Workplace health promotion - 523 entries found

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1991

CIS 91-1848 Brossard B., Durand P., Marquis S.
Management views of health promotion needs
Etude de besoins en matière de promotion de la santé - La perspective de dirigeants d'entreprises [in French]
A questionnaire was administered to 52 high-ranking executives to study management views on health promotion needs. Executives listed anti-smoking, nutrition and physical activities as being the most beneficial health promotion areas to their enterprise and its employees. Twenty-five executives mentioned the profitability of their enterprise and 19 the improvement of employees' health as being their main reasons for undertaking such activities. Results from a logistic regression analysis showed individual characteristics of the enterprise to have an influence on the existence of worksite health promotion activities but not on the willingness of executives to collaborate in their implementation. It appears that these activities are considered justified by the majority of high-ranking officers interviewed but that many of them are reluctant to engage in such activities until efficiency criteria are established.
Travail et santé, Spring 1991, Vol.7, No.1, p.S-2 to S-9. Illus. 26 ref.

CIS 91-2067 Mauskopf J.A., Bradley C.J., French M.T.
Benefit-cost analysis of hepatitis B vaccine programs for occupationally exposed workers
The Occupational Safety and Health Administration of the US proposed a vaccination programme for workers exposed to the hepatitis B virus 12 or more times per year. A benefit-cost analysis was performed of the proposed regulation and of an expanded rule that covers all at-risk workers, regardless of the number of exposures. The annualised cost of the proposed vaccination programme is estimated at USD 60.4 million. The financial benefit of the programme was estimated using two methods. The first estimates the avoided cost of medical care, prophylaxis, and lost productivity at USD 124 million annually. The second approach includes the value of avoided pain and suffering from hepatitis B, thus increasing the total dollar benefit to USD 679 million. Although both methods indicate that benefits are greater than programme costs, the valuation of avoided pain and suffering substantially increases net benefits. Furthermore, provision of the vaccine to all exposed workers is cost-effective if one or more cases of hepatitis B are avoided per 6500 workers annually.
Journal of Occupational Medicine, June 1991, Vol.33, No.6, p.691-698. 12 ref.

CIS 91-1878 Bond G.G., Lipps T.E., Stafford B.A., Cook R.R.
A comparison of cause-specific mortality among participants and non-participants in a work-site medical surveillance program
Non-participants in general population health surveys have been found to be less healthy than participants, but data on non-participants in work-site health surveys have been more scarce. Cause-specific mortality was compared among 11,156 male employees of The Dow Chemical Company who participated in at least one work-site health examination between 1967 and 1978 and among 6915 employees who did not participate. The non-participants experienced higher mortality rates for nearly every cause of death examined but particularly from smoking and alcohol-abuse related diseases. This was especially true during the first 5 years of follow-up, suggesting that some employees do not participate because they are already ill. These findings have important implications for the use of examination data for both primary and secondary disease prevention purposes, and these are discussed.
Journal of Occupational Medicine, June 1991, Vol.33, No.6, p.677-680. Illus. 13 ref.

CIS 91-1172 Erfurt J.C., Holtyn K.
Health promotion in small business: what works and what doesn't work
Wellness programmes were tested at 3 sites ranging from 296 to 5 employees. Each programme included wellness screening, referral to community physicians for high blood pressure or cholesterol, on-site wellness programmes and long-term follow-up counselling. There was full participation in the programmes at the two sites where the company paid the full cost of the services, but severely reduced participation at the site where the company offered limited financial support. Twelve month follow-up data showed improvements in blood pressure, cholesterol, cigarette smoking, weight control and oxygen uptake.
Journal of Occupational Medicine, Jan. 1991, Vol.33, No.1, p.66-73. 21 ref.

CIS 91-1171 Fielding J.E.
Occupational health physicians and prevention
Occupational medicine has added the promotion and maintenance of employee health to the traditional concerns of safety and workplace exposure. Attention to these areas has been spurred by growing recognition of the adverse impact of preventable or controllable risk factors in health benefit and disability costs and employee productivity. The four major prevention opportunities for occupational physicians are helping to inculcate effective preventive services in health benefit plans, providing cost-effective and health-effective services directly to employees, initiating and coordinating work site health promotion and employee assistance programmes, and using results of health surveillance to formulate preventive strategies and to evaluate their effectiveness.
Journal of Occupational Medicine, Mar. 1991, Vol.33, No.3, p.314-326. 43 ref.

1990

CIS 92-1918
Comité Nacional de Salud Ocupacional (Colombia)
National plan for occupational health, 1990-1995
Plan nacional de salud ocupacional 1990-1995 [in Spanish]
Following the first National Congress of Governmental Organisations concerned with Occupational Health that took place in July 1990 in Bogotá (Colombia), a national plan for occupational health was developed for the period 1990-95. This plan aims at the merging of resources from different institutions in order to improve occupational health in the country. The major components of the national plan are: conceptual frame; diagnosis; relevant organisations; objectives and strategies; concrete actions (legislation, research, training, control, information); implementation in the various regions of Colombia.
Producciones Editoriales Ltda., Bogotá, Colombia, Nov. 1990. 96p. 24 ref.

