DATABASE FOR OCCUPATIONAL CANCER EXPOSURE EVIDENCE Felicia STROE Dana by the36chambers

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									DATABASE FOR OCCUPATIONAL CANCER EXPOSURE EVIDENCE
Felicia STROE, Dana MATES Introduction. In occupational health and safety policy, as in many other vital human domain, a good evidence represent a scientific base for all levels of decision. In 1995, in order to monitoring the occupational cancer risk, a project was conducted with Medical Preventive Center (OHS) from a big city. For this purpose we tried to create the databases of the “worksites at risk” and “exposed workers “. This paper, trying to be an example of our efforts and constraints, is an incitation of international experience transfer, because, unfortunatelly, the problems determining the official nonregistered cases are still present! Methods.The databases have been designed using the EpiInfo software package. For each workplace we listed: the name of the company, the economic activity, the presence of potential known carcinogenic agents, the exposure level (if it is possible), the number of persons exposed, the results of periodical medical examinations. Data have been collected from the plant’s medical service and from the OHS. The personnel database could not be tested. Results and discussion. Many factors, generated by the economic Romanian transition period,, influenced the quality and the completeness of the collected data: the changes in the plants’ organization; the use of unknown substances, equipment or technologies; the unemployment and personnel’ turnover due to the reorganization of the units; the new small economic unit; the high costs of working environment monitoring; the lack of the law and regulation concerning occupational cancer risk. By data - processing we identified 33 units, 98 workplaces and 1632 exposed workers (from which 56% with over 10 years of exposure). The highest percent of persons (27%) was registered to chromium [VI] &compounds and to mineral oils (22%). Conclusions. Databases designed tried to be a preliminary draw of the national register of workers exposed to carcinogenic substances; it was useful for the inventory of workplaces and people. By improvement of the collected data it will be possible to improve the control of occupational hazards and the longitudinal medical survey of the workers, even after their retirement or in case of workplace changing.

Mariana Felicia STROE, senior researcher of biostatistics, informatics and health economic “Oncology and Occupational Pneumology Dept.”, Institute of Public Health, 1-3, Dr. Leonte Str., 76256, Bucharest, Romania Tel: (40 1) 6384010/int.140, fax (40 1) 3123426; e-mail: mafyst@hotmail.com

THE BENEFITS OF ACUPUNCTURE IN TREATING PROFESSIONAL BRONCHIAL ASTHMA CAUSED BY THE SENSITIVITY TO TEXTILE POWDER COTTON FIBER BLEND
Carmen Mihaila, Felicia Stroe

INTRODUCTION: Bronchial asthma is a chronicle inflammatory affection of the airways characterized by a plurifactorial etiology.Most cases of professional bronchial asthma caused by increased sensitivity to textile powder are generated by exposure to Cotton and Fiber Blend. Through this paper we wish to emphasize the benefits of acupuncture in treating professional bronchial asthma. MATERIAL AND METHOD We have chosen two homogeneous groups consisting each of 30 females, admitted in the Professional Diseases Clinic of the “Colentina Hospital” from Bucharest (in the year 2000) and diagnosed with professional bronchial asthma, caused by the sensitivity to textile powders. The patients treatment was decided given the severity of the illness accordingly: inhaling corticoids and/or sistemics, -agonics of short and long term effect, xantines and anticolinergics. The control-group was handled with the alopat treatment mentioned above. For the study-group, to the classical medication, acupuncture was added (1 session/day, for 10 days) The acupuncture treatment was centered on: fighting the bronchial inflammation; reducing the bronchial spasm, the fluidification of the sputa, stopping of the coughing and sedating the patient. RESULTS AND DISCUSSION The evaluating of the treatments’ efficiency was estimated by the clinical evolution and the bettering of the functional respiratory parameters. In the study group, the respiratory functional evidence bettered in 20 patients (66.6%), while in the control group only 8 patients bettered (26.6%). Statistical testing of the differences observed in which regards the obtained results emphasized the significant effect of acupuncture treatment (p<0.05) CONCLUSIONS. Acupuncture treatment in professional bronchial asthma caused by sensitivity to Cotton and Fibber Blends has certified therapeutic effects. Best results were obtained on patients who were not under treatment with systemic cortisone. Results were spectacular in cases in which the psychological played an important part in starting asthmatic crisis. The use of acupuncture helped to reduce the use of drugs and tried to prevent addiction to cortisone; also we reduced the average hospitalizing time by three days.

Carmen Mihaila,M.D. - Institute of Public Health, Professional Diseases Clinic, Str. Dr. Leonte nr. 1-3, sector 5, cod 76256, BUCHAREST, ROMANIA, Tel: (40 1) 6384010, fax (40 1) 3123426

INCONSISTENCIES IN MONITORING THE HEALTH CONDITION OF WORKERS EMPLOYED IN SOME SMALL ENTERPRISES
Carmen Mihaila, Eugenia Naghi, Cristina Bunghez, Felicia Stroe

INTRODUCTION This paper purpose is to draw attention to some dysfunctions occurring in the monitoring of workers professional environment and health status. The study is based on observing some workers employed in an enterprise , which has as an operating domain in collecting , recuperating and delivering of used batteries. MATERIAL AND METHOD In 2000, 8 male workers, aged 22-33, who had been employed within the above mentioned enterprise between seven months and one year and a half , were admitted in the Professional Diseases Clinic of the “Colentina Hospital” in Bucharest. After clinical and paraclinical investigations they were diagnosed with “lead chronical professional intoxication” RESULTS AND DISCUSSION Each patient has been treated with edetamin (2 f/day IV injections for 5 days, 3 days of break in treatment and afterwards another 5 days treatment). After being released for only 4 months, patient H.F., aged 33, was readmitted by emergency and diagnosed with saturnism chronic, having biotoxicologic levels sensibly higher; the reason was found to be the patients’ disregardence as to the recommendations given to him, as he was first admitted. We draw attention to two cases, which almost lack in symtomatology (upon admittance, the two patients only complained of an asthenovegetative syndrome) and this would have easily been discarded if not of the knowledge concerning their exposition to Pb. The patients biotoxicological outcome was proofgiving and so the both have been submitted to edetamin treatment. Up to now, 8 workers (57.5%) from the total of 14 employed of that enterprise were released from the Professional Diseases Clinic of the “Colentina Hospital” in Bucharest with “lead occupational poisoning”. They denied consuming counterfeit alcohol. CONCLUSIONS. After the investigation lead by “The Public Health Dept. – Occupational Health Division” , in order to declare the occurrence of occupational diseases, major inconsistencies in the monitoring the work environment and the workers ‘ healthstate, were found. Romanian current legislation states that medical surveillance of the work environment and the employees’ health condition is compulsory for all departments, public or private.

Carmen Mihaila,M.D. - Institute of Public Health, Professional Diseases Clinic, Str. Dr. Leonte nr. 1-3, sector 5, cod 76256, BUCHAREST, ROMANIA, Tel: (40 1) 6384010, fax (40 1) 3123426


								
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