| Post-retirement surveillance of workers exposed to asbestos or wood dust: first results of the French national SPIRALE Program. | |
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MedLine Citation:
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PMID: 22166778 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Objectives: in France, 15 000-20 000 cancers attributable to occupational exposure occur each year. These cancers appear most often after the worker has retired. Since 1995, a system of post-retirement medical surveillance (PRMS) has been set up for former workers, but it remains largely underused. Design: the SPIRALE program is a public health intervention aimed at identifying the former workers having been exposed to asbestos or wood dust during their working life and to propose thema PRMS. Additionally, it is also an epidemiologic research on the longterm effects of occupational exposure.We report the results of first years of the program conducted in 2006-2008, in 13 districts. Setting and participants: a self-administered questionnaire was sent to 50 000 newly retired men, to identify potential past occupational carcinogen exposure. For respondents detected as possibly exposed, exposure was assessed in Health Screening Centres and a PRMS was recommended if necessary. Main outcome measures: participation rate, rate of confirmed exposure, increased rate of PRMS, satisfaction about the program. Results: the participation rate was 24%. From 12 002 questionnaires analysed, 72% of respondents were identified as possibly exposed: 3%to wood dust, 50%to asbestos and 19%to both exposures. Exposure to asbestos was confirmed for 73.4%, and according to the level of exposure, PRMSwas recommended for 47.1%. Wood dust exposurewas confirmed for 56.7%. In these districts, PRMS for asbestos increased by 45% and for wood dust by 600%. Additional surveys showed that participants showed a high degree of satisfaction about the program. Conclusions:The results are positive in terms of detection, information andmedical surveillance of exposed workers. |
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Authors:
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Matthieu Carton; Sophie Bonnaud; Mélissa Nachtigal; Angel Serrano; Claudette Carole; Sébastien Bonenfant; Dominique Coste; Patrick Lepinay; Brigitte Varsat; Bertrand Wadoux; Marie Zins; Marcel Goldberg |
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Publication Detail:
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Type: JOURNAL ARTICLE |
Journal Detail:
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Title: Epidemiologia e prevenzione Volume: 35 ISSN: 1120-9763 ISO Abbreviation: - Publication Date: 2011 Sep |
Date Detail:
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Created Date: 2011-12-14 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8902507 Medline TA: Epidemiol Prev Country: - |
Other Details:
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Languages: ENG Pagination: 315-323 Citation Subset: - |
Affiliation:
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Institut national de la santé et de la recherche médicale (Inserm) U1018, Villejuif, France. matthieu.carton@inserm.fr. |
Vernacular Title:
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Post-retirement surveillance of workers exposed to asbestos or wood dust: first results of the French national SPIRALE Program. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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