Buying coke online in Osh

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Buying coke online in Osh

The MC Group has a global workforce of approximately 86, professionals. With this in mind, MC believes that it is important to improve the well-being of employees by ensuring safe working environments and maintaining and promoting health. The MC Group promotes initiatives around occupational Safety and health OSH management, which are flexibly tailored to the independence and capacity of each individual and organization. These include activities to create environments where employees and contractors can work with peace of mind, as well as health, labor and crisis management initiatives. We aim to build and operate management systems that go beyond simply meeting the legal requirements in the countries where we operate to provide support that is more substantial. Furthermore, in order to promote OSH management throughout the entire MC Group, we will develop an organizational framework, clarify responsibilities and continuously monitor progress in order to refine, maintain and further improve our activities. Our policies on occupational safety and health are designed to enable diverse human resources to make full use of their capabilities and approach their work with enthusiasm. MC responds rapidly in the event of an accident and continues to raise awareness about safety and establishing and improving its management systems. MC also encourages maintaining and promoting employee health by reducing the risk of employee illness. Within the area of employee occupational health, MC places a particular focus on mental health, providing a counseling desk and mental health support desk staffed by licensed psychologists and clinical psychotherapists, as well as dedicated physicians at the in-house medical clinics. Furthermore, MC conducts a regular online stress check. Recognizing the importance of managing environmental and social impacts in its supply chains, MC has established the Mitsubishi Corporation Policy for Sustainable Supply Chain Management as amended in August The policy requires suppliers to respect human rights and endeavor to provide their employees with safe and healthy work environments. In addition to sharing the policy with suppliers, MC conducts a regular questionnaire to confirm compliance with it. While basic measures for occupational health and safety management are undertaken by each business, the MC Group endeavors to strengthen in this area throughout the supply chain collectively. Furthermore, MC makes other efforts to strengthen occupational safety and health throughout the supply chain as the MC Group. Reference: For details on other supply chain initiatives other than those described above, please see Supply Chain Management. MC is actively conducting business globally with a business network spanning more than countries around the world. Reference: For details on performance related to the targets above, please see Performance Data. Reference:For details on performance related to the targets above, please see Performance Data. A subcommittee under the Executive Committee, a management decision-making body. Important matters related to occupational health and safety deliberated by the committees are formally approved by the Executive Committee and put forward or reported to the Board of Directors based on prescribed standards. Reference: Diagram of the Sustainability Promotion Framework. For each MC Group company in Japan, we have established committees such as the Health Committee in line with the Industrial Safety and Health Act, in which employees also participate in developing, evaluating and determining plans related to preventing health problems as well as maintaining and promoting good health. In particular, at consolidated subsidiaries hazards such as near misses are reported by employees at morning meetings and other occasions, and necessary countermeasures are put into practice. MC considers occupational safety and health as a key management priority, and has been working to pursue health and productivity management. When reviewing and making decisions on loan and investment proposals, MC conducts a comprehensive screening process which considers not only economic aspects, but ESG factors as well. From an occupational safety and health perspective, particularly for projects which have a high risk of accidents or fatalities, MC ensures that numerous issues, including the maintenance status of HSE management systems, past cases of accidents or fatalities, and quantitative data such as the Lost Time Injury Frequency Rate LTI are considered in its deliberations. Besides screening new investment and exit proposals, MC also strives to make improvements to existing business investments by monitoring their management practices. We have established a system that enables us to deal with workplace accidents appropriately investigation, response to findings, etc. In the event that a workplace accident occurs at an MC Group company, it will be reported via a dedicated reporting channel for occupational accidents. In the event of an accident with severe consequences, such as death or serious injury, or an accident involving suspected violations of laws and regulations, a report will also be made via the compliance reporting channel. Workplace accidents that occur in the MC Group are reported to the Compliance Committee and monitored by the annual Sustainability Survey, and are used to take preventive measures to reduce future accidents. MC recognizes that employee health is a key management issue, and therefore strives to foster dynamic, spirited and vibrant employees and workplaces. Based on the belief that a healthy mind and body determine the success of the individual, we strive to enhance both the mental and physical health of our employees and the quality of their work environments. We will continue to promote health and productivity management in order to improve the well-being of all MC employees, and allow our diverse and versatile talent pool to make the most of their