As the debate over health care reform continues, costs have become a critical measure in the many plans and proposals to come before us. Knowing costs is important because it allows comparisons across such disparate health conditions as AIDS, Alzheimer's disease, heart disease, and cancer. This book presents the results of a major study estimating the large and largely overlooked costs of occupational injury and illness--costs as large as those for cancer and over four times the costs of AIDS.
The incidence and mortality of occupational injury and illness were assessed by reviewing data from national surveys and applied an attributable-risk-proportion method. Costs were assessed using the human capital method that decomposes costs into direct categories such as medical costs and insurance administration expenses, as well as indirect categories such as lost earnings and lost fringe benefits. The total is estimated to be $155 billion and is likely to be low as it does not include costs associated with pain and suffering or of home care provided by family members.
Invaluable as an aid in the analysis of policy issues, Costs of Occupational Injuryand Illness will serve as a resource and reference for economists, policy analysts, public health researchers, insurance administrators, labor unions and labor lawyers, benefits managers, and environmental scientists, among others.
J. Paul Leigh is Professor in the School of Medicine, Department of Epidemiology and Preventive Medicine, University of California, Davis. Stephen Markowitz, M.D., is Professor in the Department of Community Health and Social Medicine, City University of New York Medical School. Marianne Fahs is Director of the Health Policy Research Center, Milano Graduate School of Management and Urban Policy, New School University. Philip Landrigan, M.D., is Wise Professor and Chair of the Department of Community Medicine, Mount Sinai Medical Center, New York.

“If there is a paradigmatic tale of occupational health . . . Deadly Dust is it.”
—James L. Weeks, Science

“Rosner and Markowitz have produced a carefully crafted history of the rise and fall of this occupational disease, focusing especially on the political forces behind changing disease definitions. . . Deadly Dust comes as a fresh breeze into one of the more stuffy and too often ignored alleys of medical history.”
—Robert N. Proctor, The Journal of the American Medical Association

“A thought-provoking, densely referenced, uncompromising history. . . Like all good history, it challenges our basic assumptions about how the world is ordered and offers both factual information and a conceptual framework for rethinking what we ‘know’.”
—Rosemary K. Sokas, The New England Journal of Medicine
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“Deadly Dust raises an important methodological problem that has long gone underarticulated in medical historical circles: how can social historians of medicine offer political or economic explanations for the scientific efforts of their professional subjects without losing a grip on the biological aspects of disease?”
—Christopher Sellers, The Journal of the History of Medicine

"A sophisticated understanding of how class and conflict shape social, economic, political, and intellectual change underlies this first attempt at a history of occupational health spanning the twentieth century."
—Claudia Clark, The Journal of American History%; FONT-FAMILY: Arial"
"This volume is well worth reading as a significant contribution to American social history."
—Charles O. Jackson, The American Historical Review

David Rosner is Distinguished Professor of History and Sociomedical Sciences, and Director of the Center for the History and Ethics of Public Health, Columbia University.

Gerald Markowitz is Professor of History at John Jay College of Criminal Justice of the City University of New York.