Labrèche F, Duguay P, Boucher A, Arcand R
Chemical and Biological Hazards Prevention, Institut de recherche Robert-Sauvé en santé et en sécurité du travail (irsst), Montreal, QC;; Departments of Environmental and Occupational Health and of Social and Preventive Medicine, School of Public Health, Université de Montréal, Montreal, QC;
Scientific Division, irsst , Montreal, QC;
Curr Oncol. 2016 Apr;23(2):e144-9. doi: 10.3747/co.23.2812. Epub 2016 Apr 13.
More than 30 exposures in the workplace are proven carcinogens. In the present study, we aimed to estimate the burden of occupational cancer in Quebec so as to increase awareness among stakeholders and to prioritize research activities.
Work-attributable fractions-that is, the proportions of cancers attributable to work-as published in Finland and the United Kingdom were applied to Quebec 2002-2006 cancer incidence and mortality data to estimate the number of work-related cases for 28 cancer sites.
Overall, 6.0% of incident cancers (men: 9.1%; women: 2.7%) and 7.6% of cancer deaths (men: 11.8%; women: 2.8%) could be attributable to work, resulting annually in an average of 2160 new cancer diagnoses and 1190 cancer deaths in Quebec. Incident cancers of the lung, prostate, skin, bladder, and (female) breast were the most numerous; cancer sites resulting in more deaths were lung, (female) breast, and pleura. During the same period, compensation statistics reported annual averages of 94.3 incident cancers and 61.9 cancer deaths, mostly involving mesothelioma (64% of compensated incident cancers) and lung cancer (30% of compensated incident cancers).
Increased recognition of workplace cancers by all stakeholders, from workers and employers to treating physicians, will foster appropriate preventive measures for safer workplaces.
工作场所中超过30种暴露因素被证实为致癌物。在本研究中,我们旨在估算魁北克省职业性癌症的负担,以提高利益相关者的认识,并确定研究活动的优先顺序。
将芬兰和英国公布的工作归因比例(即归因于工作的癌症比例)应用于魁北克省2002 - 2006年癌症发病率和死亡率数据,以估算28个癌症部位与工作相关的病例数。
总体而言,6.0%的新发癌症(男性:9.1%;女性:2.7%)和7.6%的癌症死亡(男性:11.8%;女性:2.8%)可归因于工作,魁北克省每年平均有2160例新癌症诊断病例和1190例癌症死亡病例。肺癌、前列腺癌、皮肤癌、膀胱癌和(女性)乳腺癌的新发癌症病例数最多;导致死亡人数较多的癌症部位是肺癌、(女性)乳腺癌和胸膜癌。在同一时期,补偿统计报告的年平均新发癌症病例数为94.3例,癌症死亡病例数为61.9例,主要涉及间皮瘤(补偿的新发癌症病例的64%)和肺癌(补偿的新发癌症病例的30%)。
从工人、雇主到治疗医生等所有利益相关者对工作场所癌症的认识提高,将促进采取适当的预防措施,以营造更安全的工作场所。