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New safety and health issues emerge as work changes

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Changes in working practices, demographics, technology and the environment are creating new occupational safety and health (OSH) concerns, according to a new report from the International Labour Organization (ILO).

Growing challenges include psychosocial risks, work-related stress and non-communicable diseases, notably circulatory and respiratory diseases, and cancers.

The report, Safety and Health at the heart of the Future of Work: Building on 100 years of experience * , is being published ahead of the World Day for Safety and Health at Work , which is marked on April 28th. It reviews the ILO’s 100 years of work on OSH issues, and highlights emerging health and safety issues in the world of work.

Currently, more than 374 million people are injured or made ill every year through work-related accidents. It is estimated that work days lost to OSH-related causes represent almost 4 per cent of global GDP, in some countries as much as 6 per cent, the Report says.

“As well as more effective prevention for established risks, we are seeing profound changes in our places and ways of working. We need safety and health structures that reflect this, alongside a general culture of prevention that creates shared responsibility,” said Manal Azzi, ILO Technical Specialist on Occupational Safety and Health.

Looking to the future, the report highlights four major transformative forces driving changes. It points out that all also offer opportunities for improvements.

First, technology, such as digitization, robotics, and nanotechology, can also affect psychosocial health and introduce new materials with unmeasured health hazards. Correctly applied it can also help reduce hazardous exposures, facilitate training and labour inspections.

Demographic shifts are important because young workers have significantly high occupational injury rates, while older workers need adaptive practices and equipment to work safely. Women – who are entering the workforce in increasing numbers – are more likely to have non-standard work arrangements and have a higher risk of musculoskeletal disorders.

Thirdly, development and climate change give rise to risks such as air pollution, heat stress, emerging diseases, shifting weather and temperature patterns that can bring job losses. Equally, new jobs will be created through sustainable development and the green economy.

Finally, changes in the organization of work can bring flexibility that allows more people to enter the labour force, but may also lead to psychosocial issues (for example, insecurity, compromised privacy and rest time, or inadequate OSH and social protections) and excessive work hours. Approximately 36 per cent of the world’s workforce currently works excessive hours (more than 48 hours per week).

In the light of these challenges the study proposes six areas on which policy makers and other stakeholders should focus. These include more work on anticipating new and emerging OSH risks, adopting a more multidisciplinary approach and building stronger links to public health work. Better public understanding of OSH issues is also needed. Finally, international labour standards and national legislation need to be strengthened, something which will require stronger collaboration between Governments, workers and employers.

By far the greatest proportion of current work-related deaths – 86 per cent – come from disease. In the region of 6,500 people a day die from occupational diseases, compared to 1,000 from fatal occupational accidents.

The greatest causes of mortality are circulatory diseases (31 per cent), work-related cancers (26 per cent) and respiratory diseases (17 per cent).

“As well as the economic cost we must recognize the immeasurable human suffering such illnesses and accidents cause. These are all-the-more tragic because they are largely preventable,” said Azzi. “Serious consideration should also be given to the recommendation of the ILO’s Global Commission on the Future of Work , that occupational safety and health be recognized as a fundamental principle and right at work.”

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MENA Faces Another Year of Subdued Growth, with Bolder Reforms Needed to Boost Private Sector

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Economic growth in the Middle East and North Africa (MENA) region is projected to slow to 0.6% this year compared with 1.2% last year, according to a new World Bank report. The growth forecast for 2019 is revised down by 0.8 percentage points from the April 2019 projection due to lower oil prices since April 2019 and a larger-than expected contraction in Iran. MENA’s economic outlook is subject to substantial downside risks—most notably, intensified global economic headwinds and rising geopolitical tensions.

