Webinar 1: Musculoskeletal disorders

11 November 2015

Get serious about a healthy workplace

Meet your moderator

Melanie Stojanovic Industry Manager WorkCover Queensland

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Webinar and event videos

51.7%

21.4%

10.3%

6.0% 4.7%

Injury by type 2014–2015

WorkCover Queensland data 2014-2015

51.7%

21.4%

10.3%

6.0% 4.7%

Dr Robert McCartney

Rob is a physician who has specialised in the field of Occupational and Environmental Medicine for over 20 years. His career goal is to maximise the health, wellbeing and productivity of working people.

He is a Fellow of the Australasian Faculty of Occupational and Environmental Medicine with the Royal Australian College of Physicians and past president of the Australian and New Zealand Society of Occupational Medicine. He has been an adjunct associate professor at Griffith University School of Human Services and Social Work.

A passionate and highly experienced doctor with a track record of managing risk and solving problems at the worker/workplace interface. He has extensive experience in the diagnosis and management of occupational injury and illness as well as assisting individuals in returning to the workforce after health problems.

Rob is a seasoned presenter and his well-developed interpersonal communication skills enable him to translate highly complex issues into readily digestible information for a wide range of audiences.

Musculoskeletal injuries

Dr Rob McCartney Occupational Physician

Where health and safety intersect

MSD

Musculoskeletal disorders

Injuries or disorders of: Muscles Nerves Tendons Joints Cartilage Nerves Tendons Supporting structures

MSD

2nd greatest global* cause of years lived with disability (YLD) 45% increase in YLD from MSD between 1990 and 2010 driven largely by population growth and ageing Highlights the important implications for health systems globally >30% of Australian population - More prevalent than any other National Health Priority Areas (NHPAs) with billions health expenditure *And in nearly all regions Lancet 2012; 380; 2163-96

MSD

In

Aust

Most common workers’ compensation claims Very significant social and economic burden for Australians. 76,000 claims representing 43% of all injury and disease claims* “Body stressing” is most common mechanism of injury Sprains and strains are 42% of all serious claims

Legislation

And Codes

WHS Regulation 60: A person conducting a business or undertaking must manage risks to health and safety relating to a musculoskeletal disorder associated with a hazardous manual task. Hazardous manual tasks – Code of Practice 2011

Body stressing due to: Repetitive movements

Muscle loading

Muscular stress with no objects being handled

Muscular stress while lifting, carrying or putting down objects

Muscular stress while handling objects other than lifting, carrying or putting down

The Usual Suspects

Informing about risk factors

Design work and work environment

Information materials and training programmes

Risks of physical loadings, dangerous to health or unnecessarily fatiguing

So…..

Prevention

Of

MSD

Influencing actions of employers and behaviour of workers

But ……… not necessarily sufficient

Chronic Disease

Psychological Disorder

Sleep Disorders

Sedentary Work

Beyond traditional risk management

for musculo-skeletal injuries

Integrated health and

safety

Smoking and AOD

A B C

Queenslander….but

Physical inactivity

Tobacco smoking

Sedentary lifestyle

Alcohol and other drugs

Poor diet and nutrition

Lifestyle risk factors

Tran

spor

t Co

nstr

uctio

n M

anuf

actu

rer

Min

ing

Whi

te c

olla

r Bl

ue c

olla

r Alcohol Obese Overweight Inactivity Inadequate diet Smoker

So what?

Productivity Absenteeism/ Presenteeism

Staff turnover/ early retirement

Risk reduction

Workers’ compensation costs

Income protection claims

Rationale

Obesity Smoking

Sedentary work

Diabetes

Physical inactivity

Psychological

Sleep disorders

Alcohol and Other Drugs (AOD)

Most relevant health

problems

Obesity

60% Cardiovascular disease Type-2 Diabetes Some musculoskeletal conditions Some cancers

Obesity and OHS

Musculoskeletal disorders

Hip, knee, hand arthritis Low back pain and sciatica Soft tissue conditions Acute lower extremity sprains and strains Fibromyalgia

