Occupational Cancer Risk Series Diesel Engine Exhaust

Total Page:16

File Type:pdf, Size:1020Kb

Occupational Cancer Risk Series Diesel Engine Exhaust Occupational Cancer Risk Series Diesel engine exhaust There may be hazards where you work that increase your risk of developing cancer. This factsheet discusses occupational hazards related to diesel engine exhaust (DEE). Key messages • fuel used (e.g. low-sulphur diesel) • use of emission control system/s • In Australia, it is estimated that 1.2 million workers from many jobs are exposed to diesel • state of engine tuning and maintenance engine exhaust (DEE). • pattern of use (load and acceleration) • DEE contains airborne chemicals that are known • length of time the worker is exposed to cause cancer (carcinogens). Effective controls • Eliminate or reduce exposure to carcinogens by All Australian workplaces must follow work health using recommended controls. and safety laws; however these vary slightly • Refer to Safe Work Australia’s Guidance for between states and territories, but the duty of care Managing the Risks of Diesel Exhaust for more for employers and responsibilities of workers across information or contact your state or territory Australia is similar: work health and safety regulator. • Employers are required to ensure the health and Diesel engine exhaust and cancer safety of their workers at their workplace. DEE is created by burning diesel fuels. It contains a • Employers are required to ensure the health and mixture of airborne chemicals that can be harmful safety other people due to the work carried out. to people. When breathed in, these chemicals • Employers have a duty to control the risks increase your risk of developing long-term health associated with work. problems. This includes lung cancer and possibly bladder cancer. In Australia, DEE is the second • Workers must take reasonable care of their own most common carcinogen workers are exposed to, health and safety. behind solar UV radiation exposure. It is estimated • Workers must not negatively affect the health and that 1.2 million Australian workers were exposed to safety of other people. DEE in 2011. • Workers must follow any reasonable instruction Airborne contaminants and workplace health and safety policies, of DEE contains a mixture of gases and soot, which which they have been notified. is also called particulate matter. Other substances, For specific information regarding the laws or including carcinogens, may stick to the soot. regulations in your state or territory please use the Because soot particles are very small they can links supplied on the landing page under ‘useful easily get deep into the lungs. This is how they resources’. cause a range of short-term and long-term health problems, including cancer. Regular exposure Workers should always be involved in the risk to high levels of soot, over a long period of time, management process to correctly identify hazards increases the risk of getting lung and bladder and use control measures that suit the workplace. cancer. The Safe Work Australia Guidance for Managing Cancer risk from diesel engine exhaust varies the Risks of Diesel Exhaust has information on how depending upon the: you can control DEE hazards in your workplace. A • location of the operating engine (outside or combination of the recommended controls should enclosed space) be used (Table 1 - on the next page) to minimise • ventilation in the workspace DEE exposure. You should choose the control • number of engines measures that best suit your workplace. • type and age of the engine • size of engines • fuel pump setting • engine temperature All questions. All cancers. 13 11 20 www.cancer.org.au 1 Diesel engine exhaust Table 1. Summary of control measures for DEE. ACTIVITY CONTROL Engine Replace diesel powered engines with other Figure 1. The hierarchy of risk control selection energy sources (i.e. electric, gas) or choose Highest Most low emission engines. Use purchasing Eliminate guidelines for supply of engines that meet 1 (get rid of) US Tier 4 or Euro 6 standards. Substitute Fuel selection Use ultra-low sulphur and other low- 2 (change) emission diesel fuels, fuel additives and low sulphur lubricants where possible. Avoid Engineer controls contaminating diesel fuel and lubricating oils. 3 (make something new) Engine Refurbish engines to use low-sulphur fuel Administrative refurbishment and to improve fuel efficiency. 