The worrying increase in occupational bladder cancers

The worrying increase in occupational bladder cancers

Occupational cancers other than those related to asbestos increased by 10% between 2013 and 2014 according to the annual health insurance report presented on November 12. In 45% of cases, it is bladder cancer.

One in five work-related cancers is due toasbestos (7% of occupational diseases). Between 2013 and 2014, their number decreased by 3.7%. On the other hand, the other types of cancers increased by 10.33%, according to the Health Insurance.

“It is, in 45% of cases, cancers of the bladder and, in 25% of cases, cancers [essentiellement respiratoires] related to wood dust”such as facial cancers, identified as “emerging risks” against which the Health Insurance intends to act “through its prevention programs”.

In bladder cancers are incriminated in particular “them aromatic amines and polycyclic aromatic hydrocarbons found in dyes and dyes, but also in syntheses of drugs or pesticides and in the plastics industry and rubbertold AFP Marine Jeantet, director of occupational risks.

For these cancers, an action to identify patients was carried out from 2008 to 2014 in six regions (Normandy, Nord-Picardie, Bourgogne-Franche-Comté, Ile-de-France, Nord-Est, Sud-Est), “where requests for recognition have been multiplied by 5 to 10 and professional origin recognized at 60%”according to Ms. Jeantet.

“Identifying the professional relationship is all the more difficult as this disease occurs long after exposure to a carcinogenic agent: 10, 20 or even 40 years later, therefore generally after cessation of professional activity”underlines the annual report.

Other occupational diseases

While the musculoskeletal problems still account for 87% of occupational diseases, the number of mental illnesses work-related increases (315 cases recognized against 223 in 2013), but “mainly due to changing regulations”which has made it possible since the end of 2012 to submit an application more easily, according to Ms. Jeantet.

Asked about “burn-out” or professional exhaustion syndrome, Ms. Jeantet stressed that it was a syndrome “multifactorial” which does not fit into any classification table occupational illnesses, such as mental illnesses in general, “always examined on a case-by-case basis”.

Work accident

The Health Insurance report also shows a “historic landmark” about the work accident with “one of the lowest figures for 10 years: 34 accidents per year for 1,000 employees”again according to Ms. Jeantet.

In the opinion of Pascal Jacquetin, head of the statistical mission, this figure is explained by economic factors (less activity, fewer accidents) and structural (more and more companies are implementing measures to accompaniment and prevention). The construction industry remains the most affected sector (handling, including a quarter of falls), but services are also affected, such as “personal aid and care” (home help and medico-social accommodation) with a 6% increase in its occupational accident frequency index.

About the commuting accidents, the results show “a clear reduction in their frequency (-7%) with significant regional disparities. “This development is mainly linked to road safety policy and more favorable climatic conditions,” the report points out.

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