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Occupational Health News Summaries  

Shift Workers, Painters, and Firefighters Face Higher Risk for Cancer

[Posted 12/27/07] A study conducted by an international team of scientists commissioned by the World Health Organization (WHO) has uncovered a connection between cancer risk and working the night shift. The study also concluded that occupational exposures to workplace hazards and chemicals increase the risk of cancer to painters and firefighters. Preliminary findings were published in the December 2007 issue of The Lancet Oncology.

After analyzing a number of epidemiologic studies, the expert working group assembled by the International Agency for Research on Cancer (IARC) came to the following conclusions:

1. Shift work that involves circadian disruption is “probably carcinogenic to humans.” Studies of nurses and flight attendants indicate that women with long-term histories of working at night have higher incidences of breast cancer than women who do not work at night. The disruption of the circadian system that is caused by exposure to light at night is thought to be responsible.

“Shift work that interferes with regular nighttime sleep disrupts circadian rhythms, our bodys natural clock,” said Dr. Erhard Haus who chaired a subgroup of the study. “This impedes biologic function by suppressing the immune system, reducing melatonin production and may damage genes leading to the production of abnormal cells.”

Up to 20% of the working population in the US and Europe is engaged in night-shift work.

2. Occupational exposure as a painter is “carcinogenic to humans.” Studies of painters confirmed an increase in the risks of lung cancer and bladder cancer and pointed to increased levels of genetic damage. Increases in childhood leukemia appear to be linked to maternal exposure before or during pregnancy.

Exposure to chemical solvents, pigments, and additives, as well as workplace hazards such as asbestos and crystalline silica, is common for painters.

3. Occupational exposure as a firefighter is “possibly carcinogenic to humans.” While data varied across populations of firefighters, studies nonetheless indicated that the relative risks for testicular cancer, prostate cancer, and non-Hodgkin lymphoma for firefighters are high compared to those for the general public. Intermittent exposures to toxic chemicals provide a plausible mechanism for respiratory carcinogenesis.

Related Links:
The Lancet Oncology (free login required)
IARC Press Release

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