Abstract

Abstract There are important differences in occupational health practice between rich and developing countries that affect the scope and potential of occupational epidemiology. Most obvious is the availability of resources, in terms of capabilities, cash, and background data on hazards. But there are also qualitative differences. In most developed Western countries, provision of health care at work is separate from other health services, mainly for historical reasons. Before the Second World War, occupational health services included preemployment examination, first-aid treatment, and the control of industrial injury and disease; but they were restricted to large organizations which had obvious work-related health risks.

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