New New Ethnographies Ethnographies O This book examines the experiences of individuals suffering c from occupational diseases in contemporary China. It c illustrates how the experience of most Chinese sick workers u can be understood as examples of Agamben’s notion of p homo sacer – the ultimate biopolitical subject whose life a is located at the domain of “double ambivalence” in which t they are constantly and disturbingly caught in between the e i public and private, the productive and unproductive, and so the culturally normative and the culturally deviant. tn r a a The study regards two of the most common occupational l n diseases in China – pneumoconiosis and heavy metal h g poisoning. Through a corpus of qualitative, ethnographic data e e solicited from one hundred individuals, the book details the a m experiences of four different groups of employees – battery l t workers, gemstone and jewellery workers, Japanese mat eh workers, and coalminers – as well as their family members, n non-governmental organization workers, and healthcare ta and legal professionals in Guangdong, Sichuan, Chongqing, in Hunan, Beijing, and Hong Kong. nd Cs Covering a wide range of issues related to occupational ho disease in China, this book possesses a gaze which focuses c i on the lived experiences of occupationally sick workers at ni the actor-power interface. Through their stories as well as aa l the descriptions of their life-worlds and power relations they are living with, this book aims to shed light on how the socially marginalized encounter and understand domination H in their everyday life in China, now and in the foreseeable O future. Wing-Chung Ho is Associate Professor at Department of Applied Occupational Social Sciences, City University of Hong Kong health and social Cover design: riverdesign.co.uk estrangement ISBN 978-1-5261-1361-0 in China 9 781526 113610 WING-CHUNG HO www.manchesteruniversitypress.co.uk Occupational health and social estrangement in China New Ethnographies Series editor Alexander Thomas T. Smith Already published The British in rural France: Literature and agency in English Lifestyle migration and the ongoing quest fiction reading: A study of the Henry for a better way of life Williamson Society Michaela Benson Adam Reed Ageing selves and everyday life in the International seafarers North of England: Years in the making and transnationalism in the twenty- Catherine Degnen first century Helen Sampson Salvage ethnography in the financial sector: The path to economic Tragic encounters and ordinary crisis in Scotland ethics: The Palestine-Israel Conflict Jonathan Hearn in British universities Ruth Sheldon Chagos islanders in Mauritius and the UK: Forced displacement Devolution and the and onward migration Scottish Conservatives: Banal Laura Jeffery activism, electioneering and the politics of irrelevance South Korean civil movement Alexander Smith organisations: Hope, crisis and pragmatism in democratic transition Exoticisation undressed: Amy Levine Ethnographic nostalgia and authenticity in Emberá clothes Integration in Ireland: The everyday Dimitrios Theodossopoulos lives of African migrants Fiona Murphy and Mark Maguire Immersion: Marathon swimming, Environment, labour and capitalism at embodiment and identity sea: ‘Working the ground’ in Scotland Karen Throsby Penny McCall Howard Enduring violence: Everyday life An ethnography of English football fans: and conflict in eastern Sri Lanka Cans, cops and carnivals Rebecca Walker Geoff Pearson Performing Englishness: Iraqi women in Denmark: Identity and politics in a Ritual performance and belonging in everyday life contemporary folk resurgence Marianne Holm Pedersen Trish Winter and Simon Keegan-Phipps Loud and proud: Passion and politics in the English Defence League Hilary Pilkington Occupational health and social estrangement in China Wing-Chung Ho Manchester University Press Copyright © Wing-Chung Ho 2017 The right of Wing-Chung Ho to be identified as the author of this work has been asserted by him in accordance with the Copyright, Designs and Patents Act 1988. Published by Manchester University Press Altrincham Street, Manchester M1 7JA www.manchesteruniversitypress.co.uk British Library Cataloguing-in-Publication Data A catalogue record for this book is available from the British Library ISBN 978 1 5261 1361 0 hardback First published 2017 The publisher has no responsibility for the persistence or accuracy of URLs for any external or third-party internet websites referred to in this book, and does not guarantee that any content on such websites is, or will remain, accurate or appropriate. Typeset by Servis Filmsetting Ltd, Stockport, Cheshire Contents List of figures vi List of tables viii Preface ix Acknowledgments xxviii List of abbreviations xxx Series editor’s foreword xxxi Maps xxxii Part I Life in perspective 1 1 Facts, theoretical gaze, and journeys 3 2 Sick workers as homines sacri 43 Part II Responses to marginality 57 3 Cadmium-poisoned women: contesting for sick role status 59 4 Pneumoconiosis-afflicted workers: toward rightful resistance 87 5 Sick coal miners: the compromising citizenry 112 Part III Sick life governed 131 6 Law as a technique of Chinese governmentality 133 7 Conclusion: the future of Chinese marginality 153 Appendix 165 References 169 Index 189 Figures 1.1 Occupational disease trends in China, 1993–2014. 