Head and Neck Surveillance Program for Factory Personnel Exposed to Asbestos

Author:

Parnes Steven M.1,Sherman Malcolm1

Affiliation:

1. Albany, New York

Abstract

Personnel at a local factory that manufactures brake linings and discs in which asbestos is a major component were requested to participate in an on-site surveillance program to detect head and neck abnormalities, specifically cancer. Demographic data included smoking histories and job descriptions that could be delineated into high– and low–asbestos exposure groups. In the first year, 322 factory workers had no cancer identified but 15% had laryngeal abnormalities, mostly laryngitis. Ninety-seven percent of those workers with abnormal findings were smokers, but there were a significant number in the high-asbestos group irrespective of smoking histories. From this report, high-risk individuals were identified and requested to continue in the program for monitoring. In the subsequent 3 years, these individuals and new personnel were examined. Similar results were obtained in that laryngitis was noted in 24% (95% of whom were smokers) with a stronger statistical association with the high-asbestos group. More important, one person previously identified as high-risk was noted to have stage I squamous cell carcinoma and was treated with radiotherapy. The results of this program suggest that individuals at high risk for the development of head and neck cancer can be identified and that such surveillance programs should be implemented in similar arenas.

Publisher

SAGE Publications

Subject

General Medicine,Otorhinolaryngology

Cited by 3 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Does asbestos cause laryngeal cancer?1;Clinical Otolaryngology and Allied Sciences;2003-06

2. Befunde in einem Hochrisikokollektiv nach Asbestexposition;HNO;2002-11-01

3. Toxicology of Upper Aerodigestive Tract Pollutants;Otolaryngology–Head and Neck Surgery;1992-06

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