Chronic disease report

The Australian Institute of Health and Welfare has released a report on the labour force effects of chronic illnesses.  The report, Chronic disease and participation in work,

shows that chronic diseases are associated with more days off work and/or being out of the workforce, and some of the biggest culprits are depression, arthritis and asthma.

The report focuses on chronic illnesses rather the workplace impacts of the illnesses themselves but there is information that is relevant to how we manage our employees and psychosocial hazards.  For instance the report says

Arthritis, asthma and depression were associated with 76% of the total loss due to days away from work (29% associated with depression, 24% with arthritis and 23% with asthma).

For people participating full-time in the labour force, there was a loss of approximately 367,000 person-years associated with chronic disease, approximately 57,000 person-years in absenteeism associated with chronic disease and 113,000 person-years were lost due to death from chronic disease.

The report acknowledges that any estimates of loss are underestimated and also provides very useful data on chronic diseases and absenteeism

Loss due to absenteeism from full-time and part-time employment was calculated as the difference between the number of days off work for people with chronic disease, and the number expected if age and sex-specific rates of absenteeism among people without chronic disease applied.

The loss from absenteeism associated with chronic disease was approximately 500,000 days per fortnight. This was equivalent to approximately 13.2 million days per year or 57,000 person-years of full-time participation (assuming 48 working weeks of 5 days duration with 10 public holidays per year).

About two-thirds of this cost was carried by males, and people aged 35-44 and 45-54 years accounted for the majority (75%) of lost days.

Analysis of absenteeism by specific chronic disease showed that depression, arthritis and asthma were associated with around 76% of days away from work.

Workplace bullying – interview with Lawrence Lorber (2002)

In April 2002, I interviewed Lawrence Lorber of US law firm Proskauer Rose on workplace bullying.  It was at the height of the Enron collapse and corporate behaviour towards staff was gaining a lot of attention.  Over the last fortnight I have been researching some of the management books and concepts concerning leadership, emotional intelligence, modern expectations of managers – all of which could be thrown into “workplace culture.”

As I was reading back issue of the SafetyATWORK magazine, I used to published, there seemed to be valuable comments from Lawrence that remain relevant.  Below is an extract of the interview.  The full interview is available HERE

SAW: In Australia, the approach to workplace bullying seems to be coming from a systemic management system rather than one relying on psychological assessment.

LL: The highly competitive and highly contentious nature of what is coming out about Enron, the “up or out” atmosphere is one aspect of a system that can lead to managers or co-workers to engage in bullying. The characteristics of being tough or abrasive may be necessary to get ahead in the organisation. The environment can encourage or create bullying tendencies. However, not everybody turns into Attila the Hun in a highly competitive environment. Others survive without taking on the attributes of the bully.

Psychological testing is frequently applied in the States with regard to executive promotions. Dealing with bullying does require a combination of the systemic and individual approach. I work for some companies who are publicly perceived as fairly aggressive, there are tough people there who I might not want to work for but they are effective. They might be perceived as bullies. But looking at bullying as an environmental issue does mask the problem.

SAW: Managers sometimes need to motivate a staff member, perhaps, by rebuking them. The receiver of the rebuke may perceive that as bullying. How can we balance these perceptions?

LL: There were management books in the States in the 1980s, which encouraged management by intimidation. At one point that was the vogue. After the movie PATTON came out, everyone wanted to be General Patton.

If you look at a harsh manager who is demanding in an abrasive manner, that could be bullying.

How do you define bullying? Do you define it by your own reaction? A very US example is sex harassment. Is harassment in the eyes of the beholder? Does it have to be a reasonable woman who believes she is being harassed? In the circumstance where the bully is a male and the recipient is a female, frequently that becomes harassment.

SAW: That is a problem for the managers where for the last 30 years, harassment, bullying and discrimination has been handled outside the OHS field, in Human Resources. Now there are national and international moves to combat bullying because of the stress at work issues. I haven’t seen that approach in the United States.

LL: Here it’s not health and safety. Our definition of harassment is an “intimidating atmosphere”. That can also be a definition of bullying.

