The integration of occupational medicine and public health to improve cardiovascular health in the workplace and community
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Department of Epidemiology and Biostatistics, Schulich School of Medicine & Dentistry, Western University, Canada
Department of Science of Woman/Child & Public Health, Università Cattolica del Sacro Cuore, Rome,Italy
Department of Public Health, University “Federico II” of Naples, Italy
Department of Public Health, University Federico II, Naples, Italy.
Humanitas University, Pieve Emanuele, Milan Ialy, Humanitas University, Department of Biomedical Sciences, Via Rita Levi Montalcini 4, Pieve Emanuele, Milan, Italy
Publication date: 2023-04-26
Popul. Med. 2023;5(Supplement):A1572
Occupational Medicine is an integral component of Public Health aimed at preventing mortality, morbidity, and disability burden attributable to occupational risk factors. Minimizing exposure to cardiovascular risk factors in the workplace, in line with the recent model of “Total Worker Health”, may improve health and safety of workers, their families and community. The workplace represents an extraordinary powerful “milieu” for creating and developing health promotion programs in keeping with Public Health policies.

Objectives and Key Questions:
To evaluate how the control of cardiovascular risk factors in workplaces may reduce morbidity and mortality in the community.To evaluate how the integration of Occupational Medicine and Public Health may improve cardiovascular prevention in the population at large. INTRODUCTION (Stranges and Barbic) (5 minutes). Assessment of Cardiovascular Risk in Workplace and Community: Role of New Risk Algorithms and Artificial Intelligence (Giuseppina Affinito). Cardiovascular disease (CVD) is one of the most prevalent causes of long-term sickness and absenteeism in the workplace. The working environment can expose workers to elevated physical and psychological work stress, which is related to an elevated risk of CVD and consequent working disability. Therefore, to quantify the interplay between the workplace and health, a new algorithm was developed to estimate the risk of a diagnosis of unsuitability for work due to CVD. Sleep, Violence, Stress, and Cardiovascular Risk Prevention in the Workplace. (Nicola Magnavita) Workers’ health surveillance offers the opportunity to conduct health promotion interventions in the workplace which, with low-level resources, can achieve significant improvements in health. This study presents some experiences conducted in the last 10 years by our occupational health unit which demonstrate the effectiveness of workplace health interventions. Sleep health promotion, prevention of workplace violence, and reduction of work-related stress are associated with low levels of cardiovascular risk factors and metabolic syndrome. Public Health Approaches to Prevent Cardiovascular Disease in the Workplace (Saverio Stranges) Evidence suggests that health interventions in the workplace may generate wide-ranging benefits by improving cardiovascular risk factor profiles and preventing cardiovascular disease among workers. This presentation will discuss current evidence from randomised controlled trials, cluster randomised trials, quasi-experimental and observational studies of workplace interventions to assess their effectiveness and feasibility to improve cardiovascular risk factors among workers and prevent cardiovascular disease in the population at large. Occupational Medicine and the Total Worker Health®: From Workplace Risk Assessment and Management to Workers’ Well-Being Promotion (Veruscka Leso) The National Institute of Occupational Safety and Health developed the Total Worker Health® (TWH), defined “as policies, programs, and practices that integrate protection from work-related safety and health hazards with promotion of injury and illness-prevention efforts to advance worker well-being”. The TWH model will be presented and the role of occupational physicians in preventing cardiovascular diseases that have a significant impact on Public Health will be discussed. Indeed, addressing modifiable CVD risk factors by structured health promotion interventions in workplaces represent a powerful opportunity to obtain benefits in terms of both occupational and public health. INTERACTIVE DISCUSSION (15 minutes)

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