The health and safety of employees and contractors is a key consideration for any mining operation anywhere in the world. However, in a sustainable mining context these considerations cannot terminate at the front gate – the health and wellbeing of people in the communities surrounding mining operations are crucial for the success of the operations themselves. Critical health issues facing communities vary around the world and how these issues are addressed also varies. What is consistent is the need to consider how the projects are affected by the local environments and the impacts projects may have on communities. And this must be done at every stage of the project lifecycle, from early exploration to resettlement and decommissioning. Public health should be integral to any mining operation. The contexts in which projects are located generate health challenges that can have serious repercussions on the projects themselves, such as the current ebola outbreak in West Africa. At the same time, public health considerations should be the cornerstone of any corporate social responsibility (CSR) program. If well-conceived these programs can contribute to local development but often the existing health systems and regulations are not clearly understood

1. BEYOND SAFETY MINING AND PUBLIC HEALTH
Presenter: Francesca Viliani
Head of Public Health Consulting Services and Community Health Programs –International SOS
SMI seminar series –10 September 2014
Twitter: @fravili

2. 2
Health, we all know is important
"Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity."
Preamble to the Constitution of the World Health Organization (WHO), July 1946

3. 3
Health, we also know health (or lack of it) has an economic value (€)
No income
Family delivered home care
Reduced productivity
Absenteeism
Less taxes
Lost revenue
Net expenses
family
work
society
Additional health expenses
Hiring home care
Workers insurance
Supporting health care system

4. 4
Health a measure of development…
Millennium Development Goals (MDGs) a clear example that health is a yardstick of development progress.
MDG 1: Eradicate extreme poverty and hunger
MDG 4: Reduce child mortality
MDG 5: Improve maternal health
MDG 6: Combat HIV/AIDS, malaria and other diseases
MDG 7: Ensure environmental sustainability

5. Agenda
•Inside and outside, really?
•Industry
•Context and impacts
•Examples of programs
•Case study on ebola
5

6. 6
Inside and outside

7. The fence...
7

8. Community Health
Public Health
Medical department, CSR dept. National Health System, Communities, NGOs
Workforce Health
Occupational Health
Medical services (private and public)
Medial department, HR, HSE & Health System
Strategic Health Management System
Workers and communities
8

9. Determinants of health

10. 10
Industry

11. HIA and the industry
11

12. OGP Health Leading PI review
OGP -IPIECA 2012 data
12

13. HIA potentially powerful, but still an orphan process
13

14. ICMM Health and Safety Conference 201214
ICMM Principle 5
Seek continual improvement of our health and safety performance
One conclusion from the conference
Raising the profile of Health in the industry & relating it to values

15. The Duty of Care continuum
15

16. 16
Context and impacts

17. Project
Impacts
Context
Risks
Health
Challenges
Inherent Risks
Underlying Needs
•A project has inherent risks, and can create potential impacts on the local community
•A community has underlying health needs, which could impact the project
17

18. Unequal availability of resources
Delivery room health centre
Emergency Room oil operator
18

19. Example of Public Health Programs

20. Workforce Health Programs
20

21. 41.2
2.7
0.0
5.0
10.0
15.0
20.0
25.030.0
35.0
40.0
45.0
Rate/100 man years
Workforce malaria incidenceProject DRC, New cases/100 person years* (2008-2013) (-93%)
Incidence
Trendline
-93% in new malaria cases
* Person year: the length of time of experience or exposure of a group of people who have been observed for varying periods of time. It is the sum total of the length of time each person has been exposed, observed, or at risk.
21

22. Strategic Community Investments
22

23. 77.05%
33.78%
22.62%
30.63%
37.01%
46.99%
41.13%
37.96%
16.30%
0.00%
10.00%
20.00%
30.00%
40.00% 50.00%
60.00%
70.00%
80.00%
90.00%
May-07
May-09
Oct-09
May-10
Oct-10
May-11
Oct.11
May-12
Oct-12
Slide Percent Positive
Malaria prevalence in children of school ageProject DRC Project A, Slide Positivity Rate (%) (2007-2012) Prevalence rate
Trendline
-78% in slides with malaria parasites in children
23

24. Community Health Program Project Indonesia A
24

25. 22%
46%
72%
86%
10%
23%
34%
63%
0%
10%
20%
30%
40%
50% 60%
70%
80%
90%
100% 2008
2011
Pneumonia in Children
Cough in Children
Moderate – Severe Anemia in Mothers
Moderate- Severe Anemia in Children
Pneumonia, cough, anemiaProject Indonesia A, Prevalence in children u-5 and women in reproductive age (2008-2011)
At least -26% in prevalence in all groups
25

26. 26Ebola case study

27. 27

28. Emerging Pandemic Threats Program
IDRAM Initiative
•To raise awareness of emerging infectious diseases of zoonotic origin
•To encourage interaction between the companies and local officials in a health response
•To promote on-going support to National Health Systems.

29. 29Thank you