CIS 92-1575 Felton J.S.
Occupational medicine management - A guide to the organization and operation of in-plant occupational health services
This book is a practical guide to the organisation and operation of in-plant occupational health services in the US, providing coverage of the full range of topics related to occupational medical management. Special features of the book include: the work environment and health examinations; wellness and health education programmes; emergency medical care; workers' compensation; employee counselling; medical records and documentation; administration; legal responsibilities; occupational health programmes in varied settings (armed forces, ships at sea, offshore drilling, circumpolar health, universities, airports, offices, the construction industry, health care facilities); occupational health and specific work groups (women, old people, immigrants, impaired workers); design of occupational health facilities.
Little Brown and Company, 34 Beacon Street, Boston MA 02106, USA, 1990. xi, 571p. Illus. Bibl.ref. Index.

CIS 92-1146 Medical examinations and health monitoring. Element No.8
This 30-minute training course includes an instructor's guide and overheads. Participants should be able to state the purpose and objective of medical examinations and health monitoring with respect to British Columbia regulations. Topics covered: definition of occupational disease, review of statistics; purpose of medical examinations and health monitoring; medical monitoring programmes presently required; list of agents requiring medical surveillance programmes; administration of surveillance programmes.
Workers' Compensation Board of British Columbia, 6951 Westminster Highway, Richmond, British Columbia V7C 1C6, Canada, 1990. 1 kit.

CIS 92-471 Hakama M., Beral V., Cullen J.W., Parkin D.M.
International Union Against Cancer
Evaluating effectiveness of primary prevention of cancer
Proceedings of a workshop organised by IARC and the International Union Against Cancer and held in Reykjavik, Iceland. Papers are grouped under the following headings: phases in cancer control: intervention research; quantification of the effects of preventive measures; effectiveness of primary prevention of occupational exposures on cancer risks; effects of changes in diet and tobacco use; other selected interventions; the future (community-based cardiovascular disease prevention programmes as models for cancer prevention; current issues in cancer chemoprevention). The report concludes with a summary of the results of the studies described and of prospects for the future.
International Agency for Research on Cancer, 150 cours Albert-Thomas, 69372 Lyon Cedex 08, France, 1990. xii, 206p. Illus. Bibl.ref. Index.

CIS 92-71 Boylston R.
Managing safety and health programs
The introductory chapters of this textbook cover the basics of managing safety and health programmes and the establishment and activities of the safety and health committee. These are followed by chapters on the formation and responsibilities of task groups involved in: safety activities; rules and procedures; education and training; inspection and audits; health and the environment; fire and emergency; housekeeping; accident investigation. A final chapter looks at staff safety and health responsibilities. Appendices include a series of sample forms and addresses of organisations offering advice and information.
Routledge, Chapman and Hall Ltd., Cheriton House, (Dept. C), North Way, Andover, Hampshire SP10 5BE, United Kingdom, 1990. viii, 264p. Illus. Index. Price: GBP 29.00.

CIS 91-1049 Asai M., Kabeshima Y.
Mental health strategies from the occupational viewpoint
Kigyō no "Mental health" no senryaku [in Japanese]
A review of mental health strategies in the Japanese business company setting. The main points are the prevention, early detection, early treatment and rehabilitation of mental disorders, and early return to work, and also promotion of mental health in companies. The actual strategies and problems of these points are discussed from the standpoint of preventive psychiatry. The organisation and manpower of the mental health team is important. For early detection, the change of working situation such as new employees, changes of position, promotion and retirement should be watched carefully as potential predisposing factors to mental disorders. As to early treatment, an effective network to bring a patient to the psychiatrist should be built into the company structure. Family support systems should be fully activated for treatment and rehabilitation of mental disorders. Also, the social support system has to be effectively applied, especially for a mentally ill patient.
Igaku no Ayumi, 5 May 1990, Vol.153, No.5, p.251-255. 10 ref.

CIS 91-985 Kunihara K.
A theoretical study on the administrative method for occupational noise exposure - The application of the noise exposure index for noise control
Sagyō genba ni okeru eisei kanri gutaisaku no mosaku - sōon kanri no tame no bakuro shisū no ōyō [in Japanese]
Workers may work in several different areas with different noise levels during an 8-hour working day. Even when workers work within the same place, their noise exposure time may vary from day to day. Therefore, apart from environmental control aimed at the reduction of the ambient noise level, regulation of the exposure time through management is required, with emphasis on each individual work unit, and these 2 means of control should be linked with each other. A tentative plan for managing information on ambient noise and exposure time is presented. This method will be also useful for the health management of workers suffering from auditory disturbances and will be particularly effective in evaluating whether they are capable of a given job. Moreover, this method should also be instructive in controlling other harmful jobs.
Annual Reports of the Medical Research Society for Mining and Smelting, 1 Mar. 1990, No.29, p.23-31.

