石棉癌流行。
The asbestos cancer epidemic.
作者信息
LaDou Joseph
机构信息
Division of Occupational and Environmental Medicine, University of California-San Francisco School of Medicine, 350 Parnassus Avenue, Suite 609, San Francisco, CA 94117, USA.
出版信息
Environ Health Perspect. 2004 Mar;112(3):285-90. doi: 10.1289/ehp.6704.
The asbestos cancer epidemic may take as many as 10 million lives before asbestos is banned worldwide and exposures are brought to an end. In many developed countries, in the most affected age groups, mesothelioma may account for 1% of all deaths. In addition to mesotheliomas, 5-7% of all lung cancers can be attributed to occupational exposures to asbestos. The asbestos cancer epidemic would have been largely preventable if the World Health Organization (WHO) and the International Labor Organization (ILO) had responded early and responsibly. The WHO was late in recognizing the epidemic and failed to act decisively after it was well under way. The WHO and the ILO continue to fail to address the problem of asbestos mining, manufacturing, and use and world trade of a known human carcinogen. Part of the problem is that the WHO and the ILO have allowed organizations such as the International Commission on Occupational Health (ICOH) and other asbestos industry advocates to manipulate them and to distort scientific evidence. The global asbestos cancer epidemic is a story of monumental failure to protect the public health.
在全球范围内禁止使用石棉并终止接触石棉之前，石棉致癌流行可能会夺走多达1000万人的生命。在许多发达国家，在受影响最严重的年龄组中，间皮瘤可能占所有死亡人数的1%。除间皮瘤外，所有肺癌中有5%至7%可归因于职业性接触石棉。如果世界卫生组织（WHO）和国际劳工组织（ILO）早一些做出负责任的反应，石棉致癌流行在很大程度上是可以预防的。世卫组织很晚才认识到这一流行情况，而且在其已经全面展开之后未能果断采取行动。世卫组织和国际劳工组织继续未能解决石棉开采、制造、使用以及已知人类致癌物的国际贸易问题。部分问题在于，世卫组织和国际劳工组织任由国际职业卫生委员会（ICOH）等组织以及其他石棉行业支持者对其进行操纵并歪曲科学证据。全球石棉致癌流行是保护公众健康方面巨大失败的一个事例。
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