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Occupational Cancer: Presented by - Gursimran Kaur Kochar MPH 2 Sem

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OCCUPATIONAL CANCER

PRESENTED BY – GURSIMRAN KAUR KOCHAR


MPH 2ND SEM.
WHAT IS CANCER???

 A Malignant (potentially lethal) neoplasm (new growth) that


invades normal tissues and spreads to distant sides.
 Neoplasms are growths resulting from clonal proliferations of
cells following progressive accumulation of hereditary and
acquired insults resulting in mutations of genes that control
cells proliferation and cell death.
WHAT IS OCCUPATIONAL CANCER???

 Cancer specifically attributed to significant levels of exposure


to an agent in the workplace and occurring among
substantial numbers of workers.
 Substantial : >10,000 workers
 Significant : As much as , or more than, in the general
environment
OCCUPATIONAL CARCINOGENS

 Occupationally related cancers are characterized by a long


latent period – time between first exposure and clinical
presentation (usually > 10-15 years) and up to 40-50 year in
some cases (i.e presentation can be in retirement rather
than while still at work.)
Agents and associated cancers

PHYSICAL AGENTS ASSOCIATED CANCERS


Ionizing radiation Breast cancer, leukaemia, skin cancer
Ultraviolet Light Skin cancer
Asbestos lung cancer , mesothelioma

CHEMICAL ASSOCIATED CANCERS


AGENTS
Arsenic Skin cancers, lung cancers
Vinyl chloride Liver Angiosarcoma
Aromatic amines Bladder cancer
SKIN CANCER

 Most common cancer , 75% of occupational cancer are skin cancer


 Subsequently found – cancer of the scrotum
 Caused by – coal tar, x-rays , UV Radiation, certain oils and dyes
 Hazards among – Gas workers, Coke Oven Workers , Tar Distillers , Oil Refiners ,
Dye –Stuff Makers , Road Makers and in Industries associated with the use of
mineral oil, pitch, tar and related compounds.
Skin cancer due to coal pitch and tar skin cancer due to uv radiation
Lung cancer

 Common hazards or carcinogens for the lungs – Gas industry , asbestos industry , nickel
and chromium work , arsenic roasting plants, in the mining of radio active substance (e.g
uranium ) and cigarette smoking.
 Arsenic, beryllium and isopropyl oil are suscepted carcinogens.
Xray of healthy lung Exposure of bagasse dust
Cancer bladder

 Industries associated with cancer – dye stuffs , dyeing industry , rubber gas and the
electric cable industries
 Caused by – Aromatic amines
 Bladder carcinogens – Beta- naphthylamines , benzidine, para- amino-diphenyl ,
auramine
Leukaemia

 Leukaemia is cancer of the body’s blood forming tissues, including the bone marrow and
the lymphatic system .
 Exposure to benzol , roentgen rays and radio-active substances give rise to leukaemia
Primary prevention of occupational cancer

 Recognition of hazards and risks


 Education of management and workplace
 Elimination of exposure ( substitution, automation)
 Reduction of exposure
 Provision of personal protective equipment
 Limiting access
 Adequate facilities for maintaining for personal hygiene
What interventions can be taken as a public health in prevention of occupational
cancer

  In order to reduce the magnitude of occupational cancer/decrease the burden on the health
care delivery system/improve the quality of life of workers, there is an immense need to
formulate a holistic strategy which should respond to the needs of all stakeholders .
 This holistic strategy should consist of a range of elements such as better surveillance
system so that the exact burden of the cancer can be ascertained and resource allocation
can be planned.
 Setting maximal exposure limits for the carcinogenic chemicals.
 Encouraging the practice of pre-placement and periodic medical examination .
 Creating awareness among workers .
 Advocating use of personal protective equipment’s.
 Advocating the use of tools and methods for measuring the occupational exposure to
carcinogens.
 expanding social security services and insurance benefits to workers diagnosed with
occupational cancer.
 And promoting research (viz. in the area of identification of new carcinogens and
target organs, study of interactions, and special exposure circumstances) can also be
done based on the type of industry to minimize the incidence of occupational cancer.

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