The document discusses sentinel and alert systems for identifying work-related diseases. It summarizes the objectives of the project, which were to provide insight into existing sentinel and alert approaches, and provide recommendations to implement such systems. The project reviewed literature and interviewed stakeholders to describe 12 sentinel systems. It identified drivers and obstacles of these systems, such as lack of exposure assessment, and provided recommendations for setting up sentinel systems, including engaging occupational physicians and focusing on identifying individual cases of new work-related diseases.
A Workers’ Survey on Exposure to Cancer Risk Factors in Europe: An Innovative Approach to get Comparable and Reliable Data for Prevention and Policy-making Purposes
A Workers’ Survey on Exposure to Cancer Risk Factors in Europe: An Innovative Approach to get Comparable and Reliable Data for Prevention and Policy-making Purposes
Presentation given by Elke Schneider (EU-OSHA) to the Conference 'Europe at a crossroads. Which way to quality jobs and prosperity?' held under the joint auspices of the European Trade Union Confederation (ETUC) and the European Trade Union Institute (ETUI) held in Brussels on 24-26 September 2014.
Estimation of the societal costs of work-related injuries and diseases for five countries (Finland, Germany, Netherlands, Italy, Poland)
- Including the valuation of life and health impacts
- Distinction between different cost bearers (employers, workers, society)
- Differentiation between causes of injuries and diseases
- Transparent and reproducible methodology
The presentation summarizes the final output of a major project that was commissioned to address exposure to biological agents in the workplace and the related health effects. The study included a scientific literature review, interviews with experts, focus group sessions and a stakeholder workshop.
ICOH 2015 - Seoul. A session at the Asian Policy Forum to examine how the European OSH system works, and how we can look for improvements to address current challenges and new emerging risks.
This PPT gives an overview of the OiRA project, partners, risk assessment tools and the platform that allows to develop those tools.
The presentation was given on 28 November 2013 to the Advisory Committee for Safety and Health at Work in Luxembourg
A review of potential safety and health risks resulting from exposure to fumigated freight containers in ports; prevention gaps and recommendations on how these risks can be minimalized.
Wasteful spending.. - Nathalie De Wulf, EHFCNOECD Governance
This presentation was made by Nathalie De Wulf, EHFCN, at the 3rd Health Systems Joint Network meeting for Central, Eastern and South-eastern European Countries held in Vilnius, Lithuania, on 25-26 April 2019
Using Healthcare Data for Research @ The Hyve - Campus Party 2016Kees van Bochove
In this presentation, Kees van Bochove, founder & CEO of The Hyve, a services company in biomedical open source software, presents a number of different types of healthcare data. As an example, he also provides details of a project in which The Hyve participates and which uses that kind of data. Covered are: translational medicine data using tranSMART and cBioPortal, population health data using OMOP and OHDSI, and personal health data processing using open mHealth Shimmer and Apache Kafka.
Presentation given by Elke Schneider (EU-OSHA) to the Conference 'Europe at a crossroads. Which way to quality jobs and prosperity?' held under the joint auspices of the European Trade Union Confederation (ETUC) and the European Trade Union Institute (ETUI) held in Brussels on 24-26 September 2014.
Estimation of the societal costs of work-related injuries and diseases for five countries (Finland, Germany, Netherlands, Italy, Poland)
- Including the valuation of life and health impacts
- Distinction between different cost bearers (employers, workers, society)
- Differentiation between causes of injuries and diseases
- Transparent and reproducible methodology
The presentation summarizes the final output of a major project that was commissioned to address exposure to biological agents in the workplace and the related health effects. The study included a scientific literature review, interviews with experts, focus group sessions and a stakeholder workshop.
ICOH 2015 - Seoul. A session at the Asian Policy Forum to examine how the European OSH system works, and how we can look for improvements to address current challenges and new emerging risks.
This PPT gives an overview of the OiRA project, partners, risk assessment tools and the platform that allows to develop those tools.
The presentation was given on 28 November 2013 to the Advisory Committee for Safety and Health at Work in Luxembourg
A review of potential safety and health risks resulting from exposure to fumigated freight containers in ports; prevention gaps and recommendations on how these risks can be minimalized.
