• primary, aimed at raising awareness on correct lifestyles through communication and training initiatives;
• secondary, which detects at an early stage the onset of a pathology to avoid its evolution;
• tertiary, aimed at curing the illness and facilitating rehabilitation to avoid further damage.

• “Eni wellness program” – A communication campaign on the correct lifestyles aimed at changing lifestyles, to stimulate and encourage the improvement of one’s wellbeing through simple daily choices.
• Myto, “my trainer on line” – An interactive and personalised programme for physical and psychological well-being, tailored to the specific characteristics and needs of Eni’s people to help them to adopt or maintain a lifestyle in line with the concept of prevention.
• "Early diagnosis" – A cancer prevention screening differentiated by age and gender groups, carried out at national level in collaboration with the Lega Italiana per la Lotta contro i Tumori. "Prevent with Eni" – A mini check-up including an oncological screening and haematochemical examinations carried out in structures of excellence operating in the national territory.

In 2018, all of the companies continued the implementation of health management systems with the objective of promoting and maintaining the health and well-being of Eni people and ensuring adequate risk management in the workplace. Confirming this, the business areas completed the health monitoring programs with a result in line with what had been planned by the competent physicians. In 2018, in order to assess the potential impact of projects on the health of the communities involved, the Upstream sector completed 20 HIA (Health Impact Assessment), of which 7 were integrated ESHIA studies (Environmental and Social Health Impact Assessment): 1 in each of the following Countries: Ghana, Indonesia, Mexico, Tunisia, Vietnam, China and Congo; 1 ESH (Environmental Social Health Baseline) in Egypt; 2 Pre-ESHIAs in Congo, 2 in Italy, 1 in the following Countries: Pakistan, Portugal, Australia, Algeria and Nigeria; 1 Pre-HIA in Kenya; 2 HIAs, of which 1 in Indonesia and 1 in Pakistan. The number of health services sustained by Eni in 2018 was 473,437, of which 320,933 for employees, 66,327 for family members, 68,796 for contractors and 17,381 for others (e.g., visitors and external patients). The number of participants in health promotion initiatives in 2018 was 148,130, of which 57,110 were employees, 43,525 were contractors and 47,495 were family members. The significant increase compared to the previous year is due to an improvement in reporting. As concern occupational illnesses, allegations fell during 2018 from 120 to 81, with an overall reduction of 33%, due to the reduction of illnesses reported, both from former employees (from 108 to 71 claims) and current employees (from 12 to 10 claims). Of the 81 occupational disease claims submitted in 2018, 12 were submitted by heirs (11 relating to former employees and 1 to an employee).

^(a) The increase in the figure for the number of registrations for health promotion initiatives compared to previous years depends on the improvement of the monitoring activities of the execution of the initiatives themselves.
^(b) The 2018 OIFR is calculated considering only the consolidated perimeter, unlike that of previous years. The OIFR calculated on the total hours worked by ENI is equal to 0.11