4 controls (instructions and signs) Emission Install devices that reduce emissions control (e.g. particulate filters, catalytic converters, Personal protective devices water scrubbers). equipment Reliability of control measures Reliability of control Level of health and safety protection (gloves, earplugs) Enclosed Design and maintain air-conditioned cabs equipment where possible (positive pressure, HEPA 5 filtered air supply, leak tested). Ventilation Use both local exhaust and forced dilution Lowest Least ventilation. Natural ventilation should not be used as a control method. Use connecting Eliminate or reduce exposure to hazards extraction pipes for vehicle exhausts in Use the hierarchy of control (Figure 1) and put in workshops. Cold engine starts should occur place a risk management process. If suitable control in spaces with good ventilation. measures are not in place, anyone working with Maintenance Have a maintenance schedule for all engines or around diesel-powered engines could be at an and repairs and emission control equipment. Carry out increased risk of developing cancer. emissions-based maintenance on engines (initial baseline testing and raw exhaust Recommended workplace exposure limits in the monitoring). Australian Institute of Occupational Hygienists: Testing of Use raw exhaust tests to measure how Diesel Particulate Matter and Occupational Health exhaust well exhaust treatments are working. Test Issues – Position Paper help to reduce the irritant components in normal working conditions (e.g. engines effect of DEE and secondarily aid in minimising the under load, in low gear with hot engine and potential risk for lung cancer caused by work. hydraulics, engine revving at 70-80%). High and low idle tests are not enough. Workplace air monitoring can be used to check Engine Operate engines to optimise combustion (e.g. if exposure to particulate matter in DEE is being operation drive to usual conditions, limit idling and over- effectively reduced by the controls you are using. revving). Turn off engines when not in use. An occupational hygienist can assist with air monitoring. Worker Educate workers on hazards and the policies education and and procedures used to manage them. This For any concerns related to control measures at training is a work health and safety requirement. your workplace, or for more information on the Training should include how to recognise and report any changes in engine emissions control of air quality contact: or visible changes in the workplace (i.e. • your workplace supervisor or management (if white, blue or black smoke, walls or surfaces covered in soot or smoky looking haze when you’re an employee) diesel engines are in use). Workers should • your workplace health and safety representative also be taught how to operate equipment to or union representative minimise emissions. • state and territory work health and safety Share Rotate job tasks between your workers to regulators activities reduce amount of time exposed to DEE. • Safe Work Australia. PPE Wear air supplied or air purifying respiratory How do I detect cancer early and reduce my protection that filters particulates. They should cancer risk? be fitted to each worker. Speak to your doctor if you have had a cough for Administrative Schedule work to minimise the number of more than three weeks or have blood in your urine. workers near the plant whilst it is operating. To find out what you can do to create a workplace that supports healthy choices to help reduce cancer For more information visit the ‘useful websites’ listed on risk, contact Cancer Council on 13 11 20 or visit www.cancer.org.au/preventing-cancer/workplace-cancer/ cancer.org.au. diesel-engine-exhaust.html All questions. All cancers. 13 11 20 www.cancer.org.au 2.