CIS 91-543 Schulte P.A., Halperin W.E., Ward E.M., Ruder M.A.
Bladder cancer screening in high-risk groups
Proceedings of the international conference on bladder cancer screening in high-risk groups, held in Cincinnati, Ohio, USA, 13-14 September 1989. Papers are grouped under the following headings: general introduction (the role of medical screening; pathology of bladder cancer); detection techniques (including urine cytology, fluorescence image analysis, cystoscopy and bladder mucosal biopsy, hematuria screening); critical review of some screening programmes (workers exposed to 4,4'-methylenebis(2-chloroaniline), β-naphthylamine and benzidine; aluminium production workers; textile dyeing and printing workers); research on detection methods; therapeutic potential (current therapy of bladder cancer; survival statistics; advances in screening protocols for early detection).
Journal of Occupational Medicine, Sep. 1990, Vol.32, No.9, p.787-949. Illus. Bibl.ref.

CIS 91-695 Nakamura Y.
Mental health care for mentally ill employees. Part I. Detection of mental disorders
Shokuba no seishin shōgaisha ni taisuru seishin hoken katsudo. Dai 1-bu. Seishin shōgaisha no hakken [in Japanese]
A mental health programme was started in 1957 at an electric power company in Japan. During a 30 year period, a total of 949 mentally ill employees sought consultation regarding various mental health problems. The annual rate of new cases seeking consultation was 0.19% of the number of employees at year end. The rate increased with length of service and reached 4.4% of the initially employed number after 25-29 years of service. Indirect consultation was also sought from family members and/or superiors of the employees. Psychiatric diagnoses included neurotic disorders, alcoholic mental disorders, schizophrenic psychoses, affective psychoses, personality disorders, epilepsy and other non-organic psychoses.
Japanese Journal of Industrial Health - Sangyō-Igaku, May 1990, Vol.32, No.3, p.189-204. Illus. 14 ref.

CIS 91-427 Suter A.H., Franks J.R.
A practical guide to effective hearing conservation programs in the workplace
Contents of this guide: value of a good hearing conservation programme; policy needs; noise exposure monitoring; engineering and administrative controls; audiometric evaluation; hearing protection devices; education and motivation; record keeping; programme evaluation. Appendices provide an OSHA noise standard compliance checklist, a programme evaluation checklist, and a list of available audio-visual materials concerning occupational noise and hearing conservation.
U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control, National Institute for Occupational Safety and Health, 4676 Columbia Parkway, Cincinnati, OH 45226-1998, USA, Sep. 1990. 56p. Illus.

CIS 91-75 The complete American Hospital Association catalog
This catalogue, directed to health care management professionals, is a listing of books, periodicals, reports, guidelines, audiovisual programmes, and data products produced by the American Hospital Association.
American Hospital Association, Marketing Communications Department, 840 North Lake Shore Drive, Chicago, IL 60611, USA, 1990. 56p. Index.

CIS 90-1901
Bureau of Inspection of Occupational Safety and Health, Ministry of Labour
China occupational safety and health yearbook 1988-1989
Sections cover: legislation and policies (principal documents and legislation, documents and regulations of the Labour Ministry, other ministries and local governments, lists of standards and rules); inspection (inspection system, methods and experience, list of projects for 1989); administration (administrative regulations for safety management, methods and experience); publicity, education and information (system establishment, methods and experience, lists of publications and videotapes, example programmes); science and technology (system establishement, research programme, achievements, important people and organisations); accident management (documents, handling of accidents, causes of fatal accidents in 1988 and 1989, and of serious accidents in 1988). The proportion of fatalities and serious injuries due to each cause is given; no other statistical information is present.
Shanghai Translation and Publishing Centre, Inc., 597 Fuxing Zhonglu, Shanghai 200020, People's Republic of China, Oct. 1990. 454p. Illus.

CIS 90-2092 Goldberg G.
Preventing and dealing with mass psychogenic illness
Mass psychogenic illness (MPI) refers to outbreaks, within a population, of symptoms that lack an identifiable biological, chemical or physical agent. The symptoms and the spread of MPI frequently follow a common pattern and are associated with a number of workplace factors and individual characteristics of workers. This article is intended to serve as a guide to recognising, preventing and dealing with outbreaks of MPI.
Occupational Health in Ontario, Winter 1990, Vol.11, No.1, p.21-27. 15 ref.

