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Workplace health promotion - 523 entries found

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CIS 03-1639 Proper K.I., Staal B.J., Hildebrandt V.H., van der Beek A.J., van Mechelen W.
Effectiveness of physical activity programs at worksites with respect to work-related outcomes
For this literature review on the effectiveness of physical activity programmes at worksites with respect to certain work-related outcomes, data were selected by means of a computerized literature search, a reference search and a manual search of the personal databases of the project team members. The outcomes studied were absenteeism, job satisfaction, job stress, productivity and employee turnover. The evidence of an effect was limited for absenteeism, inconclusive for job satisfaction, job stress and employee turnover, and nil for productivity. It is concluded that scientific evidence on the effectiveness of physical activity programmes at worksites is still limited.
Scandinavian Journal of Work, Environment and Health, Apr. 2002, vol.28, No.2, p.75-84. 65 ref.

CIS 03-1205 Park J.S.
Occupational Safety and Health Research Institute
Development of a musculoskeletal disorder prevention and management programme at the workplace
Sa up jang gun kol kyuk kye jil hwan ye bang kwan ri program kae bal [in Korean]
The programme described in this report was developed to prevent musculoskeletal disorders in the Republic of Korea. It contains a series of detailed guidelines to the points to be considered in workplaces, current trends in the management of musculoskeletal disorders and relevant experience in several foreign countries. The results of applying this prevention programme in automotive industry plants are presented, and the rate of complaints at each stage of progress in the implementation of the programme is commented on. Contents: background and purpose of the research programme; research methods; current management of musculoskeletal disorders; development of guidelines for the prevention of musculoskeletal disorders; example of application of the prevention programme; OSH training and training materials.
Korea Occupational Safety and Health Agency, 34-4 Gu-san dong, Bupyung gu, Inchon 403-711, Republic of Korea, 2002. 280p. Illus. 72 ref.

CIS 03-628 Occupational safety and health - A compendium of WHO documents
This CD-ROM contains the texts of occupational health and safety (OSH) documents and articles developed by the World Health Organization (WHO). It provides an easily accessible compilation of WHO documents and recommendations to facilitate their dissemination to professionals and the interested public. Contents: Network meetings of the WHO collaborating centres in occupational health in 1994, 1995, 1996, 1999 and 2001 (declarations, strategies, reports); WHO headquarters activities for the Global Programme for Occupational Health (2002-2005; women and health; airborne particles; management of wastes; basic environmental health; human resources planning; classification of diseases; fact sheets; epidemiology training; protecting workers' health); regional activities (African region; American region; Eastern-Mediterranean region; European region; Western Pacific region); EPI Info (desktop application for managing epidemiology information: training tools; manuals). Certain documents are also available in French.
World Health Organization, Distribution and Sales Service,1211 Genève 27, Switzerland, June 2002. CD-ROM for Windows 9x, NT, 2000 containing a collection of documents in PDF format; Adobe Acrobat Reader needs (included) to be installed to view the documents.

CIS 03-645 Schultz A.B., Lu C., Barnett T.E., Yen L.T., McDonald T., Hirschland D., Edington D.W.
Influence of participation in a worksite health-promotion program on disability days
This study assessed the impact of participation in a health promotion programme on short-term and long-term sickness absenteeism during a six-year period in an industrial enterprise. 4189 male employees were followed from 1995 to 2000. Sickness absenteeism was compared for programme participants and non-participants from baseline (1995) through the 5 years of the programme. The percentage of non-participants absent on any given day was greater than that of participants. Moreover, the average number of days of absence incurred by non-participants significantly increased from baseline to programme year 5 compared with participants. The total amount saved each year in days of absence for the 2596 program participants was USD 623,040, which resulted in a savings-to-cost ratio of 2.3.
Journal of Occupational and Environmental Medicine, Aug. 2002, Vol.44, No.8, p.776-780. Illus. 14 ref.

CIS 03-194 Mpofu D., Lockinger L., Bidwell J., McDuffie H.H.
Evaluation of a respiratory health program for farmers and their families
Occupational exposures to organic dusts, gases, welding fumes and agricultural chemicals result in an increased risk of respiratory health problems in farmers, when compared with other workers. The Respiratory Health Program for farmers in the Canadian province of Saskatchewan addresses the difficulties of delivering an occupational health programme to a sparsely-distributed population on the prairies. Under this programme, farmers' pulmonary function and respiratory health by were examined by means of spirometry and questionnaires, respectively. Respiratory function indicators were lower than predicted. It was found that age, years in farming, usual cough, wheezing on most days and nights, bringing up phlegm from the chest, breathlessness and cigarette smoking were associated significantly with pulmonary function results. The Respiratory Health Program (1994 through 2000) was assessed with respect to acceptability, accessibility, appropriateness, continuity, effectiveness and efficiency based on responses by farm families.
Journal of Occupational and Environmental Medicine, Nov. 2002, Vol.44, No.11, p.1064-1074. Illus. 41 ref.

