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    Work-related cancer in the European Union : Size, impact and options for further prevention

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    Authors
    Jongeneel WP
    Eysink PED
    Theodori D
    Hamberg-van Reenen HH
    Verhoeven JK
    Series/Report no.
    RIVM letter report 2016-0010
    Type
    Report
    Language
    en
    
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    Title
    Work-related cancer in the European Union : Size, impact and options for further prevention
    Translated Title
    Werk-gerelateerde kanker in de Europese Unie
    Publiekssamenvatting
    Ondanks vele beschermende maatregelen kunnen mensen tijdens hun werk worden blootgesteld aan kankerverwekkende stoffen. Aanvullende beleidsmaatregelen zijn nodig om het aantal gevallen van werkgerelateerde kanker en sterfte in de toekomst terug te dringen. Om de noodzaak hiervan te agenderen heeft het RIVM de omvang van de ziektelast en de maatschappelijke schade in kaart gebracht die hierdoor in de EU wordt veroorzaakt.

    Geschat wordt dat jaarlijks bij 122.600 (met een marge van 91.500 - 150.500) mensen in de EU kanker vastgesteld wordt doordat zij in het verleden tijdens hun werk aan kankerverwekkende stoffen zijn blootgesteld. Daarnaast sterven hierdoor per jaar ongeveer 79.700 (marge 57.700 - 106.500) mensen in de EU. Als dit 'vervroegde overlijden' wordt omgezet naar verloren levensjaren zijn dat er bijna 1,2 (0,8 - 1,6 ) miljoen.

    Kankerpatiënten ervaren een verminderde kwaliteit van leven, krijgen medische zorg en kunnen vaak niet of minder werken. Naast het (individuele) lijden ontstaan hierdoor kosten. Dit wordt gezamenlijk uitgedrukt in maatschappelijke schade. De kosten voor de gezondheidszorg en verminderde productiviteit op het werk door werkgerelateerde kanker in de EU worden op 4-7 miljard per jaar geschat. Als ook de immateriële schade van het ziek zijn en mogelijk vroegtijdig sterven wordt meegerekend, loopt de totale maatschappelijke schade op tot 334 (marge 242 - 440) miljard per jaar.

    Despite many protective measures workers can be exposed to carcinogenic substances at work. Additional policy interventions are needed to reduce the future burden of work-related cancer in the EU. The RIVM addressed this issue by providing insight into the magnitude of work-related cancer, in terms of the number of cases, deaths and the societal costs, caused by exposure to carcinogenic substances in the EU.

    We estimate that in de EU 122,600 (range 91,500 - 150,500) people were newly diagnosed with cancer, caused by past exposure to carcinogenic substances at work. The attributed cancer deaths are estimated to be 79,700 (range 57,700 - 106,500). In total almost 1.2 (0.8 - 1.6) million years of life were lost due to premature death caused by past exposure to carcinogenic substances at work in the EU-population.

    The consequences of this work-related cancer, and its impact on society, extend further than mortality and morbidity figures. They also include the reduction in the quality of life, productivity losses and the provided health care. Next to the individual emotional suffering and pain associated with the disease, this leads to economic cost for society. Health care expenditure and productivity losses are estimated to cost between 4-7 billion annually for the EU. When welfare losses of premature deaths and diagnosis with cancer are added, the total annual economic representation of the societal impact is estimated to be in an order of magnitude of 334 (242 - 440) billion.
    Description
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    Publisher
    Rijksinstituut voor Volksgezondheid en Milieu RIVM
    Sponsors
    Ministerie van Sociale Zaken en Werkgelegenheid
    URI
    http://hdl.handle.net/10029/610646
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