Kocks (SASOM Chairman, South Africa) Prof Mary Ross (ICOH Board member, South Africa) and Dr Danie Ungerer (South Africa). Front row from the left: Mrs Jenny Acutt (scribe, South Africa), Mrs Uche Ojomo (ICOH Board member, Nigeria) Ms Claudina Nogueira (South Africa), Dr Beatrice Sangare (Ivory Coast) and Dr Vusumuzi Nhlapho (South Africa). November

12 International Conference on Occupational Health and Safety in Ghana Edith E. Clarke, Ghana Conference Chair / ICOH National Secretary One hundred and ten (110) delegates from 16 countries (including representation from WHO, ILO and IALI) attended the 1st International Conference on Occupational Health and Safety in Ghana which was held on the 18 th to 21st of October 2011 in Accra. The event, hosted by ICOH, Ghana Health Service /Ministry of Health in collaboration with the Ghana College of Physicians and Surgeons, the Ministries of Trade and Employment sought to promote a healthy work environment and to bring to the fore occupational health and safety problems facing SMEs in Ghana and the West African region and appropriate ways of dealing with these challenges. The opening ceremony was chaired by Prof. David Ofori-Adjei, Rector of the Ghana College of Physicians and Surgeons (GCPS) and formally opened by the Deputy Minister of Health, Mr Rojo Mettle Nunnoo who noted that health and safety risks were rife in Ghanaian SME operations. He called on all stakeholders to get involved in implementing measures to protect health of SME operatives and enhance productivity. A total of 41 papers were presented; 37 of them were orall while 4 were poster presentations. Areas covered in workshop and symposia sessions included Chemical safety, Risk assessment and control of OHS hazards, Psychosocial risks, Bridging the gap between research and practice, Pesticides, Psychosocial risks, SME health and climate change, OHS in extractive industries, Poster presentations covered Borax- a way to extract gold for small scale miners; Employee Wellbeing programme, Oil and gas development and health in Ghana, and Hand washing practices. Three plenary lectures were delivered over the period on the following topics: i. Action-oriented training tools effective for improving small-scale workplaces by president of ICOH Dr Kazutaka Kogi. ii. The changed world of work: towards an inclusive discipline and practice of occupational safety, health and environment by Prof Frances Lund Director for Social Protection, WIEGO and iii. Taking toxins home: Risks for SMEs by Prof Leslie London, University of Cape Town. The conference was preceded by two preconference workshops covering i. Occupational Hygiene: A critical Tool to Protect Worker s Health coordinated by Mahinda Seneviratne ICOH Scientific Committee SCEIS and attended by 37 participants. The second was on Principles of risk assessment facilitated by Dr. Abdel- Razak Kadry of the US EPA and attended by 32 participants. Feedback from delegates has been largely positive, having been described as a great learning experience and a very well organized conference by many. Several have expressed a desire to have similar conferences organized regularly in the West African sub-region in order to help build capacity of OHS practitioners currently inadequate. Other recommendations included the need for a more proactive approach by Governments and policy makers in West Africa to facilitate policy formulation for OHS and the need for a sub-regional OHS group to be advocates for occupational health and safety improvements in countries. 12 ICOH Newsletter Vol. 9 No. 3

13 The International Symposium on Safety and Health at Work (ISSHW) 2011 'Sharing Experience for Tomorrow' October 24-25, 2011 From October 24 to 25, the International Symposium on Safety and Health at Work (ISSHW) 2011 was held in Songdo Convensia, Incheon, Korea, organized by the Occupational Safety and Health Research Institute (OSHRI) of the Korea Occupational Safety and Health Agency (KOSHA). The Symposium was organized in collaboration with ICOH Scientific Committee of Health Services Research and Evaluation in Occupational Health (SC-HSREOH), attended by 162 participants from 14 countries. The theme of the symposium was Sharing Experience for Tomorrow. The symposium brought diverse issues on occupational safety and health (OSH), such as corporate social