Obesity and OHS

Ill health and mortality from all causes

Cardiovascular disease

Colon and breast cancers

Type-2 Diabetes

Poor mental health

Musculoskeletal symptoms and injury

Obesity / overweight

High blood pressure

Australian Institute of Health and Welfare 2015

Physical inactivity Physical inactivity

Regular physical activities

Type-2 Diabetes

Long periods of sitting

Physical inactivity

of the day office workers sit

76% Increases risk of: Cancer Cardiovascular disease Type-2 diabetes Death

Sedentary behaviour

increase risk of death compared to people that sit less

40%

Sedentary behaviour

Australians will have diabetes by 2025

3 Million Type 2

diabetes

Type 2 diabetes

Diabetes and musculoskeletal disorders

Musculoskeletal disorders With diabetes Without diabetes

Adhesive capsulitis 11-30% 2-10%

Limited joint mobility 8-50% 0-26%

Dupuytren’s contracture 20-63% 13%

Carpal tunnel syndrome 11-16% 125/100000

Flexor tenosynovitis 11% <1%

Diffuse idiopathic skeletal hyperostosis 13-49% 1.6-13%

Prevalence of musculoskeletal disorders in patients with or without diabetes

Psychological

experience a mental health

condition in their lifetime

45% experience a mental health condition this year

20%

Stress

Depression

Anxiety

Psychological

per year impacted of

mental health conditions

11B $5B in absenteeism

$6B in presenteeism

$146M compensation claims

Psychological

The environment Relationships Individual factors

Psychosocial factors

The nature of work

Alcohol and other

drugs (AOD)

of all accidental workplace deaths

4% of workers reported absences

3.5% work under the influence of drugs

2.5%

Smoking and MSDs higher risk in

back pain for daily smokers

80%

Increase joint cartilage loss and rotator cuff tears

Sleep loss effects work performance via:

Sleep disorders

Involuntary micro-sleeps

Unstable attention to intensive performance

Cognitive slowing with increased errors

Response time slows

Performance declines in short-term recall of working memory

Sleep disorders

70% more likely to be involved in an accident

Highly disturbed sleep plays a role in occupational fatalities

More likely to report industrial accidents or injuries

Twice as likely to be involved in workplace accidents

Sleep-related fatigue is an independent risk factor in work-related injuries and fatalities

Mental health Physical health

Workplace culture &

worker health

Healthier, productive workplace

Improved working conditions

Healthier workforce

Improved productivity

Organisational culture

Business case

Absenteeism Turnover, recruitment and training

Insurance premiums

Workers compensation

Short and long-term disability

Employee disengagement

Reduced motivation

Business reputation

Business case

EMPLOYERS have much to gain from engaging with their workers’ health and well being

EMPLOYEES who are healthy, fit and resilient are less likely to suffer physical and mental illness

The integrated approach

Awareness and knowledge

Behavioural and social

Environmental Project management and capacity building

Raise awareness Increase health issues/work health initiatives knowledge

Integrate messages in meetings

Integrate into communications

Provide health behaviours/ industry issues information

Awareness and knowledge

Behavioural and social

Environmental Project management and capacity building

Awareness and knowledge

Behavioural and social

Environmental Project management and capacity building

Develop skills supporting healthy workplace behaviours Activities supporting risk management

Integrate in injury prevention management

Assess/review task procedures, practices and equipment

Review return to work processes

Provide health risk assessments and refer at risk workers

Awareness and knowledge

Behavioural and social

Environmental Project management and capacity building

Lead to establishment of healthy choices and behaviours support environment

Remove cigarette vending machines and smoking areas

Provide facilities for workers welfare

Review industrial agreements

Awareness and knowledge

Behavioural and social

Environmental Project management and capacity building

Planning health promotion projects such as establishing needs, involving stakeholders and building skills

Consult with health/safety representatives or committee

Review/integrate drug, alcohol and no smoking policies

Review OHS policies and processes

Work health planning guide characteristics

Assists to improve health/wellbeing of workers in a workplace setting

Improve safety performance, productivity and workplace culture

Supporting your workers

MANAGEMENT COMMITMENT

WELLNESS PLANNING

NEEDS ASSESSMENT

ACTION PLAN

EVALUATION

Work health planning guide characteristics

Executive buy-in/cultural implementation

Pre-employment assessments

Health management plans

Periodic health/ Workforce cross-sectional assessments

Data interpretation

The holistic integrated approach

The greatest analgesic, soporific, stimulant, tranquilizer, narcotic and to some extent even antibiotic….in short the closest thing to a genuine panacea known to medical science….is work

“ ” Thomas Szasz

Prof of Psychiatry

WORKPLACE INTEGRATION

Dr Rob McCartney Occupational Physician

HEALTH WELLBEING SAFETY

0402 261 524 admin@resile.com.au

Resources

• Visit worksafe.qld.gov.au for more on: – Musculoskeletal disorders – PErforM – Hazardous manual tasks – Slips, trips and falls – Work Health Planning Guide

Upcoming webinars

• Register for our next webinars in this series: – Drugs and alcohol, Wed 18 Nov, 11am – Psychological barriers to rehabilitation and return to

work, Wed 25 Nov, 11am

worksafe.qld.gov.au

1300 362 128

Thank you!