1. 1 Tel: +90 (312) 215 50 21 Faks: +90 (312) 215 50 28 e-posta: isggm@csgb.gov.tr http://isggm.calisma.gov.tr Dr. Rana Güven Dep. Dir. Gen. Working Conditions of Dust Containing Workplaces, Legal Basis for Prevention of Workers’ Health 21 April 2006/Antalya Ministry of Labour and Social Security Directorate General of Occupational Health and Safety

2. 2 Tel: +90 (312) 215 50 21 Faks: +90 (312) 215 50 28 e-posta: isggm@csgb.gov.tr http://isggm.calisma.gov.tr Occupational Health ILO/WHO (1950) Occupational Health ILO/WHO (1950) >To improve the physical, mental and social well-being of all employees to ultimate level and keep at the ultimate level, >To prevent the health problems of employees associated with working conditions, >To protect the employees from the agents at the workplace which damage their health, >To provide working conditions, which are most suitable for their physical and psychological conditions.

3. 3 Tel: +90 (312) 215 50 21 Faks: +90 (312) 215 50 28 e-posta: isggm@csgb.gov.tr http://isggm.calisma.gov.tr Occupational Health ILO/WHO (1995) Occupational Health ILO/WHO (1995) >To protect the health and working capacity of the employees, >To improve the working environment and the work done, >To develop work organization and working culture in order to improve health and safety at the workplace.

4. 4 Tel: +90 (312) 215 50 21 Faks: +90 (312) 215 50 28 e-posta: isggm@csgb.gov.tr http://isggm.calisma.gov.tr Global Estimates Global workforce 2.8 billion Work related fatalities 2.2 million Occupational accidents 270 million Work-related diseases 160 million Global GDP (income)30 000 billion $ Lost GDP in accidents/diseases4 % Migrants175 million llliterate1000 million People in poverty1000 million Child workers246 million (Takala, 2005)

5. 5 Tel: +90 (312) 215 50 21 Faks: +90 (312) 215 50 28 e-posta: isggm@csgb.gov.tr http://isggm.calisma.gov.tr Kaynak: Brigitte Froneberg, ILO 07/2005 Global estimated work-related Mortality

6. 6 Tel: +90 (312) 215 50 21 Faks: +90 (312) 215 50 28 e-posta: isggm@csgb.gov.tr http://isggm.calisma.gov.tr Kaynak: Brigitte Froneberg, ILO 07/2005 Global estimated Cost by disease

7. 7 Tel: +90 (312) 215 50 21 Faks: +90 (312) 215 50 28 e-posta: isggm@csgb.gov.tr http://isggm.calisma.gov.tr Sickness absence by diagnosis and effect on production and national economy Kaynak: Brigitte Froneberg, ILO 07/2005

8. 8 Tel: +90 (312) 215 50 21 Faks: +90 (312) 215 50 28 e-posta: isggm@csgb.gov.tr http://isggm.calisma.gov.tr According to ILO Publications; >Silicosis affects 10 million employees worldwide. >37% of Latin American mining workers are affected by Silicosis. Prevalance of silicosis is nearly 50% among mining workers above 50 years of age. >50% of the workers and 36% of the workers working in rock processing in the pencil industry in India suffer from Silicosis.

9. 9 Tel: +90 (312) 215 50 21 Faks: +90 (312) 215 50 28 e-posta: isggm@csgb.gov.tr http://isggm.calisma.gov.tr Reductıon In Prevalence Of Sılıcosıs; USA - 1.7 million exposed; 10% are at rısk GERMANY - 3,500 cases of sılıcosıs annually (1990s) FRANCE - 300 cases of sılıcosıs are notıfıed yearly JAPAN - 1,000 cases of sılıcosıs reported yearly AUSTRALIA - 1,010 cases are predıcted UK - 1162 new cases of pneumoconıoses (2002) Global Situation – developed countries

10. 10 Tel: +90 (312) 215 50 21 Faks: +90 (312) 215 50 28 e-posta: isggm@csgb.gov.tr http://isggm.calisma.gov.tr CHINA - 59,773 new cases (1991-95), Incidence 15- 40,000 Prevalence - 542,041 (1998), >1m in 2002 10 million exposed, DEATHS - 5,000 YEARLY INDIA - 5 million exposed, prevalence up to 55% BRAZIL - 6.6 million exposed to silica dusts COLOMBIA - 1,8 million workers at risk LATIN AMERICA - 37% prevalence in miners, 50%- 50 yrs old SOUTH AFRICA - 30- 50% prevalence in some industries 600’000 former miners with silicosis GENERAL – 30-50% workers may suffer from dust-related occupational diseases in high risk sectors Global Situation – developing countries

