This thoroughly updated Fifth Edition is a comprehensive, practical guide to recognizing, preventing, and treating work-related and environmentally-induced injuries and diseases. Chapters by experts in medicine, industry, labor, government, safety, ergonomics, environmental health, and psychology address the full range of clinical and public health concerns. Numerous case studies, photographs, drawings, graphs, and tables help readers understand key concepts. This edition features new chapters on environmental health, including water pollution, hazardous waste, global environmental hazards, the role of nongovernmental organizations in environmental health, and responding to community environmental health concerns. Other new chapters cover conducting workplace investigations and assessing and enforcing compliance with health and safety regulations.

Work, Environment, and Health
1 Occupational and Environmental Health: An Overview 3

2 The Social Context of Occupational and Environmental Health 21

3 Government Regulation 39

4 Legal Remedies 74

5 Ethics in Occupational and Environmental Health 105

Recognition, Assessment, and Prevention 6 Recognizing Occupational and Environmental Disease and Injury 131

7 Preventing Occupational and Environmental Disease and Injury 148

8 Epidemiology 172

9 Occupational and Environmental Hygiene 190

10 Safety 218

11 Occupational Ergonomics: Promoting Safety and Health Through Work Design 238

12 Clinical Occupational and Environmental Health Practice 251

Hazardous Exposures 13 Chemical Hazards 269

14 Physical Hazards 311
14A Noise 312
14B Vibration 322
14C Extremes of Temperature 332
14D Ionizing and Non-ionizing Radiation 345

15 Biological Hazards 366

16 Occupational Stress 382

17 Ambient Air Pollution 397

18 Indoor Air Quality 415

19 Water Quality 427

20 Hazardous Waste 441

21 Global Environmental Changes 451

22 Injuries 471

23 Musculoskeletal Disorders 488

24 Cancer 517

25 Respiratory Disorders 543

26 Neurologic and Psychiatric Disorders 570

27 Hearing Disorders 587

28 Skin Disorders 598

29 Reproductive and Developmental Disorders 612

30 Cardiovascular, Renal, Hepatic, and Hematologic Disorders 624

An Integrated Approach to Prevention 31 Disparities in Occupational and Environmental Exposures andHealth 641

32 Addressing Health and Safety Hazards in Specific Industries: Agriculture, Construction, and Health Care 661

33 Conducting Workplace Investigations 683

34 Labor Unions: Their Role in Occupational and Environmental Health 697

35 The Role of Nongovernmental Organizations in Environmental Health 710

36 Responding to Community Environmental Health Concerns 722

37 Regulations in Practice: Assessing and Enforcing Compliance with Health and Safety Regulations 738

Index 755