Recommended publications
  • Exposure to Carcinogens and Work-Related Cancer: a Review of Assessment Methods
    European Agency for Safety and Health at Work ISSN: 1831-9343 Exposure to carcinogens and work-related cancer: A review of assessment methods European Risk Observatory Report Exposure to carcinogens and work-related cancer: A review of assessment measures Authors: Dr Lothar Lißner, Kooperationsstelle Hamburg IFE GmbH Mr Klaus Kuhl (task leader), Kooperationsstelle Hamburg IFE GmbH Dr Timo Kauppinen, Finnish Institute of Occupational Health Ms Sanni Uuksulainen, Finnish Institute of Occupational Health Cross-checker: Professor Ulla B. Vogel from the National Working Environment Research Centre in Denmark Project management: Dr Elke Schneider - European Agency for Safety and Health at Work (EU-OSHA) Europe Direct is a service to help you find answers to your questions about the European Union Freephone number (*): 00 800 6 7 8 9 10 11 (*) Certain mobile telephone operators do not allow access to 00 800 numbers, or these calls may be billed. More information on the European Union is available on the Internet ( 48TU http://europa.euU48T). Cataloguing data can be found on the cover of this publication. Luxembourg: Publications Office of the European Union, 2014 ISBN: 978-92-9240-500-7 doi: 10.2802/33336 Cover pictures: (clockwise): Anthony Jay Villalon (Fotolia); ©Roman Milert (Fotolia); ©Simona Palijanskaite; ©Kari Rissa © European Agency for Safety and Health at Work, 2014 Reproduction is authorised provided the source is acknowledged. European Agency for Safety and Health at Work – EU-OSHA 1 Exposure to carcinogens and work-related cancer:
    [Show full text]
  • 10 Facts You Should Know About Occupational Carcinogens
    10 facts you should know about occupational carcinogens Carcinogens are the “time bombs” of hazardous substances in the workplace. But many substances do not develop their deadly effect until years after expo- sure. It’s a risk for the worker that is often underestimated – and represents an enormous challenge for industrial hygienists. The good news is that occup- ational cancer can be prevented through monitoring and protective measures. © Drägerwerk AG & Co. KGaA 1 10 FACTS ABOUT OCCUPATIONAL CARCINOGENS 1. Cancer is a major health hazard in the workplace. Cancer in the workplace is twice as common as occupational accidents. Every year, 660,000 deaths occur worldwide due to work-related cancer.1 2. Plastic is a deadly threat. 3. Carcinogens are toxic to cells. For many years, vinyl chloride was considered to be safe. This com- Carcinogenic substances are a subgroup of toxic agents, which have pound of carbon, hydrogen and chlorine is a raw material used in the the potential to cause cancer in living tissues. Carcinogen exposure production of PVC. In 1974, seven cases of severe (and very rare) can occur from the inhalation, ingestion, or absorption of many dif- liver cancer were found in individuals who worked at a PVC plant in ferent types of substances in our bodies. Louisville, Kentucky. Five of the afflicted workers, all of whom had Carcinogens may increase the risk of cancer by altering cellular worked with vinyl chloride for 20 years, had already died.2 metabolism or damaging substances such as proteins, ribonucleic It is only because of the efforts of the National Institute for Occup- acids, and especially DNA directly in cells – which interferes with ational Safety and Health (NIOSH) and the energetic probing of a biological processes.
    [Show full text]
  • Overview of Occupational Cancer in Painters in Korea Jun-Pyo Myong1,2, Younmo Cho1, Min Choi1 and Hyoung-Ryoul Kim1,2*
    Myong et al. Annals of Occupational and Environmental Medicine (2018) 30:10 https://doi.org/10.1186/s40557-018-0222-3 REVIEW Open Access Overview of occupational cancer in painters in Korea Jun-Pyo Myong1,2, Younmo Cho1, Min Choi1 and Hyoung-Ryoul Kim1,2* Abstract Comprehensive consideration is necessary for setting guidelines to evaluate evidence of occupational cancer in painters due to work-related exposure to carcinogens in paint (a phenomenon termed herein as “work-relatedness”). The aim of the present research is to perform a comprehensive review and to suggest criteria for the provision of compensation for occupational neoplasm among painters in Korea. In order to perform a comprehensive review, this study assessed and evaluated scientific reports of carcinogenicities from the International Agency for Research on Cancer (IARC) and the Industrial Injuries Advisory Council (IIAC), as well as reviewed the existing literature about occupational exposure among painters in Korea and the epidemiologic investigations of claimed cases of cancer among painters in Korea. The IARC declares that occupational exposures in commercial painting are classified as Group 1 carcinogens for lung cancer and bladder cancer among painters. The epidemiologic studies show consistent causal relationships between occupational exposure in painters and cancers such as lung cancer [meta relative risk: 1.34 (95% confidence intervals (CIs): 1.23-1.41)] and bladder cancer [meta relative risk: 1.24 (95% CIs: 1.16-1.33)]. In reviewing occupational cancer risks for commercial painters, the Industrial Injuries Advisory Council (IIAC) confirms occupational cancer risks for lung and bladder cancer among commercial painters. According to the IIAC, however, the elevated cancer risks reported in existing literature are not doubled in either lung or bladder cancer in commercial painters relative to the risks of these cancers in the general population.
