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INSTITUTE OF OCCUPATIONAL MEDICINE . Edinburgh . UK www.iom- world.org Making it happen John Cherrie I want to ELIMINATE workplace cancer

6. Making it happen taking the smart approach

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The sixth presentation for a workshop in Singapore and AIOH2013

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Page 1: 6. Making it happen  taking the smart approach

INSTITUTE OF OCCUPATIONAL MEDICINE . Edinburgh . UK www.iom-world.org

Making it happen

John CherrieI want

to

ELIMINATE

workplace

cancer

Page 2: 6. Making it happen  taking the smart approach

Summary…

• We need to convince key stakeholders• to identify important control technologies• to change ingrained attitudes• plan to monitor progress, etc.

• We need to campaign for change• We need clear and realistic goals• We need a good plan

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It won’t happen without a campaign!• Organised actions around the

issue seeking to bring about changes in the policy and behaviours of institutions and/or specific public groups

• It won’t happen unless you are part of the campaign!

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Analyse the issue and landscape

• Building robust supporting evidence, so that you have good information on: • Who are the decision makers• Which “players” are likely to be supportive of your

campaign, who may oppose it and who may be persuaded

• Is public opinion supportive • What resources for campaigning are available, and

what constraints you face• What solutions are needed• Why others should support your suggested

solutions

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Set SMART objectives…

• We need to be: • Specific about what has to be achieved• Provide a way of Measuring progress• Goals should be Attainable• Relevant to all stakeholders and • Time-bound

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Specific goals…

• Well defined description of the final position we want to achieve

• Clear to anyone that has a basic knowledge of the issues

• Developed on the basis of a well researched position

• For example…• Reduce exposure to respirable crystalline

silica for most workers (90%) to below the exposure limit

• Eliminate all new uses of asbestos

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Measureable…

• So that we know what has been achieved and what is still left to be done

• For example…• We can “measure” progress towards

better compliance with the TLV• How can we measure progress towards |

elimination” of new uses of asbestos?

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Tracking progress…

• The best way of tracking progress is periodic surveys of exposure by trans-national and national authorities• Exposure intensity (including contextual

information)• Prevalence of exposure

• Estimates of occupational cancer burden• Routine reporting by health and safety

professionals through national associations

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Attainable…

• Realistic goals are essential for success• Don’t set goals that are so simplistic that they do not

bring about any change • Don’t set goals that are so idealistic that one can

never realistically achieve them

• When setting a “distant” goal then it is important to have milestones along the way

• For example…• Every painter should wear a coverall and gloves

while painting• In the next year asbestos cement should be

banned in construction

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Relevant…

• The goal has to be relevant to the overall objective to eliminate occupational cancer

• Focus on the agents that create the greatest occupational cancer burden

• For example…• Ban the use of vinyl chloride in the

plastics industry• Promote the use of control measures that

can reduce exposure to wood dust below 1 mg/m3

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Time bound…

• Write goals that includes a timeline for accomplishment

• A goal without a deadline is a goal that will most likely never be achieved

• For example…• Within the next five years increase awareness

amongst workers and managers in the transportation sector of the cancer risks from diesel engine exhaust particulate

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Devise a strategy and make it happen!

• What’s the best route to influence• How should I organise to do this?• Who should I be talking to?• Who can help?• H&S professionals• Politicians• Civil servants• Industry• Worker groups

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Some tips for success…

• Compile strong and compelling evidence• Understand who can make the changes and

who can influence them• Be clear what you want to achieve• Use a range of tactics• Involve workers• Find and work with useful allies• Communicate well and often• Stick with it to the end

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Summary…

• To achieve a change it is necessary to campaign

• Your targets need to be SMART

• Understand who can bring about change

• Keep up the pressure