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EMploYMEnt, work, And hEAlth inEquAlitiEs - a global perspective<br />

2<br />

The term fair employment encompasses a public health perspective<br />

in which employment relations need to be understood as a key factor<br />

in the quality of workers' health. For example, most workplaces are<br />

organised hierarchically, reflecting the distribution of power and<br />

control over production. Power inequalities, therefore, will have a<br />

profound influence on employees and ultimately on health, as power<br />

determines what can be considered acceptable levels of exposure to<br />

significant risk factors. Fair employment complements the<br />

International Labour Organisation's (ILO's) concept of "decent<br />

work", implying a just relationship between employers and<br />

employees.<br />

Much of the history of employment relations has been<br />

characterised by unequal power and conflict between labour and<br />

capital, with the former often represented by unions demanding<br />

higher wages, shorter hours, and better working conditions through<br />

strikes, and the latter resisting those demands through firings,<br />

lockouts, or court injunctions.<br />

Fair employment requires that certain features be present: (1)<br />

freedom from coercion, which excludes all forms of forced-labour such<br />

as bonded labour, slave labour, or child labour, as well as work<br />

arrangements that are so unbalanced that workers are unable or afraid<br />

to assert their rights; (2) job security in terms of contracts and safe<br />

employment conditions; (3) fair income, that is, income sufficient to<br />

guarantee an adequate livelihood relative to the needs of society; (4) job<br />

protection and the availability of social benefits, including provisions that<br />

al<strong>low</strong> harmony between working life and family life, as well as<br />

retirement income; (5) respect and dignity at work, so that workers are<br />

not discriminated against because of their gender, ethnicity, race, or<br />

social class; (6) workplace participation, a dimension that al<strong>low</strong>s<br />

workers to have their own representatives and negotiate their<br />

employment and working conditions collectively within a regulated<br />

framework; and (7) enrichment and lack of alienation, where work is not<br />

just a means of sustenance but, to the extent possible, an integral part<br />

of human existence that does not stifle the productive and creative<br />

capacities of human beings. Depending on the degree to which it<br />

endorses each of these characteristics, employment could be placed in<br />

a continuum ranging from the complete lack of these positive features<br />

(e.g., slavery and bonded labour) to an "ideal job", with high levels in all<br />

of them.<br />

With the intention of basing this book on standards accepted and<br />

shared by the scientific community and the general public, the<br />

definitions of employment conditions that fol<strong>low</strong> are the product of<br />

an extensive review of specialised epidemiology and public health<br />

10

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