I don’t think it will be considered as a health and safety issue because workplace stress is not a field that is devoid of regulation. It is simply being regulated in a different context-employment discrimination and to a lesser extent under the disability laws. 

 

SafetyATWORK magazine April 2002 cover image
SafetyATWORK magazine April 2002 cover image

National OHS report leaked to Australian newspaper

The Australian Financial Review has obtained a copy of the 470-page report of the Review Panel into OHS Model Law prior to its release by the Australian government. 

The most significant recommendation reported by the paper is that unions will not be allowed to prosecute for OHS offences.  This entitlement by unions in New South Wales has been a constant source of industrial tension in that State.  However the panel did suggest that anyone can request OHS regulators to undertake a prosecution or they can appeal a regulator’s decision not to prosecute.

Employers across Australia will be obliged to provide paid leave for employees to attend health and safety representative training courses – probably five days.

The proposed legislation also allows for common law rights to stop work if it is deemed unsafe.

The full AFR article is not available online but can be found on page 3 of the hard copy.

Kevin Jones

John Bresland’s latest safety video

SafetyAtWorkBlog has previously referred to safety videos produced by the US Chemical Safety Board (CSB).  The latest safety message from Chairman John Bresland relates to combustible dust explosion risks, a hazard that exists around the world and one that has been mentioned in this blog.

A curious element in this very good video is that he is lobbying the “incoming leadership at OSHA” to act on the CSB’s combustible gas recommendations.  John’s video was released on 4 February 2009.  The confirmation of a new Labor Secretary is still to occur and the latest nominee, Hilda Solis, has become embroiled in a taxation “scandal” relating to her husband’s auto repair business.

Bresland’s messages are always of good general safety relevance, a major reason why they are embedded in SafetyAtWorkBlog, but the latest one has some peculiar tones given the current US political circumstances.  In Australia, we rarely have Chairman or CEOs of government agencies making such statements. It is indeed curious.

Kevin Jones

Upcoming OHS Videos

At the end of March 2009, the Safety Institute of Australia (Victoria Division) is conducting its annual Safety In Action conference.  In order to help promote the conference the SIA organised for several conference speakers to be filmed.

The filming occurred in early-February 2009 and the short 10-minutesia-filming-2009-01videos will be available at the Safety In Action website in a couple of week’s time.  The subjects of the videos are:

Jill MCabe of WorkSafe Victoria who talks about the research WorkSafe has undertaken in order to establish a better profile of their clients so as to improve assistance and advice.  Jill has long experience in industrial relations and now focuses on health and safety.

Helen Marshall was appointed Australia’s Federal Safety Commissioner in August 2008.  Helen discusses her experiences in dealing with a national system for safety on building and construction sites and reveals her first ever “real” job.

Dr Martyn Newman explains what he means by describing some leaders as “emotional capitalists”.  He sees that as a good thing to be but isn’t ego an emotion and greed an emotion?  And aren’t those the emotions that that have generated a lot of our social and financial heartbreak?  Is there is such a thing as an “emotional socialist”?  Dr Newman’s  presentation at the conference will be popular but it’s application may be obscure or challenging.

John Merritt, the CEO of WorkSafe, is genuinely passionate about improving society and seems to feel that OHS is a valuable way to improve the quality of people’s lives. [I first spoke with John in the early 1990s while he was in the ACTU.  The only thing I knew about him was that he had written a book about shearers.  I spoke next with him while he was CEO of the  National Safety Council and now (twice) while he is at WorkSafe.  If our paths continue to cross, he owes me a beer and two hours of unrecorded conversation in a comfortable bar.]

Barry Sherriff, a lawyer with Freehills, has just come off nine months of serving on the National OHS Review panel and is hamstrung in what he can say as the government is yet to release the final report.  His presentation was measured and cautious.

The videos provide an interesting cross-section of OHS approaches in Australia, several overlap and some are “out there” but the best that can be said is that one learns.  This makes for a terrific Safety In Action conference.

