text: **4.2 Trends in health outcomes**
  
  ***‘The misfortune (harm) that these types of***
  ***workers get from the work in their***
  ***workshops, beyond their uncomfortable***
  ***sitting life, is the threat of Myopia. The***
  ***well-known affection of the eyes, because***
  ***self-evidently for a good visibility it is***
  ***necessary to move the eyes closer to the***
  ***objects of work.’173,174***
  
  *Ramazzini, 1713:*De Morbis Artificum Diatriba in its 
  chapter*on ‘Diseases of those who do fine work’.*
  *Ramazzini’s observation anticipates somehow the 21st*
  *century knowledge on sedentary work and about*
  *accommodative fatigue at a near viewing distance.*
  
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  **Work-related health outcomes represent a much higher burden for society than work**
  **accidents.**175 More workers are affected; the overall costs are much higher. At first glance, the trend of 
  health outcomes (illnesses and wellbeing)**caused by ‘exposures’ at workplaces**is similarly 
  decreasing like the accident trend; that is the case if the scope of the analysis refers to the**officially**
  **recognised occupational diseases**. 