    [Show full text]
  • Diesel Engine Exhaust Burden of Occupational Cancer Fact Sheet
    Diesel Engine Exhaust Burden of Occupational Cancer Fact Sheet WHAT IS DIESEL ENGINE EXHAUST? The combustion of diesel fuel in engines produces diesel engine exhaust, a complex mixture of gases and particulates. This mixture can contain other known and suspected carcinogens such as benzene, polycyclic aromatic hydrocarbons (PAHs), metals, and particulate matter. The composition of the mixture depends on a number of factors including the type of engine (heavy or light duty), the type of fuel and oil, sulphur levels, speed and load of operation, and emission control systems. The International Agency for Research on Cancer classifies diesel engine exhaust as a known carcinogen (IARC 1). WHAT ARE ITS HEALTH EFFECTS? • Lung cancer • Light-headedness, nausea, cough, and phlegm • Bladder cancer (suspected) • Allergic reactions • Irritation to eyes, throat, and bronchi THE BURDEN OF CANCER FROM WORKPLACE EXPOSURE TO DIESEL EXHAUST IN CANADA The term ‘burden’ refers to the human impact (deaths, illness, years of life lost) and the economic costs (health care, productivity) associated with a cause or group of causes of disease. Approximately 560 lung cancers and possibly 200 suspected bladder 560 cancers are due to to occupational exposure to diesel engine exhaust Lung cancers due each year in Canada, based on past exposures (1961-2001). This amounts to workplace diesel to 2.4% of lung cancer cases and 2.7% of suspected bladder cancer exhaust exposure cases diagnosed annually. WHAT IS THE ECONOMIC IMPACT? Work-related diesel engine exhaust exposure resulted in approximately $684 million in costs for newly diagnosed lung and suspected bladder cancer cases in 2011.
    [Show full text]
  • An Overview of the Evidence on Environmental and Occupational Determinants of Cancer
    AN OVERVIEW OF THE EVIDENCE ON ENVIRONMENTAL AND OCCUPATIONAL DETERMINANTS OF CANCER I.-BACKGROUND AND RATIONALE Cancer is a multifactorial disease due to a combined effect of genetic and external factors acting concurrently and sequentially. Overwhelming evidence indicates that the Cancer is a generic term for a large group of predominant contributor to many types of cancer is the diseases that can affect any part of the body. Other terms environment [9]. This finds support from multi-generation used are malignant tumours and neoplasms. One defining migrants studies showing adoption to the cancer risk of the feature of cancer is the creation of abnormal cells that grow host country [10, 11]. In addition, other studies with beyond their usual boundaries, and which can then invade identical twins have shown the role of the environment in adjoining parts of the body and spread to other organs. This the development of cancer and that genes are not the main process is referred to as metastasis [1]. explanation [12]. For instance, the concordance for breast cancer in twins was found to be only 20% [13]. The Cancer is the second most common cause of death combination of environmental exposures with some gene worldwide after cardiovascular diseases [2, 3]. Globally, polymorphisms may be synergistic and contribute to a there were reported 12.7 million new cases of cancer in substantial proportion of the cancer burden in the general 2008 (6,639,000 in men and 6,038,000 in women) and 7.6 population. million deaths due to cancer (4,225,000 in men and 3,345,000 in women) [4, 5].
