Documents D’Ovidio, Maria Concetta 2 results

"The impact of climate change on the physical environment, ecosystems, and human societies is increasingly recognized as the most important global challenge. Climate change may alter, among others, the thermal environment, the occurrence of extreme weather events, and the human exposure to physical, chemical, and biological pollutants, thus affecting human health with several potential outcomes. The impact of climate change on occupational health and safety has been receiving increasing attention in last years. In the European Union, the health and safety of workers is under the rule of Directive 89/391 and its daughters. In a changing climate, compliance with all requirements of the existing EU regulation entails an additional effort to implement preventive and protective measures. A central role in workers' health protection is played by proper workers' information and training, which is partly in charge of the occupational physicians. This paper provides a basic proposal on topics related to climate change to update workers' information and training and to integrate the curricula of occupational physicians. Importantly, suitable information and training may contribute to promoting workers' health and to implement adaptation measures, which are part of the individual, societal, and global responses to climate change."

"BACKGROUND: Respiratory diseases of infectious, allergic, neoplastic or degenerative origin are due to the interaction of environmental and occupational risk factors, individual susceptibility and other co-factors and comorbidities. Asthma and other respiratory pathologies can be worsened by climate change and exposure to other agents in occupational environments.METHODS: PubMed and Scopus, and several websites on public and occupational health were queried to find publications and documents on work-related respiratory diseases, asthma, rhinitis, chronic obstructive pulmonary disease (COPD), pneumoconiosis and allergic alveolitis in association with climate change.RESULTS: Most of the retrieved articles concerned asthma (75 in Scopus), while the other topics were less frequently covered in the scientific literature, with a maximum of 29 papers for rhinitis and 23 for COPD. The most important terms highlighted by the word clouds were 'health', 'air', 'pollution', and, only for asthma and rhinitis, 'pollen' and 'allergic/allergy'. Website data on public and occupational health, and climate change were reported.CONCLUSIONS: Assessment and management of respiratory diseases that recognise occupational exposures should be improved, and more research into integrated approaches should be favoured. Health surveillance practices for workers exposed to agents that cause respiratory diseases should be implemented. The development of biomarkers of exposure, effect and susceptibility needs further study."