Background
Methods
Country | Researched Ministeries/Institutions/Authorities | Contacts | Responses |
---|---|---|---|
Higher order
| ILO - Unit Health Care BAUA European Association for Communication in Health Care DSVEV Center of European Policy Studies WHO - Health Information Unit International Commission of Occupational Health | 15 | 5 |
Albania
| Ministry of Health Albanian Epidemiological Association State Labour Inspectorate Social Insurance Institute | 4 | 1 |
Belarus
| Ministry of Health Ministry of Labour Ministry of Statistics | 3 | 0 |
Bosnia-Herzegovina
| Ministry of Health Federation of Bosnia and Herzegovina Ministry of Health and Social Protection of Rep. Srpska Society of Social Medicine Agency for Statistics of Bosnia and Herzegovina Office of Statistics | 5 | 0 |
Bulgaria
| Bulgarian Public Health Association National Centre of Public Health Protection National Expert Medical Commission Clinic for Occupational Diseases Association "Workplace Health and Safety Promotion" National Center of Health Informatics NCO Bulgaria National Center of Hygiene, Medical Ecology National Health Insurance Fund Ministry of Labour and Social Policy-General Labour Inspectorate Ministry of Health | 12 | 3 |
Croatia
| Ministry of Health State Secretary for Health State Secretary for Social Welfare Croatian Society on Occupational Health Croatian National Institute of Public Health Croatian Public Health Association State Inspectorate - Labour Inspection Central Bureau of Statistics | 8 | 1 |
Cyprus
| Ministry of Health Cyprus Institute for the Environment and Public Health Cyprus Safety and Health Agency Department of Labour Inspection | 4 | 0 |
Czech Republic
| Ministry of Health Institute of Health Policy and Economics National Institute for Public Health Department of Occupational disease Czech Society of Public Health/Health Services WSO International Office for Czech Republic Occupational Safety Research Institute State Labour Inspection Office Dept. of Occupational Medicine | 11 | 2 |
Estonia
| National Institute for Health Development Health Protection Inspectorat Estonia Health Insurance Fund Ministry of Social Affairs - Health Care Department | 6 | 1 |
Greece
| Ministry of Health and Welfare Ministry of Labour and Social Affairs Hellenic Institute for Occupational Health and Safety ILO Member: Dr. Theodore Bazas National Satistic Service | 6 | 1 |
Hungary
| Ministry of Health European Hospital and Healthcare Federation National Institute of Occupational Health Federation of Hungarian Medical Societies Association of Hungarian Medical Societies (MOTESZ) Public Foundation for Research for Occupational Safety National Institute for Strategic Health Research National Health Insurance Fund Administration Department of Labour Protection Hungarian Statistical Office National Center for Public Health | 12 | 2 |
Latvia
| Latvian Public Health Association Health Insurance State Agency Health Statistics and Medical technologies State Agency Public Health Agency Institute of Occupational and Environmental Health Ministry of Welfare | 7 | 3 |
Lithuania
| Ministry of Health Department of Environmental and Occupational Medicine Kaunas University of Medicine | 3 | 0 |
Macedonia
| Ministry of Health National Public Health Institute Macedonian Medical Association Macedonian Occupational Safety Association Ministry of Labour and Social policy State Labour Inspection State Statistical Office | 7 | 2 |
Moldavia
| Ministry of Healthcare | 1 | 0 |
Montenegro
| Ministry of Health, Labor and Social Welfare Statistical Office of Montenegro | 3 | 0 |
Poland
| Ministry of Health Institute of Public Health National Health Fund Nofer Institute of Occupational Medicine National Labour Inspectorate Institute of Occupational Health WSO International Office for Poland | 9 | 2 |
Romania
| National Research Institute for Labour Protection Romanian Public Health/Health Management Association ROMTENS Foundation Institute of Public Health Iasi Institute of Public Health Bukarest Romanian Labour Inspectorate | 9 | 3 |
Serbia
| Ministry of Health Institute of Occupational Health Serbian Association of Public Health Labour Inspection Ministry of Labour, Employment and Social Policy Statistical Office of the Republic of Serbia Institute of Public Health of Serbia | 8 | 3 |
Slovakia
| National Labour Inspectorate Slovak Public Health Association SAVEZ WSO International Office for Slovakia The European Network for Workplace Health Promotion | 10 | 3 |
