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Estimating the global burden of disease from occupational exposures

Occupational and environmental medicine (London, England), 2020-03, Vol.77 (3), p.131-132 [Peer Reviewed Journal]

Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ. ;2020 Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ. ;ISSN: 1351-0711 ;EISSN: 1470-7926 ;DOI: 10.1136/oemed-2019-106349 ;PMID: 32054816

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  • Title:
    Estimating the global burden of disease from occupational exposures
  • Author: Loomis, Dana
  • Subjects: Air pollution ; Bladder ; Body mass ; Body mass index ; Body size ; Cancer ; Carcinogens ; Diet ; Dietary fiber ; Employment ; Estimates ; Exposure ; Fatalities ; Fumes ; Indoor air pollution ; Meat ; Mortality ; Occupational diseases ; Occupational exposure ; Occupational health ; Outdoor air quality ; Passive smoking ; Physical activity ; Population growth ; Public health ; Respiratory diseases ; Risk analysis ; Risk factors ; Scientific papers ; Tobacco ; Welding fumes
  • Is Part Of: Occupational and environmental medicine (London, England), 2020-03, Vol.77 (3), p.131-132
  • Description: [...]data from GBD reports have become a common source of supporting data for the background sections of research papers, grant proposals and policy documents. While the corresponding attributable proportion, 2.8% of all deaths, may look like a small part of the public health picture, contributing, perhaps, to an impression that occupational exposures are not very important anymore, other GBD data4 indicate that, in fact, occupational exposures account for more deaths than a number of well-known risk factors that tend to receive far more attention from the public and policy makers, including low physical activity, low dietary fibre, high red and processed meat consumption, drug use and unsafe sex. Another finding of broad interest is the observation that while the estimated rates of mortality and disability-adjusted life years (DALYs) attributable to occupational risk factors declined over 26 years of GBD data, the absolute numbers increased, apparently due to growth of employment in exposed occupations.1 For cancer, too, these new GBD estimates2 show that the population impact of occupational exposures appears to outrank that of many prominent risk factors, including ambient and household air pollution, high body mass index, secondhand tobacco smoke outside the workplace and every individual dietary component evaluated in recent GBD reports.4 As for the overall burden of occupational exposures, the estimated numbers of deaths and DALYs attributed to occupational carcinogens have increased over time, even while the rates decreased. [...]the estimates for cancer are based on only 14 of 47 currently recognised carcinogens with evidence of occupational exposure.5 This decision was taken in part because of a lack of exposure data for many of those agents.2 However, although based on exposure rather than outcomes, it effectively excludes several types of cancer, notably cancer of the bladder, that are known to be associated with established occupational carcinogens.5 Including other occupational carcinogens, particularly those with high relative risks or large numbers of exposed workers, such as welding fumes,6 could lead to higher burden estimates.
  • Publisher: England: BMJ Publishing Group LTD
  • Language: English
  • Identifier: ISSN: 1351-0711
    EISSN: 1470-7926
    DOI: 10.1136/oemed-2019-106349
    PMID: 32054816
  • Source: AUTh Library subscriptions: ProQuest Central
    Alma/SFX Local Collection
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