CIS 03-155 Sebastian L.P., Tubelonia R.M.
Building a culture of safety and health in the Cordilleras - Report of proceedings #2
Brief summary of the activities undertaken in the course of a programme aimed at building a safety and health culture in rural mountainous regions of the Philippines, as discussed at a training course held in Baguio, Philippines, 1-5 Jan. 2002. These activities included the organization of a five-day occupational safety and health training course, a forum on occupational safety and health in the farming sector with an emphasis on working safely with pesticides, and the visits of two rural municipalities by occupational safety and health staff, during which films of farming hazards were presented and medical examinations of farm workers were carried out.
Department of Labor and Employment, Occupational Safety and Health Center, OSHC Building, North Avenue corner Agham Road, Diliman, Quezon City, Philippines, Apr. 2002. 16p. Illus.

CIS 02-1711 Green-McKenzie J., Rainer S., Behrman A., Emmett E.
The effect of a health care management initiative on reducing workers' compensation costs
The effects of a cost control and a health care management initiative on workers' compensation costs were assessed in seven cohorts of workers at a university hospital. Cost control measures started in 1993 included early return to work and injury prevention programs, internal administration of legal cases, and utilization of modified duty assignments. The health care management initiative fully in place in 1997 included aggressive case management and the setting up of an occupational medicine panel. Workers' Compensation costs and lost workdays incurred by each cohort were compared. A reduction of 41-59% in indemnity payments and a reduction of 46-67% in lost time cases were realized after the health care management initiative was fully in place. Accepted claims were reduced by 10-15%.
Journal of Occupational and Environmental Medicine, Dec. 2002, Vol.44, No.12, p.1100-1105.17 ref.

CIS 02-1671 Battié M.C., Fulton-Kehoe D., Franklin G.
The effects of a medical care utilization review program on back and neck injury claims
Little is known about the effectiveness of quality-based evaluation and treatment protocols in improving outcomes of patients suffering from musculoskeletal diseases. This study evaluated one such approach adopted by the Department of Labor and Industries, which insures approximately two-thirds of the non-federal workforce in Washington State. The outcomes of back and neck injury claims (primarily sprains and strains) filed in the two months after the programme was fully operational were compared with two comparable groups of claims from the same base population filed before the programme's availability. There were no statistically significant differences between groups in the number of days of work loss, medical costs, and permanent partial disability awards granted during the two years after injury. The quality-based programme used as an adjunct to claims management failed to improve outcomes.
Journal of Occupational and Environmental Medicine, Apr. 2002, Vol.44, No.4, p.365-371. Illus. 16 ref.

CIS 02-1988 Goetzel R.Z., Ozminkowski R.J., Sederer L.I., Mark T.L.
The business case for quality mental health services: Why employers should care about the mental health and well-being of their employees
Employers want to know whether their health care spending is improving the health of workers, and whether there is a productivity payback from providing good mental health care. This article addresses the subject of employee depression and its impact on business. The literature suggests that depressed individuals exert a significant cost burden for employers. Evidence is mounting that worker depression may have its greatest impact on productivity losses, including increased absenteeism and short-term disability, higher turnover, and sub-optimal performance at work. Although there is no conclusive evidence that physical health care costs decrease when depression is effectively treated, there is growing evidence that productivity improvements occur as a consequence of effective treatment, and those improvements may offset the cost of the treatment.
Journal of Occupational and Environmental Medicine, Apr. 2002, Vol.44, No.4, p.320-330. 67 ref.

CIS 02-1701 Ozminkowski R.J., Ling D., Goetzel R.Z., Bruno J.A., Rutter K.R., Isaac F., Wang S.
Long-term impact of Johnson & Johnson's health care and wellness program on health care utilization and expenditures
The aim of this project was to estimate the longer-term impact of the health and wellness programme of a large enterprise on medical care utilization and expenditures. Employees were followed for up to five years before and four years after the programme implementation. Regression models were used to identify quantifiable and non-quantifiable factors that influence utilization and expenditures. Results indicated a large reduction in medical care expenditures (approximately USD 225 per employee per year) over the four-year programme period. Benefits came from reduced inpatient use, fewer mental health visits and fewer outpatient visits compared with the baseline period. Most benefits occurred in the third and fourth years of the programme. It is that concluded that programmes designed to better-integrate occupational health, disability, wellness, and medical support may have substantial health and economic benefits in later years.
Journal of Occupational and Environmental Medicine, Jan. 2002, Vol.44, No.1, p.21-29. 20 ref.

CIS 02-1699 Janer G., Sala M., Kogevinas M.
Health promotion trials at worksites and risk factors for cancer
45 worksite health promotion programmes following specific quality criteria were selected and estimated for behavioural changes in cancer risk factors and the effectiveness of different intervention components. Tobacco control programmes found quit rates of about 5% with relapse rates of 40% to 80% at 6 months after the intervention. Effectiveness increased with the duration of the intervention for at least 6 months, repeated contacts with the participants, continuous support and tailored messages. There was less evidence for the long-term effectiveness of incentives. Programmes on diet, alcohol, physical activity, overweight and solar radiation showed the same positive trends. The overall evidence indicates a modest but positive effect of health promotion programmes at worksites.
Scandinavian Journal of Work, Environment and Health, June 2002, Vol.28, No.3, p.141-157. Illus. 76 ref.

