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中亚国家人类接触石棉的情况及其健康影响:叙述性综述

Human Exposure to Asbestos in Central Asian Countries and Health Effects: A Narrative Review.

作者信息

Kurzhunbaeva Zhyldyz, Dzhusupov Kenesh, Spinazzè Andrea, Visonà Silvia Damiana, Sulaimanova Cholpon, Kasymov Omor, Belluso Elena, Colosio Claudio

机构信息

Department of Health Sciences; Course of Research Doctorate in Public Health Sciences, University of Milan, Milan, Italy.

Department of Public Health, International Higher School of Medicine, Bishkek, Kyrgyz Republic.

出版信息

Med Lav. 2024 Dec 19;115(6):e2024042. doi: 10.23749/mdl.v115i6.15453.

Abstract

The discovery of the detrimental effects of asbestos on human health came long after its widespread use, with the first scientific evidence of asbestos-related diseases emerging in the late 19th and early 20th centuries. Despite efforts to ban its use, asbestos continues to be mined and used in Central Asia (as well as in Russia, China, and other countries). To gain a deeper understanding of the situation in Central Asia, we have conducted a systematic review of scientific literature on the use of asbestos, exposure assessment, and health consequences of asbestos exposure in this geographic area. This review encompasses studies about exposure assessments, epidemiological data, and biochemical or clinical surveys conducted in Kazakhstan, Uzbekistan, Tajikistan, Turkmenistan, and Kyrgyzstan. A total of 18 articles met the inclusion criteria, and their content is summarised in this review, which represents the first attempt to systematically examine research on asbestos and its impact on the health of workers and the general population in Central Asia countries, including literature published in Russian and English. The findings here highlighted the substantial limitations of the currently available knowledge about the impact of asbestos on health in this geographical area.

摘要

石棉对人类健康有害影响的发现是在其广泛使用很久之后才出现的,19世纪末20世纪初出现了与石棉相关疾病的首批科学证据。尽管努力禁止使用石棉,但在中亚(以及俄罗斯、中国和其他国家)仍在开采和使用石棉。为了更深入了解中亚的情况,我们对该地理区域内有关石棉使用、接触评估以及石棉接触对健康影响的科学文献进行了系统综述。该综述涵盖了在哈萨克斯坦、乌兹别克斯坦、塔吉克斯坦、土库曼斯坦和吉尔吉斯斯坦进行的关于接触评估、流行病学数据以及生化或临床调查的研究。共有18篇文章符合纳入标准,其内容在本综述中进行了总结,这是首次尝试系统地审视关于石棉及其对中亚国家工人和普通民众健康影响的研究,包括俄文和英文发表的文献。此处的研究结果凸显了目前关于该地理区域石棉对健康影响的现有知识存在的重大局限性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5992/11734637/d88e52253236/MDL-115-42-g001.jpg

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