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CENTERS FOR DISEASE CONTROL AND PREVENTION

NATIONAL INSTITUTE FOR OCCUPATIONAL

SAFETY AND HEALTH

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### HEALTHIER FEDERAL WORKERS

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### PROPOSED NATIONAL TOTAL WORECER HEALTH

AGENDA TOWN HALL

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### THURSDAY OCTOBER 9, 2014

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### The Town Hall met in Conference Room D, Natcher Building, National Institutes of Health, 9000 Rockville Pike, Bethesda, Maryland, at 1:30 p.m., Sara L. Tamers, PhD, MPH, Health Research Scientist and Coordinator for Research Program Development and Collaboration, NIOSH, CDC,

facilitating.

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1 P-R-O-C-E-E-D-I-N-G-S m

2 1:30 p.m.

3 DR. TAMERS: A11 right. I think

4 we're going to get started. Thank you for

5 your patience. Good afternoon, everyone. We

6 are here for the Town Hall on the proposed

7 National Total Worker Health agenda.

8 My name is Sara Tamers. I'm from

9 the Office for Total Worker Health. For those

10 of you who might not be familiar, we are part

11 of NIOSH, otherwise known as the National

12 Institute for Occupational Safety and Health

13 which is under the auspices of the CDC.- Thank

14 you for coming.

15 We are here to hear from you our

16 stakeholders on how to best develop, continue

17 to develop, the proposed National Total Worker

18 Health agenda. For those of you who have not

19 had a chance to peruse it, there are extra

20 copies here on the table so please help

21 yourself.

22 So the agenda, the draft agenda,

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1

### Page 3

1 contains a number of elements. 2 certainly

2 won't spend the time going through all of it

3 

### but just to briefly orient you, it includes a

4 

### number of goals, four strategic goals, each of

5 

### which includes a number of sub-goals. Let's

6 

### just go over those briefly.

7 

### Strategic Goal 1 relates to

8 

### research and that is to advance and conduct

9 

### etiologic surveillance and intervention

10 

### research that builds the evidence base for

11 

### effectively integrating health protection and

12 health promotion activities in the workplace.

13 

### Strategic Goal 2 relates to

14 

### practice and that is to increase the awareness

15 

### and adoption of effective integrated

16 

### occupational safety and health protection and

17 

### health promotion activities in the workplace.

18 

### Strategic Goal 3 

### relates to policy

19 

### and that is to create guidance for policies

20 that promote integration of occupational

21 safety and health protection and health

22 promotion activities in the workplace.

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1 Last, but certainly not least,

2 Strategic Goal 4 relates to capacity building

3 and that is to build professional capacity to

4 strengthen the Total Worker Health work force

5 and Total Worker Health field to support the

6 development, growth, and maintenance of

7 integrated occupational safety and health

8 protection and health promotion activities in

9 the workplace.

10 So for those of you who might

il provide oral comment today or in a written

12 format, which I'11 go over momentarily, we ask

13 that you consider three specific questions.

14 One, we're really trying to get to

15 what your take is on the agenda as it is now.

16 what relationship do you feel that your

17 organization might have, to wit, our goals and

181 whatnot.

19 The second is really getting to

20 the bridges and the links so somewhat

21 similarly the work that you are currently

22 doing in your organization do you see a link

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1 there to what is proposed in the agenda.

2 Third, quite simply, just getting

3 to any major missing components or gaps that

4 you see in the agenda as it stands now which

5 will really help us as we continue to develop

6 it.

7 So speaking of additional

8 potential points of consideration, we at NIOSH

9 have already self-identified one with the help

10 of our stakeholders, and that is the agenda as

il it stands now does not include what you might

12 call a suitability criteria for those

13 employers who might want to engage with us at

14 NIOSH in Total Worker Health related

15 partnership.

16 we are aware of this and we will

17 certainly be developing that. One model that

18 was'put forth as a potential template is the

19 OSHA VPP criteria for there are certainly

20 others that we'11 be exploring.

21 Let's go over some of the rules

22 for the Town Hall for those of you, again, who

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1 might want to comment. First we would ask

2 that you introduce yourself, name and

3 affiliation. We also ask, 

### although it might

4 not matter much today, that you limit your

5 comments to a maximum of five minutes.

6

7 Please note that included in that

8 allotment would be any questions that you have

9 to us so we respectfully discourage you from

10 asking questions. We really want this to be

11 a forum to hear from you. That said, I will

12 make myself available certainly after the Town

13 Hall for any.questions that 1 might be able to

14 address at that time.

