Radon exposure as an occupational risk factor for lung cancer in conventional workplaces. An overview.

Expert review of respiratory medicine Pub Date : 2024-12-01 Epub Date: 2024-12-22 DOI:10.1080/17476348.2024.2444363
Lucía Martin-Gisbert, Guadalupe García, Ana Teijeiro, Alberto Ruano-Ravina
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Abstract

Introduction: Radon gas has been a declared human carcinogen for more than 30 years and has been causally associated with lung cancer. Studies have shown a linear relationship between residential radon exposure and lung cancer risk.

Areas covered: Initially, this risk was subjected to cohorts of underground miners and then in case-control studies in the general population.While the evidence on residential radon exposure and lung cancer risk is extensive, there is little evidence on occupational radon exposure in conventional workplaces. Studies estimating radon-attributed mortality and prevalence also consider only residential radon exposure.

Expert opinion: As individuals are also exposed to radon in the workplace, further studies should incorporate an integrated assessment of radon exposure, including both residential and occupational exposure.The European Council Directive established specifications for occupational exposure to radon, indicating the reference level and making it mandatory to measure radon in the workplace. EU countries have adopted national legislation incorporating this framework, some relatively recently. These regulations create an unprecedented situation for previously and currently exposed workers. It is important that the legislation on the determination of radon concentrations in the workplace is rigorously enforced and introduced in countries where this is not yet the case.

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氡暴露作为传统工作场所肺癌的职业风险因素。概述。
引言:氡气被宣布为人类致癌物已有30多年,与肺癌有因果关系。研究表明,住宅氡暴露与肺癌风险之间存在线性关系。所涵盖的领域:最初,这种风险是针对地下矿工群体的,然后是针对一般人群的病例对照研究。虽然关于住宅氡暴露与肺癌风险的证据非常广泛,但关于传统工作场所职业性氡暴露的证据却很少。估计氡导致的死亡率和流行率的研究也只考虑住宅氡暴露。专家意见:由于个人也在工作场所暴露于氡,进一步的研究应纳入对氡暴露的综合评估,包括住宅和职业暴露。欧洲理事会指令确定了职业氡暴露的规格,指明了参考水平,并规定必须测量工作场所的氡。欧盟国家已经通过了包含这一框架的国家立法,其中一些是最近才通过的。这些规定给以前和现在受到感染的工人造成了前所未有的局面。重要的是,必须严格执行关于确定工作场所氡浓度的立法,并在尚未这样做的国家推行立法。
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