Report on the current situation in relation to occupational diseases' systems in EU Member States and EFTA/EEA countries, in particular relative to Commission Recommendation 2003/670/EC concerning the European Schedule of Occupational Diseases and gathering of data on relevant related aspects ‘Report on the current situation in relation to occupational diseases’ systems in EU Member States and EFTA/EEA countries, in particular relative to Commission Recommendation 2003/670/EC concerning the European Schedule of Occupational Diseases and gathering of data on relevant related aspects’ Table of Contents 1 Introduction 4 1.1 Foreword .................................................................................................... 4 1.2 The burden of occupational diseases ......................................................... 4 1.3 Recommendation 2003/670/EC .................................................................. 6 1.4 The EU context .......................................................................................... 9 1.5 Information notices on occupational diseases, a guide to diagnosis .................................................................................................. 11 1.6 Objectives of the project ........................................................................... 11 1.7 Methodology and sources ........................................................................ 12 1.8 Structure of the report .............................................................................. 15 2 Developments in the areas covered by Recommendation 2003/670/EC 16 2.1 Introduction .............................................................................................. 16 2.2 Developments regarding recognition of ODs ............................................ 16 2.3 Developments regarding compensation of ODs ....................................... 19 2.4 Developments regarding prevention ......................................................... 22 2.5 Developments regarding target setting ..................................................... 25 2.6 Developments regarding recording and reporting of occupational diseases .............................................................................. 28 2.7 Developments regarding epidemiology ..................................................... 32 2.8 Developments regarding research ............................................................ 35 2.9 Developments regarding diagnosis of occupational diseases ................................................................................................... 37 2.10 Developments regarding statistics ............................................................ 38 2.11 Developments regarding awareness raising ............................................. 42 2.12 Conclusions .............................................................................................. 44 3 Occupational disease list revisions: the decision process 45 3.1 Introduction .............................................................................................. 45 3.2 The list revision process ........................................................................... 46 3.3 Variations in criteria, similarities in procedures ......................................... 48 3.4 Conclusions and recommendations .......................................................... 49 4 Analysis of the national lists and the EU list 51 4.1 Introduction: National lists as components of different national legal OD systems ........................................................................ 51 4.2 Structure and content of the EU list .......................................................... 52 4.3 Recommendations of other international organisations: the ILO list of OD ............................................................................................ 53 4.4 Character of the national lists ................................................................... 55 4.5 Changes in the characters of national lists ............................................... 56 4.6 Structures of the occupational diseases in the national lists ..................... 57 4.7 Content of the national lists ...................................................................... 58 4.8 Developments in the national lists ............................................................ 62 4.9 Conclusions and recommendations .......................................................... 62 5 Stakeholders’ opinions and evaluations 65 5.1 Introduction .............................................................................................. 65 5.2 Stakeholders’ opinion on recognition (lists of occupational diseases) .................................................................................................. 65 5.3 Stakeholders’ opinion on occupational disease compensation systems ............................................................................. 67 5.4 Stakeholders’ opinion on recording & reporting of occupational diseases .............................................................................. 70 5.5 Stakeholders’ opinion on Occupational Diseases prevention .................... 71 March 2013 2 ‘Report on the current situation in relation to occupational diseases’ systems in EU Member States and EFTA/EEA countries, in particular relative to Commission Recommendation 2003/670/EC concerning the European Schedule of Occupational Diseases and gathering of data on relevant related aspects’ 5.6 Stakeholders’ opinion on the targets set at national level for prevention of occupational diseases ......................................................... 78 5.7 Stakeholders’ opinion on the priorities for prevention of occupational diseases at the European level ............................................ 80 5.8 Conclusions .............................................................................................. 81 6 New work-related hazards 83 6.1 Introduction .............................................................................................. 83 6.2 Definitions and typology of new work-related diseases ............................. 84 6.3 Methodology ............................................................................................. 85 6.4 Inventory of activities on new work-related hazards .................................. 86 6.5 Special Topics .......................................................................................... 90 6.6 Inventory of activities on new work-related health risks at a national level ............................................................................................ 91 6.7 Example of good practice: ........................................................................ 92 6.8 Conclusion and recommendations ........................................................... 93 7 Good practice in the prevention of occupational diseases 94 7.1 Introduction .............................................................................................. 94 7.2 State of the art .......................................................................................... 94 7.3 Drivers of occupational health and safety systems ................................... 96 7.4 The benefits of effective OHS management ............................................. 96 7.5 Costs of ineffective OHS management ..................................................... 97 7.6 Good practice examples ........................................................................... 98 7.7 Broader national initiatives ..................................................................... 105 7.8 Conclusions ............................................................................................ 110 7.9 Recommendations ................................................................................. 110 8 The objectives of the project: synthesis of the analysis and conclusions 111 8.1 Introduction: Occupational diseases in the new labour world .................. 111 8.2 Aim of the report ..................................................................................... 111 8.3 Objective 1: How countries have tackled the OD problem since 2003 .............................................................................................. 112 8.4 Objective 2: Decision-making for inclusion of occupational diseases into national lists ...................................................................... 116 8.5 Objective 3: Positions of national stakeholders ....................................... 118 8.6 Objective 4: “Good practice” in the prevention of occupational diseases ............................................................................ 121 8.7 Objective 5: Options ............................................................................... 122 8.8 New work-related hazards ...................................................................... 122 9 Options for the development of the EU intervention in occupational disease policies and suggestions for a new Recommendation 133 9.1 Possible options for an EU strategy ........................................................ 133 9.2 Specific suggestions for changes to the Recommendation ..................... 135 9.3 The most important suggestions: the “Top ten” ...................................... 140 10 List of Tables 142 11 List of Abbreviations 143 12 List of Country Abbreviations 146 13 References 148 March 2013 3 ‘Report on the current situation in relation