Is Chronic Occupational Pain a Class Issue?

Americans in households making less than $30,000 a year spend nearly 20% of their lives in moderate to severe pain, compared with less than 8% of people in households earning above $100,000

Millions of Americans in Chronic Pain – TIME

Based on a study published in the Lancet (much moolah required to read, funny that the authors of an article on the class/money based nature of pain would publish in a journal that requires all kinds of money to read, heard of PLOS?), one would have to say yes. People in low paying service jobs don’t have the luxury of mid afternoon yoga, or that once a week massage, or being able to take a “mental health” day, or any such luck. Also, the work is physically demanding, long hours of standing, heavy lifting, and repetitive motions the body was not designed for.

Krueger notes that the type of pain people reported typically fell on either side of the rich-poor divide. “Those with higher incomes welcome pain almost by choice, usually through exercise,” he says. “At lower incomes, pain comes as the result of work.” Indeed, Krueger and Stone found that blue-collar workers felt more pain, from physical labor or repetitive motion, while on the job

It is very sad, but a lot of this pain is avoidable. Next time you go to the grocery store, notice that the people at the check out counter stand all the time. Why? What about their job requires continuous standing? I’ve been to other countries, Germany for instance, where they are provided with high chairs that help them move the items from the conveyor through the scanner to the bagging area with much less effort. How many chairs have you seen in a grocery store lately?

Why can’t this very simple system be implemented? It would provide much relief. Three major issues:

  1. Lack of bargaining power: Unions are a dirty word. Last I heard, the unionization rate in the states was 12%. No one speaks for the cashier. It is considered a low paying, low skill occupation where people can be replaced easily and without “pain”. So, you’re on your own, ask for a chair, and you’ll be seated in one very soon (at home, your ass fired and tired).
  2. Money: And this is linked to point 1. Implementation of any programs designed to make workers’ lives a little easier costs money up front. Since workers are expendable and have no voice, it’s easiest to steal from them and deny them basic comforts.
  3. The American notion of individualism: You deserve what you get based on how hard you work and how intelligent you are. Grocery store cashiers must be lazy and dumb to be where they are. they “deserve it”

I don’t see it changing at all. But next time you walk into a grocery store and find a rather sullen clerk, it’s not that she’s lazy or has a bad attitude, she may just be in a lot of pain.

Happy Sunday!

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    How NAFTA infringes on local environmental regulations

    Dow AgroSciences is considering using the controversial investor-protection provisions of the North American free-trade agreement to seek compensation from the federal government over Quebec's ban on the cosmetic use of pesticides.

    The company, a maker of the weed-killer 2,4-D, filed a notice of intent to submit a claim to arbitration under NAFTA in late August. The 27-page legal action was posted yesterday on the Foreign Affairs website, where it is listed as a dispute to which Canada is a party.

    via globeandmail.com: Ban on pesticides may face NAFTA test

    Here is Sierra Club’s assessment of 2,4-D. It is not as bad as, say, DDT, but not something an average householder would ever need to use. Limiting use and exposure is in everyone’s best interest except Dow’s, which is why they have filed this lawsuit.

    I would say it infringes on a province’s right to set strict health and safety standards for its people, but if we accept that corporations have more rights than people, we would expect this kind of lawsuit to happen with more frequency.

    Note that a much more egregious actor, lindane, which was deregistered by even the Bush EPA is subject of a similar challenge in Canada, and Bisphenol A is probably next.

    Can’t blame the companies for exploiting loopholes (that they no doubt inserted, of course), but it seems that countries should always have the right to enforce stricter standards if they so desire.

  • |

    ES&T Online News: E-waste recycling spews dioxins into the air

    ES&T Online News: E-waste recycling spews dioxins into the air

    When computers, televisions, music systems, and other electronic products reach the ends of their lives, they often end up in China or other developing countries as e-waste. Such waste is a serious environmental threat in these parts of the world because of the poorly regulated conditions under which the waste is dismantled. A new study published in ES&T (DOI 10.1021/es0702925) shows that Guiyu, a major e-waste recycling center in China, has the highest documented levels of atmospheric polychlorodibenzo-p-dioxins (PCDDs) and polychlorodibenzofurans (PCDFs) in the world.

    In e-waste recycling centers in China, discarded products are dipped into open pits of acid and heated over grills fueled with coal blocks to extract precious metals, such as gold. These processes often release toxic metals, such as lead, and organic compounds, such as dioxins. The emissions are not regulated, and occupational exposure is high because of the poor working conditions for e-waste recycling laborers.

    In March 2007, researchers at Hong Kong Baptist University showed that soil at e-waste recycling sites in China has high levels of dioxins and polybrominated diphenyl ether (PBDE) flame retardants. (Read the paper at ES&T‘s ASAP website.) More recently, another study published in ES&T showed that the workers at these sites have blood levels of the heavy PBDE, BDE–209, 50–200 times higher than those previously reported. Whereas dioxins are potentially carcinogenic for humans, PBDEs affect thyroid metabolism and brain development.

    In the current study, Ping’an Peng of the Guangzhou Institute of Geochemistry (China) and his colleagues sampled the air from Guiyu for a week in both the summer and the winter and analyzed the samples for 2,3,7,8-PCDD/Fs. The levels varied between 64.9 and 2765 picogram per cubic meter (pg/m3). The toxic equivalents (TEQ)—a value used to account for the different levels of toxicity of the individual dioxins—was 0.909–48.9 pg TEQ/m3. Given that Guiyu has no municipal or medical solid-waste incinerators, which are known to be major sources of dioxins, the authors attributed the elevated dioxin levels to e-waste recycling.

