Arthur - indeed, not surprising. Research after the collapse of British 
manufacturing due to high exchange rate for pound in Thatcher years found 
significant increase in heart attacks, use of prescription pharmaceuticals and 
other indicators of stress. Likewise, research in Eastern Europe and Russia 
following collapse of Soviet Union showed an actual decrease in the life 
expectancy of males following economic collapse.  These kinds of economic 
events greatly increase stress which, in turn, contributes to heart attacks and 
other negative health outcomes. David Crane
  ----- Original Message ----- 
  From: Arthur Cordell 
  To: 'RE-DESIGNING WORK, INCOME DISTRIBUTION,EDUCATION' 
  Sent: Thursday, February 25, 2010 9:39 AM
  Subject: [Futurework] At Closing Plant, Ordeal Included Heart Attacks


  A not surprising finding.

   

  ====================================

   

   

  February 24, 2010  NY Times

  At Closing Plant, Ordeal Included Heart Attacks
  By MICHAEL LUO
  The first to have a heart attack was George Kull Jr., 56, a millwright who 
worked for three decades at the steel mills in Lackawanna, N.Y. Three weeks 
after learning that his plant was closing, he suddenly collapsed at home. 

  Less than two hours later, he was pronounced dead. 

  A few weeks after that, a co-worker, Bob Smith, 42, a forklift operator with 
four young children, started having chest pains. He learned at the doctor's 
office that he was having a heart attack. Surgeons inserted three stents, 
saving his life. 

  Less than a month later, Don Turner, 55, a crane operator who had started at 
the mills as a teenager, was found by his wife, Darlene, slumped on a love 
seat, stricken by a fatal heart attack. 

  It is impossible to say exactly why these men, all in relatively good health, 
had heart attacks within weeks of one another. But interviews with friends and 
relatives of Mr. Kull and Mr. Turner, and with Mr. Smith, suggest that the 
trauma of losing their jobs might have played a role. 

  "He was really, really worried," George Kull III said of his father. "With 
his age, he didn't know where he would get another job, or if he would get 
another job." 

  A growing body of research suggests that layoffs can have profound health 
consequences. One 2006 study by a group of epidemiologists at Yale found that 
layoffs more than doubled the risk of heart attack and stroke among older 
workers. Another paper, published last year by Kate W. Strully, a sociology 
professor at the State University of New York at Albany, found that a person 
who lost a job had an 83 percent greater chance of developing a stress-related 
health problem, like diabetes, arthritis or psychiatric issues. 

  In perhaps the most sobering finding, a study published last year found that 
layoffs can affect life expectancy. The paper, by Till von Wachter, a Columbia 
University economist, and Daniel G. Sullivan, director of research at the 
Federal Reserve Bank of Chicago, examined death records and earnings data in 
Pennsylvania during the recession of the early 1980s and concluded that death 
rates among high-seniority male workers jumped by 50 percent to 100 percent in 
the year after a job loss, depending on the worker's age. Even 20 years later, 
deaths were 10 percent to 15 percent higher. That meant a worker who lost his 
job at age 40 had his life expectancy cut by a year to a year and half. 

  Additional investigation is still needed to understand the exact connection 
between job loss and poor health, according to scientists. The focus is mostly 
on the direct and indirect effects of stress. Acute stress can cause 
biochemical changes that trigger heart attacks, for example. Job loss and 
chronic stress can also lead to lifestyle changes that damage health. 

  Studies have, for instance, tied job loss to increased smoking and greater 
chances of former smokers relapsing. Some laid-off workers might start drinking 
more or exercising less. Increased prevalence of depression has been tied to 
both job loss and the development of heart disease. 

  "We're just at the very beginning of studying pathways," said William T. 
Gallo, a professor of epidemiology and biostatistics at Hunter College in New 
York. "We want to find out how we can intervene so we can lessen the effects of 
job loss, or eliminate them." 

  The anxiety among the 260 workers at the ArcelorMittal steel plant in 
Lackawanna, just south of Buffalo, actually began months, even years, before 
the company announced in mid-December 2008 that it was closing. Bethlehem 
Steel, the previous owner, had shut the main steel mill in 1985. After it 
shuttered the coke ovens across the street from the galvanizing mill in 2001, 
two workers committed suicide. 

  Bethlehem went bankrupt in 2003, passing the galvanizing operation on to 
International Steel Group, which merged with ArcelorMittal in 2005. Workers had 
been fighting to preserve their jobs ever since. 

  Even before the plant finally closed last April, Anthony Fortunato, president 
of Local 2604 of the United Steelworkers of America, counted at least a 
half-dozen workers who had coronary problems dating to 2006. 

  A 2009 study led by Sarah A. Burgard, a professor of sociology and 
epidemiology at the University of Michigan, found that "persistent perceived 
job insecurity" was itself a powerful predictor of poor health and might even 
be more damaging than actual job loss. 

  Nevertheless, it was not until after company officials announced that the 
Lackawanna plant was closing that any of the workers actually died from a heart 
attack. 

  The news of the closing hit Mr. Kull hard, according to his family. He had 
always been a drinker, but now he was drinking almost every night and seemed 
depressed. 

  "He was going out and trying to forget about all of this stuff," his son 
said. 

  Mr. Kull, who was 5-foot-8 and a stocky 200 pounds, had a history of high 
blood pressure but had passed his company physical the year before, including a 
stress test. On Dec. 28, 2008, he sat down to watch a Buffalo Bills game and 
have a few drinks. He got up to make dinner but collapsed on the sofa. 

  Weeks later, his co-worker, Mr. Smith, thought he might have pulled a muscle 
while raking snow off the roof when he started having chest pains in bed. It 
did not cross his mind, he said, that he might be having a heart attack. He had 
no problems with his blood pressure, his cholesterol was low and he was in 
decent shape, often playing hockey with his boys on their backyard rink. 

  But his wife, Kim, watched as he tossed and turned at night, fretting about 
whether he would find a job that paid as much as his position at the mills. 
When he was still feeling uncomfortable the next day, she made him see a 
doctor. 

  "I think the stress just got to him," she said. 

  Mr. Turner's wife, Darlene, noticed that he was smoking more after he learned 
about the plant closing. He was up to more than two packs a day, from a little 
over a pack. She also saw that he seemed to be laboring more when he exerted 
himself. 

  About the same time, they found out that her hours had been cut at her 
accounting job, to just one day a week. Still, he kept his worries to himself. 
At his funeral she learned from colleagues that he had been asking for Tums at 
work. 

  "My husband was the type of person that just kept everything inside," Mrs. 
Turner said. 

  She came home on Feb. 13, 2009, and found her husband sitting on the love 
seat, his hat and gloves still on. 

  At first she thought he had fallen asleep. 

   









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