skills and personalities. In order to continue creating sustainable corporate value, we must find ways to respond to the further diversification and globalization of our business activities, and enable our diverse human resources to make full use of their unique abilities regardless of attributes such as gender or nationality. MC therefore views the creation of safe working environments and the maintenance and promotion of employee health as key issues, with senior management issuing a message on safety and health in FY MC strives to create work environments in which both employees and contract employees can work with peace of mind, including in terms of safety, health promotion, productivity management and crisis management. In addition to complying with the legal requirements of each country in which we operate, we are also working to create and manage comprehensive occupational health and safety management systems. Explanation and sharing of health data, issues, and approaches, etc. We introduced a health app that helps all employees in Japan to visualize and improve their lifestyle habits by recording their diet, exercise and sleep, and provides health advice based on those records. There was a reduction in the percentage of obesity within the company, especially among males, falling 2. There are approximately 1, MC head-office employees on overseas assignments at any given time, and some 1, family members accompanying them. In addition to facilitating annual local health examinations, the MC Head Office medical clinic is equipped to handle health-related inquiries from employees and their family members should they feel unwell while overseas. If there are no suitable medical facilities in the area, MC will provide for the employee and their family to either return to Japan or travel to another nearby developed country for the examination. Employees and their families also qualify for subsidized travel expenses when taking Health Maintenance Leave, which can be taken in addition to paid holidays when employees need time off to refresh themselves, both in mind and body. MC also provides a global, hour Japanese language service for medical emergencies, emergency assistance in transporting employees to more medically advanced regions like Tokyo, Singapore, and Bangkok and other extensive health-related support for its employees on overseas assignments. In order to drive continuous improvement, since the Global Human Resources Department has conducted a survey targeting employees on overseas assignments to assess the quality of healthcare they receive as well as their working conditions in general for the purpose of further enhancing health-related measures. Monitor working conditions and stress levels, and if needed, additional support is provided by the Global Human Resources Department or the Mental Health Support Desk. The Head Office clinic employs approximately 50 full- and part-time medical professionals, including physicians specializing internal medicine, ophthalmology, dermatology, otolaryngology, orthopedics and neurology, as well as nurses, testing and radiology technicians, nutritionists and pharmacists. These professionals, together with examination systems using the latest testing equipment, help to run a clinic that manages the health of MC employees, with a cumulative total of approximately 14, users in FY, and approximately 15, employees in FY despite the COVID pandemic. Where necessary, employees are called in for follow-up examinations 3 to 6 months later , and are offered further tests. The medical clinic also has an occupational health department, which provides medical support to employees with health concerns to enable them to work with peace of mind. This includes return-to-work assessments for those who go on leave due to medical treatment, and support to help them balance work with their treatment needs. We also aim to maintain a comfortable work environment through workplace assessments and discussions via the Health Committee. We interview employees who work overtime to inform them about long working hours and the associated health issues. In these ways, we are making ongoing efforts to improve health literacy and create a workplace where all employees can work in optimal physical and mental health. Preventing lifestyle-related diseases such as dyslipidemia, hypertension, diabetes and hyperuricemia is a pressing societal issue. MC is working to prevent lifestyle-related diseases and metabolic syndrome for employees by providing access to physicians and nutritionists via the clinics. Early action is essential to preventing lifestyle-related diseases. Going forward, in addition to providing health guidance to younger employees, MC will also work to raise the awareness of healthy employees with normal checkup results on how to structure their lifestyles for maintaining their health. In collaboration with the Mitsubishi Corporation Health Insurance Association, we are providing employees with a self-medication service that allows them to consult with a specialist pharmacist and purchase medication online with the aim of encouraging them to take an interest in maintaining and improving their health. When developing health management-related programs such as this self-medication service, we provide services and conduct trials among our employees in order to make improvements to such programs. Focusing on preventive measures and early treatment, MC provides extensive mental care support. MC has a simple, web-based system through which employees can assess their own stress levels and propensities to develop health problems. MC also conducts various types of training for employees, including managers, in an effort to prevent mental health issues. Since FY, MC has made it a requirement for all employees in Japan, including secondees, to complete the self-check. After answering an online survey, employees immediately receive a three-stage evaluation of their stress levels. If necessary, working environment adjustments are also prescribed to help bring their stress levels down. Through