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中国石棉及相关疾病的最新综述。

An updated review on asbestos and related diseases in China.

作者信息

Courtice Midori N, Lin Sihao, Wang Xiaorong

机构信息

Chinese University of Hong Kong, Hong Kong SAR, China.

出版信息

Int J Occup Environ Health. 2012 Jul-Sep;18(3):247-53. doi: 10.1179/1077352512Z.00000000021.

Abstract

BACKGROUND

Asbestos is an industrial mineral that can cause diseases such as asbestosis, lung cancer, and mesothelioma. Asbestos consumption in China has increased steadily since the 1960s and is currently at half a million tonnes per year. Work conditions in the asbestos-related industries are poor and exposure levels frequently exceed the occupational exposure limit.

OBJECTIVE

To provide an updated overview on asbestos production and consumption in China and discuss what is known about the resulting burden of asbestos-related diseases.

FINDINGS

China is the world's top chrysotile consumer and second largest producer. Over a million people may be occupationally exposed, yet reliable disease statistics are unavailable and the national burden of asbestos-related disease (ARD) is not well known. Nevertheless, ARD prevalence, incidence, and mortality are expected to be high and will increase for many decades due to the volume of asbestos consumed historically, and a long latency period.

CONCLUSIONS

Government policies to prevent ARD have been implemented but more actions are necessary to ensure compliance and ultimately, the complete elimination of asbestos to prevent a heavy future disease burden.

摘要

背景

石棉是一种工业矿物,可导致诸如石棉肺、肺癌和间皮瘤等疾病。自20世纪60年代以来,中国的石棉消费量稳步增长,目前每年达50万吨。与石棉相关行业的工作条件恶劣,接触水平经常超过职业接触限值。

目的

提供中国石棉生产和消费的最新概况,并讨论关于石棉相关疾病所致负担的已知情况。

研究结果

中国是世界上温石棉的最大消费国和第二大生产国。可能有超过100万人受到职业性接触,但缺乏可靠的疾病统计数据,石棉相关疾病的全国负担也不为人所知。然而,由于历史上石棉消费量以及较长的潜伏期,预计石棉相关疾病的患病率、发病率和死亡率都很高,且在未来几十年还会上升。

结论

已实施了预防石棉相关疾病的政府政策,但还需要采取更多行动以确保合规,最终彻底消除石棉,防止未来出现沉重的疾病负担。

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