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http://dx.doi.org/10.1016/j.shaw.2017.07.005

Priority Setting for Occupational Cancer Prevention  

Peters, Cheryl E. (Carleton University)
Palmer, Alison L. (CAREX Canada, Simon Fraser University, Harbour Centre Campus)
Telfer, Joanne (CAREX Canada, Simon Fraser University, Harbour Centre Campus)
Ge, Calvin B. (Institute for Risk Assessment Sciences, Universiteit Utrecht)
Hall, Amy L. (School of Population and Public Health, University of British Columbia)
Davies, Hugh W. (School of Population and Public Health, University of British Columbia)
Pahwa, Manisha (Occupational Cancer Research Centre, Cancer Care Ontario)
Demers, Paul A. (Occupational Cancer Research Centre, Cancer Care Ontario)
Publication Information
Safety and Health at Work / v.9, no.2, 2018 , pp. 133-139 More about this Journal
Abstract
Background: Selecting priority occupational carcinogens is important for cancer prevention efforts; however, standardized selection methods are not available. The objective of this paper was to describe the methods used by CAREX Canada in 2015 to establish priorities for preventing occupational cancer, with a focus on exposure estimation and descriptive profiles. Methods: Four criteria were used in an expert assessment process to guide carcinogen prioritization: (1) the likelihood of presence and/or use in Canadian workplaces; (2) toxicity of the substance (strength of evidence for carcinogenicity and other health effects); (3) feasibility of producing a carcinogen profile and/or an occupational estimate; and (4) special interest from the public/scientific community. Carcinogens were ranked as high, medium or low priority based on specific conditions regarding these criteria, and stakeholder input was incorporated. Priorities were set separately for the creation of new carcinogen profiles and for new occupational exposure estimates. Results: Overall, 246 agents were reviewed for inclusion in the occupational priorities list. For carcinogen profile generation, 103 were prioritized (11 high, 33 medium, and 59 low priority), and 36 carcinogens were deemed priorities for occupational exposure estimation (13 high, 17 medium, and 6 low priority). Conclusion: Prioritizing and ranking occupational carcinogens is required for a variety of purposes, including research, resource allocation at different jurisdictional levels, calculations of occupational cancer burden, and planning of CAREX-type projects in different countries. This paper outlines how this process was achieved in Canada; this may provide a model for other countries and jurisdictions as a part of occupational cancer prevention efforts.
Keywords
cancer prevention; carcinogen exposure; occupational health;
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