1989

CIS 00-1211 Resolution No.001016 of 1989 (31 Mar. 1989) regulating the organization, operation and form of occupational health programmes to be implemented by employers in the country [Colombia]
Resolución número 001016 de 1989 (31 Marzo 1989) por la cual se reglamenta la organización, funcionamiento y forma de los Programas de Salud Ocupacional que deben desarrollar los patronos o empresarios en el país [Colombia] [in Spanish]
This resolution was made in application of Decree No.614 of 1984 fixing organizational and administrative standards for occupational hygiene in Columbia (CIS 85-2080).
Consejo Colombiano de Seguridad, Bogotá, Colombia, 1989. 12p.

CIS 94-252 Mattila M.
Improvement in the occupational health program in a Finnish construction company by means of systematic workplace investigation of job load and hazard analysis
An eight-month study carried out at three building sites involved analysis of chemical and physical hazards, physical workload, mental stress and risk of injury. Data were collected by observations, interviews and a worker questionnaire, and health and safety personnel and workers representatives together assessed occupational loads and hazards. Health and safety personnel then devised an occupational health care programme and proposed preventive measures. The investigation method proved to function well in that it improved the occupational health care programme, produced an overall analysis of occupational hazards and increased the number and quality of proposed preventive measures.
American Journal of Industrial Medicine, 1989, Vol.15, p.61-72. 19 ref.

CIS 92-1849 Clark W.P.
Local Government Training Board
HIV infection and AIDS - A training handbook for local authorities
This publication is a detailed, practical guide for local authorities in Britain setting up their own training programmes. It can be used with all employees ranging from cleaners to refuse collectors, teachers to caretakers, social workers and home helps to senior management. With charts and checklists throughout, it covers all the stages of the training process from preparation and negotiation through to programme design, implementation and evaluation.
Health Education Authority, Supplies Department, Hamilton House, Mabledon Place, London WC1H 9TX, United Kingdom, 1989. 126p. Illus. 18 ref. Price: GBP 6.95.

CIS 92-1824 Sánchez Camargo E.
Methodology for the development of occupational safety and health programmes
Metodología para elaborar programas de salud y seguridad en el trabajo [in Spanish]
A simple and practical methodology to elaborate occupational safety and health programmes is presented in this self-instruction manual. This methodology is focused on prevention through individual training. Information on different aspects of occupational safety and health is presented, followed by questionnaires and self-evaluation tests. After a review of occupational safety and health theory, planning and programming in relation to the prevention of occupational risks are discussed. Some examples of training programmes are given.
Centro Interamericano de Estudios de Seguridad Social (IMSS), México D.F., Mexico, Feb. 1989. 116p. Illus. 31 ref.

CIS 91-1025 Guide to planning health promotion for AIDS prevention and control
A practical step-by-step guide providing guidelines on planning, implementing, monitoring and evaluating a health promotion programme aimed at limiting the spread of AIDS. Addressed to those responsible for planning and managing an AIDS health promotion programme, this book provides guidance on the use of specific educational methods and techniques that have proved their effectiveness and should be used in every cultural context.
World Health Organization, Distribution and Sales Service, 1211 Genève 27, Switzerland, 1989. iv, 71p. Annexes. Price: CHF 14.00; USD 11.20.

CIS 91-1024 Monitoring of national AIDS prevention and control programmes: Guiding principles
This booklet presents concise practical guidelines intended to help countries develop an effective, streamlined system for tracking and reporting on progress in the implementation of an AIDS prevention and control programme. Addressed to health system managers, it considers some of the practical aspects of monitoring such programmes in the context of national medium-term plans.
World Health Organization, Distribution and Sales Service, 1211 Genève 27, Switzerland, 1989. iii, 27p. Annex. Price: CHF 8.00; USD 6.40.

CIS 91-670
U.S. Department of Health and Human Services
New perspectives on HIV-related illnesses: progress in health services research
Proceedings of a conference on new perspectives and recent research in dealing with HIV-related illnesses, held in Miami, Florida, USA, 17-19 May, 1989 and organised by the National Center for Health Services Research of the U.S. Department of Health and Human Services. Topics examined were: health services research trends and AIDS; trends in the epidemiology of HIV-related illnesses; hospital trends and the financing of medical care for AIDS patients; the social consequences of AIDS; AIDS severity-of-illness classification systems; modelling the impact of the AIDS/HIV epidemic on state medical aid programmes; perspectives on a continuum of care for persons with HIV illness.
Public Health Service, National Center for Health Services Research and Health Care Technology Assessment, Publication and Information Branch, Parklawn Building, Room 18-12, 5600 Fishers Lane, Rockville, MD 20857, USA, 1989. 215p. Bibl.ref.

CIS 91-482 Panerai R.B., Mohr J.P.
Health technology assessment methodologies for developing countries
This publication presents an overview of how technology assessment methodologies that were developed in industrialised countries can be applied to address priority health concerns in developing countries and what problems may hinder these assessments. It illustrates the most important methodologies and their advantages and disadvantages. Training for personnel who perform technology assessments is also considered.
Pan American Health Organization, Pan American Sanitary Bureau, Regional Office of the World Health Organization, 525 Twenty-third Street, N.W. Washington, D.C. 20037, USA, 1989. 109p. Illus. 164 ref.

