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1、MeetingReportWHO-ILOJointEffortonOccupationalHealthandSafetyinAfricaOccupationalHealthforworkersintheinformalsector.16–20October2000PretoriaSouthAfricaReport(G.GoldsteinandG.Eijkemans)Organisers·WHOSouthAfrica(Dr.Shasha)·MinistryofHealthSouthAfrica(Mr.Sekobe)·WHO/AFRO(Dr.Nitcheu,Mrs.Morfaw)·Occ
2、upationalandEnvironmentalHealthProgrammeWHOGeneva(Dr.Eijkemans)1SummaryTheneedtostrengthenthefieldofoccupationalhazardpreventionandcontrolinAfricaisurgent,asthecurrentneglectcarriesaheavyburdenofdiseaseanddisability.Saferandhealthierworkconditionscanmakeanimportantcontributiontopovertyalleviati
3、onandsustainabledevelopment.Efficientapplicationofavailableknowledgetopracticalsolutionstoovercomethe“knowledgeapplicationgap”ismoreimportantthangeneratingnewtheoreticalknowledge.InthemajorityofAfricancountries,theinformalsectoroftheeconomyisanemploymentrefugeforworkerswhofalloutfromtheformalse
4、ctor,andprovidesasafetynetforpoorhouseholds’income.Smallenterprisesandtheinformalsectorarebecomingthedefactomainstream,andtherealmofemploymentforthemajorityofurbandwellersindevelopingcountries.Occupationalhealthservicesandsupportinglegislationrequirerefocusing,revisionandstrengtheningtorespondt
5、othisreality.Oftenbasicpreventivemeasuresincludingeducationandtrainingforhealthandsafetyareoverlooked.Theinformalsectorincludesmanywomenandchildren;theyareusuallynotcoveredbylegislation,anddonothaveaccesstooccupationalhealthservices.Themeetingwasattendedbynational,regionalandglobalexpertsandorg
6、anizations,anditaddressed3aspectsofanew“AfricanInitiative”inOccupationalHealth,thatcanbuildonexistingexperiencesandprojects,suchasthePACE(PreventionAndControlExchange)project,theAfricanHealthyCityapproach,theILOWISEproject,etc.The3aspectsare:1.Localdemonstrationprojects.FivecitiesinAnglophoneAf
7、ricaareplanningprojectsforSSE,tobeexpandedtoothercitiesandotherlanguagegroupslater.ThesecitiesareJohannesburgandCapeTowninSouthAfrica,DaresSalaaminTanzania,YaoundéinCameroonandHarareinZimbabwe.Delegatesreviewedthesituationanalysis
