A Broader Public Health Context

a) SURVEILLANCE:

• TOKYO DECLARATION
• OM:STAR SECTION ON SURVEILLANCE
• Soon to be expanded with a description of on-going efforts (with the CAW, UAW and elsewhere), and practical aspects of how to carry out surveillance and the specific problems with regard to CVD, i.e. often silent or occult, the challenges entailed in a public health approach to primary prevention of sudden cardiac death.

b) LEGISLATIVE MEASURES:

• JOB STRAIN ILLEGAL IN SCANDINAVIA
• OM:STAR SECTION ON LEGISLATION
• Soon to be expanded with other related material, e.g. dust exposures and pneumoconioses, and work organization regulations as these relate to repetitive motion disorders.
  

c) INTERVENTIONS THAT HAVE HAD AN IMPACT RELEVANT TO CARDIOVASCULAR DISEASE

• OM:STAR SECTION ON INTERVENTIONS
• To be expanded

d) CLINICIAN EMPOWERMENT

In Japan ""occupational physicians now possess the right to act as direct advisors to employers on working conditions and worker health to prevent occupational illness like karoshi, and promote health. Conversely, the employers have an obligation to consider the recommendations of the occupational physicians". (Shimomitsu 2000, p. 281)

• OCCUPATIONAL STRESS INDEX FOR PHYSICIANS
• To be expanded: How the recommendations made by the clinician can be realized in practice