Occupational exposures contribute to the morbidity and mortality of ma
ny diseases. However, occupational diseases continue to be underrecogn
ized even though they are responsible for an estimated 860,000 illness
es and 60,300 deaths each year. Family physicians can play an importan
t role in improving the recognition of occupational disease, preventin
g progressive illness and disability in their own patients, and contri
buting to the protection of other workers similarly exposed. This role
can be maximized if physicians raise their level of suspicion for wor
kplace disease, develop skills in taking occupational histories and es
tablish routine access to occupational health resources.