A roadmap towards a globally harmonized approach for occupational health surveillance and epidemiology in nanomaterial workers
Objective: Few epidemiological studies have addressed the health of workers exposed to novel manufactured nanomaterials. The small current workforces will necessitate pooling international cohorts. Method: A roadmap was defined for a globally harmonized framework for the careful choice of materials, exposure characterisation, identification of study populations, definition of health endpoints, evaluation of appropriateness of study designs, data collection and analysis, and interpretation of the results. Results: We propose a roadmap to reach global consensus on these issues. The proposed strategy should ensure that the costs of action are not disproportionate to the potential benefits, and that the approach is pragmatic and practical. Conclusions: We should aim to go beyond the collection of health complaints, illness statistics or even counts of deaths: the manifestation of such clear endpoints would indicate a failure of preventive measures.
To reference this document use:
QS - Quality & Safety
EELS - Earth, Environmental and Life Sciences
Work and Employment
Journal of Occupational and Environmental Medecine, 54 (10), 1214-1223