“…Evidence for under-reporting of occupational illness and MSD has been growing [Biddle et al, 1998;Pransky et al, 1999;Rosenman et al, 2000;Morse et al, 2001]. Azaroff et al [2002] provide a conceptual model of filters that block recognition and reporting, including a worker reporting an illness to the supervisor (fear of retribution, immigration status concerns, thinking it was not a serious enough illness), a physician diagnosing the condition as work-related (lack of training in occupational medicine), lost time from work, and the employer recording the condition (concern about compensation rates, OSHA inspections, lack of knowledge of recording laws).…”