Lezáun M
Servicio de Salud Laboral e Investigación, Instituto Navarro de Salud Laboral, Polígono de Landaben, 31012 Pamplona, Spain.
An Sist Sanit Navar. 2003;26 Suppl 1:265-73.
The number of workers who run the risk of showing a poisoning originating from their work is high: more than a quarter of the workers in Spain find themselves exposed to chemical products at their work place, and around 17% handle such products directly. There are numerous chemical agents that can cause poisonings in the workplace; the majority of these clinical pictures receive health care in the public health service and often their origin in the workplace is not recognized. According to the official registers of occupational diseases, 3 out of every 100,000 workers develop diseases produced by chemical agents each year; these registers do not allow to know the real magnitude of the problem due to the underreporting of cases and to poisonings reported as occupational accidents. It is a priority to improve the quality of the registers and to establish systems of complementary declaration for the occupational poisonings that are treated in emergency consultations, primary and specialized care. Clinical cases of some workers who showed poisonings related to their working activity could help to increase awareness of this health problem in daily practice
在西班牙，超过四分之一的工人在工作场所接触化学产品，约17%的工人直接处理此类产品。有许多化学制剂可在工作场所导致中毒；这些临床表现大多在公共卫生服务机构接受治疗，其工作场所来源往往未被识别。根据职业病官方登记册，每10万名工人中每年有3人患上由化学制剂引起的疾病；由于病例报告不足以及被报告为职业事故的中毒情况，这些登记册无法了解问题的实际严重程度。当务之急是提高登记册的质量，并为在急诊、初级和专科护理中治疗的职业中毒建立补充申报系统。一些与工作活动相关的中毒工人的临床病例有助于在日常实践中提高对这一健康问题的认识。
