{"id":102137,"date":"2019-05-22T09:58:23","date_gmt":"2019-05-22T07:58:23","guid":{"rendered":"https:\/\/batijournal.com\/?p=102137"},"modified":"2019-07-15T12:08:39","modified_gmt":"2019-07-15T10:08:39","slug":"les-risques-eleves-de-lexposition-a-la-silice-cristalline","status":"publish","type":"post","link":"https:\/\/batijournal.com\/index.php\/les-risques-eleves-de-lexposition-a-la-silice-cristalline\/102137\/","title":{"rendered":"Les risques \u00e9lev\u00e9s de l’exposition \u00e0 la silice cristalline"},"content":{"rendered":"

L\u2019Anses vient de publier les r\u00e9sultats de son expertise relative aux risques pour la sant\u00e9 des travailleurs expos\u00e9s \u00e0 la silice cristalline. En France, pr\u00e8s de 365 000 travailleurs y seraient expos\u00e9s par inhalation, en particulier au quartz. L\u2019Anses estime que 23 000 \u00e0 30 000 travailleurs seraient expos\u00e9s \u00e0 des niveaux exc\u00e9dant la valeur limite d\u2019exposition professionnelle (VLEP) de 0,1 mg.m-3 actuellement en vigueur en France, et plus de 60 000 \u00e0 des niveaux exc\u00e9dant la VLEP la plus basse propos\u00e9e au niveau international \u00e9tablie \u00e0 0,025 mg.m-3. Plus des deux tiers de ces niveaux d\u2019expositions concernent le secteur de la construction.<\/strong><\/p>\n

Depuis le classement de la silice cristalline comme canc\u00e9rog\u00e8ne pour l\u2019Homme par le CIRC en 1997, toutes les \u00e9tudes publi\u00e9es depuis ont confirm\u00e9 le lien avec le d\u00e9veloppement du cancer broncho-pulmonaire (CBP). Le risque est major\u00e9 en pr\u00e9sence d\u2019une silicose pulmonaire, mais les \u00e9tudes disponibles confirment l\u2019existence d\u2019un risque significatif ind\u00e9pendamment de la silicose. Si le lien causal est aujourd\u2019hui bien \u00e9tabli avec la silicose, l\u2019expertise souligne l\u2019int\u00e9r\u00eat de r\u00e9viser la d\u00e9finition actuelle de la maladie sur le plan m\u00e9dical, en incluant les formes pr\u00e9coces.
\nOutre la silicose et le cancer broncho-pulmonaire, l\u2019expertise de l\u2019Anses confirme une association significative entre une exposition \u00e0 la silice cristalline et le risque de d\u00e9velopper une maladie auto-immune comme la scl\u00e9rodermie syst\u00e9mique, le lupus \u00e9ryth\u00e9mateux syst\u00e9mique et la polyarthrite rhumato\u00efde. De la m\u00eame mani\u00e8re, l\u2019exposition \u00e0 la silice cristalline augmente le risque de d\u00e9velopper des pathologies respiratoires non malignes autres que la silicose telles que la bronchopneumopathie chronique obstructive (BPCO), l\u2019emphys\u00e8me, la tuberculose. Une association a \u00e9t\u00e9 observ\u00e9e dans les \u00e9tudes entre l\u2019exposition \u00e0 la silice cristalline et le risque de pathologie r\u00e9nale ou d\u2019une pneumopathie infiltrante diffuse (PID) de type fibrose pulmonaire idiopathique (FPI), mais les donn\u00e9es actuellement disponibles sont insuffisantes pour expliquer ces relations de mani\u00e8re pr\u00e9cise.<\/p>\n

L\u2019Anses recommande une s\u00e9rie de mesures en termes de pr\u00e9vention et de ma\u00eetrise des expositions en milieu professionnel, de surveillance m\u00e9dicale et de reconnaissance des maladies professionnelles.
\nEn termes de pr\u00e9vention, l\u2019Anses rappelle en premier lieu la n\u00e9cessit\u00e9 d\u2019appliquer les mesures de pr\u00e9vention d\u00e9finies par la directive 2004\/37\/CE concernant la protection des travailleurs contre les risques li\u00e9s \u00e0 l’exposition \u00e0 des agents canc\u00e9rog\u00e8nes ou mutag\u00e8nes au travail. En effet, les \u00ab travaux exposant \u00e0 la poussi\u00e8re de silice cristalline alv\u00e9olaire issue de proc\u00e9d\u00e9s de travail \u00bb ont \u00e9t\u00e9 consid\u00e9r\u00e9s comme canc\u00e9rog\u00e8nes et inscrits dans l\u2019annexe I de cette directive. Ainsi, l\u2019Anses recommande de transposer rapidement en droit fran\u00e7ais les cons\u00e9quences de cette inscription. Elle recommande \u00e9galement de r\u00e9viser les VLEP pour la silice cristalline, jug\u00e9s insuffisamment protectrices, sans faire de distinction entre ses diff\u00e9rentes formes.
\nEn termes de surveillance m\u00e9dicale, l\u2019Anses recommande notamment des \u00e9volutions du diagnostic et du d\u00e9pistage de certaines pathologies (silicose, tuberculose, pathologies r\u00e9nales\u2026) pour des sujets expos\u00e9s ou ayant \u00e9t\u00e9 expos\u00e9s professionnellement \u00e0 la silice cristalline.
\nEnfin, l\u2019Anses recommande que la r\u00e9vision des tableaux de maladies professionnelles en lien avec la silice cristalline soit engag\u00e9e.<\/p>\n","protected":false},"excerpt":{"rendered":"

L\u2019Anses vient de publier les r\u00e9sultats de son expertise relative aux risques pour la sant\u00e9 des travailleurs expos\u00e9s \u00e0 la silice cristalline. En France, pr\u00e8s de 365 000 travailleurs y seraient expos\u00e9s par inhalation, en particulier au quartz. L\u2019Anses estime que 23 000 \u00e0 30 000 travailleurs seraient expos\u00e9s \u00e0 des niveaux exc\u00e9dant la valeur […]<\/p>\n","protected":false},"author":17,"featured_media":102138,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[10530,6345],"tags":[12771,12770,2656],"class_list":["post-102137","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-actualites","category-economie-marches","tag-maladie","tag-risques-professionnels","tag-sante"],"yoast_head":"\nLes risques \u00e9lev\u00e9s de l'exposition \u00e0 la silice cristalline<\/title>\n<meta name=\"description\" content=\"En France, pr\u00e8s de 365 000 travailleurs seraient expos\u00e9s \u00e0 l'inhalation de silice cristalline et particuli\u00e8rement le quartz\" \/>\n<meta name=\"robots\" content=\"index, follow, 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