Welcome to this session. Today we're going to have an update from the International Occupational Medicine Society collaboration, IOMSC, and ACOM, ACOM and SOM, UK Society of Occupational Medicine, originally were the founder partners for the first IOMSC meeting 10 years ago in 2013. We'll just take you through some of the history of what has been happening over that period. I'm very pleased to let you know that we have Professor Dame Carol Black who was with us in our beginning. She is an internationally known rheumatologist but after that completely amazing career then became government advisor on health and work in the UK with landmark reports on work and health and working for a healthier tomorrow and more recently on drugs and alcohol to advise to the government and also chairing the advisory board to the National Health Service on the well-being of people who work in health and care in the UK. I also introduce Paulo Rabel who has been the president of the Brazilian Occupational Organization ANAMT in the past and is also on the executive of IOMSC. I bring the apologies for Dr. Ron Lepke who has a medical appointment in the next two days so he has been unable to join us today but he is with us in the preparation in the spirit and I also will ask Herman Spanjard from the Netherlands who is the leader of the Dutch organization and also on IOMSC executive to let you know that he is here too. I could spend the time introducing everybody but I think it'd be better to to move on and let you know a little bit more detail about what has been happening. But I believe that none of the speakers has any conflict of interest, any relevant financial relationship with commercial interests in relation to the CME program to make you aware of. So who are we? The IOMSC. It can be a little confusing. There are a lot of different organizations with the word international in them now in the ACOM umbrella. So it's possibly helpful just for me to give you one minute on what is the difference between these organizations. One of the organizations you may have heard of is ICOH, International Commission Occupational Health. This is an organization of expert individuals, very big organization and in each country there are representatives from the country nominated to this and there are also specialist groups working on projects who come together every three years for a big conference. The next one is in Marrakesh in the summer of 2024 and that is an organization of individuals. Many of us are individual members of ICOH. Then in ACOM there is an international section. I've in the past chaired this section. Herman is chairing it now. I think there are other people who've chaired the international section in the audience too and that's an opportunity to discuss international work for ACOM members. So it's generally members of ACOM who are based in the US who are thinking about the international influence of their work. So maybe in multinationals with work overseas, that sort of thing. And most recently, last year, with the promotion of Dr. Bob Bourgeois, who was your president last year, we now have an international component, I-C-S-O-E-M, international component which is rather like WOMA or the Northeast group. It's a geographical group and that really is for members of ACOM who are not resident in US because they don't have a state or a regional component to belong to. It's an international component. So just for orientation, those are the different international groups. What I'm showing you here on the right though is the first meeting that we had back in, well, this was in 2013 in the US at the ACOM meeting then. But since then we have had overseas meetings and collaborations with our partner organizations in many countries. Some face-to-face, you can see us at Rio and Paolo, perhaps you could say maybe one or two words. We joined you in Rio in 2018. How was that? Good afternoon. A special words for people from Brazilian and others Portuguese languages and the brothers from Latin America and the Caribbean. And this was a project to join people from all the American countries to discuss occupational medicine. And IOMC have a special role in this integration. And during the three days that we are in Rio de Janeiro, we promote a meeting. And as we have this experience, we recognize the necessity to work in regional or bilingual countries because work only in English is difficult for several professionals and companies. And like the World Health Organization that have regional offices like Pan American Health Organization, we needed to join people. And all the people that are from Latin American, Caribbean or Portuguese language, please contact me. Thank you. Thank you, Paolo. I just noticed Gwen Brackman in the room and Bill Butchker, who are very involved with ICO. So if anybody after the session would like to know a little bit more about ICO, could I just ask you just to stand up so they can recognize Bill and Gwen? I did, yes. But I only told them one sentence and I'm sure you will be able to tell them a good deal more, Gwen. That would be great. And we've had meetings face-to-face in the Netherlands with Herman. And then we have also attended using remote technology with the Portuguese organization. And we have Jorge, who is the chair of the Portuguese organization. Perhaps you could stand up, Jorge, again. So I think this is just to give you a flavor of the true international nature of this organization. When I first came to AOHC in 1995, and I think I said I've been to 26 of the AOHCs since then, there were only about four nations outside Canada, U.S. and Mexico who came to AOHC. Very few numbers attending AOHC were out of, not just