Workers' health surveillance: Implementation of the Directive 89/391/EEC in Europe

C. Colosio, S. Mandic-Rajcevic, L. Godderis, G. van der Laan, C. Hulshof, F. van Dijk

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Background: European Union (EU) Directive 89/391 addressed occupational health surveillance, which recommends to provide workers with 'access to health surveillance at regular intervals', aiming to prevent work-related and occupational diseases.Aims: To investigate how EU countries adopted this Directive.Methods: We invited one selected representative per member state to complete a questionnaire.Results: All 28 EU countries implemented the Directive in some form. Workers' health surveillance (WHS) is available to all workers in 15 countries, while in 12, only specific subgroups have access. In 21 countries, workers' participation is mandatory, and in 22, the employer covers the cost. In 13 countries, access to WHS is not available to all workers but depends on exposure to specific risk factors, size of the enterprise or belonging to vulnerable groups. In 26 countries, the employer appoints and revokes the physician in charge of WHS. Twelve countries have no recent figures, reports or cost-benefit analyses of their WHS programmes. In 15 countries where reports exist, they are often in the native language.Conclusions: Coverage and quality of occupational health surveillance should be evaluated to facilitate learning from good practice and from scientific studies. We propose a serious debate in the EU with the aim of protecting workers more effectively, including the use of evidence-based WHS programmes.

Original languageEnglish
Article numberkqx113
Pages (from-to)574-578
Number of pages5
JournalOccupational Medicine
Volume67
Issue number7
DOIs
Publication statusPublished - 1 Oct 2017

Cite this

Colosio, C., Mandic-Rajcevic, S., Godderis, L., van der Laan, G., Hulshof, C., & van Dijk, F. (2017). Workers' health surveillance: Implementation of the Directive 89/391/EEC in Europe. Occupational Medicine, 67(7), 574-578. [kqx113]. https://doi.org/10.1093/occmed/kqx113
Colosio, C. ; Mandic-Rajcevic, S. ; Godderis, L. ; van der Laan, G. ; Hulshof, C. ; van Dijk, F. / Workers' health surveillance : Implementation of the Directive 89/391/EEC in Europe. In: Occupational Medicine. 2017 ; Vol. 67, No. 7. pp. 574-578.
@article{e89223b7fcc547569777485a9557453b,
title = "Workers' health surveillance: Implementation of the Directive 89/391/EEC in Europe",
abstract = "Background: European Union (EU) Directive 89/391 addressed occupational health surveillance, which recommends to provide workers with 'access to health surveillance at regular intervals', aiming to prevent work-related and occupational diseases.Aims: To investigate how EU countries adopted this Directive.Methods: We invited one selected representative per member state to complete a questionnaire.Results: All 28 EU countries implemented the Directive in some form. Workers' health surveillance (WHS) is available to all workers in 15 countries, while in 12, only specific subgroups have access. In 21 countries, workers' participation is mandatory, and in 22, the employer covers the cost. In 13 countries, access to WHS is not available to all workers but depends on exposure to specific risk factors, size of the enterprise or belonging to vulnerable groups. In 26 countries, the employer appoints and revokes the physician in charge of WHS. Twelve countries have no recent figures, reports or cost-benefit analyses of their WHS programmes. In 15 countries where reports exist, they are often in the native language.Conclusions: Coverage and quality of occupational health surveillance should be evaluated to facilitate learning from good practice and from scientific studies. We propose a serious debate in the EU with the aim of protecting workers more effectively, including the use of evidence-based WHS programmes.",
keywords = "EU policy, Health surveillance, Occupational health, Occupational health services, Occupational health surveillance, Prevention, Quality of care, Workers' health surveillance",
author = "C. Colosio and S. Mandic-Rajcevic and L. Godderis and {van der Laan}, G. and C. Hulshof and {van Dijk}, F.",
year = "2017",
month = "10",
day = "1",
doi = "10.1093/occmed/kqx113",
language = "English",
volume = "67",
pages = "574--578",
journal = "Occupational Medicine",
issn = "0962-7480",
publisher = "Oxford University Press",
number = "7",

}

Colosio, C, Mandic-Rajcevic, S, Godderis, L, van der Laan, G, Hulshof, C & van Dijk, F 2017, 'Workers' health surveillance: Implementation of the Directive 89/391/EEC in Europe' Occupational Medicine, vol. 67, no. 7, kqx113, pp. 574-578. https://doi.org/10.1093/occmed/kqx113

Workers' health surveillance : Implementation of the Directive 89/391/EEC in Europe. / Colosio, C.; Mandic-Rajcevic, S.; Godderis, L.; van der Laan, G.; Hulshof, C.; van Dijk, F.

