Health

Eni has always placed at the centre of its objectives the protection of health, both of its own personnel and the communities in the areas in which it operates, and without limiting itself to merely respecting existing norms but by striving for excellence.
To this end, Eni has put in place a health management system based on the international standard OHSAS 18001 and applied across the company in all operations.
In 2010, in particular, there was an increase in the company activities certified OHSAS 18001:

• in the Exploration & Production sector the associated companies in Ghana and the USA were certified, as were the companies EniMed and Ionica Gas, a total of 22 associated companies certified, out of a possible 39;
• the Refining & Marketing sector began work for the certification of the refineries at Livorno and Taranto by the end of 2012;
• in the Gas & Power sector the Ravenna power station was certified. In 2012 certification will be completed at all power plants and the subsidiary Stogit, while Snam Rete gas was certified in 2010;
• in 2010 the petrochemical sector achieved the objective of certifying all plants.

Eni's management system foresees the carrying out of country health profile evaluations and health risk analyses using the following instruments:

• Health Risk Assessment, surveys for the identification of health risks, conducted in 2010 in Algeria, Nigeria, Mali, Ghana and India;
• Health Survey, surveys to evaluate the level of healthcare, conducted in 2010 in Poland, India and Togo;
• Compliance checks per occupational medicine and healthcare, audits that in 2010 were carried out in Norway, Congo, Italy, Brazil, Tunisia.

These methods form the basis for the development of local plans for occupational medicine, healthcare, the evaluation of the environmental impact of work and the management of emergencies, making it possible to reach service agreements with other companies from the sector operating in the same geographical area.
In 2010, on the basis of the experience gained from the first studies carried out in Algeria, Congo and Mali, a standard of reference was defined for the implementation of a Health Impact Assessment (HIA) to be applied to all new projects in order to assess the health risks for employees and as well as the communities affected by such projects.

Eni considers the protection of health a fundamental requisite and promotes the mental and physical health of its people with the adoption of specific promotion and prevention programmes.
Health promotion programmes are focused on the prevention of primary risk factors aimed at avoiding the onset of disease. Primary prevention sis therefore realised through the promotion of healthy lifestyles:

• adequate physical exercise,
• correct diet,
• no smoking,
• moderate alcohol consumption,
• weight control.

Among the many health promotion projects (launched also in specific contexts in single countries) is the Eni in Forma project, which now also involves an experimental programme called "myto" (a virtual personal trainer) which aims to promote the physical and mental wellbeing of Eni staff.
In 2010 the "Welfare Project" was confirmed, which enables more than 600 employees to engage in physical exercise at selected sports facilities.
In this field the promotion of healthy food behaviour is fundamental: that is why Eni also pays considerable attention to all aspects of diet, ensuring the quality of company canteens and what is available from automatic distribution machines.
At both R&M and Polimeri Europa a pilot project was introduced called Free to Breathe, which aims to help employees to give up smoking involving participation in a six-hour seminar run by ex-smokers and experts in the "Allen Carr's easy way" method. In 2011 the project will be extended to Eni's headquarters and to other company's sites.
Secondary prevention, meanwhile, aims to diagnose at an early stage the kinds of disease that, if caught in time, can be treated and completely cured. Secondary prevention is implemented by Eni in collaboration with LILT, the Italian cancer foundation, with an Early Diagnosis Programme, which, in 2010, involved more than 3,400 company employees (for a total of about 8000 visits).
Moreover, Eni has also stipulated a new convention with the Fondazione San Raffaele del Monte Tabor and H. Resnati SpA.
Finally, tertiary prevention aims to ensure that those who are being treated for or recovering from serious illnesses are not affected by other pathologies, especially of a psychological nature. In this field a pilot programme is running, in cooperation with the Italian Health Ministry and AIMAC (the Italian Association of Cancer Sufferers), for the promotion of awareness programmes in Italy regarding neoplastic disease (cancer) and its consequences, as well as support for those affected and their families.

For personnel at remote sites and centres the company has also put in place a Telemedicine service, which enables healthcare staff operating at Eni's peripheral sites to receive real time assistance and medical advice for the management of eventual emergencies complex cases, specialised cases and the possibility of continuous training, without the need to move doctors, trainers or workers.
The Telemedicine service is currently operational in Congo (one location), Nigeria (one location), Libya (four locations), and Italy (one location, at Gela). Two other locations are currently being installed, one in Algeria and one in Kazakhstan.
Institutional distance-medical support for remote sites is provided by the University of Milan, with additional support from the Milan Polytechnic for software maintenance and updates.
In this connection, Eni provides all of its personnel with a Health Card, which makes it possible to electronically record, securely and in three languages (Italian, English and French) the holder's most significant medical records which are available online in real time in case of need.

Finally, Eni actively supports AVIS (the Italian blood donors association) it its efforts to spread a culture of blood donation by organising extraordinary collections in Milan and Rome.

For Eni the promotion of wellbeing in local communities represents an important tool for improving its effectiveness as a partner in development. The realisation of activities for the improvement of health conditions is therefore a crucial component of the company's investments in the countries in which it operates.

In this area Eni's commitment has a duel function: on the one hand thought its business activities, Eni facilitates access to energy and consequently to basic healthcare, while, on the other, it promotes specific projects to meet the specific needs in the territory.

Over the years a large number of initiatives have been undertaken that have resulted in positive changes inside communities, in particular activities for the promotion of health have gradually moved towards a consistent and common framework of reference in line with the health policies of the countries concerned.
The projects are managed using a standard methodology for "Community Health and Infrastructure Project Management" (CHIPM), which is the result of eight years' experience in the identification, creation, planning, monitoring and evaluation of initiatives for the promotion of health around the world.
The CHIPM standard provides a methodological basis and the operational tools to identify significant healthcare projects aimed at supporting national and local development, in line with specific policies in the country and local government strategies.
The main objectives of the projects put in place following these standards are:

• the improvement of the health conditions of the population in the areas concerned, identifying and implementing appropriate initiatives focused on capacity building (both technical and managerial);
• to facilitate access to healthcare for the employees and sub-contractors, integrating company healthcare provision with local facilities (after having raised the standards of quality of the latter), in order to encourage quality and equity;
• to create the necessary conditions to maintain the healthcare  improvements made, in that they represent a fundamental prerequisite for sustainable and autonomous development;
• to strengthen cooperation between the business and its partners at all levels, including local and national governments, health authorities and a broad range of other players from civil society.

A fundamental role is also played by the Eni Foundation , whose mission is the protection of the rights of children and the aged through social initiatives that protect wellbeing and development, in line with the values and principles that have always characterised Eni's approach