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Les maladies professionnelles radioinduites reconnues en France : bilan et évolutions depuis 1956

Abstract : The aim of this article is to take stock of radiation-induced occupational diseases (OD)recognized in France over the last 60 years. The evaluation of radio-induced OD encounters administrative(non-intuitive) definitions of the terms used in French statistics, such as: recognized diseases, victims anddeaths, the difference between the sum of quarterly statistics and annual statistics. These definitions are suchthat the“annual”data are less than the sum of the data for the four quarters. Also, annual statistics, which areonly to be detailed, only cover 3/4 of the diseases actually recognized, the last quarter remains unknown.These restrictions also concern recognized cancers. As the CNAMTS is the only source of data onoccupational diseases, a quarter of the diseases and cancers are beyond analysis. Since 1993, acomplementary system of recognition of occupational diseases has been created. It makes it possible toextend the recognition by“board”and to examine the cases of diseases that do not meet all the requiredcriteria, but also the cases of diseases that are not included in a board (for example, radiation-induced cancerof the thyroid). For these latter cases, the CNAMTS provides only partial data which reduces thepossibilities of analysis and assessment. During the 60 years studied (1956–2015), there were 19.7recognized radio-induced diseases per year and for the last 22 years 22.2 occupational diseases / year ofwhich 15.3 radio-induced cancers.
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J.C. Zerbib. Les maladies professionnelles radioinduites reconnues en France : bilan et évolutions depuis 1956. Radioprotection, EDP Sciences, 2018, 53 (1), pp.51-60. ⟨10.1051/radiopro/2018002⟩. ⟨hal-02053733⟩

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