Aspects of occupational health in the sugar cane industry.

Workers in developing countries face as many, if not more, work-related health problems as their counterparts in industrialized nations. This paper concentrates on occupational health problems in the sugar industry, which exists in 40 countries, mostly in the Third World. Sugar cane workers have a high level of occupational accidents and are exposed to the high toxicity of pesticides. They may also have an increased risk of lung cancer, possibly mesothelioma. This may be related to the practice of burning foliage at the time of cane-cutting. Bagassosis is also a problem specific to the industry as it may follow exposure to bagasse (a by-product of sugar cane). The workers may also be affected by chronic infections which reduce their productivity. The legal framework for their protection is often inadequate. In conclusion, areas of future research are suggested.