15 Our timekeeping method, should we

16 need it, is as follows. Jessica is our

17 timekeeper. Green will indicate the start

18 time. Yellow indicates that you have one

19 minute left. Red indicates that it's time to

20 stop. If you hear a bell, then it means it's

21 really time to stop.

22 We ask in addition to the three

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1 questions put before you just a little bit ago

2 that you really take this time to highlight

3 the most critical salient points to be

4 included in the National Total Worker Health

5 agenda and any remaining points should be

6 submitted to the docket.

7 Again, I'11 explain how to do so

8 momentarily. A11 comments today are being

9 transcribed and they will be included in the

10 docket.

11 So, speaking of the docket, for

12 those of you who would like to put your

13 comments in writing you have an opportunity to

14 do so. We certainly encourage that. You may

15 do so by two ways; via the internet

16 regulations.gov , or my mail.

17 Please note that there is a

. ,



### 18 deadline to do so of December 22nd and all

19 comments potentially made today and written

20 will be reviewed and responded to accordingly

21 in due course.

22 A11 right. I think it's time to

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1 get started. Would anybody like to provide a

2 comment? Would anybody like to provide a

3 comment? Take a minute and think about it.

4 A11 right. We'11 be here for the

5 next little while should you change your mind

6 but, otherwise, we really do encourage you to

7 do so by written format then. We would really

8 appreciate any input that you have as we

9 continue to develop the agenda. I thank you

10 for your time.

11 Comment?

12 DR. CHIA: I'm sorry. I thought

13 you meant the citizens of America. Being not

14 one of them I thought I should not say

15 anything.

16 DR. TAMERS: No. We absolutely

17 value your input. Please, any comments that

18 you might have on the draft.

19 DR. CHIA: So I'm really coming in

20 from the ignorant part of it. I recognize the

21 definition that you have for the Total Worker

22 Health integration between health protection

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1 and health promotion.

2 One of the problems I have with

3 this work of integration is how do you measure

4 integration between health protection and

5 health promotion? How do you quantify that?

6 That was the problem we had two

7 years. We started exercises on looking at not

8 just things we've done back in Singapore on

9 health protection but health promotion.

10

11 How do you define integration?

12 That was the problem that we had. In the end

13 we just went ahead with the study and--what we

14 wanted was more to look at the

15 comprehensiveness of having health and safety

16 and well-being. Subsequently on a one-to-one

17 basis in the workplace and then we kind of.

18 decide how much or what integration there 

### is.

19 Again, I'm really coming in more

20 from the point of ignorance. Not so much in

21 terms of doubting but more from the point of

22 if you could clarify for me, I think it will

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1 certainly help me when I go back to Singapore

2 to try to work this out.

3 At the end of the day what we did

4 back in Singapore with the approval of the

5 Ministry of Manpower, I think you call it

6 Labor here, and Ministry of Health, we said,

7 okay, let's have both workplace safety and

8 health services here because we couldn't wrap

9 our head around how do you integrate this

10 whole thing.

11 If you can give me some advice or

12 comment, I would really appreciate it.

13 DR. TAMERS: Sure. Have you

14 gotten a chance to read the agenda? Did you

15 feel that the first section, the introduction,

16 the background, that addressed that question

17 adequately? I'm not sure if you've gotten a

18 chance to --

19 DR. CHIA: I did. I got this

20 document during the first --

21 DR. TAMERS: The International

22 Symposium?

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1 DR. CHIA: Yes. I'11 say I did

2 not read it in detail.

3 DR. TAMERS: Sure.

4 DR. CHIA: There's a time

5 difference of 12 hours. I couldn't wrap my

6 head around how do you quantify integration.

7 That's my little understanding of this myself. ,

8 PARTICIPANT: Please identify

9 yourself.

10 DR. CHIA:

11 I'm an occupational physician with the

12 Saw Swee Hock School of Public Health,

13 National University of Singapore.

14 DR. TAMERS: Thank;you.

15 DR. CHIA: My name is Sin Eng

16 Chia.

17 DR. TAMERS: Thank-you. It'.s just

18 for transcription. Thank you.

19 DR. CHIA: Again, I just want to

20 stress that I'm speaking on the capacity of an

21 individual rather than representing the

22 organization or ministry.

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1 DR. TAMERS: Sure. Thank you for

2 your comment.

3 Did you have a comment, sir?

4 MR. BOLDEN: Do I need to come to

5 the mic?

6 DR. TAMERS: Unfortunately you do,

7 yes. Just press the red button. If you could

8 please introduce yourself, name and

9 affiliation, that would be great.

10 MR. BOLDEN: Sure. I want to

11 thank Anita. I have everything.