CIS 91-142 Ashton D.
Institute of Personnel Management
The corporate health care revolution: strategies for preventive medicine at work
This book is divided into three main sections: Part 1 reviews the origins and scale of current health problems and discusses the US and British experience of health promotion programmes, from both an economic and a medical viewpoint. Part 2 provides background information concerning 5 major risk factors (exercise, nutrition, smoking, alcohol and drug abuse, stress) which may interact to produce various diseases, but which can be favourably influenced by worksite health promotion activities. Part 3 discusses how these risk factors interact to contribute to a number of major diseases such as cancer, heart disease and stroke. The practical application of some health promotion strategies is also discussed.
Kogan Page Ltd., 120 Pentonville Road, London N1 9JN, United Kingdom, 1989. 396p. Bibl. Index. Price: GBP 30.00.

CIS 90-1900
World Health Organization
Health promotion in the working world
Papers from an international conference (Oct. 1985, Cologne, Germany) organised by the Bundeszentrale für gesundheitliche Aufklärung in collaboration with the Regional Office for Europe of the World Health Organization. Contributions are grouped under the headings "a conceptual framework", "stress and stressors", "coping and managing stress", "approaches to health promotion in the workplace" and "shaping our future".
Springer-Verlag, 17 Tiergartenstrasse, W-6900 Heidelberg 1, Germany, 1989. 268p. Illus. 272 ref. Price: DEM 76.00.

CIS 90-1537
World Health Organization
Promoting health in the world of work
Gesundheitsförderung in der Arbeitswelt [in German]
Papers presented at an international conference in Cologne, Germany, 7-10 Oct. 1985, under the auspices of the German Federal Centre for Health Education and the WHO Regional Office for Europe. The 31 contributions are classified under the headings: conceptual framework, stress and stressors, overcoming and managing stress, approaches to health promotion in the world of work, shaping the future.
Springer-Verlag, Tiergartenstrasse 17, D-W-6900 Heidelberg, Germany, 1989. 298p. Illus. 272 ref. Price: DEM 76.00.

CIS 90-1222 Okazaki I.
Proposal for systematisation of cancer screening for men at the workplace
Shokuba no gan-kenshin no shisutemu-ka [in Japanese]
A systemitised programme is proposed for cancer screening of male workers, using a diagram indicating frequencies, time, and methods of screening for stomach cancer, lung cancer, liver-pancreas-biliary tract cancer, colon cancer, leukaemia, etc. This programme would include cancer preventive education such as an anti-smoking strategy and recommendations for a healthy diet. The usefulness and effectiveness of cancer screening would be evaluated in groups of 100,000 workers as a unit, either by a single cancer screening organisation or by combining several organisations within the same district.
Japan Medical Journal, May 1989, No. 3394, p.43-49. Illus. 54 ref.

CIS 90-90 Schilling R.S.F.
Health protection and promotion at work
Official United Kingdom figures record annually 1,400 deaths and 145,000 sufferers from chronic effects of occupational injury and disease. Evidence indicates that occupational disease directly due to work is underestimated. With more understanding of the multiple causes of disease, the concept of work-related disorders has broadened to include 4 categories: work as a direct cause, a contributory cause, or an aggravating factor, and work offering easy access to potential dangers (alcohol). As an example, work factors that increase the risk of coronary heart disease are discussed. Evidence for work stress as a causal factor and the role of leadership are considered. Prevention depends on identifying risks, preferably before anyone is exposed, but more commonly through recognition of adverse effects on workers. The need for occupational health services to have health promotion programmes that include screening for disease and its precursors, counselling and education, is considered. The positive effects of work itself as a protector and promoter of health are discussed. Responsibility for improving health has to be shared by government, management, trade unions, health professionals, and the individual worker.
British Journal of Industrial Medicine, Oct. 1989, Vol.46, No.10, p.683-688. 36 ref.

1988

CIS 91-1022 Guidelines for the development of a national AIDS prevention and control programme
This booklet provides guidelines for the development of national programmes for preventing the spread of AIDS. Addressed to national authorities, it describes the principles of assessment, planning and action necessary to launch an agressive attack on every mode of virus transmission. The need to cope with complex cultural, social, economic, and political problems is also considered.
World Health Organization, Distribution and Sales Service, 1211 Genève 27, Switzerland, 1988. iv, 27p. Price: CHF 8.00; USD 6.40.

CIS 91-669 Fekete J.
AIDS in the workplace
Topics examined are: AIDS, the disease; how infections are detected; how HIV is transmitted; requirements for health care facilities; the infected person as the coworker; what Michigan is doing about AIDS in the workplace.
Michigan's Occupational Health, Autumn 1988, Vol.24, No.4, p.1-3.