    [Show full text]
  • Estimation of Occupational Exposure to Asbestos in Italy by the Linkage of Mesothelioma Registry (Renam) and National Insurance Archives
    International Journal of Environmental Research and Public Health Article Estimation of Occupational Exposure to Asbestos in Italy by the Linkage of Mesothelioma Registry (ReNaM) and National Insurance Archives. Methodology and Results Chiara Airoldi 1, Daniela Ferrante 1, Lucia Miligi 2, Sara Piro 2, Giorgia Stoppa 2, Enrica Migliore 3, Elisabetta Chellini 4, Antonio Romanelli 5, Carlo Sciacchitano 6, Carolina Mensi 7 , Domenica Cavone 8 , Elisa Romeo 9, Stefania Massari 10, Alessandro Marinaccio 10 and Corrado Magnani 1,11,* 1 Unit of Medical Statistics and Cancer Epidemiology, Department of Translational Medicine, University of Eastern Piedmont, Novara, CPO-Piedmont, 28100 Novara, Italy; [email protected] (C.A.); [email protected] (D.F.) 2 Tuscany Regional Operating Centre of Low Etiological Fraction Occupational Cancer, Occupational and Environmental Epidemiology Branch, Cancer Risk Factors and Lifestyle Epidemiology Unit, Institute for Cancer Research, Prevention and Clinical Network (ISPRO), 50141 Florence, Italy; [email protected] (L.M.); [email protected] (S.P.); [email protected] (G.S.) 3 Piedmont Regional Operations Center of the National Mesothelioma Registry, Unit of Cancer Epidemiology, CPO-Piedmont and University of Turin, 10126 Turin, Italy; [email protected] 4 Tuscan Occupational Cancer Registry and Tuscan Mesothelioma Registry, Occupational and Environmental Epidemiology Branch, Cancer Risk Factors and Lifestyle Epidemiology Unit, Institute for Cancer Research, Prevention and Clinical
    [Show full text]
  • Occupational Cancers Are Avoidable
    Occupational A WORKPLACE GUIDE What is cancer? Cancer is not a single disease with a single type of treatment. There are more than 200 different kinds of cancer affecting different parts of the body. Cancers occur when new cells start growing out of control and develop into a lump or tumour. These tumours can be either benign or malignant. If it is benign the cells do not spread to other parts of the body, but if it is malignant the tumour can spread beyond the original area. Cancer is the name given to a malignant tumour. If the tumour is left untreated, it may spread into the surrounding tissues. Sometimes cells break away from the original cancer and spread to other organs in the body through the bloodstream or lymphatic system. When the cancer cells reach a new area they go on dividing and form a new tumour. Cancers can develop for a wide range of reasons. These include exposure to radiation – both from radioactive materials and the sun – infection by certain viruses, a genetic defect, a weakened immune system, age, bad diet, and exposure to chemical carcinogens. Carcinogens damage cells and make them more likely to turn cancerous. There are a wide range of known carcinogens, including tobacco smoke, asbestos fibres, diesel exhaust, radiation, and a wide range of chemicals found in the workplace. Although some cancers seem to develop for no apparent reason, most are a result of exposure to a carcinogen, lifestyle issues, genetic defects, age or a combination of these. This booklet primarily deals with cancers caused through exposures that are a result of work.
    [Show full text]
  • The Burden of Occupational Cancer in Great Britain RR595 Technical Annex 5: Bladder Cancer
    Health and Safety Executive The burden of occupational cancer in Great Britain Technical Annex 5: Bladder cancer Prepared by Imperial College London and the Health and Safety Laboratory for the Health and Safety Executive 2007 RR595 Technical Annex 5 Health and Safety Executive The burden of occupational cancer in Great Britain Technical Annex 5: Bladder cancer Lesley Rushton & Sally Hutchings Imperial College London Department of Epidemiology and Public Health Faculty of Medicine St Mary’s Campus Norfolk Place London W2 1PG Terry Brown Health and Safety Laboratory Harpur Hill Buxton SK17 9JN The aim of this project was to produce an updated estimate of the current burden of occupational cancer specifically for Great Britain. The primary measure of the burden of cancer used was the attributable fraction (AF), ie the proportion of cases that would not have occurred in the absence of exposure. Data on the risk of the disease due to the exposures of interest, taking into account confounding factors and overlapping exposures, were combined with data on the proportion of the target population exposed over the period in which relevant exposure occurred. Estimation was carried out for carcinogenic agents or exposure circumstances that were classified by the International Agency for Research on Cancer (IARC) as Group 1 or 2A carcinogens with strong or suggestive human evidence. Estimation was carried out for 2004 for mortality and 2003 for cancer incidence for cancer of the bladder, leukaemia, cancer of the lung, mesothelioma, non­ melanoma skin cancer (NMSC), and sinonasal cancer. The proportion of cancer deaths in 2004 attributable to occupation was estimated to be 8.0% in men and 1.5% in women with an overall estimate of 4.9% for men plus women.