Wasteful spending.. - Nathalie De Wulf, EHFCNOECD Governance
This presentation was made by Nathalie De Wulf, EHFCN, at the 3rd Health Systems Joint Network meeting for Central, Eastern and South-eastern European Countries held in Vilnius, Lithuania, on 25-26 April 2019
Using Healthcare Data for Research @ The Hyve - Campus Party 2016Kees van Bochove
In this presentation, Kees van Bochove, founder & CEO of The Hyve, a services company in biomedical open source software, presents a number of different types of healthcare data. As an example, he also provides details of a project in which The Hyve participates and which uses that kind of data. Covered are: translational medicine data using tranSMART and cBioPortal, population health data using OMOP and OHDSI, and personal health data processing using open mHealth Shimmer and Apache Kafka.
EuroBioForum 2013 - Day 2 | Frank MolinaEuroBioForum
EuroBioForum 2013 2nd Annual Conference
27-28 May 2013 - Hilton Munich City, Munich, Germany
http://www.eurobioforum.eu/2013
=======================================
# REGIONAL PERSPECTIVES #
EuroBioMed, France:
Private-public collaborations to boost open innovation
Dr Franck Molina
President of EDCA, Chair of diagnosis group of Eurobiomed
Director of Sysdiag
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http://www.eurobioforum.eu
This publication is the result of a two-year project to publish European standards in drug prevention, co-funded by the European Commission (EC) (60 %) and the respective project partner organisations (40 %). The standards were developed by the Prevention Standards Partnership, a multi-disciplinary and multi-sectoral collaboration of seven organisations across Europe, led by Dr Harry Sumnall andAngelina Brotherhood of the Centre for Public Health at Liverpool John Moores University (LJMU), UK, who are also the authors of this publication. European Union (EU) policy, such as the EU drugs action plans for 2005-08 and 2009-12, has expressed an intention to develop and implement best practice in drug prevention, but so far has not been able to provide o reference framework on how to do this. Guidance on drug prevention interventions is available in some Member States of the EU, but it varies in terms of its content, methodological rigour, and its applicability to the wider European context. In response to this situation, this project aimed to provide a commonly agreed reference framework that could help improve the state of drug prevention in the EU
Procurement: The Cornerstone of Market Access in EuropeMedTech Europe
An overview of how procurement practices impact market access pathways for medical technologies in Europe.
Presentation make by Yves Verboven on 17 February 2015 at the 2nd Annual Medical Device Commercial Leaders Forum.
Ultrasound Sensing Technologies for Medical, Industrial and Consumer Applicat...Yole Developpement
New applications along with manufacturing capabilities and technological readiness are driving the takeoff of micro-machined ultrasonic transducers.
More information on that report at https://www.i-micronews.com/category-listing/product/ultrasound-sensing-technologies-for-medical-industrial-and-consumer-applications.html
The presentation summarizes the final output of a major project that was commissioned to address exposure to biological agents in the workplace and the related health effects. The study included a scientific literature review, interviews with experts, focus group sessions and a stakeholder workshop.
This presentation provides an overview of worker participation in the prevention of MSDs and steps that employers can take to actively involve workers in identifying musculoskeletal problems and choosing and implementing the best solutions
This presentation highlights the dangers of prolonged sitting at work, with musculoskeletal pain, cardiovascular disease and cancer being just some of the associated problems.
It outlines who is most at risk and gives handy tips and guidance for employers and workers to keep everyone moving.
This presentation provides an overview of the steps employers can take to support workers with chronic musculoskeletal disorders (MSDs) to manage their condition and continue to work.
Risk assessment is the basis for successful safety and health management, and the key to prevent and manage musculoskeletal disorders. This presentation suggests a straightforward stepwise approach to risk assessment that should work well for most businesses (specially micro and small enterprises).
This presentation provides a general introduction to the prevention and management of musculoskeletal disorders that could be complemented with other presentations or publications in the scope of Campaign 2020-22 Healthy Workplaces Lighten the Load.