this comprehensive system, employees and their family members can consult with healthcare professionals or receive counseling at any hour of the day, whether in person or by telephone or e-mail. Moreover, a summary of the results are shared on an anonymous basis within MC and utilized to improve working styles and workplace conditions. Going forward, MC plans to make use of the survey findings to inform its mental health issue prevention measures for employees, as well as training and other measures to further raise awareness of mental health issues. The Mental Health Support Desk has been established for MC employees including those on domestic and overseas assignments. Staffed by licensed psychologists and clinical psychotherapists, the Mental Health Support Desk is available to employees for mental health consultations. It helps employees to check their stress levels and enables those feeling off form to have an initial consultation before seeing a neurologist. It also supports employees who have been on extended leave due to psychiatric issues to return to work by offering rehabilitation programs, recommendations on workplace re-integration and long-term follow-up. Based on this, the Emergency Crisis Management Office works together with occupational physicians and occupational health staff to implement in-house infection control measures. With respect to COVID, MC is monitoring the situation in Japan and overseas, and has adopted the following three principles: prevention of infection; prevention of the spread of infection; and prevention of severe cases. With these principles in mind, we are taking the necessary measures to mitigate any adverse impacts on not only MC employees but all staff working within MC, all whilst striving to ensure business continuity. We have strengthened our medical consultation system for employees assigned overseas and their families, and are providing medical advice on infection prevention and mental health care to help them work with peace of mind even in areas where infection is widespread. MC takes an exhaustive approach toward preventing the spread of diseases in the workplace with initiatives such as providing anti-malaria vaccinations for employees taking business trips to regions where tropical malaria is prevalent, recommending antibody tests and vaccinations against measles and rubella MR , and administering in-house vaccinations against seasonal influenza. Targeting particularly high-risk groups such as college students, MC aimed to raise awareness of the disease through pamphlet distribution, videos and events. In addition, for secondary school students, MC organized a drawing contest and used the winning entries in advertising posters. These awareness-raising activities were conducted at five universities and secondary schools. As business becomes ever more complex and fast-paced, the pressure on employees to carry out more work at a higher quality inevitably increases. In addition, the nature of a sogo shosha means there are often busy and high-pressure periods, such as with large projects and overseas business. As such, in order to prevent health problems caused by overwork, MC places particular priority on: 1 the mental and physical health of employees; 2 compliance with laws, regulations and rules; and 3 appropriate management of extended overtime. Specifically, MC goes beyond legal requirements in terms of managing overtime hours for non-managers and managers. When employees exceed a certain level of overtime hours, they must submit a health questionnaire and receive health guidance from an occupational physician. As well as using computer logs and objective data to accurately report overtime hours and complying with the Japanese Article 36 Agreement as a matter of course, MC also conducts time management training and other initiatives for managers. In addition, where certain departments demonstrate a tendency to work overtime frequently, MC will draw up and implement improvement measures on an individual basis and endeavor to prevent overwork, including by reducing excessive overtime. MC is promoting initiatives for each organization and individual to pursue autonomous and flexible work styles, and improve productivity and efficiency whilst also improving results and performance. MC is creating a working environment that enables its diverse workforce to thrive professionally while fostering an organizational culture in which performance is evaluated fairly based on results. Results of the FY Sustainability Survey. There are various safety and operational risks associated with the processing and production of Liquefied Natural Gas LNG from sweet natural feed gas. DSLNG recognizes this and considers process safety and occupational safety and health to be of utmost importance. To ensure the safety of workers, DSLNG has implemented a range of measures, including formulating policies on integrated quality, health, safety, environment and security along with establishing a Process Safety Management Committee. In addition, DSLNG also provides employees with training on matters such as Permit to Work, process safety management, crisis management and firefighting measures. Moreover, MC has established a robust framework for conducting regular reviews and improvements on safety. Through these audits, checks are conducted on various aspects related to onsite safety, along with ensuring that Permit to Work entries are recorded accurately. In the event that any issues are identified, DSLNG ensures that they are followed up on, and operations are immediately suspended should a safety issue arise. A Job Hazard Analysis JHA is conducted for the majority of jobs to scope out potential risks, assess their severity, identify possible measures to manage the risks, and determine the overall level of risk. As its core safety initiative, MC Ferticom Co. MC Ferticom Co. As a responsible fertilizer manufacturer, MC will continue to pursue further safety and reliability. Reference: MC Ferticom Co. Since , Nikken Corporation has a regularly-published newsletter