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According to the afl-cio 2009 report, death on the job: the toll of neglect, “the full extent of occupational injuries and illnesses and their associated costs” ($145 to 290 billion annually) is understated. what does this fact indicate?

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This fact indicates that a number of the injuries and illnesses taking place while working are not being reported faithfully. This might be due to a reticence on the part of the employees regarding being found out about working while sick, or it could be that businesses are worried about excess costs associated with workplace injuries.