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Published on: September 26, 2018
Prevention and management of work-related cardiovascular disorders
1Kitasato University School of Medicine, Sagamihara, Japan (Department of Public Health). akizumi@kitasato-u.ac.jp.
Insights
Cardiovascular disorders (CVDs) significantly impact working populations globally, causing death and disability. Addressing occupational risk factors and improving public health policies are crucial for prevention, despite current challenges.
Area of Science:
- Occupational Health
- Cardiovascular Medicine
- Public Health Policy
Background:
- Cardiovascular disorders (CVDs) are a major cause of death and disability among working populations worldwide.
- Occupational classes exhibit changes in CVD risk factors due to evolving work environments and socioeconomic shifts.
- CVD mortality is rising in developing and transitional economies due to industrialization and urbanization.
Purpose of the Study:
- To highlight the significant burden of cardiovascular disorders on the global working population.
- To identify challenges in controlling known CVD risk factors within occupational settings.
- To underscore the need for improved awareness, policies, and resources for effective CVD prevention programs.
Main Methods:
- Review of global trends in occupational health and cardiovascular disease.
- Analysis of socioeconomic and demographic factors influencing CVD risk.
- Examination of obstacles to implementing effective CVD prevention strategies in the workplace.
Main Results:
- Cardiovascular disorders account for substantial mortality and work disability globally.
- Existing strategies for controlling risk factors like smoking, obesity, and hypertension have not achieved expected improvements.
- Lack of awareness, policy implementation, infrastructure, and human resources hinder large-scale CVD prevention programs.
Conclusions:
- Effective control of known CVD risk factors is essential but challenging in occupational settings.
- Addressing socioeconomic changes and work-related morbidity is critical for improving cardiovascular health in the workforce.
- The Tokyo Declaration emphasizes the need for integrated approaches aligning with global health strategies to tackle the burden of CVDs in workers.
Abstract:
Cardiovascular disorders (CVDs) constitute a major burden for health of working populations throughout the world with as much as 50% of all causes of death and at least 25% of work disability. There are some changes in CVD risk factors among occupational classes. This is mainly due to the new types of work-related causes of morbidity associated with the recent developments in global work life, particularly in the industrialized countries. Meanwhile, in the developing countries or those in transition (e.g., in Eastern Europe), CVD mortality is increasing due to major socioeconomic changes, the demographic transition and rapid industrialisation and urbanisation, all leading to growing challenges to cardiovascular health. Better control of known risk factors (i.e., smoking, obesity, physical inactivity, high cholesterol, high blood pressure, and high blood glucose) is effective to prevent CVD incidence. But the expected improvement has not been achieved. The obstacles of achieving such impact are due to lack of awareness, lack of policies and their implementation into practice and shortage of infrastructures and human resources. These are needed for wide-scale and long-term programme implementation. Considering the WHO Global Strategy on Occupational Health for All, the WHO Global Action Plan on Workers' Health, the WHO Programme on Prevention of Non-communicable Diseases and the ILO Decent Work agenda, the 6th ICOH International Conference on Work Environment and Cardiovascular Diseases adopted the Tokyo Declaration.
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