Switzerland: the status of silicosis from the past to the end of the 20th century. Control and prevention.
The silicosis issue in Switzerland is reviewed on the basis of data provided by Suva, the Swiss National Insurance Fund, in charge of law enforcement and of prevention. Pictures of the past period and nowadays consecutively to the occupational medicine surveillance and industrial hygiene practice showed that major improvements have been realized. In the 30's, a constant rise of new cases of silicosis has been observed every year. From 1940 to end of the 60's, a plateau was reached with about 200 to 300 cases per year. Since 1974, a significant decrease is observed, the annual number of new cases being about 100. Since 1989, the new cases level off at 30-50 per year due to drastic control measures and present announced cases are residuals of previous exposures. The number of annual deaths ranges at the unit level with a patient's life expectancy nearly equal to that of the general population. Prevention efforts however should be continued since the activities of concern have changed. Small enterprises with a limited number of personnel dispersed throughout the country, working in the sectors of stone cutting and grinding, civil engineering and cleaning of building surfaces make prevention difficult and may lower its efficiency. In addition, information should also reach categories of individual workers like professional pottery crafstmen or leisure-exposed persons.
Vu-Duc
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IST-Institute of Occupational Health Sciences, Lausanne.
Guillemin
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D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D011159:Population Surveillance; D012307:Risk Factors; D012829:Silicosis / Q000453:epidemiology* / Q000209:etiology / Q000517:prevention & control; D013557:Switzerland