Work-related cancer

According to Eurostat, over 30 million tonnes of carcinogenic, mutagenic and reprotoxic substances (CMRs) are produced in Europe annually [1]. As well as chemicals, there are biological agents, and physical/organisational factors which can cause cancer. Some typical work-related cancers (e.g. lung cancer and mesothelioma) have a high mortality rate. The disease is generally associated with a rapid onset of disability and a high degree of suffering. The high number of workers exposed has led to calls for coordinated action to protect workers’ health and improve working conditions. This article will present the hazards and risks, as well as related preventive and control measures.

The cancer epidemic is a major public health concern all over the world. There is an increasing awareness of the role of working conditions as a central determinant of social inequalities with regard to cancer. Twenty five years ago, the European Union adopted its first global directive for improving the workplace prevention of work-related cancer. At the time, it was an important contribution to modern legislation on workers’ protection. For many stakeholders, it is time to adapt the legislation and the policy to the new knowledge and emerging risks. This working paper presents arguments for a stronger policy with an ambitious goal: the elimination of occupational cancer in Europe and globally. It presents a consistent estimation of the burden calculated on the basis of established exposures. It summarises the basic principles of effective prevention and calls for systematic action on the part of the various stakeholders. It assumes that occupational cancers can be eliminated and that prevention could save many workers’ lives and contribute considerably to the public health of European citizens.