This study of occupational safety and health (OSH) problems in the footwear
industry in China, the world's largest shoemaker, is based on four years o
f research in China supplemented by research in Taiwan, Australia, and the
United States. With the advent of the economic reforms of the early 1980s,
the Chinese state is being driven by an economic imperative under which the
profit motive overrides other concerns, causing a deterioration in OSH con
ditions. Footwear workers are being exposed to high levels of benzene, tolu
ene, and other toxic solvents contained in the adhesives used in the shoe-m
aking process. Many workers have been afflicted with aplastic anemia, leuke
mia, and other health problems. Most of China's current permissible exposur
e limits to toxins are either outdated or underenforced. As a result, the C
hinese state's protection of footwear workers' health is inadequate. The ar
ticle aims to draw the attention of the international OSH community to the
importance of setting specific exposure standards for the footwear industry
worldwide.