called Safety News in Japanese , which is shared with customers and other stakeholders. MC gathers a range of information including recommendations on how to reduce labor-related accidents as well as methods for how to avoid and prevent HSE incidents based on white papers published by related organizations. The number of fatalities and injuries in FY at MC's main businesses subsidiaries and unincorporated joint operations with production sites over which MC has control through shareholdings etc. This number is including fatalities of contractors. Meanwhile, the frequency rate of occupational accidents at major businesses including subsidiaries, unincorporated joint operations, affiliates, etc. This was because MC continued to make significant progress on reducing injuries based on occupational health and safety management based on company policies, especially on business investments with relatively high occupational health and safety risks which resulted in significant decrease in injuries. MC believes it can ultimately reach zero injury accidents especially zero fatalities through its progress on achieving goals on occupational health and safety every year. In order to achieve the MC Group's goal of 'reduction in the frequency rate of occupational accidents compared with the previous fiscal year,' MC will continue to strengthen its occupational health and safety management system and enhance individual measures for business investments with relatively high occupational health and safety risks from the next fiscal year onward see below for data on occupational accidents by business area from FY Each of our Business Groups manages occupational safety and health on a consolidated basis. Employees working at head offices and domestic branches excluding advisors and contract employees. There have been no fatal accidents at MC during the three-year period stated above. We don't have any occupational accidents in the workplace for FY MC's data is comparable to non-consolidated occupational health and safety data only, as it is based on various places of business. Additionally, we collect and analyze data such as medical check-up items and numerical values, as well as questionnaires in order to identify issues and consider response measures. We will conduct robust OSH management regardless of the country or region where we operate, upholding and seeking to go beyond local labor standards, laws and regulations. Through proper management systems, we will prevent occupational accidents at each workplace. In the event an accident does occur, we will quickly assess the situation, analyze the cause and formulate preventative measures. Supply Chain Initiatives Recognizing the importance of managing environmental and social impacts in its supply chains, MC has established the Mitsubishi Corporation Policy for Sustainable Supply Chain Management as amended in August MC Group Reduction in the rate of workplace accidents, including contractors, from the previous year FY target of 2. MC Reduction in the rate of workplace accidents, including contractors, from the previous year FY target of 0. For each business site, MC has established an occupational safety and health framework as required by labor laws. Excerpt: 1. Definition: HSE risk refers to recognizing the impact of manufacturing, industrial works, distribution and other operations on occupational safety and health as well as the environment, and identifying and managing risks related to accidents, damage to health, environmental contamination, etc. HSE risk management: Risk identification and management: Identify latent risks related to HSE based on the nature of the operations and sector, and avoid, mitigate and manage the risks. Formation of policies related to accidents and response: Stipulate emergency policies in advance in order to be prepared in the event of an accident. Establish the necessary measures to minimize damage while working with relevant institutions when an accident occurs. Should an accident occur, conduct necessary investigations, analyze the causes, and implement measures to prevent future reoccurrence. In addition, formulate policies based on the action plan and introduce a system for regularly confirming their implementation. Further, monitor performance related to HSE and review the action plan. The MC Group strives to prevent workplace accidents for employees. Initiatives on a Non-Consolidated Basis Management Message on Safety and Health MC recognizes that employee health is a key management issue, and therefore strives to foster dynamic, spirited and vibrant employees and workplaces. These events were held online for all employees, including those working overseas. Health check events: Measurement of health condition and on-the-spot individual exercise guidance based on results body composition, vascular age, body misalignment. Going forward, we plan to introduce the system to overseas employees as well. To encourage employees to choose health-conscious meals, a health-conscious menu is offered at every meal in the employee cafeteria and is also available on the company intranet. Also, all other menu items include information on their nutritional value, such as the amount of salt they contain. Vegetables and fruits vegetable sticks, cut fruits, mini salads, etc. In addition to introducing recipes for healthy seasonal menus on the health app, examples of recommended menus for lifestyle-related diseases such as diabetes are posted on the company intranet and are also provided when nutritional guidance is given to the target employees. Individual consultation sessions for all employees were conducted alongside these stress checks by request, in person or online. Provision of information on mental health has been improved. All MC and Group company employees have been provided with training videos to improve their understanding of mental health issues. Fertilizer production PT. Elevator business sales and maintenance Mitsubishi Elevator Thailand Co. Electricity and Gas Retail Supplier. FY Natural Gas Group 0. Disclosures for the current