Aresini G A
Industrial Medicine and Hygiene Unit, DG V Health and Safety Directorate, Commission of the European Communities, Luxembourg.
Toxicol Lett. 1995 May;77(1-3):191-4. doi: 10.1016/0378-4274(95)03291-6.
In the European Union, several Council Directives have been adopted which contain measures relating to ambient monitoring and the health surveillance for workers, but only one relates specifically to biological monitoring. Even if the legislative provisions on biological monitoring are limited, the Commission of the European Community has supported activities in this field for several years. In a proposal for a Council Directive on the protection of the health and safety of workers from the risks related to chemical agents at work, which is now under discussion, there are some sentences relating to biological monitoring: (i) where biological monitoring is carried out it shall form part of health surveillance. Where indicated by the nature of the risk, biological monitoring shall be used to reveal pre-clinical effects on the health status of workers in order to permit intervention to prevent clinical deterioration; (ii) the result of biological monitoring shall not be used to discriminate against the worker. Biological limit values and related requirements are to be observed as part of health surveillance.
在欧盟,已通过了几项理事会指令,其中包含与环境监测及工人健康监测相关的措施,但只有一项指令专门涉及生物监测。即便有关生物监测的立法规定有限,欧洲共同体委员会多年来一直在支持该领域的活动。在一项目前正在讨论的关于保护工人健康与安全免受工作中化学制剂相关风险影响的理事会指令提案中,有一些与生物监测相关的条款:(一)进行生物监测时,它应构成健康监测的一部分。根据风险性质的指示,应使用生物监测来揭示对工人健康状况的临床前影响,以便进行干预以防止病情临床恶化;(二)生物监测结果不得用于歧视工人。生物限值及相关要求应作为健康监测的一部分予以遵守。