Slovenia
| Ministry of Labour, Family and Social Affairs Ministry of Labour/Inspection Division Department for Health and Safety at Work Ministry of Health of the Republic of Slovenia Slovenian Preventive Medicine Society The European Network for Workplace Health Promotion International Commission on Occupational Health Clinical Institute of Occupational Medicine | 10 | 5 |
Turkey
| Ministry of Health Turkish Public Health Association Dokuz Eylùl University | 4 | 0 |
Ukraine
| Ministry of Health Ministry of Public Health Center of Medical Statistics Institute of Occupational Health | 4 | 2 |
Total
|
128
|
165
|
39
|
Results
Comparison of the accident insurance systems
EU Members | Employment injuries and occupational diseases | Field of application | Special features | Minimum level of invalidity Partial and full invalidity |
---|---|---|---|---|
Bulgaria | Independent component of the compulsory social insurance system | All employees, except for students and persons without a contract of employment. Voluntary insurance for the self-employed and for farmers | Pending reform. Nursing care allowance if occupational invalidity is 90% or more and nursing care is needed. No cumulation with earned income. Cumulation with other pensions is possible (100% of the highest pension plus 50% of other pensions) | Partial invalidity: n.s. Full invalidity: from 50% |
Czech Rep. | Independent component of the compulsory social insurance system | All employees; Specific groups: pensioners and students Special system for civil servants | No family allowance; No nursing care allowance; Cumulation with earned income possible Cumulation with other pensions possible Professional rehabilitation. | No compensation. Partial invalidity: from 30% Full invalidity: from 50% |
Cyprus | Independent component of the compulsory social insurance system | All employees; self-employed excluded; excluded: employees of the public and diplomatic services of foreign countries, workers on parental farms. Independent agricultural workers aged under 16 years. Voluntary insurance for employees who work abroad. | Family allowance; Nursing care allowance for complete occupational invalidity, requiring nursing care from third parties ca. 45€/p.w. Cumulation with earned income possible. After 1980, Cumulation only possible with widow's pension. Obligation of professional rehabilitation possible European Social Charter since 2000. Ministry of Health and Social Security, Labour Supervision Agencies | Partial invalidity: 10-19% Compensation (Invalidity Compensation) 20-99% Partial Invalidity Full invalidity: 100% plus flat rate/p.w. if nursing care from third parties is necessary |
Estonia | No independent insurance. Risks are covered by the health insurance funds (short-term) or pension insurance (long-term). | All employees; No exceptions; No voluntary insurance | No family or nursing care allowance; No cumulation with other pensions; Employee liable in civil law - additional services as compensation, e.g. prostheses, drugs, costs for emergency treatment | Partial invalidity: from 10% compensation Full invalidity: from 40% |
Greece | No independent insurance. Risks are covered by sickness, invalidity and dependent insurance. | All employees; No exceptions; No voluntary insurance. | Family allowance: Start of insurance from 1993, no partner allowance, percentage allowance for children Nursing care allowance: Start of insurance from 1993, 25% of the monthly average (1991) of the gross social product; .75% pension payment for occupational invalidity because of psychiatric disease. Cumulation with earned income or other pensions No special rehabilitation measures | No compensation. Partial invalidity: from 50% Full Invalidity: from 80% |
Hungary | No independent insurance. Risks are covered by sickness, invalidity and dependent insurance. | All employees: Self-employed, recipients of income support; No voluntary insurance | No family allowance; No nursing care allowance Occupational accident pension: Cumulation with earned income possible. Occupational invalidity pension: cumulation up to 80% of the former income. No cumulation with other pensions. Professional rehabilitation measures up to 50% occupational invalidity. Subsidy for persons providing nursing care | No compensation Partial Invalidity: from 15% to 66% (occupational accident pension) Full Invalidity: from 67% (occupational invalidity pension) 50% for silicosis and asbestosis |