fiscal year FY results Overview of main occupational accidents The consolidated group companies that this Business Group is in charge of are mainly office based. In FY, there were zero instances of lost time injuries. Trends FY results vs. FY results Aggregated and disclosed from FY results. Disclosures for the current fiscal year FY results Overview of main occupational accidents Injuries such as bruises and cuts sustained onsite at the front lines of natural gas and LNG project businesses in which MC participates in. FY results By thoroughly carrying out safety and health activities on a daily basis, the Natural Gas Group was able to achieve zero fatal accidents and reduce the frequency of occupational accidents. Efforts to further prevent recurrences Although operating companies are mainly responsible for the day-to-day safety and health activities conducted onsite at natural gas and LNG projects, we basically check performance data on a monthly basis to confirm that the safety and health environment at those business sites are being maintained. If a serious incident does occur, it is reported to us in a timely manner, and after the occurrence of such an incident, follow-up measures are taken to ensure that efforts to investigate the cause and further prevent recurrences are appropriately conducted. Some examples of such follow-up measures include reviewing work processes and manuals, and re-inspecting work environments. Disclosures for the current fiscal year FY results Overview of main occupational accidents Fractures, cuts, incisions, bruises, and other injuries sustained from getting wedged, falling, etc. FY results While the number of lost time injuries at MC Group companies in the steel manufacturing and processing industry has significantly improved, the total number of hours worked has also decreased due to exiting from certain businesses. We achieved our target of zero fatal accidents and injuries and successfully reduced the frequency of occupational accidents. Efforts to further prevent recurrences Added 'striving to create a workplace that prioritizes safety' based on the Metal One Group's FY safety and health target of 'working to create a workplace where safety is the top priority for each and every employee, foster an internal corporate culture of safety, and reduce the number of occupational accidents. Disclosures for the current fiscal year FY results Overview of main occupational accidents Operational occupational accidents at MC's business investments manufacturing and terminal businesses. FY results We achieved our target of zero fatal accidents. On the other hand, although the number of lost time injuries was at the same level as the previous fiscal year, the frequency of occupational accidents increased due to a reduction in the total number of hours worked, which was caused by factors such as less business investments under our jurisdiction. Efforts to further prevent recurrences The organization established within the Chemicals Solution Group to promote HSEQ plays a central role in reducing occupational accidents at each business investment while regularly providing support for occupational health and safety to MC's business investments. Disclosures for the current fiscal year FY results Overview of main occupational accidents Falls at the mines of MC's business investments, accidents while riding vehicles, sprains and cuts due to collisions with machinery and equipment, etc. FY results OSH management at active mines has been successful, and the number of lost time injuries has improved. We achieved our target of zero fatal accidents and reduced the frequency of occupational accidents compared to the previous fiscal year. Efforts to further prevent recurrences For the mines that MC has invested in, in addition to complying with the relevant national occupational health and safety standards of the countries in which those mines are located in, we thoroughly manage and operate occupational health and safety as the most important indicator for mine operations based on strict standards related to occupational health and safety, which were established by operating partner resource companies. Disclosures for the current fiscal year FY results Overview of main occupational accidents Falls, fractures, bruises, sprains, cuts, getting wedged, etc. Efforts to further prevent recurrences The organization established within the Industrial Infrastructure Group to promote HSEQ plays a central role in reducing occupational accidents at each business investment while regularly providing support for occupational health and safety to MC's business investments. Disclosures for the current fiscal year FY results Overview of main occupational accidents Injuries caused by not wearing protective gear during vehicle maintenance and inspections, and equipment not fitted with protective devices. Fractures caused by falls when transporting heavy objects while working alone. FY results The number of lost time injuries has improved due to modifications such as revisions to the scope of reports on the number of lost time injuries. Efforts to further prevent recurrences We are striving to prevent recurrences by thoroughly enforcing wearing protective gear during maintenance and inspections, installing protective devices on equipment being used, and thoroughly enforcing and alerting employees to rules related to hazard prevention at business sites. Disclosures for the current fiscal year FY results Overview of main occupational accidents Cuts, sprains, bruises, fractures, etc. Disclosures for the current fiscal year FY results Overview of main occupational accidents Cuts, sprains, bruises, fractures, Cuts, bruises, fractures, burns, etc. We also achieved our target of zero fatal accidents and reduced the frequency of occupational accidents compared to the previous fiscal year. The total number of hours worked also decreased due to factors such as exiting certain businesses. Efforts to further prevent recurrences When a work-related accident occurs, we make efforts to reduce occupational accidents by