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《欧洲抗癌法典》第4版:环境、职业与癌症

European Code against Cancer 4th Edition: Environment, occupation and cancer.

作者信息

Espina Carolina, Straif Kurt, Friis Søren, Kogevinas Manolis, Saracci Rodolfo, Vainio Harri, Schüz Joachim

机构信息

International Agency for Research on Cancer (IARC), 150 Cours Albert Thomas, 69372 Lyon, France.

Danish Cancer Society Research Centre, Danish Cancer Society, Strandboulevarden 49, 2100 Copenhagen, Denmark.

出版信息

Cancer Epidemiol. 2015 Dec;39 Suppl 1:S84-92. doi: 10.1016/j.canep.2015.03.017. Epub 2015 Jul 9.

Abstract

People are exposed throughout life to a wide range of environmental and occupational pollutants from different sources at home, in the workplace or in the general environment - exposures that normally cannot be directly controlled by the individual. Several chemicals, metals, dusts, fibres, and occupations have been established to be causally associated with an increased risk of specific cancers, such as cancers of the lung, skin and urinary bladder, and mesothelioma. Significant amounts of air pollutants - mainly from road transport and industry - continue to be emitted in the European Union (EU); an increased occurrence of lung cancer has been attributed to air pollution even in areas below the EU limits for daily air pollution. Additionally, a wide range of pesticides as well as industrial and household chemicals may lead to widespread human exposure, mainly through food and water. For most environmental pollutants, the most effective measures are regulations and community actions aimed at reducing and eliminating the exposures. Thus, it is imperative to raise awareness about environmental and occupational carcinogens in order to motivate individuals to be proactive in advocating protection and supporting initiatives aimed at reducing pollution. Regulations are not homogeneous across EU countries, and protective measures in the workplace are not used consistently by all workers all the time; compliance with regulations needs to be continuously monitored and enforced. Therefore, the recommendation on Environment and Occupation of the 4th edition of the European Code against Cancer, focusing on what individuals can do to reduce their cancer risk, reads: "In the workplace, protect yourself against cancer-causing substances by following health and safety instructions."

摘要

人们在一生中会接触到来自家庭、工作场所或一般环境中不同来源的多种环境和职业污染物,而这些接触通常是个人无法直接控制的。已确定几种化学物质、金属、粉尘、纤维及职业与特定癌症(如肺癌、皮肤癌、膀胱癌和间皮瘤)风险增加存在因果关系。在欧盟,大量空气污染物(主要来自道路运输和工业)仍在排放;即使在低于欧盟每日空气污染限值的地区,肺癌发病率上升也被归因于空气污染。此外,多种农药以及工业和家用化学品可能导致广泛的人体接触,主要通过食物和水。对于大多数环境污染物而言,最有效的措施是旨在减少和消除接触的法规及社区行动。因此,提高对环境和职业致癌物的认识至关重要,以便激励个人积极倡导保护并支持旨在减少污染的举措。欧盟各国的法规并不统一,且并非所有工人在工作场所都始终如一地采取保护措施;需要持续监测和执行对法规的遵守情况。因此,《欧洲抗癌法典》第4版关于环境与职业的建议,重点关注个人为降低癌症风险可采取的措施,内容如下:“在工作场所,遵循健康与安全说明,保护自己免受致癌物质侵害。”

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