Latvia | Independent component of the compulsory social insurance system | All employees; No voluntary insurance | No family allowance; 50% nursing care allowance or nursing care provided 20% reduction if cumulation with old-age pension. Cumulation with earned income possible | Partial invalidity: 10-24%, compensation possible Full invalidity: from 25% |
Lithuania | Independent component of the compulsory social insurance system | All employees; Voluntary insurance for self-employed; special systems for the police force, state security, armed forces etc. | No family allowance; No nursing care allowance Full cumulation with other pensions, Cumulation with earned income possible | Partial invalidity: no compensation Full invalidity: from 30% |
Poland | Independent component of the compulsory social insurance system | All employees; self-employed No voluntary insurance | No family allowance; Nursing care allowance Choice between cumulation: occupational accident pension 50% plus old-age pension or conversely possible, reduction in pension if additional earned income. Once off payment from employer: ca. 107€ per percentage point of the deterioration in the state of health | Partial invalidity: No compensation; no percentage rate for partial occupational invalidity. Full invalidity: n.s. |
Romania | Independent component of the compulsory social insurance system | All employees; Children in full time education; Trainees; Students; Conscripts; Self-employed (voluntary?); | n.s. | Partial invalditiy: from 50%/group III Full invalidity: 100% 3 Groups: I: 100% plus nursing care; II: 100%; III: from 50% restricted employment possible. |
Slovakia | Independent component in the compulsory social insurance system | All employees; Students and members of other groups; No voluntary insurance | No family allowance; Compensation of actual nursing care costs; Cumulation with new earned income possible. Reduction if other pension is received. | Partial invalidity: 10%-40% compensation Full invalidity: from 40% |
Slovenia | No independent insurance. Risks are covered by sickness, invalidity and dependent insurance. | All employees; Students, trainees, handicapped persons during training, rehabilitation or practical training, persons with second jobs or involved in social activities. | No family allowance; Nursing care allowance; Cumulation with earned income up to the minimum wage is possible. Cumulation possible/Insured persons must decide for a pension. Professional rehabilitation; | Partial invalidity: no compensation Full invalidity: n.s. 3 groups of invalidity: I.: full occupational invalidity; II.: min. 50% occupational invalidity, III.: part-time occupation possible |
Non-EU Members | Employment injuries and occupational diseases | Field of application | Special features | Minimum level of invalidity Partial and full invalidity |
---|---|---|---|---|
Albania | Independent component of the compulsory social insurance system | All employees; trainees, students, self-employed; voluntary insurance possible | Practical problems, as system is being developed. Employees often fail to pay the contributions. No cumulation with other pensions. Professional rehabilitation | Partial invalidity: 10%-33% compensation 33%-66% partial pension Full invalidity: from 67% |
Belarus | Independent component of the compulsory social insurance system | All employees; prisoners who work in prison; Excluded: self-employed; Special social insurance for artists, teachers, sportsmen, medical care employees, in public organisations, victims of Tschernobyl. | 21% of workplaces in the country are inadequately insured. | Partial invalidity: Group III Full invalidity: 100% 3 Groups: Group I: 100% occupational invalidity plus necessity of treatment; Group II: 100% occupational invalidity; Group III: partial invalidity |
Bosnia-Herzegovina | Independent component of compulsory social insurance system. | All employees; self-employed, farmers, employees of religious institutions | No cumulation with other pensions. Special regulations for Republic Srpska and Brcko District. | Partial invalidity: from 20% Full invalidity: from 100% |
Croatia | No independent insurance. Risks are covered by sickness, invalidity and dependent insurance. | All employees | Professional rehabilitation, if occupational invalidity at least 50% and aged under 50 | Partial invalidity: n.s. Full invalidity: from 51% |