11. 11 Tel: +90 (312) 215 50 21 Faks: +90 (312) 215 50 28 e-posta: isggm@csgb.gov.tr http://isggm.calisma.gov.tr Global Situation – developing countries CountryExposed PopulationPrevalence Rate% BoliviaTin Miners (silicosis)7.6 BrazilPhosphate rock workers27.0 ChileCoal miners (CWP)14.1 ColombiaCoal miners (CWP)15.0 EgyptCoal miners (CWP)9.1 IndiaSlate pencil workers54.6 Stone cutters35.2 Agate workers 18.5 KoreaAnthracite miners9,3 ThailandStone mortar workers21.0 Refractory brick workers9.3 VietnamMining, quarrying18,0 ZimbabweMetal miners 20.0

12. 12 Tel: +90 (312) 215 50 21 Faks: +90 (312) 215 50 28 e-posta: isggm@csgb.gov.tr http://isggm.calisma.gov.tr Some Statistical Data of WHO-Europa 2005

13. 13 Tel: +90 (312) 215 50 21 Faks: +90 (312) 215 50 28 e-posta: isggm@csgb.gov.tr http://isggm.calisma.gov.tr EU Countries, before May 2004 TR New cases of Occ. Diseases per 100.000

14. 14 Tel: +90 (312) 215 50 21 Faks: +90 (312) 215 50 28 e-posta: isggm@csgb.gov.tr http://isggm.calisma.gov.tr 12 European Union Member States (2001) >485 of 31.945 occupational diseases are silicosis. >Wide spread use of crystalline silica in various sectors affect the risk of silicosis depending on the characteristics of the work and technological factors. >For instance, the risk of silicosis has been found to be between 1.9 and 6.5% for rock processing workers, whereas it has been found as 30% in sand blasting opertions.

15. 15 Tel: +90 (312) 215 50 21 Faks: +90 (312) 215 50 28 e-posta: isggm@csgb.gov.tr http://isggm.calisma.gov.tr Some Data of OHS in TURKEY

16. 16 Tel: +90 (312) 215 50 21 Faks: +90 (312) 215 50 28 e-posta: isggm@csgb.gov.tr http://isggm.calisma.gov.tr Number of Workplaces (2000-2004, SSK)

17. 17 Tel: +90 (312) 215 50 21 Faks: +90 (312) 215 50 28 e-posta: isggm@csgb.gov.tr http://isggm.calisma.gov.tr Number of Workers (2000-2004, SSK)

18. 18 Tel: +90 (312) 215 50 21 Faks: +90 (312) 215 50 28 e-posta: isggm@csgb.gov.tr http://isggm.calisma.gov.tr 2004 SSK Statistics 2004 SSK Statistics >83.830 occupational accidents >384 occupational diseases >843 deaths >2.042.986 working days lost

19. 19 Tel: +90 (312) 215 50 21 Faks: +90 (312) 215 50 28 e-posta: isggm@csgb.gov.tr http://isggm.calisma.gov.tr Number of Occupational Diseases (2000-2004, SSK)

20. 20 Tel: +90 (312) 215 50 21 Faks: +90 (312) 215 50 28 e-posta: isggm@csgb.gov.tr http://isggm.calisma.gov.tr Number of Fatalities Due to Occupational Diseases and Accidents (2000-2004, SSK)

21. 21 Tel: +90 (312) 215 50 21 Faks: +90 (312) 215 50 28 e-posta: isggm@csgb.gov.tr http://isggm.calisma.gov.tr Index of Occupational Diseases (Regulation of Health Procedures, 1972) Group A: Diseases due to hazardous chemicals and their compounds. Group B: Occupational skin diseases Group C : Pneumoconiosis and other occupational respiratory diseases. Group D : Occupational infectious diseases Group E : Diseases due to physical agents

22. 22 Tel: +90 (312) 215 50 21 Faks: +90 (312) 215 50 28 e-posta: isggm@csgb.gov.tr http://isggm.calisma.gov.tr Group C: Pneumoconiosis and other occupational respiratory diseases (2004, SSK) Group C F M T C-1 A50 Silicosis and silicotuberculosis 1130131 C-1 B51 Asbestosis 011 C-1 C52 Silicatosis 000 C-1 D53 Siderosis 011 C-254 Aliminium and its compounds 000 C-355 Hard-metal dust 000 C-456 Thomas slug 000 C-557 Ocupational bronchial asthma 134 C-658 Byssinosis 000