The latest edition of the MENA Economic Update titled “Reaching New Heights: Promoting Fair Competition in the Middle East and North Africa” discusses the current sluggish growth due to conservative oil production outputs, weak global demand for oil, and a larger-than-expected contraction in Iran. On the other hand, a boost in non-oil activities in the Gulf Cooperation Council (GCC) countries (Bahrain, Kuwait, Oman, Qatar, Saudi Arabia, the United Arab Emirates), most prominently in construction, partially offset the dampening effect on the region’s average growth numbers as a result of Iran’s economic contraction.

Egypt’s Gross Domestic Product (GDP) continues to lead growth in the region as its overall macroeconomic environment has improved following the country’s exchange rate, fiscal, and energy reforms. As a result, Egypt’s economy grew to 5.4% in the first half of 2019, up from 5.2% in 2018.

“Countries in the region have implemented bold reforms to restore macroeconomic stability, but the projected growth rate is a fraction of what is needed to create enough jobs for the fast-growing, working-age population,” said Ferid Belhaj, World Bank Vice President for the Middle East and North Africa region. “It is time for courageous and far-sighted leadership to deepen the reforms, to bring down the barriers to competition and to unlock the enormous potential of the region’s 400 million people as a source of collective demand that could drive growth and jobs.

In the medium-term, the World Bank expects real GDP in the MENA region to grow at 2.6% in 2020 and 2.9% in 2021. The projected pickup in growth is largely driven by increasing infrastructure investment in GCC countries and the recovery in Iran’s economy as the effects of current sanctions wane.

However, the report warns that a further escalation in regional tensions could severely weaken Iran’s economy and spill over to other countries in the region. While rising oil prices would benefit many regional oil exporters in the short run, the overall impact would be to hurt regional trade, investment, and spending on infrastructure.

In addition to providing economic growth forecasts for each country, the report highlights how unfair competition results from markets dominated by state-owned enterprises and politically-connected firms which deters private investment, reducing the number of jobs and preventing countless talented young people from prospering.

“The lack of fair competition is holding back the development of the region’s private sector, which history has shown to be the source of broad-based growth and jobs,” said Rabah Arezki, World Bank MENA Chief Economist. “Countries in the region have an opportunity to transform their economies by levelling the economic playing field, and creating business environments that encourage risk-taking and reward innovation and higher productivity.”

Unleashing regional demand accompanied by arm’s length regulation that fosters competition and fights anti-competitive practices could prevent the perpetuation of oligarchies—the powerful few who often seize control of liberalization attempts, with the unfortunate result that the idea of reform is sullied among the citizens. The report calls for strengthening competition laws and enforcement agencies. It also calls for more efficient management leading to potential corporatizing of state-owned enterprises, promoting the private sector, and setting up watchdogs to rebalance contestability between them.

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Pension Policies Must Keep Up with Rapidly Aging Societies

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A new publication on pension reform examines nonfinancial defined contribution (NDC) pension schemes as an approach to help policymakers meet the challenges brought on by rapidly aging populations and the changing nature of work, says the World Bank. In a world in which working lives will be increasingly longer, and demands for social care services will expand, pension systems will need to be reformed to ensure workers are protected and do not fall into poverty in old age.

Titled “Progress and Challenges of Nonfinancial Defined Contribution Pension Schemes”, this publication brings together evidence on NDCs pension schemes and reforms more broadly to bear on today’s labor market. NDC is a type of public pension system in which workers pay contributions to finance the benefits of current retirees, similar to traditional public pension schemes. However, unlike the latter, the NDC approach factors in automatic adjustments based on demographic changes, a key advantage given the increased aging and decreased fertility in many societies today. Over the past decades, NDCs have emerged as a key tenet in global thinking about pensions, as this framework ensures more efficient and effective social risk sharing, and better public resource allocation.

The unique feature in the NDC framework is a built-in design that achieves affordability, financial sustainability, and intergenerational fairness,” said Robert Holzmann, Governor for the Austrian National Bank and one of two lead editors of the volume. “With individual accounts come transparent information on the interaction of individuals’ decisions to work and pay contributions and their own roles in determining their future pension outcomes,” he said.