CIS 90-1915 Proposed national strategies for the prevention of leading work-related diseases and injuries - Part 2
This volume addresses proposed US strategies for the prevention of disorders of reproduction, neurotoxic disorders, noise-induced hearing loss, dermatological conditions and psychological disorders. A section on each disorder looks at the background to the problem and provides an assessment of its scope. Types of occupational hazards are discussed together with a description of the work-related disorders reported. Proposed prevention strategies include a definition of research needs, both in the laboratory and in terms of surveillance and epidemiology, public information and education and adequate dissemination of information, implementation of appropriate prevention and control programmes.
National Institute for Occupational Safety and Health, 4676 Columbia Parkway, Cincinnati, OH 45226, USA, 1988. 120p. Bibl.

CIS 90-459 Okada I., Iseki T.
Effects of a ten-year corporate health and fitness programme on employees' health
Jūnenkan no kigyōnai kenkō tairyoku zukuri puroguramu no jūgyōin ni oyobosu kōka [in Japanese]
The effects of a 10-year corporate fitness programme on employees' health were investigated in 1,657 male employees of a public utility. The programme consists of a medical check-up, physical fitness test and physical training programme. The prevalence of obesity showed no significant increase despite the increase of the employees' average age. Their lipid metabolism improved significantly (decrease of total cholesterol and triglycerides and an increase of high-density lipoprotein-bound cholesterol). Physical fitness was also markedly improved. The absentee rate due to sickness was low. These results suggest that a corporate fitness programme is effective in improving the level of employees' health and fitness and in preventing the progression of adult diseases.
Japanese Journal of Physical Fitness and Sports Medicine, Apr. 1988, Vol.37, No.2, p.192-201. Illus. 15 ref.

CIS 89-1220 Zsögön É.
Role of industrial health and occupational health in the implementation of the long-term social programme on health promotion
Az üzemegészségügy és a munkaegészségügy feladatai az egészségmegőrzés hosszú távú társadalmi programjának végrehajtásában [in Hungarian]
Discussion of the role of occupational health services in the development of health-promotion programmes in Hungary. The article draws heavily on statistical data, and calls attention to the relatively high and increasing mortality rate among the population of working age, especially when compared with other European countries. Occupational, environmental and life-style factors are evoked. Summaries are given in German, English and Russian.
Munkavédelem, munka- és üzemegészségügy, 1988, No.10-12, p.309-317. 12 ref.

CIS 89-698 Brown E.R., McCarthy W.J., Marcus A., Baker D., Froines J.R., Dellenbaugh C., McQuiston T.
Workplace smoking policies: Attitudes of union members in a high-risk industry
Two surveys were conducted that involved 690 respondents in 1984 and 593 respondents in 1985. Respondents overwhelmingly (82%) favoured restrictions on smoking in the workplace but less than half agreed that companies or unions should be concerned about workers smoking off the job. For both smokers and nonsmokers, beliefs that cancer has specific causes and can be prevented strongly predict support for workplace smoking control policies. Exposure to company occupational health training also influenced smokers and nonsmokers to support selected smoking control policies. These and other findings led to the conclusion that: (1) educating workers about cancer may promote support for smoking control policies, and (2) smoking control policies are more acceptable in the context of a strong company health and safety programme.
Journal of Occupational Medicine, Apr. 1988, Vol.30, No.4, p.312-320. 11 ref.

CIS 89-482 Millar J.D.
Summary of "Proposed National Strategies for the Prevention of Leading Work-related Diseases and Injuries, Part 1"
Strategies for the prevention of leading occupational health problems have been proposed by the National Institute for Occupational Safety and Health (NIOSH). NIOSH prepared these strategies following publication in 1983 of its suggested list of 10 leading work-related diseases and injuries. At a national symposium in 1985, occupational health experts from academia, organised labour, management, professional associations, and voluntary organisations conducted an in-depth evaluation of the prevention strategies for the first 5 conditions on the list: occupational lung diseases, musculoskeletal injuries, occupational cancers, severe occupational traumatic injuries, and occupational cardiovascular diseases. The strategies were then revised to incorporate improvements suggested at the symposium and were published in booklet form. A summary of the revised strategies is provided.
American Journal of Industrial Medicine, 1988, Vol.13, No.2, p.223-240. 8 ref.

1987

CIS 92-2099 Walsh J.M., Yohay S.C.
Drug and alcohol abuse in the workplace: A guide to the issues
Contents of this basic reference source concerning drug and alcohol abuse in the US: choices facing employers in developing a substance abuse policy; effects of drug abuse on an individual; substance abuse programmes and employees' rights to privacy and due process of law; substance abuse programmes and employment discrimination statutes; substance abuse programmes in the unionised workplace - the National Labor Relations Act and collective-bargaining agreements; President's Executive Order on the use of illegal drugs by Federal Employees and State and local legislative proposals; elements of a substance abuse programme. Detailed bibliography classified by type of drug.
National Foundation for the Study of Equal Employment Policy, 1015 15th Street, N.W. Washington, D.C. 20005, USA, 1987. viii, 150p. 173 ref.

