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The surveillance of occupational diseases in Italy: the MALPROF system

G Campo1, A Papale2, A Baldasseroni3

  • 1Department of Work and Environmental Medicine, Epidemiology and Hygiene, National Institute for Insurance against Accidents at Work (INAIL), Via Ferruzzi 38-40, 00143 Rome, Italy, g.campo@inail.it.

Occupational Medicine (Oxford, England)
|October 28, 2015
PubMed
Abstract

Insights

The Italian MALPROF system effectively monitors occupational diseases, identifying key risks like hearing loss and spine disorders. This surveillance aids in improving worker health and safety across various industries.

Area of Science:

  • Occupational health and safety surveillance
  • Public health informatics
  • Epidemiology of work-related diseases

Background:

  • Data on occupational diseases is crucial for enhancing worker health and safety initiatives.
  • Effective surveillance systems are needed to track and manage work-related illnesses.

Purpose of the Study:

  • To describe the MALPROF system, Italy's national surveillance program for work-related diseases.
  • To outline the data collection and analysis methods used by the Department of Prevention.

Main Methods:

  • The MALPROF system, initiated in 1999, expanded to include 14 Italian regions by 2012.
  • Data analysis involved calculating the proportional reporting ratio (PRR) to identify occupational health risks.
  • Work-related diseases were classified by economic sector and job activity, with causal relationships evaluated by occupational physicians.

Main Results:

  • From 1999 to 2012, MALPROF collected approximately 112,000 cases of workers' diseases.
  • The most frequently reported conditions were hearing loss (32%), spine disorders (17%), and carpal tunnel syndrome (11%).
  • Elevated PRRs were observed for cervical disc herniation in drivers and air transport workers, suggesting potential occupational links.

Conclusions:

  • MALPROF serves as a sensitive tool for detecting associations between occupational exposures and diseases.
  • The system supports the development and evaluation of preventive measures for worker health.
  • MALPROF can stimulate research into emerging occupational risks and diseases.
Keywords:
Aetiologymedical surveillanceoccupational diseaseoccupational epidemiologypopulation.

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