out of state, out of country. This year, I hear we have 50 different nationalities at AOHC, 50 different nationalities at AOHC. So I think it's really part of a recognition that really we have global collaboration going on and that we are both learning from each other and contributing to each other on some very common issues, common issues. And we're going to ask your help with these matters a little later in this hour. So think about what you might wish to say. We want to get your contribution. So our mission with IOMSC, very similar, you'll think, with some of these other organizations, to improve workers' health and workplace safety on a global scale, on a global scale. Collaborate. It's not a competition. It's actually about the power of together on the issues of concern and the opportunities we have to make a real difference to people's lives and their healthy working lives in occupational and environmental medicine. To advance our specialty, we had, at our meeting on Friday, Ivan Ivanov, who heads the WHO Occupational Health, telling us that the world needs 700,000 occupational physicians more than it has now to meet the needs of workers. And that's one worker, 5,000 workers accessing a physician, 700,000 more we need than we have already. And to promote the provision of evidence-based occupational environmental medicine. So I think you can see here also, I'm not going to run through the list, but this is just showing you the extent of the organizations that are like ACOM, in that they look after occupational health matters in their countries, who are part of IOMSC. But I would also say, I don't know if we have Tayseer in the room today, but we have been also helping countries that have no occupational medicine society to establish one. That has been part of our mission, to help design an organization, to share some of the difficulties we have running occupational medicine organizations in our own countries, so that the same mistakes that we make are not made by others. So this is a little bit of a roadmap to say, well, okay, very nice. You have pictures of groups, but what did you actually do? What did you do? What did you achieve in 10 years? So I think this is really just some very small points along the journey, from this original meeting in Orlando, where we had 17 members, to today, where we have 50. The last member to join us before this meeting, Zimbabwe, makes 50. We now have 50 countries who are members of IOMSC. We've met in Washington, and I think Brian Davey is with us. Brian, who is heading health – there's Brian. Stand up, Brian, just so people can see. They may want to talk to you afterwards. Brian, you look after the World Bank, and the health of people working in the World Bank, and the matters to do with work and health that the World Bank is engaged with. So, amazing. You are hosting us in Washington, back there in 2015. And we've mentioned Lisbon in 2017, meetings in the Netherlands, meeting in Rio de Janeiro, but in 2018, with the help of the UK Society of Occupational Medicine, and in particular Chief Executive Nick Powell, sitting in this corner over here, waving here, we developed an advocacy toolkit. How do you persuade your government that they need an occupational health professional organisation? That it has a value to the economy of your country? Improving the health of workers has a return on the investment. So, a toolkit was developed, and the reason I mentioned TIC is because that's been used in Sudan, and in a number of other countries to help shape occupational medicine groups in those countries. We've produced declarations on the health of healthcare professionals in 2019, insights and contributed to COVID management, and most recently, in 2022, we have been made by the WHO what is called an International Collaborating Centre for WHO. So, this means that we are seen as a non-state actor working with WHO on their Sustainable Development Goals agenda. Now, all of this is done not by me and Herman and Paolo as executive. It's actually the contribution of your ACOM and other country societies who are providing information, guidance, toolkits, people, people like you, working on problems that we wish to share with others. So, it's really important. We want you to think about what critical issues in the next 10 years, we have the first 10 years of IOMSC, but what could we be doing in the next 10 years? The other important thing that happened in 2022, and literally Friday this week, we had a notification that we are seen as a charitable organisation, a charitable organisation. So, that's actually a legal point, but it means that we can look for funding as a charity for our future programmes. At the moment, we've been funded with membership contributions and some, I would say, small-scale support from sponsors. This enables us to perhaps take on a much more ambitious agenda in the next 10 years if we seek funding. So, we'll be asking for your help about where should we go for funding? What should we be looking at? What are the things we could be doing about that? And also, what matters would we, ACOM members, wish to contribute to in terms of supporting international development in terms of occupational health, occupational medicine? So, this is the meeting that we just had, the anniversary meeting of the 10 years. I think you can see that we actually had the meeting in the same room here in this salon. It was on Friday, and what you can see here are members of ACOM, who are part of the IOMSC organising. We have observers from ICO and other organisations, MediChem, and we have, obviously, we had your president, and we had Doug, President Current, and President Elect, Kenji, who were also able to address the meeting. And you'll recognise a few past presidents there, and it's good to see a number of you in the room who are in the picture because you were there on Friday. So, what I'd like to do now is we set some challenges to ourselves on that day, but we actually asked some independent people, Brian, the one here, Professor Dame Carol, to really challenge us. It's fine that you made all these progress in the last 10 years, but that's behind you. What are you going to be doing in the future? So, I'd like to ask Carol perhaps just to share some of her reflections on that meeting. What is it that we should be doing? What did you take out of that? And then I'm going to ask Herman to perhaps bring some of your thoughts into the room. We have a roving microphone, and we'd like to get some of your ideas because we'll be writing up the proceedings of our anniversary meeting just on Friday, together with the advice that you bring to us and the contributions you bring to us today. Dame Carol. Richard, thank you very much, and good afternoon. Of course, I'm an interloper. I'm a rheumatologist by training, but deeply interested in health and work. As Richard said, I came into this after being President of the Royal College of Physicians at home, where I got to know the Faculty of Occupational Medicine, and then became the government's National Director for Health and Work. I think it's fair to say that the seeds of this organisation happened over dinner in London between Ron Lepke, Bill Glass, who's just a wonderful Occupational Health Physician from Australasia, and myself. I've been, if you like, interested from the very beginning in the potential to bring organisations together from around the world to support and help each other, both in an educational sense, but hopefully, ultimately, to do some interesting work together. I said on Friday at the anniversary meeting, I particularly was interested in this because my specialty was a rare connective tissue disease, scleroderma. With the late Joe Korn from Boston, I set up the organisation that brought together medical departments from around the world to do things which we couldn't do on our own, because if it's a rare disease, you haven't got either enough people, enough patients to do the things that need to be done. I saw the power of collectively working together to make things happen. I think that is what made me really interested in this organisation. The test for me of an organisation that I'm involved with is the things that are happening, would they have happened if that organisation had not been formed or there? I asked myself before coming to this meeting, if IOMSC had not been formed, would some of the things that Richard has talked about, and one could go into in more detail, have happened? I don't think so quite in the same way. I think there's been a very good foundation to this organisation and a great willingness of people to come together. I think it would be fair to say it's been a coming together of the willing and people doing extra work. I think it's got to the point at ten years, I would like to say really as an outsider, that now it needs the help of other people. It needs you to also have ideas from this platform, from this base of where we've got to. What are the issues that could perhaps be taken forward internationally and together? I just reflected on Friday that post-COVID, for me, there are some pretty big international issues in your sphere of work. I think first of all and importantly certainly in the United Kingdom, and I think around the world, occupational medicine is being in wonderfully high demand, much more than ever before. Coming to the forefront has been mental health. It's become an ever-increasing priority. Again, is there an area there, for example? Is there some work in the mental health, emotional security, stability area that this organisation might want to think about doing. Workplace culture, leadership and managerial behaviour has become much more visible and important post-Covid. Of course, hybrid working, lots of things have actually gone up the agenda that might be worthwhile issues to consider together. But what we heard on Friday was the need around the world for educational support, for mentoring, for exchange of professionals so that countries that were not as well-off and as well-supported as some of the richer countries could also gain and be supported to develop their occupational medicine and their professional expertise. So there were lots of things that were bubbling up, but to do these things you need funding and you need a professional organisation. I think if I'm looking in from the outside onto what I've seen developed now with charitable status, which is a very good thing to have achieved, one has to move it to a different level if it's to have sustainability. And I think that's why it would be really good if we stopped talking and you did the talking and really joined us in saying what is important now going forward to make the next steps. So, Richard, there was so much we heard on Friday, but I think it's across that spectrum of supporting countries less well-off than ourselves and all the things that go around that through to what projects might one be able to do together to take forward things at an international level. Thank you. Thank you very much, Carol. And of course, Herman, you're chair of the international section of AECOM, so I think the challenge for us is to say, well, what would – who else would want to be part of the international section? And if we were to achieve something in the next 12 months and 24 months, what would it be? What would we AECOM members want to get together to do to contribute to this global agenda? Herman, I don't know if you want to say a few words, and I might just ask Brian to share some of his observations, too, on Friday. We gave you a pretty big challenge, which was why is international collaboration so important, Brian, and what are the few opportunities that we might want to coalesce around as seen by a very large organisation, a funding organisation like the World Bank? Any sort of small points you want to share before? I think it would be good to perhaps have some conversations in the room, maybe turn to your partner, have a chat about what you think, and then we'll just take five minutes to talk to each other, and then let's get some conversations coming back. Brian, would you like to just challenge us a little bit, perhaps from the mic? What do you think we should be getting behind? We've heard mental health, we've heard educational opportunities. Sure, Richard, and thank you. Thank you for the introduction and the background. It was indeed a pleasure to host your organisation back in 2015, and congratulations to all of you on your 10th anniversary. Just a clarification, perhaps, for those who are not aware, yes, I am representing the World Bank, but the bank is not a bank where you can write cheques and visit tellers. It is the world's premier investment channelling organisation as a specialised agency of the United Nations system, and in fact, has an investment portfolio in the region of just over $80 billion per annum, a significant percentage of which goes into the health sector. But in our reflections, and we talked about this on Friday, I see a huge opportunity and an underutilised window of access to countries through the workplace, and I think when you think about it, the workers in the workplace are, I use the word captive population, not perhaps in the right sense, but it's a population that is accessible and where there is a huge incentive to work on health promotion and improving the health of the population. It's good business to have good health in your organisations, and there is convincing data out there backing this. A lot of good work published by many, including Ron Ledkin, and clearly global corporations who have their interests across the globe, it is in their interests to look after the health of their populations, but that goes beyond just the workers, but to the workers' families and to the communities, and there are so many good stories out there from my own country, South Africa, of tremendous work done by the Anglo-American corporation and others on HIV and TB treatment, some fascinating stories about the strategy to treating genital chancroid, where a revolving door situation of workplace programmes benefiting workers, but who return to the community and within weeks are back with the same problem, focusing the efforts on the community was the only way to really have an impact. And when you think of it in those terms, the capacity for organisations with means to have a real interest in promoting programmes on the ground where they can impact a significant number of workers, their families and communities, how that can then have an elevator effect, because we know that the health of workers benefits the health of organisations, the health of organisations contributes to the health of nations, and in fact to that of mankind. So bringing together those who can influence and spread the message, the occupational medicine societies of the world, as you are doing, could be a wonderful opportunity to spread this message and to provide tools and to provide assistance with targeted communication and perhaps also not to just focus on spreading the message and preaching to the converted, the medical population, but aiming at the employers themselves, the HR departments, showing big employers actually what occupational health means. It still stuns me in today's world to meet senior executives who really are just interested in sick leave management and getting a prescription when they need one, and understanding the benefits of true occupational health and taking that message out there in a targeted fashion, I think there is great opportunity for that. But thank you again for the great work that you're doing and let's hope we can work together on some of those ideas going forward. Thank you. Thank you Brian. There's another target group that we've made a specific tool for, the toolkit, the advocacy toolkit, and when you make a toolkit it's like with guidelines, they're in the cupboard somewhere and you think about them but you don't always use them. So after a couple of years we sent out a survey and we asked our members what did you actually do with the toolkit and that was very interesting. What came out was that there are so many different levels of, for instance, legislation in our memberships and in some countries it's very difficult to actually get legislation passed. So in those countries where we have solid legislation, we were able to help in those steps. Where are you? What did we do and what was successful? Friday I shared an experience in my country. We've been knocking on the door of our government for 25 years as the training of occupational medicine doctors, four years, is paid privately. It's the only medical profession that is privately financed. We've knocked on the door for 25 years, nothing happened, and this year suddenly there was a little change in government. It had to do with elections etc. and suddenly there was a minister who said okay, well we see the shortage of op meds and we actually have a little bit of money for two years funding. So if we can get a governmental private combination then here's a couple of million to train more doctors. So that's a beautiful example and I share it with you because sometimes you lose hope. This group is a lot of individuals, we're very motivated, we really believe every worker in the world should have safe and healthy conditions, and these are the tools that we need. So share the experiences and if you have questions, share them with us right now. Great, so if you could just take five minutes turning to a person or two or three of you together, what do you think we could contribute from ACOM and how to advance the IOMSC objectives in terms of meeting those needs? Or if you're from a country that actually is in need, what are the needs that you have too? Because I can see already in the room that we have a significant number of people who represent those organisations and countries on the list of member countries on that. So just five minutes, have a chat with your neighbour and then we'll ask some of you to feed back. So okay okay we're gonna start now. Well for those of you who didn't recognise the tune, that was So What by Miles Davis. So we've now come to the So What moment. Herman, perhaps you could just ask, we've had some very rich conversations, I really hesitate to close them down, you can continue them after the meeting, but perhaps we could hear back from those who'd like to share the results of your conversations. Come to the mic in the middle or ask for the mic from Herman, please can you make your observations sharp so we can get as many back as possible and say who you are and what country or you're representing. Thank you. Hello, I'm Ron Ross, I'm from here, Philadelphia, I'm an occupational... Can you speak up? Closer. I'm Ron Ross, oh I can hear that. Okay, I'm from here, Philadelphia, I'm an occupational physician, I specialise in environmental medicine and environmental toxicology. So of course ACOM has that E in it, which is why I'm here, and so I was very taken by the presentation that was made because when you have, the phrase I believe was there was an occupational cohort like the Anglo Gold workers, who are many migratory, come in to work and then go back to their communities, that these groups are a group that we can assess both for their toxic exposures in the environment and unhealthy factors in their environment as well as the workplace activities because you'd have the expertise in dealing with all those as medical issues. Thank you very much, in fact I could put Elton Dawkin on the spot here, but Elton's working for Anglo American from South Africa, perhaps you'd just like to say a tiny bit about what is being done for workers in that industry and also perhaps others suggest, please do make further suggestions. Thanks, so just to give a sense, I look after, we and our team, it's not just me, but my colleagues as well, look after about 100,000 employees in six operating countries, from Peru in the west of the world to Australia, and so the practical problem for us is trying to deal with seven different pieces of legislation, seven different levels of healthcare quality across the world when we demand an equal and equitable health service. So we are signatory to the WEF's equality equity pledge in healthcare, for instance. And so organizations like getting this kind of standardization at a global level, getting the same quality going through all of our countries for us, it would be really important. And it would make it easier to establish standards and work in a much more harmonized way at various levels. The other thing is China, in the old days, expats would move into, the quality of care and the capability in many countries, it was lacking. And so if you can assist countries and organizations develop capability from the bottom up in many of these countries, it would suit many and not just us. And then there's globalization. So you may be working, it's not just us, but companies in the U.S. have offshore manufacturing and they've managed to get away with that for years. That's not gonna happen anymore. So you're gonna now need to be held to account that the same level of services you provide in the U.S., you need to provide in China, if you're making iPhones. Duty of care. And so on, you know? So, yeah. Thank you, Elton. Thank you very much. My name is Musa Shaibo, I'm president of the Society of Occupational Physicians of Nigeria. Now, looking at the mission of IOMSC, we're delighted to see that, yes, it has a global focus and two key strategies to improve the health of workers and up to the safety of the work environment. Now, with a global focus, if you also look at the list of the 44 members, imagine how many African countries are really there. So there's a huge gap. If we need to really achieve our objectives, we need a lot of hard work there to bring in more African countries on board. And this is where we in Nigeria, we want to see whether we can blaze a trail to see how we can walk through the African Regional Association of Occupational Health, which are out, to see that we can encourage more African countries to come on board. Even locally in our country, yes, already we're engaging in a lot of advocacy, because we believe that if we get the leadership to understand clearly the benefits OHOM has on productivity and profitability, it will go a long way to convincing them to support whatever we are doing. So we intend to do more of that advocacy. And luckily, with the two KIL that I'm hearing of for the first time, I intend to study very carefully and ensure that I get as many of my members as possible to understand it and use the skill to get more persons on board. Not only at government level, but also at corporate organization. The leadership of corporate organizations, once they understand what we are talking about, it is easy for us to install occupational health practice in companies and schools and wherever. But in return for this, we want to ask that we also need support in the area of capacity building, because it is not enough to advocate and say, okay, I understand it, okay, do something for me, I don't have the capacity. So in-country, we also intend to see how much we can build in-country capacity in occupational health practice, so that we'll be able to walk the talk as it were when the time comes. So this is where we are. Thank you very much. So I think I'm hearing you calling for capacity building and also perhaps even help with some of the advocacy, particularly if there are people who are working in AECOM who have operations for the companies that they serve in Africa, to be in touch with you about how they could perhaps help with that. I think one over here, and then Sol Sacks over behind you as well. Hi, I'm Jackie Moline. I'm the head of occupational medicine at Northwell Health and the Zucker School of Medicine at Hofstra Northwell in New York. We were talking about, I'm sitting by three corporate medical folks and I'm an academic, and the first thing I thought about was being like the groups that go in for a week once there's funding, where they go in for a week and they repair cleft palates or they provide eye surgery in countries that don't have the resources. But rather than us, since most of us don't have the skills to fix eyes or cleft palates, to diffuse the information about occupational and environmental health risks to primary care communities, leveraging either funding from the organizations and also using the corporations that may have a footprint in many of these countries to help support going out in there. So working not just to build up the cadre of occupational physicians, but going into the communities, having people do volunteer work in essence for in an organized fashion, with a curriculum that's dedicated that would be targeted to the communities that would be beneficial, but it would also provide lasting mentorship so that let's say someone comes in and they have a metal exposed person and they're not sure what they should do or they have an idea of how I should treat someone, they can email, they can call, they can WhatsApp somebody and say, hey, this is my thought process. Do you think it's appropriate? So. Thank you very much. It's an excellent idea. Yeah, hi there. Saul Sachs from Canada. I've worked for multinational companies most of my life, most of them based in the US. And what I find is when companies bring in their own occupational health standards, if they're an American company, they tend to default to OSHA standards. And as you all know, they're very political and they're not always evidence-based. And I think a better model would be to develop an evidence-based standard as a minimum, okay? And then if a country happens to have a regular story standard which exceeds, you can say, you follow this guideline, our company guideline, or the local regulatory guideline, whichever is more stringent. And I think that any way we can help to develop those evidence-based standards would be really good. Thank you. Hello, everyone. My name is Anouk Kort. I'm from Suriname, a Dutch-speaking country in South America. I'm a little bit ashamed to tell you this, but in our country, we have only one occupational health doctor. Yeah. Yeah, we have only one. We're 16 times bigger, our country, than the Netherlands, where Herman's from. But we have like 30 minus people, minus 30 times. So we have, the working class is about 400,000. But still, one occupational, full-time occupational health doctor is not that much. We don't have the resources for, what's that, operating? Operating. Yeah, for training, to be trained to become an occupational health doctor. We are working with the Netherlands. Once a year, we have four-day course in occupational health, but that's it. And our government isn't really interested in this part, because now they're a bit more worried about the specialists, because most of the specialists are leaving our country. So, do you have a question? Yeah. Thank you very much. It's a pleasure to have someone. This is our first comment from Suriname. So thank you very much. Who wants to do it? Yeah. You're right. It's Dr. Nathanie Chai-Ear from Thailand. I would like to support you from the Netherlands. I couldn't catch your name. Yes, sorry, from Canada. And every time I work as an occupational physician, I just follow OSHA standard. But it's correct, and ACOM too. But I would like to get our developing country guidelines for practice in occupational medicine. And I really would love to have it within two years. Is it possible? Because in Thailand, we have different training from different parts to set up our society. Like myself from England first, and then I brought up the training program. But most of the program provided in our training is from ACOM, look like. But other institutes, they have different type, different background. So we argue between doctor together about what is right about occupational physician. And I need somebody above us to tell what is correct. Actually, this is my last three years of my professional life. Thank you. Thank you very much. Thank you. She's asking for global standards in occupational health. Because some people say OSHA is the top thing to do, and others have other things. And it's difficult to decide. I understand the problem. Hi, I'm Dr. Parul Malhotra from India. And I should begin with the stats. We are 1.7 billion, as you all know. And 17.5% of our population, I mean, it's a world population, it's a part of, you know, we contribute to that. And 25% of the working class. That's the stats. And now, I mean, our working force is only 8% is organized and 92% is unorganized. And that's where the catch is. Yes, we are doing a lot. But the 92%, we are only given the welfare, you know, things or the benefits, not the occupational health. I was just discussing with the doctor that, you know, when we tell our colleagues in India that I'm an occupational health physician, you know, they just reply, are you a physiotherapist? So that's where we stand. So yeah, the awareness about what occupational health is, a general physician cannot be an occupational health physician and MSD cannot be treated by an orthopedician is what we need to do in our country. And you know, with such large population, it's an opportunity, but it's a challenge also. So yeah, the awareness about it. So we have five more minutes and five people. Good luck. I'll do one minute, thanks. I'm Bert Barney, an occupational medicine physician in Portland, Oregon, and I'm putting a plug in for the Workplace Health Without Borders, which is a Canadian-based organization of primarily occupational hygienists, but as a former industrial hygienist myself, I got to be appointed as their co-chair for the healthcare subcommittee. Just to give you an example of what happened today, when I'm talking to my neighbors, our meeting on Monday, a woman who was trying to set up the occupational health program in Mozambique, said, I need some help, and so they introduced me to their ex-oncolic who's gonna be moving to Mozambique next year. So thank you very much. Thank you very much, and I think you make a very valid point about industrial hygiene is a really important collaboration that we should have. I'm trying to get as many in as we can in the last couple of minutes, so please. Hello, I am Tomislav Urlan, I am president of Croatian Society for Occupational Medicine, and I will be very brave. I think that this committee must concentrate on the two things of spreading of knowledge, tools, international guidelines, which are very missed. For example, you in the Netherlands have a very, very nice guidelines, I have been in your institute, and many countries don't have it all, or doesn't know about it. So that will be the first thing, to spread the knowledge, to make the tools which could be internationally applied, and as was motto of the ICO Congress in Seville eight years ago, it was make the bridge. Make the bridge in sense that we make available occupational health service for all workers, for all around the world, because all the workers are missing that, all the companies are missing. It's a problem in a small enterprise, in self-employed people, they don't have occupational health service at all. Thank you so much, so that's universal access to occupational health. And there will be more on the website, we're building a library, not only in English, but also in Spanish, and we ask you if you have possibilities to translate it in your language, then we can put it on the website, so we'll have a real global source of knowledge. Thank you, I'm Rodolfo from the Guatemalan Occupational Health Society, I'm the president. Trying to answer in Suriname, and trying to think the answer for all, and IOMSC is already doing this, the strength is in numbers, and if we unite everyone, I think that everyone here has participated in Congress conferences, or have learning management systems, or courses, or diplomas, or certificates in their own countries, so why, this is the question and the proposal, why don't we all come up together for example, and let's share that material that we already have, for example in Guatemala, I would love to share with you, it is in Spanish, but if we can translate it, we have five modules, we have a platform online, using Thinkify for example, so instead of waiting for the government to do something, let's do some training with the expertise that all of us are putting into IOMSC. Thank you so much Rodolfo, so making our existing guidelines open available to others to use, and then to translate for themselves, thank you very much. I have a comment at the back, and then I think Gwen from ICO, perhaps that'll be the final, unless you have one or two more. Thanks, Paul McGovern, Google UK. We have a really complex job, the surgeons in their conference are not thinking about how to market surgery, the cardiologists are not thinking about how to market cardiology, because it seems obvious, it's intuitive, we do something that is multi-layered and much more complex than everyone else, and that means that it's very difficult for us to connect emotionally with our stakeholders, because they don't know what we do, they don't understand it, and so that point on marketing that's on the slide there, it's not one message globally, we need lots of messages for lots of different stakeholders. We need a message for the CFO, we need a message for the CEO, we need a message for legal, and a message for HR, messages that are locally relevant to each country, to each region, to workers, and to other clinicians, because what we do we all understand, but no one else gets it, so we need to be very, very tailored and smart about how we communicate what we do to people, so they can get involved and get excited about what we do. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you.

International Occupational Medicine Society collaboration

IOMSC

history

accomplishments

occupational health and safety

knowledge sharing

global scale

capacity building

global standards

tailored communication strategies