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
Health Education on prevention of hypertensionRadhika kulvi
Hypertension is a chronic condition of concern due to its role in the causation of coronary heart diseases. Hypertension is a worldwide epidemic and important risk factor for coronary artery disease, stroke and renal diseases. Blood pressure is the force exerted by the blood against the walls of the blood vessels and is sufficient to maintain tissue perfusion during activity and rest. Hypertension is sustained elevation of BP. In adults, HTN exists when systolic blood pressure is equal to or greater than 140mmHg or diastolic BP is equal to or greater than 90mmHg. The
Deep Leg Vein Thrombosis (DVT): Meaning, Causes, Symptoms, Treatment, and Mor...The Lifesciences Magazine
Deep Leg Vein Thrombosis occurs when a blood clot forms in one or more of the deep veins in the legs. These clots can impede blood flow, leading to severe complications.
Trauma Outpatient Center is a comprehensive facility dedicated to addressing mental health challenges and providing medication-assisted treatment. We offer a diverse range of services aimed at assisting individuals in overcoming addiction, mental health disorders, and related obstacles. Our team consists of seasoned professionals who are both experienced and compassionate, committed to delivering the highest standard of care to our clients. By utilizing evidence-based treatment methods, we strive to help our clients achieve their goals and lead healthier, more fulfilling lives.
Our mission is to provide a safe and supportive environment where our clients can receive the highest quality of care. We are dedicated to assisting our clients in reaching their objectives and improving their overall well-being. We prioritize our clients' needs and individualize treatment plans to ensure they receive tailored care. Our approach is rooted in evidence-based practices proven effective in treating addiction and mental health disorders.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
For those battling kidney disease and exploring treatment options, understanding when to consider a kidney transplant is crucial. This guide aims to provide valuable insights into the circumstances under which a kidney transplant at the renowned Hiranandani Hospital may be the most appropriate course of action. By addressing the key indicators and factors involved, we hope to empower patients and their families to make informed decisions about their kidney care journey.
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
Alert and sentinel approaches for the identification of work-related diseases in the EU
1. Safety and health at work is everyone’s concern. It’s good for you. It’s good for business.
Alert and sentinel approaches for the identification
of work-related diseases in the EU
Presentation for a non-expert audience
Authors: Jelena Bakusic, Annet Lenderink, Charlotte Lambreghts, Sofie Vandenbroeck, Jos
Verbeek, Stefania Curti, Stefano Mattioli, Lode Godderis
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INTRODUCTION
Continuous changes in work and working conditions may give rise to
new work-related diseases (WRDs)
Previously unknown exposure-disease combinations in a specific
work setting
e.g. night shift and breast cancer
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INTRODUCTION
Sentinel and alert systems
Collect information on new WRDs
Raise alert to stakeholders
Use collected data to trigger timely preventive actions
SIGNAL
DETECTION
SIGNAL
ASSESSMENT
SIGNAL
STRENGTHENING
ALERT TO
STAKEHOLDERS
Image source:
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OBJECTIVES OF THE PROJECT
Provide insight into the existing sentinel and alert approaches
to identify new WRDs
Provide recommendations for policy-makers and OSH actors
to implement sentinel and alert systems for prevention
• Policy-makers at national and EU levels
• Social partners
• Researchers
• Actors in occupational diseases recognition, workers’
compensation schemes and statistical data collection
Beneficiaries of the results of this project include:
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OVERVIEW OF THE PROJECT
Task 1. • Literature review
Task 2.
• In-depth description of 12 selected
systems through interviews and
qualitative analysis
Task 3.
• Workshop to discuss outcomes of
tasks 1 and 2
Task 4.
• Final report including
analysis and
recommendations
Task 5.
