ABSTRACT

Work in the fi eld of occupational health has been taking place for the last four centuries and possibly longer. The main reason for the relatively low profi le for occupational health over the years has been the diffi culty in linking the ill-health effect with the workplace cause. Many illnesses, such as asthma or back pain, can have a workplace cause but can also have other causes. Many of the advances in occupational health have been as a result of statistical and epidemiological studies (one wellknown such study linked the incidence of lung cancer

to cigarette smoking). While such studies are invaluable in the assessment of health risk, there is always an element of doubt when trying to link cause and effect. The measurement of gas and dust concentrations is also subject to doubt when a correlation is made between a measured sample and the workplace environment from which it was taken. Occupational health, unlike occupational safety, is generally more concerned with probabilities than certainties.