CIS 89-1864 Fogari R., Rizzardi G., Aimo G.P., Zoppi A., Poletti L., Tettamanti F.
Work-site based hypertension control in small industries
Controllo comunitario dell'ipertensione arteriosa in un gruppo di acciaierie di piccole dimensioni [in Italian]
In large industries work-site hypertension detection and treatment programmes have been shown to produce substantial improvements in blood pressure control and reduce costs associated with absenteeism and premature death from cardiovascular complications of hypertension. The purpose of this study was to evaluate the feasibility and effects of such a programme in small industries (less than 300-400 employees). The results confirm the efficacy of a work-site based hypertension control in improving blood pressure control; however, the programme does not seem to be feasible or cost-effective in small factories.
Medicina del lavoro, Mar.-Apr. 1987, Vol.78, No.2, p.143-150. Illus. 28 ref.

CIS 89-142 Cultural factors in worksite health promotion
Proceedings of a workshop organised by the Interuniversitäres Forschungsinstitut für Fernstudien and the WHO Regional Office for Europe (Linz, Austria, 31 May-5 June l987). An introduction and a summary report on the meeting are followed by the papers presented. Topics: trends in worksite health promotion; establishment of a worker-oriented inter-faculty research group at Amsterdam University; a university-trade union cooperative research project in Austria; health promotion of disabled employees in Finland; health promotion through action-oriented research in organisation; professional roles and social mobilisation in health promotion; a Welsh programme of health promotion in the workplace; cross-cultural factors and their impact on industrial alcoholism programmes; occupational stress and health; cultural factors in worksite health promotion in Hawaii; a health promotion programme model for small business.
Interuniversitäres Forschungsinstitut für Fernstudien der österreichischen Universitäten, Scharitzerstrasse 10, 4020 Linz, Austria, 1987. 139p. Illus. Bibl. ref.

CIS 88-1890 Yamada Y., Kido T., Ishizaki M., Yamaya H., Honda R., Tsuritani I., Nogawa K.
Evaluation of an x-ray mass screening programme for gastric cancer in an occupational population: Effects and problems
Shokuba ni okeru i shūdan kenshin no hyōka - sono kōka to mondai ten [in Japanese]
X-ray screening of workers above 35 years of age for gastric cancer has been conducted annually in a metal-products factory in Toyama Prefecture, Japan, since 1980. The standardised mortality ratio (SMR) for gastric cancer of male workers during the period from 1980 to 1984 was 35 in comparison with the prefectural population, whereas the SMR of the workers had been 147 during the period from 1975 to 1979. Nine cases of gastric cancer were found in x-ray examinations from April 1980 to December 1986, but 4 cases of gastric cancer were missed during the same period. Endoscopic examination was done in 85% of the workers who visited large hospitals for closer examination, but it was done only in 18% of the workers who visited small clinics.
Hokuriku Journal of Public Health - Hokuriku Koshu Eisei Gakkaishi, Aug. 1987, Vol.14, No.1, p.47-53. Illus. 19 ref.

CIS 88-1130 Basic elements of occupational safety and health organization
Discussed are the elements for successful safety and health programmes: management leadership; assignment of authority; maintenance of safe and healthy working conditions; establishment of safety and health training; accident record and data collection systems; health, medical and first aid systems; acceptance of personal accountability by employees.
National Safety Council, 444 North Michigan Avenue, Chicago, IL 60611, USA, 1987. 11p.

CIS 88-209 Urner C.J.
SHIP: The Seafarers Health Improvement Program
The Seafarers Health Improvement Program (SHIP) was initiated in 1978 by the United States Public Health Service to improve the health status of seafarers, their health environment, medical care and safety aboard ship, and communication between parties responsible for the health and safety of American Seafarers. The programme is a collaborative effort of representatives of the maritime industry, physicians, and concerned governmental agencies. Principal achievements of SHIP include establishment of Entry Level Standards and Retention Guidelines for seafarers, development of the Seafarer Emergency Medical Training Program, and initiation of a programme making medical records available on board.
Journal of Occupational Medicine, June 1987, Vol.29, No.6, p.531-534. 13 ref.

CIS 87-1050 Savell J.F., Toothman E.H.
Group mean hearing threshold changes in a noise-exposed industrial population using personal hearing protectors
The audiometric test data of 265 employees in one facility were studied to determine group mean hearing threshold changes. The data covered 7 to 13 years. During this time, the population was exposed to workplace noise levels of 86 to 103dBA. Personal hearing protection was used. Essentially no change in the mean threshold hearing level was found. Certain other hearing conservation programme effectiveness indicators were also used to evaluate this population. The results of these evaluations generally follow the trends for effective programmes.
American Industrial Hygiene Association Journal, Jan. 1987, Vol.48, No.1, p.23-27. Illus. 9 ref.

