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conclusions and recommendations<br />

• slaves and bonded labourers must be deemed protected by<br />

occupational health laws notwithstanding legal status.<br />

Health and health equity among workers should be a matter<br />

of public health, hence they should be guaranteed to working<br />

people independent of their conditions of employment. Here<br />

the strategy and model of primary health care has a capacity<br />

and a responsibility to reach these sectors with preventive and<br />

curative interventions, as well as support for reinsertion into<br />

work.<br />

• Provision of universal health care coverage, including<br />

occupational health and safety programs integrated into primary<br />

health care, especially family health care programmes.<br />

• Expand coverage with basic occupational health services<br />

through occupational health legislation and services<br />

(intersectoral occupational health policy).<br />

• Establish worker health centre networks or integration<br />

activities for workers in the primary health care sector of the<br />

public health system.<br />

• opening of occupational Health offices to monitor<br />

occupational diseases.<br />

• Development of occupational training programs that include<br />

occupational health and safety contents, targeting informal<br />

workers and social movements.<br />

• strengthen enforcement of occupational health legislation<br />

(e.g., inspectorate).<br />

unions play a fundamental role in reducing employment and<br />

work-related health inequalities. unions can generalise collectively<br />

negotiated international or national protections.<br />

• include occupational health dimension in collective<br />

bargaining (e.g., right to know).<br />

• Expand coverage of occupational health services (include<br />

temporary workers, self-employed, small business).<br />

social movements and grassroots community activities may<br />

play a fundamental role towards the goal of reaching fair<br />

employment. Evidence from some countries attests that<br />

community actions can act as an important adjunct/impetus to<br />

government measures (e.g., living wage campaigns in targeted<br />

us cities).<br />

393

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