responsibility, global trends of OSH, up-to-date personal protective equipment, accident investigation, the implementation of Globally Harmonization System on labeling and classification of chemicals, and strategy for eliminating asbestos related diseases. The topics were broad and covered all issues of OSH, which meant that it was useful for those who were responsible for OSH in their respective organizations and those who just started to learn OSH. OSH is often divided into safety and health or injuries and diseases as the backgrounds of both professionals are different. However, the professionals with different specialties all work to protect the same group of people workers who can be affected by dangerous machines, the environment and health status of themselves separately or jointly. OSH must take a holistic approach to humans as opposed to drawing the line between safety and health. This was the philosophy of the Symposium. International participants also enjoyed visiting to KOSHA prior to attending the Symposium, which is 30 minutes drive away from the venue. Seong-Kyu Kang, Republic of Korea Director General Occupational Safety & Health Research Institute (OSHRI) November

14 Forthcoming Meetings 30th ICOH Congress 2012, Cancun, Mexico 30th CIST, Congres International de la Sante au travall March / mars 18-23, 2012 President of the Congress: Dr. Jorge Morales Camino Cancun, Mexico 30 th Congres st ICOH Congress 2015, Seoul, Korea Date: May 31 ~ June 5, 2015 Venue: COEX, Seoul Older workers and work ability When: December 12 13, 2011 Venue: Melbourne, Australia Organized by: Monash University Supported by: Swinburne University of Technology La Trobe University Deakin University Co-sponsored by ICOH SC: Aging and work Topics: Prolongation of working lives Contact: Website: 2 nd Scientific Conference on Work Disability Prevention and Integration (WDPI 2012) When: October 22-24, 2012 Venue: University Medical Center Groningen, Groningen, The Netherlands Organized by SC: ICOH Scientific Committee on Work Disability Prevention and Integration Organized by: University Medical Center Groningen: Department of Health Sciences, Community and Occupational Medicine; Department of Rehabilitation Medicine, Center for Rehabilitation; and Wenckebach Instituut Contact: Website: 14 ICOH Newsletter Vol. 9 No. 3

15 Bid Submission ICOH 2018 Deadline Dec 18, 2011 The procedure for bid submission to compete for the venue of future ICOH congresses is indicated in Bye-Lew 7, Section 1 that reads: Applications for hosting an International Congress should reach the ICOH office at least three months before the first General Assembly of the forthcoming International Congress and be signed by at least five members of ICOH in good standing of that country With specific reference to the bid submission to compete for the venue of ICOH 2018 Congress the required original documentation and electronic version shall be received by ICOH Secretariat General by December 18, 2011 (three months before the 1st General Assembly of ICOH Congress 2012). No applications will be accepted after that date. For all additional information please refer to the Guidelines for ICOH Congress Organization available in the section, CORE DOCUMENTS ( documents.asp). New Members First Name Last Name Country Stephen THOMAS Australia Hilde DE RAEVE Belgium Godewina MYLLE Belgium Bart VIAENE Belgium Flavia ALMEIDA Brazil Lucio Mauro ALVES Brazil Adriana Jardim ARIAS PEREIRA Brazil Alexander CARDOSO Brazil Ricardo Tadeu DA SILVA Brazil Fernanda Mendes LIVANI Brazil Luiz Carlos MORRONE Brazil Sao Paulo Association of OCCUPATIONAL MEDICINE Brazil Guilherme Pietro Bom PEROZIN Brazil Marco Antonio GARCIA Costa Rica Bojana KNEZEVIC Croatia Lars BRANDT Denmark Heikki FRILANDER Finland Nina Elisabet NEVALA Finland Sie Sie SIEW Finland Genevieve ABADIA France Agnes AUBLET-CUVELIER France Didier BAPTISTE France Daniela BLECK Germany Volker HARTH Germany Claudia MENESES Guatemala Somnath GANGOPADHYAY India Vijay Kumar RAMTEKE India DEEPAK SHARAN India Samata VASISHT India Benny Arief WIDJAYA Indonesia Ko HIRAOKA Japan Kiminori ODAGAMI Japan Haruka ODOI Japan Kyoko SHIMADA Japan Norihito TANAKA Japan Valérie DELFOSSE Luxembourg Eduardo BAUTISTA Mexico Cinthya CARDENAS Mexico First Name Last Name Country José Antonio CENTENO Mexico Lucino Antonio GALVAN CARRILES