CIS 87-720 Alcohol and drugs: programmes of assistance for workers
Alcool et drogue: programmes d'assistance aux travailleurs [in French]
Contents of this issue of the ILO's Conditions of Work Digest: introduction (rationale for workplace programmes to deal with alcohol and drug problems; policies, guidelines and classifications of such programmes); a survey of policies and guidelines developed by governments, employers' and workers' organisations and other groups; description of programmes of prevention, education and assistance in place (including examples of collective agreements from various countries); list of institutions; annotated bibliography of 123 items. Policies, guidelines and programmes are detailed for: Australia, Canada, Finland, France, Federal Republic of Germany, Hungary, Ireland, Italy, Netherlands, New Zealand, Norway, Poland, Spain, Sweden, Switzerland, United Kingdom, USA, USSR, Yugoslavia. In addition to most of these countries, the list of institutions also includes information for Austria and Belgium.
Conditions of Work Digest, 1987, Vol.6, No.1, 243p. French version published in 1989.

CIS 87-470 Dawson S., Poynter P., Stevens D.
How to secure an effective health and safety program at work
Safety and health programmes were studied to develop a general framework for analysing self regulation in the efforts to decrease accidents and diseases. Discussed are: the control of hazards (elimination, containment, mitigation); organisational context of hazard control (strategies and resources); technical controls (identification of need, control standards, implementation of the control standards, maintenance and updating the standards and processes); motivation (information to personnel; objectives, culture and atmosphere in the enterprise, responsibility and authority; mechanisms of accountability and performance measurement). A checklist of questions on programme effectiveness is given.
Professional Safety, Jan. 1987, Vol.32, No.1, p.32-41. Illus. 11 ref.

1986

CIS 89-349 Cagney J.K.
Beating the drug and alcohol problem in the workplace - Detection, control and treatment
Guide for personnel managers. Contents: Substance abuse in the workplace; the American scene; who is an alcoholic?; women and alcohol in the workplace; who is a drug abuser?; meeting the problem up front; problem handling; employee assistance; alcohol/drug testing; alcohol/drug treatment; alcohol/drug insurance; what employers are doing about this problem; state occupational alcoholism program consultants; chapters of the Association of Labour-Management Administrators and Consultants on Alcoholism, Inc.; facilities offering treatment and counselling; supervisor's guide to on-the-job alcoholism and drug problems; sample policies, forms and literature.
Bureau of Law and Business, Inc., 64 Wall Street, Madison, CT 06443-1513, USA, 1986. 355p. Illus. Price: USD 59.95.

CIS 89-149
Conseil supérieur de la prévention des risques professionnels
Statistical data and analysis
Eléments statistiques [in French]
Contents: occupational accidents (general trends, trends by industry and causal agent); recognised occupational diseases; financing of OSH activities in France; occupational medicine; presentation of studies concerning the 1982 law on committees of occupational safety, health and working conditions; labour inspection; OSH personnel of regional insurance funds; report of the Working Conditions Improvement Fund.
Ministère des affaires sociales et de l'emploi, Direction des relations du travail, 1 place de Fontenoy, 75007 Paris, France, 1986. 47p. Illus.

CIS 88-1549 Anderson R.C.
Promoting employee health: A guide for worksite wellness
This manual is intended to aid the planning and implementation of a "wellness/health promotion programme". Chapters cover: programme planning and activities, health screening programmes, personal assessment of lifestyle habits, recommendations for a successful programme, and further information sources.
American Society of Safety Engineers, 1800 East Oakton Street, Des Plaines, IL 60018, USA, 1986. 73p. Price: USD 20.00.

CIS 88-1185 De Arriba Baticón J., Gil Diez R.
Prevention of ischaemic cardiopathy in occupational medicine
La prevención de la cardiopatía isquémica en los ambientes médico-laborales [in Spanish]
This article describes and analyses the positive results of a medical prevention programme instituted in order to reduce the incidence and effects of cardiovascular diseases in a motor vehicle factory in Valladolid (Spain). As a first step, all the workers were examined concerning weight-overweight, smoking habits, hypertension, glycaemia, fat in the blood (cholesterol, lipids, triglycerides etc.) and by means of electro-cardiography. There were three phases of the programme: 1. Elimination of the risks (hypertension, tobacco etc.); 2. Diagnosis and prevention of cardiovascular diseases; 3. Physical and psychosocial rehabilitation as well as continued medical control of workers with cardiovascular diseases.
Medicina y seguridad del trabajo, Jan.-Mar. 1986, Vol.33, No.130, p.27-32.

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