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Online course

Occupational and Environmental Cancer: Recognition and Prevention

Workers’ HealthSustainable Development and Environmental

Health Area (SDE)PAHO / WHO

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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

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Occupational Cancer Panorama Occupational Cancer Panorama

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.

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.

(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.

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AsbestosIs responsible for 50% of all deaths from occupational cancer (Peto, 2001).

PesticidesAn 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).

Risk Factors in the AmericasRisk Factors in the Americas

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Occupational Cancer is Preventable!Occupational Cancer is Preventable!

Driscoll et al 2005

AMR A: CAN, USA, CUBAMR 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, ARGAMR D: ECU, PER, GUT, HAI, NIC, BOL, PER

AMR A: CAN, USA, CUBAMR 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, ARGAMR D: ECU, PER, GUT, HAI, NIC, BOL, PER

Intra-Regional Disparities

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Target Audience 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.

Primary health care professionals (doctors, nurses, occupational therapists, others).

Public health personnel. Medical, nursing students, and others. Anyone who is interested in occupational health.

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Occupational and Environmental Cancer: Recognition and Prevention

Objectives:

1. To utilize and access the published lists of occupational carcinogens;

2. To obtain and interpret a work history;3. To identify a carcinogen;4. To recognize occupational and environmental carcinogens;5. To identify the steps necessary to follow if a occupational

or environmental cancer is suspected;6. To assess and identify cancer clusters; and7. To establish preventive programs.

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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

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 - Modules

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Occupational and Environmental Cancer: Recognition and Prevention

Occupational and Environmental Cancer: Recognition and Prevention

Free Self-learning Interactive Comprehensive

and preventive approach

Access to links Case studies

Free Self-learning Interactive Comprehensive

and preventive approach

Access to links Case studies

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Case Study: The Agriculture in Central America

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.

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AcknowledgementsAcknowledgements

• 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

• 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

• 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

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Thank you

Muchas Gracias

Merci

Obrigado

Links: www.paho.org/workershealth www.paho.org/saludocupacional/cancer

Thank you

Muchas Gracias

Merci

Obrigado

Links: www.paho.org/workershealth www.paho.org/saludocupacional/cancer

Collaboration, Coordination and Commitment