Germs at Work: Establishing Tuberculosis as an Occupational Disease in Britain, c.1900―1951

• Published in: Social history of medicine : the journal of the Society for the Social History of Medicine 2012-10, Vol.25 (4), p.812-829
• Main Author: MCIVOR, Arthur
• Format: Article
• Language: English
• Subjects: General points; Historiography; History of science and technology; History of science in relation to other disciplinary fields; Labor Movements; Medicine; Mycobacterium; Philosophy; Policy Making; Public Health; Tuberculosis; Unions; Workers; Workplaces
• ISSN: 0951-631X; 1477-4666
• DOI: 10.1093/shm/hks046

In 1951, tuberculosis was added to the statutory list of prescribed occupational diseases in the UK, giving some workers the right to financial compensation. This article explores the long campaign to define TB as an illness linked to employment, investigating an area neglected in the historiography, whilst contributing to our understanding of the role of trade unions in relation to public health. The evidence examined here suggests a complex and changing picture in which a broadly proactive and dynamic union policy implicated the workplace in the TB epidemic and pressed for preventative measures and compensation. Whilst limited in effectiveness before 1939, this campaign was successful in the 1940s as the medical evidence became clearer, debate narrowed to focus on health workers, the capacity of the trade union movement to influence policy making developed and the Trades Union Congress learnt to strategically marshal medical evidence and engage more effectively with the epidemiology.