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Report Fifth SEE Meeting Podgorica Dec 2009 The WHO Regional Office for Europe SITUATION ANALYSIS AND RECOMMENDATIONS FOR OCCUPATIONAL HEALTH SYSTEMS IN THE SOUTH EAST EUROPE REPORT OF THE FIFTH MEETING OF THE SOUTH-EASTERN EUROPEAN NETWORK ON WORKERS’ HEALTH The World Health Organization (WHO) is a PODGORICA, REPUBLIC OF MONTENEGRO specialized agency of the United Nations created in 1 DECEMBER 2009 1948 with the primary responsibility for international health matters and public health. The WHO Regional Office for Europe is one of six regional offices throughout the world, each with its own programme geared to the particular health conditions of the countries it serves. Member States Albania Andorra Armenia Austria Azerbaijan Belarus Belgium Bosnia and Herzegovina Bulgaria Croatia Cyprus Czech Republic Denmark Estonia Finland France Georgia Germany Greece Hungary Iceland Ireland Israel Situation analysis and Italy Kazakhstan recommendations for Kyrgyzstan Latvia Lithuania occupational health systems Luxembourg Malta in the South East Europe Monaco Montenegro Netherlands Norway Poland Report of the Fifth Meeting of Portugal Republic of Moldova the South-Eastern European Romania Russian Federation San Marino Network on Workers’ Health Serbia Slovakia Slovenia Spain Sweden Switzerland Tajikistan The former Yugoslav Republic of Macedonia Turkey Turkmenistan Ukraine United Kingdom Uzbekistan Podgorica, Republic of Montenegro 1 December 2009 World Health Organization Regional Office for Europe Scherfigsvej 8, DK-2100 Copenhagen Ø, Denmark Tel.: +45 39 17 17 17. Fax: +45 39 17 18 18. E-mail: [email protected] Web site: www.euro.who.int Situation analysis and recommendations for occupational health systems in the South East Europe Report of the Fifth Meeting of the South-Eastern European Network on Workers’ Health Podgorica, Republic of Montenegro 1 December 2009 ABSTRACT The Fifth meeting of the South-eastern European (SEE) Network on Workers’ Health was held in Podgorica, Republic of Montenegro, on 1 December 2009. The SEE Network members reviewed the draft report in SEE Area including national profiles, situation analysis and recommendations for occupational health systems. Future projects of SEE Network on capacity building in the area of basic occupational health services (BOHS) were discussed. Keywords OCCUPATIONAL HEALTH NATIONAL PROFILES HEALTH SYSTEMS SOUTH-EASTERN EUROPE Address requests about publications of the WHO Regional Office for Europe to: Publications WHO Regional Office for Europe Scherfigsvej 8 DK-2100 Copenhagen Ø, Denmark Alternatively, complete an online request form for documentation, health information, or for permission to quote or translate, on the Regional Office web site (http://www.euro.who.int/pubrequest). © World Health Organization 2010 All rights reserved. The Regional Office for Europe of the World Health Organization welcomes requests for permission to reproduce or translate its publications, in part or in full. The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters. All reasonable precautions have been taken by the World Health Organization to verify the information contained in this publication. However, the published material is being distributed without warranty of any kind, either express or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall the World Health Organization be liable for damages arising from its use. The views expressed by authors, editors, or expert groups do not necessarily represent the decisions or the stated policy of the World Health Organization. Table of contents Acknowledgement...................................................................................................................... 1 Executive summary.................................................................................................................... 3 Introduction ................................................................................................................................ 4 Purpose of the meeting............................................................................................................... 4 Opening ...................................................................................................................................... 5 History and status of SEE Network on Workers’ Health........................................................... 5 WHO activities for the implementation of GPA in SEE............................................................ 6 WHO Report on Occupational Health in SEE ........................................................................... 7 Way forward: Collaboration of the SEE Network in the future events ..................................... 8 Conclusion and Recommendations ............................................................................................ 9 Annex 1 Conclusions of National Workshop for National Strategy Development, Montenegro, 30 November 2009................................................................................................................... 11 Annex 2 Programme................................................................................................................. 13 Annex 3 Programme List of participants ................................................................................. 14 Acknowledgement This meeting was supported by the Biennial Collaborative Agreement between WHO Regional Office for Europe and the Ministry of Health of the Republic of Montenegro. Particular thanks are extended to Dr Jovanka Karadzinska-Bislimovska and Dr Jorma Rantanen for co-chairing the meeting, and to Dr Buhara Önal for preparing this report as rapporteur. The following interns of WHO/Europe Bonn office contributed to the preparation and reporting of the meeting: Ms Anu Anele and Ms Zheng Zheng. Report of the fifth meeting of the South-eastern European Network on Workers’ Health page 2 Abbreviations BCA Biennial Collaborative Agreement BOHS Basic Occupational Health Services BSN Baltic Sea Network NDPHS Northern Dimension Partnership for Public Health and Social Well-being GPA Global Plan of Action on Workers’ Health 2008-2017 NIVA Nordiska Institutionen för Vidareutbildning inom Arbetsmiljöområdet (Nordic Institute for Advanced Training in Occupational Health) OHS Occupational Health Services SEE South East Europe UNMIK Interim Administration Mission in Kosovo WHO World Health Organization WHO CCs World Health Organization Collaboration Centres Report of the fifth meeting of the South-eastern European Network on Workers’ Health page 3 Executive summary 1. The fifth meeting of the SEE Network on Workers’ Health was held in Podgorica on 1 December 2009, with the participation of representatives of 9 SEE countries: Albania, Bosnia and Herzegovina, Bulgaria, Croatia, Montenegro, Romania, Serbia, the former Yugoslav Republic of Macedonia, and Turkey. 2. The SEE Network members discussed the draft mission report in SEE Area, prepared by Professor Jorma Rantanen, which includes national profiles, situation analysis and recommendations for health systems addressing occupational risks in Albania, Croatia, Macedonia, Montenegro, Serbia and Kosovo. Common recommendations for the strengthening of occupational health systems in the SEE countries were formulated as following: Prioritize workers’ health at policy-making level, develop legal basis for the occupational health System development, and provide sustainable financing; Establish/strengthen the national occupational health institutes as centres of excellencies, support the capacity building by increasing trained human resources, and develop joint training programmes through the SEE Network; Promote the public health approach to occupational health through stronger collaboration between health and labour sectors, adopt the modern approach demonstrating benefits of prevention at workplace; Implement BOHS concept for vulnerable groups, and improve the registration and notification of Occupational Diseases and Accidents; Stimulate the national, SEE, and European partnership with WHO and EU programmes; 3. Network members provided comments at the meeting, and agreed to contribute to the revision of the SEE report for the publication in 2010. The meeting made recommendations on the future priorities of the SEE Network in the capacity building in the area of basic occupational health services (BOHS) as a priority in the implementation of WHO Global Plan of Action on Workers’ Health the SEE sub-region. Report of the fifth meeting of the South-eastern European Network on Workers’ Health page 4 Introduction The WHO Global Plan of Action on Workers’ Health (GPA) was endorsed by the World Health Assembly in May 2007. It addresses different aspects of workers’ health, including primary prevention of occupational
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