ABSTRACT
There is a considerable discrepancy between the number of identified occupational-related bladder cancer cases and the estimated numbers particularly in emerging nations or less developed countries where suitable approaches are less or even not known. Thus, within a project of the World Health Organisation Collaborating Centres in Occupational Health, a questionnaire of the Dortmund group, applied in different studies, was translated into more than 30 languages (Afrikaans, Arabic, Bengali, Chinese, Czech, Dutch, English, Finnish, French, Georgian, German, Greek, Hindi, Hungarian, Indonesian, Italian, Japanese, Kannada, Kazakh, Kirghiz, Korean, Latvian, Malay, Persian (Farsi), Polish, Portuguese, Portuguese/Brazilian, Romanian, Russian, Serbo-Croatian, Slovak, Spanish, Spanish/Mexican, Tamil, Telugu, Thai, Turkish, Urdu, Vietnamese). The bipartite questionnaire asks for relevant medical information in the physician's part and for the occupational history since leaving school in the patient's part. Furthermore, this questionnaire is asking for intensity and frequency of certain occupational and non-occupational risk factors. The literature regarding occupations like painter, hairdresser or miner and exposures like carcinogenic aromatic amines, azo dyes, or combustion products is highlighted. The questionnaire is available on www.ifado.de/BladderCancerDoc.
Subject(s)
Urinary Bladder Neoplasms/etiology , Documentation , Humans , Linguistics , Occupational Exposure , Surveys and Questionnaires , Urinary Bladder Neoplasms/pathologyABSTRACT
This study reports a work-environmental assessment and workers' exposure in a major prebake type aluminium smelter in India. Levels of known health hazards in and near the main smelting operations viz., the Potroom, the Carbon area, the Butt section, the Rodding shop, the Bath preparing area and the Casthouse were measured. Dustiness in general was high to excessively high. Mean levels of respirable dust (PM10) in air in the three dustiest areas were 24.07 mg/m3 in the Carbon areas, 27.57 mg/m3 in the Bath preparing and 4.44 mg/m3 in the Rodding shop. 40- 60% of the particles were less than 5 microm in size. 0.5- 2.82% particulate fluoride was obtained in the size fraction 0.4- 4.7 microm of the Potroom air. Naturally, exposures to total dusts were very high in these processes. The background levels of NOx and SO2 and fluorides (gaseous and particulate) were found to be within the prescribed Indian Standards. Higher exposures to gaseous and particulate fluoride, 3.85 and 6.53 mg/m3 respectively, were observed among the Rodding shop workers. The levels ofpolycyclic aromatic hydrocarbons (PAHs) were deemed to be excessive in the Carbon area. Measurements of heat stress were made in winter and were found to be lower than the prescribed limit.