Mexico Francisco MERCADO CALDERON Mexico Carlos Alberto MORALES ALCAZAR Mexico Martha Angelica QUINTANAR ESCORZA Mexico Héctor TULA Mexico José ZERTUCHE Mexico Mensud GRBOVIC Montenegro Catherine AZUBUIKE Nigeria Ebba Louise WERGELAND Norway JAIME BAZAN CABELLOS Peru Ismael Nestor CRUZ Peru Roly JARA Peru Ana Maria LLERENA Peru Luis MESONES Peru Aquiles MONROY Peru Juan Carlos PALOMINO Peru Jose Luis QUEQUEJANA Peru Addler QUEZADA Peru Florentino SANCHEZ AGUILAR Peru Sheila Gabriela TORREBLANCA Peru Maria Luisa TUPIA GONZALES Peru José Manuel VELARDE ZAPATER Peru Kyoung Sook JEONG Republic of Korea Jungwon KIM Republic of Korea Myung-Sook LEE Republic of Korea Chung -Yill PARK Republic of Korea Olesja NEDIC Serbia Thuthula Mandisa BALFOUR-KAIPA South Africa Barry KISTNASAMY South Africa Lee-Ann RANDALL South Africa Lena ANDERSSON Sweden Gerda GROENE The Netherlands Olgac TASYUREK Turkey Janice HARTGENS USA Maria Sofia LIOCE USA Stephanie PRATT USA Brad Alan RACETTE USA Publishing dates for the ICOH Newsletter in / 2012 end of April 2012 materials by March 31, / 2012 end of July 2012 materials by June 30, / 2012 end of November 2012 materials by October 31, 2012 November

16 Chairs and Secretaries of SCs 1. Accident Prevention Keith Scott Secretary: Su Wang 2. Aging and Work Masaharu Kumashiro Secretary: Clas-Håkan Nygård 3. Allergy and Immunotoxicology Mario Di Gioacchino Secretary: Takemi Otsuki 4. Cardiology in OH Akizumi Tsutsumi Secretary: Jian Li 5. Education and Training in OH Yvonne Toft Secretary: Linda Grainger 6. Epidemiology in OH Dana Loomis Secretary: Hans Kromhout 7. Fibres To be appointed Secretary: To be appointed 8. Health Services Research and Evaluation in OH Carel Hulshof Secretary: Ira Madan 9. History of Prevention of Occupational and Environmental Diseases Michele A. Riva Secretary: Daniela Fano 10. Indoor Air Quality and Health Giacomo Muzi Secretary: Paolo Carrer 11. Industrial Hygiene Peter S.J. Lees Secretary: Nils Plato 12. Musculoskeletal Disorders Yves Roquelaure Secretary: Sandra Brouwer 13. Neurotoxicology and Psychophysiology Roberto Lucchini Secretary: Eun-A Kim 14. Occupational and Environmental Dermatoses Pietro Sartorelli Secretary: Sanja Kezic 15. OH and Development Shyam Pingle Secretary: Diana Gagliardi 16. OH for Health Care Workers Annalee Yassi Secretary: Marie Claude Lavoie 17. OH Nursing Louwna J. Pretorius Secretary: Susan Randolph 18. Small-Scale Enterprises and the Informal Sector Toru Itani Secretary: Paula Naumanen 19. OH in the Chemical Industry (MEDICHEM) Thirumalai Rajgopal Secretary: Diane J. Mundt 20. OH in the Construction Industry Knut Ringen Secretary: Jean Francois Boulat 21. Occupational Toxicology Maurizio Manno Secretary: Glenn Talaska 22. Occupational Medicine Helena Taskinen Secretary: John Harrison 23. Radiation and Work Maila Hietanen Secretary: Fabriziomaria Gobba 24. Reproductive Hazards in the Workplace Jens Peter Bonde Secretary: Gunnar Toft 25. Respiratory Disorders Yukinori Kusaka Secretary: David Sherson 26. Rural Health: Agriculture, Pesticides and Organic Dusts Claudio Colosio Secretry: Petar Bulat 27. Shiftwork and Working Time Frida M. Fischer Secretary: Stephen Popkin 28. Thermal Factors Ken C. Parsons Secretary: Ingvar Holmer 29. Toxicology of Metals Lars Barregard Secretary: Monica Nordberg 30. Unemployment Job Insecurity and Health Jukka Vuori Secretary: Roland Blonk 31. Vibration and Noise Mats Hagberg Secretary: Pietro Nataletti 32. Women Health and Work Kaisa Kauppinen Secretary: Julietta Rodrìguez-Guzmàn 33. Work and Vision Dino L. Pisaniello Secretary: Bruno Piccoli 34. Work Disability Prevention and Integration Glenn Pranski Secretary: Johannes Anema 35. Work Organisation and Psychosocial Factors Norito Kawakami Secretary: Stavroula Leka National Secretaries Name Country Name Country Name Country Cristina Pantano Argentina Wai-On Phoon Australia Robert Winker Austria Ilya Veyalkin Belarus Simon Bulterys Belgium Nurka Pranjic Bosnia and Herzegovina Josè Carneiro Brazil Louis Patry Canada Veronica Herrera-Moreno Chile Zhijun Zhou China Julietta Rodriguez Guzman Colombia Catalina Guerrero Costa Rica Jadranka Mustajbegovic Croatia Daniela Péclovà Czech Republic Martin Nielsen Denmark Homero Harari Ecuador Ari Kaukiainen Finland Janine Cantineau France Elisaveta Stikova Hans-Martin Hasselhorn FYROM Germany