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Grignoux J, Loddé B, Dewitte JD, Larabi L, Durand-Moreau Q. [Better screening for work-related cancers: The experience of Brest University Hospital Occupational Disease Center inpatient service]. Bull Cancer 2020; 107:428-437. [PMID: 32204890 DOI: 10.1016/j.bulcan.2020.01.013] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2019] [Revised: 12/19/2019] [Accepted: 01/05/2020] [Indexed: 11/19/2022]
Abstract
INTRODUCTION An in-patient clinical service has been set up in March 2016 in the Occupational Diseases Center of Brest University Hospital, France, to seek for work-relatedness of diseases in patients hospitalized into the oncology and hematology departments. We present here data after two years of existence. METHODS All cases of cancers or malignant hematological diseases (ICD-10 codes C00 to C97 and D37 to D48) seen between March 1, 2016, and March 1, 2018, have been identified. We present sociodemographic data, occupational exposures, occupation, business sector, and tobacco consumption. The causation level between the disease and each of the occupational exposures has been rated as strong, intermediate, weak or null by the occupational medicine specialist of the Occupational Diseases Center. RESULTS Among the 196 patients encountered, there are 127 work-related diseases and 82 of these had one occupational exposure rated as strong or intermediate. The most frequent occupational hazards were asbestos (48 cases) and ionizing radiation (23 cases). The most frequent business sectors were metallurgy, mechanical engineering, and agriculture. Lung cancer was the most frequently reported disease (49 cases). DISCUSSION . We identified well-known couples with occupational exposures and diseases, such as asbestos and lung cancer. We also identified a link between pesticides and leukemias. This in-patient clinical service is helpful to identify work-related exposures and in helping patients to get compensated.
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Affiliation(s)
- Justine Grignoux
- CHRU Morvan, service de santé au travail et maladies liées à l'environnement, 2, avenue Foch, 29609 Brest cedex 2, France.
| | - Brice Loddé
- CHRU Morvan, service de santé au travail et maladies liées à l'environnement, 2, avenue Foch, 29609 Brest cedex 2, France; Université de Brest, ORPHY EA 4324, avenue Le-Gorgeu - CS 93837, 29238 Brest cedex 3, France
| | - Jean-Dominique Dewitte
- CHRU Morvan, service de santé au travail et maladies liées à l'environnement, 2, avenue Foch, 29609 Brest cedex 2, France; Université de Bretagne Occidentale, LABERS, EA 3149, 22, avenue Camille-Desmoulins, CS 93837, 29238 Brest cedex 3, France
| | - Lynda Larabi
- Agence nationale de sécurité sanitaire de l'alimentation de l'environnement et du travail (Anses), Maisons-Alfort, France
| | - Quentin Durand-Moreau
- Université de Bretagne Occidentale, LABERS, EA 3149, 22, avenue Camille-Desmoulins, CS 93837, 29238 Brest cedex 3, France; University of Alberta, Faculty of Medicine and Dentistry, Department of Medicine, Division of Preventive Medicine, Edmonton, AB, Canada
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Migault L, Bowman JD, Kromhout H, Figuerola J, Baldi I, Bouvier G, Turner MC, Cardis E, Vila J. Development of a Job-Exposure Matrix for Assessment of Occupational Exposure to High-Frequency Electromagnetic Fields (3 kHz-300 GHz). Ann Work Expo Health 2019; 63:1013-1028. [PMID: 31702767 PMCID: PMC6853656 DOI: 10.1093/annweh/wxz067] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2018] [Revised: 06/18/2019] [Accepted: 07/26/2019] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVES The aim of this work was to build a job-exposure matrix (JEM) using an international coding system and covering the non-thermal intermediate frequency (IF) (3-100 kHz, named IFELF), thermal IF (100 kHz-10 MHz, named IFRF), and radiofrequency (RF) (>10 MHz) bands. METHODS Detailed occupational data were collected in a large population-based case-control study, INTEROCC, with occupations coded into the International Standard Classification of Occupations system 1988 (ISCO88). The subjects' occupational source-based ancillary information was combined with an existing source-exposure matrix and the reference levels of the International Commission on Non-Ionizing Radiation Protection (ICNIRP) for occupational exposure to calculate estimates of level (L) of exposure to electric (E) and magnetic (H) fields by ISCO88 code and frequency band as ICNIRP ratios (IFELF) or squared ratios (IFRF and RF). Estimates of exposure probability (P) were obtained by dividing the number of exposed subjects by the total number of subjects available per job title. RESULTS With 36 011 job histories collected, 468 ISCO88 (four-digit) codes were included in the JEM, of which 62.4% are exposed to RF, IFRF, and/or IFELF. As a reference, P values for RF E-fields ranged from 0.3 to 65.0% with a median of 5.1%. L values for RF E-fields (ICNIRP squared ratio) ranged from 6.94 × 10-11 to 33.97 with a median of 0.61. CONCLUSIONS The methodology used allowed the development of a JEM for high-frequency electromagnetic fields containing exposure estimates for the largest number of occupations to date. Although the validity of this JEM is limited by the small number of available observations for some codes, this JEM may be useful for epidemiological studies and occupational health management programs assessing high-frequency electromagnetic field exposure in occupational settings.