23. 23 Tel: +90 (312) 215 50 21 Faks: +90 (312) 215 50 28 e-posta: isggm@csgb.gov.tr http://isggm.calisma.gov.tr Number of Workers Exposed to Dust (2004, SSK) >Coal Mining 38492 >Mining except Coal Mining 8512 >Stone, Clay, Sand Quarries 26163 >Deduce of other Ores 10457 >Stone, Soil, Clay, Sand etc. Prod. 138314 TOTAL 221938

24. 24 Tel: +90 (312) 215 50 21 Faks: +90 (312) 215 50 28 e-posta: isggm@csgb.gov.tr http://isggm.calisma.gov.tr National and International Regulations About Dusts

25. 25 Tel: +90 (312) 215 50 21 Faks: +90 (312) 215 50 28 e-posta: isggm@csgb.gov.tr http://isggm.calisma.gov.tr ILO CONVENTIONS-RECOMMENDATIONS Occupational Safety and Health >Convention of Occupational Safety and Health 1981 No.155 >Recommendation for Occupational Safety and Health 1981 No.164 Occupational Safety Services >Convention of Occupational Safety Services 1985 No.161 >Recommendation for Occupational Safety Services 1985 No.171

26. 26 Tel: +90 (312) 215 50 21 Faks: +90 (312) 215 50 28 e-posta: isggm@csgb.gov.tr http://isggm.calisma.gov.tr ILO CONVENTIONS-RECOMMENDATIONS >Asbestosis Convention. 1986 No.162. >Asbestosis Recommendation. 1986 No.172 >Chemicals Convention. 1990 No.170 >Chemicals Recommendation. 1990 No.177 >Convention of Occupational Cancers. 1974 No.139 >Recommendation for Occupational Cancers. 1974 No.147 >Convention of Safety and Health in Mines, 1995 No:176 >Recommendation for Safety and Health in Mines, 1995 No:183 >Convention of Working Environment (Air Pollution, Noise ve Vibration), 1977 No:148 >Recommendation for Working Environment (Air Pollution, Noise ve Vibration), 1977 No:156

27. 27 Tel: +90 (312) 215 50 21 Faks: +90 (312) 215 50 28 e-posta: isggm@csgb.gov.tr http://isggm.calisma.gov.tr “National Action Plan for Silicosis” (1995 and 2003) ILO/WHO Global Programme for the Elimination of Silicosis (GPES) “National Action Plan for Silicosis” (1995 and 2003)

28. 28 Tel: +90 (312) 215 50 21 Faks: +90 (312) 215 50 28 e-posta: isggm@csgb.gov.tr http://isggm.calisma.gov.tr

29. 29 Tel: +90 (312) 215 50 21 Faks: +90 (312) 215 50 28 e-posta: isggm@csgb.gov.tr http://isggm.calisma.gov.tr

30. 30 Tel: +90 (312) 215 50 21 Faks: +90 (312) 215 50 28 e-posta: isggm@csgb.gov.tr http://isggm.calisma.gov.tr ILO/WHO Global Programme for the Elimination of Silicosis Definition of the GPES The ILO/WHO global programme for the elımınatıon of sılıcosıs (gpes) ıs an ınternatıonal technıcal cooperatıon programme desıgned to assıst countrıes ın theır actıon to pprevent sılıcosıs and elımınate ıt as an occupatıonal health problem worldwıde.

31. 31 Tel: +90 (312) 215 50 21 Faks: +90 (312) 215 50 28 e-posta: isggm@csgb.gov.tr http://isggm.calisma.gov.tr ILO/WHO Global Programme for the Elimination of Silicosis Purpose of the programme Offer framework for wıde ınternatıonal cooperatıon Contrıbute to the global elımınatıon of sılıcosıs as OSH problem Immediate objective Promote establısment of natıonal actıon programs Reduce sıgnıfıcantly the ıncıdence rate of sılıcosıs by 2015 Development objective Establısh long-term wıde ınternatıonal cooperatıon Elımınate sılıcosıs as OSH problem by 2030

32. 32 Tel: +90 (312) 215 50 21 Faks: +90 (312) 215 50 28 e-posta: isggm@csgb.gov.tr http://isggm.calisma.gov.tr ILO/WHO Global Programme for the Elimination of Silicosis ILO 2000 Classification of Radiographs of Pneumoconiosis 1980, 2000

33. 33 Tel: +90 (312) 215 50 21 Faks: +90 (312) 215 50 28 e-posta: isggm@csgb.gov.tr http://isggm.calisma.gov.tr Seminar on International ILO Classification of Radiographs of Pneumoconiosis 11-15 July 2005/Ankara First seminar in Turkey: 1995 The second one: 2005 Participants: MOLSS 8 Ministry of Health 20 Universities 3 Turkish Med. Ass. 2 Foun. of Thorax 3 Private sector 7 Total 43 Medical doctors.