CIS 02-1698 Goetzel R.Z., Ozminkowski R.J., Bruno J.A., Rutter K.R., Isaac F., Wang S.
The long-term impact of Johnson & Johnson's health and wellness program on employee health risks
This study reports the effectiveness of Johnson & Johnson's "Health & Wellness" programme in reducing the health risks of 4586 employees who participated in two serial health screening programmes, with a minimum of one year between screenings. The study also examines the impact of participation in a high-risk intervention programme called "Pathways to Change®" on health risk factors. Results indicate significant risk reduction in 8 of 13 risk categories examined for all employees who participated in two health risk assessments. When comparing "Pathways to Change" participants with non-participants, participants outperformed their non-participant counterparts in six categories but performed worse in five other categories that were not specifically targeted by the high-risk programme. The study underscores the ability of large-scale and well-attended corporate health and productivity management programmes to have a positive effect on the health and well-being of workers.
Journal of Occupational and Environmental Medicine, May 2002, Vol.44, No.5, p.417-424. 14 ref.

CIS 02-1657 Cornfeld M.J., Schnoll R.A., Tofani S.H., Babb J.S., Miller S.M., Henigan-Peel T., Balshem A., Slater E., Ross E., Siemers S., Montgomery S., Malstrom M., Hunt P., Boyd S., Engstrom P.F.
Implementation of a comprehensive cancer control program at the worksite: Year one summary report
This article describes a cohort study involving participants in a cancer prevention programme. Participants completed a questionnaire survey that assessed a variety of risk and behavioural factors. A total of 4395 questionnaires were received. Overall cancer prevalence among the respondents was 6.5% (range, 4.3% to 11.2%). The most common risk factors were lack of exercise (41%; 32% to 68%), obesity (28%; 24% to 39%) and smoking (14%; 13% to 32%). Cardiovascular risk was also common (25%; 15% to 48%). Screening was found to be performed regularly for all cancers except colon cancer. The perceived risk for cancer was less than that for cardiovascular disease. In the majority of workers, cancer risk factors that could be modified by better personal hygiene could be identified. Inaccurate risk perception is an important target for future interventions.
Journal of Occupational and Environmental Medicine, May 2002, Vol.44, No.5, p.398-406. Illus. 42 ref.

CIS 02-1716 Peltomäki P., Hussi T., Julin H., Launis K., Liira J., Räsänen K.
Maintenance of work ability research and assessment: Summaries
This report on the maintenance of work ability (MWA) presents the summaries of the reports of six working groups that studied specific aspects of the issue: prerequisites of a successful MWA programme in Finnish enterprises; effectiveness of workplace health promotion programmes on work ability; economic effectiveness of MWA programmes; MWA as a public policy instrument; blind spots in current knowledge in the field of MWA and research needs; using research information as a tool for public administration.
Finnish Institute of Occupational Health, Publication Office, Topeliuksenkatu 41 a A, 00250 Helsinki, Finland, 2002. 75p. Illus. Bibl.ref.

CIS 02-750 Park H., Ha E., Kim J., Jung H., Paek D.
Occupational health services for small-scale enterprises in Korea
The Korean government provides financial subsidies for occupational health services in Small Scale Enterprises (SSE). The subsidy programme involves support for health examinations for workers exposed to specific occupational hazards, workplace environmental measurements and biweekly health education sessions and counseling. 5,080 factories which had participated in the programme in 1997 were surveyed. The overall morbidity of the workers in these SSEs was higher than the national average for both general and occupational diseases. Based on the health examinations for occupational disease of those workers exposed to occupational hazards such as noise, dust or solvents, the industry-specific occupational disease patterns were identified, enabling the planning of targeted occupational health services to specific groups. This programme may also be a good model for rapidly-developing countries.
Industrial Health, Jan. 2002, Vol.40, No.1, p.1-6. Illus. 11 ref.


CIS 05-531 Drug and alcohol abuse prevention programmes in the maritime industry (a manual for planners) (revised)
The objective of this manual is to contribute to the reduction of health and safety problems related to the use of drugs and alcohol in the maritime industry through the promotion of awareness and education. It provides the background and practical information necessary to develop, implement and evaluate comprehensive prevention programmes. Contents: drugs and alcohol in the workplace and in the maritime industry; responsibilities; components of a comprehensive substance abuse prevention programme. Appendices include sample workplace drug and alcohol policies and ILO and WHO guidelines on drug and alcohol testing and screening examinations for seafarers.
ILO Publications, International Labour Office, 1211 Genève 22, Switzerland, 2001. vi, 61p. Illus. [in English]

CIS 02-1228 Burton W.N., Connerty C.M., Schultz A.B., Chen C.Y., Edington D.W.
Bank One's worksite-based asthma disease management program
Although the value of patient education in the management of asthma is well demonstrated, management programmes generally have not been offered at the workplace. Employees with asthma were identified in a US bank and 76 participated in a worksite asthma disease programme. As outcome, significantly more employees reported using controller medications (to prevent an attack) than reliever medications (to respond to an attack). Similar programmes for asthma should reduce medical care costs, absenteeism and improve worker productivity.
Journal of Occupational and Environmental Medicine, Feb. 2001, Vol.43, No.2, p.75-82. Illus. 23 ref.

