Miscetti G, Bodo Patrizia, Luciani Giuliana, Garofani Patrizia, Mazzanti Manuela, Marsili G, Bessi Loredana
Azienda USL n.2 Regione Umbria Unità Operativa Complessa Prevenzione e Sicurezza negli Ambienti di Lavoro, Perugia.
Med Lav. 2008 Nov-Dec;99(6):454-65.
The gradual increase of substances coming onto the market, many of which are still not classified in terms of hazard for worker's health, in addition to those classified as carcinogens by the European Economic Community, imposes a review of the implementation of protective measures foreseen in specific regulations, also with the aim of assessing worker exposure.
For this purpose, the SPSAL (Prevention and Safety at the Workplace Service) of ASL (Local Health Unit) No. 2, Umbria Region, in 1996, when Law No. 626/94 came into force, started a project aimed at identifying the companies located in the Unit's territory that used and/or produced carcinogens in their production cycle. In a sample of these companies, divided by category (wood,fuel distributors, engineering, galvanization,foundries, brickworks, ceramics processing, tobacco industries, and companies specializing in removal and recovery of asbestos-containing materials) environmental investigations were carried out to verify the levels of worker exposure to the carcinogens thus identified. In some cases, sampling was repeated even after the implementation ofspecific remedial measures in order to verify their effectiveness in terms of reducing risk.
The production cycle, the use or production of carcinogenic substances was investigated in 811 companies, where the number of exposed workers was 3821. The environmental sampling carried out showed levels of exposure to various carcinogens that were below the limits specified by law or recommended by the major industrial hygiene associations. Checks carried out after the improvements confirmed their effectiveness and a significant reduction in risk. The exposed workers were identified for the purposes of entry in a special register that could, in the long term, facilitate the reconstruction of occupational exposure to carcinogens. This will also facilitate correct insurance and pension benefits and any legal action that might be taken.
市场上出现的物质逐渐增多，除了被欧洲经济共同体归类为致癌物的物质外，许多物质仍未按照对工人健康的危害进行分类，这就需要对特定法规中规定的保护措施的实施情况进行审查，同时也是为了评估工人的接触情况。
为此，翁布里亚大区第2地方卫生单位（ASL）的工作场所预防与安全服务处（SPSAL）于1996年，即第626/94号法律生效时，启动了一个项目，旨在确定位于该单位辖区内、在其生产过程中使用和/或生产致癌物的公司。在这些按类别划分的公司样本中（木材、燃料经销商、工程、镀锌、铸造、砖厂、陶瓷加工、烟草行业以及专门从事含石棉材料清除和回收的公司），进行了环境调查，以核实工人接触已识别出的致癌物的水平。在某些情况下，甚至在实施了特定的补救措施后仍重复采样，以核实这些措施在降低风险方面的有效性。
对811家公司的生产过程、致癌物的使用或生产情况进行了调查，这些公司中接触致癌物的工人有3821名。所进行的环境采样显示，接触各种致癌物的水平低于法律规定或主要工业卫生协会推荐的限值。改进措施实施后的检查证实了其有效性，风险显著降低。为了将接触致癌物的工人列入一个特别登记册，以便长期促进对职业接触致癌物情况的重建，从而确定了这些工人。这也将有助于正确发放保险和养老金福利以及可能采取的任何法律行动。
