台灣有職業癌嗎？

Is There Occupational Cancer in Taiwan?

張常勝(Chang-Sheng Jang) ； 王榮德(Jung-Der Wang)

《中華民國公共衛生學會雜誌》 7卷3期 (1987/12) Pp. 168-176

https://doi.org/10.6288/JNPHARC1987-07-03-06

摘要

本文是以官方資料及過去有關職業癌在國外及國內的文獻爲基礎，對現今台灣的工業環境及職業癌的狀況作一大概的了解。並且對今後台灣地區的職業癌作一個大膽的推測。台灣地區的癌症死亡率自從1982年以來，一直高居第一位，並且逐年增加。我們發現台灣製造業人口超過二百五十萬，工廠數超過九萬，99%爲三百人以下之小工廠，而且常引進高污染之工業；極可能工業衛生能力差。根據現有資料，氯已烯（肝血管肉瘤）、石綿（肺癌及間皮瘤）、煉焦（肺癌）、苯（白血病）、木屑（鼻竇癌）在本國今後幾年內可能發現相關職業癌。本國在早期診治、培養人才、傳播知識與立法上均需努力，以作防治。

並列摘要

The purpose of this commentary is to predict possible occupational cancers in Taiwan based on available governmental records. The crude mortality rate of total cancer has increased and climbed up to the first mortality in Taiwan since 1982, and its proportionate mortality has exceeded 17.64% since 1986. In Taiwan, manufacturing workers exceed 2.5 million; factories are more than 90,000. 99% of these factories are all small factories in which less than 300 workers are employed in each of them. The first occupational cancer discovered was skin cancer induced by bipyridyl manufacturing. It reveals that the manufacturing process which they used were usually those with high occupational exposures or poor control of environmental contaminants. According to the previous production data, we shall be alert to following candidates: vinyl chloride induced angiosarcoma of the liver, asbestos related mesothelioma and lung cancer, coke oven associated lung cancer, benzene induced leukemia, and hardwood dust associated cancer of the nasal sinus. We shall also focus our efforts on early diagnosis, manpower promotion, information distribution and legislation to prevent occupational cancer.

並列關鍵字

occupational cancer ； chemical carcinogen ； risk factor ； manufacturing