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Health Promotion International

We were pleased to read the article entitled: 'How far are we from full implementation of health promoting workplace concepts? A review of implementation tools and frameworks in workplace interventions' by G. M. Motalebi et al. (2018, Health Promotion International, 33, 488–504. doi: 10.1093/heapro/daw098). The main purpose of the article is to provide a typology of different frameworks and tools related to workplace health interventions globally and their conformity with the Ottawa Charter and WHO statement in 2007. While we found the article interesting and informative, we also noted the omission of the program of the U.S. National Institute for Occupational Safety and Health (NIOSH) which shares many of these goals: 'Total Worker Health®' (https://www.cdc.gov/niosh/twh/totalhealth.html). NIOSH defines Total Worker Health (TWH) as 'policies, programs, and practices that integrate protection from work-related safety and health hazards with promotion of injury and illness prevention efforts to advance worker well-being.' Thus it incorporates exactly 'the work-related causes of ill health and unhealthy behaviour' referred to by Motalebi et al. (page 490).

Inclusion of ‘Total Worker Health®’ a program by NIOSH