Case Study: Pleura mesothelioma in mechanical welder
DOI:
https://doi.org/10.33637/2595-847x.2018-16Keywords:
mesothelioma, labor inspection, asbestosAbstract
This paper is a case study of malignant pleural mesothelioma in a mechanical welder. The objective was to describe the investigation carried out by two labor inspectors due to a complaint made by the union of the workers of the professional category claiming that one retired worker had received pleural mesothelioma diagnosis. The methodology used consisted of a survey in the workplace, where the employee worked for 24 years, interview with the operation manager and with an operation mechanic still active in the establishment. Data was obtained from the company's Health and Safety Service, from the Environmental Risk Prevention Program and the Occupational Health Medical Control Program and from the health checks carried out by the Service. The results of the complementary laboratorial exams to which the worker was submitted were analyzed. It was shown that the pleura malignant mesothelioma was caused by exposure to asbestos fibers during his activities. It is concluded that, due to the exposure to asbestos in several activities other than those traditionally known as hazard, the so-called "controlled use" of this carcinogenic fiber is unfeasible and draws attention to the fact that public health services are prepared to diagnose and to address conduits to workers exposed in the past decades.
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References
Algranti, E.; De Capitani, EM. (2014). Doenças Não Malignas Associadas ao Asbestos. In: In: Santos, UP (org.). Pneumologia ocupacional ilustrada: fotos e fatos. 1ed. São Paulo: Atheneu, p. 91- 96
Brasil - Ministério da Saúde do Brasil (2001). Doenças Relacionadas ao trabalho: manual de procedimentos par os serviços de saúde; Elizabeth Costa Dias (org.); colaboradores Idelberto Muniz de Almeida e al. Brasília: Ministério da Saúde do Brasil, 2001
IARC - International Agency for Research on Cancer. (2012). Arsenic, metals, fibres, and dusts volume 100 C A review of human carcinogen. Lyon, France - 2012 Disponível em: http://monographs.iarc.fr/ENG/Monographs/vol100C/mono100C.pdf Acesso em: 06 mar 2018
Marsili, D., Terracine, B., Santana, VS., Ramos-Bonilla, JP., Pasetto, R., Mazzeo,A., Loomis, D., Comba, P., and Algranti, E. (2016). Prevention of Asbestos-Related Disease in Countries Currently Using Asbestos. Int. J. Environ. Res. Public Health 2016, 13, 494; doi:10.3390/ijerph13050494.
Prado, GF., Cazian, M., Caruso, RC. (2014). Câncer de Pulmão e Mesotelioma Maligno de Pleura. In: Santos, UP (org.). Pneumologia ocupacional ilustrada: fotos e fatos. 1ed. São Paulo: Atheneu, p. 131-139
Wagner, JC. , Sleggs, CA, Marchand P. Diffuse pleural mesothelioma and asbestos exposure in North Western Cape Province. (1960) Brit J Ind Med 1960 Oct; 17(4): 17:260-71, 1960. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1038078/ Acesso em: 04 mar 2018
Wünsch Filho, V.; Koifman, S. Tumores Malignos Relacionados com o Trabalho (2003). In: MENDES, R. Patologia do Trabalho, 2. Ed. atual. ampl., 2.v. São Paulo, Atheneu.