Designing exposure registries for improved tracking of occupational exposure and disease

Arrandale, Victoria H; Bornstein, Stephen; King, Andrew; Takaro, Timothy; Demers, Paul A.

doi:10.17269/cjph.107.5039

Cited by 6 publications

(3 citation statements)

References 14 publications

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“…Such information on the actual exposure of a person can be incorporated into a logistical prevention concept to maximize the compliance of tailored protective measures. This work is intended to better compare studies with different measurement approaches and thus enable the construction of international exposure registries and job exposure matrices (JEM) [4,55]. The goal must be to reduce UV-induced skin diseases worldwide and to show people in general how to deal with solar radiation in a healthy way.…”

Section: Discussionmentioning

confidence: 99%

“…This is in addition to prevention activities by different stakeholders, legislation on preventive measures, or even limit values based on exposure measurements and the conclusions drawn from them. This makes it possible to determine when and where people are exposed the most and to develop tailor-made prevention strategies for both leisure time and occupational behavior [4].…”

Section: Introductionmentioning

confidence: 99%

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Bringing Light into Darkness—Comparison of Different Personal Dosimeters for Assessment of Solar Ultraviolet Exposure

Strehl

Heepenstrick

Knuschke

et al. 2021

IJERPH

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(1) Measuring personal exposure to solar ultraviolet radiation (UVR) poses a major challenges for researchers. Often, the study design determines the measuring devices that can be used, be it the duration of measurements or size restrictions on different body parts. It is therefore of great importance that measuring devices produce comparable results despite technical differences and modes of operation. Particularly when measurement results from different studies dealing with personal UV exposure are to be compared with each other, the need for intercomparability and intercalibration factors between different measurement systems becomes significant. (2) Three commonly used dosimeter types—(polysulphone film (PSF), biological, and electronic dosimeters)—were selected to perform intercalibration measurements. They differ in measurement principle and sensitivity, measurement accuracy, and susceptibility to inaccuracies. The aim was to derive intercalibration factors for these dosimeter types. (3) While a calibration factor between PSF and electronic dosimeters of about 1.3 could be derived for direct irradiation of the dosimeters, this was not the case for larger angles of incidence of solar radiation with increasing fractions of diffuse irradiation. Electronic dosimeters show small standard deviation across all measurements. For biological dosimeters, no intercalibration factor could be found with respect to PSF and electronic dosimeters. In a use case, the relation between steady-state measurements and personal measurements was studied. On average, persons acquired only a small fraction of the ambient radiation.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Bringing Light into Darkness—Comparison of Different Personal Dosimeters for Assessment of Solar Ultraviolet Exposure

Strehl

Heepenstrick

Knuschke

et al. 2021

IJERPH

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“…Exposure to occupational carcinogens is a major public health issue, and the monitoring of such exposures is essential for preventing occupational cancer in the workplace [1].…”

Section: Introductionmentioning

confidence: 99%

Assessment of Occupational Carcinogenic Risk by Comparing Data from the Italian Register of Occupational Exposures to Carcinogens (SIREP) with the International Agency for Research on Cancer (IARC) Evidence

Paris

Scarselli

Marinaccio

et al. 2023

IJERPH

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In Italy, the National Register on Occupational Exposure to Carcinogens (SIREP) is established pursuant to article 243 of Legislative Decree 81/2008 and is aimed to collect information on the exposure of workers to carcinogens transmitted by employers. The aim of this study is to assess its level of implementation comparing prevailing carcinogens reported in SIREP with the monitoring of risks in the workplace evidenced by the International Agency for Research on Cancer (IARC). The data reported in the SIREP have been integrated with IARC and the database on carcinogenic risk in the workplace named MATline in order to build a matrix containing the carcinogens classified according to the IARC (Group 1 and 2A agents) and to a semi-quantitative indicator of risk level (High or Low) calculated upon the number of exposures reported in SIREP. The matrix contains the following data: carcinogens, economic sector (NACE Rev2 coding) and cancer sites. The comparison between SIREP and IARC evidence allowed us to highlight situations with a high risk of carcinogenicity and to address appropriate actions of prevention to contain the risks of exposure to carcinogenic substances.

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Surveillance of asbestos related disease among workers enrolled in an exposure registry

Arrandale,

Berriault,

Song

et al. 2024

American J Industrial Med

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IntroductionContemporary asbestos exposure occurs during construction, remediation, and maintenance involving asbestos‐containing materials (ACM), as compared to the historical exposure scenarios of asbestos mining and milling. The Ontario Asbestos Workers Register (AWR) was established in 1986 to track asbestos exposure among construction workers. This study reports on the risk of asbestos‐related diseases (ARD) among workers in the AWR.MethodsAWR registrants were linked probabilistically with administrative health databases (1986–2019) to identify cases of ARD including both cancer and chronic respiratory disease. Follow‐up began at AWR enrollment and continued prospectively. Incidence rates were compared to the general population using standardized incidence ratios (SIRs). Associations between ACM exposure and ARD were estimated among AWR registrants using Poisson regression.ResultsIn total, 26,204 (81%) registrants were linked successfully. Common industries of employment were construction (62%), manufacturing (19%) and education (8%). Among men and women mesothelioma (M:SIR 6.83 [95% CI = 5.56−8.31]; W:SIR 19.2 [3.86−56.1]) and pulmonary fibrosis (M:SIR 14.1 [12.2−16.2]; W:SIR 9.25 [2.49−23.7]) rates were higher than the general population. Asbestosis risk was elevated among men (M:SIR 11.2 [9.59−13.1]). Workers with longer reported exposures (≥140 h) had increased rates of lung cancer (RR 1.34 [1.10–1.63]), mesothelioma (RR 2.83 [1.75–4.58]), asbestosis (RR 3.07 [2.12–4.43]), chronic obstructive pulmonary disease (RR 1.42 [1.29–1.57]), and pulmonary fibrosis (RR 1.88 [1.35–2.62]).ConclusionExposure to asbestos in construction and building maintenance continues to contribute to ARD incidence. Despite a Canadian ban on asbestos in new products, exposures to existing ACM will persist from construction activities. The AWR offers an opportunity for ongoing surveillance of resulting ARD in Ontario.

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Designing exposure registries for improved tracking of occupational exposure and disease

Cited by 6 publications

References 14 publications

Bringing Light into Darkness—Comparison of Different Personal Dosimeters for Assessment of Solar Ultraviolet Exposure

Bringing Light into Darkness—Comparison of Different Personal Dosimeters for Assessment of Solar Ultraviolet Exposure

Assessment of Occupational Carcinogenic Risk by Comparing Data from the Italian Register of Occupational Exposures to Carcinogens (SIREP) with the International Agency for Research on Cancer (IARC) Evidence

Surveillance of asbestos related disease among workers enrolled in an exposure registry

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