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eMployMent relations and health inequalities: pathways and MechanisMs<br />

behavioural strategies (Vogt, 1998). however, a work environment<br />

that is too hot or too cold, in combination with insufficient protection,<br />

constitutes a health hazard. overheating can be a<br />

problem in industrial jobs requiring heavy work<br />

during warm weather or in closed, heated places<br />

(leffler & hu, 2000). health problems are caused by<br />

insufficient blood circulation, imbalances in the<br />

supply of water and other essential elements and<br />

hyperthermia (ogawa, 1998). acute consequences of<br />

overheating are heat syncope, heat oedema, heat<br />

cramps, heat exhaustion and heat stroke (ogawa,<br />

1998). cold stress is an environmental hazard which<br />

affects people working outdoors, in cold places or<br />

handling cold substances (leffler & hu, 2000). Worker feeding the blast furnace. Ezz steel plant is located in<br />

important effects are restrained functioning, Alexandria and employs more than 2000 skilled workers. It is<br />

respiratory problems, hypothermia and cold injuries the middle East's leading producer of high quality long and<br />

flat steel for use in a wide range of end applications (Egypt).<br />

(holmér, 1998). also, both cold stress and<br />

source: © ilo/M. crozet (2008)<br />

overheating can exacerbate the stress reactions to<br />

other demanding working conditions (holmér, 1998).<br />

exposure to dangerous situations leads to an increased risk of<br />

injuries. These may be provoked by physical agents (such as<br />

mechanical energy, electricity, chemicals, ionising radiation, etc.) or<br />

by the sudden absence of essential elements, such as oxygen<br />

(castillo, Pizatella, & stout, 2000). important causes of worker injury<br />

include traffic accidents, falls, the physical impact of objects and bad<br />

movements or slips. The most affected sectors are manufacturing,<br />

transportation and construction (fao, 2008). While the direct cause<br />

of an accident is often clear, there is often a complex interaction of<br />

underlying indirect causes (castillo et al., 2000). frequent<br />

consequences of accidents include fractures, lacerations, abrasions,<br />

burns, amputations and poisoning (castillo et al., 2000).<br />

ergonomic risk factors are related to straining movements and<br />

postures, which are often related to “learned automatisms”. That is,<br />

people are inclined to perform a specific activity always in exactly the<br />

same way, resulting in situations of overload (Kumar & Kumar,<br />

2008). Particularly demanding types of movements are wrist flexions<br />

and extensions, wrist radial and ulnar deviations and upper limb<br />

movements and postures (Muggleton et al., 1999). ergonomic<br />

hazards are most common in industrial sectors and agriculture, but<br />

also in (routine) white collar work and care-provision (Parent-<br />

Thirion, fernandez, hurley, & Vermeylen, 2007; Wahlstrom, 2005).<br />

Toxins are substances like dusts, fumes, mists, vapors and<br />

gases, with a harmful effect on the human body. The physiological<br />

265

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