Edith Essie Clarke Ghana Theodore Bazas Greece Eva Ruzsas Hungary S. Sivaramakrishnan India Sudjoko Kuswadji Indonesia Patrick Lee Ireland Shlomo Moshe Israel Leonardo Soleo Italy Seichi Horie Japan Irene Karanja Kenya Rima Habib Lebanon Vilija Malinauskiene Lithuania Nicole Majery Luxembourg Elia Enriquez Mexico Ljiljana Kezunovic Montenegro Sunil Kumar Joshi Nepal Peter S. Nmadu Nigeria Merete Drevvatne Bugge Norway Naeem Akhtar Palijo Pakistan Raul Gomero Peru Oscar D. Tinio Philippines Marek Jakubowski Poland Alvaro Durao Se-Hoon Lee Liliana Rapas Martin Popevic Babacar Fall Charles P. Roos Hakan Westberg Jung-Der Wang Aiwerasia V. Ngowi Yothin Benjawung Monique Frings-Dresen Rafik Gharbi Yucel Demiral Barbra Clara Khayongo Robin P. Donnelly Natalia Bobko Raul D. Baranano Robert R. Orford Bich Diep Nguyen Portugal Rep. of Korea Romania Serbia Senegal South Africa Sweden Taiwan, China Tanzania Thailand The Netherlands Tunisia Turkey Uganda UK Ukraine Uruguay USA Vietnam 16 ICOH Newsletter Vol. 9 No. 3

17 Résumé en français Message du Président Chers collègues de la CIST On peut noter un réel progrès en termes d'activités de la CIST concernant la pratique de santé au travail, dans des conditions difficiles. Les débats des conférences des comités scientifiques de la CIST auxquels j'ai participés depuis le dernier congrès se sont centrés sur les mesures d'aide aux pratiques pour une gestion des risques globale dans des secteurs non desservis. Ces mesures de soutien semblent efficaces lorsque des procédures concrètes pour l'évaluation des risques et le contrôle sont présentées. Il a également étéobservé un progrès en matière de telles procédures pour la promotion des services de santéau travail basiques (BOHS) et pour la gestion des risques multi-facettes. Cela a étédavantage marquant lors du congrès mondial ILO/ISSA sur la sécurité et la santé au travail, qui s'est tenu àistanbul en septembre dernier et lors de la conférence de la CIST sur la santé au travail et environnemental dans les petites et moyennes entreprises (PME), qui été organisée à Accra, au Ghana par le comité scientifique de la santéau travail dans les PME et dans le secteur informel. Nous pouvons également tirer les leçons des derniers développements de procédures d'évaluation des risques traitant des risques multiples généralement trouvés dans les PME ou sur des lieux de travail informels. Une combinaison observation des lieux de travail / application de procédures simples quantitatives et autres est mise en exergue pour aboutir àde nombreuses améliorations des pratiques dans la réduction des risques. Une formation orientée vers l'action est développée pour utiliser de telles procédures pour les BOHS et les PME. En facilitant les procédures de soutien efficace dans ce sens, un nombre croissants de projets internationaux et régionaux sont en progrès. Un développement interactif de tels projets sont nécessaires. Tendances en matière de surveillance et de contrôle des dangers. Des projets inter-pays reportés lors de la conférence d'accra et d'autres de la CIST concernaient principalement les procédures de pratiques de la surveillance et du contrôle des dangers. Par exemple, des procédures globales pour les risques physiques, chimiques et ergonomiques sont développées, principales sur des lieux de travail de petites tailles. Un progrès significatif est observé en termes de facilitation de l'observation directe des situations à haut risque ou de visualisation de sérieuses expositions aux dangers physiques et chimiques. En connaissant les opérations dangereuses, l'identification des mesures de contrôle nécessaires en est facilitée. En faisant cela la participation active des employés et des ouvriers, suivant ces procédures, peut être promue. La plus grande utilisation d'outils de formation orientés vers l'action visant à améliorer les lieux de travail de petites tailles a aussi été observée. La formation participative est un réel succès lorsqu une liste des actions ainsi que des guides faciles àcomprendre sont utilisés dans le but de proposer des améliorations dans la réduction des risques pratiques. Ces outils sont utilisés pour se concentrer, localement, sur les améliorations possibles ayant un réel impact sur la réduction des risques. Il est intéressant de noter que ces outils sont efficaces lorsqu'ils sont basés sur de