In: Occupational Medicine, Vol. 67, No. 7, kqx113, 01.10.2017, p. 574-578.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Workers' health surveillance

T2 - Implementation of the Directive 89/391/EEC in Europe

AU - Colosio, C.

AU - Mandic-Rajcevic, S.

AU - Godderis, L.

AU - van der Laan, G.

AU - Hulshof, C.

AU - van Dijk, F.

PY - 2017/10/1

Y1 - 2017/10/1

N2 - Background: European Union (EU) Directive 89/391 addressed occupational health surveillance, which recommends to provide workers with 'access to health surveillance at regular intervals', aiming to prevent work-related and occupational diseases.Aims: To investigate how EU countries adopted this Directive.Methods: We invited one selected representative per member state to complete a questionnaire.Results: All 28 EU countries implemented the Directive in some form. Workers' health surveillance (WHS) is available to all workers in 15 countries, while in 12, only specific subgroups have access. In 21 countries, workers' participation is mandatory, and in 22, the employer covers the cost. In 13 countries, access to WHS is not available to all workers but depends on exposure to specific risk factors, size of the enterprise or belonging to vulnerable groups. In 26 countries, the employer appoints and revokes the physician in charge of WHS. Twelve countries have no recent figures, reports or cost-benefit analyses of their WHS programmes. In 15 countries where reports exist, they are often in the native language.Conclusions: Coverage and quality of occupational health surveillance should be evaluated to facilitate learning from good practice and from scientific studies. We propose a serious debate in the EU with the aim of protecting workers more effectively, including the use of evidence-based WHS programmes.

AB - Background: European Union (EU) Directive 89/391 addressed occupational health surveillance, which recommends to provide workers with 'access to health surveillance at regular intervals', aiming to prevent work-related and occupational diseases.Aims: To investigate how EU countries adopted this Directive.Methods: We invited one selected representative per member state to complete a questionnaire.Results: All 28 EU countries implemented the Directive in some form. Workers' health surveillance (WHS) is available to all workers in 15 countries, while in 12, only specific subgroups have access. In 21 countries, workers' participation is mandatory, and in 22, the employer covers the cost. In 13 countries, access to WHS is not available to all workers but depends on exposure to specific risk factors, size of the enterprise or belonging to vulnerable groups. In 26 countries, the employer appoints and revokes the physician in charge of WHS. Twelve countries have no recent figures, reports or cost-benefit analyses of their WHS programmes. In 15 countries where reports exist, they are often in the native language.Conclusions: Coverage and quality of occupational health surveillance should be evaluated to facilitate learning from good practice and from scientific studies. We propose a serious debate in the EU with the aim of protecting workers more effectively, including the use of evidence-based WHS programmes.

KW - EU policy

KW - Health surveillance

KW - Occupational health

KW - Occupational health services

KW - Occupational health surveillance

KW - Prevention

KW - Quality of care

KW - Workers' health surveillance

UR - http://www.scopus.com/inward/record.url?scp=85032037352&partnerID=8YFLogxK

U2 - 10.1093/occmed/kqx113

DO - 10.1093/occmed/kqx113

M3 - Article

VL - 67

SP - 574

EP - 578

JO - Occupational Medicine

JF - Occupational Medicine

SN - 0962-7480

IS - 7

M1 - kqx113

ER -

Colosio C, Mandic-Rajcevic S, Godderis L, van der Laan G, Hulshof C, van Dijk F. Workers' health surveillance: Implementation of the Directive 89/391/EEC in Europe. Occupational Medicine. 2017 Oct 1;67(7):574-578. kqx113. https://doi.org/10.1093/occmed/kqx113