    [Show full text]
  • Alenka Skerjanc
    NEW EXPOSURES AND EVIDENCES RELATED TO OCCUPATIONAL CANCER Dr. Alenka Škerjanc EASOM Summer School Riga, 29.08.2019 PORTRAIT OF THE EU WORKFORCE Proportion of persons (aged 15-64) reporting exposure to risk factors for physical health, 2007 and 2013 (%) Source: Eurostat, 2017 OCCUPATIONAL ... OCCUPATIONAL DISEASEl : • result of an exposure to risk factors arising from work activity (ILO) • cases, to which occupational origin has been approved by the national occupational authorities RECOGNISED OCCUPATIONAL DISEASE: • vary with national legislations and compensation practices • no harmonization at EU level WORK RELATED DISEASE: • includes disease where work played a role Self reported exposures to hazards at work 2005 – 2015 Source: 6th EWCS, Eurofound, 2017 Chemical risks Disinfectants in hospitals • Metal cutting fluids • 120 000 chemicals on the EU-market + millions of mixtures • Sectors: chemical/pharma, textile, automotive, construction, cleaning, health care, beauty etc. Fumigants • Up to 50% of all recognized occupational diseases linked to chemical exposure • New risks: nanomaterials (i.e. Carbon nanotubes) OCCUPATIONAL CANCERS Source: Takala J, ETUI, 2015, based on WHO and ILO data Most frequent carcinogens at work In high income countries: cancers are the first cause of work related mortality Polycyclic Aromatic Hydrocarbons Formaldehyde Aromatic amines Tetraclorethylene Cytostatic drugs Asbestos Crystalline silica Chromium VI Cd Ni Mineral oils Diesel engine exhaust Wood dust Tabaco smoke Solar radiation Shift work NOCCA (Nordic
    [Show full text]
  • Diesel Engine Exhaust
    Diesel Engine Exhaust Health-based recommended occupational exposure limit To: The State Secretary of Social Affairs and Employment No. 2019/02, The Hague, March 13, 2019 Contents Diesel Engine Exhaust | page 2 of 76 contents Samenvatting 3 06 Hazard assessment 27 6.1 Health risks 28 Executive summary 7 6.2 Suitable carcinogenicity studies in deriving HBC-OCRVs 29 6.3 Point of departure in deriving HBC-OCRVs 37 01 Scope 11 6.4 Calculation of the HBC-OCRVs 40 1.1 Background 12 6.5 Conclusion and recommendation 44 1.2 Committees and procedure 12 6.6 Short-term exposure limit (STEL) 44 1.3 Data 12 6.7 Classification of DEE as toxic to reproduction 44 6.8 Skin notation 44 02 Substance identification 13 6.9 Groups at extra risk 44 04 Adverse health effects 18 07 Research needs 45 4.1 Carcinogenicity 19 4.2 Non-Carcinogenic effects 21 Literature 47 05 Existing guidelines, standards and evaluations 23 Annexes 52 5.1 General population 24 A Overview key studies 53 5.2 Working population 24 B Meta-analysis by Vermeulen 65 Health Council of the Netherlands | No. 2019/02 Samenvatting Diesel Engine Exhaust | page 3 of 76 commissie van de Gezondheidsraad. In samenvatting samenwerking met de Nordic Expert Group for Criteria Documentation of Health Risks from Op verzoek van de minister van Sociale Zaken aan emissie van dieselmotoren zonder Chemicals (NEG) heeft de commissie eerder al en Werkgelegenheid (SZW) heeft de systemen om de emissie te reduceren. de toxiciteit van dieselmotoremissie Gezondheidsraad voor de beroepsmatige geëvalueerd, waarvan de resultaten in 2016 zijn blootstelling aan uitstoot (emissie) van De Gezondheidsraad heeft een vaste rol bij de gepubliceerd door de NEG.
