ABSTRACT
This chapter highlights the joint efforts of Ray Antonio, bus driver and union president, and Dr. June Fisher, Associate Clinical Professor of Medicine and clinician, to describe the ways in which problems in the work environment of San Francisco Municipal Railway (MUNI) workers impact the health of San Francisco transport workers. It provides a brief history of the federally mandated medical examinations and the beginnings of the ongoing San Francisco MUNI stress and hypertension study. In the case of bus drivers, the "healthy worker effect" and the required biennial medical examinations are issues of major importance in considering the impacts of work on bus drivers' health. In San Francisco, MUNI relies on the police department for transit security. Health and safety is both a logical and excellent tool to use in empowering workers to address the problems they face everyday.
