Global, Regional and National Burdens of Non-Melanoma Skin Cancer Attributable to Occupational Exposure to Solar Ultraviolet Radiation for 183 Countries, 2000–2019: A Systematic Analysis from the WHO/ILO Joint Estimates of the Work-Related Burden Of

Details

• Personal Author:
  Baker M ; Driscoll T ; Guseva Canu I ; Kiiver HM ; Leon-Roux M ; Li J ; Momen NC ; Neupane S ; Nwanaji-Enwerem JC ; Pega F ; Schubauer-Berigan, Mary K. ; Schüz J ; Streicher KN ; Turner MC ; Viegas S ; Villeneuve PJ
• Corporate Authors:
  World Health Organization. Technical Advisory Group on Occupational Burden of Disease Estimation
• Description:
  Background: A World Health Organization (WHO) and International Labour Organization (ILO) systematic review reported sufficient evidence for higher risk of non-melanoma skin cancer (NMSC) amongst people occupationally exposed to solar ultraviolet radiation (UVR). This article presents WHO/ILO Joint Estimates of global, regional, national and subnational occupational exposures to UVR for 195 countries/areas and the global, regional and national attributable burdens of NMSC for 183 countries, by sex and age group, for the years 2000, 2010 and 2019. Methods: We calculated population-attributable fractions (PAFs) from estimates of the population occupationally exposed to UVR and the risk ratio for NMSC from the WHO/ILO systematic review. Occupational exposure to UVR was modelled via proxy of occupation with outdoor work, using 166 million observations from 763 cross-sectional surveys for 96 countries/areas. Attributable NMSC burden was estimated by applying the PAFs to WHO's estimates of the total NMSC burden. Measures of inequality were calculated. Results: Globally in 2019, 1.6 billion workers (95 % uncertainty range [UR] 1.6-1.6) were occupationally exposed to UVR, or 28.4 % (UR 27.9-28.8) of the working-age population. The PAFs were 29.0 % (UR 24.7-35.0) for NMSC deaths and 30.4 % (UR 29.0-31.7) for disability-adjusted life years (DALYs). Attributable NMSC burdens were 18,960 deaths (UR 18,180-19,740) and 0.5 million DALYs (UR 0.4-0.5). Men and older age groups carried larger burden. Over 2000-2019, attributable deaths and DALYs almost doubled. Conclusions: WHO and the ILO estimate that occupational exposure to UVR is common and causes substantial, inequitable and growing attributable burden of NMSC. Governments must protect outdoor workers from hazardous exposure to UVR and attributable NMSC burden and inequalities. [Description provided by NIOSH]
• Subjects:
  Epidemiology Neoplasms Occupational Exposure Occupational Health Safety Skin Skin Diseases
• Keywords:
  Author Keywords: Ergonomic Risk Factors Global Burden Of Disease Occupational Exposure Osteoarthritis Other Musculoskeletal Diseases Outdoor Workers Skin Cancer Systematic Review Systematic Reviews Ultraviolet Radiation
• ISSN:
  0160-4120
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  California ; Georgia ; OSHA Region 10 ; OSHA Region 4 ; OSHA Region 9 ; Washington
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  181
• NIOSHTIC Number:
  nn:20069676
• Citation:
  Environ Int 2023 Nov; 181:108226
• Contact Point Address:
  Frank Pega, Department of Environment, Climate Change and Health, World Health Organization, Avenue Appia 20, 1202 Geneva, Switzerland
• Email:
  pegaf@who.int
• Federal Fiscal Year:
  2024
• Performing Organization:
  World Health Organization, Geneva, Switzerland
• Peer Reviewed:
  True
• Start Date:
  20140515
• Source Full Name:
  Environment International
• End Date:
  20170514
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:5896644536d4f765b4938e7e96e8d14f8d049ffd98622e727ea43676281a937f638bb7cc52b6cf341b94bde0b6dff0c8db5eb63a2f4d33be6358dc57209fb0a8
• Download URL:
  https://stacks.cdc.gov/view/cdc/208056/cdc_208056_DS1.pdf
• File Type:
  [PDF - 3.06 MB ]