MAQOHSC – Skin Screening & Health Surveillance Program Tim Nelson Corporate Health Group

Health Surveillance & Health Promotion Program Health Assessment  Initial focus on Data Collection has moved to the aim of making measurable improvements in Health Status  Blood Cholesterol & Glucose  Body Composition  Blood Pressure  Cardiac Risk Rating  Fitness Assessment  Nutritional Profile  Back Care Assessment

Health Assessment  Hearing  Vision  Lung Function  Comprehensive Health & Lifestyle Questionnaire  All tests are completely voluntary and confidential  Follow Up information at 3 and 6 months Health Surveillance & Health Promotion Program

Mine & Quarry Sites  3435 Health Assessments conducted on 90 sites  38 Sites less than 6 staff & 13 Sites more than 30 staff  Average Participation rate greater than 75% Population  88% Male  8% Living in Adelaide Metropolitan Area  Average age of 42 Health Surveillance & Health Promotion Program

Results  Smoking Rate nearly double the national average  Average BMI of 28.4 and excess abdominal fat  Highest nutritional profile score of any industry or major company CHG have worked with  Just over ¼ of staff participating in ideal levels of physical activity and poor levels of aerobic fitness  Referral rates of approximately 25% for both Blood Pressure and Blood Cholesterol

Health Surveillance & Health Promotion Program Results  6% of staff referred for elevated blood glucose levels  Very low self reported stress levels  Over 30% of staff at an unacceptable risk of Heart Disease  40% of staff referred for further audiological assessment  20% of staff referred for some deficiency in visual acuity

Health Surveillance & Health Promotion Program Changes to Health Status  There has been little change in the health status of this population over the past 7 years However  The results of the 387 staff who have participated in at least 3 health assessments show some significant differences

Health Surveillance & Health Promotion Program Changes to Health Status  Average age increased by 5 years  Massive reduction in smoking rates  Slight Improvement in average Aerobic Fitness levels  Significant improvements in Physical Activity participation  Nutritional Improvements equivalent to 1-2 dietary changes per participant  Major reduction in Cardiac Risk Rating  Slight decline in Body composition

Targeting this population Promotion & Participation  Separate medicolegal health screening from voluntary health promotion as much as possible  Promote the reasons behind your programs and push ‘Employee Benefits’  Utilise activities that will interest staff in most need  Leadership or managerial involvement is essential  No substitute for ‘Face to Face’ promotion

Targeting this population Designing Your Program  Health literacy is not necessarily strictly related to normal literacy or numeracy literacy levels.  Motivation is as important as knowledge  Provide a holistic health promotion regardless of specific site focus  Aim should be around changing the culture of your workforce  Individual program components should be considered  Long term planning for an ongoing program is the key to success  Practical initiatives should be used where possible

Skin Screening Program Skin Cancer in Australia  Australia has the highest incidence of Skin Cancer in the world  Of the 9500 melanomas diagnosed annually in Australia, over 1200 deaths occur  Of the 375,000 non-melanoma skin cancers diagnosed annually in Australia, over 400 deaths occur  99% of detected melanomas are treated successfully if detected before it has spread. This figure drops to 65% if spread within area of primary melanoma and 15% if it is widespread

Skin Screening Program Skin Cancer in this Industry  Outdoor workers are at a higher than average risk of developing skin cancer  Indoor workers exposed intermittently to high levels of UV radiation are thought to be at increased risk of developing melanomas  Smoking increases the risk of developing skin cancer  Only 25% of staff reported applying sunscreen ‘Most Times’ or ‘Always’ when in the sun for more than 10 minutes  1 st Workplace Skin Cancer Claim in Australia cam in 2003

Skin Screening Program MAQOHSC Program  10 minute screening appointment  Participants with suspicious lesions are referred to their own GP  No treatment is done on-site or through CHG  Very small pool of experienced Doctors

Skin Screening Program Program Details  Over a 3 year period, 2121 screens conducted  89 sites involved, many on 2 occasions  70 sites had less than 15 staff

Skin Screening Program Results  489 Referrals Total  6 staff referred for suspected melanoma  19 referrals for suspected SCS  74 referrals for suspected BCC  18 referrals for lesions that warrant immediate excision or biopsy  Confidential nature of program prevents discussion of treatment

Questions MAQOHSC  Wayne Hooper  P:  E: Corporate Health Group  Tim Nelson  P:  E: