Článek

Work accidents and diseases continue to decline

Publikováno: 4 February 2007

On 13 December 2006, the Federal Ministry of Labour and Social Affairs (Bundesministerium für Arbeit und Soziales, BMAS [1]) released the annual report on the development of health and safety at work (in German) [2] in Germany. The requirements of the Social Code (Sozialgesetzbuch VII, SGB 7 [3]) stipulate that such a report should be compiled each year. The report shows that the number of occupational accidents continued to decline in 2005. The same holds true for the number of notified and approved cases of occupational diseases. Nevertheless, the expenditure on accident insurance, medical treatment, pensions, and prevention measures has remained relatively stable.[1] http://www.bmas.bund.de/[2] http://www.osha.de/statistics/statistiken/suga/[3] http://bundesrecht.juris.de/sgb_7/index.html

The recently published annual report on health and safety at work reveals that both the number of accidents at work and the prevalence of occupational diseases have continued to decline. Whereas the total expenditure on accident insurance has remained relatively constant, the amount spent on accident prevention measures has increased steadily over the years.

On 13 December 2006, the Federal Ministry of Labour and Social Affairs (Bundesministerium für Arbeit und Soziales, BMAS) released the annual report on the development of health and safety at work (in German) in Germany. The requirements of the Social Code (Sozialgesetzbuch VII, SGB 7) stipulate that such a report should be compiled each year. The report shows that the number of occupational accidents continued to decline in 2005. The same holds true for the number of notified and approved cases of occupational diseases. Nevertheless, the expenditure on accident insurance, medical treatment, pensions, and prevention measures has remained relatively stable.

Accidents at work

An employer is obliged by law to notify the authorities of accidents that occur while an employee is working or commuting to or from work. The notification is required if the employee is unable to work for more than three consecutive days as a result of the injuries incurred. The total number of reported accidents that occurred while employees were actually working decreased steadily between 1960 and German reunification in 1989, and between 1989 and 2005 (Table 1).

These higher levels of safety at work are underlined, in particular, by the significant decline in the rate of the total number of reported accidents per 1,000 full-time employees. In 2005, this figure was around 20% lower than it was in 2002, almost 50% lower than in 1991 and approximately 75% lower than in 1960. Moreover, the number of fatal accidents decreased considerably, reaching an all-time low in 2005, both in terms of the total number of accidents and the rate per 1,000 full-time workers.

Table 1: Accidents at work*
A decreasing number of accidents occur while employees are working
Year Total number of accidents Accidents per 1,000 full-time workers** Total number of fatal accidents Fatal accidents per 1,000 full-time workers
1960 2,711,078 109.0 4,893 0.197
1965 2,655,363 106.4 4,784 0.192
1970 2,391,757 94.8 4,262 0.169
1975 1,760,713 75.6 3,137 0.135
1980 1,917,211 74.9 2,597 0.101
1985 1,536,090 60.0 1,795 0.070
1990 1,672,480 54.4 1,558 0.051
1991*** 2,016,153 54.3 1,496 0.040
1995 1,813,982 48.2 1,596 0.042
2000 1,513,723 40.0 1,153 0.031
2001 1,395,592 37.2 1,107 0.029
2002 1,306,772 35.6 1,071 0.029
2003 1,142,775 31.4 1,029 0.028
2004 1,088,672 29.5 949 0.026
2005 1,029,520 28.4 863 0.024

Note: * Excluding accidents that occur during commuting to or from work; ** Part-time workers are referred to as full-time equivalents; *** From 1991, including eastern Germany.

Source: BMAS, 2006

High risk sectors

Last year, up to 75% of occupational accidents and 91.1% of fatal accidents at work involved male employees. Generally speaking, work has been most dangerous in the construction sector and in the manufacture of wood products (except furniture) since 1980. In 2005, 67 accidents in the construction industry and 62 accidents in the manufacture of wood products were reported per 1,000 full-time workers. These rates are almost 2.5 times higher than the average number of accidents. Nonetheless, the incidence of accidents in both sectors decreased by more than 40% in comparison with the rates in 1991, which recorded 113.1 accidents in construction and 111.6 accidents in wood manufacturing per 1,000 full-time workers.

In 2005, the institutions for statutory accident insurance (Berufsgenossenschaften) in agriculture, the mining of metal ores, the production of food and in transportation also reported above-average accident rates. The lowest accident rates were reported in commerce and administration, healthcare, the manufacture of electronic devices and in precision engineering.

Accidents commuting to or from work

In addition, a total of 187,830 accidents, of which 572 were fatal, occurred in 2005 while employees were commuting to or from work. This was almost 24% less than in 1991, when 245,127 such accidents were recorded. Therefore, both the total number of accidents and the rate per 1,000 persons (4.40 accidents per 1,000 workers), for whom employers have to pay contributions to the Berufsgenossenschaften, reached an all-time low in 2005. The same was true for the number and the rate of fatal accidents during commuting time.

If an accident is fatal or very severe, the person involved receives compensation in the form of a pension or a lump-sum payment. In 2005, only around 31,000 workers were in receipt of compensation from such schemes, which represents the lowest rate to date.

