Organization of occupational health and occupational hygiene in Finland.
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Britain's Health and Safety at Work Act introduced in 1974 marked a change in approach to occupational health and safety which is having important long-term effects on the organization of occupational health and safety in Britain. The purpose of this paper is to outline the broad principles of approach to health and safety at work contained within the 1974 Act; highlight the implications of the new Act for employers, managers, employees, and representative organizations, and discuss the developments in the organization of occupational health and safety as a result of the 1974 Act.
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The development of occupational health services in the Republic of South Africa has been limited by three factors. Firstly, occupational safety completely overshadowed occupational health. Secondly, about 8 state departments were active in its administration. Thirdly, occupational health was not interpreted as a preventable disease under the old Public Health Act No. 36 of 1919, and was hence excluded from the usual community health activities. The recommendations of the 1975 Commission of Inquiry that occupational health should fall under the scope of the Department of Health, and that the National Research Institute for Occupational Diseases should be transferred from the South African Medical Research Council to the Department of Health, have not yet been implemented. The advantages of such implementation and the estimated costs involved are discussed. A primary prerequisite is that all occupational diseases should be made notifiable diseases.
A connection is generally assumed between occupational health care (in Dutch 'bedrijfsgezondheidszorg', or BGZ) and a reduction in absenteeism. In the Dutch literature various authors and researchers make great claims for the effect of occupational health care in reducing absenteeism. As yet, however, they have not concerned themselves very much with providing proof for the validity of their position. They speculate as to the positive influence of occupational health care on the health and welfare of employees and assume a direct connection between it and the reduction of absenteeism, but they do not have at their disposal empirical research results to support their speculations. So far as we know solid research of an experimental or quasi-experimental design into the relationship between occupational health care and absenteeism has never been carried out. Recently, however, an experiment with occupational health care for teaching personnel (in Dutch: Experiment met BGZ voor Onderwijspersoneel, or EBO) did take place, providing the opportunity to determine the influence of occupational health care on absenteeism in a quasi-experimental setting. Unfortunately, the results of the experiment indicate that the relationship between occupational health care and absenteeism is more complex than is generally assumed. In the course of the experiment, and in particular during the final year, the level of absence in the experimental group rose considerably, while in the control group it fell slightly. That rise was mainly due to the increase in the number of persons who were sick for a long period of time (at least 6 months).