Macedonia | No independent insurance Risks are covered by sickness, invalidity and dependent insurance? | n.s. | Because of the lack of financial, institutional and personal resources, the social insurance system is not yet capable of providing functional services. Since 2000 WHO Collaborating Center Skopje: "Specific occupational risks in health care workers- infectious and psychosocial hazards" | Partial invalidity: Group I and II. Full invalidity: 100% 3 Groups: I: Occupational validity can be restored. II: Partial occupational invalidity; III: Complete occupational invalidity |
Rep. of Moldavia | No independent insurance? Risks are covered by sickness, invalidity and dependent insurance? | All employees, members of cooperatives, students, trainees, self-employed. Voluntary insurance possible | n.s. | Partial invalidity: Group III Full invalidity: 100% 3 Groups: Group I: Occupational invalidity for all areas of work plus nursing care from third parties; Group II: Occupational invalidity for all areas of work; Group III: Partial invalidity |
Montenegro | In development. | Articles 15 and 16 of the Law on Health Care define actions to be taken to protect health at the place of work. Declaration of independence 2006. Restructuring in all areas. | n.s. | |
Serbia | No independent insurance Risks are covered by sickness, invalidity and dependent insurance | All employees; Self-employed, cooperative members, farmers, artists. Voluntary insurance possible. Special system for members of the armed forces. | Invalidity pension was only introduced in 2008. Declaraton of independence of Kosovo in 02/2008. | Partial invalidity: from 30% Full invalidity: n.s. Eight different invalidity grades |
Turkey | No independent insurance Risks are covered by sickness, invalidity and dependent insurance? | All employees, trainees, students, prisoners who work in prison. Special regulations for civil servants, self-employed and farmers. Excluded: part time domestic servants | 2004, 9.58% had no social insurance. High additional payment for drugs | Partial invalidity: from 10-25%: compensation Full invalidity: 2/3 = 66% |
Ukraine | Individual component of the compulsory social insurance system | All employees; Voluntary insurance possible. Special services for victims of Tschernobyl. | n.s. | Partial invalidity: Group III Full invalidity: 100% 3 Groups: Group I: 100% occupational invalidity plus necessity of treatment; Group II: 100% occupational invalidity; Group III: Partial invalidity |
Comparison and changes in rates of occupational accidents
EU Members | Occupational injuries (non-fatal) per 100,000 | Fatal occupational injuries per 100,000 |
---|---|---|
Bulgaria | 187 (2005) ▼▼ | 5.8 (2005) ▼ |
Czech Rep. | 1830 ▼▼ | 3.4 ▼▼ |
Cyprus | 745 ▼ | 6 ▲ |
Estonia | 561 ▲ | 4.3 ▲ |
Greece | 10,684 (total/2005) ▼ 772 (2003) | 5.4 (2003) ▲ |
Hungary | 574 ▼▼ | 3.13 ▼▼ |
Latvia | 177 (SLI) ▲ | 6.9 (2004) ▲ |
Lithuania | 295 ▼ | 9.6 ▼ |
Poland | 878 ▲ | 4.6 ▲ |
Romania | 75 ▼▼ | 6 ▼▼ |
Slovakia | 678 ▲ | 5 ▲ |
Slovenia | 4437 ▼ | 3.8 ▲ |
Non-EU-Members | ||
Albania | n.s. | n.s. |
Belarus | 95 ▼▼ | 5.8 ▼ |
Bosnia-Herzegovina | n.s. | n.s. |
Croatia | 1645 ▲ | 5.0 ▲▲ |
Mazedonia | 1547 (2001) ▼▼- bisection in one year | n.s. |
Rep. of Moldavia | 82 ▶◀ | 4.7 ▼▼ |
Montenegro | n.s | n.s. |
Serbia | 21924 (total/2005) | 0.8 (1999/WHO) |
Turkey | 29 ▲ | 20.5 ▲▲ 13.6 (2004) |
Ukraine | 160 ▼▼ | 8.3 ▼ lowest since 1997 |
Fatal occupational accidents
Comparison and changes in occupational diseases
Country | List of occupational diseases | System | Number of occupational diseases |
---|---|---|---|
Albania
| yes | closed list | |
Belarus
| n.s. | n.s. | n.s. |
Bosnia-Herzegovina
| yes | closed list | n.s. |
Bulgaria
| yes | mixed system | 30 groups |
Croatia
| yes | closed list | n.s. |
Cyprus
| yes | closed list | n.s. |
Czech Rep. | yes | mixed system | n.s. |
Estonia
| yes | mixed system | n.s. |
Greece
| yes | closed list | 52 |
Hungary
| yes | closed list | 35 |
Latvia
| yes | mixed system | 7 main groups with 37 subgroups |
Lithuania
| yes | n.s. | n.s. |
Macedonia
| yes | closed list | n.s. |
Rep. Moldavia
| no | n.s. | n.s. |
Montenegro
| no | n.s. | n.s. |
Poland
| yes | closed list | n.s. |
Romania
| yes | n.s. | 73 |
Serbia
| yes | closed list | n.s. |
Slovakia
| yes | closed list | 47 |
Slovenia
| yes | n.s. | n.s. |
Turkey
| yes | mixed system | n.s. |
Ukraine
| n.s. | n.s. | n.s. |