By Mauricio Torres-Tovar Medical Doctor, Specialist in Occupational Health – MPH National Movement for the Health and Social Security Latin America Association.

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By Mauricio Torres-Tovar Medical Doctor, Specialist in Occupational Health – MPH National Movement for the Health and Social Security Latin America Association of Social Medicine – ALAMES PHM – Latin America PEOPLE´S HEALTH ASSEMBLY 3 Cape Town - 8 July, 2012 Sub plenary: Fair and Healthy Work WORK AS SOCIAL DETERMINANT OF HEALTH

“They buy something that I suffer to make. They are eating my flesh”. Victor, Ivory Coast cocoa farms “There are more slaves alive today than all the people stolen from Africa in the time of the transatlantic slave trade”. Kevin Bales

Relationship between work (employment) and health Source: Benach J, Muntaner C, Santana V. Employment Conditions and Health Inequalities. Final Report to the WHO. Commission on Social Determinants of Health Health Living conditions

Relation between living and working conditions TERRITORY - POPULATION Housings Work Places Local Government Schools Churches Open Market Health providers

Relation between living and working conditions TERRITORY - POPULATION Relations - Processes: Socials Economic Political Cultural Social Needs Determinants Living and working conditions Source: Molina, N. Adapted of How does it understand the territory? Social determinants of health approach Primary Health Care Strategy Environment conditions

Effects of work on health Every 15 seconds a worker dies from a work-related accident or disease Every 15 seconds 160 workers have an occupational accident Every day 6,300 people die as a result of occupational accidents or work-related diseases

More than 2.3 million deaths per year Over 337 million accidents occur on the job annually This situation has a higher human cost and an economic burden estimated at 4 per cent of global Gross Domestic Product each year Effects of work on health

“We need a major balance of power in employment relationships. We need a job that is more just and sustainable. We need fair employment relationships within an ecological democracy. We need to reduce the brutal health inequalities that exist today” Vandana Shiva