bonnes pratiques àplusieurs endroits. L'utilisation des méthodes simples de surveillance environnementale au travail et les outils tournés vers l'action connaît également un réel essor lors des formations BOHS. En prenant connaissance des mesures de réduction de risques possibles, les salariés et responsables de PME sont plus facilement guidés pour identifier des mesures nécessaires et disponibles localement. L'échange de ces outils de formation tournés vers l'action dans le cadre de projets internationaux et régionaux est particulièrement utile. Plus grande utilisation des procédures tournées vers l'action La mise en avant, croissance, sur le lien étroit existant en les conditions générales de travail et les risques psychosociaux au travail attire notre attention. La gestion des risques psychosociaux est désormais intégrée aux pratiques de santé au travail, sous toutes les formes de travail, devant un des thèmes principaux dans nos réunions scientifiques. Le débat des conférences auxquels j'ai assisté démontrent le besoin de prendre davantage d'actions, également dans les PME et sur les lieux de travail informels. Une nouvelle tendance concernant les risques psychosociaux au travail consiste à adopter une approche globale des bonnes pratiques afin de planifier et de mettre en place plus d'évolutions et d'améliorations possibles, sur l'initiative des salariés et des responsables. A ce titre, des procédures tournées vers l'action sont en cours de développement pour identifier des situations de travail associées aux risques psychosociaux. Il est particulièrement intéressant de relever que la formation participative est efficace pour prendre des mesures multi-facettes pouvant réduire le stress au travail. Il est encourageant de voir que l'utilisation des outils de prévention du stress proactifs soulignant les étapes participatives visant à étendre les améliorations sur les lieux de travail se November

18 Résumé en français démocratise dans de nombreuses régions. Cette approche globale concernant les risques psychosociaux est applicable aux PME. Nous pouvons tirer les enseignements des expériences positives traduisant un meilleur engagement des employés et ouvrier vis à vis de ces outils orientés vers l'action. Une attention renouvelée envers les principes éthiques. Ces derniers développements soulignent l'importance du rôle consultatif, tourné vers l'action, des professionnels de santé au travail. Le code éthique de la CIST insiste sur le fait que le rôle consultatif (paragraphe 1 de l'article sur les tâches et obligations) peut être accompli, non seulement par la compétence et l'expertise professionnel (paragraphes 2-3) mais aussi par une considération spéciale apportée à l'application rapide de mesures préventives simples (paragraphe 4). Dans son introduction, le Code met en avant trois principes de base : service de la santé et de bien-être social des travailleurs, l'intégrité et l'impartialité dans la conduite professionnelle, et une indépendance professionnelle complète. Je suis heureux que notre révision perpétuelle du Code démontre notre accord unanime au sujet de ces principes éthiques et de l'accent mis sur une action préventive rapide. La collaboration des membres de la CIST pour la révision de notre Code d'éthique a été une expérience unique dans cette période triennale. Les principales révisions ont été présentées lors de la réunion de mi-semestre de la CIST, qui s'est tenue à Milan en février Le projet initial de révision a été distribué par les comités scientifiques et les secrétaires nationaux. Sur la base des commentaires de plusieurs membres, le Groupe de révision du Code de l'ethique et du Comité de Transparence, présidé par Peter Westerholm a présenté les résultats de la dernière révision en septembre dernier. J'ai été très impressionnépar le vif intérêt renouvelé dans nos obligations éthiques et de conduite. La révision du Code a démontré la nécessité de renforcer les dispositions relatives à l'action en milieu de travail dans les services de santéau travail, la confidentialité des données de santé, les conditions d'exécution de fonctions professionnelles et des conflits d'intérêts. Il existe un accord général pour maintenir la structure actuelle du Code ; ce dernier étant largement accepté et intégré aussi dans les lois et règlementations de certains pays. Il