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EmpLoymEnT, work, And HEALTH inEquALiTiES - a global perspective<br />

Construction: reconstructing the facade of<br />

St.Joseph's Cathedral - dar Es. Salaam<br />

(united republic of Tanzania).<br />

source: © ilo/m. crozet (2003)<br />

annually. Globally, every day about 5,000 workers die due to workrelated<br />

diseases (Hämäläinen, Takala, & leena, 2007). Workrelated<br />

injuries and diseases have a profound effect on the health<br />

of the working population, involving an enormous and<br />

unnecessary burden and suffering for workers’ families and<br />

communities, and a high economic loss for firms and countries.<br />

Depending on the political tradition of each country, its<br />

economic activity and level of industrialisation, the development<br />

of laws, regulations and social protection, the type of industrial<br />

relations, and the power and involvement of unions, workers are<br />

more or less likely to be exposed to hazardous occupational<br />

factors. Poor countries that still employ a major part of the<br />

workforce in agriculture and other types of primary production<br />

face occupational health problems that are different than those of<br />

rich countries. Faster industrialisation, urbanisation, a great<br />

increase in construction, and agricultural mechanisation in<br />

middle- and <strong>low</strong>-income countries have led to a rise in the<br />

number of workers exposed to traditional (e.g., heavy physical<br />

workload) and new (e.g., work-related stressors and precarious<br />

work) occupational hazards. Heavy physical work often combined<br />

with heat stress, occupational injuries, pesticide poisonings,<br />

organic dusts and biological hazards are the main causes of<br />

occupational morbidity. These hazards are aggravated by<br />

numerous non-occupational factors, including parasitic and<br />

infectious diseases, poor hygiene and sanitation, poor nutrition,<br />

general poverty, and illiteracy. a growing number of studies<br />

(mainly conducted in wealthy anglo-Saxon countries) illustrate<br />

the positive effect of unions and worker participation, particularly<br />

through safety representatives, occupational health, reducing<br />

occupational injuries, increasing the training of workers, and<br />

stimulating the firms into implementing more effective preventive<br />

policies (Menéndez, Benach, & Vogel, 2009).<br />

The globalisation process has increased unequal work-related<br />

transfers between countries. a particularly important problem is<br />

the transfer of hazardous substances, materials and persons<br />

between rich and poor countries. Transfers can have either<br />

positive or negative impacts on the health of workers and the<br />

environment. But nothing that is unacceptable in the exporting<br />

country should be transferred to the importer, no matter what the<br />

legislation of the recipient country states about such practices.<br />

There are three main types of transfers that are typically<br />

involved. First, raw materials, products and minerals are<br />

produced and extracted from workers in poor countries, where<br />

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