Identification and Priority Setting for Occupational Carcinogens (OCs) in Industries in Thailand

Authors

  • Somkiat Siriruttanapruk Department of Disease Control, Ministry of Public Health, Thailand
  • Rachaneekorn Chomsuan Department of Disease Control, Ministry of Public Health, Thailand
  • Pibool Issarapan Department of Disease Control, Ministry of Public Health, Thailand
  • Hirunwut Praekunatham Department of Disease Control, Ministry of Public Health, Thailand

DOI:

https://doi.org/10.59096/osir.v15i4.262276

Keywords:

occupational carcinogen, priority setting, arsenic, industry, Thailand

Abstract

Several chemicals, including occupational carcinogens (OCs), have been used in Thailand. Apart from asbestos and silica, other OCs need to be identified for further monitoring and management. The study aimed to identify and conduct priority setting of these carcinogens in Thailand. The methods of the study were applied from Hanlon’s method for priority setting. The first step was to identify OCs from the lists of the National Hazardous Substance Registry by using the criteria as follows: 1) being classified as OCs by Loomis et al., and 2) having high amount of import/export in the country during 2018–2020. After that, the identified agents were ranked according to three criteria: 1) size of the problem, 2) severity of the problem, and 3) feasibility of interventions. The results found that 18 occupational carcinogens were identified and 12 of them were still allowed to be used in the country. According to available information, seven agents were matched for priority setting, and the top three scored OCs included 1) arsenic and inorganic arsenic compounds, 2) trichloroethylene, and 3) formaldehyde. Further action plan includes health risk assessment, setting up of health surveillance, and implementation of preventive and control measures in the target workplaces.

References

Takala J. Eliminating occupational cancer in Europe and globally [Internet]. Brussels: ETUI; 2015 [updated 2020 Nov 5, cited 2022 Aug 31]. 23 p. <https://www.etui.org/publications/working-papers/eliminating-occupational-cancer-in-europe-and-globally>

Takala J, Hamalainen P, Saarela KL, Yun LK, Manickam K, Jin TW, et al. Global Estimates of the Burden of Injury and Illness at Work in 2012. J Occup Environ Hyg [Internet]. 2014 [cited 2022 Aug 31];11(5):326–37. doi: 10.1080/15459624.2013.863131.

GBD 2016 Occupational Carcinogens Collaborators. Global and regional burden of cancer in 2016 arising from occupational exposure to selected carcinogens: a systematic analysis for the Global Burden of Disease Study 2016. Occup Environ Med. 2020 Mar; 77(3):151–9. doi:10.1136/oemed-2019-106012.

International Agency for Research on Cancer, World Health Organization. IARC Monographs on the Identification of Carcinogenic Hazards to Human [Internet]. Lyon: International Agency for Research on Cancer; [updated 2022 Aug 12, cited 2022 Aug 26]. <https://monographs.iarc.who.int/agents-classified-by-the-iarc/>

Loomis D, Guha N, Hall AL, Straif K. Identifying occupational carcinogens: an update from the IARC Monographs. Occup Environ Med. 2018 Aug;75(8):593–603. doi:10.1136/oemed-2017-104944

Wee RY. Leading causes of death in Thailand [Internet]. Quebec: WorldAtlas; 2017 Apr 25 [cited 2022 May 17]. <https://www.worldatlas.com/articles/leading-causes-of-death-in-thailand.html>

Globacan 2020, International Agency for Research on Cancer, World Health Organization. Global Cancer Observatory: Thailand. [Internet]. Lyon: Global Cancer Observatory; 2021 Mar [cited 2022 May 17]. 2 p. <https://gco.iarc.fr/today/data/factsheets/populations/764-thailand-fact-sheets.pdf>

Office of Workmen’s Compensation Fund, Social Security Office. Situation of work-related injuries and disease during 2016–2020 [Internet]. Nonthaburi: Social Security Office; 2021 Jun [cited 2022 May 17]. 19 p. <https://www.sso.go.th/wpr/assets/upload/files_storage/sso_th/5ebe42693bf27ca624d2a14a89f99223.pdf>. Thai.

