1. 1 |1 | Workers' Health in the Green Economy and Sustainable Development _____ Dr Ivan D. Ivanov Department of Public Health and Environment World Health Organization

2. 2 |2 | Universal health coverage – –People who are healthy are better able to learn, to work and to contribute positively to the societies Health and the green economy –A healthy environment is a prerequisite for good health Health as an outcome of all policies –Measuring health integrates economic, environmental and social dimensions WHO arguments for Rio+20

3. 3 |3 | Lack of connection of health and environment priorities: the example of climate change Health is in Article 1 of the UN Climate Convention, and cited as a priority in > 95% of adaptation programmes. But < 30% have adequate health vulnerability assessments and adaptation plans. Resources provided cover less than 0.5% of expected health damage costs. Only 1 of 13 main economic models informing mitigation decisions, takes account of health co-benefits.

4. 4 |4 | What is "green economy"? Greening the economy is expected to create a series of health, economic, social and environmental benefits, including a reduction of greenhouse gas emissions and a better adaptation to climate change

5. 5 |5 | What needs to be done? Green economic approaches can make a difference to health, sustainability and equity

6. 6 |6 | Coal mining is one of the most hazardous industries:  14,000 deaths annually are attributed to coal workers' pneumoconiosis  occupational injuries, noise induced hearing loss, vibration disease, musculo-skeletal disorders Communities next to coal mines:  70% increased risk for developing kidney disease.  64% increased risk for developing chronic obstructive pulmonary disease (COPD)  30% more likely to report high blood pressure Example 1: 'Green/clean energy production can reduce NCD burden'

7. 7 |7 | Example 2: Integrated pest and weed management will reduce pesticides poisonings Suicides from pesticides ingestion 258,000 deaths Acute pesticide poisonings among agricultural workers 18 – 130 per 100,000 full time workers Chronic effects, including cancer

8. 8 |8 | What needs to be done? A vision of health in Sustainable Development: Setting goals & measuring success

9. 9 |9 | The way forward: Health Sector to provide leadership on governance for sustainable development by…. –Provide evidence on health impacts of innovations /technologies –Ensure health an outcome of SD policies, by implementing Health Impact Assessment (HIA) –Set goals, define health indicators, and measure results

10. 10 | HIA can: Identify policy options that are most favourable for health, including workers Establish a baseline against which to monitor and measure the extent to which policies are contributing to health and development goals Define monitoring and evaluation framework Promote public participation and community engagement in decision-making processes Facilitate greater uptake of health impact assessment – the tool for including health in all policies

11. 11 | Set goals and measure results - Examples of workers' health indicators for sustainable development Rate of occupational accidents – fatal/non-fatal Rate of occupational diseases Index of production of toxic chemicals, by toxicity class Economically active children aged 10-14 Occupational accidents/diseases in sector affected by the greening of the economy – energy, transport, construction, extractive industry, agriculture, waste management

12. 12 | Green jobs –healthy, safe and decent Full cost pricing –include social (occupational health) externalities in the price of energy and products Green technologies –prevention through design Key sectors –renewable energy, green construction, public transport, waste management Sustainable production and consumption –occupational health as a measure of business sustainability Opportunities for occupational health in sustainable development

13. 13 | WHA Resolution 60.26 "Workers' Health: Global Plan of Action The health of workers is an essential prerequisite for productivity and economic development Work towards access of all workers with essential interventions and basic occupational health services for prevention of occupational and work-related diseases and injuries Incorporate measures for workers' health economic development policies, poverty reduction strategies and national plans and programs for sustainable development.

14. 14 | Incorporate workers' health in the policies on sustainable development