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While the problems of occupational health have grown in recent decades, public policy for dealing with these risks remains limited in comparison to policy on occupational injuries. Occupational health hazards pose special problems in terms of setting standards and compensating workers. This article explores the issues of uncertainty, acceptable risk, and enforcement. Because of technical, economic, and political dilemmas, workers bear the burdens of occupational disease. Since society benefits by permitting workers to be exposed to occupational health hazards, it has a responsibility to compensate those who become ill and to provide an integrated system of legal controls to protect workers.

Background: The United Nations General Assembly (UNGA), the International Labour Organization (ILO), the World Health Organization (WHO), the International Commission on Occupational Health (ICOH), and the European Union (EU) have encouraged countries to organize occupational health services (OHS) for all working people irrespective of the sector of economy, size of enterprise or mode of employment of the worker. The objective of this study was to survey the status of OHS in a sample of countries from all continents. Methods: A questionnaire focusing on the main aspects of OHS was developed on the basis of ILO Convention No. 161 and several other questionnaire surveys used in various target groups of OHS. The questionnaire was sent to 58 key informants: ICOH National Secretaries. Results: A total of 49 National Secretaries responded (response rate 84.5%), from countries that employ 70% of the total world labour force. The majority of the respondent countries, 67%, had drawn up an OHS policy and implement it with the help of national occupational safety and health (OSH) authorities, institutes of occupational health or respective bodies, universities, and professional associations. Multidisciplinary expert OHS resources were available in the majority (82%) of countries, but varied widely in quantitative terms. The average OHS coverage of workers was 24.8%, with wide variation between countries. In over two thirds (69%) of the countries, the content of services was mixed, consisting of preventive and curative services, and in 29% preventive only. OHS financing was organized according to a mixed model among 63% and by employers only among 33% of the respondents. Conclusions: The majority of countries have drawn up policies, strategies and programmes for OHS. The infrastructures and institutional and human resources for the implementation of strategies, however, remain insufficient in the majority of countries (implementation gap). Qualitatively, the content and multidisciplinary nature of OHS corresponds to international guidance, but the coverage, comprehensiveness and content of services remain largely incomplete due to a lack of infrastructure and shortage of multiprofessional human resources (capacity gap). The estimated coverage of services in the study group was low; only a quarter of the total employed population (coverage gap). ; Peer reviewed

This paper examines Italy's worker-based model for occupational health, especially its key concepts and its relation to social conflict. It briefly reviews the history of three approaches to occupational health in Italy: university-based, industry-based, and government-based. It then analyzes the worker-based approach, which emerged in the late 1960s and early 1970s as worker groups and trade unions mobilized around new concepts of occupational health. Five key concepts are discussed: the workers' homogeneous group; workers' subjectivity; the use of contract language; the development of local occupational health institutions; and the use of occupational hazard risk maps. The analysis illustrates how the social processes of mobilization and institutionalization affected the ideas and structures of Italian occupational health. Worker mobilization in Italy produced ideological changes in the nation's occupational health system, institutional changes in universities and governments, and legislative changes at national and local levels. The institutionalization of reforms, however, created new conflicts and problems and tended to restrict worker participation and promote expert intervention. The paper concludes with a brief outline of the history of occupational health approaches in the United States and then discusses the implications of the five Italian concepts for US occupational health policy.

Occupational health services in Korea can be largely divided into periodic health examination for workers, group health care system for workers in small and medium size industries, and workplace environment measurement. Periodic health examination is composed of general and special health examination. General health examination is performed once every two years for office workers and once every year for production workers. The expenses of medical examination are covered by public medical insurance program. Special health examination is performed on workers who dealt with hazardous agents with variable durations. The employer pays the expense of special health examination. Group health care system has been established for small and medium sized industries exempt for assignment of full-time health managers (physician, nurse, hygienist). It entrusts the role of health managers to occupational health organization or clinic. Especially, entrust fee of small sized industries are paid by government. The levels of hazardous agents are measured in all workplace environment. If the measured level exceeds the permissible exposure level, the employer is enforced to improve the workplace environment with their own expense. In 1997, 684,000 workers received periodic health examination and 2,400 workers were found with occupational diseases. ; prohibition

The basic purpose of the current study was to explore the occupational health stress reasons, consequences, and job outcomes in the service sector as well as to suggest stress management techniques to overcome stress. This research used a mixed qualitative research methodology, which included a collective case study method as well as a narrative inquiry method. Respondents (both males and females) were selected from two of the most important service sectors -- the banking industry where working hours are long, and the education sector where working hours are comparatively short. A total of eight case studies were taken through focus group discussions in which respondents were requested to write a one-page report about their work experiences, problems faced at their workplace, whether they were facing any stressful challenge and threat, and how their health was affecting them due to stressful situations at the workplace. The data was reported from the words of respondents as it was written on their response forms. From the list of responses, the following themes emerged and were derived in Figure 1: stressors (reasons), consequences (change in physical, psychological, and behavioral response), and outcomes (job outcomes). Stress management techniques were suggested from an organizational and individual point of view.