Department of Industrial Work. Information of Hazardous Substances [Internet]. Bangkok: Department of Industrial Work, Ministry of Industry; [cited 2021 May 27]. <https://www.diw.go.th/webdiw/s-data-haz/>. Thai.

International Labour Office. Occupational Safety and Health Series No. 39: Occupational Cancer - Prevention and Control [Internet]. Geneva: International Labour Organization; 1977 [cited 2022 May 27]. 36 p.<https://www.ilo.org/wcmsp5/groups/public/---ed_protect/---protrav/---safework/documents/publication/wcms_236179.pdf>

World Health Organization. WHO calls for prevention of cancer through healthy workplaces [Internet]. Geneva: World Health Organization; 2007 Apr 27 [cited 2022 May 27].<https://www.who.int/news/item/27-04-2007-who-calls-for-prevention-of-cancer-through-healthy-workplaces>

Iavicoli S, Driscoll TR, Hogan M, Iavicoli I, Rantanen JH, Straif K, et al. New avenues for prevention of occupational cancer: a global policy perspective. Occup Environ Med. 2019 Jun;76(6):360–2. doi: 10.1136/oemed-2018-105546.

Division of Occupational and Environmental Diseases. Control of Occupational Diseases and Environmental Diseases Act. B.E. 2562 [Internet]. Nonthaburi: Division of Occupational and Environmental Diseases, Department of Disease Control, Mining of Public Health; 2019 May 22 [cited 2022 May 18]. 21 p. <https://ddc.moph.go.th/uploads/files/8420191010020910.PDF>. Thai.

Secretariat of the Cabinet. Ministry Cabinet Resolution on April 12, 2011 about resolution from the third National Health Assembly about Thailand’s asbestos ban measures [Internet]. Bangkok: Secretariat of the Cabinet; 2011 [cited 2022 Dec 6]. <https://resolution.soc.go.th/?prep_id=99227080>. Thai.

National Association of County and City Health Officials. Guide to prioritization techniques [Internet]. Washington: National Association of County and City Health Officials; [cited 2021 Jul 17]. 12 p. <https://www.naccho.org/uploads/downloadable-resources/Gudie-to-Prioritization-Techniques.pdf>

Office of the Council of State, Thailand. Hazardous Substance Act B.E. 2535 (1992) [Internet]. Bangkok: Office of the Council of State, Thailand; [cited 2021 Sep 20]. 35 p.<http://web.krisdika.go.th/data/outsitedata/outsite21/file/Hazardous_Substance_Act_B.E._2535.pdf>

Department of Industrial Work. List of registered industry [Internet]. Bangkok: Department of Industrial Work, Ministry of Industry; [cited 2021 Sep 20]. <http://userdb.diw.go.th/fac_month/menu.asp> Thai.

Silaparatsamee Y, Na Nirojana A. The results of arsenic poisoning researches in Ronpibul district, Nakorn Si Thammarat province, 2005 [Internet]. Nonthaburi: Health Systems Research Institute; 2005 [cited 2022 May 12]. 79 p. <https://kb.hsri.or.th/dspace/bitstream/handle/11228/1571/hs1270.pdf?sequence=2isAllowed=y>. Thai.

Ecological Alert and Recovery–Thailand. Arsenic poisoning, Ronpibul district, Nakorn Si Thammarat province [Internet]. Nonthaburi: Ecological Alert and Recovery–Thailand; [cited 2022 Aug 26]. <https://www.earththailand.org/th/pollution/22>. Thai.

Punjindasup A, Sangrajrang S, Ekpanyaskul C. Occupational risk ractors of lymphohematopoietic cancer in Rayong Province, Thailand. J Med Assoc Thai [Internet]. 2015 [cited 2022 Aug 2];98 (Suppl. 10): S13–22. <http://www.jmatonline.com/index.php/jmat/article/view/6886>

Ingviya T, Intawong C, Abubaker S, Strickland PT. Exposure Assessment of Rayong Oil Spill Cleanup Workers. Expo Health. 2020 Dec; 12(4):617–28. doi: 10.1007/s12403-019-00320-0.

