pan american health organization.... online course occupational and environmental cancer:...
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Pan AmericanHealthOrganization
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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