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. Online course Occupational and Environmental Cancer: Recognition and Prevention Workers’ Health Sustainable Development and Environmental Health Area (SDE) PAHO / WHO. Over 10 million cancer deaths could have been prevented in the past 30 years by improving living and working conditions.
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. . Online course Occupational and Environmental Cancer: Recognition and Prevention Workers’ Health Sustainable Development and Environmental Health Area (SDE) PAHO / WHO
Over 10 million cancer deaths could have been prevented in the past 30 years by improving living and working conditions. Photo: Andrés Bernardo López Carrasco, 2010 Photo: Jonh M. Astete Cornejo, 2010
Global burden of the disease 19% of all cancer cases are attributable to the environment, including the workplace1. 1.3 million deaths annually.1 Occupational Cancer: Key facts 160* Occupational carcinogens2 (pesticides, asbestos, benzene, crystal silica, sun exposure and tobacco smoke)3. Lung cancer, mesothelioma, leukemia and bladder cancer are among the most common types of occupational cancers. One out of 10 of all lung cancer, is closely related to risks in the workplace. Occupational Cancer Panorama • (1) Environmental and Occupational Determinants of Cancer: Interventions for Primary Prevention. WHO 2011. • *28 definite; 27 probable; 113 possible human carcinogens; (2) Peto 2001; 2Rosenstock et al. 2006; • (3) Clapp et al. 2005; (4) Driscoll et al. 2003.
Risk Factors in the Americas Asbestos Is responsible for 50% of all deaths from occupational cancer (Peto, 2001). Pesticides An increase in cases of childhood leukemia is related to maternal exposure. Viral Infections The proportion of Hepatitis B infection due to contaminated sharps among health care workers is up to 83%. Tobacco Workers heavily exposed to second hand smoke at their workplaces have twice the risk of developing lung cancer (WHO, 2007).
Occupational Cancer is Preventable! Intra-Regional Disparities AMR A: CAN, USA, CUB AMR B: COL, GUY, PAN, SUR, BRA, COR, VEN, ANT, BAR, BLZ, DOM, DOR, ELS, GRE, HON, JAM, St. Kitts & Nevis, St. Lucia, St. Vincent & the Grenadines, MEX, CHL, TRT, BAH, PAR, ARG AMR D: ECU, PER, GUT, HAI, NIC, BOL, PER Driscoll et al 2005
Target Audience Primary health care professionals (doctors, nurses, occupational therapists, others). Public health personnel. Medical, nursing students, and others. Anyone who is interested in occupational health.
Occupational and Environmental Cancer: Recognition and Prevention • Objectives: • To utilize and access the published lists of occupational carcinogens; • To obtain and interpret a work history; • To identify a carcinogen; • To recognize occupational and environmental carcinogens; • To identify the steps necessary to follow if a occupational or environmental cancer is suspected; • To assess and identify cancer clusters; and • To establish preventive programs.
1. Introduction 2. Carcinogen agents: scientific support 3. Carcinogen agents: lists 4. Obtain the history of exposure 5. Interpretation of the history of exposure 6. Performance monitoring 7. Additional factors to observe 8. Cancer case clusters 9. Conclusions Occupational and Environmental Cancer: Recognition and Prevention - Modules
Occupational and Environmental Cancer: Recognition and Prevention • Free • Self-learning • Interactive • Comprehensive and preventive approach • Access to links • Case studies
Case Study: The Agriculture in Central America A pesticide poisoning surveillance system integrated into a national epidemiological database Formation of 300 local, intra-sectoral committees (CLIPS) in seven countries. Legislation to ban or restrict the use of 119 pesticides in 7 countries. Workers compensation. Education (various topics and audiences.) Development of alternative methods for agriculture.
Acknowledgements • P. K. Abeytunga • Leiliane Amorim • Ada Ávila • María Teresa Espinoza • Marilyn A. Fingerhut • Antonino Germano • Catherine Jo • Marie-Claude Lavoie • María Sofía Lioce-Mata • Timo Chris Moore • Lyne Paquin • Timo Partenen • Yoan Mayta Paulet • Julietta Rodríguez Guzmán • Francisco R. Sáenz • Coral Sainz • Luz Maritza Tennassee • Débora Priscila Zazueta • Equipo KMC/OPS: • - Julia Aymerich • - Paulo Leite • - María Fernanda Lozano de Muñoz • - Lucila Pacheco
Thank you Muchas Gracias Merci Obrigado Links:www.paho.org/workershealth www.paho.org/saludocupacional/cancer Collaboration, Coordination and Commitment