CIS 01-946 Programme of 9 May 2001 on preventive medical protection for the year 2001 [the former Yugoslav Republic of Macedonia]
Programa za preventivna zdravstvena zaštita vo Republika Makedonija za 2001 godina [in Macedonian]
This National Health Programme provides for, among other measures, radiation protection, medical supervision of exposed workers, epidemiological surveys and the collection of health statistics.
Služben Vesnik na Republika Makedonija, 16 May 2001, Year 57, No.39, p.2922-2957.


CIS 11-0639 Honkasalo A.
Occupational health and safety and environmental management systems
The integration of occupational safety and health aspects into environmental management systems can bring many benefits to industrial companies. Because the principles of prevention are similar in environmental protection and safety management, one can avoid duplicated measures and find optimal solutions. However, the methods currently used in environmental management and engineering such as life-cycle assessments, best available technology reports and the models of industrial production can hinder this integration, since they take into account occupational risks only to a limited extent. This article discusses how to benefit from this integration and avoid the underestimation of occupational hazards.
Environmental Science and Policy, 2000, Vol.3, p.39-45. 19 ref.
Occupational_health_and_safety.pdf [in English]

CIS 06-459 Daly K.
Global Business Council on HIV&AIDS
The business response to HIV/AIDS: Impact and lessons learned
Riposte des entreprises au VIH/SIDA: Impact et leçons tirées [in French]
Respuesta de las empresas ante el VIH/SIDA: impacto de las lecciones aprendidas. [in Spanish]
This report follows on from the report "Business Response to HIV/AIDS: Innovation and Partnerships" published in 1997. It examines the impact of HIV/AIDS on business at the macroeconomic and individual company levels and provides guidance on how to undertake HIV/AIDS policies and programmes. Factors that create and maintain successful partnerships in response to HIV/AIDS are highlighted. Case studies from 17 companies worldwide are presented to illustrate a range of workplace activities in response to the disease, identifying the key lessons learned and providing models of good practice.
Joint United Nations Programme on HIV/AIDS (UNAIDS), 20 avenue Appia, 1211 Genève 27, Switzerland, 2000. iv, 91p. Illus. Price: USD 15.00. (Downloadable version free of charge). [in Spanish] [in English] [in French]

CIS 06-218 Code of practice on the management of HIV/AIDS and hepatitis at workplaces
This revised code of practice provides practical guidance for the management of HIV/AIDS, hepatitis B and hepatitis C in the workplace. It describes the nature and means of transmission of the diseases and presents guidance on risk management: sources of infection; hazardous activities and occupations; control measures; personal hygiene; sharp instruments; cleaning and disinfection; spills; waste management; vaccination; personal protective equipment; information and training; monitoring and evaluation. Replaces CIS 99-1353.
WorkSafe Western Australia, 1260 Hay Street, West Perth, WA 6005, Australia, rev. ed. Sep. 2000. 46p. Illus. 10 ref. [in English]

CIS 02-1180 Mukherjee S., Overman L., Leviton L., Hilyer B.
Evaluation of worker safety and health training
The University of Alabama Center for Labor Education and Research programme has trained over 1,000 workers since 1992 in chemical hazards recognition and protection methods, as well as in peer training. In order to assess the effectiveness of this programme, a questionnaire was mailed to a sample of workers and to all participating managers. Both groups of participants reported improved personal safety and health behaviour, both contributed to emergency preparedness, and both influenced the elimination of hazardous chemicals. Managers reported greater influence on health and safety which may be explained by their relatively more powerful position. However, a high percentage of workers also reported influencing changes. This pattern indicates that when the working environment supports joint decision making by workers and management, initiating changes becomes easier.
American Journal of Industrial Medicine, Aug. 2000, Vol.38, No.2, p.155-163. 30 ref.

CIS 02-495 Kodawaki T., Watanabe M., Okayama A., Hishida K., Ueshima H.
Effectiveness of smoking-cessation intervention in all of the smokers at a worksite in Japan
In Japan, the prevalence of smoking among males and females was 56.1% and 14.2%, respectively, in 1997. This study describes a smoking-cessation intervention in a radiator manufacturing factory. All 263 male smokers were randomly allocated either to an intervention group (132) or a control group (131). Subjects in the intervention group received individual counseling by a doctor, and participated in group discussions during the five-month intervention. Subjects in the control group received equivalent delayed intervention for four months. The cessation rate after the original intervention was 12.9% and 3.1% in the intervention and control groups, respectively. Among those who once succeeded in quitting, 48.6% maintained cessation at the long-term survey. Overall, the cessation rate was 8.4% and the prevalence of smoking among males significantly decreased from 62.9 to 56.7%.
Industrial Health, Oct. 2000, Vol.38, No.4, p.396-403. Illus. 23 ref.

CIS 02-132 McQuiston T.H.
Empowerment evaluation of worker safety and health education programs
Articles for this review of workers safety and health education programmes were identified through computer database and manual searches related to intervention research and evaluation, occupational safety, health training, education, and worker participation and empowerment. After identifying empowerment as a multilevel and multidimensional concept, this review used a theoretical framework of evaluation to show how various participatory and empowering approaches can affect evaluation studies and their use. The field of occupational safety and health has the opportunity to further expand workers' involvement in their own education through the use of participatory and empowering approaches. Use of these approaches has the potential to strengthen capacities for organizational learning and improve both programme theory and practice.
American Journal of Industrial Medicine, Nov. 2000, Vol.38, No.5, p.584-597. Illus. 156 ref.

