The Position Paper (PP) on asbestos of the Italian Society of Occupational Medicine (SIML) aims at providing a tool to the occupational physician to address current diagnostic criteria and results of epidemiological studies, and their consequences in terms of preventive and evaluation actions for insurance, compensation and litigation. The PP was based on an extensive review of the scientific literature and was compiled by a Working Group comprising researchers who have contributed to the international literature on asbestos-related diseases, as well as occupational physicians with extensive experience in the evaluation of risks and the medical surveillance of workers currently and formerly exposed to asbestos. The PP was drafted and reviewed between 2017 and 2018; its final version was prepared according to the guidelines of AGREE Reporting Checklist.
View Article and Find Full Text PDFThis paper summarises the past, present and future of asbestos exposure. The future scenarios as to the mesothelioma incidence in countries, where asbestos has been banned, are discussed.
View Article and Find Full Text PDFThe second update of the Italian Society of Occupational Medicine and Industrial Hygiene (SIMLII) guidelines on Cancerogens and Mutagens, first published in 2003 and reviewed in 2007, is presented. The general setting of the guidelines remaines unmodified. In this new release some important developments on regulatory system, risk assessment, and health surveillance are discussed.
View Article and Find Full Text PDFG Ital Med Lav Ergon
April 2013
European (Directive 2003/10/CE) and italian rules (DLgs 81/08), both establish that "as far as technically achievable, any effects on workers' health and safety resulting from interactions between noise and work-related ototoxic substances, and between noise and vibrations". The scientific knowledge on this subject is still lacking, but are generally considered as ototoxic, either alone or in concert with noise, toluene, styrene, ethylbenzene, carbon disulphide, lead, mercury and carbon monoxide. With particular reference to health surveillance we propose yearly audiograms for workers whose exposures are at 50% or more of the specific OEL, for noise LEPd less than 85 dB(A); for concomitant noise LEPd greater than 85 dB(A) (by wich workers are normally submitted to an yearly audiogram) the occupational physician will consider if shorten the time between audiograms.
View Article and Find Full Text PDFG Ital Med Lav Ergon
January 2010
Italian law on safety at work does not clarify specific levels of load for safe manual material handling. For this reason professionals appointed for safety need to define new target range value for the correct application of D.Lgs.
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