Kevin Jones


Eliminate the hazards

The first control measure on the “hierarchy of controls” is to eliminate the hazard.  OHS consultants and professionals should always consider ways to achieve this.  It may prove to be impractical, or politically unpopular, but it should always be discussed or recommended.  Reports and submissions that do not consider this control measure can be considered invalid.

In late-January 2009, the organic farmers in Australia reminded the media that its farming members are developing a safer industry for the customer and the producer.  This industry has boomed in Australia since the 1970’s in as a result of a desire and commitment to “eliminate the hazard”.

Interviews conducted by Biological Farmers of Australia (BFA) to help  discover why producers ‘go organic’ reveal a high number of farmers consider the switch for the health of themselves and their families.

Rob Bauer (Bauers Organic Farm, Qld), one of Australia’s largest organic horticultural growers, says he turned to organic farming 27 ago after farmers in his area became ill with cancer.

He says he wanted to decrease health risks associated with synthetic farm chemicals.

“I started thinking about farming differently after growing up in the Lockyer Valley (Qld) where friends and family passed away in their fifties after years of intensive agrichemical production.”

He says neurological problems, tumours, and cancer were among the chronic diseases he watched take their toll on his local farming community.

“I wasn’t comfortable with producing food using harsh farm chemicals for consumers,” he says.

Steve Skopilianos, commercial lettuce producer from Ladybird Organics in Keilor (Vic) looked into organics when he started a family.

“We had been applying pesticide blends with no understanding of their effect on people and employees.  There were times prior to organic conversion where I would not take my own produce home for my family to eat.”

Biodynamic producers of macadamias are happy to avoid high levels of agrichemicals typically used on the nuts.

“Working without a high exposure to synthetic chemical farm products is a weight off your mind,” says Marco Bobbert, from Wodonga Park Fruit and Nuts macadamia plantation (Qld), certified biodynamic since 1987.

He says direct chemical exposure could easily occur on conventional farms from accidents in production. “All it takes is a broken spray pipe.”

He says it is not just organic farmers who are concerned – “All farmers try to minimise their contact with chemicals on-farm. But organic production actively works toward negating that risk”.

Research has shown there is good reason for producers’ concern – a high exposure to some farm chemicals can lead to major health problems.

Particularly problematic substances include organophosphate insecticides and pesticides, which have been connected to several types of cancer, sterility and cognitive deficits (1).

The agrichemical endosulfan is one example of a highly toxic  organochlorine cyclodiene) insecticide still in use in Australia.

1. (1) Ciesielski, S, Loomis, D, Rupp Mims, S, Auer, A, Pesticide Exposures, Cholinesterase Depression, and Symptoms among North Carolina Migrant Farmworkers; American Journal of Public Health, 1994.

How to talk safety

Safety advocates often say that safety begins at the top.  Yet few CEO’s will talk overtly and publicly about safety to the extent that Janet Holmes a Court has in Australia.  Janet is a rarity but John Bresland of the United States Chemical Safety Board is making a good attempt through YouTube technology.

In January 2009, Bresland has produced on of CSB’s “safety messages” and, he is not afraid to criticise his political colleagues.

In the latest safety message he criticises those American states who do not allow state employees to be covered by federal OHS legislation and he uses an actual fatality incident to make the point very clear.

For those outside of the US, the video is a good example of a safety advocate putting his face out there and broadcasting about safety to his constituents and interested parties.  Political criticism is seen as valid in this case due to Bresland pointing out an anomaly and showing how an anomaly can kill, injure and maim.

Too many senior executives and professional associations are scared of making political statements even though they support the mission statement of their organisation.  This is an immature position based on insecurity – a quality that should have no place in the coordination of corporations and professional bodies.

Branding is a worthwhile process but it will only succeed if what is being promoted has substance.  The Chemical Safety Bureau has been a solid platform for education and safety improvement for years and deserves support by OHS professionals learning the lessons being shared and displayed.

Kevin Jones

Concatenate Web Development
© Designed and developed by Concatenate Aust Pty Ltd