Occupational diseases

Figures on both the notification and approval of suspected cases of a work-related illness generally depend on two factors. First, legal amendments to the list of recognised occupational diseases play a role and, secondly, variations in the standards that are applied during the recognition procedure itself are taken into account. Bearing this limitation in mind, in 1993, the number of reported cases that were approved as occupational diseases reached an all-time peak at 108,989 notifications. Since then, the number of such cases has steadily declined and, in 2005, this figure amounted to 62,569 notifications (Table 2).

The approval of a notification requires a causal link to be established between the occupational activity and the disease. Therefore, the total number of recognised cases has always been considerably smaller than the number of notifications. The incidence of recognised cases also reached its lowest level in 2005, at 16,519 cases. In 5,651 cases, the recognition of an occupational disease was associated with the payment of a financial benefit, such as a pension, to the person affected. Contrary to what may be drawn from the figures on suspected and approved cases, the number of entrants into the pension scheme has been remarkably stable since 2000.

Among the different types of occupational diseases, those affecting the ‘lung and respiratory tracts’ were the most frequently recognised diseases in 2005, representing 41.5% of 14,474 notifications. The recognition rate was particularly high for the subgroup disease ‘asbestosis’, corresponding to 60.1% of 3,638 notifications. Diseases linked to ‘physical exposure’ ranked second among the main categories of occupational diseases, at 32.8% of 21,298 notifications. Of these, ‘noise-induced hearing loss’ was shown to be the most frequently approved occupational disease, at 60.9% of 9,787 notifications. Recognition of occupational diseases was lowest for the classification of ‘skin disease’, at 5.4% of 16,896 notifications, and the subgroup ‘damage to the lumbar spine’, at 3.2% of 5,847 notifications.

Table 2: Occupational diseases and entry to pension schemes
Declining significance of occupational diseases and a relatively stable entry into pension schemes
  Total number of notified cases Total number of approved cases Entry into pension schemes*
1993 108,989 18,725 6,401
1994 97,923 21,008 7,237
1995 91,561 24,298 7,587
1996 93,861 24,274 8,005
1997 88,797 23,432 7,867
1998 85,787 20,734 6,379
1999 83,738 19,402 5,993
2000 81,542 18,689 5,570
2001 76,612 18,599 5,750
2002 71,008 18,352 5,684
2003 64,856 17,425 5,307
2004 63,812 17,413 5,217
2005 62,569 16,519 5,651

Note: * Total number of new recipients who are eligible to receive a pension.

Source: Calculations by Cologne Institute for Economic Research (IW Köln) based on BMAS data, 2006

Financial costs

The report also provides estimates of the financial consequences of incapacity to work. Using figures for 1998, direct costs for rehabilitation and remedial treatment amounted to €26 billion in Germany, while indirect costs, such as the loss of production, were estimated to be even higher, at €26.9 billion. With respect to 2005, indirect costs, calculated by the Federal Institute for Occupational Safety and Health (Bundesanstalt für Arbeitsschutz und Arbeitsmedizin, BAuA), ranged between €38 billion and €66 billion. The difference depends on the use of wages or value added in the calculation of the loss of production.

The expenditure of the accident insurance institutions has been quite stable since 1995 (Table 3). Almost half of their spending has always been allocated to pensions and lump-sum settlements. In 2005, the total sum of these benefits amounted to €5.9 billion or 47.2% of the total amount paid out by the accident insurance institutions. The proportion of costs to promote accident prevention measures increased steadily from 4.7% in 1991 to 6.9% in 2005. Overall, the total expenditure of these institutions almost doubled from €448 million to €864 million.

Table 3: Expenditure of accident insurance institutions
Rather stable expenditure recorded, but a growing importance of costs for accident prevention measures
Year Total expenditure (€) Rehabilitation and medical treatment* Pensions, lump-sum settlements* Prevention measures*
1991 9,587,100,000 10.0 45.9 4.7
1992 10,507,700,000 10.6 46.3 4.8
1993 11,262,900,000 11.0 46.2 5.1
1994 11,691,500,000 11.3 46.8 5.1
1995 12,138,800,000 11.5 46.1 5.3
1996 12,132,800,000 11.8 46.9 5.5
1997 12,050,600,000 12.3 48.0 5.7
1998 11,981,900,000 12.1 48.4 5.9
1999 11,945,800,000 12.1 48.6 6.1
2000 12,100,700,000 12.1 48.0 6.3
2001 12,428,200,000 12.1 47.1 6.3
2002 12,792,500,000 12.1 46.4 6.4
2003 12,785,000,000 12.4 46.7 6.7
2004 12,529,100,000 12.4 47.5 6.9
2005 12,465,800,000 12.5 47.2 6.9

Notes: * Proportion of expenditure as a percentage of total expenditure.

Source: Calculations by IW Köln based on BMAS data, 2006

Commentary

The decreasing number of accidents at work and the declining prevalence of occupational diseases show that health and safety at work has, in general, improved in recent decades. In this respect, the increasing expenditure on accident prevention measures might be vindicated, as it could prove to be a worthwhile investment provided that the resources are used efficiently and effectively.

However, reforming the system of health and safety is necessary to improve its efficiency. Accidents that occur while employees commute to or from work should, for example, be covered by the health insurance system and financed jointly by the employee and the employer. At present, it is the employer who solely pays accident insurance contributions, yet the employer cannot influence this rather general risk.

Oliver Stettes, Cologne Institute for Economic Research, IW Köln

Eurofound doporučuje citovat tuto publikaci následujícím způsobem.

Eurofound (2007), Work accidents and diseases continue to decline, article.

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