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PREVENTIVE HEALTH MANAGEMENT The Occupational Safety and Health Act of 1974 established that employees in the United States should have a safe and healthy work environment Similar legislation has been enacted in The Netherlands, Sweden, and the European Union (Kompier, 1996) This legislation resulted from the view that the work environment presents risk factors to the safety and health of workers Certainly the statistics on the number of individuals who are treated for occupational injuries yearly or who die from injuries that occurred on the job support this view (Sauter & Hurrell, 1999) However, it is now recognized that the work environment can also enhance the health and safety of individuals (Sauter et al, 1990).

Since work is a central aspect of many people s lives (Cox, 1997), it is not surprising that the workplace has grown to be viewed as a focal place for health promotion (Gebhardt & Crump, 1990), as well as for injury and illness prevention OHP emerged as a discipline that viewed the work environment not only as a risk factor but also as a health enhancer, and it takes a public health perspective (Rosenstock, 1997; Sauter & Hurrell, 1999) OHP s primary concern is developing and maintaining the health and well-being of employees and their families Thus, the primary focus is on the prevention of injuries and illnesses and the enhancement of health, rather than the treatment of injuries and illnesses, by creating safe and healthy working environments (Quick, Camara, et al, 1997; Sauter, Hurrell, Fox, Tetrick, & Barling, 1999).

These ideas come from concepts in preventive medicine and public health, originally developed and applied to stem the onset and spread of disease epidemics (Wallace, Last, & Doebbeling, 1998) The public health model classi es interventions into three categories: primary interventions, secondary interventions, and tertiary interventions (Schmidt, 1994) Primary interventions follow a population prevention strategy (Rose, 1992) and are applied to all people, including those who may not be at risk They are frequently used in health promotion and health education campaigns where the message is sent to everyone despite their current risk status In the eld of OHP, an example of a primary intervention is providing all managers training in improving their relationships with their.

Borderline personality disorder appears to be increasing in frequency. This increase may be explained, in part, by clinicians increasing awareness of Axis II disorders and the concomitant increase in diagnoses; however, there are also forces at work that are genuinely increasing the number of new cases. Since our genetics have not changed appreciably, social changes appear to be the most likely causal factors. If we were to design a society most likely to create BPD among its citizens, our current American society would be almost ideal. Millon (1987) outlined a series of social factors that have contributed to this increasing prevalence. We live in a world of rapid technological and sociological change, the pace of which is constantly accelerating. In our highly mobile society, it is becoming less likely that children will grow up in one stable environment, in one home, in one city, or even in one family. Formerly stable institutions, such as religious institutions and marriage, are no longer so stable. Participation in religious institutions is down (Clark, 2000; Hadaway & Marler, 1993; Smith, Denton, & Faris, 2002). More than 50% of marriages end in divorce, and second marriages have an even higher failure rate. The breakup of parents makes it more difficult for the developing child to internalize stable role models. Further, it is not uncommon for a divorcing couple to line up on opposite sides of a courtroom, each painting himself or herself as all good and the other as all bad. The developing child can internalize this kind of real-life splitting.

may have a direct effect on the lifetime of aerosols and on the transport distance (as seen, eg, in the transport of Saharan dust [3]), and particle plumes may be detected over distances of thousands of kilometres Therefore, distance alone is not a suitable criterion for remoteness, and its de nition should be re ned by including population density and human activity Any human (industrial and agricultural) activity will increase the amount of airborne particles in the atmosphere Because natural emission sources like oceans and deserts cover large areas of the globe and contribute the major part of the global primary emissions, we will restrict our de nition of remote areas to places where the anthropogenic in uence is minimal, and where we can expect an atmospheric composition close to the expected natural background composition.