OCCUPATIONAL CANCER EPIDEMIOLOGY: OPPORTUNITIES AND CHALLENGES
Abstract. It is estimated that exposure to carcinogens at the workplace are responsible for around 3-5% of the total cancer burden in Europe; this figure may be even somewhat higher for the Russian Federation due to its large industrial workforce. As most occupational exposures are modifiable risk factors, occupational hygiene and safety has a major role in primary cancer prevention. While both experimental and epidemiological studies contribute to the identification of carcinogens, ultimately the epidemiology is needed for determining the risk of individuals and populations under real-life exposure conditions and co-exposures. Occupational cohort studies are a very strong methodology to obtain this scientific evidence and with the conduct of a large-scale study of chrysotile workers in Asbest, Sverdlovsk Oblast, a blueprint has been developed on how to conduct further studies of that type in other industries. This will inform the elimination strategy of occupational cancer in the Russian Federation as well as our understanding of occupational cancers on global scale.