title: [The legal issue of the present occupational physician system in crisis management of health damage].
abstract: In present day Japan, when a crisis like the Bhopal accident occurs, due to defects in the current of industrial health law, effective crisis management cannot be taken to minimize health damage in both workers and residents. The current law characterizes industrial health as a part of the welfare service provided by employers for employees. Nevertheless, the company should be liable for all failure and damage including health impairment as a primary party. Moreover, in an emergency crisis, unlike the case of reparations, it is not accepted to argue whether the company should take absolute liability or not. Accordingly, in such cases, we consider it more appropriate to apply the "Polluter Pays Principle" and the principle of "Liability without Fault" to the company's responsibility. By these rules, the company should mobilize their own professionals, who are experts of managing crises, such as occupational physicians and/or industrial health professionals to minimize health damages among citizens in general. The company should take such a social responsibility in a crisis when it is the primary responsible party to the crisis.
authors.affiliation: Department of Health and Environmental Sciences, Kyoto University School of Public Health, Yosidakonoe-cho, Sakyo-ku, Kyoto 606-8501, Japan.
authors.forename: Tomoshi
authors.initials: T
authors.lastname: Yuki
authors.forename: Yukiya
authors.initials: Y
authors.lastname: Hakozaki
authors.forename: Takeo
authors.initials: T
authors.lastname: Yoshinaga
authors.forename: Akio
authors.initials: A
authors.lastname: Koizumi
mesh_terms: D004782:Environmental Health / Q000331:legislation & jurisprudence*; D006801:Humans; D007564:Japan; D016365:Liability, Legal; D016272:Occupational Health / Q000331:legislation & jurisprudence*; D010820:Physicians / Q000331:legislation & jurisprudence*; D012308:Risk Management / Q000331:legislation & jurisprudence*; D012941:Social Responsibility