CIS 01-784 Wright M., Lancaster R., Jacobson-Maher C., Talwalkar M., Woolmington T.
Health and Safety Executive
Evaluation of the Good Health is Good Business campaign
A telephone survey of 1,900 employers and 120 face-to-face interviews were carried out to compare the attitudes and behaviours of employers who were or were not aware of the Health and Safety Executive's "Good Health is Good Business" (GHGB) campaign and among small, medium and large organizations. Results show that "aware" organizations had a more positive attitude towards occupational health and adopted a more comprehensive approach using risk assessment, risk management systems and auditing. The campaign had an effect primarily by educating employers about occupational health. The face-to-face interviews confirmed the results of the telephone survey and provided many suggestions on how to improve such campaigns and complement them through other educational and enforcement strategies. It is concluded that campaigns such as GHGB could make a significant contribution to achieving further improvements in occupational health risk management in the UK.
HSE Books, P.O. Box 1999, Sudbury, Suffolk CO10 2WA, United Kingdom, 2000. xiii, 175p. Illus. Price: GBP 20.00.

CIS 01-437 Declaration on occupational health for all
Declaração sobre saúde ocupacional para todos [in Portuguese]
Portuguese translation of the declaration adopted at the second conference of WHO collaborating centres for occupational health held in Beijing, People's Republic of China, 11-14 October 1991 (for the English text see CIS 97-1513, for the document describing this event, see CIS 95-909). Health at work was recognized as a priority issue and ways to achieve a healthy working life were set forth in this declaration.
Instituto de Desenvolvimento e Inspecção das Condições de Trabalho (IDICT), Lisboa, Portugal, 2000. 8p.

CIS 00-1268
Health and Safety Commission
Securing health together
This publication presents a long-term occupational health strategy developed jointly by Government bodies concerned by occupational health and other interested parties. Its goal is to reduce ill health caused by work, to help people to return to work after illness, to improve work opportunities for unemployed people due to ill health or disability and to use the work environment to improve workers' health. To achieve these targets, five programmes of work relating to compliance with legislation, continuous improvement, acquiring knowledge by data collection, identifying and developing necessary skills, and support (information and setting up of suitable frameworks) have been implemented.
HSE Books, P.O.Box 1999, Sudbury, Suffolk CO10 2WA, United Kingdom, July 2000. viii, 40p. 21 ref.

CIS 00-404 Kelly F.
Guidelines on improving the physical fitness of employees
These health guidelines are published as part of WHO's European Health21 policy framework. Lack of physical activity is a major public health problem even though the benefits of regular exercise are well known. This document describes the rationale for keeping active and the major steps to be undertaken at the workplace toward a wider involvement of staff and staff families in physical activity. It presents the benefits to employers and gives examples of successful programmes in various enterprises. Ten steps covering all aspects of a workplace health programme devoted to physical activity are described in detail, followed by advice on the design of such a programme.
World Health Organization, Distribution and Sales Service,1211 Genève 27, Switzerland, 2000. iv, 70p. 48 ref.


CIS 07-108 Healthy employees in healthy organisations: Models of good practice
This document presents models of good practice from enterprises in 19 European countries which illustrate how it is possible to incorporate workplace health promotion into the daily life of an organization. The examples indicate how implementing measures to secure the health and well-being of the workforce can result in substantial cost savings through a reduction in accidents and absenteeism, lower staff turnover and increased productivity.
Federal Association of Company Health Insurance Funds (BKK Bundesverband), European Information Centre, Kronprinzenstraße 6, 45128 Essen, Germany, 1999. 74p. Illus. [in English]

CIS 05-14 Drug and alcohol abuse prevention programmes in the maritime industry - A manual for planners
The objective of this manual is to contribute to the reduction of health and safety problems related to the use of drugs and alcohol in the maritime industry through the promotion of awareness and information. It provides the background and practical information necessary to develop, implement and evaluate comprehensive prevention programmes. Contents: drugs and alcohol in the workplace; drugs and alcohol in the maritime industry; responsibilities; comprehensive substance abuse prevention programme. Appendices include sample workplace drug and alcohol policies together with ILO and WHO guidelines on drug and alcohol testing and screening examinations for seafarers.
ILO Publications, International Labour Office, 1211 Genève 22, Switzerland, 1999. 65p. Illus.

CIS 01-1694 Maniscalco P., Lane R., Welke M., Mitchell J.H., Husting L.
Decreased rate of back injuries through a wellness program for offshore petroleum employees
High rates of injury, particularly those for back injuries, at an offshore petroleum unit were addressed through an intensive occupational hygiene programme initiated in 1991. The number of all types of injuries, including back injuries, decreased between 1991 and 1995. The number of back injuries decreased from nine in 1987 to four in 1992 and zero in 1993. Although there are inadequate data to provide significant results, other criteria suggest a causal relationship. The results are consistent with the few published studies that suggest a decrease in the number of injuries in association with exercise and perhaps with modification of psychosocial risk factors. Calculations suggest a cost savings of over USD 800,000 and a return on investment of USD 2.51 on the dollar.
Journal of Occupational and Environmental Medicine, Sep. 1999, Vol.41, No.9, p.813-820. Illus. 10 ref.

