Background This article introduces some key labor, economic, and social policies that historically and currently impact occupational health disparities in the United States. Methods We conducted a broad review of the peer-reviewed and gray literature on the effects of social, economic, and labor policies on occupational health disparities. Results Many populations such as tipped workers, public employees, immigrant workers, and misclassified workers are not protected by current laws and policies, including worker’s compensation or Occupational Safety and Health Administration enforcement of standards. Local and state initiatives, such as living wage laws and community benefit agreements, as well as multiagency law enforcement contribute to reducing occupational health disparities. Conclusions There is a need to build coalitions and collaborations to command the resources necessary to identify, and then reduce and eliminate occupational disparities by establishing healthy, safe, and just work for all.

This article explores the neoliberal cooptation of social justice-oriented global health policies over the last three decades, from primary health care and 'health for all' to various contemporary so-called 'health equity' initiatives, such as Universal Health Coverage and 'health convergence'. The authors illustrate and contextualize the different periods and approaches with examples from a range of Latin American countries, drawing on diverse political experiences and social struggles in the health arena. The analysis concludes with reflections about the region's experiences of resisting and challenging the neoliberal health agenda, in spite of domestic and global environments that have constrained these efforts, past and present. In this sense, the struggle for bona fide equity in health and health policy remains an important and ongoing priority.Our thanks go to Mariajosé Aguilera, Esperanza Krementsova, Ramya Kumar, Devaki Nambiar, the anonymous reviewers and the editors of Development and Change. Development and Change 47(4): 734-759.

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Background Photovoice, a photographic participatory action research methodology was used in a workplace setting to assess hazards that were creating extremely high injury and incidents rates for university custodians and to promote the conditions to eliminate or reduce those hazards. Methods University custodians participated in a Photovoice project to identify, categorize and prioritize occupational hazards and to discuss and propose solutions to these problems. Results were presented to management and to all custodians for further discussion. The effort was led by a worker-based union-sponsored participatory evaluation team in partnership with a university researcher. Results Visual depiction of hazardous tasks and exposures among custodians and management focused primarily on improper or unsafe equipment, awkward postures, lifting hazards, and electrical hazards. The process of taking pictures and presenting them created an ongoing discussion among workers and management regarding the need for change and for process improvements, and resulted in greater interest and activity regarding occupational health among the workers. In a follow-up evaluation one year later, a number of hazards identified through Photovoice had been corrected. Injury rates for custodians had decreased from 39% to 26%. Conclusions Photovoice can be an important tool, not just for identifying occupational hazards, but also empowering workers to be more active around health and safety and may facilitate important changes in the workplace.