1. divsion of occupational health 2006 1 Occupational Health Old workers in Luxembourg Dr. Robert GOERENS Direction of Health / Ministry of Health

2. divsion of occupational health 2006 2 Plan of presentation 1.Situation on the labour market in Luxembourg of the old workers 2Promotion of employment of the old workers 3.Occupational health in Luxembourg 4.Data about health at work of old workers 5.Data about improvement of working conditions 6.Legal action introduced to support the employment of the old workers 7.Law of July 25 th 2002 on the incapacity of workers and the professional reintegration 8.Conclusion Data: Data: DIRECTION OF HEALTH DIRECTION OF HEALTH ADEM (Administration of Employment) ADEM (Administration of Employment) STATEC (Central Service of the Statistics and the economic surveys) STATEC (Central Service of the Statistics and the economic surveys) IGSS (Inspection of social security) IGSS (Inspection of social security) CEPS / INSTEAD (Studies about population, environment) CEPS / INSTEAD (Studies about population, environment) OECD (Organisation for Economic Cooperation and Development) OECD (Organisation for Economic Cooperation and Development) STM (Occupational Health service S.M.E.) STM (Occupational Health service S.M.E.) STI (Occupational Health service of industry) STI (Occupational Health service of industry) STA (Occupational Health service of Arcelor) STA (Occupational Health service of Arcelor)

3. divsion of occupational health 2006 3 1.Situation on the labour market in Luxembourg of old workers

4. divsion of occupational health 2006 4 Luxembourg: 448.000 inhabitants Luxembourg: 448.000 inhabitants Proportions of foreigners : 37 % (highest of OECD) Proportions of foreigners : 37 % (highest of OECD) Foreign workforce: 65 % of the working population Foreign workforce: 65 % of the working population Cross border workforce: 40 % of the working population Cross border workforce: 40 % of the working population Ageing of the working population Ageing of the working population Labour in Luxembourg

5. divsion of occupational health 2006 5 Data: OECD 2004 Age: 50 to 64 years Activity rate (%) per age and sex in 2000

6. divsion of occupational health 2006 6 Data: IGSS, march 2004 Age Workforce by age groups in Luxembourg companies (>10 workers)

7. divsion of occupational health 2006 7 Données: CEPS / INSTEAD 2001 Percentage of old workers in different sectors of industry in Luxembourg (>10 workers)

8. divsion of occupational health 2006 8 Average age at end of the active life (2001) Data: STATEC 2004 Âge

9. divsion of occupational health 2006 9 Since 1980: Luxembourg supported a policy of early retirement of the old workers through: Since 1980: Luxembourg supported a policy of early retirement of the old workers through:  early retirement scheme in different activity sector (iron and steel industry)  wish of certain workforce to have an early retirement age. Until 1996: Easy policy to obtain a disability pension Until 1996: Easy policy to obtain a disability pension Consequence: the desire not to work until the legal age of retirement (65 years) is a common attitude for the social partners Consequence: the desire not to work until the legal age of retirement (65 years) is a common attitude for the social partners Since 2000: deceleration of the economic activity: Since 2000: deceleration of the economic activity:  gel of recruitment and internal policy to encourage the old workers to leave the company precociously  replacement of these early departures by younger, more flexible, more trained and less paid workers. Early retirement of workers > 50 years in Luxembourg

10. divsion of occupational health 2006 10 Great difference between workers >50 years and 50 years and <50 years  activity rate 25 - 49 years: 94 % in 2002 (Luxembourg 3rd of 30 behind Iceland and Mexico in OECD classification)  activity rate 50 - 64 years: men 58% women 30% in 2002 (Luxembourg men 23 and women 26 position of 30 countries in OECD classification)  Difference between employment rate of women and men  employment rate of women: 2 times lesser than of men  Employment of workers >50 years is not reactive with the rise during economic recovery Employment and unemployment Data: OECD 2004

11. divsion of occupational health 2006 11 Données: CEPS / INSTEAD 2001 Age: 55 to 64 years Reasons of inactivity of people aged 55-64 years, having worked until 50 years

12. divsion of occupational health 2006 12 2.Promotion of employment of the old workers

