[A survey on fatal work accidents based on Mortality Registry data: results of the Tuscany study on INAIL and RMR cases in the period 1992-2996].
Work-related deaths are important "sentinel events" of unsuccessful prevention. In Italy the most exhaustive source of such events is the National Fund for Occupational Diseases (INAIL), but the amount of cases from this source seems to be underestimated due to the fact that it refers only to cases occurred to subjects insured by the Fund. A previous survey estimated the real amount of work-related deaths 10-20% higher than that quantified by INAIL. This study evaluated the contribute of the two most important sources (INAIL and the Regional Mortality Registry of Tuscany-RMR) in estimating the number of these cases in Tuscany in the period 1992-96. Cases were identified from each source, and then it was applied a capture-recapture method to size the cases from work-related accident different from road accidents. RMR appeared to be the most exhaustive source with 72.3% completeness versus 56.4% completeness of INAIL source. Nevertheless the last one must be considered the primary source, more specific and accurate, and since few years also timely, than any other one. Work-related deaths from road accident represent 35.9% of INAIL cases but they are difficult to be identified from RMR and were not considered in this study. In conclusion the mortality data should be used for an epidemiologic surveillance system on work-related deaths not due to road accident in order to identify cases occurred to subjects not insured by INAIL (and therefore not defined by the Fund). These deaths are also important in terms of public health. Cases identified only from RMR, occurred in Tuscany in 1992-96, were 155: the vast majority occurred to farmers (mainly pensioners, and due to caterpillar upsetting), to bricklayers, to railway workers, to soldiers and to entrepreneurs.
Chellini
Elisabetta
E
UO Epidemiologia ambientale-occupazionale, Centro per lo studio e la prevenzione oncologica, via di San Salvi 12, 50135 Firenze. e.chellini@cspo.it
Baldasseroni
Alberto
A
Giovannetti
Lucia
L
Zoppi
Ombretta
O
D000062:Accidents, Occupational / Q000401:mortality* / Q000706:statistics & numerical data; D000328:Adult; D000367:Age Factors; D000368:Aged; D000383:Agriculture; D005260:Female; D006801:Humans; D007348:Insurance, Health; D007558:Italy; D008297:Male; D008875:Middle Aged; D009790:Occupations; D012042:Registries; D012737:Sex Factors
La rilevazione degli infortuni mortali da lavoro attraverso il registro di mortalità: i risultati dello studio toscano sulla casistica INAIL e RMR 1992-1996.