[Solar ultraviolet radiation risk in outdoor workers: a specific project of Tuscany Region (Italy)]. / Rischio da radiazione solare ultravioletta nei lavoratori outdoor: piano mirato della Regione Toscana.

OBJECTIVE: The aims of Tuscany Regional project were: to study the sun protection attitude of outdoor workers; to measure solar ultraviolet (UV) exposure in work environment; to describe the frequency of photoaging, precancerous lesions, and skin cancers in outdoor workers; to collect information on solar ultraviolet radiation exposure from incident cases of Non-Melanoma Skin Cancer (NMSC) recruited from Tuscany Cancer Registry. DESIGN: Outdoor workers completed a questionnaire devoted to collect information on sun protection attitudes during a typical summer working week. Environmental and personal measurements were carried out. Expert dermatologists examined outdoor workers to assess the frequency of photoaging, precancerous lesions, and skin cancer. A structured questionnaire was mailed to incident cases of NMSC. Information were collected on personal habits and working history, focusing on solar ultraviolet radiation exposure. SETTING AND PARTICIPANTS: Agriculture, construction, quarrying and fishing activities were considered: 292 employees responded to questions about the type of clothing used in the morning and in the afternoon,while working outdoors; 637 outdoor workers underwent skin examination. We contacted 743 cases of NMSC occurred in 2004; 498 subjects accepted to participate in this study. RESULTS: The clothing worn by surveyed subjects was often inadequate compared to the high level of exposure to UV. The skin examination of 637 outdoor workers highlighted 2 melanomas, 7 epitheliomas and 35 actinic keratoses. Among the 498 cases of NMSC, 135 (27%) were diagnosed in outdoor workers. Most represented economic activity sectors were: agriculture, construction, transport, sports. CONCLUSION: The characterization of outside workers revealed unsatisfactory sun protection behaviours. Moreover, previously undetected skin cancers were diagnosed. The study on MNSC confirms the complexity of studying the exposure to UV radiation. The Tuscany Regional project provided useful information on the risk of solar ultraviolet radiation in outdoor workers. Prevention programs are needed.

Determining the exposure of chipper operators to inhalable wood dust.

The study surveyed wood chipping operations in order to determine the exposure of chipper operators to wood dust and suggest suitable countermeasures. The survey included both industrial and small-scale chipping operations, all located in Central Italy, on the Apennine mountain range. During the survey, 60 samples were collected using standardized methods. For the purpose of the tests, each operator carried a wearable active sampler connected to a suction pump. When operators sat inside an enclosed cab, samples were also collected outside the cab in order to gauge the dust abatement effect of a protected work station. Exposure to dust varied widely with wood conditions and machine productivity, and only occasionally exceeded the 5mg m(-3) legal limit. Operators working inside a cab were three times less exposed than operators working outside, and they were never exposed to concentrations exceeding the legal limit. It is adviceable that people working full-time as chipper operators are positioned inside an enclosed cab, for limiting their exposure to wood dust. Small-scale operators are generally part-timers, which further reduces their long-term exposure.