investigating and analyzing the cause, and conducting follow-ups to prevent recurrences. Disclosures for the current fiscal year FY results Overview of main occupational accidents Cuts, bruises, fractures, burns, etc. Efforts to further prevent recurrences We utilize performance data to confirm that the health and safety environments at our business sites are maintained, and operate in a manner that ensures that timely reports are made to us when an accident does occur. We will continue to make efforts to enhance our health and safety activities at business sites to prevent recurrences. Disclosures for the current fiscal year FY results Overview of main occupational accidents During snow removal work, a worker fell from the loading platform of a vehicle and sustained a strong blow to their back from the waist. FY results The number of lost time injuries at MC Group companies under our jurisdiction has improved. We have also achieved our target of zero fatal accidents and reduced the frequency of lost time injuries. Efforts to further prevent recurrences Although no serious accidents have occurred, we operate in a manner that ensures that occupational accidents are reported to us in a timely manner when they do occur. In addition, we check performance data on occupational accidents once a year to confirm that the health and safety environments at work sites are being maintained. Contractors include temporary staff working at head offices and domestic branches. Stress Check Results Domestic Lecture delivered by legal advisor. Employees whose work requires it application basis The consolidated group companies that this Business Group is in charge of are mainly office based. Injuries such as bruises and cuts sustained onsite at the front lines of natural gas and LNG project businesses in which MC participates in. By thoroughly carrying out safety and health activities on a daily basis, the Natural Gas Group was able to achieve zero fatal accidents and reduce the frequency of occupational accidents. Although operating companies are mainly responsible for the day-to-day safety and health activities conducted onsite at natural gas and LNG projects, we basically check performance data on a monthly basis to confirm that the safety and health environment at those business sites are being maintained. Fractures, cuts, incisions, bruises, and other injuries sustained from getting wedged, falling, etc. While the number of lost time injuries at MC Group companies in the steel manufacturing and processing industry has significantly improved, the total number of hours worked has also decreased due to exiting from certain businesses. Added 'striving to create a workplace that prioritizes safety' based on the Metal One Group's FY safety and health target of 'working to create a workplace where safety is the top priority for each and every employee, foster an internal corporate culture of safety, and reduce the number of occupational accidents. Operational occupational accidents at MC's business investments manufacturing and terminal businesses. We achieved our target of zero fatal accidents. The organization established within the Chemicals Solution Group to promote HSEQ plays a central role in reducing occupational accidents at each business investment while regularly providing support for occupational health and safety to MC's business investments. Falls at the mines of MC's business investments, accidents while riding vehicles, sprains and cuts due to collisions with machinery and equipment, etc. OSH management at active mines has been successful, and the number of lost time injuries has improved. For the mines that MC has invested in, in addition to complying with the relevant national occupational health and safety standards of the countries in which those mines are located in, we thoroughly manage and operate occupational health and safety as the most important indicator for mine operations based on strict standards related to occupational health and safety, which were established by operating partner resource companies. Falls, fractures, bruises, sprains, cuts, getting wedged, etc. The organization established within the Industrial Infrastructure Group to promote HSEQ plays a central role in reducing occupational accidents at each business investment while regularly providing support for occupational health and safety to MC's business investments. Injuries caused by not wearing protective gear during vehicle maintenance and inspections, and equipment not fitted with protective devices. The number of lost time injuries has improved due to modifications such as revisions to the scope of reports on the number of lost time injuries. We are striving to prevent recurrences by thoroughly enforcing wearing protective gear during maintenance and inspections, installing protective devices on equipment being used, and thoroughly enforcing and alerting employees to rules related to hazard prevention at business sites. Cuts, sprains, bruises, fractures, etc. The number of lost time injuries at MC Group companies decreased. When a work-related accident occurs, we make efforts to reduce occupational accidents by investigating and analyzing the cause, and conducting follow-ups to prevent recurrences. We utilize performance data to confirm that the health and safety environments at our business sites are maintained, and operate in a manner that ensures that timely reports are made to us when an accident does occur. During snow removal work, a worker fell from the loading platform of a vehicle and sustained a strong blow to their back from the waist. The number of lost time injuries at MC Group companies under our jurisdiction has improved. Although no serious accidents have occurred, we operate in a manner that ensures that occupational accidents are reported to us in a timely manner when they do occur. Approximately 15, people per year Medical examinations: 5,; general medical examinations: 9,; overseas medical consultations, health guidance and others: 1, Mental health included as theme in lecture on human resources management.

