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[职业接触致癌物:CAREX信息系统在加泰罗尼亚的应用分析]

[Occupational exposure to carcinogens: analysis of the application of the CAREX information system to Catalonia].

作者信息

de Grado Andrés Adolfo, Molinero Ruiz Emilia, van der Haar Rudolf

机构信息

Departament d'Empresa i Ocupació, Generalitat de Catalunya, Barcelona, Spain.

出版信息

Arch Prev Riesgos Labor. 2014 Apr-Jun;17(2):74-83. doi: 10.12961/aprl.2014.17.2.02.

Abstract

OBJECTIVE

The objective of this study is to estimate occupational exposures to human carcinogens in Catalonia in 2009, taking as a reference the CAREX ESP 2007 information system, and to evaluate the suitability of extrapolating these data to Catalonia.

METHODS

The reference population is the number of people registered with the Social Security system in Catalonia in 2009. Carcinogens considered are those which the International Agency for Research on Cancer (IARC) classified into groups 1 and 2A and are related to occupational exposures. The exposure prevalences from the CAREX ESP 2007, adapted to the Catalonian Industrial Classification (CCAE 09), were used. Technical survey reports from the Occupational Safety and Health Centers of the Catalonian local government, and related databases were consulted.

RESULTS

The most frequent occupational exposures to human carcinogens were solar radiation, crystalline silica, diesel exhaust, radon and wood dust, although based mainly on data not considered adequate for extrapolation to Catalonia. Around 217 exposure situations for 25 carcinogens, not previously considered in CAREX ESP 2007, were identified.

CONCLUSIONS

The estimated number of workers exposed to human carcinogens in Catalonia in 2009 based on the CAREX ESP 2007 system could differ from the real situation. Development of a CAREX CAT system that incorporates exposure data from Catalonia is recommended.

摘要

目的

本研究的目的是参考CAREX ESP 2007信息系统,估算2009年加泰罗尼亚地区职业接触人类致癌物的情况,并评估将这些数据外推至加泰罗尼亚地区的适用性。

方法

参考人群为2009年在加泰罗尼亚地区社会保障系统登记的人数。所考虑的致癌物为国际癌症研究机构(IARC)归类为1组和2A组且与职业接触有关的那些致癌物。使用了根据加泰罗尼亚工业分类(CCAE 09)调整后的CAREX ESP 2007中的暴露患病率。查阅了加泰罗尼亚地方政府职业安全与健康中心的技术调查报告及相关数据库。

结果

职业接触人类致癌物最常见的是太阳辐射、结晶硅石、柴油废气、氡和木尘,不过主要是基于被认为不足以外推至加泰罗尼亚地区的数据。识别出了25种致癌物的约217种暴露情况,这些情况在CAREX ESP 2007中此前未被考虑。

结论

基于CAREX ESP 2007系统估算的2009年加泰罗尼亚地区接触人类致癌物的工人数量可能与实际情况不同。建议开发一个纳入加泰罗尼亚地区暴露数据的CAREX CAT系统。

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