34. 34 Tel: +90 (312) 215 50 21 Faks: +90 (312) 215 50 28 e-posta: isggm@csgb.gov.tr http://isggm.calisma.gov.tr Some photos from ILO Seminar in Ankara

35. 35 Tel: +90 (312) 215 50 21 Faks: +90 (312) 215 50 28 e-posta: isggm@csgb.gov.tr http://isggm.calisma.gov.tr Current Legislation in Turkey Regulation for Worker Health and Occupational Safety Fourth Chapter - Article 76 Regulation for Occupational Health and Safety Measures in Mines, Quarries and Tunnel Construction Regulation for Combatting Dust in Mines, Quarries and Tunnel Construction Regulation for Heavy and Hazardous Works

36. 36 Tel: +90 (312) 215 50 21 Faks: +90 (312) 215 50 28 e-posta: isggm@csgb.gov.tr http://isggm.calisma.gov.tr Labour Act No.1475 " Regulation for Occupational Health and Safety Measures in Mines, Quarries and Tunnel Construction“ Regulation for Combatting Dust in Mines, Quarries and Tunnel Construction 14/09/1990 - 20635 (Change: 26.02.2000 -23976)

37. 37 Tel: +90 (312) 215 50 21 Faks: +90 (312) 215 50 28 e-posta: isggm@csgb.gov.tr http://isggm.calisma.gov.tr OBJECTIVE: In all mining, quarrying and tunnel constrcution enterprises and their complementary facilities within the scope of the Labour Act, Fight against dust and protect employees from dusts leading to pneumoconiosis

38. 38 Tel: +90 (312) 215 50 21 Faks: +90 (312) 215 50 28 e-posta: isggm@csgb.gov.tr http://isggm.calisma.gov.tr The Commission of Challenge Against Dust Makes decisions by considering the opinions and recommendatons of DGOHS, Board of Labour Inspectorate, workplaces and employers covered by this regulation and other related foundations, regarding this implementation of the regulation. The Unit to Challenge Against Dust The enterprises in which 300 or more workers are employed are obliged to found a unit to fight against dust.

39. 39 Tel: +90 (312) 215 50 21 Faks: +90 (312) 215 50 28 e-posta: isggm@csgb.gov.tr http://isggm.calisma.gov.tr The Commission of Challenge Against Dust (TMK) >Ministry of Health, >Ministry of Energy and Natural Resources, >One representative from confederations of trade unions and employer associations who have the highest number of members >Representatves of Ministry of Labour and Social Security >One doctor and one engineer who have experience on dust and pneumoconiosis researches

40. 40 Tel: +90 (312) 215 50 21 Faks: +90 (312) 215 50 28 e-posta: isggm@csgb.gov.tr http://isggm.calisma.gov.tr Legislation Activities >In December 2004, it has been decided to ask for the recommendations of the foundations and universities. >35 foundations delivered recommendations. >Final draft of the regulation was prepared by TMK in June 2005.

41. 41 Tel: +90 (312) 215 50 21 Faks: +90 (312) 215 50 28 e-posta: isggm@csgb.gov.tr http://isggm.calisma.gov.tr DRAFT: 21 ESD= ------------- mg/m³ % SiO2+2 TLV is assumed to be 3 mg/m3 where the SiO2 content is below 5%. Treshold Limit Values Article 16 -(Değişik 26/2/2000-23976 s.R.G.).) For respirable dusts whose SiO2 content is above %5 TLV = 25 mg/m³ % SiO2 TLV is assumed to be 5 mg/m3 where the SiO2 content is below 5%.

42. 42 Tel: +90 (312) 215 50 21 Faks: +90 (312) 215 50 28 e-posta: isggm@csgb.gov.tr http://isggm.calisma.gov.tr Medical examinations Workers are medically examined before they are employed and periodically examined during their employment. Protection Against Pneumoconiosis and Operations Related to Diagnosis of Pneumoconiosis (1)

43. 43 Tel: +90 (312) 215 50 21 Faks: +90 (312) 215 50 28 e-posta: isggm@csgb.gov.tr http://isggm.calisma.gov.tr Assessment of chest radiographies Workers are subjected to standard chest radiography before they are employed and once every two years during their employment. The standard chest radiographs are assessed by reader A for and sent to reader B. Protection Against Pneumoconiosis and Operations Related to Diagnosis of Pneumoconiosis (2) DRAFT: Workers are subjected to standard chest radiography before they are employed and once a year during their employment. The standard chest radiographs are separately assessed by two readers.

