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accidents adaptation administration assessment big industry model Bulgaria chemicals coverage covered development of occupational eastern European countries employers and workers environment ergonomics European Region experts exposure Federal Republic Finland France functions of occupational German Democratic Republic group service health and safety health care services health centres health education health examinations health hazards health promotion health service systems health service units Hungary implementation in-plant industrial hygiene industrial hygienists institutes of occupational Italy labour ministries multidisciplinary national health service needs Netherlands Nordic countries Norway number of countries number of workers occu occupational diseases occupational hazards occupational health personnel occupational health physicians occupational health services occupational medicine occupational safety Office for Europe particularly pational health physicians and nurses primary health principle psychological psychosocial Regional Office Republic of Germany requires responsible risks Romania safety engineers sectors self-employed small undertakings specific survey Sweden targets trends United Kingdom work-related diseases Yugoslavia