Trends in Occupational Diseases in Italian Industry and Services From 2006 To 2019

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Francesca Larese Filon
Ottavia Spadola
Claudio Colosio
Henk Van Der Molen


occupational diseases, epidemiology, incidence rate ratios, Italy, time trend


Background: There is a paucity of data on occupational disease incidence in Italy, and we analyzed the trend on time as an incidence rate ratio (IRR). Methods: Occupational diseases reported to the Italian National Insurance for Occupational Diseases (INAIL) in industrial and services sectors from 2006 to 2019 were considered and analyzed. Annual case counts were analyzed using a Poisson regression model to estimate incidence trends. Results: The incidence of occupational diseases in the industrial and services sectors in 2019 was 261 cases for 100,000 workers, with musculoskeletal disorders (MSDs) representing 65% of the total cases, their incidence being 169.5 cases per 100,000 workers. The incidence of ear diseases (ED) decreased to 20.8 cases for 100,000 workers. The annual change in incidence (IRR) was 1.08 (CI 95% 1.07-1.11) for MSDs, 1.08 (CI 95% 1.06-1.10) for cancers, and 1.04 (CI 95% 1.03-1.06) for respiratory diseases. The trend was significantly negative for ear diseases, 0.96 (CI 95% 0.96-0.97), and skin diseases 0.93 (CI 95% 0.92-0.93). No changes were found for asbestos and mental diseases. Conclusions: During the study period, occupational diseases increased in Italy, mainly for MSDs, due to a changeover in eligibility criteria from 2008. However, the overall incidence was lower than in other EU Countries. More efforts are needed to harmonize the legislation for joint action in the prevention and recognition of occupational diseases.

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1. Stocks SJ, McNamee R, Van Der Molen HF, et al. Trends in the incidence of occupational asthma, contact dermatitis, noise-induced hearing loss, carpal tunnel syndrome and upper limb musculoskeletal disorders in European countries from 2000 to 2012. Occup Environ Med. 2015;72(4):294-303.
2. EUROSTAT Why do we need the European Occupational Diseases Statistics (EODS)?
3. Van Der Molen HF, Marsili C, Vitali A, Colosio C. Trends in occupational diseases in the Italian agricultural sector, 2004-2017. Occup Environ Med. 2020;77(5):340-3.
4. GURI (Gazzetta Ufficiale della Repubblica Italiana). Nuova tabella delle malattie professionali nell’industria di cui all’art. 3 del D.P.R. 1124/1965 e successive modificazioni e integrazioni (ALL. N. 4 al D.P.R. 1124/1965).
5. INAIL Istituto Nazionale contro gli Infortuni sul Lavoro – banca dati statistici (Last Accessed 21, April 2021).
6. ISTAT Istituto Nazionale di Statistica (Last Accessed 21, April 2021).
7. Shakik S, Arrandale V, Holness DL, et al. Dermatitis among workers in Ontario: results from the Occupational Disease Surveillance System. Occup Environ Med. 2019 Sep;76(9):625-631. Doi: 10.1136/oemed-2018-105667
8. Diepgen TL, Coenraads PJ. The epidemiology of occupational contact dermatitis. Int Arch Occup Environ Health. 1999;72:496-506.
9. Larese Filon F, Pesce M, Paulo MS, et al. Incidence of occupational contact dermatitis in healthcare workers: a systematic review. J Eur Acad Dermatol Venereol. 2021;35(6):1285-1289. Doi: 10.1111/jdv.17096
10. Van Der Molen HF, Kuijer PPFM, Smits PBA, et al. Annual incidence of occupational diseases in economic sectors in the Netherlands. Occup Environ Med. 2012;69(7):519-21.
11. Chen Y, Turner S, McNamee R, Ramsay CN, Agius RM. The reported incidence of work-related ill-health in Scotland (2002-2003). Occup Med (Chic Ill). 2005;55(4):252-61.
12. Carder M, Bensefa-Colas L, Mattioli S, et al. A review of occupational disease surveillance systems in Modernet countries. Occup Med (Lond). 2015;65(8):615-25. Doi: 10.1093/occmed/kqv081. Epub 2015 Oct 7
13. Szeszenia-Dabrowska N, Szymczak W Incidence of occupational diseases in Poland. Med Pr. 1999;50(6):479-96.
14. Wilczyńska U, Sobala W, Szeszenia-Dabrowska N. [Occupational diseases in Poland, 2012] Med Pr. 2013;64(3):317-26.
15. Jarolímek J, Urban P. Twenty-year development of occupational diseases in the Czech Republic: medical and geographical aspects. Cent Eur J Public Health. 2014;22(4):251-6. Doi: 10.21101/cejph.a4063.