意大利伦巴第电镀行业的肺癌风险，使用意大利职业癌症监测（OCCAM）信息系统。
Lung cancer risk in the electroplating industry in Lombardy, Italy, using the Italian occupational cancer monitoring (OCCAM) information system.
机构信息
Service for Occupational Safety and Prevention, Local Health Unit, Brescia, Italy.
出版信息
Am J Ind Med. 2012 Jan;55(1):1-4. doi: 10.1002/ajim.21004. Epub 2011 Sep 14.
BACKGROUND
Occupational Cancer Monitoring (OCCAM) is an Italian organization that monitors occupational cancers, by area and industrial sector, by retrieving cases and employment history from official databases. OCCAM previously estimated a relative risk (RR) of lung cancer of about 1.32 among "metal treatment" workers in Lombardy, northern Italy, potentially exposed to chrome and nickel. In the present study, lung cancer risk was estimated among electroplating workers only.
METHODS
Lombardy electroplating companies were identified from descriptions in Social Security files. Lung cancer risk was evaluated from 2001 to 2008 incident cases identified from hospital discharge records.
RESULTS
The RR for lung cancer among electroplating workers was 2.03 (90% CI 1.33-3.10, 18 cases) for men; 3.00 (90% CI 1.38-9.03, 4 cases) for women.
CONCLUSIONS
Electroplaters had higher risks than "metal treatment" workers. Although the risks were due to past exposure, case histories and recent acute effects indicate a present carcinogenic hazard in some Lombardy electroplating factories.
背景
职业癌症监测（OCCAM）是一家意大利组织，通过从官方数据库中检索病例和就业史，按地区和工业部门监测职业癌症。OCCAM 此前估计意大利北部伦巴第地区“金属处理”工人患肺癌的相对风险（RR）约为 1.32，这些工人可能接触铬和镍。在本研究中，仅评估了电镀工人的肺癌风险。
方法
从社会保障档案中的描述中确定了伦巴第电镀公司。从医院出院记录中确定的 2001 年至 2008 年的肺癌发病病例评估了肺癌风险。
结果
男性电镀工人的肺癌 RR 为 2.03（90%CI1.33-3.10，18 例）；女性为 3.00（90%CI1.38-9.03，4 例）。
结论
电镀工人的风险高于“金属处理”工人。尽管这些风险是由于过去的接触，但病史和最近的急性影响表明，在一些伦巴第电镀厂存在当前的致癌危害。
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