Abstract
The knowledge of specific problems of occupational cancer in Spain is scarce. The environment of the workplace has improved over the last few years after a long period distinguished by bad working conditions, incomplete legislation, and insufficient safety measures and control. It has been estimated that 3,083,479 workers (25.4% of employees) were exposed to carcinogens. The most common occupational exposures to carcinogenic agents were solar radiation, environmental tobacco smoke, silica, and wood dust. The highest number of employees were exposed to silica crystalline (404,729), diesel engine exhaust (274,321), rubber products (99,804), benzene (89,932), ethylene dibromide (81,336), agents used in furniture and cabinet making (72,068), and formaldehyde (71,189). The percentage of total cancer deaths attributed to occupational exposure was 4% (6% in men, 0.9% in women). Compared with other European countries, the incidence of lung cancer and leukemia in Spain are one of the lowest, but it is rapidly increasing. The incidence of urinary bladder and larynx cancer, on the contrary, are one of the highest. Few studies on occupational cancer have been conducted in Spain. The main problems are the availability of death certificates and the quality of the information on occupation in mortality of statistics. It is necessary to improve methods of assessment of exposures using expert hygienists and biologic markers of exposure and diseases. Reduction of cancer by limiting or avoiding exposure to known occupational carcinogens is still necessary.
Full text
PDF




Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Alvarez E., Aurrekoetxea J. J., Santa Marina L., Marzana I. Exposición a plaguicidas organofosforados en trabajadores de invernaderos del País Vasco. Med Clin (Barc) 1993 Nov 27;101(18):681–683. [PubMed] [Google Scholar]
- Doll R., Peto R. The causes of cancer: quantitative estimates of avoidable risks of cancer in the United States today. J Natl Cancer Inst. 1981 Jun;66(6):1191–1308. [PubMed] [Google Scholar]
- García Gómez M., Kogevinas M. Estimación de la mortalidad por cáncer laboral y de la exposición a cancerígenos en el lugar de trabajo en España en los años 90. Gac Sanit. 1996 May-Jun;10(54):143–151. doi: 10.1016/s0213-9111(96)71887-3. [DOI] [PubMed] [Google Scholar]
- Gispert Magarolas R. G. La variable professió en les estadístiques de mortalitat. Gac Sanit. 1989 Mar-Apr;3(11):371–376. doi: 10.1016/s0213-9111(89)70956-0. [DOI] [PubMed] [Google Scholar]
- Gonzales C. A., Riboli E., Lopez-Abente G. Bladder cancer among workers in the textile industry: results of a Spanish case-control study. Am J Ind Med. 1988;14(6):673–680. doi: 10.1002/ajim.4700140607. [DOI] [PubMed] [Google Scholar]
- González C. A., López-Abente G., Errezola M., Escolar A., Riboli E., Izarzugaza I., Nebot M. Occupation and bladder cancer in Spain: a multi-centre case-control study. Int J Epidemiol. 1989 Sep;18(3):569–577. doi: 10.1093/ije/18.3.569. [DOI] [PubMed] [Google Scholar]
- González C. A., Sanz M., Marcos G., Pita S., Brullet E., Vida F., Agudo A., Hsieh C. C. Occupation and gastric cancer in Spain. Scand J Work Environ Health. 1991 Aug;17(4):240–247. doi: 10.5271/sjweh.1707. [DOI] [PubMed] [Google Scholar]
