Burden of Disease from Occupational Exposures

Author(s):  
Jacqueline MacDonald Gibson ◽  
Angela S. Brammer ◽  
Christopher A. Davidson ◽  
Tiina Folley ◽  
Frederic J. P. Launay ◽  
...  
2018 ◽  
Vol 9 (1) ◽  
pp. 56
Author(s):  
Shohreh Naderimagham ◽  
ShararehR NiakanKalhori ◽  
Ali Behzadi ◽  
Hamidreza Maharlou ◽  
Shadi Rahimzadeh ◽  
...  

Acta Medica ◽  
2019 ◽  
Vol 50 (3) ◽  
pp. 17-24
Author(s):  
Defne Kalaycı ◽  
Mehmet Erdem Alagüney ◽  
Ali Naci Yıldız

Objective: The number of occupational diseases are lower than expected in Turkey. We aimed to estimate the number of occupational diseases, work-related diseases, and deaths due to occupational exposures by using international estimations of attribution of workplace in this descriptive study. Methods: The attributable fraction values to occupation for selected diseases and deaths were compiled from the literature. Information on these diseases and deaths in Turkey was obtained from national burden of disease studies and statistics of Turkish Statistical Institute. The estimated number of occupational diseases, work-related diseases and deaths due to occupational exposures were calculated by using the number of diseases and deaths in Turkey and by the fraction of occupational exposures by using literature. Results: Based on the data of national burden of disease studies in Turkey; 321,868 musculoskeletal disorders, 79,232 to 95,845 circulatory system diseases, 38,994 to 56,992 chronic obstructive pulmonary diseases, 14,563 to 19,858 asthma cases, 29,550 hearing losses, and 4,902 to 16,341 cancer cases are estimated to be work-related. According to the Turkish Statistical Institute data, the number of deaths due to occupational causes was estimated to be 8,143 in circulatory system diseases; 1,913 in malignant tumors; and 2,130 in respiratory system diseases. However, the lowest and the highest number of occupational diseases announced by the Social Security Institution between 2007 and 2016 is 371 and 1,208, respectively. Conclusion: There are deficiencies in the diagnosis and reporting of occupational diseases. In order to plan and implement preventive actions, data should be reported in a large scale and reliable manner.


2012 ◽  
Vol 55 (10) ◽  
pp. 940-952 ◽  
Author(s):  
Tiina J. Folley ◽  
Leena A. Nylander-French ◽  
Darren M. Joubert ◽  
Jacqueline MacDonald Gibson

2020 ◽  
Vol 77 (3) ◽  
pp. 142-150 ◽  
Author(s):  

ObjectivesThis paper presents detailed analysis of the global and regional burden of chronic respiratory disease arising from occupational airborne exposures, as estimated in the Global Burden of Disease 2016 study.MethodsThe burden of chronic obstructive pulmonary disease (COPD) due to occupational exposure to particulate matter, gases and fumes, and secondhand smoke, and the burden of asthma resulting from occupational exposure to asthmagens, was estimated using the population attributable fraction (PAF), calculated using exposure prevalence and relative risks from the literature. PAFs were applied to the number of deaths and disability-adjusted life years (DALYs) for COPD and asthma. Pneumoconioses were estimated directly from cause of death data. Age-standardised rates were based only on persons aged 15 years and above.ResultsThe estimated PAFs (based on DALYs) were 17% (95% uncertainty interval (UI) 14%–20%) for COPD and 10% (95% UI 9%–11%) for asthma. There were estimated to be 519 000 (95% UI 441,000–609,000) deaths from chronic respiratory disease in 2016 due to occupational airborne risk factors (COPD: 460,100 [95% UI 382,000–551,000]; asthma: 37,600 [95% UI 28,400–47,900]; pneumoconioses: 21,500 [95% UI 17,900–25,400]. The equivalent overall burden estimate was 13.6 million (95% UI 11.9–15.5 million); DALYs (COPD: 10.7 [95% UI 9.0–12.5] million; asthma: 2.3 [95% UI 1.9–2.9] million; pneumoconioses: 0.58 [95% UI 0.46–0.67] million). Rates were highest in males; older persons and mainly in Oceania, Asia and sub-Saharan Africa; and decreased from 1990 to 2016.ConclusionsWorkplace exposures resulting in COPD, asthma and pneumoconiosis continue to be important contributors to the burden of disease in all regions of the world. This should be reducible through improved prevention and control of relevant exposures.


2020 ◽  
Vol 77 (3) ◽  
pp. 133-141 ◽  
Author(s):  

ObjectivesThis study provides an overview of the influence of occupational risk factors on the global burden of disease as estimated by the occupational component of the Global Burden of Disease (GBD) 2016 study.MethodsThe GBD 2016 study estimated the burden in terms of deaths and disability-adjusted life years (DALYs) arising from the effects of occupational risk factors (carcinogens; asthmagens; particulate matter, gases and fumes (PMGF); secondhand smoke (SHS); noise; ergonomic risk factors for low back pain; risk factors for injury). A population attributable fraction (PAF) approach was used for most risk factors.ResultsIn 2016, globally, an estimated 1.53 (95% uncertainty interval 1.39–1.68) million deaths and 76.1 (66.3–86.3) million DALYs were attributable to the included occupational risk factors, accounting for 2.8% of deaths and 3.2% of DALYs from all causes. Most deaths were attributable to PMGF, carcinogens (particularly asbestos), injury risk factors and SHS. Most DALYs were attributable to injury risk factors and ergonomic exposures. Men and persons 55 years or older were most affected. PAFs ranged from 26.8% for low back pain from ergonomic risk factors and 19.6% for hearing loss from noise to 3.4% for carcinogens. DALYs per capita were highest in Oceania, Southeast Asia and Central sub-Saharan Africa. On a per capita basis, between 1990 and 2016 there was an overall decrease of about 31% in deaths and 25% in DALYs.ConclusionsOccupational exposures continue to cause an important health burden worldwide, justifying the need for ongoing prevention and control initiatives.


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