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accidents and diseases together, the global estimate of work-related deaths amounts to at least 1 million per year. The SafeWork programme will aim to create worldwide awareness of the dimensions and consequences of work-related accidents, injuries and diseases. It will promote the goal of basic protection for all workers in conformity with international labour standards, and it will enhance the capacity of member States and industry to design and implement effective preventive and protective policies and programmes. This may include the strengthening of the labour inspectorate. The primary focus will be on hazardous occupations. At the level of the firm, the key social protection issue is occupational health and safety. Every year about 250 million workers suffer accidents in the course of their work, and over 300,000 are killed. Taking account of those who succumb to occupational diseases, the death toll is over 1 million people a year. Yet international concern with awareness of health and safety at work remains surprisingly modest, and action is limited. Many developing and transition countries have little public information on this subject and need to reinforce their capacity to design and implement effective policies and programmes. Even today, many new investment decisions continue to ignore safety, health and environmental considerations. A keyword of the 1990s has been “insecurity”. In developing countries the vast majority have long faced chronic insecurity, but even in industrialized countries many people feel anxious and uncertain of their entitlements in society and in work, and vulnerable to economic and social developments that are beyond their control. Many communities have been detached from mainstream services for social protection and support — partly a result of more flexible and informal labour markets and higher levels of unemployment. Even those who have derived some security from their skills have seen these eroded by rapid structural and technological change. Particularly exposed are those in the informal economy, which has few institutions to provide even a minimum of collective security, and women, who are subject to many forms of violence that undermine security in their homes, streets and communities. Many governments are linking these two policy areas more explicitly, using social protection to reintegrate marginal groups into the labour market. They are aiming to avoid circumstances of “moral hazard” that tempt people to remain on benefits, while trying to help them escape “poverty traps” and “unemployment traps”. The most active programmes include various “workfare” and “welfare-to-work” schemes that reduce benefits while correspondingly increasing the incentives to work and easing the transition to employment. In some cases social protection systems create jobs directly for those excluded from the primary labour market. All these schemes raise important issues of principle, efficiency and equity

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