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Occupational safety and health.

Work accidents became a matter of societal concern in the Progressive era of Woodrow Wilson. When other contingencies of modern life were brought under social security in the New Deal reforms of the 1930s, work accident legislation remained separate. One possible reason was that work accidents can be controlled within industrial and chance limits. But control does not imply elimination since a risk-free environment would paralyze production. In spite of imperfections caused by low benefits and imperfect insurance arrangements, the workers' compensation legislation does help internalize the costs of accidents, but internalization of costs is only one remedy. Regulation and a much broader community responsibility are others. It is argued that regulation poses greater problems and that broader community responsibility may evade the issues involved in choosing the appropriate tradeoff point between production and health which will maximize social welfare.

Accidents, Occupational↗

Legal solutions for the problems of special populations at risk.

Some populations of workers face competitive disadvantages in the labor market and increased risks at work. This paper discusses three areas of law that are relevant to the occupational health concerns of these subgroups of workers. First, laws against discrimination in employment on the basis of race, sex, age, and disability are described. Second, laws that provide universal protection for all workers, including regulatory laws (e.g., OSHA) and social insurance programs (e.g., workers' compensation) are evaluated in terms of the extent to which they provide effective protection for vulnerable populations. Third, the nature of legal protections for people at specific increased risk for disease is assessed. Appendices provide specific summaries of relevant laws.

Persons with Disabilities↗

[Pregnancy and work environment. Practical guidelines for risk assessment].

Pregnant women are a natural part of the workforce in Sweden. A few types of exposure in the work environment are strictly regulated for pregnant women due to well-known risks of miscarriage, malformations or mental retardation in the child. However, a much larger number of types of exposure may pose risks for negative effects on the pregnancy. Chemical, physical and psychosocial factors may interact with personal medical conditions, and a risk assessment must always be performed with the individual in mind. This article addresses the most common questions about pregnancy and the work environment. According to Swedish law, an employer must perform an assessment of the risks in the work environment for the pregnant woman. If the work environment is considered to be hazardous, the particular exposure in question should be reduced or work tasks changed. If neither of these are possible, the woman has a right to compensation from the Social Insurance Office. Self-employed women are currently excluded from this right.

Abnormalities, Drug-Induced↗

Structured and nonstructured exercise in a corporate wellness program. A comparison of physiological outcomes.

The devastating effects from cardiovascular disease are the largest contributors to employers' health care costs, insurance premiums, disability insurance, and worker's compensation. The purpose of this study was to establish baseline data regarding physiological outcomes comparing two participant groups in a corporate wellness program. Results suggest that a corporate wellness program can be beneficial in assisting employees to improve their health behaviors and outcomes.

Adult↗

Questionable compensation claims; principles of special examination.

In deciding a disputed claim of disability arising from occupation, physicians should ascertain whether a patient's medical history has any bearing on the disability; they should attempt psychologic evaluation of the patient as it may reflect on the conditions they observe in physical examination; they should investigate symptoms complained of by the patient rather than accept them as prima facie evidence of disability; and they must have knowledge of the extent to which an injury can cause disability. It is urged that standards of physical ability and disability, as well as of other physical factors which may affect compensation claims, be established by organized research.

Defense Mechanisms↗