• Workshop to
disseminate findings to
stakeholders
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LITERATURE REVIEW
Extracted data on each system: general aspects (country, organisation/institution
maintaining the system, website), aim of data collection, coverage, reporting
mechanism, evaluation of work-relatedness, alert on new WRDs, link with prevention
Scientific literature Grey literature
Databases: OpenGrey, OSH-update
Existing data from 3 surveys
Websites
Databases:
• MEDLINE (PUBMED)
• Embase
• Web of Science
Image source: https://www.flickr.com/photos/88687552@N02/8247017546
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THE IN-DEPTH STUDY
6 systems described through in-depth desk research:
6 systems described through interviews with 3 stakeholders:
1. Owner of the sentinel or alert system
2. Workplace actor who reports to the system
3. Researcher or other stakeholder using the system for monitoring,
occupational disease recognition, or workplace prevention
Information describing the development, outline and results of the
systems was gathered from websites, grey literature and scientific
publications
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TWO WORKSHOPS
Expert workshop to discuss outcomes
of Tasks 1 and 2 of the project
Gathered systems’ owners and users,
researchers and actors in the disease
recognition area
Objective: to gain more insight on the
drivers and obstacles to the
implementation of systems
Policy workshop to discuss and
consolidate results of the project
Gathered representatives of ministries of
health and labour, national insurance
bodies, institutes of public health, etc.
Objective: disseminate findings and
recommendations derived from the
project
Image source: http://freecliparty.com/free-image-clip-art/358524/general-meeting-clipart-images-urda6gb-image-clip-art
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RESULTS LITERATURE REVIEW
75 systems/approaches identified from EU countries as well as
outside Europe (USA, Canada, Australia, Singapore, Taiwan etc.)
Typology with algorithm to determine type
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Compensation-based systems
Evaluation by
experts
Case reported for
compensation
Alert to new
WRD
Workplace
interventions
Image sources: https://www.iconspng.com/images/Ke-png/40, https://carwad.net/free-cli, http://clipart-library.com/safety-equipment-cliparts.html,
https://www.clipartmax.com/middle/m2i8G6A0K9b1N4K9_monitoring-evaluation-and-impact-assessment-of-food-evaluation-assessment-graphics/
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Created to provide insurance to workers
Over time expanded to include preventive workplace activities and
publication of national OSH statistical data
Reporting based on voluntary participation of all types of physicians
Data mainly from two sources: compensation claims and medical examinations (screening) of
workers
Work-relatedness evaluation is performed by SUVA’s occupational health (OH) experts
Possible to include detailed workplace inspections with exposure assessments
Swiss National Accident Insurance Fund SUVA (Switzerland)
OPEN LIST
APPROACH
Even though the criteria for compensation are strict, all
suspected WRDs can be reported and can trigger alert and
preventive actions, e.g. burnout preventive campaigns
Image source: https://www.nbboaonline.com/single-post/2023/08/19/This-is-the-title-of-your-second-post, https://fx-forexshop.com/wp-content/uploads/2017/12/swiss-2700775_1920.png
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Motivation of
reporters
Systems for data collection and statistics
Statistics/data
mining
Physicians report cases
seen in their practice
Alert to new
WRDPreventive strategies
and policies
DATABASE
Image sources: https://pixabay.com/en/folder-office-files-corporate-23609, https://www.gograph.com/vector-clip-art/growth-
chart.html/http://www.haydanhthoigian.net/lawyer-clipart/clipart-lawyers-collection-lawyer-scale-best-png-4983-2800-9/
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The Health and Occupation Research network THOR (UK)
Maintained by the University of Manchester
Different reporting schemes for different types
of WRDs
THOR-EXTRA — scheme for reporting
interesting cases or WRDs with a potentially
novel cause
Sophisticated statistical methods for
determination of incidences and trends in
WRDs
Data quality constantly improved
Strong link with authorities
Image source: https://www.kissclipart.com/free/relations,14.html
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The Health and Occupation Research network THOR (UK)
0
20
40
60
80
100
120
140
160
180
200
Nurse (3211) Hairdresser (3221) Cook/chef (5434) Catering assistant
(9223)
Cleaner (9233)
Average annual number of cases Incidence rate per 100,000 employees
Occupational skin disease reported to THOR 2002-2005
Data source: Turner S, Carder M, van Tongeren M, McNamee R, Lines S, Hussey L, et al. The incidence of occupational skin disease as reported to The Health and
Occupation Reporting (THOR) network between 2002 and 2005. Br J Dermatol. 2007;157:713–722.; Image source: http://www.hse.gov.uk/hairdressing/bad-hand.htm
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Sentinel systems
Evaluation by
experts
Suspected case of
new WRDs
Alert to new
WRD
Workplace
interventions
Network of occupational
physicians
Detailed
investigation of
each case
Image sources: https://www.kissclipart.com/network-clipart-computer-network-clip-art-l2qn92/download-clipart.html, http://clipart-library.com/magnifying-glass-vector.html
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Maintained by the Netherlands Centre for Occupational Diseases (NCvB) and the Centre
of Environment and Health of KU Leuven (Belgium)
Main goal is to detect new OH risks and new WRDs
OH physicians report diseases they suspect to be caused by an employee’s occupation
to an online platform
Every reported case is evaluated in a structured manner by at least two independent OH
experts
After the assessment, the reporting physician receives an expanded report. This report
contains supportive literary research, the relevance to the job in question and
suggestions regarding the next steps in the course of action.
