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AJPH First Look, published online ahead of print Jun 29, 2006
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AJPH.2005.064998v1
96/8/1386    most recent
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August 2006, Vol 96, No. 8 | American Journal of Public Health 1386-1396
© 2006 American Public Health Association
DOI: 10.2105/AJPH.2005.064998


PUBLIC HEALTH THEN AND NOW

Asbestos-Related Disease in South Africa: The Social Production of an Invisible Epidemic

Lundy Braun, PhD and Sophia Kisting, MD

Lundy Braun is with the Departments of Africana Studies and Pathology and Laboratory Medicine, Brown University, Providence, RI. Sophia Kisting is with the Occupational and Environmental Health Research Unit, School of Public Health and Family Medicine, University of Cape Town, South Africa.

Correspondence: Requests for reprints should be sent to Lundy Braun, PhD, Box G, Brown University, Providence, RI 02910 (e-mail: lundy_braun{at}brown.edu).

South Africa was the third largest exporter of asbestos in the world for more than a century. As a consequence of particularly exploitative social conditions, former workers and residents of mining regions suffered—and continue to suffer—from a serious yet still largely undocumented burden of asbestos-related disease. This epidemic has been invisible both internationally and inside South Africa.

We examined the work environment, labor policies, and occupational-health framework of the asbestos industry in South Africa during the 20th century. In a changing local context where the majority of workers were increasingly disenfranchised, unorganized, excluded from skilled work, and predominantly rural, mining operations of the asbestos industry not only exposed workers to high levels of asbestos but also contaminated the environment extensively.







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Copyright © 2006 by the American Public Health Association