1. Pan American Health Organization.... Online course Occupational and Environmental Cancer: Recognition and Prevention Workers’ Health Sustainable Development and Environmental Health Area (SDE) PAHO / WHO

2. Pan American Health Organization Over 10 million cancer deaths could have been prevented in the past 30 years by improving living and working conditions. Photo: Andrés Bernardo López Carrasco, 2010 Photo: Jonh M. Astete Cornejo, 2010

3. Pan American Health Organization Occupational Cancer Panorama Global burden of the disease 19% of all cancer cases are attributable to the environment, including the workplace 1. 1.3 million deaths annually. 1 Occupational Cancer: Key facts 160* Occupational carcinogens 2 (pesticides, asbestos, benzene, crystal silica, sun exposure and tobacco smoke) 3. Lung cancer, mesothelioma, leukemia and bladder cancer are among the most common types of occupational cancers. One out of 10 of all lung cancer, is closely related to risks in the workplace. Global burden of the disease 19% of all cancer cases are attributable to the environment, including the workplace 1. 1.3 million deaths annually. 1 Occupational Cancer: Key facts 160* Occupational carcinogens 2 (pesticides, asbestos, benzene, crystal silica, sun exposure and tobacco smoke) 3. Lung cancer, mesothelioma, leukemia and bladder cancer are among the most common types of occupational cancers. One out of 10 of all lung cancer, is closely related to risks in the workplace. (1) Environmental and Occupational Determinants of Cancer: Interventions for Primary Prevention. WHO 2011. *28 definite; 27 probable; 113 possible human carcinogens; (2) Peto 2001; 2Rosenstock et al. 2006; (3) Clapp et al. 2005; (4) Driscoll et al. 2003.

4. Pan American Health Organization Asbestos Is responsible for 50% of all deaths from occupational cancer (Peto, 2001). Pesticides An increase in cases of childhood leukemia is related to maternal exposure. Viral Infections The proportion of Hepatitis B infection due to contaminated sharps among health care workers is up to 83%. Tobacco Workers heavily exposed to second hand smoke at their workplaces have twice the risk of developing lung cancer (WHO, 2007). Risk Factors in the Americas

5. Pan American Health Organization Occupational Cancer is Preventable! Driscoll et al 2005 AMR A: CAN, USA, CUB AMR B: COL, GUY, PAN, SUR, BRA, COR, VEN, ANT, BAR, BLZ, DOM, DOR, ELS, GRE, HON, JAM, St. Kitts & Nevis, St. Lucia, St. Vincent & the Grenadines, MEX, CHL, TRT, BAH, PAR, ARG AMR D: ECU, PER, GUT, HAI, NIC, BOL, PER AMR A: CAN, USA, CUB AMR B: COL, GUY, PAN, SUR, BRA, COR, VEN, ANT, BAR, BLZ, DOM, DOR, ELS, GRE, HON, JAM, St. Kitts & Nevis, St. Lucia, St. Vincent & the Grenadines, MEX, CHL, TRT, BAH, PAR, ARG AMR D: ECU, PER, GUT, HAI, NIC, BOL, PER Intra-Regional Disparities

6. Pan American Health Organization

7. Pan American Health Organization Target Audience Primary health care professionals (doctors, nurses, occupational therapists, others). Public health personnel. Medical, nursing students, and others. Anyone who is interested in occupational health.

8. Pan American Health Organization Occupational and Environmental Cancer: Recognition and Prevention Objectives: 1.To utilize and access the published lists of occupational carcinogens; 2.To obtain and interpret a work history; 3.To identify a carcinogen; 4.To recognize occupational and environmental carcinogens; 5.To identify the steps necessary to follow if a occupational or environmental cancer is suspected; 6.To assess and identify cancer clusters; and 7.To establish preventive programs.

9. Pan American Health Organization 1.Introduction 2.Carcinogen agents: scientific support 3.Carcinogen agents: lists 4.Obtain the history of exposure 5.Interpretation of the history of exposure 6.Performance monitoring 7.Additional factors to observe 8.Cancer case clusters 9.Conclusions Occupational and Environmental Cancer: Recognition and Prevention - Modules

10. Pan American Health Organization Occupational and Environmental Cancer: Recognition and Prevention Free Self-learning Interactive Comprehensive and preventive approach Access to links Case studies Free Self-learning Interactive Comprehensive and preventive approach Access to links Case studies

11. Pan American Health Organization Case Study: The Agriculture in Central America A pesticide poisoning surveillance system integrated into a national epidemiological database Formation of 300 local, intra-sectoral committees (CLIPS) in seven countries. Legislation to ban or restrict the use of 119 pesticides in 7 countries. Workers compensation. Education (various topics and audiences.) Development of alternative methods for agriculture.

12. Pan American Health Organization Acknowledgements Yoan Mayta Paulet Julietta Rodríguez Guzmán Francisco R. Sáenz Coral Sainz Luz Maritza Tennassee Débora Priscila Zazueta Equipo KMC/OPS: - Julia Aymerich - Paulo Leite - María Fernanda Lozano de Muñoz - Lucila Pacheco P. K. Abeytunga Leiliane Amorim Ada Ávila María Teresa Espinoza Marilyn A. Fingerhut Antonino Germano Catherine Jo Marie-Claude Lavoie María Sofía Lioce-Mata Timo Chris Moore Lyne Paquin Timo Partenen P. K. Abeytunga Leiliane Amorim Ada Ávila María Teresa Espinoza Marilyn A. Fingerhut Antonino Germano Catherine Jo Marie-Claude Lavoie María Sofía Lioce-Mata Timo Chris Moore Lyne Paquin Timo Partenen

13. Pan American Health Organization Thank you Muchas Gracias Merci Obrigado Links: www.paho.org/workershealth www.paho.org/saludocupacional/cancer Collaboration, Coordination and Commitment