1. Occupational Health Services Kari-Pekka Martimo PAA

2. ObjectivesActionsEffectsImpactRisks or threats Actions against risks or threats I. Good occupational health practice guideline in Estonia Translation of FIOH GOHP guideline will be used in training GOHP guideline will be distributed to OH personnel Problem-specific guidelines will be selected, translated and modified together with Estonian OH experts (task forces) GOHP guidelines are available to OH personnel OH personnel is able to act according to GOHP guidelines OH services will be harmonized in the country Quality requirements are met better than earlier Availability of CC experts for training, translation and modifying the guidelines GOHP guidebook already translated in Estonian Focus on guidelines that are needed by Estonian OH providers Ownership of the guideline preparation belongs to task forces Guidelines are implementable in Estonian OH units

3. ObjectivesActionsEffectsImpactRisks or threats Actions against risks or threats II. Developing the service provision infrastructure of OHS with widened coverage Training of OH system to family physicians and agricultural experts together with OH experts and clinicians 40 OH physicians, 90 family physicians and 3 agricultural advisers are informed and instructed on the structure of OH system and its activities Family doctor network will be linked to the infrastructure of OHS All relevant stakeholders and interest groups have a good understanding of the structure of the OHS system and its activities Availability of the CC target groups Knowledge and new forms of collaboration reaches only restricted audience Showing the benefit of collaboration with OH professionals to family physicians, agricultural experts and clinicians Invitation of opinion leaders to participate in the training

4. ObjectivesActionsEffectsImpactRisks or threats Actions against risks or threats III. Agricultural OHS, making an assessment of the OH&S situation in farms A subnetwork on OHS in agriculture will be established Task force will write a sectoral profile on OHS in Estonian agriculture A community OHS profile model for rural communities will be developed Recommenda- tions made available for development of OHS services on agriculture Initiation of development of OHS services in agriculture Time constrains of local CC experts No common understanding attained of the needs and benefits for OHS in agriculture Experiences from OHS services in the Finnish agriculture will be used

5. O bjectivesActionsEffectsImpactRisks or threats Actions against risks or threats IV. Development of indicators for functioning and status of OHS V. Increasing awareness and disseminatin g information through networks OHC is instructed for collecting information on OHS for the ministry and for the self- evaluation of the units Social partners, industries, organizations will be informed on possibilities to organize OHS Occupational health and safety indicators and models for reporting are made available Information distributed to work places and employers’ representatives Better management and follow-up of the OHS system Better quality of OHS services Awareness of practical organization of OHS is increased Coverage of OHS is increased Time constrains of local CC experts Unwillingness of the local OHS units to participate If the target groups are not interested in the information it may only reach a limited group Engagement of local OHS professionals in the development process Experience in audit matrix approach Using the wide range of information in the EU

6. Occupational and work-related diseases - etiological factor 100 % genes, lifestyle, living environment, hobbies, habits work and working environment Occupational diseases Work-related diseases Other diseases