    The team also found that the dioxin concentrations in the air around Guiyu were 12–18 times higher than those in Chendian, a town 9 kilometers (km) from Guiyu, and 37–133 times higher than those in Guangzhou, which is 450 km from the e-waste site. The results suggest that dioxin pollution from e-waste recycling is spreading to nearby areas.

    When they calculated the exposure of adults to dioxins through inhalation, the researchers found that it (68.9 and 126 pg TEQ per kilogram per day in the summer and winter, respectively) was a whopping 15–56 times higher than the World Health Organization recommended maximum of 1–4 pg TEQ/kg/day.

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    March Babies not so Bright? – Pesticides to Blame?

    An Indiana scientist makes a rather provocative argument that exposure to pesticides in the womb can explain why Indiana babies conceived in July-August (Born March and April?) have lower achievement scores than the other kids.

    ScienceDaily: Conception Date Affects Babys Future Academic Achievement

    Dr. Winchester and colleagues linked the scores of the students in grades 3 through 10 who took the Indiana Statewide Testing for Educational Progress (ISTEP) examination with the month in which each student had been conceived. The researchers found that ISTEP scores for math and language were distinctly seasonal with the lowest scores received by children who had been conceived in June through August.

    “The fetal brain begins developing soon after conception. The pesticides we use to control pests in fields and our homes and the nitrates we use to fertilize crops and even our lawns are at their highest level in the summer,” said Dr. Winchester, who also directs Newborn Intensive Care Services at St. Francis Hospital in Indianapolis.

    “Exposure to pesticides and nitrates can alter the hormonal milieu of the pregnant mother and the developing fetal brain,” said Dr. Winchester. “While our findings do not represent absolute proof that pesticides and nitrates contribute to lower ISTEP scores, they strongly support such a hypothesis.”

    Well, that is a bold leap of faith, and use of a correlation=causation argument that I don’t appreciate in most cases. Has this kind of work been done in other countries, or in urban environments without pesticide use?

    I am sure that many chemicals have subtle, but significant effects on developing fetuses. And the chemicals the authors mention have links with hypothyroidism..

    Nitrates and pesticides are known to cause maternal hypothyroidism and lower maternal thyroid in pregnancy is associated with lower cognitive scores in offspring.

    There is a link, but without further data, I think the conclusions are a stretch. But, something to keep in mind I guess if you live in Indiana and want to plan a baby!

    Disclaimer: I was conceived in June, and was in the upper echelons of achievement through school. So, by the power of personal experience, I am predisposed to scepticism. OTH, I grew up in a big city with consistently high pollution levels throughout the year and not much pesticide exposure.

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    Snake Oil Comes a Full Circle

    Ah, back to the good old days of snake oil..

    ScienceDaily: Snake Venom As Therapeutic Treatment Of Cancer?

    This certainly sounds unusual, but Dr. Son and colleagues report on the effectiveness of the snake venom toxin (SVT) Vipera lebetina turanica in the inhibition of androgen-independent prostate cancer (AICAP) in the journal Molecular Cancer Therapeutics.

    These novel findings suggest that SVT can inhibit the growth of AICAP through the induction of cell death.

    I am glad they put the question mark at the end, lest people extrapolate from a few cells in a petri dish (or a small animal study) to a cancer cure, as happened recently with dichloroacetate! Health reporting is very tricky because the average reader cannot understand much more than the headline. It almost seems like every health article should have the following things clearly labeled:

    1. Human, animal or cell?
    2. Clinically tested, or anecdotal?
    3. Double blinded, controlled, etc, or not?
    4. Any chance that this result applies to people?
    5. How far away are we from a real cure?
    6. DO NOT TRY THIS AT HOME!

    At least viper venom is hard to find! The Madras crocodile bank helped start a venom extraction cooperative run by the Irula Tribe, so I’ve seen viper venom being extracted, pretty cool. India is home to two vipers, the Russell’s and the Saw Scaled vipers.

    Russell's
    Russell’s viper

    saw scaled
    Saw scaled viper.

    The Russell’s is 3-5 feet long, and slow, but a big hisser! The saw scaled viper is tiny, a feet or two, but aggressive and very venomous. One of my favorite wild snake sightings was a saw scaled viper, looked very innocuous curled up in a parking lot in Pondicherry.

    Cool, snake oil and venom for all…

  • NC Smoking bill dead this year

    The vote was 55-61, and one of the arguments advanced was by Representative Paul Stam (h/t N&O’s new political blog):

    This is pushing smoke out of places where only adults are, but into places where children are. A person who’s addicted to tobacco and can’t smoke all day will get in that car and have to light up three or four or go home and do what they didn’t do during the day. That seems common sense to me.”

    Yeah, and if you stop a murderer from killing in public, he will kill at home, so we should just let him shoot people randomly in public.

    North Carolina General Assembly – House Bill 259 Information/History (2007-2008 Session)

    Whatever, it does not matter, smoking in public will be history even in the South in a decade or less, just a few lawsuits away. I think we first need to overturn the laws against local government passing anti smoking legislation.

  • North Carolina Smoking ban update

    Via Laura Leslie…

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    Late-breaking news: According to Greensboro’s Mark Binker, all systems are NOT go for a vote tomorrow. It turns out proponents of the ban may have miscounted a nose or two. The bill is conspicuously absent from Tuesday’s House calendar. Too close to call? Yep. Read Mark’s update here.

    Oh well, let’s see what happens…