Scarselli Alberto, Corfiati Marisa, Di Marzio Davide
Department of Occupational and Environmental Medicine, Epidemiology and Hygiene, Italian Workers' Compensation Authority (INAIL), Rome, Italy.
Int Arch Occup Environ Health. 2016 Jul;89(5):857-65. doi: 10.1007/s00420-016-1126-6. Epub 2016 Mar 12.
A great variety of asbestos-containing materials are present in both residential and work settings because of the widespread use made in the past, and many occupational activities still entail the risk of asbestos exposure in Italy, more than 2 decades after the total national ban, mainly those involved in the removal and disposal of asbestos. The aim of the study was to evaluate the level and extent of asbestos exposure in Italy between the years 1996-2013 in the sector of asbestos abatement.
Data were collected from firm registries of asbestos-exposed workers and descriptive statistics were calculated for exposure-related variables.
Overall, 15,860 measurements of asbestos exposure were selected from the national database of registries, mostly referring to the construction sector (N = 11,353). Despite the mean exposure levels are low, the air concentration of asbestos fibers measured during these activities may overcome the action level established by the Italian legislation and, in a limited number of cases, can exceed even the occupational limit value. Among occupations at higher risk, there are also garbage collectors and insulation workers.
Starting from the analysis of the Italian database of occupational exposure registries, this study outlines the current levels of asbestos exposure in abatement-related sectors, discussing their possible implications for public health policies and surveillance programs.
由于过去石棉材料的广泛使用,如今在住宅和工作场所仍存在各种各样含石棉的材料。在意大利,全国全面禁止使用石棉已过去二十多年,但许多职业活动仍存在石棉暴露风险,主要是那些涉及石棉清除和处置的活动。本研究的目的是评估1996年至2013年间意大利石棉清除行业的石棉暴露水平和程度。
从石棉暴露工人的企业登记处收集数据,并对与暴露相关的变量进行描述性统计分析。
总体而言,从国家登记数据库中选取了15860次石棉暴露测量数据,其中大部分涉及建筑行业(N = 11353)。尽管平均暴露水平较低,但在这些活动中测得的石棉纤维空气浓度可能超过意大利法规规定的行动水平,在少数情况下甚至可能超过职业接触限值。在风险较高的职业中,还有垃圾收集工和绝缘工人。
本研究从意大利职业暴露登记数据库的分析入手,概述了与石棉清除相关行业当前的石棉暴露水平,并讨论了其对公共卫生政策和监测计划可能产生的影响。