Reported Occupational Respiratory Diseases in Three Spanish Regions
Por:
Orriols, R, Isidro, I, Abu-Shams, K, Costa, R, Boldu, J, Rego, G, Zock, JP, Cortés I., Enfermedades Resp Ocupacionales Y
Publicada:
1 sep 2010
Resumen:
Background In 2002, a voluntary registry of occupational respiratory diseases was initiated in the test phase in Asturias, Catalonia, and Navarre (Spain). Based on data from the fully implemented voluntary registry, we assessed the differences in the incidence and characteristics of the diseases reported in the three regions studied and compared them with those notified to the compulsory official system.
Methods Physicians whose daily practice includes patients with occupational respiratory diseases were invited to participate. Newly diagnosed cases occurring during 2003 in the work force of the three regions studied were reported on a notification form every 2 months. Data from the compulsory official notification system were obtained from statistics on work-related diseases for possible disability benefits.
Results Five hundred thirty-three new cases, representing a cumulative incidence of 183.52 (168.27-199.78) per million workers per yew; were reported. The number of cases and the incidence, overall and for each disease, causes of the diseases, and the occupations varied considerably between regions. The number of cases reported to the voluntary system was more than threefold greater than the number reported to the compulsory official system.
Conclusions The compulsory scheme for reporting occupational respiratory diseases is seriously under-reporting in the three Spanish regions studied. Our voluntary surveillance program, which showed considerable differences in the characteristics and incidence of these diseases among the regions, appears to be more effective. Am. J. Ind. Med. 53:922-930, 2010. (C) 2010 Wiley-Liss, Inc.
Filiaciones:
Orriols, R:
Hosp Univ Vall Hebron, Serv Pneumol, Barcelona 08035, Spain
Isidro, I:
Univ Oviedo, Hosp Cent Asturias, E-33080 Oviedo, Spain
Abu-Shams, K:
Hosp Virgen Camino, Pamplona, Spain
Costa, R:
Hosp Mutua Terrassa, Terrassa, Spain
Boldu, J:
Hosp Virgen Camino, Pamplona, Spain
Rego, G:
Univ Oviedo, Hosp Cent Asturias, E-33080 Oviedo, Spain
Zock, JP:
IMIM Hosp Mar, Municipal Inst Med Res, Barcelona, Spain
Cortés I.:
Agència de Salut Pública de Barcelona, Barcelona, Spain
CIBER Enfermedades Resp CIBERES, Barcelona, Spain.
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