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

occupational diseases identified nearly 30,000 diseases (most of<br />

them not serious and without sick leave), and only two deaths. Much<br />

more detailed analyses, however, have estimated that annually there<br />

are 80,000 cases of occupational diseases and 16,000 deaths (García,<br />

Gadea, & lópez, 2007).<br />

It is estimated that around one-fourth of the workforce in rich<br />

countries and more than three-fourths in poor countries are<br />

exposed to such physical factors, and in some high-risk sectors such<br />

as mining, manufacturing and construction, all workers may be<br />

affected (WHO, 1995). Physical and mechanical factors produced by<br />

unshielded machinery and unsafe structures like noise, vibration,<br />

ionising and non-ionising radiations and microclimatic conditions<br />

are known to affect health (Hogstedt et al., 2007). For example,<br />

noise-induced hearing loss has been found to be one of the most<br />

prevalent occupational diseases. another example is exposure to<br />

mineral dusts that cause fibrotic responses in the respiratory<br />

system and are associated with an elevated risk of cancer.<br />

Pneumoconioses have been found to occur in as many as half of<br />

workers most heavily exposed to silica, coal dust or to asbestos<br />

filaments (WHO, 1995).<br />

Chemicals are increasingly used in virtually all types of work,<br />

including non-industrial activities such as hospital and office work,<br />

cleaning, cosmetic and beauty services and numerous other<br />

services. Thousands of chemical products in use in today's<br />

workplaces constitute an important threat to worker's health,<br />

although the extent of exposure varies widely according to country,<br />

occupation, and industry. Exposures are most prevalent in industries<br />

processing chemicals and metals, in the manufacture of several<br />

consumer goods (e.g., metal products and plastic boats), in the<br />

production of textiles and artificial fibres, and in the construction<br />

industry. Metal poisoning, solvent damage to the central nervous<br />

system and liver, pesticide poisoning, dermal and respiratory<br />

allergies, cancers and reproductive disorders are among the health<br />

effects of such exposures. In some countries, more than half of the<br />

workers in certain high-risk industries may show clinical signs of<br />

occupational disease, which also has an adverse effect on working<br />

capacity (WHO, 1995). nevertheless, only a few hundred hazards,<br />

such as chemical (e.g. benzene, chromium, nitrosamines), physical<br />

(e.g. ultraviolet radiation, ionizing radiation) and biological (e.g.<br />

aflatoxins, tumor viruses) ones, have been identified as occupational<br />

carcinogens. The most common cancers resulting from occupational<br />

carcinogenic exposures are cancers of the lung, bladder, skin, liver,<br />

haematopoietic tissue, bone and soft connective tissue. a particular<br />

Child ragpicker looking for metal objects<br />

in the city dump in the Srinivaspuri area of<br />

delhi (india).<br />

source: © ilo/m.crozet (2002)<br />

193

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