est, désormais, proposé de modifier davantage le Code en vue de renforcer notre conduite professionnelle afin de diversifier davantage les situations de travail. Le prochain congrès de la CIST 2012 sera une magnifique occasion de délibérer sur les orientations futures de nos fonctions professionnelles et sur les changements nécessaires dans Code en ligne, en fonction des derniers résultats découlant des révisions et des derniers développements. J'ai hâte de prochainement vous revoir à Cancun! Kazutaka Kogi Président de la CIST Message du rédacteur en chef Sommaire de ce numéro La gestion graduée de la gestion des produits chimiques a été abordée dans le numéro V9N1 (mars 2010). Il s'agit d'un bon outil pour évaluer et gérer les lieux de travail, sans équipement sophistiqué ni professionnels qualifiés, qui sont souvent indisponibles dans les pays en développement. La gestion graduée a étéinitialement conçue pour contrôler les produits chimiques, mais il peut être utilisé pour d'autres risques professionnels. Le Dr David Zalk est l'invité de ce numéro. Il est le codirigeant IOHA de la priorité AMP 2.1 dans le plan de travail Réseau CCOMS. Il présentera ici la gestion graduée. Les outils, version originale de la gestion contrôlée, sont adaptés à de nombreux modèles modifiés ou traduits en plusieurs langues. Il semblerait que la gestion graduée soit utilisée par des experts et des non experts, tandis que plus de la moitié des utilisateurs travaillent dans des PME. L'article fournit des ressources Internet, permettant d'obtenir facilement des informations. L'article détaillé est également disponible dans la question de la V2 du SH W (Sécurité et Santéau Travail) sur son site Internet ( Ce numéro contient la 3e histoire de "Travail et Maladie dans l'opéra italien" du Prof. Michele Riva. En tant que professionnels de santé au travail, nous sommes toujours préoccupés par les effets négatifs sur la santé causés par le travail, tels que les longues heures de travail, le stress au travail et les conditions difficiles. Cependant, les êtres humains ne peuvent pas rester en bonne santé sans travailler d'une manière appropriée. Le travail stimule les hommes, les rend vigilants, et leur permet donc de rester en bonne santé. Cependant, les stimuli du travail peuvent également être source de stress. Cet article montre l'aspect positif du travail sur la santé, à travers l'interprétation de l'opéra italien Rusticana Cavalleria. Sont inclus également un excellent rapport du secrétaire national d'equateur, cela faisait longtemps qu'il n'y avait pas eu de rapport d'un secrétaire national. Les informations sur les activités des membres de la CIST ou de la société dans chaque 18 ICOH Newsletter Vol. 9 No. 3

19 pays méritent d'être partagées avec d'autres membres de la CIST. J'encourage les Secrétaires nationaux à nous soumettre un court article ( mots) pour la Newsletter. Ce numéro présente une réunion régionale et deux réunions des comités scientifiques : la réunion triennale de l'association régionale africaine de la santé au travail; le Symposium International sur la Sécurité et Santé au Travail 2011 par l'occupational Safety and Health Research Institute, qui a été organisé en collaboration avec le CS de la recherche sur les services de santé et d'évaluation de la santé au travail (SC_HSREOH), et la première Conférence internationale sur la santé au Ghana, organisée en collaboration avec le CS de la santé et du développement. Veuillez envoyer un résumé de 250 mots ainsi qu'une photo juste après la réunion ou la conférence organisée par les Comités Scientifiques ou par les représentants régionaux de la CIST. Election des nouveaux responsables et membres du comité de direction Les nouveaux membres du conseil qui seront en poste de 2012 à 2015 seront élus par scrutin, qui a déjà été envoyé aux membres admissibles à la CIST. Le président, deux vice-présidents et le secrétaire général sera automatiquement élus car il n'y a pas d'autres candidats. Les responsables actuels seront de nouveaux responsables. Toutefois, les membres du conseil seront élus par votes, car seulement 16 des 30 candidats peuvent être élus. Seuls les bulletins de votes envoyés par voie postale seront validés. Le résultat sera annoncé mercredi lors du congrès 2012 de la CIST, à Cancun, au Mexique. Le taux participation est généralement faible. Aux