12 Hello everyone.

13 DR. TAMERS: Hello.

14 MR. BOLDEN: My name is Gary

15 Bolden. I'm the Health and wellness

16 Educator/Promoter for the U.S. Department of

17 State. I'm in the Office of Medical Services.

18 I think some of the bridges --

19 your own work and the proposed national

20 workers agenda, I think some of the bridges as

21 it pertains to wellness actively provide

22 wellness programs.

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1 We have a wellness walking program

2 on Tuesdays and Thursdays. At Tuesdays we

3 walk at 11:30 and on Thursdays we walk at

4 12:30. We have a wellness martial arts

5 program on Wednesdays, Systema, Russian

6 martial arts. Our physician actually teaches

7 that and I coordinate'it.

8 On Friday we have a wellness line

9 dance program. We have over 400 participants.

10 We actually have other partners from other

11 federal agencies that participate; some OPM

12 workers come over, Pan-Am, Institute of Peach,

13 some people from the Kennedy Center so it's

14 kind of cool. We do that on Fridays and run

15 two sessions.

16 The bridges. Sometimes employees

17 -- I think a bridge is a miscommunication

18 between the supervisor and the.employee.

19 Sometimes there's an undertone where there's

20 not enough enthusiasm or wellness knowledge as

21 it pertains with the supervisor to provide an

22 incentive or enthusiasm for the employee to

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1 participate.

2 In most cases not to put a bad

3 tone to the supervisor but there is a tendency

4 to depress wellness if it's not something well

5 known to the supervisor.

6 From the employee perspective, and

7 I'm talking about maybe a couple of hundred of

8 them have come to me and they have more or

9 less said they more or less feel like they may

10 have been undertone coercively -- coerced in

11 not participating in the wellness program

12 because the supervisor didn't feel like they

13 were being supportive.

14 a



### 15 Whereas you have some supervisors,

16 or executive bureaus or chiefs, who were so

17 enthusiastic about wellness that not only did

18 they allow their staff to participate, but

19 they came out and participated which they

20 acted as a lightning rod for wellness.

21 They were told to go ahead. Then

22 you have -- here is the good part. From a

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1 competitive perspective you have some bureau

2 saying, "I can't let that chief show me up.

3 We can do it, too." That's a plus.

4 Competition is a good thing.

5 I think most people when we're

6 getting language we got support from the

7 secretary that say they support this. In most

8 cases sometimes we wish more support or more

9 education was put on the leadership so that

10 they can provide more enthusiasm for wellness.

11 I feel like that's a bridge that could be --

12 you know, that could actually add some meat

13 and potatoes in that area.

14 Missing. Are there any missing

15 components? Well, I think what most

16 supervisors look for, and we're working on

17 this now, they are looking to the FAM to

18 provide more insight to say, "

. Hey."

19 The confusion is with DOD who

20 offers time for wellness employees to actually

21 bid because that's part of their job

22 description. I think the missing component we

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1 wish if the language or the docket actually

2 already exist within the federal agency, we

3 wish that could just spread all across all

4 federal agencies as opposed to individual

5 organizations 

### within federal government have

6 to recreate the wheel.

7 There is already written language

8 in the federal government that says, "Hey,

9 this is already going on. There are already

10 federal workers that participate." The

11 missing component 

### we wish we could be -- there

12 was more sharing of information 

### as it pertains

13 to federal agencies to make the language --

14 just like the holidays.

15 when Christmas come you just don't

16 see one federal agency asking all federal

17 employees across the country to take a

18 vacation. we wish -- from that perspective we

19 wish that, you know, the wellness I think is

20 a missing component. 

### More wellness language

21 that says, ^Hey.°

22 I think supervisors they sometimes

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1 get stuck and they say, "We support it but is

2 there anything that says my supervisor -- that

3 my employees can take this time for wellness

4 or whatever?"

5 I think just trying to get a

6 little bit of language. We recently expanded

7 our yoga program and we just set up a wellness

8 meditation program. We are proud because we

9 just kicked off our new Tae Kwon Do and

10 Jujitsu wellness program.

11 We do this for all across the

12 Department of State. It's a pleasure to do

13 that. I'm doing a presentation today at 2:30.

14 It's called Office Desk-side Exercise. I

15 think right now I've done a presentation for

16 about 2,000 employees in the State Department.

17 I provide a variety of wellness exercises that

18 will make you flexible at the desk.

19 I'11 do it for you all today

20 around 2:30. I hope that was somewhat

21 educational. I didn't mean to go over but I

22 did want to answer the questions, you know, be

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1 more specific in dealing with missing and

2 those bridges. I hope I gave some food for

3 thought.

