SS57-04 工作场所太阳紫外线风险的预防和健康监测

A. Modenese, F. Gobba
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摘要

全世界有数以亿计的户外工作者暴露在太阳紫外线辐射(UVR)之下,这对他们的眼睛和皮肤造成了多种不良影响。 本报告呼吁采取行动,预防太阳紫外线辐射对户外工作者造成的不良影响,尤其是皮肤癌。 需要充分认识到与太阳紫外线照射有关的职业风险,并进行具体的风险评估,以改进预防工作。风险评估是确定降低风险的最佳干预措施的基础:主要的预防措施包括集体措施和个人措施。集体措施包括技术干预,如遮蔽工作场所受紫外线照射的表面,以及组织措施,如避免在白天的中心时段工作。个人措施包括强制向工人提供个人防护设备(即特定的紫外线过滤帽、衣服和太阳镜),以及建议使用的防晒霜。适当预防的其他基本干预措施包括工人培训和职业健康监测。为了提高人们对这一重要职业风险的认识(即使认识不足),并促进制定更充分的预防政策,增加向工人赔偿机构报告的皮肤癌数量将极为重要。 为了预防与太阳紫外线辐射有关的职业性皮肤癌,必须紧急实施充分的风险评估,确定适当的预防和保护措施,开展具体的工人培训活动,并实施特别的健康监测计划。
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SS57-04 PREVENTION OF SOLAR UVR RISK AT THE WORKPLACE AND HEALTH SURVEILLANCE
Hundreds of millions of outdoor workers worldwide are exposed to solar ultraviolet radiation (UVR), determining several adverse effects to their eyes and skin. The presentation is a call to action for the prevention of solar UVR-induced adverse effects in outdoor workers, and in particular of skin cancers. An adequate recognition of the occupational risk related to solar UVR exposure and a specific risk evaluation are needed to improve prevention. Risk assessment is fundamental for the identification of the best interventions available to reduce the risk: the main preventive measures are collective and individual ones. Collective measures include technical interventions, such as shading of the UV-irradiated surfaces at the workplace, and organizational measures, as avoiding to work during the central hours of the days. Individual measures are the personal protective equipment (i.e. specific UV-filtering hats, clothes and sunglasses) to be compulsorily provided to the workers, and also sunscreens, when recommended. Other fundamental interventions for a proper prevention are workers' training and occupational health surveillance. In order to raise the awareness on this important, even if under-recognized, occupational risk and to stimulate more adequate prevention policies, an increase of the number of skin cancers reported to workers' compensation authorities would be extremely important. To prevent the burden of solar UVR-related occupational skin cancers, an adequate risk evaluation with identification of appropriate preventive and protective measures, specific workers' training initiatives and ad-hoc health surveillance programs must be urgently implemented.
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