9 1.2 Accumulative cases of occupational diseases. 9 1.3 The proportion of CWP in pneumoconiosis, 1949–2013 (incomplete). 14 3.1 Shiwai’s paper strip, indicating name and the level of blood cadmium. (Source: author) 63 3.2 Results of Shiwai’s blood cadmium test without an official chop. (Source: author) 64 3.3 Shiwai’s blood cadmium test result with an official chop. (Source: author) 64 3.4 Sick workers reminiscing about the past over a lunch in rural Luzhou. (Source: author) 65 3.5 Shiwai’s urine cadmium test result, indicating a level of 47.2 µmol/L. (Source: author) 67 3.6 Shiwai’s urine cadmium test result, indicating 28.0 µmol/L. (Source: author) 67 3.7 Shiwai’s urine cadmium test result, indicating a level of 17.3 µmol/L. (Source: author) 68 3.8 Workers rally outside the court building in Huizhou. (Source: GM) 73 3.9 Protesting outside Gold Peak Battery International Ltd, Hong Kong after its violent suppression. (Source: GM) 74 3.10 an d 3.11 S ick workers’ living arrangements in the hospital. (Source: informants) 78 3.12 an d 3.13 Th e residence rented by hospitalized sick workers. (Source: author) 79 3.14 Cooking together at Shiwai’s home in rural Luzhou. (Source: author) 81 4.1 Juhong in his home in rural Lianyuan. (Source: author) 91 4.2 Qinsheng in his home in rural Lianyuan. A plastic container containing his phlegm is on the table. (Source: author) 93 4.3 The store where Wenwai and his wife did business and lived. (Source: author) 95 4.4 The grocery store owned by Qifa. The LED torches shown were the bestselling items at the time of the fieldwork. (Source: author) 96 List of figures vii 4.5 Yaoyuan’s backyard business producing noodles in rural Liangping. (Source: author) 99 4.6 The dilapidated house of Yaoyuan’s younger brother in rural Luangping. (Source: author) 99 4.7 Two workers protesting in front of the company in Hong Kong. The employer, however, kept the door shut and refused to meet the protestors. Police were monitoring the action. (Source: author) 103 4.8 Pingkwan (fourth from left) holding a work meeting with pneumoconiosis-afflicted workers at LAC’s office in Shenzhen. (Source: author) 109 4.9 LAC’s sick workers’ self-help center in Liangping. (Source: author) 110 5.1 Used clothes given away to CWP sufferers and their families at the self-help center at Liangping. (Source: author) 117 5.2 an d 5.3 Loudi Municipal Coal and Charcoal Hospital specializes in the prevention and treatment of CWP. (Source: author) 121 7.1 Guoshou’s wife holding the photo of her dead son. (Source: author) 160 Tables 1a–1d Official statistics of occupational diseases (MoH) 1993–2014 8 Preface Preface Knowing the problem from afar This book is about the lived experience of occupationally sick workers in China, but has its origins in Hong Kong. Located in southeastern China, Hong Kong is a city of 1,104 square kilometers, 8,941 times smaller than China proper, 8,712 times smaller than the United States, and 230 times smaller than the United Kingdom in terms of land area (Map 1). The city had been under British colonial rule since 1842, was handed over to the People’s Republic of China in 1997, and then became its Special Administrative Region (SAR).1 I was first introduced to the problem of occupational disease in 2004 in Hong Kong by a personal acquaintance, Shek Pingkwan (“Pingkwan” hereafter). A child of 1970s’ colonial Hong Kong, I had never heard of any sizable local occupational disease outbreaks. It was Pingkwan who alerted me to the plight of pneumoconiosis-stricken workers in the lapidary factories of the Pearl River Delta (PRD) region of Guangdong province (Map 2). I came to realize the numer- ous predicaments that Chinese sick workers face in their process of gaining diag- nosis, undergoing treatment, and pursuing compensation. Thus, it is Hong Kong, Pingkwan, and the year 2004 that constitute the context of this book. These factors – Hong Kong, Pingkwan, and the year 2004 – deserve further attention as a reflexive approach to anthropology upholds that how the researcher is positioned in relation to his/her informants, and how the two parties perceive each other are determinants to the way the resulting ethnography is represented (Robertson 2002). In my case, it is essential to let readers, as suggested by King and King (2011), glimpse how the personal interactions to be presented in subse- quent chapters may be culturally choreographed by me, the author, as someone who was born in colonial Hong Kong, and like the majority of post-handover Hongkongers, has come to self-identify as both Hongkonger and Chinese.2 The contextualization of the vantage point of this book is thus a prerequisite for readers to question “the relative status of interviewer and participant, and social norms about what is appropriate or inappropriate” in various ethnographic situa- tions which involved a Hong Kong male researcher probing into the subjectivities of peasant workers in China, and how these factors may have interacted and influ- enced the empirical data collected (King and King 2011: 1478).