Liang Youxin, Wong Otto, Yang Lei, Li Tao, Su Zhi
School of Public Health, Fudan University, Shanghai, China.
Regul Toxicol Pharmacol. 2006 Nov;46(2):107-13. doi: 10.1016/j.yrtph.2006.02.007. Epub 2006 Apr 19.
Of the 700 million workers in China, approximately 200 million workers are potentially exposed to industrial hazards. Although the promulgation and implementation of occupational exposure limits (OELs) in China began in the mid-1950, a systematic approach was not formalized until the formation of the Subcommittee of Occupational Health Standards Setting (SOHSS) in 1981. More recently, the 2002 Occupational Disease Prevention and Control Act of the People's Republic of China created the legislative framework for the development and enforcement of OELs. The SOHSS, whose members are primarily health professionals, is the organization responsible for the development of recommended standards, under the auspices of the Ministry of Health. The philosophy of OEL development of the SOHSS consists of a two-step approach: (1) an initial health-based recommended standard is established based on scientific data, and (2) a final law-based standard takes into consideration both socioeconomic and technological feasibility. Governmental agencies such as the Centers for Diseases Control and Prevention and the Institutes of Public Health Supervision at the state, provincial or municipal levels are charged with the responsibilities of the enforcement of OELs. The process and challenges in the enforcement of OELs are discussed. A comparison is made between selected Chinese OELs and those in other countries. The OELs for benzene and industrial dusts (including silica) are discussed in some detail.
在中国的7亿劳动者中,约有2亿劳动者可能接触职业危害。尽管中国职业接触限值(OELs)的颁布和实施始于20世纪50年代中期,但直到1981年职业卫生标准制定小组委员会(SOHSS)成立,才形成了系统的方法。最近,2002年的《中华人民共和国职业病防治法》为OELs的制定和实施建立了法律框架。SOHSS的成员主要是卫生专业人员,该组织在卫生部的支持下负责制定推荐标准。SOHSS制定OELs的理念包括两步法:(1)根据科学数据建立基于健康的初始推荐标准,(2)最终基于法律的标准要考虑社会经济和技术可行性。诸如疾病预防控制中心以及国家、省或市级公共卫生监督机构等政府机构负责OELs的实施。文中讨论了OELs实施过程及面临的挑战。对中国部分OELs与其他国家的OELs进行了比较。还详细讨论了苯和工业粉尘(包括二氧化硅)的OELs。