Ferrari M, Colombi A, Imbriani M
U.O. Medicina Ambientale e Medicina Occupazionale, IRCCS Fondazione S. Maugeri - Dipartimento di Medicina Preventiva, Occupazionale e di Comunità, Università degli Studi di Pavia.
Med Lav. 2006 Sep-Oct;97(5):651-75.
The biotechnology industry has expanded greatly in the last 20-30 years and has led to a number of applications in different sectors of work, i.e., medical and pharmaceutical, agricultural, chemical, energetic and others. Nowadays hundreds of thousands of workers worldwide are employed in biotechnology plants. Health and safety issues related to such working activities are considered as relevant to workers as well as to the general public. In particular, when compared to traditional biotechnology, modern methods of processing microrganisms have given rise to public concern that they might generate hazards to human beings and to the environment.
After summarizing the most important products and fields of application, the paper sets out to detail potential adverse effects for the health of biotechnology workers; in addition, an analysis of the literature highlights the various concepts of primary and secondary prevention.
Along with occupational risk factors common to other working activities (i.e. the well-known physical and chemical hazards), the peculiarity of handling microrganisms and/or different biologic systems may induce infections, immunological alterations or non-infective and non-immunologic toxic reactions in the workers involved The need is emphasized for an accurate risk assessment, careful control by means of the current monitoring strategies and implementation of the confinement measures, taking into account the criteria set by Italian legislation for occupational biological risk. Lastly, attention is focussed on examinations for the medical surveillance of workers at risk.
在过去20至30年中,生物技术产业得到了极大的发展,并在不同工作领域产生了一系列应用,即医疗制药、农业、化工、能源等领域。如今,全球数十万工人受雇于生物技术工厂。与这些工作活动相关的健康和安全问题,被认为对工人以及公众都至关重要。特别是,与传统生物技术相比,现代微生物处理方法引发了公众担忧,即它们可能对人类和环境产生危害。
在总结了最重要的产品和应用领域后,本文着手详细阐述生物技术工人健康可能受到的潜在不利影响;此外,对文献的分析突出了一级预防和二级预防的各种概念。
除了其他工作活动共有的职业风险因素(即众所周知的物理和化学危害)外,处理微生物和/或不同生物系统的特殊性可能会在相关工人中引发感染、免疫改变或非感染性和非免疫性毒性反应。强调需要进行准确的风险评估,通过当前的监测策略进行仔细控制,并实施限制措施,同时考虑到意大利职业生物风险立法规定的标准。最后,重点关注对有风险工人进行医学监测的检查。