SIGNAAL (Belgium and the Netherlands)
Image sources: https://ilpallonenellarete.files.wordpress.com/2016/07/countrieseuro2000.png, https://www.mysignal.be/
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SIGNAAL (Belgium and the Netherlands)
Some of the reports since July 2013 Country
Work-
related?
New combination?
Open angle glaucoma and playing saxophone
(teacher)
NL Yes Not new, relatively unknown
Achilles tendon rupture in the assembly,
dismantling and maintenance of cranes
NL Yes Not new, relatively unknown
Back pain in the care of dementia patients without
available lifting aids
NL Possible Not new
Endotoxin fever after cleaning a polluted drain
with high pressure air
NL Yes
Not new, not described in this
work setting
Nosebleeds and formaldehyde exposure in
aluminimum production
B Yes New
Pulmonary alveolar proteinosis and exposure to
hairspray in a hairdresser
B Yes
Not completely new, but rarely
described
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Public health systems
Public health authority
Extract work-related data
Alert to new
WRD
Monitoring health of
general population
Preventive strategies at
the public health level
Image sources: https://www.emaze.com/@AORCZWQWF, https://cliparts.zone/column-cliparts, http://www.home-air-purifier-expert.com/
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Collect data in three-month periods, through interviews with workers (randomly
selected) in households
Main purpose: estimate incidence and prevalence of work-related injuries and WRDs
Ireland: QNHS survey (Quarterly National Household Survey) is carried out by the
Central Statistics Office (CSO) of Ireland, covering 26,000 households each quarter
UK: Self-Reported Work-Related Illness (SWI), is carried out by the Office for National
Statistics (ONS), covering 50,000 households each quarter
Individuals are asked if they have suffered any illnesses or disabilities in the past 12
months that they believe were caused or aggravated by their work and about factors at
work that may adversely affect mental well-being or physical health
The Labour Force Surveys provide information on WRDs from the workers' perspective
Data is triangulated with other systems in the UK and used for prevention
Labour Force Surveys (Ireland and UK)
Image sources: https://www.uihere.com/free-cliparts/telephone-telephony-orange-telefono-rotary-telephone-illustration-963060, https://www.picswe.com/pics/great-britain-ireland-a7.html
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DRIVERS AND OBSTACLES OF THE SYSTEMS
Drivers/obstacles Recommendations
Visibility of the system: some systems are
poorly described in the literature
• Raise awareness about the existence of the system
• Publish results derived from the system
• Share success stories, make the ‘business case’
Motivation of reporting parties: difficulties
in engaging physicians to report due to
increased demands in their clinical
practice
• Simplification/automation of reporting
• Two-way communication and feedback
• Legal obligation
• Provide a reward for reporting
Exposure assessment: lack of adequate
exposure assessment seen as one of the
major drawbacks by most of the
interviewees; crucial for establishment of
causal relation with work
• Include exposure description in reporting
• Exposure assessment during the evaluation
procedure of reported cases
• Use tools for more standardised reporting of exposure
(such as hierarchical codes for all types of exposures)
Standardisation and quality control:
important for data quality improvement,
but also to enable the comparison of data
collected at national and international
levels
• Clear case definitions,
• Sensitivity versus specificity
• Clear coding system,
• Training and guiding in coding
• Code control
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DRIVERS AND OBSTACLES OF THE SYSTEMS
Drivers/obstacles Recommendations
Awareness and detection on new/emerging WRDs:
one of the main conditions for capturing new
WRDs is that the reporting parties who can identify
them and experts who assess work-relatedness are
aware of these diseases and reporting lines are
clear
