Health and safety in the Lesotho Highlands Dam and Tunnel Construction Program

To review health and safety practices and to determine the occupational health status of dam workers in the Lesotho Highlands, a health and safety audit and a health study of 258 workers was undertaken. The workers were administered respiratory health questionnaires and underwent chest x-rays and lung function and audiometric testing. The audit revealed a low level of awareness of health and safety issues at all levels of management and a lack of occupational medicine and industrial hygiene systems. Noise-induced hearing loss occurred among 92% of the study subjects. Among the 158 dam construction workers, 5.4% had pneumoconiosis. With poorly developed laws and regulatory bodies, unsophisticated trade unions, and little client supervision, health and safety had a low priority in this construction project. Recommendations are made that are pertinent to health and safety management where international companies are operating in developing countries.

Asbestos and asbestos-related disease: the South African case

The asbestos industry in South Africa has suffered a decline in production, employment, and sales over the last few years. This mirrors the state of the industry internationally. In South Africa this has more to do with the economic recession than with legislative restrictions on asbestos use. New information has become available on the extent of asbestos-related diseases in South Africa. In this article, we outline developments in labor organization in the asbestos industry, and discuss the marked lack of control of asbestos, the inadequate state compensation system, and the difficulties facing labor. After describing recent improvements won by trade unions, mainly in the transnational corporation sector, we discuss the implications for industry, labor, and control of the asbestos hazard.