Cent Eur J Public Health 2007, 15(3):99-102 | DOI: 10.21101/cejph.a3424
Asbestos Exposure, Legislation and Diseases in the Czech Republic
- 1 Department of Occupational Medicine, Charles University, Prague
- 2 National Institute of Public Health, Prague
Asbestos manufacturing has been banned in the Czech Republic; however, about 280 workers in the 2nd-4th work category have been exposed during the remediation of asbestos, and the health consequences of the former use of asbestos will be apparent for many years. The incidence of mesothelioma in the Czech Republic is about 0.5/100,000 inhabitants, which places it among the lowest incidences of mesothelioma in Europe, and ranks the Czech Republic among the countries with the lowest rates in the world. The proportion of occupational mesotheliomas is only about one-tenth of these malignancies. These data show an underreporting of occupational cancers, most probably due to low awareness of the association of exposures more than 40 years ago with this disease. Physicians should focus more on the occupational history of these patients and refer them to the Departments of occupational diseases. Benefits are available for all patients with mesothelioma, in whom industrial hygienists confirm former exposure to asbestos, corresponding to the latency period.
Keywords: asbestos, mesothelioma, incidence, exposure, remediation
Received: March 7, 2007; Revised: April 11, 2007; Accepted: April 11, 2007; Published: September 1, 2007 Show citation
References
- Carbone M, Kratzke RA, Testa JR. The pathogenesis of mesothelioma. Semin Oncol. 2002 Feb;29(1):2-17.
Go to original source...
- NetolitzkyA. Hygiene der Textilindustrie. Handbuch der Hygiene. Jena: G. Fischer Verlag; 1897.
- Giarelli L, Bianchi C, Bianchi T. Geography of mesothelioma. Eur J Oncol. 2003 Dec;8(4):253-8.
- Paoli P, Parent-Thirion A, Persson O. Working conditions in candidate countries and the European Union. Luxembourg: Office for Official Publications of the European Communities; 2002.
- Cikrt M, Pelclová D, Markvart K, Luká¹ E, Køí¾ J. Occupational and environmental medicine in Czech Republic. Int Arch Occup Environ Health. 1997;69(2):79-82.
Go to original source...
- Urban P, Cikrt M, Hejlek A, Luká¹ E, Pelclová D. The Czech National Registry of Occupational Diseases. Ten years of existence. Cent Eur J Public Health. 2000 Nov;8(4):210-2.
- Pelclová D, Ameille J, Urban P, Fenclová Z, Lebedová J. Occupational diseases in the Czech Republic : purpose of the study. Arch Mal Prof. 2001;62(8):629-33. (In French.)
- International Labour Organisation. Guidelines for the use of ILO international classification of radiographs of pneumoconiosis. Geneva: ILO; 1980.
- Lebedová J, Dlouhá B, Rychlá L, Neuwirth J, Brabec M, Pelclová D, et al. Lung function impairment in relation to asbestos-induced pleural lesions with reference to the extent of the lesions and the initial parenchymal fibrosis. Scand J Work Environ Health. 2003 Oct;29(5):388-395.
Go to original source...
- Cancer incidence 1991-2003 in the Czech Republic. Health statistics. Prague: Institute of Health Information and Statistics of the Czech Republic; 1994-2006.
- Lemen RA. Asbestos-related disease risks still exist. Eur J Oncol. 2005 Mar;10(1):9-30.
- ©merhovský Z, Landa K, Kauppinen T. CAREX - International information system of occupational exposure to carcinogens and its application in the Czech Republic. Ces Prac Lek. 2003;4(3):108-13. (In Czech.)
- Pelclová D, Bartùòková J, Fenclová Z, Lebedová J, Hladíková M, Benáková H.Asbestos exposure and antineutrophil cytoplasmic antibody (ANCA) positivity. Arch Environ Health. 2003 Oct;58(10):662-8.
Go to original source...
Go to PubMed...
- Øíhová Z, Maixnerová D, Janèová E, Pelclová D, Bartùòková J, Fenclová Z, et al. Silica and asbestos exposure inANCA-associated vasculitis with pulmonary involvement. Ren Fail. 2005;27(5):605-8.
Go to original source...
Go to PubMed...
- Fenclová Z, ©merhovský Z, Urban P, Pelclová D, Dlouhá B. Analysis of the occurrence of profession-linked tumor diseases reported in the Czech Republic in the years 1991-2004. Prakt. Lek. 2006;86(1):19-24. (In Czech, English abstract.)