Sithisarankul P, Intawong C. Preliminary report of health effects among oil spill cleanup workers and volunteers, Thailand, 2013. J Health Res. 2017 Aug 25; 29(3):197-–201.

Office of Atom for Peace. Current nuclear activities in Thailand [Internet]. Bangkok: Office of Atom for Peace, Ministry of Science and Technology, Thailand; [cited 2022 Aug 2]. 27 p. <https://ansn.iaea.org/Common/topics/OpenTopic.aspx?ID=13065>

Driscoll T, Steenland K, Pruss-Ustun A, Nelson DI, Leigh J. Occupational carcinogens: Assessing the environmental burden of disease at national and local levels [Internet]. Geneva: World Health Organization; 2004 Jul 19 [cited 2022 Aug 2]. 65 p. <https://www.who.int/publications/i/item/occupational-carcinogens-assessing-the-environmental-burden-of-disease-at-national-and-local-levels>. (Environmental Burden of Diseases Series, No. 6).

Hohenadel K, Marrett L, Pichora E, Brown J, Harris S, Blair A. Occupational cancer research centre stakeholder consultation report [Internet]. Toronto (ON): Occupational Cancer Research Centre;. 2009 Nov[cited 2022 Aug 2]. 17 p. <http://www.occupationalcancer.ca/wp-content/uploads/2010/05/OCRC-Stakeholder-Consultation-FINAL-Jan-26-2010-1.pdf>

Dubrow R, Wegman DH. Setting priorities for occupational cancer research and control: synthesis of the results of occupational disease surveillance studies. J Natl Cancer Inst. 1983 Dec;71(6):1123–42.

Ward EM, Schulte PA, Bayard S, Blair A, Brandt-Rauf P, Butler MA, et al. Priorities for development of research methods in occupational cancer. Environ Health Perspect. 2003 Jan; 111(1):1–12.

Counil E, Henry E. Is it time to rethink the way we assess the burden of work-related cancer?. Curr Epidemiol Rep [Internet]. 2019 [cited 2022 Aug 16];6:138–47. doi: 10.1007/s40471-019-00190-9>

Kauppinen T, Toikkanen J, Pedersen D, Young R, Ahrens W, Boffetta P, et al. Occupational exposure to carcinogens in the European Union. Occup Environ Med. 2000 Jan;57(1):10–8. doi: 10.1136/oem.57.1.10.

Rushton L, Hutchings SJ, Fortunato L, Young C, Evans GS, Brown T, et al. Occupational cancer burden in Great Britain. Br J Cancer. 2012 Jun 19;107 (Suppl 1):S3–7. doi: 10.1038/bjc.2012.112.

Peters CE, Palmer AL, Telfer J, Ge CB, Hall AL, Davies HW, et al. Priority setting for occupational cancer prevention. Saf Health Work 2018 Jun;9(2):133–9.

Carey RN, Driscoll TR, Peters S, Glass DC, Reid A, Benke G, et al. Estimated prevalence of exposure to occupational carcinogens in Australia (2011–2012). Occup Environ Med. 2014 Jan;71(1):55–62. doi:10.1136/oemed-2013-101651.

Choi BCK, Maza RA, Mujica OJ, PAHO Strategic Plan Advisory Group, PAHO Technical Team. The Pan American Health Organization-adapted Hanlon method for prioritization of health programs. Rev Panam Salud Publica [Internet]. 2019 [cited 2022 Aug 15];43:e61. doi: 10.26633/RPSP.2019.61.

Sousa FAMR, Goulart MJG, Braga AMS, Medeiros CMO, Rego DCM, Vieira FG, et al. Setting health priorities in a community: a case example. Rev Saude Publica [Internet]. 2017 [cited 2022 Aug 15];51(0):11. doi: 10.1590/S1518-8787.2017051006460.

Published

2022-12-30

How to Cite

Siriruttanapruk, S., Chomsuan, R., Issarapan, P., & Praekunatham, H. (2022). Identification and Priority Setting for Occupational Carcinogens (OCs) in Industries in Thailand. Outbreak, Surveillance, Investigation & Response (OSIR) Journal, 15(4), 123–130. https://doi.org/10.59096/osir.v15i4.262276

Issue

Section

Original article