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Buying coke online in Osh

September Breazeale Welcomes Jackie M. A recent trend has been the increasing number of civil settlements and criminal convictions against physician practices that purchased foreign prescription drugs and medical devices that have not been approved by the FDA for use in the United States. Another common scenario is that a clinic may purchase drugs or medical devices from a local supplier who had sold the clinic non-FDA approved drugs from another company. Department of Justice DOJ , guilty pleas by oncologists in Missouri and California, and enforcement by the FDA Office of Criminal Investigations highlight the significant liability physicians may have from purchasing non-FDA approved drugs from Canada and other countries, or from unauthorized suppliers. The clear message from these enforcement actions, as well as recent changes to federal and state law, is that physicians are ultimately responsible for knowing the source of the drugs and medical devices they purchase for their patients. Physicians must also ensure that they are purchasing drugs and medical devices from an approved supplier in their state. This article describes aspects of these recent government settlements, criminal cases, and other enforcement actions. Physicians should consider them into their compliance with federal and state laws. Physician offices and clinics are often contacted through mass advertising campaigns via blast faxes, phone calls, direct mail, and online marketing. These distributors often pursue clinics and hospitals with offers to sell physician-administered drugs, including injectable drugs. Often, a company will use false names to sell foreign pharmaceutical products throughout the U. Large shipments may be broken down into multiple small shipments in order to smuggle pharmaceuticals across the U. These shipments may then be sent to addresses in multiple states and locations under different false names. Custom forms may falsely state the contents and value of the shipments. Local companies, referred to as drop shippers, in the U. According to the FDA, these drop shippers store the drugs and medical devices in the basements of their private residences, often in violation of safety regulations requiring that pharmaceuticals be stored at cool temperatures. In some cases, foreign non-FDA approved drugs and medical devices are delivered directly to physician clinics from pharmaceutical companies or suppliers in another country. A local drop shipper will generally have UPS pick up this package from a clinic and re-package the drugs or medical devices in a box that does not contain any post mark or return address of another country, and have it re-delivered to the clinic. Recently, several companies and individuals have pleaded guilty to smuggling and selling misbranded prescription drugs and unlicensed non-FDA approved drugs to local suppliers and physician clinics in the U. Apparently, the FDA Office of Criminal Investigations is investigating local suppliers or drop shippers and physicians who may have purchased prescription drugs and devices from these companies. Beginning Jan. Authorized ' trading partners ' includes wholesale distributors, manufacturers, re-packagers, and dispensers. In short, healthcare providers, inlcuding physicians, are responsible for assuring that their immediate or local suppliers are 'authorized,' which means licensed by the appropriate federal or state agency. The False Claims Act settlements discussed below include several aspects of the packaging that would alert physician practices that the drugs or medical devices may be from a foreign country, and not FDA-approved. On Jan. The two settlements involved orthopedic clinics in Tennessee and Virginia. Viscosupplements are substances injected into a joint to treat arthritic knee pain. Viscosupplements are reimbursed by Medicare, Medicaid and other federal health care programs. The government alleged that the clinics knowingly purchased deeply discounted viscosupplements that were reimported from foreign countries, and then billed the state and federal health care programs when such reimported viscosupplements are not reimbursable by those programs. The government contended that the reimported products contained labeling in foreign languages and in English for additional uses not approved in the U. This demonstrated that the products were reimported, and thus there was no reassurance they were safe or had not been tampered with or stored appropriately. The complaint against the Tennessee and Virginia clinics was filed in under the whistleblower provisions of the civil False Claims Act by a representative for a pharmaceutical manufacturer of one of the viscosupplements. An interesting aspect was that the whistleblower was retained by the pharmaceutical manufacturer to educate medical providers about the use of Synvisc. According to the DOJ, the reimported viscosupplements contained labeling and packaging that were not approved by the FDA, including labeling in foreign languages as well as labeling for uses that were not approved in the U. Buying and Selling Misbranded Prescription Drugs Several companies and individuals have recently plead guilty to smuggling and selling misbranded prescription drugs, as well as the unlicensed wholesaling of prescription drugs in the U. Physicians who purchased these drugs have also pleaded guilty to buying and selling, as