4 DR. TAMERS: Thank you very much.

5 Appreciate it.

6 MR. BOLDEN: Thank you.

7 DR. TAMERS: Any other comments?

8 A11 right. Thank you all. That's it.

9 (Whereupon, the above-entitled

10 matter went off the record at 1:48 p.m.)

11

12

13

14

15

16

17

18

19

20

21

22

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sharing 16:12 show 15:2 similarly 4:21 simply 5:2 Sin 11:15 Singapore 9:8 10:1 10:4 11:13 sir 12:3 somewhat 4:20 17:20 sorry 8:12 speaking 5:7 7:11 11:20 specific 4:13 18:1 spend 3:2 spread 16:3 staff 14:18 stakeholders 2:16 5:10 stands 5:4,11 start 6:17 started 2:4 8:1 9:7 State 12:17 17:12 17:16 stop 6:20,21, strategic 3:4,7,13 3:18 4:2 strengthen 4:4 stress 11:20 stuck 17:1 study 9:13 sub-goals 3:5 submitted 7:6 Subsequently 9:16 suitability 5:12 supervisor 13:18 13:21 14:3,5,12 17:2 supervisors14:15 15:16 16:22 support 4:5 15:6,7 15:8 17:1 supportive 14:13 sure 10:13,17 11:3 12:1,10 surveillance 3:9 Swee 11:12

Symposium 10:22 Systema 13:5

table 2:20 Tae 17:9 take 4:15 7:2 8:3 16:17 17:3 talking 14:7 Tamers 1:14 2:3,8 8:16 10:13,21 11:3,14,17 12:1,6 12:13 18:4,7 teaches13:6 template 5:18 tendency 14:3 terms 9:21 thank2:4,13 8:9 11:14,17,18 12:1 12:11 18:4,6,8 thing 10:10 15:4 things 9:8 think 2:3 7:22 8:3 9:22 10:5 12:18 12:20 13:17 15:5 15:15,22 16:19,22 17:5,15 Third 5:2 thought 8:12,14 18:3 three 4:13 6:22 THURSDAY 1:9 Thursdays 13:2,3 time 3:2 6:14,18,19 6:21 7:2,22 8:10 11:4 15:20 17:3 timekeeper 6:17 timekeeping 6:15 today 4:11 6:4 7:8 7:19 17:13,19 told 14:21 tone 14:3 Tota11:6 2:7,9,17 4:4,5 5:14 7:4 8:21 Town 1:7,12 2:6 5:22 6:12 transcribed 7:9

transcription 11:18 try 10:2 trying 4:14 17:5 Tuesdays 13:2,2 two 7:15 9:6 13:15

U.S 12:16 understanding 11:7 undertone 13:19 14:10 Unfortunately 12:6 University 11:13

vacation 16:18 value 8:17 variety 17:17 VPP 5:19

walk 13:3,3 walking 13:1 want5:13 6:1,10 11:19 12:10 17:22 wanted 9:14 ways 7:15 we'115:20 8:4 we're 2:4 4:14 15:5 15:16 we've 9:8 Wednesdays 13:5 well-being 9:16 wellness 12:15,21 12:22 13:1,4,8,20 14:4,11,17,20 15:10,20 16:19,20 17:3,7,10,17 went9:13 18:10 whatnot 4:18 wheel 16:6 wish 15:8 16:1,3,11 16:18,19 wit 4:17 work 4:4,21 9:3 10:2 12:19 Worker 1:6 2:7,9

2:17 4:4,5 5:14 7:4 8:21 workers 1:4 12:20 13:12 16:10 working 15:16 workplace 3:12,17 3:22 4:9 9:17 10:7 wrap 10:8 11:5 wrifing 7:13 written 4:11 7:19 8:7 16:7

X

Y years 9:7 Yellow 6:18 yoga 17:7



## z

0

1 _13:7 1:30 1:13 2:2 1:48 18:10 11:30 13:3 12 11:5 12:3013:4

2 2 3:13 2,00017:16 2:3017:13,20 2014 1:9 22nd 7:18

3 33:18

4 4 4:2 400 13:9

Neal R. Gross and Co., Inc. 202-234-4433 Washington DC www.nealrgross.comC E R T I F I C A T E

This is to certify that the foregoing transcript

In the matter of: National Total Worker Health Public Meeting

Before: CDC and NIOSH

Date: 10-09-14

Place: Bethesda, MD

was duly recorded and accurately transcribed under

my direction; further, that said transcript is a

true and accurate record of the proceedings.

----------------------- Court Reporter 22

NEAL R. GROSS

COURT REPORTERS AND TRANSCRIBERS 1323 RHODE ISLAND AVE., N.W. (202)234-0433 WASHINGTON, D.C. 20005-3701 www.nealrgross.com