Apostoli P, Catalani S, Cortesi I
Dipartimento di Medicina Sperimentale e Applicata, Sezione di Medicina del Lavoro e Igiene Industriale, Università degli Studi di Brescia, Brescia, Italy.
G Ital Med Lav Ergon. 2012 Jul-Sep;34(3):216-22.
The review of main scientific investigations about the work related diseases in metallurgy shows that the most studied pathologies regards lung cancer and pneumoconiosis, other cancers and cardiovascular diseases. These evidences are not univocal and have been and are critically evaluated due to the complexity and articulated structure of metals production which makes it very difficult to compare the risks and diseases among the different metallurgical activities and, in the same activity, among the different job tasks. In addition, due to the technological and organizational evolution investigations, appear to be necessary to better define the specific hazards (for example metal species, PAH and PoPs mixtures) and to put into a correct relation these and pathologies diagnosed by health surveillance procedures or epidemiological surveys, surely different from those of past decades.
对有关冶金行业职业病的主要科学调查的回顾表明,研究最多的病症是肺癌和尘肺病、其他癌症以及心血管疾病。这些证据并不明确,由于金属生产的复杂性和复杂结构,这些证据过去和现在都受到了批判性评估,这使得很难比较不同冶金活动之间以及同一活动中不同工作任务之间的风险和疾病。此外,由于技术和组织的演变,调查似乎有必要更好地界定具体危害(例如金属种类、多环芳烃和持久性有机污染物混合物),并将这些危害与通过健康监测程序或流行病学调查诊断出的病症正确联系起来,这些病症肯定与过去几十年的不同。