[Role of biological monitoring in health and epidemiological surveillance: a proposal].
Biological markers can be used at an individual level for medical surveillance or at group level within the context of epidemiological surveillance. However, the use of biological monitoring for medical and epidemiological surveillance is heavily conditioned by the critical issue of biomarker validation. One effective means for combining biological monitoring with medical and epidemiological surveillance is the mandatory annual report on anonymous and collective data; this will be made possible after providing adequate training schemes for the occupational physicians involved and the definition of appropriate guidelines, aimed at improving the quality of occupational health services. It will then be possible to design multicentric surveys to assess the quality of occupational health services using validated indicators.
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Dipartimento di Medicina Interna e Medicina Pubblica, Università degli Studi di Bari.
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D004784:Environmental Monitoring / Q000331:legislation & jurisprudence; D019538:Health Care Surveys; D006801:Humans; D007558:Italy; D009784:Occupational Diseases / Q000517:prevention & control*; D016273:Occupational Exposure / Q000009:adverse effects*; D009786:Occupational Health Services / Q000592:standards*; D011787:Quality of Health Care; D018571:Sentinel Surveillance