title: [The surveillance of occupational risks. Problems and perspectives of the recent legislative framework after the national preliminary survey].
abstract: BACKGROUND
  Legislation in Italy concerning health, safety and prevention at the workplace recently established a new data communication standard
  
  
  OBJECTIVE
  The findings are reported of a specific survey on 18 Local Health Units (ASL) over the entire Italian territory, aimed at identifying the critical points in data management and analyze the available information.
  
  
  METHODS
  The occupational health physician for each company must collect and transmit information on the number of workers submitted to health surveillance protocols to the Local Health Unit. Information must be divided by risk factor and gender Local health Units then transmit the data to the Regions and finally to the Italian National Institute for Occupational Safety and Prevention (ISPESL).
  
  
  RESULTS
  A sample of 22.977 companies was studied, providing information on about 410,009 workers undergoing health surveillance protocols. Carrying or moving heavy loads, exposure to noise, VDU and chemical substances were the most frequent risk factors. The difference between genders was significant in risk allocation, with exposures to VDU and biological agents prevalently among females.
  
  
  CONCLUSIONS
  The information thus collected suffered from a lack of data organization and completeness in the sample under study, but nevertheless provides preliminary evidence of a map of occupational risks on a national basis, confirming the potential for the new law (D.Lgs 81/2008) to investigate health safety and prevention at the workplace.
authors.affiliation: ISPESL (Istituto Superiore per la Prevenzione e la Sicurezza del Lavoro), Dipartimento di Medicina del Lavoro, Laboratorio di Epidemiologia Occupazionale, Roma. alessandro.marinaccio@ispesl.it
authors.forename: A
authors.initials: A
authors.lastname: Marinaccio
authors.forename: D
authors.initials: D
authors.lastname: Di Marzio
authors.forename: Alessandra
authors.initials: A
authors.lastname: Binazzi
authors.forename: G
authors.initials: G
authors.lastname: Napoli
authors.forename: A
authors.initials: A
authors.lastname: Businelli
authors.forename: M
authors.initials: M
authors.lastname: Crema
authors.forename: G
authors.initials: G
authors.lastname: di Leone
authors.forename: D
authors.initials: D
authors.lastname: Ferrari
authors.forename: F
authors.initials: F
authors.lastname: Ferraris
authors.forename: P
authors.initials: P
authors.lastname: Galli
authors.forename: L
authors.initials: L
authors.lastname: Latini
authors.forename: A
authors.initials: A
authors.lastname: Masucci
authors.forename: A
authors.initials: A
authors.lastname: Quercia
authors.forename: Roberta
authors.initials: R
authors.lastname: Stopponi
authors.forename: L
authors.initials: L
authors.lastname: Vianello
authors.forename: A
authors.initials: A
authors.lastname: Scarselli
authors.forename: Stefania
authors.initials: S
authors.lastname: Massari
authors.forename: S
authors.initials: S
authors.lastname: Iavicoli
mesh_terms: D003625:Data Collection; D005260:Female; D006801:Humans; D007558:Italy; D008297:Male; D016273:Occupational Exposure / Q000331:legislation & jurisprudence*; D011159:Population Surveillance; D018570:Risk Assessment