• Raise awareness and expertise
• Publish on new/emerging health risks
• Offer expert help with establishing work-
relatedness
• Low reporting threshold
• Data mining in existing databases
Different levels of links with prevention: prevention
can be established at several different levels,
which involves different groups of stakeholders
and could be linked to the typology of the systems
• Collaboration with governmental bodies
• Contact with companies/sectors/workers’
representatives/labour inspectorate
• Follow-up and followback activities
• Enable link with policies
Political and financial support and resources:
stable, long-term funding is crucial for
maintenance of a system; linked to the issue of
human resources and data quality; depends on the
level of importance given to OSH by the
government
• Raise awareness
• Publish case reports in journals
• Constantly demonstrate the significance of
the work performed by these systems
• Develop smaller projects that target specific
areas of OSH
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SETTING UP A SENTINEL APPROACH
RECOMMENDATIONS FOR SYSTEM DEVELOPERS
• organisation of OH service
• coverage and number of OH providers
• accessibility of the OH service
(e.g. to different economic sectors/SMEs)
Place the
system in the
national OH
context
Use already
tested
systems from
other
countries
Engage
occupational
physicians as
reporters
Implement
actions to
motivate
reporters
Image sources: http://bestmaths.net/online/files/9914/0045/9266/VectorMen.jpg, https://openclipart.org/image/2400px/svg_to_png/280633/World-Flags-Globe-
3.png, https://rh.org.ru/wp-content/uploads/2017/02/doctor-icon-005-896x1024.png
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SETTING UP A SENTINEL APPROACH
RECOMMENDATIONS FOR SYSTEM DEVELOPERS
Focus on identifying individual cases of new WRDs and
new exposure-WRD links
Capture a smaller number of cases
More sensitive approach and high expertise in terms of work-relatedness evaluation
‘Individual sentinel signals’
‘Population-based sentinel signals’
Focus on identifying groups of workers/economic sectors at risk
Use data to calculate incidences and trends
Look for groups of workers/sectors with an increased incidence or emerging trends
Systems can primarily focus on one of two types of signals
Image sources: https://mariarubiom.files.wordpress.com/2014/01/los-diferentes-pc3bablicos-de-una-empresa.png, https://www.kissclipart.com/hiring-process-recruitment-clipart-recruitment-org-
h9wy75/
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ASSESSMENT OF THE SIGNALS — RECOMMENDATIONS
• Nature of certain groups of exposures and
diseases makes their monitoring more difficult
(e.g. multifactorial health issues such as
musculoskeletal and psychosocial ill health)
Adjust to
specific
groups of
diseases
Clearer
assessment
criteria for
mental
diseases
Request
exposure
description
from
reporters
Structure on-
site exposure
assessment
Improve exposure assessment
Image source: https://wcvmtoday.usask.ca/images/2018/iStock-brain.mar.16.2018.jpg
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ASSESSMENT OF THE SIGNALS — RECOMMENDATIONS
Different
levels of alert
Level 1 –
internal
experts
Level 2 –
bigger groups
of experts,
industries at
risk
Level 3 – OH
and public
health
authorities
Work-
relatedness
evaluation by
experts
Improve signal strengthening and alert
Image source: http://clipartstation.com/wp-content/uploads/2017/11/industries-clipart-5-1.png
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VISIONS FOR FUTURE — DEVELOPMENT OF EU-WIDE SENTINEL
SURVEILLANCE
SIGNAL
DETECTION
ALERT TO
STAKEHOLDERS
SIGNAL
STRENGTHENING
SIGNAL
ASSESSMENT
• Promote guidance
documents on how to
implement sentinel
approaches
• Promote harmonisation of
recorded data
• Develop uniform criteria
for assessment of work-
relatedness
• Form a group of international
experts on new/emerging
WRDs
• Experts can help to assess
cases reported at the national
level
National level National level EU level
EU level
National level
Level 1 alert
Levels 2 and 3
alerts
Image source: https://www.goethe.de/resources/files/jpg430/Intro_ETS-formatkey-jpg-w320m.jpg