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. 2020 May;77(5):340-343.
doi: 10.1136/oemed-2019-106168. Epub 2020 Jan 29.

Trends in occupational diseases in the Italian agricultural sector, 2004-2017

Henk F van der Molen  1 , Chiara Marsili  2 , Andrea Vitali  3 , Claudio Colosio  2   3
Affiliations

Trends in occupational diseases in the Italian agricultural sector, 2004-2017

Henk F van der Molen et al. Occup Environ Med. 2020 May.

Abstract

Objective: To estimate the incidence of, trends in and effect of change in reporting rules on occupational diseases (ODs) in the Italian agricultural sector.

Methods: Over a 14-year period (2004-2017), ODs among Italian agricultural workers were diagnosed by physicians and reported to the National Institute for Insurance against Workplace Accidents and Occupational Diseases. OD was defined as a disease with a specific clinical diagnosis (International Classification of Diseases) and was predominantly caused by work-related factors. Trends in incidence and effects of changed eligibility criteria for reporting occupational musculoskeletal disorders (MSDs) and noise-induced hearing loss (NIHL) were estimated using a Poisson regression model.

Results: In 2017, the incidence of all ODs was 1295 per 100 000 agricultural workers. MSDs (961 per 100 000 workers) were the most frequently occurring ODs. MSDs and NIHL showed statistically significant increasing time trends, 26% and 7% annual increase, respectively, during the 2004-2017 period. There was no statistically significant change in the incidence of occupational respiratory, skin and cancer diseases during the 14-year period. After changes in reporting rules, the incidence of MSDs showed an immediate increased effect, with an incidence rate ratio (IRR) of 2.9 (95% CI 2.65 to 3.14) and a significant annual decreasing trend of -9% (95% CI -6% to -12%) over the years after the changed reporting rules (from 2008 to 2017), and an immediate effect on NIHL with an IRR of 1.3 (95% CI 1.13 to 1.53).

Conclusion: In total, 1.3% of the Italian agricultural workers were diagnosed in 2017 as having an OD. Over a 14-year period, the annual incidence of ODs showed a considerable increasing trend consistent with changed eligibility reporting criteria for occupational MSDs and to a lesser extent for NIHL.

Keywords: Agriculture; epidemiology; occupational diseases.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Absolute number (N) and incidence rate ratio (IRR) of reported occupational diseases (ODs) in the Italian agricultural sector in 2004–2017. MSD, musculoskeletal disorder; NIHL, noise-induced hearing loss.
Figure 2
Figure 2
Incidence rate ratio of reported occupational diseases (ODs) in Italian agricultural sector during 2004–2017 with 2004 as reference year.
See this image and copyright information in PMC

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