An NDC framework also allows countries to address poverty in the aging population, if it is accompanied by a well-thought out complement to provide a safety net for the elderly. “Special efforts must be devoted to constructing a zero pillar to address poverty in old age,” said Edward Palmer, Professor of Social Insurance Economics at Uppsala University, Sweden, and the other lead editor of the volume. “This ensures that people with low lifetime incomes, such as those who work predominantly in “unremunerated home care” and otherwise in the informal market economy – typically in emerging but also in developed economies – are provided with adequate basic protection in old age,” From this standpoint, governments have a key role to play in providing a basic level of pension to prevent poverty in old age. 

The lessons from theory and practice contained in this book will help us all find better responses to the biggest challenges of the current time: adapting the social protection systems to the challenges of aging populations and the changing labor markets and contributing to human capital for the current and future generations,” said Michal Rutkowski, Global Director of the World Bank Social Protection and Jobs Global Practice. “The World Bank’s vision is one in which social insurance is extended to all workers, independently of how they engage in the labor market,” said Rutkowski.

The recent World Bank white paper on “Protecting All: Risk-Sharing in a Diverse and Diversifying World” proposes an approach to worker protection and social security that is better adapted to an increasingly diverse and fluid world of work, and the NDC approach to pensions represents a framework that is individually financed and considered “actuarially fair”.

Based on a 2017 Rome conference by INNAP, funded by the Swedish Pension Agency, and published by the World Bank Group, this new anthology documents twenty years of country experiences where NDC pension schemes were introduced, and addresses specific dimensions of pension policies under this scheme, such as poverty, labor market, family and gender, and longevity. It includes 31 contributions from academics, practitioners, policy makers, and experts in pensions and social policy.

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Small businesses and self-employed provide most jobs worldwide

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Self-employment, micro and small enterprises play a far more important role in providing jobs than previously believed, according to new International Labour Organization (ILO) estimates.

Data gathered in 99 countries found that these so-called ‘small economic units’ together account for 70 per cent of total employment, making them by far the most important drivers of employment.

The findings have “highly relevant” implications for policies and programmes on job creation, job quality, start-ups, enterprise productivity and job formalization, which, the report says, need to focus more on these small economic units.

The study also found that an average of 62 per cent of employment in these 99 countries is in the informal sector, where working conditions in general tend to be inferior, (i.e. a lack of social security, lower wages, poor occupational safety and health and weaker industrial relations). The informality level varies widely, ranging from more than 90 per cent in Benin, Cote d’Ivoire and Madagascar to less than five per cent in Austria, Belgium, Brunei Darussalam and Switzerland.

The information is published in a new ILO report, Small matters: Global evidence on the contribution to employment by the self-employed, micro-enterprises and SMEs .

The report finds that in high-income countries, 58 per cent of total employment is in small economic units, while in low and middle-income countries the proportion is considerably higher. In countries with the lowest income levels the proportion of employment in small economic units is almost 100 per cent, the report says.

The estimates draw on national household and labour force surveys, gathered in all regions except North America, rather than using the more traditional source of enterprise surveys that tend to have more limited scope.

“To the best of our knowledge, this is the first time that the employment contribution of so-called small economic units has been estimated, in comparative terms, for such a large group of countries, particularly low and middle income countries,” said Dragan Radic, Head of the ILO’s Small and Medium Enterprises Unit.

The report advises that supporting small economic units should be a central part of economic and social development strategies. It highlights the importance of creating an enabling environment for such businesses, ensuring that they have effective representation and that social dialogue models also work for them.

Other recommendations include; understanding how enterprise productivity is shaped by a wider “ecosystem“, facilitating access to finance and markets, advancing women’s entrepreneurship, and encouraging the transition towards the formal economy and environmental sustainability.

Micro-enterprises are defined as having up to nine employees, while small enterprises have as many as 49 employees.

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