- Grimalt J. O., Sunyer J., Moreno V., Amaral O. C., Sala M., Rosell A., Anto J. M., Albaiges J. Risk excess of soft-tissue sarcoma and thyroid cancer in a community exposed to airborne organochlorinated compound mixtures with a high hexachlorobenzene content. Int J Cancer. 1994 Jan 15;56(2):200–203. doi: 10.1002/ijc.2910560209. [DOI] [PubMed] [Google Scholar]
- Kogevinas M., Boffetta P. Occupational exposure to carcinogens and cancer occurrence in Europe. Med Lav. 1995 May-Jun;86(3):236–242. [PubMed] [Google Scholar]
- Morales Suarea-Varela M. M., Llopis González A., Cejudo Ferragud A. I. Factores de riesgo asociado a la etiopatogenia del cáncer cutáneo no melanona en Valencia. An Med Interna. 1996 Apr;13(4):171–177. [PubMed] [Google Scholar]
- Nuñez F., Suarez C., Alvarez I., Losa J. L., Barthe P., Fresno M. Sino-nasal adenocarcinoma: epidemiological and clinico-pathological study of 34 cases. J Otolaryngol. 1993 Apr;22(2):86–90. [PubMed] [Google Scholar]
- Pereiro Berenguer I., Sanz Murciano M. C., Escribà Agüir V., Pérez Hoyos S., Benavides F. G. Mortalidad de una cohorte retrospectiva de trabajadores de una siderúrgica española. Problemas metodológicos en la definición de la cohorte. Gac Sanit. 1994 Nov-Dec;8(45):286–293. doi: 10.1016/s0213-9111(94)71205-x. [DOI] [PubMed] [Google Scholar]
- Pollán M., López-Abente G. Wood-related occupations and laryngeal cancer. Cancer Detect Prev. 1995;19(3):250–257. [PubMed] [Google Scholar]
- Regidor E., Gutiérrez-Fisac J. L., Rodríguez C. Increased socioeconomic differences in mortality in eight Spanish provinces. Soc Sci Med. 1995 Sep;41(6):801–807. doi: 10.1016/0277-9536(94)00402-f. [DOI] [PubMed] [Google Scholar]
- Rodríguez Artalejo F., Castaño Lara S., de Andrés Manzano B., García Ferruelo M., Iglesias Martín L., Calero J. R. Occupational exposure to ionising radiation and mortality among workers of the former Spanish Nuclear Energy Board. Occup Environ Med. 1997 Mar;54(3):202–208. doi: 10.1136/oem.54.3.202. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Ródenas J. M., Delgado-Rodríguez M., Herranz M. T., Tercedor J., Serrano S. Sun exposure, pigmentary traits, and risk of cutaneous malignant melanoma: a case-control study in a Mediterranean population. Cancer Causes Control. 1996 Mar;7(2):275–283. doi: 10.1007/BF00051303. [DOI] [PubMed] [Google Scholar]
- Subías Loren P. J., López Crespi F., Brosa Luengo J., Salvador Milian M. A., Casanova Sandoval J. M., Moragues Farres C. Descripción de los hábitos de los agricultores en relación con la aplicación de plaguicidas. Aten Primaria. 1997 Dec;20(10):549–553. [PubMed] [Google Scholar]
- Urbaneja Arrúe F., Aurrekoetxea Agirre J. J., Echenagusía Capelastegui V. Mortalidad en trabajadores de la siderurgia del País Vasco. Gac Sanit. 1995 Sep-Oct;9(50):287–294. doi: 10.1016/s0213-9111(95)71251-1. [DOI] [PubMed] [Google Scholar]
- Vineis P., Cantor K., Gonzales C., Lynge E., Vallyathan V. Occupational cancer in developed and developing countries. Int J Cancer. 1995 Sep 15;62(6):655–660. doi: 10.1002/ijc.2910620602. [DOI] [PubMed] [Google Scholar]
- Vineis P., Simonato L. Proportion of lung and bladder cancers in males resulting from occupation: a systematic approach. Arch Environ Health. 1991 Jan-Feb;46(1):6–15. doi: 10.1080/00039896.1991.9937423. [DOI] [PubMed] [Google Scholar]
- Yélamos F., Díez F., Martín C., Blanco J. L., García M. J., Lardelli A., Peña J. F. Intoxicaciones agudas por insecticidas organofosforados en la provincia de Almería. Estudio de 187 casos. Med Clin (Barc) 1992 May 9;98(18):681–684. [PubMed] [Google Scholar]