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MSDs - facts and figures from the EU and from EU Member States

MSDs - facts and figures from the EU and from EU Member States. Dr. Elke Schneider, European Agency for Safety and Health at Work. This presentation:. The Agency and its European risk observatory The problem

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MSDs - facts and figures from the EU and from EU Member States

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  1. MSDs - facts and figures from the EU and from EU Member States Dr. Elke Schneider, European Agency for Safety and Health at Work

  2. This presentation: • The Agency and its European risk observatory • The problem • Risk observatory data – only some to stimulate debate: Women, young workers, healthcare, temporary agency workers, teleworkers • Issues to be considered - conclusions

  3. European risk observatory • Provide an overview of OSH/MSDs in Europe (no benchmarking or country comparisons) • Highlight trends on OSH/MSDs outcomes and risk factors • Provide early identification of newly emerging risks in the workplace • Identify areas/issues where more information needed http://riskobservatory.osha.europa.eu/

  4. MSDs affect…… • Muscles, joints, tendons, ligaments and nerves in the back, neck, shoulders and upper/lower limbs • The risk factors, working alone or in combination, include: • physical - force, repetitive movements, vibration, awkward postures • organisational - low autonomy/job satisfaction, repetitive work at a high pace • individual - medical history, physical capacity, age

  5. Most common recognised occupational disease in Europe(% of total ODs , EODS 2002-2005. EU15, except Germany, Greece and Ireland)

  6. EU data – Recognised occupational diseases by gender (% of total ODs , EODS 2002-2005. EU15, except Germany, Greece and Ireland)  

  7. EU data - MSDs (EODS 2002-2005) • Trends: • MSD + carpal tunnel sdr increased by 32% from 2002 to 2005 (by 39% among women) • MSD + carpal tunnel sdr accounted for 59% of all recognised disease covered by EODS in 2005 (about 85% of all ODs among women) • Focuses mainly on upper-limb disorders • mostly three diseases: hand/arm tenosynovitis, epicondylitis of the elbow and carpal tunnel syndrome

  8. MSDs – occupational diseases data from Member States are variable, but indicate that it is an important issue • UK- MSDs most commonly reported type of work-related illness, with an estimated 1,012,000 people affected • Spain: The number of MSD has fluctuated since 2000 between 12 884 to 20 489 (83,3% to 86,4% of the total of occupational diseases) • Germany: The highest number of working days lost due to MSDs (2002: 26%, 2004: 24,3%) • Poland: cases of vibration syndrome are the most common chronic musculoskeletal disease

  9. Costs due to MSDs (source: eurogip)

  10. Groups at risk - Trends in employment (2004 data) • More than 66% of the workforce is employed in the services industry • Biggest employers manufacturing industry (19%), wholesale and retail trade (16%), health (10%) and education (7%) • In 2003, among the jobs created in newly born enterprises in that year, about 72 % were within services and 17 % in construction. • Employment has also risen substantially in the elementary occupations and in “service workers and shop and market sales workers”

  11. - - + +

  12. MSDs in service sectors increasingSpain - occupational diseases - MSD Source: Occupational Diseases File

  13. Spain – body part affected by MSDs by sector Source: VI Encuesta Nacional (2006)

  14. Spain, main postures at workplaces Source: VI Encuesta Nacional (2006)

  15. Gender dimension • activities where the majority of the EU-27 workforce were women in 2006: • textiles,clothing, leather + footwear manufacturing • retail trade and repair • hotels and restaurants • financial services • health care and social work

  16. Recognised MSDs – EU data by gender(absolute number of MSDs and carpal tunnel sdr, EODS 2002-2005. EU15, except Germany, Greece and Ireland)  

  17. Spain – Health problems of workers by body part and gender Neck ache significantly more frequent in women than men (32 vs.24 %) Base: Total of workers Source: National Survey of Working Conditions (published 2007)

  18. Groups at risk – women in manufacturing(EU data from EWCS 2005)

  19. Health care sector, Europe • About 78% are female. • + 10% from 2000-2006 in the EU-27 as compared to the total: 8.6% to 9.5 % of all workers • Within the female working population it has increased from 15 to 17%. • About 3 % of the EU working population (or 6.8 million) are women who work in the health care sector and who have to lift or move people. • In the health care sector, an estimated 6-7 million women lift or move people and 3-4 million report backpain

