Expatriate health: invisible illness and how HR can help

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From depression to back pain there are a wide range of invisible illnesses that expats may be managing. Learn how HR can help.

By Allianz Care | October 04, 2018

Allianz Care - invisible illness

As a HR manager, you have a lot to juggle when it comes to the health and well-being of expatriate staff. Not least of which, is helping those employees living with invisible illnesses or conditions to adjust to their new life abroad.

What does the term invisible illness mean?

An invisible illness is a sickness or disability that may not be immediately noticeable to others. It can greatly reduce a person’s ability to take part in normal day to day activities and often impacts their ability to focus at work. If managed well, the effect of an invisible illness can be minimal. If not, the consequences can be serious. The World Health Organisation (WHO) reports that invisible illnesses are responsible for over 40 million deaths around the world each year.    

There are a wide range of chronic conditions considered to be invisible illnesses. Chronic illness like depression, heart disease or diabetes, can be long lasting or incurable, a result of a combination of genetic, environmental and behavioural factors.

As a HR manager, there are things you and your company can do to help expats who may struggle with an invisible illness while on assignment:

Anxiety and depression

Depression and anxiety are two of the most common mental health disorders in the world today. The World Health Organisation estimates 300 million people globally suffer from depression. It is a major contributor to absenteeism from work. Maintaining good mental health can be tough while living abroad and expat depression is a common cause of expat failure. Supporting expats who are struggling with depression is beneficial for individuals and is also in the best interest of your business.

What can HR do to help expats with anxiety or depression?

There are a range of wellbeing initiatives HR can put in place to help expat employees with anxiety or depression:

Employee Assistance Programme

Ensure your international health insurance policy contains a robust expat assistance programme. This can help international employees access the help they need with expat depression.

Training

Provide employees with training on spotting depression in themselves or a colleague. This may work best as part of pre-departure training.

Wellbeing initiatives

Encourage employees to arrange or take part in activities that have a positive impact on mental health. If you can arrange them during the working day, even better.

Heart disease

Cardiovascular disease, including heart disease, causes the deaths of 18 million people a year globally. Although there are some genetic factors that can lead to heart disease, many of the causes are lifestyle related. A sedentary lifestyle, poor diet and smoking increase the chances of a person developing a cardiovascular illness of some kind.

What can HR do to help expats with heart disease?

Provide a check-up

Ensure employees have access to a full check-up before moving abroad. This should include a cholesterol test so (if needs be) they can work on lowering it while abroad.

Encourage healthy eating

Encourage managers and event organisers to consider healthier options when catering for employees. Provide facilities for employees to bring in their own lunch. Hold healthy ‘potluck’ events where employees can share their healthy recipes.

Encourage exercise

Organisations may approach this differently depending on where expat employees are located. Encouraging exercise could be a subsidised membership of a local gym or classes during lunch.

Diabetes

There are two forms of diabetes; type 1 and type 2. Type 1 diabetes is an autoimmune disease, usually inherited, that requires lifelong use of insulin injections. Although genetics play a role in the onset of type 2 diabetes, it is often caused by unhealthy lifestyle choices. There has been a significant rise in the instances of type 2 diabetes in the last thirty years linked to the increase in obesity globally.

What can HR do to help expats with diabetes?

Medical treatment

Ensure they have access to medical treatment. Diabetes of any kind requires careful medical management to avoid damage to kidneys, eyes and feet.

Privacy

Provide a private room for insulin injections and safe disposal of needles.

Support a healthy lifestyle

Provide low-sugar or sugar free alternatives during meetings and events with food.

Back pain or musculoskeletal issues

Injuries to the back or limbs are a major cause of absence from work and in some cases, can lead to loss of earnings or early retirement. The most common musculoskeletal issue is back pain. In some cases surgical treatment will be required, but this is often a last resort.

What can HR do to help expats with musculoskeletal issues?

When it comes to musculoskeletal issues, prevention is better than cure:

Ergonomic assessment

Every employee should have an ergonomic assessment with a certified professional. Recommended equipment should be provided.

Manual handling course

If physical lifting is part of a role, ensure expat employees are certified in manual handling. Always opt for machine lifting if available.

Providing your expatriates with the healthcare they may need while they are working abroad is key to their physical and mental health and wellbeing. We offer a wide range of group schemes for employers and would be happy to answer any questions you have.