CIS 01-600 Working together in Europe 1999
Report of the Fourth International Private Sector Conference on Drugs in the Workplace and the Community held in Sundsvall, Sweden, 9-12 May 1999. Prevention of drug addiction at the workplace and the need for such programmes were discussed. The program of the conference placed great emphasis on practical action plans and the establishment of firm time-frames for their implementation.
ILO Publications, International Labour Office, 1211 Genève 22, Switzerland, 1999. 84p.

CIS 01-109 Tannenhauer J.
Health protection management in the construction industry - An example
Gesundheitsschutz-Management in der Bauwirtschaft - Ein Beispiel [in German]
The article informs of the strategy, as well as of the results of a project to make a construction firm in the state of Saxony (Germany) a "Model Shop" in terms of health protection. The project was performed with the help of the Institute of Occupational Safety and Health in Saxony. Based on the experience gathered, the measures implemented in the project were successful - especially as to cost reduction and lower sickness absenteeism rates.
Sicherheitsingenieur, Jan. 1999, Vol.30, No.1, p.12-16. Illus.

CIS 01-86 Lery L., Martin J.M., Dartois E.
Computer-assisted definition of tasks for occupational risk prevention at I.N.S.E.R.M.
Acquisition assistée de tâches pour la prévention des risques professionnels à l'I.N.S.E.R.M. [in French]
This article describes a computer system for the definition of tasks (SAT). This system is the first part of a method for occupational risk prevention. Using SAT, workers select themselves the tasks they execute, starting from task menus displayed on a microcomputer. For each selected task, the worker indicates the associated type of risk, the estimated intensity of exposure, and its estimated duration and frequency. Whenever possible, the worker's actual wording is retained. The use of this software package is made possible at I.N.S.E.R.M. because of the existence of a database of activities of engineers, technicians and administrative personnel. A large corpus of tasks (1,256 entries to date) has been built from this database. These tasks are executed by 5000 workers employed by I.N.S.E.R.M. The use of this software package by other public or private companies is discussed. A method is described for constructing such task corpuses.
Archives des maladies professionnelles et de médecine du travail, Mar. 1999, Vol.60, No.1, p.18-28. Illus. 9 ref.

CIS 00-1763 NIOSH respiratory protection program in health care facilities: Administrator's guide
Guide to the implementation of a respiratory protection programme in health care facilities used for the prevention of tuberculosis infection.
Publications Dissemination, National Institute for Occupational Safety and Health (NIOSH), 4676 Columbia Parkway, Cincinnati, OH 45226, USA, 1999. x, 112p. Illus.

CIS 00-515 Lusk S.L., Hong O.S., Ronis D.L., Eakin B.L., Kerr M.J., Early M.R.
Effectiveness of an intervention to increase construction workers' use of hearing protection
In this project the effectiveness of a theory-based intervention (video, pamphlets and a guided practice session) to increase the use of hearing protection devices (HPDs) among construction workers was tested. Post-test measures were collected 10-12 months following the intervention. A total of 837 high-noise-exposed workers were included in the analysis. The results indicated that the intervention significantly increased use of HPDs but had no effect on intention to use HPDs in the future. Pretesting had no effect on use. The fact that younger workers used HPDs less often and reported lower intention to use HPDs in future is worrying.
Human Factors, Sep. 1999, Vol.41, No.3, p.487-494. 29 ref.

CIS 99-1883 Konradt U., Wilm A.
Health promotion in telework through health circles
Gesundheitsförderung an Telearbeitsplätzen: Durchführung von Gesundheitszirkeln [in German]
Three Germany intercompany health circles composed of 24 teleworkers were formed to assess prevalent stress and strain factors and to develop and exchange coping strategies. Topics addressed in the health circles were hours of work, performance evaluation, relationship with supervisors, colleagues and clients, problems with personal computers and software. It was found that teleworkers perform more work, shift working hours into the evening and to the weekend, need to put more effort into keeping contact with supervisors and coworkers, lack the trust of supervisors and coworkers, are plagued by a feeling of being left out and often have to use outdated software and documents. The coping strategies that were identified require adjustments by the companies as well as by the teleworkers. Topics: conditions of work; health programmes; home work; hours of work; human relations; quality circles; stress factors; supervisors; telecommuting.
Zeitschrift für Gesundheitswissenschaften, July-Sep. 1999, Vol.7, No.3, p.267-285. Illus. 33 ref.

CIS 99-2087 Melhorn J.M.
The impact of workplace screening on the occurrence of cumulative trauma disorders and workers' compensation claims
A prospective cohort study of 82 employees in a financial institution demonstrated that there was no increase in the number of reportable cumulative trauma disorders and no increase in the incidence of workers' compensation claims after completion of an individual risk screening programme that included education and employee awareness about work-related musculoskeletal pain. Incidence of cumulative trauma disorders has been most effectively reduced by use of individual risk-screening programmes. Employers should be encouraged to develop and implement programmes that include individual risk screening. Topics: cohort study; health programmes; individual susceptibility; information of personnel; repetitive strain injury; risk awareness; workmen's compensation.
Journal of Occupational and Environmental Medicine, Feb. 1999, Vol.41, No.2, p.84-92. 71 ref.


