Bottazzi Marco
Coordinatore medico-legale INCA nazionale.
Epidemiol Prev. 2009 Jul-Oct;33(4-5 Suppl 2):85-93.
European and Italian data show a marked under ascertainment of occupational cancers: only a small proportion is recognized, although for the majority of them the etiological fraction attributable to the workplace is high. Since more than 20 years Patronato INCA is active in order to reduce this gap. Its commitment to spread scientific knowledge has paralleled the action intended to make social security rules more favourable to workers, as well as to improve hygiene and safety in the workplace. Particular attention has been given to updating both the Italian list of occupational diseases for which notification is compulsory (which includes all Group I carcinogens according to IARC) and the Italian tables of occupational diseases. The latter are of particular relevance to the Patronato because, within the Italian norms, causality is approached in different terms according to whether a disease is or is not included in the tables. Together with changing the tables, a theoretical elaboration regarding causality, as required by multifactorial diseases such as occupational cancer, has been carried out. Such a constant commitment to bring to the surface occupational diseases is based on the belief that the right to compensation of workers who turned ill because of the work is important, and even more on the belief that identification of occupational diseases is most important for primary prevention.
欧洲和意大利的数据显示，职业性癌症的确诊率明显偏低：尽管大多数职业性癌症的工作场所病因比例很高，但只有一小部分得到了确认。二十多年来，INCA基金会一直积极致力于缩小这一差距。它在传播科学知识的同时，还采取行动使社会保障规则对工人更有利，并改善工作场所的卫生和安全状况。特别关注更新意大利的法定职业病清单（其中包括国际癌症研究机构认定的所有一类致癌物）以及意大利职业病名录。后者对INCA基金会尤为重要，因为在意大利的规范中，根据一种疾病是否列入名录，因果关系的判定方式有所不同。在更新名录的同时，还针对职业性癌症等多因素疾病所需的因果关系进行了理论阐述。这种持续致力于揭示职业病的做法基于这样一种信念，即因工作患病的工人获得赔偿的权利很重要，更重要的是，认定职业病对一级预防至关重要。
