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During the Pan American Conference on Occupational and Environmental Health held in Rio de Janeiro from September 26 to 29, 2018, the Pan American Forum on Public Policies on Occupational Health was organized by the National Association of Occupational Medicine of Brazil ANAMT, the Latin American Association of Occupational Health (ALSO) and the American College of Occupational and Environmental Medicine (ACOEM), with the support and participation of the Pan American Health Organization (PAHO), and the institutional support of the International Commission on Occupational Health (ICOH) and the International Occupational Medicine Society Collaborative (IOMSC). Delegates came from 16 countries of North America (Canada, United States and Mexico), Central America (Guatemala, El Salvador, Honduras, Costa Rica and Panama) and South America (Colombia, Ecuador, Venezuela, Peru, Uruguay, Chile, Argentina y Brazil), represented a significant sample of the countries of the region. They presented the main characteristics of the national occupational health systems in the countries of the Americas, in terms of legislation, best practices, strengths and challenges; and shared the way public policies in the continent are carried out. Based on these, participants were able to exchange experiences and strengthen international cooperation ties in those matters. Delegates from the Brazilian Ministry of Health, the Federal University of Minas Gerais, the University of Campinas and the Brazilian Association of Workers’ Health (ABRASTT) also joined and participated in the Forum. Based on the realities presented made by the participants, as well as the considerations, information and experience exchanges, the dialogue held between participants, and the preliminary conclusions, the organizers of the Forum declare that: 1. Regional heterogeneity is evident in terms of sociodemographic aspects, public policies, legislation and regulation, government structures and institutions, public and private insurance, workers’ health care coverage, records occupational injuries diseases -that are deficient in general-, and on education and awareness in Workers’ Health, amongst other issues. 2. That amongst countries that were present, Colombia (2001), Venezuela (2006), Argentina (2012), Brazil (2012), Peru (2013), Costa Rica (2014) and Chile (2016) have a national public health policy document on occupational health or for the protection of health in the world of work; and that there are others like Ecuador, which is in the process of its formulation. Similarly, all countries have constitutions, labor and health codes, laws, decrees, resolutions and technical guidelines for protecting workers’ health and safety, many of which many require updates, modernization and adaption to the new realities of the world of work in the 21st century. 3. Nevertheless, the persistence of multiple and varied common problems was evident, including issues such as:

Manifesto do Rio de Janeiro sobre as políticas públicas de saúde do trabalhador, para seu fortalecimiento, acompanhamento e implementação