Cancers in France in 2015 attributable to occupational exposures

Claire Marant Micallef, Kevin D. Shield, Jérôme Vignat, Isabelle Baldi, Barbara Charbotel, Béatrice Fervers, Anabelle Gilg Soit Ilg, Pascal Guénel, Ann Olsson, Lesley Rushton, Sally J. Hutchings, Enora Cléro, Dominique Laurier, Pascale Scanff, Freddie Bray, Kurt Straif, Isabelle Soerjomataram

Research output: Contribution to journalArticlepeer-review

Abstract

Background

Recent and comprehensive estimates for the number of new cancer cases in France attributable to occupational exposures are lacking.

Objectives

To estimate the number of new cancer cases attributable to occupational exposures, using a newly developed methodology and the most recent data, for a comprehensive set of occupational carcinogens in France in 2015.

Methods

Surveys among employees, the national labor force data, a cohort of agricultural workers, national monitoring of workers exposed to ionizing radiation and job-exposure matrix in France were used. The number and proportion of new cancer cases attributable to established occupational carcinogens (Group 1) was estimated using estimation of lifetime exposure and risk estimates from cohort studies. Cancer data were obtained from the French Cancer Registries Network.

Results

In France in 2015, an estimated 7905 new cancer cases, 7336 among men and 569 among women, were attributable to occupational exposures, representing 2.3% of all new cancer cases (3.9% and 0.4% among men and women respectively). Among men and women, lung cancer was impacted the most, followed by mesothelioma and bladder cancer in men, and by mesothelioma and ovary in women. These cancers contributed to 89% of the total cancers attributable to occupational carcinogens in men, and to 80% in women. The main contributing occupational agent was asbestos among men (45%) and women (60%).

Conclusions

Currently, occupational exposures contribute to a substantial burden of cancer in France. Enhanced monitoring and implementation of protective labor policies could potentially prevent a large proportion of these cancers.
Original languageEnglish
Pages (from-to)22-29
JournalInternational journal of hygiene and environmental health
Volume222
Issue number1
Early online date30 Aug 2018
DOIs
Publication statusPublished - 1 Jan 2019

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