13. divsion of occupational health 2006 13  Measures intended to promote the employability of the old workers  Formation throughout life, access to formation to all workers  Measures intended to promote the improvement of the working conditions for older workers  Measures modifying the conditions of access to retirement, early retirement and disability pension  Measures intended to incite the workers financially to stay longer in activity  Measures intended to sensitize the companies with the problem of ageing Measures made by the authorities to promote the employment of old workers

14. divsion of occupational health 2006 14 3.Occupational health in Luxembourg Data about health at work of old workers

15. divsion of occupational health 2006 15 Occupational health in Luxembourg Legal base since 1994 Legal base since 1994 Depends on the Ministry of Health / Direction of Health Depends on the Ministry of Health / Direction of Health First time examination: obligatory for all employees First time examination: obligatory for all employees Periodic examination: employees with risks at work Periodic examination: employees with risks at work  Periodicity depends on the risk  Periodicity does not depend on the age, except safety posts All the occupational health services work since the beginning on computer base and can easily do research on their data bases All the occupational health services work since the beginning on computer base and can easily do research on their data bases Obligation for all employers to do the inventory of all risks places at work Obligation for all employers to do the inventory of all risks places at work

16. divsion of occupational health 2006 16 Occupational Health services: Statistics concerning old workers Proportion of men and women examined Proportion of men and women examined Body mass index (BMI ) Body mass index (BMI ) Number of aptitude and inaptitude Number of aptitude and inaptitude Absenteeism by age groups Absenteeism by age groups Average duration of sick leave by age in mine and steel industry for different pathologies Average duration of sick leave by age in mine and steel industry for different pathologies Number of detect pathologies in S.M.E. Number of detect pathologies in S.M.E.

17. divsion of occupational health 2006 17 Proportion of man and woman >50 years examined in S.M.E. Total of workers > 50 years: 15.682 = 8,5 % of the examined workers Data: STM 1995 - 2004 61 % 30,2 % 7,5 %

18. divsion of occupational health 2006 18 BMI of workers >50 years Data: STM 1995 - 2004 Number of workers >50 years: 15.682 BMI = weight (kg) / size (m 2 ) Overweight > 25 kg/m 2 Obesity > 30 kg/ m 2

19. divsion of occupational health 2006 19 Number of aptitude and inaptitude of workers in relationship to the age in the iron and steel sector Total examination: 8.487 Age average : 44 years Data: STA 1999 - 2004

20. divsion of occupational health 2006 20 Average duration of sick leave by age in the iron and steel industry Data: STA 1989 - 1991

21. divsion of occupational health 2006 21 Average sick leave by age groups for different pathologies in the iron and steel industry Gonalgia: Number of cases: 161 Number of lost days: 4324 Lumbago: Number of cases: 327 Number of lost days: 5584 Tendinitis: Number of cases: 1102 Number of lost days: 14982 Data: STA 1989 - 1991 Age

22. divsion of occupational health 2006 22 N umber of detected pathologies N umber of detected pathologies Données: STI 1995 - 2004 Total of workers : > 50 ans : 6.288 Total of workers : < 18-50 ans : 61.283

23. divsion of occupational health 2006 23 4. Data about improvement of working conditions Inquiry 2006: 1.300 companies

24. divsion of occupational health 2006 24 Reorganization in the type or tasks of work done by 16,3% of the companies Reorganization in the type or tasks of work done by 16,3% of the companies Adaptations of working time and adaptation of working tasks by 8% of the companies Adaptations of working time and adaptation of working tasks by 8% of the companies Development of specific missions by 4% of the companies Development of specific missions by 4% of the companies Transfer of old workers to post with better working conditions by 8% of the companies Transfer of old workers to post with better working conditions by 8% of the companies Improvement of working conditions for old workers Inquiry done by 1.300 companies > 10 workers Data: CEPS / INSTEAD 2006 N = 1300 enterprises

25. divsion of occupational health 2006 25 Reorganization done by 208 enterprises for old workers in relationship to the size of the enterprise Data: CEPS / INSTEAD 2006 N = 208 enterprises

26. divsion of occupational health 2006 26 Reorganization done by 208 enterprises for old workers in relationship to the proportion of old workers in the enterprise Data: CEPS / INSTEAD 2006 N = 208 enterprises