CIS 00-1351 Rumler R.
Prevention of work-related diseases in civil engineering
Prävention arbeitsbedingter Erkrankungen im Bereich Tiefbau [in German]
Topics: biological hazards; civil engineering; Germany; health hazards; health programmes; occupational diseases; role of insurance institutions; safety and health organization; sewage treatment; waste disposal; waste site cleanup; work in sewers.
Tiefbau, May 1998, No.5, p.364-369. Illus.

CIS 00-702 Krüger W., Müller P., Stegemann K.
European Network - Workplace Health Promotion
Cost-benefit analysis of health promotion measures
Special edition of the "WHP-Net-News". Topics: check lists; cost-benefit analysis; economic aspects; European Communities; Germany; health programmes; safety programmes; work efficiency.
Bundesanstalt für Arbeitsschutz und Arbeitsmedizin, Friedrich-Henkel-Weg 1-25, 44149 Dortmund, Germany, 1998. 76p. approx. 120 ref.

CIS 00-285 Boldino B.
Work in mines and diseases of the spinal column
Wirbelsäulenerkrankungen und bergmännische Arbeit [in German]
The main cause of accidents and spinal diseases among coal miners is manual lifting and carrying of loads. Ergonomic improvements of mining workplaces having had no effect on the incidence, a new approach was initiated which emphasized the teaching of correct work postures. A check list was worked out for risk evaluation of all manual lifting and carrying tasks in underground and surface mining operations. A safety brochure was compiled, containing advice on risks and correct behaviour, posture and auxiliary equipment to be used when handling loads. A special training programme was also developed for safety personnel to be able to recognize wrong body postures and to teach workers the correct postures.
Institut und Poliklinik für Arbeitsmedizin, Sozialmedizin und Sozialhygiene der Universität Köln, Köln, Germany, 1998. 99p. Illus. 74 ref.

CIS 99-1880 Williams B., Campbell C.
Creating alliances for disease management in industrial settings: A case study of HIV/AIDS in workers in South African gold mines
Using the South African mining industry as a case study, the state of the HIV epidemic is reviewed and programmess that have been undertaken to manage HIV are discussed. The reasons that current interventions have had little impact on HIV among mine workers are analyzed, tracing the lack of success to neglect of the social and community contexts within which HIV transmission takes place, as well as the lack of attention to the psychosocial processes and mechanisms underlying disease transmission. Finally, an intervention is described that aims to address the limitations of existing industrial programmes and improve the management of sexually transmitted diseases, including HIV, in a particular occupational setting through creating alliances between a wide range of community stakeholders. Topics: gold mining; health programmes; immunodeficiency syndrome; infection control; information of personnel; role of employers organizations; role of workers organizations; social aspects; South Africa.
International Journal of Occupational and Environmental Health, Oct.-Dec. 1998, Vol.4, No.4, p.257-264. Illus. 50 ref.

CIS 99-1882 Braeckman L., Maes L., Bellemans M., Vanderhaegen M.R., De Maeyer A.M., De Bacquer D., De Backer G.
Workers participation in a nutrition education programme
An employee nutrition education programme was evaluated for 361 middle-aged male employees who responded to a risk factor questionnaire and underwent a physical examination. 90% of baseline subjects were surveyed a second time at the end of the intervention period. The programme consisted of personal counselling based on screening results, media messages, nutrition group sessions and environmental changes. At baseline, the overall response rate was 81%, in nutrition classes 36% of the respondents enrolled. Unmarried employees, bluecollar workers and smokers were less likely to participate in these group sessions. Among nonparticipants, lack of time and existing good health were the most common reasons cited for not participating. The overall employee rating of the programme was positive. This project demonstrates that in a worksite education programme high rates of initial participation can be achieved. However, the diminished enrollment of smokers and blue-collar workers in group sessions supports concern that a health programme may not equally reach all segments of the workforce. Topics: audiovisual training; cancer; cardiovascular diseases; diabetes mellitus; health programmes; human behaviour; information of personnel; nutrition; personal hygiene; plant health services; preventive aspects of diet; programme evaluation; workers participation.
Archives of Public Health, 1998, Vol.56, No.9-10, p.275-289. 37 ref.

CIS 99-1486 Kähler J.
Saving money and improving health through new ways of quality management
Finanzen und Gesundheit schonen, durch neue Formen des Qualitätsmanagements [in German]
In general, new cases of occupational diseases or accidents have been on a downward trend since 1992 in Germany. However, in health care they have been on the rise. Affected are nurses in hospitals, nursing homes and homes for the mentally retarded. The lifting and carrying of heavy loads leads to a high rate of spinal disorders in this profession. The main causes are wrong body postures and ill-designed workplaces. The German insurance company for the health care profession initiated a programme in 1996 which integrates health protection into quality management. The insurer provides training and advice on ergonomic work design. Topics: back disorders; economic aspects; ergonomics; health programmes; hospitals; ISO; manual handling; nursing personnel; plant safety and health organization; role of insurance institutions; work design.
Die BG, Nov. 1998, No.11, p.674-678. Illus.

