["Work related stress" and health care: clinical cases and work-fitness" evaluation]

In the last years an increasing number of people is coming in observation at the Hospital Units of Occupational Medicine in Lombardia, with several "work related stress diseases", showing various clinical manifestations, from light depressive syndromes to severe psychiatric pathologies. Since 1994 the occupational physicians in Lombardia are involved in the "stress related problems" at the workplaces (see SIMLII Symposium in Milan). Furthermore, a specific research project in the years 2004-2007 describes the real dimension of the problem in the different production fields in Lombardia. After the recent Symposium about stress factors at work (2009, the 04 April, Monza, University of Milan Bicocca) an Occupational Medicine Network has been formed, with the purpose to collect and to compare the clinical data of the people coming in observation, by using for this aim a specific data collection grid. The first considerations were presented during the SIMLII Congress 2009 in Florence. Now in the present text the authors describe the collected data about 50 clinical cases employed in health care and hospital activities. At last, the real purpose of the authors is to show the correct proceedings for oriented action levels in the work organization, and for a good management of the specific clinical cases, trough the experiences of the Occupational Medicine Units of Desio and Monza.