Blanc P D, Nadel J A
Division of Occupational and Environmental Medicine, University of California San Francisco 94143-0924.
Public Health Rev. 1994;22(3-4):251-70.
We reviewed the relationship between occupational respiratory medicine and the environmental health aspects of air pollution control. Although these fields share epidemiologic and toxicologic concerns, they collaborate infrequently. From an historical perspective, both occupational health and air pollution control efforts increased in response to the Industrial Revolution but only occasionally overlapped. Moreover, they were undermined by the belief in "bad air" as the cause of epidemic disease. In the twentieth century, occupational medicine and industrial hygiene professionals together addressed mass air pollution exposure incidents, but this period of interdisciplinary activity was brief. Later regulatory approaches, together with economic pressures, have tended to divide rather than integrate occupational and environmental health. Despite their differences, these disciplines are linked by common scientific challenges. Recent governmental and non-governmental efforts suggests that future efforts in occupational health and air pollution control may become better coordinated.
我们回顾了职业呼吸医学与空气污染控制的环境卫生方面之间的关系。尽管这些领域都关注流行病学和毒理学问题，但它们之间的合作并不频繁。从历史角度来看，职业健康和空气污染控制工作都是随着工业革命而增加的，但只是偶尔有重叠。此外，“污浊空气”是流行病病因的观念也对它们造成了阻碍。在二十世纪，职业医学和工业卫生专业人员共同应对大规模空气污染暴露事件，但这一跨学科活动时期很短暂。后来的监管方法以及经济压力往往使职业健康和环境卫生分离开来，而不是整合在一起。尽管存在差异，但这些学科面临着共同的科学挑战。近期政府和非政府的努力表明，未来职业健康和空气污染控制方面的工作可能会得到更好的协调。
