Ariani Filippo, Baldasseroni Alberto, Biffino Marco, Romeo Gianpaolo, Levi Miriam
Centro regionale toscano per gli infortuni e malattie professionali (CeRIMP), Azienda USL Toscana Centro, Firenze;
Centro regionale toscano per gli infortuni e malattie professionali (CeRIMP), Azienda USL Toscana Centro, Firenze.
Epidemiol Prev. 2020 Jul-Aug;44(4):263-270. doi: 10.19191/EP20.4.P263.056.
occupational injuries in Italy are registered primarily by the Italian National Institute for insurance against accidents at work (Inail); its statistics show the number of events by consequence type (temporary, permanent, fatal). Data prior to 2001 include fatalities only if benefits were paid to survivors entitled to compensation, typically spouse and/or children.
to estimate the number of fatal injuries occurred to workers without survivors entitled to compensation, not considered in INAIL statistics for the period 1951-2000; to evaluate years lived with disability (YLD) years of life lost (YLL), disability-adjusted life years (DALY) caused by all occupational injuries occurred in Italy, period 1951-2016.
evaluation of the stability of the ratio among fatal accidents with and without survivors, along the period of observation (2001-2017); retrospective application of such ratio to data related to the period 1951-2000; linkage of individual injury data to Global Burden of Disease injury categories and calculation of corresponding YLLs, YLDs, DALYs; calculation of mean values by main type of consequences (temporary, permanent, fatal); application of above means to Italian data 1951-2017.
occupational injuries compensated by Inail in Italy, 1951-2017.
number of injuries, YLDs, YLLs, DALYs.
fatal occupational injuries, not considered in official statistics for the period 1951-2000, are estimated to be 26,218 cases, corresponding to 1.4 millions of YLLs. In the same period, total occupational injuries (with temporary, permanent or fatal consequences) correspond to 11.5 millions of DALYs, fatal component corresponded to 5.1 millions of YLLs.
Estimated total number of fatal occupational injuries in 1951-2000 is 28% higher than official Inail data. Considering YLLs, such increase rises up to 37%. Such difference reflects younger mean age and consequent longer life expectancy of workers without survivors. Considering DALYs, the increase is 14%. Throughout the period 1951-2017, a progressive reduction of the burden of injury is observed. At the same time a qualitative change is observed, with reduction from 55% to 30% of YLL/DALY ratio.
意大利的职业伤害主要由意大利国家工伤事故保险协会（Inail）进行登记；其统计数据按后果类型（暂时、永久、致命）显示事故数量。2001年之前的数据仅包括向有权获得赔偿的幸存者（通常是配偶和/或子女）支付了抚恤金的死亡事故。
估算1951 - 2000年期间Inail统计数据未涵盖的、无有权获得赔偿的幸存者的工人致命伤害数量；评估1951 - 2016年期间意大利发生的所有职业伤害导致的伤残调整生命年（YLD）、生命损失年（YLL）、伤残调整生命年（DALY）。
评估观察期（2001 - 2017年）内有和没有幸存者的致命事故比例的稳定性；将该比例追溯应用于1951 - 2000年期间的数据；将个体伤害数据与全球疾病负担伤害类别相关联，并计算相应的YLL、YLD、DALY；按主要后果类型（暂时、永久、致命）计算平均值；将上述平均值应用于1951 - 2017年的意大利数据。
1951 - 2017年期间Inail在意大利赔偿的职业伤害。
伤害数量、YLD、YLL、DALY。
据估计，1951 - 2000年期间官方统计数据未涵盖的致命职业伤害为26218例，相当于140万个生命损失年。在同一时期，总的职业伤害（有暂时、永久或致命后果）相当于1150万个伤残调整生命年，致命部分相当于510万个生命损失年。
1951 - 2000年期间估计的致命职业伤害总数比Inail官方数据高28%。考虑生命损失年，这一增幅高达3%。这种差异反映了无幸存者的工人平均年龄较小，因而预期寿命更长。考虑伤残调整生命年，增幅为14%。在1951 - 2017年整个期间，观察到伤害负担逐渐减轻。同时观察到质的变化，生命损失年/伤残调整生命年的比例从55%降至30%。