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Affiliation(s)
- Lucile Migault
- University of Bordeaux, Inserm UMR 1219 EPICENE Team, Bordeaux Population Health Research Center, Bordeaux, France
| | | | - Hans Kromhout
- Environmental Epidemiology Division, Institute for Risk Assessment Sciences, Utrecht University, Nieuw Gildestein Yalelaan, Utrecht, The Netherlands
| | - Jordi Figuerola
- Barcelona Institute for Global Health (ISGlobal), Barcelona, Spain
- Universitat Pompeu Fabra (UPF), Plaça de la Mercè, Barcelona, Spain
| | - Isabelle Baldi
- University of Bordeaux, Inserm UMR 1219 EPICENE Team, Bordeaux Population Health Research Center, Bordeaux, France
- Bordeaux University Hospital, Service de Médecine du Travail et pathologie professionnelle, Pessac, France
| | - Ghislaine Bouvier
- University of Bordeaux, Inserm UMR 1219 EPICENE Team, Bordeaux Population Health Research Center, Bordeaux, France
| | - Michelle C Turner
- Barcelona Institute for Global Health (ISGlobal), Barcelona, Spain
- Universitat Pompeu Fabra (UPF), Plaça de la Mercè, Barcelona, Spain
- CIBER Epidemiologia y Salud Pública (CIBERESP), Av. Monforte de Lemos, Madrid, Spain
- McLaughlin Center for Population Health Risk Assessment, University of Ottawa, Ottawa, Canada
| | - Elisabeth Cardis
- Barcelona Institute for Global Health (ISGlobal), Barcelona, Spain
- Universitat Pompeu Fabra (UPF), Plaça de la Mercè, Barcelona, Spain
- CIBER Epidemiologia y Salud Pública (CIBERESP), Av. Monforte de Lemos, Madrid, Spain
| | - Javier Vila
- Barcelona Institute for Global Health (ISGlobal), Barcelona, Spain
- Universitat Pompeu Fabra (UPF), Plaça de la Mercè, Barcelona, Spain
- CIBER Epidemiologia y Salud Pública (CIBERESP), Av. Monforte de Lemos, Madrid, Spain
- Environmental Protection Agency (EPA), Office of Radiation Protection and Environmental Monitoring, McCumiskey House, Richview, Dublin, Ireland
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Grignoux J, Durand-Moreau Q, Vongmany N, Brunel S, Dewitte JD. Work-related laryngeal cancer: Trends in France from 2001 to 2016. Eur Ann Otorhinolaryngol Head Neck Dis 2018; 136:7-12. [PMID: 30385255 DOI: 10.1016/j.anorl.2018.10.006] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
OBJECTIVES As part of the 2014-2019 cancer plan and in order to improve our knowledge of work-related cancers, we analysed the work-related laryngeal cancer risk situations identified in the French national occupational disease surveillance and prevention network (rnv3p) from 2001 to 2016. MATERIAL AND METHODS This study focused on cases of work-related laryngeal cancer, which the expert physician considered to be directly related to exposure (intermediate or strong causal relationship). Demographic data, occupational exposure circumstances (hazards, occupation, business sector), non-occupational risk factors and the occupational physician's opinion concerning notification as an occupational disease were analysed. RESULTS Two hundred forty-four cases of laryngeal cancer were registered between 2001 and 2016. One hundred and forty seven cases were considered to be work-related, with an intermediate or strong causal relationship in 87 cases. This exclusively male population had a median age of 59 years. Ninety-seven different forms of exposure were identified, including asbestos in 78 cases. The main business sectors concerned were specialized construction (14 cases) and metallurgy (7 cases). Occupational disease notification was recommended in 60 patients, corresponding to asbestos exposure in 80% of cases. CONCLUSIONS Asbestos is the laryngeal cancer risk factor most commonly reported in the network from 2001 to 2016. This study confirms the role of asbestos in laryngeal carcinogenesis. Laryngeal cancer may therefore need to be compensated as an occupational disease in France, as in other European countries.
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Affiliation(s)
- J Grignoux
- Service de santé au travail et maladies liées à l'environnement, CHRU Morvan, 2, avenue Foch, 29609 Brest cedex 2, France.
| | - Q Durand-Moreau
- Service de santé au travail et maladies liées à l'environnement, CHRU Morvan, 2, avenue Foch, 29609 Brest cedex 2, France; LABERS, EA 3149, université de Bretagne occidentale, 22, avenue Camille-Desmoulins, CS 93837, 29238 Brest cedex 3, France
| | - N Vongmany
- Agence nationale de sécurité sanitaire de l'alimentation de l'environnement et du travail (Anses), 14, rue Pierre-et-Marie-Curie, 94700 Maisons-Alfort, France
| | - S Brunel
- Agence nationale de sécurité sanitaire de l'alimentation de l'environnement et du travail (Anses), 14, rue Pierre-et-Marie-Curie, 94700 Maisons-Alfort, France
| | - J-D Dewitte
- Service de santé au travail et maladies liées à l'environnement, CHRU Morvan, 2, avenue Foch, 29609 Brest cedex 2, France; LABERS, EA 3149, université de Bretagne occidentale, 22, avenue Camille-Desmoulins, CS 93837, 29238 Brest cedex 3, France
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