  20. Health care workers carry more than construction workers (Germany, BAuA survey, published Nov.2007) • 2 in 3 have to carry heavy loads (compared to 1 in 2 for construction workers) • 93,8% have to do their work standing • 36% have to work in unfavourable postures (kneeling, bending, squatting, etc.) • 71% have to do more than one task at a time • More than ¾ (76%) work shifts • More than half work nights (51%) • Almost all work Saturdays, Sundays and holidays (94%, 91,5%)

  21. Health care workers carry more than construction workers (Germany, BAuA survey, published Nov.2007) • 57% men and 64 % women have back pain • 66 % women and 54% men have pain in neck and shoulders • 37% of the women have pain in the legs • > 40% suffer from high emotional load (compared to 11 % on average) • More than 1 in 4 feel that they hardly cope (27 vs 16.6 %) • Twice as many as on average have sleeping problems (37% vs. 19%)

  22. Groups at risk –Young workers • Physically demanding tasks common among young workers which means that they are at considerable risk of developing MSDs. • ES: > 75% newly declared occupational diseases of young workers in 2004 MSDs • estimated 4 million young workers in the EU under the age of 25 have backpain • BE: In a study of 716 healthcare and distribution workers (aged 25-29) 13 % had developped back pain lasting > 7 days within 1 year

  23. Groups at risk – young workers in manufacturing(EU data from EWCS 2005)

  24. Vibration exposure notable for women and young workers (EU data from EWCS 2005 (for YW) and 2000/2005) YW Women

  25. Temporary Agency work – an example (Germany, SUGA 2006) • Most of the jobs are in manufacturing, unskilled labour, eg. in construction, and service jobs, including retail and low-skilled office work – increasing trend (x 3 1995-2006) • About half of these workers have contracts with a duration between 1 week and 3 months • Working conditions of temporary agency workers • More standing (76% vs. 57%) • More carrying of heavy loads (37 vs. 24 %) • More unfavourable postures (19 vs. 16%) • More noise, unfavourable climatic conditions, PPE use • More paced work (39 vs. 32 %) • Less job control (31 vs. 25 %)

  26. Temporary Agency work – an example (Germany, SUGA 2006) • Health problems of temporary agency workers • More: • pain in hands and arms (32 vs. 22%) • pain in legs and feet (29 vs. 22%) • pain in the knees (25 vs. 19%) • tiredness, exhaustion (48 vs. 43%) • Less satisfied with • physical working conditions (26 vs 16 %) • training opportunities (46 vs. 30%) • type and content of work (21 vs. 7%) • opportunity to apply skills (24 vs. 13%)

  27. Currently, 8% of the workforce are teleworkers. It is suggested that by 2015, 70-80% of workers could be, at least partially, working from a remote location. mainly increase in people working in different places using home as a base, rather than working from home, levels of which have remained relatively stable. Teleworkers - UK-horizon scanning

  28. Points for consideration and discussion • Include groups normally not at focus of attention (young workers, women, temporary agency workers) • Consider changes in employment patterns (move from industry to service professions, working at home, home carers, working from a remote location, temporary agency work, short-term contracts) • Include workers on shift work, night and weekend work, and part-time workers – working time patterns are changing! • Include exposure to vibrations • Detailed monitoring is necessary, and important, also to assess gender differences • Look closer at risks involving lower limbs • Addressing the “whole load on the body” — i.e. all the strains • Tailor rehabilitation policies to include all groups

  29. National policies - how Member States address MSDsExamples • UK-horizon scanning, issues for OSH: agency workers, use of keyboards and of mobile devices, increased wireless use (e.g. ‘BlackBerry Thumb’), • Austria: 2007 programme and new OSH stategy:for health sector and transportassessment of MSDs risk factors, training of labour inspectors and development of tools to monitor exposure for inspection and for the enterprise level • Germany: OSH strategy has identified the decrease in MSDs as one of its main strategic goals

  30. Where to find out more • There is more help and advice on how to stay safe and healthy at work on the Lighten the Load website - http://ew2007.osha.europa.eu • And the MSDs Single Entry Point - http://osha.europa.eu/topics/msds • And the Risk observatory Webpage: http://riskobservatory.osha.europa.eu/

  31. Thank you for your attention!

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