ɐɡˈɛnst ɹᵻsˈɪstəns fɹʌmðə tɹɐdˈɪʃənəl ɪlˈiːt, hiː pɹəmˈoʊɾᵻd ɹᵻfˈɔːɹmz tə ðə pˈɜːl dˈaɪvɚz lˈeɪbɚ kəndˈɪʃənz, stˈɑːɹɾɪŋ wɪððə fˈɜːst spˈɛʃəlˌɪst klˈɪnɪks tə dˈiːl wɪð ðɛɹ ˌɑːkjʊpˈeɪʃənəl hˈɛlθ.
Against resistance from the traditional elite, he promoted reforms to the pearl divers’ labor conditions, starting with the first specialist clinics to deal with their occupational health.