well as dispensing foreign, misbranded drugs to their patients. According to the FDA, a drug may be considered misbranded even if it is identical in composition to an FDA-approved drug made by the same manufacturer in the same facility. It is important to keep in mind that misbranding is a strict liability offense under the FDCA. Anyone who participates in a violation can be convicted of a crime even if there is no intent to violate the law. On March 30, , a Joplin, Missouri, oncologist pleaded guilty in federal court to dispensing foreign, misbranded drugs to his cancer patients. The oncologist had ordered prescription cancer drugs from a company based in Winnipeg, Canada. This Canadian-based company had sold drugs to the oncologist that had been obtained from foreign sources and which had not been approved by the FDA for use in the US. According to the DOJ, the labeling for the prescription drugs the oncologist purchased was different from the versions the FDA had approved for distribution in the U. For example, the DOJ stated that the drugs did not have labels bearing the symbol 'Rx Only,' and the labeling for some of the drugs was in one or more foreign languages. Some of the prescription drugs lacked mixing and use instructions in English. The oncologist submitted reimbursement claims for these drugs and their administration to Medicare and Medicaid, Tricare, and private health insurance programs. The seven oncologists were charged with purchasing cancer drugs from Canada, including Zometa, Kytril, Taxotere, Gemzar, and Eloxatin, and providing the drugs to thier patients. In December , the DOJ announced the guilty plea of a Texas oncologist for introducing misbranded cancer drugs into the U. According to the government, the drugs were not approved for distribution or use in the U. The oncologist used the drugs interchangeably with FDA-approved versions on his patients and filed claims with federal and state health care programs, including Texas Medicaid, Medicare, and Blue Cross and Blue Shield. The practice admitted that it was aware the drugs were not approved by the FDA for use in the U. In a related False Claims Act lawsuit filed by the U. Medicare does not cover prescription non-FDA approved drugs. FDA Warning Letters to Physicians Prior to the FCA settlements and guilty pleas by physicians, FDA had sent the physicians warning about the risks of purchasing medications from foreign manufacturers or local unlicensed suppliers drop shippers. Generally, subsequent to a guilty plea or conviction of a pharmaceutical company or its distributor in the U. For example, the FDA sent a warning letter to certain physicians the agency belived had purchased unapproved foreign drugs or unapproved injectable devices distributed by Gallant Pharma International, Inc. Among the 12 individuals convicted at Gallant: a doctor and an office manager, for their roles in distributing drugs and devices that had not been approved by the FDA for use in the U. The FDA letter to physicians listed 39 drugs, primarily unapproved chemotherapy and injectable cosmetic drugs, which Gallant had sold in the U. Thise unlicensed supplier pleaded guilty last May to smuggling and selling misbranded prescription drugs in the U. In that warning letter to physicians, the FDA stated, 'receiving misbranded drugs and devices in interstate commerce and delivery or offering to deliver these drugs and devices for use on others violates federal law. Professionals 0. Background: How it Works Physician offices and clinics are often contacted through mass advertising campaigns via blast faxes, phone calls, direct mail, and online marketing. Beware of offers too good to be true, including aggressive marketing tactics and deep discounts, on prescription drugs. Buy only from state-licensed wholesale drug distributors. Check for the following signs that a prescription drug may be unsafe, ineffective or fake: label is not in English packaging looks slightly different from the FDA-approved product product name differs from the name of the FDA-approved drug dosing recommendations are unfamiliar safety information or warnings are missing dosage forms or administration is different Pay close attention to patient feedback In addition to potential prison time and fines for misbranding or other violations of federal and state law, the potential consequences for physicians of purchasing medical devices or drugs through unauthorized distribution channels can include criminal and civil false claims liability, repayment obligations, exclusion from federal health care programs, liability to patients, and loss of professional licenses or hospital privileges. Physicians should stay in front of these issues and adopt compliance practices to ensure they are purchasing drugs and medical devices from authorized suppliers. In the event they later discover that they may have purchased unapproved drugs or medical devices, physicians should consider self-disclosure or other reporting route to the applicable governmental agency. Date: April Imported Drugs and Medical Devices: Physicians Face Significant Liability for Purchasing Imported Drugs and Medical Devices A recent trend has been the increasing number of civil settlements and criminal convictions against physician practices that purchased foreign prescription drugs and medical devices that have not been approved by the FDA for use in the United States.

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