dernières élections, il s'élevait à 30%. Une participation active des membres est nécessaire pour élire les membres du conseil les plus admissibles. N'oubliez pas d'envoyer votre bulletin au Secrétariat de la CIST avant la date limite. Préparation du Congrès ICOH2012 Assurez-vous de vous occuper de vos réservations d'hôtels et de toute autre réservation nécessaire en temps et en heure. J'espère tous vous voir à l'assemblée générale de Cancun, le 18 mars Rendez-vous également sur www. Contribution des membres Le prochain numéro de la Newsletter sera publié à la fin du mois d'avril 2012, après le Congrès de la CIST 2012, qui se tiendra àcancun, au Mexique La date limite pour les contributions est le samedi 31 mars Veuillez envoyer votre contribution à ou Unissons le monde ; Gestion graduée et gestion qualitative des risques au travail dans un contexte de croissance mondiale Bases de la gestion graduée La gestion graduée a pour objectif de prévenir les lésions, maladies et blessures reliés au travail auprès des quelques 2,5 milliards de travailleurs qui n'ont pas accès à des services de sécurité, de santé et d'hygiène au travail (OSSH). Cet article définit un nouvel objectif, plus audacieux et plus global, votre aide est nécessaire pour atteindre notre but. La gestion graduée origine de l'hygiène industrielle (IH) et représente un processus d'évaluation des risques conduisant à l'élaboration de solutions et de mesures de contrôle. Les stratégies de gestion graduée sont plus utiles dans la prévention des expositions des travailleurs en l'absence d'informations disponibles en entreprise concernant la toxicologie et les expositions. Ces stratégies sont souvent présentes dans des "kits" avec des catégories ou dans des "zones" dangereuses pour le santé, associés à des scénarios d'exposition permettant définir les contrôles souhaités. La gestion graduée est née de l'approche alternative pour le contrôle des expositions chimiques. Ce progrès historique de programmes basés sur la recherche faisant la promotion des solutions, a débuté avec les diverses initiatives en matière d'oshh prises par l'ilo, l'oms et l'ioha (Association internationale d'hygiène du travail). La gestion graduée s'appuie sur les règles émanant des précédentes recherches quantitatives sur divers facteurs d'exposition. La gestion graduée permet aux utilisateurs de faire des inférences significatives concernant les éventuelles expositions et leurs contrôles, les réduisant à 4 ou 5 zones dangereuses (Schéma 1). Par conséquent, la gestion graduée correspond à l'évaluation qualitative des risques et aux approches de gestion des risques. La gestion des risques a été appliquée là où règne une forte incertitude, comme lorsqu'aucune limite d'exposition sur le lieu de travail n'existe mais que les substances peuvent être regroupées, de manière fiable, en fonction de leur similarité à des substances mieux étudiées. Une telle évaluation des risques est nécessairement générique, elle permet de cerner des zones de danger et de formuler des hypothèses de précaution. Alors que les professionnels OSHH voyaient la gestion graduée et sa simplification comme une option moindre que celle des méthodes quantitatives, la récente application de la gestion graduée au contrôle de l'exposition aux nanomatériaux a changé les esprits. La gestion graduée s'est November

20 Résumé en français beaucoup développée de par le monde et elle est, désormais, vue comme une excellent moyen de communication des risques pour les travailleurs et les professionnels. Les stratégies de la gestion graduée s étend maitenant à l ergonomie et la prévention des blessures et abordent aussi des sujets comme les systèmes de gestion de santé et de sécurité au travail. Outils et évaluations existants Nous avons besoin de votre aide pour développer l'utilisation et l'évaluation des outils de la gestion graduée ; il est donc nécessaire d'engager une brève discussion. Pour les produits chimiques génériques, les outils existants se divisent en deux catégories : a) Les COSHH Essentials (UK) ainsi que leurs adaptations/traductions comme les Silica Essentials (UK). b) Les outils de contrôle des produits chimiques internationaux (ICCT), les outils de gestion graduée coréenns, les traductions des ICCT en chinois, espagnol et portugais et l'outil EMKG-Expo (Allemagne). Basés sur la même "catégorie", les outils de gestion graduée ont été développés pour les nanomatériaux : le CB Nanotool (USA) et le Stoffenmanager Nano (néerlandais, anglais, et finnois (fin 2011)). L'utilisation des produits chimiques contrôlés exige la décision des acteurs de l'industrie quant au choix de l outil e plus approprié pour un scénario d'exposition?". Un guide de l utilisateur devrait aider à répondre à cette question, en comparant tous les outils disponibles basés sur tout un éventail de critères de comparaison. L'ossature de cette comparaison se base sur deux principes : a) Validation du modèle (technique) : aborde la validation conceptuelle ou internet (structure théorique du modèle et les incertitudes inhérentes) et la validation externe (comparaison du rendement du modèle avec des données de mesures indépendantes). b) Analyse opérationnelle (mise en place): aborde la variabilité des estimations de l'exposition causée par l'application de l'outil par différents utilisateurs. Pour résumé : les utilisateurs, sont-ils capable de réaliser une évaluation complète et fiable et de garantir une utilisation sûre? La validation des modèles d'outils sont bien décrits dans les documents. En revanche, les analyses opérationnelles sont rarement présentes dans les documents rédigés par des pairs. Les développeurs d'outils ont, en général, des idées quant aux différents types de mise en place de ces outils, mais tout cela est davantage basé sur des informations ad-hoc que sur de réelles analyses. Ce qui signifie qu'un "cycle projet, élaboration, vérification et action" en cours de développement et que la mise en place des outils sont souvent incomplets : Les analyses opérationnelles de "vérification et action" font défaut ; la "vérification" servant à s'assurer que les contrôles recommandés restent bien en place. Par conséquent, on ne sait que rarement si les outils utilisés conduisent à des interventions efficaces sur des lieux de travail. Ne pas démonter ce puzzle risque de voir naître sur sécurité virtuelle sur les lieux de travail sans savoir si les travailleurs sont véritablement protégés. Pour étayer cette notion, quatre exemples d'analyses opérationnelles seront présentés. Le premier d'entre eux est extrait d'une ancien numéro du Newsletter de la CIST, dans laquelle trois outils différents provenant de l'inde du sud avaient été passés au crible. Les auteurs concluaient par : "comme nous nous y attendions, aucun des outils ne peut, à lui seul, fournir les solutions pour tous les contextes et toutes expositions, notamment dans des environnements de travail complexes et où les ressources sont limitées, scénario courant dans les pays en développement. A la vue des ressources nécessaires aux évaluations de l'exposition traditionnelle, de telles approches peuvent être l'unique solution dans la gestion des risques." Le deuxième exemple nous vient des Pays-Bas, où une série d'évaluations techniques a conduit, l'an passé, à une analyse opérationnelle de l'outil "Stoffenmanager". Dans cette récente analyse, trois phases ont été mises en avant : a) l'outil est-il compréhensible et pratique pour ses utilisateurs? b) existe-t-il une véritable cohérence entre cet outil et les utilisateurs? c) un contrôle qualité au niveau utilisateur, soit sur le lieu de travail de l'individu. Les résultats des deux premières phases ont prouvé que l'outil était utilisé par des experts et des non-experts (de tout corps de métier) et que près de la moitié des utilisateurs travaillaient dans des PME (14% dans des micro-entreprises de 1 à 10 salariés). La principale conclusion est que l'objectif de l'outil (être un coach personnel pour les PME dans une gestion des produits chimiques "autonome") a été atteint. Parallèlement, l'outil est passé du simple statut de modèle d'évaluation d'exposition technique à un outil de communication des risques plus large pour une prise de conscience élargie. Outre le contrôle qualité au niveau des utilisateurs, le consortium "Stoffenmanager" a commencé une mise en place de projets d'ateliers dans 45 sociétés afin d'améliorer et de tester l'application de cet outil, et la gestion des produits chimiques en général. Pour cela, une mise en place à 7 échelons a été établie et l'ambition est d'aider les sociétés à gravir, 20 ICOH Newsletter Vol. 9 No. 3



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