Greenberg G N
Division of Occupational and Environmental Medicine, Duke University Medical Center, Durham 27710, USA.
N C Med J. 1995 May;56(5):215-9.
Important epidemiologic findings have resulted in safer work conditions over the past decades. Maintaining this improvement in worker risk requires continued epidemiological surveillance for unrecognized dangers and intense enforcement of industrial hygiene principles. It also demands an enhanced clinical suspicion and a low threshold for clinical diagnosis of potentially attributable health problems in workers whose workplace chemical environment is in continual evolution. Clinicians should be familiar with the known associations of work and disease, and remain alert to the possibility of chemically mediated disease in workers exposed to this highly complex mixture of chemical agents.
在过去几十年中，重要的流行病学研究结果带来了更安全的工作条件。要保持工人风险的这种改善，需要持续进行流行病学监测以发现未被识别的危险，并严格执行工业卫生原则。这还需要提高临床怀疑度，并对工作场所化学环境不断变化的工人中潜在的可归因健康问题保持较低的临床诊断阈值。临床医生应熟悉已知的工作与疾病的关联，并对接触这种高度复杂化学剂混合物的工人中化学介导疾病的可能性保持警惕。
