60 Years of FIOH – What's Next? EASOM Summer School Harri Vainio, MD, Professor Director General

FIOH / Harri Vainio / Finns are ageing Statistics Finland Men (thousands) Women (thousands) 2003 Men (thousands) Women (thousands)

FIOH / Harri Vainio / Finland in the 1940s Major occupational health issues: carbon monoxide, lead, benzene Largest branch of economy: agriculture and forestry

FIOH / Harri Vainio / Structural changes in working life Statistics Finland Economically active population in various branches of economy

FIOH / Harri Vainio / Diminishing risks: CS 2 + H 2 S in the workroom air in viscose-rayon industry TLV until 1972TLV TLV since 1993 PPM CS 2 + H 2 S 1950s s1970s1980s1990s

FIOH / Harri Vainio / Diminishing risks: CS 2 Risk ratio as a function of follow-up time Nurminen & Hernberg: British Journal of Industrial Medicine 1985

FIOH / Harri Vainio / Diminishing risks: CS 2 Impact of intervention on ischemic heart disease mortality Nurminen & Hernberg: British Journal of Industrial Medicine 1985 Follow-up Year / Period Risk Ratio The hypothetical number of deaths that would have occurred among the exposed cohort had the same mortality risk that prevailed before 1975 continued after 1974: 59 instead of 19 (observed) Preventive fraction = (59 – 19)/59 = 68%

FIOH / Harri Vainio / Diminishing risks, emerging consequencies: Asbestos and mesothelioma

FIOH / Harri Vainio / Emerging risks: stress Downsizing increases the risk of cardiovascular mortality Vahtera et al. BMJ 2004 <88-18>18 0,0 0,5 1,0 1,5 2,0 1,2 1,1 1,5 2,0* 1,4* 1,2 Risk of death Downsizing (% of personnel) All deaths Cardiovascular deaths Other deaths

FIOH / Harri Vainio / The New York Times

FIOH / Harri Vainio / Innovations in the globalized world Statistics Finland OECD The share of high-tech exports in some OECD countries Finnish trade on high-tech products R&D input in some OECD countries

FIOH / Harri Vainio / Innovations in research Mervi Hasu, FIOH Research Development Partner Group of clients Chain of clients Shared problem space Shared problem space Shared problem space Research organization From linear processes … … to co-operative networks

FIOH / Harri Vainio / FIOH strategy : We promote health and safety at work as part of a good full life We create solutions for improving occupational health, safety and well-being together with our clients and partners By applying our solutions, our clients can learn new things, improve their operations, and succeed in the changing environment We learn from our clients about the needs in work life, and find new objects for our research and development activities Research partners Workplaces, citizens, public authorities Mediating bodies shared problem space shared problem space shared problem space X 1 X 2 X 3 X 4 FIOH

FIOH / Harri Vainio / Strategic goals 1.At workplaces, the management of health hazards is part of management practices and corporate risk management 2.Work communities are innovative, regenerative and healthy 3.Each citizen has the competence to ensure his or her own occupational safety and well-being 4.The authorities are provided with information for promoting occupational health and safety 5.Work processes are smoothly flowing, and working methods and tools are safe and easy to use 6.Solutions are created in order to increase participation in work life 7.New occupational hazards are kept under control, and new opportunities are exploited.

FIOH / Harri Vainio / Mode of operation Provide training original articles overviews criteria documents methods guides handbooks best practices Investigate and develop Collect, promote and evaluate scientific knowledge; develop methods Understand the issue at hand Evaluate and select methods CLIENTS NEED PARTNERS SOLUTION Provide expert services Solve problems and learn together feedback Disseminate information, engage in marketing feedback

FIOH / Harri Vainio / Renewed organizational structure Centres of expertise FIOH Units of excellence Projects, activities Teams Thematic areas Work communities and organizations Human factors Development of the work environment Health and work ability Good practices and occupational skills Internal services Immunotoxicology Psychosocial factors