Scarselli A, Di Marzio D, Marinaccio A, Iavicoli S
Istituto Superiore per la Prevenzione e la Sicurezza del Lavoro, Dipartimento Medicina del Lavoro, Roma.
Med Lav. 2010 Jan-Feb;101(1):9-18.
On the basis of the law which introduced the registration of occupational exposures to carcinogens (Legislative Decree 626/94), the National Institute for Occupational Safety and Prevention designed and implemented an information system for collecting and recording such information. The Ministry of Health Decree No 155/2007, which established the procedures for record keeping and transmission of registers of exposed workers, regulated the legislative fJamework in this field.
The aim of the study was to illustrate some of the major legislative issues and toprovide summary statistics, after one year of entry into force of this Decree.
The main information to record is: the carcinogenic agents used, the type of occupational exposure and data on the environmental measurements. Descriptive statistical analysis were carried out, by sector of economic activity, carcinogen agent and worker's occupation.
As at 31 December 2008 the information recorded, altogether, covered: 6000 firms, 79,000 workers, 164,000 exposures and 100,000 measurements. Most of the exposures occurred in the manufacturing and construction industries and in commercial activities.
Such surveillance system, established as a result of the institution of exposure registers, makes it possible to plan analytical studies, both for monitoring the effects of exposure, even at low doses, and for assessing the prevention and protection measures. It is hoped that the recent readjustment law (Legislative Decree 81/2008) will promote awareness of all subjects involved in the recording procedures (employers, physicians, local health units, research institutes, etc.), thus increasing the quality and coverage of data transmission.
根据引入职业致癌物接触登记制度的法律（第626/94号立法令），国家职业安全与预防研究所设计并实施了一个用于收集和记录此类信息的信息系统。第155/2007号卫生部法令规定了接触工人登记册的保存和传输程序，对该领域的立法框架进行了规范。
本研究的目的是在该法令生效一年后，阐述一些主要的立法问题并提供汇总统计数据。
要记录的主要信息包括：所使用的致癌物质、职业接触类型以及环境测量数据。按经济活动部门、致癌物质和工人职业进行了描述性统计分析。
截至2008年12月31日，总共记录的信息涵盖：6000家公司、79000名工人、164000次接触和100000次测量。大多数接触发生在制造业、建筑业和商业活动中。
由于设立了接触登记册而建立的这种监测系统，使得能够规划分析研究，既用于监测即使是低剂量接触的影响，也用于评估预防和保护措施。希望最近的调整法（第81/2008号立法令）将提高所有参与记录程序的主体（雇主、医生、地方卫生单位、研究机构等）的认识，从而提高数据传输的质量和覆盖面。
