challenge in the past, present and future ? Ian Strudley Head of - - PowerPoint PPT Presentation

Health and Safety Executive Health and Safety Executive

Cancer: An occupational health challenge in the past, present and future ?

Ian Strudley Head of Health Risk Management Unit HSE Construction Sector

What I’ll do…..

• What’s the problem ?..........
• What priorities are HSE ( and IOSH !)

taking forward….

• What’s next ????

Together, we can make a difference

Burden of occupational cancer

Lesley Rushton et al Imperial College London:

http://www.nature.com/ bjc/journal/v107/n1s/index.html

Top 10 causes of cancer registrations attributable to occupational carcinogens (Rushton/HSE)

Rank Agent/activity Number of Registrations/year 1 Asbestos 4216 2 Shiftwork 1957 3 Mineral oils 1730 4 Solar radiation 1541 5 Silica 907 6 Diesel engine exhaust 801 7 Coal tars and pitches 545 8 Painters 359 9 Tertachlorodibenzodioxin 316 10 Tobacco 284

Where’s the problem…?

1000 2000 3000 4000 5000 6000 Bladder Brain Larynx Lung Mesothelioma Nasopharynx NMSC Oesophagus Sinonasal Stomach Cancer Site Number of Registrations Total Registrations Construction Workers

What’s causing the problem ?

500 1000 1500 2000 2500 3000 3500 4000 4500 A s b e s t

• s

D E E L e a d P A H ' s P a i n t e r s S i l i c a S

• l

a r R a d i a t i

• n

W

• d

d u s t O t h e r Numbers affected Total Registrations Construction Registrations Construction Deaths

Silica

In Practice

industry adopted controls

Is there still a problem ? : 2014 Health Initiative

• 13 Prohibition Notices;
• 108 Improvement Notices
• 267 Notices of Contravention issued at 146 sites

Notices of Contravention

Dust Welfare MSD Vibration Other Substances Noise

Improvement Notices

Dust Welfare MSD Vibration Other Substances Noise Other (Management)

Is there still a problem ? 2014 Refurbishment Initiative

• Health and Safety Inspection of smaller refurb sites:

– 537 Notices (including 2 ELCI) – 314 PNs (including 46 on health) – 221 INs (including 92 on health)

52% 46% 2%

Prohibition Notices

Asbestos Dust Manual Handling 26% 34% 1% 3% 36%

Improvement Notices

Asbestos Dust Noise Vibration Welfare

Diesel Engine Exhaust Emissions

Is there still a problem?

• Tight emission standards
• Better technology / fuel

But:

• More diesel plant in use
• Work conditions – location, engine power and use

• General Research into:
• 1. Engine and fuel technology
• 2. Occupational exposures
• 3. Health outcomes
• 4. Exposure monitoring markers
• 5. Undertake on-site monitoring
• Construction Specific

DEEEs: Filling the Knowledge Gap

UK National Atmospheric Emissions Inventory (NAEI):

• ‘mobile combustion in manufacturing industries and

construction’ using ‘red diesel’ (Gas Oil)

DEEEs: Emission Trends

10 20 30 40 50 60 70 80 90 100 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 PM1 Nitrogen Oxides (as NO2) Carbon Monoxide

Kilotonnes

• Control principles remain the same

– COSHH Hierarchy

• Finalise research
• Industry engagement

DEEEs: Next Steps

What to do .….?

Occupational Risks v Lifestyle Issues

What to do …..?

Surveillance/Monitoring? Risk Control?

http://www.hse.gov.uk/construction/healthrisks/index.htm

HSE website guidance : How healthy is your business?

IOSH : campaign on occupational cancer

IOSH - No time to lose ….

• 50+ work-related carcinogens – focusing on :

– Diesel engine exhaust – Solar radiation – Silica – Shiftwork – Asbestos

IOSH - No time to lose …. www.notimetolose.org.uk

What’s next ?

Think Health!

–Greater focus on health, not just by HSE…

Thank you for listening

any questions ?

Ian Strudley HM Principal Inspector Head of Health Risk Management Unit Construction Division HSE 01256 404085 ian.strudley@hse.gsi.gov.uk