CIS 99-1739 Rose J., Jones F., Fletcher B.C.
The impact of a stress management programme on staff well-being and performance at work
Stress management programmes were implemented for direct care staff in two group homes for people with learning disabilities. Staff working in three similar homes were used as controls. Information was collected on anxiety and depression levels, demands, supports and constraints at work and on the nature and type of interactions and the amount of time spent on different aspects of the job. This information was used to inform and develop an intervention aimed at the groups of staff involved. Goals were set with the aim of reducing levels of anxiety and depression in staff and these were subject to review. Reassessment in intervention houses showed reductions in anxiety and increased perceived support when compared to controls. There were also changes in some observational measures, particularly increased positive interactions and assistance given to clients, and formal education programmes. These results suggest that intervening to reduce levels of anxiety and depression can have a positive impact on work performance in these settings. Topics: anxiety; depressive neurosis; health programmes; human behaviour; human relations; neuropsychic stress; questionnaire survey; social assistance services; stress evaluation; work capacity.
Work and Stress, Apr.-June 1998, Vol.12, No.2, p.112-124. 77 ref.

CIS 99-847 Hedberg G.E., Wikström-Frisén L., Janlert U.
Comparison between two programmes for reducing levels of risk indicators of heart diseases among male professional drivers
Professional drivers were allocated to one of two programmes focused on changes of lifestyle. The programme in the intervention group (health profile assessment) was based on revelatory communication, adjusted to the driver, and contained individual and group activities. The reference group went through a health examination. In the intervention group, the maximal oxygen uptake increased, as did exercise habits and the intention to practise good dietary habits. Variable working hours was the most common obstacle to changing a health habit. In the reference group, the maximal oxygen uptake increased and the concentration of serum cholesterol and the number of people who perceived stress and loneliness decreased. Both programmes had an effect on levels of some risk indicators of heart diseases. Topics: blood pressure measurement; cholesterol; diet; health programmes; heart diseases; oxygen intake; physical fitness programmes; programme evaluation; questionnaire survey; risk factors; road transport.
Occupational and Environmental Medicine, Aug. 1998, Vol.55, No.8, p.554-561. Illus. 31 ref.

CIS 99-429 Lévesque G., Berthelette D.
The effects of the Quebec occupational health program on the elimination of dangers at the source
Les effets du programme québécois de santé au travail sur l'élimination des sources de danger [in French]
Mandatory occupational health programmes provided by public health agencies in Quebec are evaluated. Interactions between the number of services provided by local health teams, and (1) the value attributed to the primary prevention of occupational injuries by the firm's management, and (2) the length of service of the firm's occupational health and safety committee are positively associated with the number of measures implemented by the firms to eliminate the dangers at source. However, the low response rate decreases the statistical power of the study. Results indicate that outcomes of the programmes are associated with the programme process as well as with the implementation environment of the programme. Topics: health programmes; implementation of control measures; legislation; plant safety and health organization; programme evaluation; Quebec; safety programmes.
Travail et santé, Mar. 1998, Vol.14, No.1, p.S-6-S-10. 12 réf.

CIS 99-656 Fisher R., Saunders W.B., Murray S.J., Stave G.M.
Prevention of laboratory animal allergy
A comprehensive programme to reduce exposure to environmental allergens was implemented in a large pharmaceutical company. The programme included education, engineering controls, administrative controls, use of personal protective equipment and medical surveillance. Results of a prospective survey of five years of data showed that the prevalence of laboratory animal allergy ranged from 12% to 22% and that the incidence was reduced to zero during the last two years of observation. Laboratory animal allergy is preventable through the implementation of a comprehensive effort to reduce exposure to allergens. Topics: allergies; experimental animals; health programmes; laboratory work; limitation of exposure; long-term study; medical supervision; pharmaceutical industry; programme evaluation; protective clothing; risk factors; safety training in industry.
Journal of Occupational and Environmental Medicine, July 1998, Vol.40, No.7, p.609-613. 24 ref.

CIS 99-337 Calderón García A.
Lifestyle and healthy work
Estilo de vida y trabajo saludable [in Spanish]
Topics: assessment of physical capacity; body weight; cardiovascular disorders; health programmes; hypertension; job study; mental health; neuropsychic stress; nutrition; physical fitness programmes; physical fitness; relaxation exercises; risk factors; smoking; sports and recreation; state of health; stress factors; workers participation.
Seguro Social, Protección Laboral, Administradora de Riesgos Profesionales, Santafé de Bogotá, Colombia, no date. 103p. Illus. 45 ref.

CIS 99-89 Goetzel R.Z., Jacobson B.H., Aldana S.G., Vardell K., Yee L.
Health care costs of worksite health promotion participants and non-participants
Topics: cost of diseases; cross-sectional study; economic aspects; health programmes; non-occupational factors; programme evaluation.
Journal of Occupational and Environmental Medicine, Apr. 1998, Vol.40, No.4, p.341-346. Illus. 20 ref.

CIS 98-1609 Talvi A.I., Järvisalo J.O., Knuts L.R., Kaitaniemi P.R.
Life-style related health promotion needs in oil refinery employees
Topics: age-linked differences; blood pressure; diet; Finland; health programmes; lipid metabolism; mental disorders; musculoskeletal diseases; obesity; petroleum refining; physical fitness; sex-linked differences; sleep; smoking; social aspects.
Occupational Medicine, Jan. 1998, Vol.48, No.1, p.45-53. Illus. 43 ref.

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