44. 44 Tel: +90 (312) 215 50 21 Faks: +90 (312) 215 50 28 e-posta: isggm@csgb.gov.tr http://isggm.calisma.gov.tr Protection Against Pneumoconiosis and Operations Related to Diagnosis of Pneumoconiosis (3) Employment conditions of the employees diagnosed as Pneumoconiosis Category I in the workplaces where dust concentration is below 2%, Category II in the dust-free operations. DRAFT: The employees who are diagnosed as Category I or higher are employed in dust-free environments.

45. 45 Tel: +90 (312) 215 50 21 Faks: +90 (312) 215 50 28 e-posta: isggm@csgb.gov.tr http://isggm.calisma.gov.tr Training Seminars Seminars are organized for the medical doctors who will take part in the unit for challenge against dust. These seminar programs are prepared and implemented by the universities and related foundations, under coordination of İSGÜM. Training (1) DRAFT: Technical staff employed in the unit for combating dust and the medical doctors who will be examiners in the assessment of pneumoconiosis should be certificated. To that end, training seminars which are coordinated by DGOHS and in which İSGÜM, universities and related foundations participate are organized; and the ones who successfully finish the seminars are given their certificates by DGOHS.

46. 46 Tel: +90 (312) 215 50 21 Faks: +90 (312) 215 50 28 e-posta: isggm@csgb.gov.tr http://isggm.calisma.gov.tr Pneumoconiosis Assessment Seminars Training seminars on ILO International Classification of Pneumoconiosis Radiography are organized for the doctors who will take part as readers A and B, under coordination of İSGÜM. Training (2) DRAFT: The ones who successfully finish the training seminar on ILO International Classification of Pneumoconiosis Radiography arranged for the medical doctors who will work as examiners, are given certificates. Certificates of the medical doctors are kept valid provided that they attend the proficiency evaluation exams held every five years and become successful.

47. 47 Tel: +90 (312) 215 50 21 Faks: +90 (312) 215 50 28 e-posta: isggm@csgb.gov.tr http://isggm.calisma.gov.tr National Action Plan for Elimination of Silicosis in Turkey

48. 48 Tel: +90 (312) 215 50 21 Faks: +90 (312) 215 50 28 e-posta: isggm@csgb.gov.tr http://isggm.calisma.gov.tr PROBLEMS >Inadequacy of dust measurements >High exposure concentrations >Ineffective health surveillance >Insufficient reporting for occupational diseases >Small-sized enterprises

49. 49 Tel: +90 (312) 215 50 21 Faks: +90 (312) 215 50 28 e-posta: isggm@csgb.gov.tr http://isggm.calisma.gov.tr DETERMINATION OF THE PROBLEMS Extent of the problem Socio-economical conditions Determination of the groups under risk Definition of the prevention strategy Institutional frame work and participants Implementation of the program Mechanism and monitoring of the implementation Development of the national standard

50. 50 Tel: +90 (312) 215 50 21 Faks: +90 (312) 215 50 28 e-posta: isggm@csgb.gov.tr http://isggm.calisma.gov.trTARGETS Implementation of the Regulation, prepared in agreement with the social partners, Improvement of the supporting and consultation services of the government, Ineffective inspection Development of the record system for occupational diseases Training and raising awareness of the OHS professionals, Cooperation of the involved parties.

51. 51 Tel: +90 (312) 215 50 21 Faks: +90 (312) 215 50 28 e-posta: isggm@csgb.gov.tr http://isggm.calisma.gov.tr İSGÜM

52. 52 Tel: +90 (312) 215 50 21 Faks: +90 (312) 215 50 28 e-posta: isggm@csgb.gov.tr http://isggm.calisma.gov.tr Contact us... İSG Journal of Occupational Health and Safety WEB page http://isggm.calisma.gov.tr http://tr.osha.eu.int http://isggm.calisma.gov.tr http://tr.osha.eu.int http://isggm.calisma.gov.tr http://tr.osha.eu.int E-mail isggm@csgb.gov.tr

53. 53 Tel: +90 (312) 215 50 21 Faks: +90 (312) 215 50 28 e-posta: isggm@csgb.gov.tr http://isggm.calisma.gov.tr