Of 1492 teachers 791 (53%) responded to a survey addressing whether voiding habits at work or behavioral factors influenced by this occupation predisposed women to urinary tract infection. The mean number of voids during the work day was 2.7 +/- 1.4; 24.5% voided infrequently (never or only once) and 26.5% voided four or more times during the work day; 15.8% had had a urinary tract infection in the preceding year. Half of the respondents made a conscious effort to drink less while working, to avoid needing to use the toilet. There was no association between the prevalence of urinary tract infection and the number of voids or infrequent voiding at work. Compared to women who drank the volume they desired at work, those who drank less had a 2.21-fold higher risk (95% CI 1.45-3.38) of urinary tract infection after controlling for being parous, voiding infrequently at work, and urge incontinence. Further study is warranted to determine whether modification of behavioral factors at work can reduce the incidence of urinary tract infections. If this association holds, public policy must be changed to allow workers more adequate access to toilet facilities.

For 250 years medical scientists have propagandized about the health hazards of high-heeled shoes, which originated four centuries ago. Physicians, however, largely unaware of their own profession's tradition, keep reinventing the diagnostic wheel. This professional amnesia has held back the momentum of the process of educating the public. Consequently, despite these warnings, millions of women continue to wear high-heeled shoes. This article describes the history of the medical profession's recognition of this worldwide health problem and the current understanding of the deleterious and often irreversible biomechanical effects of high-heeled shoewear. The article emphasizes that the reemergence of high heels and of medical interest in them in the third quarter of the 19th century, following their disappearance in the wake of the French Revolution, was associated with increasing pressure by employers to wear such shoes for long hours at work. Although medical scientists have recognized this specifically occupational phenomenon for more than a century, full-scale epidemiological studies may be necessary to bring about substantial social-behavioral change.

The political-economic and legal analysis of regulation in this article argues that the speed of work on disassembly lines in poultry processing plants, the fastest growing factory employment in the United States, is de facto regulated not by the Occupational Safety and Health Administration, the agency charged with protecting workers, but, perversely, by the U.S. Department of Agriculture. In arrogating to itself the power to set line speeds in connection with its inspection of processed carcasses, the Department of Agriculture has one-sidedly promoted chicken oligopolies' interests by accommodating their drive to produce as much product as quickly and cheaply as possible (throughput über alles) and especially without regard to the incidence of repetitive stress disorders associated with high-speed machine-paced manual production. In contrast, the Occupational Safety and Health Administration has failed either to assert its statutory authority over this vital determinant of workers' well-being or to persuade any administrative or judicial tribunal that it possesses such authority. Consequently, the article concludes, the health and safety of 200,000 low-paid and largely unorganized, female, and non-white workers continue to be held hostage to the self-valorization needs of capital and the state's cheap food policy.

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