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employment relations and health inequalities: a conceptual and empirical overvieW<br />

(IlO, 2005). although governments may pay for some medical services<br />

or for sickness benefits, the cost to public health budgets and insurance<br />

is ultimately borne by society as a whole, and high rates of injuries and<br />

cases of poor health might have an impact on national productivity as<br />

well. a study by the European Commission estimated that in the year<br />

2000, the costs of occupational injuries in the EU-15 was €55 billion a<br />

year (European Commission, 2004). at the firm level, only a small<br />

fraction of the world's workforce is covered by compensation systems,<br />

so most workers receive no income during absences from work.<br />

Workers suffering long-term disability may also lose important skills<br />

and thus find it harder to find future work or at least to continue in the<br />

work for which they have been trained. The rate of participation in the<br />

labour force for disabled workers is about two-thirds that of nondisabled,<br />

with only half of the likelihood of being in a full-time job. In<br />

developing countries, the earnings of disabled workers can reach onethird<br />

of the wage of comparable non-disabled persons (Dorman, 2000).<br />

Case study 34. Non-fatal injuries among young workers. - curtis breslin<br />

studies in wealthy countries show that the risk of job-related injury is 1.2 to 2 times higher among young workers<br />

(defined as age 15-24) than it is among older employees (breslin & smith, 2005; centers for disease control and prevention,<br />

1998; dupre, 2001). When young people are injured at work, the potential social and economic consequences are high: if an<br />

injury results in permanent impairment, a young person will experience more years of disability than an adult worker who<br />

is similarly injured. a number of questions about these workers can be raised. What are the employment patterns for young<br />

workers in north america, many youth work even during the school year. For example, according to a 2003 canadian<br />

labour Force survey, 69 per cent of 15-19 year olds, and 89 per cent of 20-24 year olds said they had worked at some time<br />

during the previous year. in north america, young workers, especially teenagers, are concentrated in jobs in the service and<br />

retail sectors (breslin & smith, 2005). What kinds of non-fatal injuries are most common among young workers young<br />

workers are more likely than older workers to sustain cuts, contusions, and burns (breslin, Koehoorn, smith, & manno,<br />

2003). but they are most commonly affected by sprains, strains and musculoskeletal problems like back pain, just like their<br />

older colleagues. Why are young workers at a higher risk for job-related injuries two factors, unsafe working conditions<br />

and perceived workload, were consistently associated with youth work injuries in a recent systematic review (breslin et al.,<br />

2007). how can injuries in young workers be prevented education alone is not enough to prevent workplace injuries among<br />

younger workers or those who are new on the job. although more research is needed to determine what is most effective<br />

for young workers, the fol<strong>low</strong>ing approaches are currently recommended: removing hazards, installing guards on<br />

machinery, and making other changes to the physical work environment that eliminate unsafe work conditions; developing<br />

workplace programs, policies and work practices aimed at maintaining a safe work environment; educating and training<br />

workers to anticipate, recognise, and control hazards in the workplace; and better enforcement of occupational health and<br />

safety regulations.<br />

References<br />

breslin, c., Koehoorn, m., smith, p., & manno, m. (2003). age related differences in work injuries and permanent<br />

impairment: a comparison of workers' compensation claims among adolescents, young adults, and adults.<br />

Occupational and Environmental Medicine, 60(9), e10.<br />

breslin, F. c., & smith, p. (2005), age-related differences in work injuries: a multivariate, population-based study. American<br />

Journal of Industrial Medicine, 48(1), 50-56.<br />

breslin, F. c., day, e., tompa, e., irvin, s., bhattacharyya, J., clarke, a., et al. (2007). non-agricultural work injuries among<br />

youth: a systematic review. American Journal of Preventive Medicine, 32(2), 151-162.<br />

centers for disease control and prevention. (1998). surveillance for nonfatal occupational injuries treated in hospital<br />

emergency departments-united states. Morbidity and Mortality Weekly Report, 47(15), 302-306.<br />

dupre, d. (2001). Accidents at work in the EU 1998-1999. retrieved november 6, 2008, from http://cz.osha.europa.eu/<br />

statistics/files/statistic.pdf<br />

189

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