Assennato Giorgio, De Giampaulis Chiara
Medico del Lavoro ed Epidemiologo, Bari.
INAIL, Direzione territoriale di Taranto.
Med Lav. 2025 Apr 17;116(2):16997. doi: 10.23749/mdl.v116i2.16997.
There are differences between epidemiology and legal medicine in addressing the problem of under-reporting occupational cancers. Epidemiology focuses on systematically gathering data and identifying patterns of under-reporting, which is not deemed to pose ethical dilemmas, as its goal is to improve public health outcomes. Conversely, legal medicine investigates individual cases and ensures compliance with legal standards, presenting more complex ethical challenges. Considering workers' frustrations when dealing with unrecognized occupational diseases is essential. These workers experience significant physical and emotional distress and should not have to face a complicated compensation claims process. There is a need for ethical approaches that support workers in navigating their rightful claims for compensation, not challenging their mental and emotional well-being.
在处理职业性癌症报告不足的问题上,流行病学和法医学存在差异。流行病学专注于系统地收集数据并识别报告不足的模式,这并不被视为会引发伦理困境,因为其目标是改善公共卫生结果。相反,法医学调查个别案例并确保符合法律标准,带来更为复杂的伦理挑战。考虑到工人在面对未被认可的职业病时的挫折感至关重要。这些工人遭受着巨大的身心痛苦,不应被迫面对复杂的赔偿申请程序。需要有道德的方法来支持工人争取应得的赔偿,而不是挑战他们的身心健康。