    [Show full text]
  • Occupational Cancer - Prevention and Control
    OCCUPATIONAL SAFETY AND HEALTH SERIES No. 33 OCCUPATIONAL CANCER - PREVENTION AND CONTROL INTERNATIONAL LABOUR OFFICE - GENEVA ISBN 92-2-101827-X First published 1977 The designations employed in ILO publications, which are in conformity with United Nations practice, and the presentation of material therein do not imply the expression of any opinion whatsoever on the part of the International Labour Office concerning the legal status of any country or territory or of its authorities, or concerning the delimitation of its frontiers. The responsibility for opinions expressed in signed articles, studies and other contributions rests solely with their authors, and publication does not constitute an endorsement by the International Labour Office of the opinions expressed in them. ILO publications can be obtained through major booksellers or ILO local offices in many countries, or direct from ILO Publications, International Labour Office, CH-1211 Geneva 22, Switzerland. A catalogue or list of new publications will be sent free of charge from the above address. Printed by the International Labour Office, Geneva. Switzerland. CONTENTS £âSÊ FOREWORD 1 1. PROBLEMS RELATING TO THE ESTABLISHHENT OF OCCUPATIONAL STANDARDS FOR CARCINOGENS 3 1.1 Animal experimentation 3 1.2 Extrapolation from animal to man 5 1.3 Epidemiological studies 7 1.4 New chemicals and chemicals in use 8 2. CLASSIFICATION OF CARCINOGENS FOR THE PURPOSE OF LEGISLATION 10 3. PREVENTIVE MEASURES 13 3.1 General principles 13 3.2 Technical measures 14 3.3 Personal protective measures 16 3.4 Emergencies 17 4. EXPOSURE MONITORING 18 4.1 Workplace monitoring 18 4.2 Biological monitoring 19 5.
    [Show full text]
  • RR929 Research Report Health and Safety Executive
    Health and Safety Executive The burden of occupational cancer in Great Britain Oesophageal cancer Prepared by the Health and Safety Laboratory, the Institute of Occupational Medicine and Imperial College London for the Health and Safety Executive 2012 RR929 Research Report Health and Safety Executive The burden of occupational cancer in Great Britain Oesophageal cancer Charlotte Young Health and Safety Laboratory Harpur Hill, Buxton Derbyshire SK17 9JN John Cherrie, Martie Van Tongeren Institute of Occupational Medicine Research Avenue North Riccarton Edinburgh EH14 4AP Léa Fortunato, Sally Hutchings, Lesley Rushton Department of Epidemiology and Biostatistics Imperial College London Norfolk Place London W2 1PG The aim of this project was to produce an updated estimate of the current burden of cancer for Great Britain resulting from occupational exposure to carcinogenic agents or exposure circumstances. The primary measure of the burden of cancer was the attributable fraction (AF) being the proportion of cases that would not have occurred in the absence of exposure; and the AF was used to estimate the number of attributable deaths and registrations. The study involved obtaining data on the risk of the cancer due to the exposure of interest, taking into account confounding factors and overlapping exposures, as well as the proportion of the target population exposed over the relevant exposure period. Only carcinogenic agents, or exposure circumstances, classified by the International Agency for Research on Cancer (IARC) as definite (Group 1) or probable (Group 2A) human carcinogens were considered. Here, we present estimates for cancer of the oesophagus that have been derived using incidence data for calendar year 2004, and mortality data for calendar year 2005.
    [Show full text]