27. divsion of occupational health 2006 27 5.L egal action introduced to support the employment of the old workers

28. divsion of occupational health 2006 28 In 1996: more restrictive access to get a disability pension In 1996: more restrictive access to get a disability pension Incitation for workers to stay longer in activity, especially the last years of career, to get a better pension Incitation for workers to stay longer in activity, especially the last years of career, to get a better pension Reform of the public function with possibilities of part-time work and promotion of maintenance in activity beyond the legal age of retirement Reform of the public function with possibilities of part-time work and promotion of maintenance in activity beyond the legal age of retirement Refunding of social security costs for 7 years for companies which engaged workers >50 years. Refunding of social security costs for 7 years for companies which engaged workers >50 years. Suppression of the conditions needed to obtain an authorization to work after having an old-age pension Suppression of the conditions needed to obtain an authorization to work after having an old-age pension Obligation since 2002 to reclassify workers with reduced capacity of work Obligation since 2002 to reclassify workers with reduced capacity of work Legal action to promote employment of old workers

29. divsion of occupational health 2006 29 6.Law of July 25 th 2002 on the incapacity of workers and the professional reintegration

30. divsion of occupational health 2006 30 Conditions for workers to benefit from this law: Conditions for workers to benefit from this law:  Workers having an affiliation to the Luxembourg Social Security (12 months during the last 3 years)  Workers in prolonged sick leave (4 months)  Workers having get a refusal of their demand for a disability pension  Workers declared inapt to stay at their last work station by the occupational health physician  Workers having had a withdrawal of their temporary pension Law of July 25 th 2002 concerning the disability and the professional reintegration

31. divsion of occupational health 2006 31 Decision maker: Decision maker:  Joint Commission of the ADEM (Administration of employment)  Members of this commission: State, Employers, Trade unions Joint Commission decides on internal and/or external reclassification on the base of the following elements: Joint Commission decides on internal and/or external reclassification on the base of the following elements:  Number of workers with handicap already occupied in the company  Number of workers who got better working conditions after being declared unfit by the occupational health physician  Opinion of the employer  Opinion of the occupational health physician of the company and of the administration of employment Procedure of professional reintegration

32. divsion of occupational health 2006 32 Internal reclassification: Internal reclassification:  Assignment at another work station and/or organization of work (ex: reducing hours), and/or better working conditions  Can be refused if the employer has lesser than 25 employees, or if the employer have not the quota stated by law of workers with an handicap  External reclassification:  For employer with lesser than 25 employees, or if the employer have the quota stated by law of workers with an handicap  For employer who have no adapted post to continue to employ the worker with incapacity  Workers are apply for unemployment benefit during 1,5 year max.  Without reclassification on the labour market after the end of unemployment, pension paid by the Fund for Employment  Without reclassification on the labour market after the end of unemployment, pension paid by the Fund for Employment until the worker reached the legal age for pension. Reclassification

33. divsion of occupational health 2006 33 Law 2002 concerning the disability and the professional reintegration: age of workers concerned 2004 Data: ADEM 2004 Total of workers : 1232 Distribution by sex: Men 772 (62,66 %) Women 460 (37,34 %) Distribution by status: Workers: 952 (77,27 %) Employees: 280 (22,73 %) 3,90 % 19,48 % 36.85 % 38,07% 1,70 %

34. divsion of occupational health 2006 34 Law 2002 concerning the disability and the professional reintegration: decision of the joint committee 2004 Data: ADEM 2004 Total of workers: 1077 26 % 57 % 17 %

35. divsion of occupational health 2006 35 7. Conclusion

36. divsion of occupational health 2006 36 Very high foreign labour force and cross border workers Very high foreign labour force and cross border workers Low rate activity for old workers in Luxembourg Low rate activity for old workers in Luxembourg Statistics concerning the health of old workers can be realised easily by the occupational health services Statistics concerning the health of old workers can be realised easily by the occupational health services Since 1996 promotion of employment of old workers done by the authorities Since 1996 promotion of employment of old workers done by the authorities Implementation of legal actions to promote employment of old workers as for example: reclassification of workers with reduced capacity of work Implementation of legal actions to promote employment of old workers as for example: reclassification of workers with reduced capacity of work Conclusion