Occupational cancer in France: epidemiology, toxicology, prevention, and compensation
Autor: | M Pietruszynski, Patrick Brochard, J M Mur, C Bozec, Danièle Luce, Y Martinet, J J Moulin, Pascal Guénel, B Fontaine, S Binet, C Vallayer, J C Aubrun, S Dimerman |
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Rok vydání: | 1999 |
Předmět: |
Occupational Medicine
Occupational cancer medicine.medical_specialty Health Toxicology and Mutagenesis Population Legislation Workers' compensation Occupational safety and health Cohort Studies Toxicology Occupational medicine Mice Occupational hygiene Neoplasms Environmental health Epidemiology medicine Animals Humans Physician's Role education Occupational Health education.field_of_study business.industry Incidence Public Health Environmental and Occupational Health medicine.disease Occupational Diseases Disease Models Animal Case-Control Studies Epidemiologic Research Design Population Surveillance Workers' Compensation France Maximum Allowable Concentration business Research Article |
Zdroj: | Environmental Health Perspectives |
ISSN: | 1552-9924 0091-6765 |
Popis: | This article is a description of the current situation in France with regard to occupational cancer: research, prevention, and occupation. Toxicologic experiments are carried out using (italic)in vitro(/italic) and (italic)in vivo(/italic) tests, particularly using transgenic mice. Several epidemiologic studies have been conducted over the last decades: population-based case-control studies; mortality studies and cancer incidence studies carried out in historical cohorts of workers employed in the industry; and case-control studies nested in occupational cohorts. French ethical aspects of toxicologic and epidemiologic studies are described. The results thus obtained are used to establish regulations for the prevention and the compensation of cancers attributable to occupational exposure. This French regulation for prevention of occupational cancer involves several partners: (italic)a(/italic)) the states authorities, including labor inspectors, responsible for preparing and implementing the labor legislation and for supervising its application, particularly in the fields of occupational health and safety and working conditions; (italic)b(/italic)) the Social Security Organisation for the analysis of present or potential occupational risks based on tests, visits in plants, complaints or requests from various sources, and statistics. These activities are performed within the framework of the general French policy for the prevention of occupational cancer. This organization includes the National Institute for Research and Safety, particularly involved in research in the various fields of occupational risks--animal toxicology, biologic monitoring, exposure measurements epidemiology, psychology, ergonomy, electronic systems and machineries, exposure to chemicals, noise, heat, vibration, and lighting; and (italic)c(/italic)) companies where the regulation defines the role of the plant manager, the occupational physician, and the Health, Safety and Working Conditions Committee (comprising the manager, employees' representatives, the occupational physician, and the safety department) in dealing with any problem regarding safety, occupational hygiene, and working conditions. These organizations along with medical practitioners are involved with the compensation of occupational cancers. The regulation for compensation includes the tables of occupational cancer, the possibility of recognition of a cancer case when the requirements of the tables are not met, and the postprofessional follow-up of workers exposed to a carcinogenic agent. |
Databáze: | OpenAIRE |
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