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[机遇还是因果关系:橡胶行业蓝领工人因职业接触有害物质而导致喉癌的识别问题]

[Chance or causality: problems recognizing laryngeal carcinoma as a result of occupational exposition to noxious substances of blue collar worker employed in the rubber industry].

作者信息

Brusis T, Michel O, Schmidt W, Metternich F U

机构信息

Institut für Begutachtung, Köln.

出版信息

Laryngorhinootologie. 2007 Oct;86(10):714-22. doi: 10.1055/s-2007-966235. Epub 2007 Apr 26.

Abstract

BACKGROUND

Laryngeal cancer as an occupational disease in the rubber industry is under subject of continuous epidemiological research because of the lack of stable statistical data.

METHOD

Epidemiological studies published in the period between 1982 and 2006 were analysed in regard of the risks employment and laryngeal carcinoma. 23 own cases of medical expert opinion and the documentation of the German Occupational Cooperatives were analysed.

RESULTS

A significant statistical correlation between a specific exposition to cancerogenics in the rubber industry and a development of laryngeal carcinoma could not be found in the literature, still there is evidence for an increased mortality. It points to asbestos, talcum, dust as one risk factor.

CONCLUSION

Recognition and compensation for laryngeal carcinoma according to [section sign] 9 Abs. 2 SGB VII is possible after intense individual investigation, although up to now no clear statistical evidence for the coincidence between employment in the rubber industry and general could be proven.

摘要

背景

由于缺乏稳定的统计数据,橡胶行业中的喉癌作为一种职业病一直是持续流行病学研究的对象。

方法

对1982年至2006年期间发表的关于职业风险与喉癌的流行病学研究进行了分析。分析了23例来自医学专家意见及德国职业合作社的记录。

结果

在文献中未发现橡胶行业中特定致癌物暴露与喉癌发生之间存在显著的统计相关性,但有证据表明死亡率有所上升。这表明石棉、滑石粉、粉尘是一个风险因素。

结论

尽管到目前为止尚未能证实橡胶行业就业与喉癌之间存在明确的统计关联,但经过深入的个体调查后,根据社会法典第七编第9条第2款对喉癌进行认定和赔偿是可行的。

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