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Economy : Globalization
The impact of globalisation on health and safety at work
Report issued by the World Health Organisation and International
Labour Organisation
By Paul Mitchel
23 July 1999
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this version to print
Two departments of the United Nations recently warned that
globalisation may considerably increase the number of work-related
diseases and injuries in the next century. They said the pressures
for deregulation of the basic standards for health and safety
is growing.
Dr Richard Helmer of the World Health Organisation (WHO) said,
in order to reduce costs, industries with their accompanying
occupational hazards are being relocated to developing countrieshome
to 75 per cent of the global workforce. There are about
2.6 billion workers in the world as a whole.
Dr Jukka Takala, Chief of the International Labour Organisation's
(ILO) Health and Safety Programme estimates that there are 250
million accidents in the workplace each year, leading to 335,000
fatalities. One million people die each year from the 160 million
illnesses caused by pollution and toxic materials and processes.
One hundred thousand chemicals are in use. Of these 350 are known
to be carcinogens and 3,000 are allergenic. Illnesses include
respiratory and cardiovascular disease, cancer and reproductive
and neurological problems.
In the least developed countries most workers are involved
in production of raw materialsagriculture and mining. This
means heavy and noisy physical work and exposure to pesticide
sprays, dusts and parasitic and infectious diseases. In industrialising
countries, less advanced and more hazardous technologies are used.
The extent of illnesses and injuries is unknown. In industrialised
countries and increasingly elsewhere, more than half the workers
suffer from psychological stress.
Only 5-10 per cent of workers in developing countries and 20-50
per cent in industrialised countries have access to adequate health
care. Even in the United States, inspectors visit only 10 per
cent of all work sites regularly. Few small-scale industries across
the world are subject to health and safety provisions.
The report points out that estimates of accidents and illnesses
are difficult to make because of the lack of reliable information.
In Latin America, for example, less than five per cent of work-related
illnesses are reported. There is in many countries a certain
unwillingness to recognise occupational causes of injuries or
health problems and to report them even when recognised. The history
of occupational health has been that of a continuous struggle
between workers fighting for protection or compensation and their
employers seeking to deny or reduce their liability for work-related
diseases and injuries. This conflict has greatly influenced statistical
reporting. As a result, the burden of disease due to occupational
exposures is usually underestimated.
The WHO and ILO report highlights the terrible conditions facing
workers throughout the world. It shows that the poor information
about accidents and illnesses is a reflection of the low priority
shown by all concerned. It says the solution is to implement ethically
correct and economically sound measures to improve working
conditions and change the existing situation in the interests
of both workers and employers. Seemingly obvious and
simple, this idea has not yet gained meaningful universal recognition.
The WHO and ILO appeal to the World Trade Organisation, national
governments, employers, trade unions and non-governmental organisations
to remedy the situation.
The idea that national governments will respond to such an
appeal is unrealistic. Criminologists Dr Gary Slapper and Professor
Steve Tombs in their recent book Corporate Crime, examine
the Health and Safety Executive (HSE) in Britain. The HSE announced
a record low figure of 376 for fatal injuries between
April 1994 and March 1995 based on virtually complete
data.
Slapper and Tombs show that the figure excludes deaths from
the use of flammable gases (36), in the fishing industry (27)
and from driving whilst at work (877). Calls by the Royal Society
for the Prevention of Accidents (RoSPA) and others for driving
fatalities to be included are rejected because industrial representatives
on the HSE say they are burdensome. Key causes for
driving fatalities are unsafe work schedules, low vehicle maintenance
and insufficient training. Professor Horne, Director of the Sleep
Research Laboratory blames economic causes because more drivers,
in fear of losing their jobs, are travelling hundreds of miles
without a break.
Another cause of under-reporting of HSE figures is that deaths
resulting from accidents are often unrecognised and many clinicians
are unaware that they should report such deaths to coroners. Doctors
only put the eventual cause of death on a death certificate rather
than the sequence of events leading to death.
The HSE figures do not include deaths among the self-employed,
a significant factor considering that many corporations are turning
direct workers into self-employed workers. The HSE itself says
only 1 in 20 reportable accidents are reported among this sector
of workers.
Figures on deaths from work-related illness are even more unreliable
than for accidents. The HSE only counts those that relate to asbestosis
and similar illnesses. Research suggests as many as 10,000-20,000
deaths a year may result from illnesses caused at work.
Even using the HSE's own figures, Slapper and Tombs arrive
at 3,018 deaths from work-related accidents and illnesses in 1994/5nine
times the record low figure claimed by the HSE.
According to Slapper and Tombs, the use of formal enforcement
action, always a matter of last (and very reluctant) resort by
HSE and its inspectorates, is now being further abandoned, as
HSE redefines itself formally as much more of an advisory and
educational body than any form of police force for industry.
The main law in Britain, the Health and Safety at Work Act,
stipulates that employers have a duty to do all that is
reasonably practicable. Since its implementation in 1974
there have been over 18,151 deaths at work, About 40 per cent
result in prosecution with an average fine of about £4,000.
The vast majority of non-fatal accidents are never investigated.
Slapper and Tombs consider that two-thirds of deaths are caused
by directly illegal actions on the part of the employer. Governments
are also to blame. When the oil companies were opening up the
North Sea for oil exploration, they refused to continue unless
the government relaxed the safety regulations. One hundred and
six workers died in the process. Whilst individual homicide has
a high media profile, the higher levels of work-related deaths
a large number of which are classifiable, at least prima
facie, as instances of reckless manslaughter, remain unnoticed.
The current HSE campaign Good Health is Good Business'
pitches concern for health and safety purely at the effect it
has on profits. This is an admission that profit is the driving
force in capitalist society. The history of health and safety
legislation is one of companies trying to find loopholes, or use
it against rivals. Only when the source of profithuman labour
powerseemed on the verge of physical destruction did the
state implement laws. In many cases, employers saw legislation
as a useful way to enforce habits of obedience as
in the establishment of factory schools.
After World War II, workers in the industrialised countries
were able to gain better working conditions by exerting pressure
on the national state. The fall in the rate of profit in the 1970s
and the exhaustion of production based on assembly line methods
meant capitalism had to look for new methods to lower costs and
increase productivity. Large chunks of manufacturing were outsourced
to the Asia-Pacific region where wages were low and health and
safety concerns non-existent. The effects of globalisation have
been to undermine workers conditions in the West too, as nations,
regions, governments and trade unions compete to provide the lowest
costs to transnational corporations.
Whilst the WHO and ILO point to some of the implications of
globalisation for health and safety it puts forward the impossible
task of changing the situation, in the interests of both
workers and employers. The interests of the working class
can not be reconciled with a system in which production is organised
for the benefit of a privileged minority. Only when the mass of
working people counterpoise to this an internationalist socialist
strategy will a further deterioration in health and safety at
work be prevented.
References
1) The World Health OrganisationOccupational
health page
http://www.who.int/peh/Occupational_health/occindex.htm
2) Corporate Crime by Gary Slapper and Steve Tombs, Longman,
1999
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