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A Toolkit for Workplace HIV Health & Wellness Programming in the ...

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The physical and mental stresses endured on <strong>the</strong> job and left untreated can lead to:<br />

! Chronic, non-specific debilitat<strong>in</strong>g conditions, <strong>in</strong>clud<strong>in</strong>g back and neck stra<strong>in</strong>s,<br />

headaches and migra<strong>in</strong>es, high blood pressure (lead<strong>in</strong>g to o<strong>the</strong>r chronic diseases such<br />

as stroke),<br />

! Cancers<br />

! The practice of unsafe and behaviours executed as stress relievers; such as smok<strong>in</strong>g,<br />

<strong>in</strong>creased alcohol <strong>in</strong>take and unprotected sex, which <strong>in</strong> turn can lead to o<strong>the</strong>r chronic<br />

illnesses such as alcoholism, <strong>HIV</strong>, lung disease and cancers.<br />

Overall, <strong>the</strong>se illnesses and risk behaviours can result <strong>in</strong> lowered productivity and <strong>in</strong>creased<br />

absenteeism, lead<strong>in</strong>g <strong>in</strong> <strong>the</strong> longer term to premature death or poor quality of <strong>the</strong> work<br />

delivered by <strong>the</strong> affected workers.<br />

It is possible to change <strong>in</strong>dividual behaviors and work environments that affect <strong>the</strong> health<br />

and well-be<strong>in</strong>g of workers as <strong>in</strong>dicated by <strong>in</strong>ternational best practices 2 ;<br />

" A 14-year programme of health and fitness of firefighters showed a 16% <strong>in</strong>crease <strong>in</strong><br />

physical work capacity. This same programme showed that promot<strong>in</strong>g <strong>the</strong> health fitness<br />

of firefighters is l<strong>in</strong>ked with a decrease <strong>in</strong> <strong>in</strong>jury.<br />

" A 6.5 week exercise programme <strong>for</strong> police (<strong>in</strong>clud<strong>in</strong>g <strong>in</strong>dividual fitness evaluation, daily<br />

exercise supervision and counsel<strong>in</strong>g) showed a 14% decrease <strong>in</strong> total cholesterol, a<br />

22% decrease <strong>in</strong> LDL cholesterol and a 17% decrease <strong>in</strong> <strong>the</strong> ratio of total cholesterol<br />

to HDL cholesterol.<br />

" A study <strong>in</strong>volv<strong>in</strong>g firefighters to exam<strong>in</strong>e <strong>the</strong> effects of 6 months of flexibility tra<strong>in</strong><strong>in</strong>g on<br />

<strong>the</strong> <strong>in</strong>cidence and severity of jo<strong>in</strong>t <strong>in</strong>juries showed that <strong>the</strong> group of participants used<br />

less than half as many health care dollars as non-participants.<br />

" An <strong>in</strong>tervention programme <strong>in</strong>volv<strong>in</strong>g a police <strong>for</strong>ce showed that weekly participation<br />

<strong>in</strong> supervised exercise reduced <strong>the</strong> number of sick days by an average of 4.8 days per<br />

person <strong>in</strong> a year follow<strong>in</strong>g <strong>the</strong> start of <strong>the</strong> programme.<br />

SECTION 1: GETTING STARTED WITH HEALTH & WELLNESS<br />

2<br />

No regional <strong>in</strong><strong>for</strong>mation is currently available<br />

A <strong>Toolkit</strong> <strong>for</strong> <strong>Workplace</strong> <strong>HIV</strong> <strong>Health</strong> & <strong>Wellness</strong> <strong>Programm<strong>in</strong>g</strong> <strong>in</strong> <strong>the</strong> Tourism Sector 9

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