{"id":8134,"date":"2024-10-07T10:00:03","date_gmt":"2024-10-07T08:00:03","guid":{"rendered":"https:\/\/eu.bd.com\/iv-news\/?p=8134"},"modified":"2024-10-07T10:09:21","modified_gmt":"2024-10-07T08:09:21","slug":"occupational-cancer-how-you-can-help-reduce-the-risk","status":"publish","type":"post","link":"https:\/\/eu.bd.com\/iv-news\/news-innovation\/occupational-cancer-how-you-can-help-reduce-the-risk\/","title":{"rendered":"Occupational cancer: How you can help reduce the risk"},"content":{"rendered":"<p>Healthcare workers (HCWs) who handle hazardous drugs (HDs) or hazardous medicinal products (HMPs) have a highly significant genotoxic risk, which may result in occupational cancer, when compared with control groups.<sup>1,2<\/sup> Occupational cancer was responsible for an estimated 53% of all work-related deaths in the European Union (EU) in 2015.<sup>3<\/sup><\/p>\n<p>An important step was taken to help protect HCWs from exposure to HDs with the implementation of the <a href=\"https:\/\/eu.bd.com\/iv-news\/news-innovation\/eu-directive-2022-431-whats-in-it-for-healthcare-workers\/\">EU Directive 2022\/431 (EU-CMRD)<\/a> and its transposition into the national laws of EU member states.<sup>4<\/sup> This is an important milestone for HCWs across Europe.<\/p>\n<h2>Exposure to HD contamination<\/h2>\n<p>Out of all HCWs exposed to HD contamination in the EU, 40% are nurses, 11% are pathology laboratory technicians and 9% are pharmacists.<sup>5 <\/sup>In a study conducted in 12 French hospitals between 2008 and 2012, Ndaw et al. found that nurses and nurse\u2019s aides on oncology wards were more exposed to HDs than pharmacists and pharmacy technicians.<sup>6<\/sup><\/p>\n<p>Exposure can occur through three main routes: oral ingestion, inhalation or dermal contact.<sup>7<\/sup> Absorption through the skin has been suggested as the most likely route of exposure in healthcare facilities.<sup>8<\/sup><\/p>\n<h2>HD exposure and occupational cancer risk<\/h2>\n<p>Now, it\u2019s time to understand the link between HD contamination and the risk of developing occupational or work-related cancer. It has been shown that nurses exposed to HDs have an increased risk of developing breast or rectal cancer.<sup>9<\/sup> A population-based cohort study in Taiwan demonstrated that male pharmacists have a higher risk of prostate cancer than males in the general population and female pharmacists have a higher risk of breast cancer than females overall.<sup>10<\/sup><\/p>\n<p>An HCW may be exposed to workplace contamination for years or even decades before being diagnosed with cancer.<sup>11<\/sup><\/p>\n<p><strong>More on this topic<\/strong>: <a href=\"https:\/\/eu.bd.com\/iv-news\/events-training\/safe-handling-of-hazardous-drugs-applying-the-cmrd-in-ireland\/\">Safe handling of hazardous drugs: applying the CMRD in Ireland<\/a><\/p>\n<h2>HCW experience of occupational cancer<\/h2>\n<p>It can be difficult for HCWs when they become patients.<sup>12<\/sup><\/p>\n<h3>As patients with cancer, they may experience:<\/h3>\n<ul>\n<li>Denial in the early stages of illness<sup>13<\/sup><\/li>\n<li>\u201cRole ambiguity,\u201d defined as \u201cstruggling to reverse the role from being an HCW to being a patient\u201d<sup>14<\/sup><\/li>\n<li>Guilt over workload-related concerns because of their sick leave<sup>13<\/sup><\/li>\n<li>Anxiety because colleagues knew their diagnosis and prognosis<sup>13<\/sup><\/li>\n<li>Stress from colleagues caring for them<sup>14<\/sup><\/li>\n<li>Loss of control<sup>14<\/sup><\/li>\n<li>Vulnerability<sup>14<\/sup><\/li>\n<li>Difficulties returning to work after cancer treatment<sup>13<\/sup><\/li>\n<li>Altered ability to work due to physical, psychological and social needs<sup>13<\/sup><\/li>\n<li>Enhanced understanding of their own patients\u2019 difficulties and challenges<sup>14<\/sup><\/li>\n<\/ul>\n<p>According to the World Health Organisation (WHO), 30\u201350% of all cases of cancer can be prevented.<sup>15<\/sup> \u201cReducing the suffering caused by cancer is a priority for us, and to do so, prevention is key,\u201d said Stella\u00a0Kyriakides,\u00a0EU Commissioner for Health and Food Safety.<sup>16<\/sup><\/p>\n<p><strong>Now that you know about occupational cancer risk, find out how to help protect yourself and your colleagues. <\/strong>Beyond basic safety measures (e.g., personal protective equipment and isolators), there\u2019s so much more that can be done. Prevention starts with knowing where the risks are.<\/p>\n<div class=\"su-button-center\"><a href=\"https:\/\/lp.bd.com\/202403-MDS24-EU_EN-Oncology-Awareness-Hazardous_Drugs_Check-LP_LP-EN-01-MainLP.html\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#2D89EF;border-color:#246ec0;border-radius:6px\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"color:#FFFFFF;padding:0px 18px;font-size:14px;line-height:28px;border-color:#6cadf4;border-radius:6px;text-shadow:none\"> LEARN MORE<\/span><\/a><\/div>\n<h2>Seven practice recommendations to help reduce your exposure to HD contamination<\/h2>\n<ol>\n<li>Promote a culture of safety based on individual accountability and process improvement<sup>17<\/sup><\/li>\n<li>Use safe-handling precautions when opening chemotherapy medication packaging before preparation<sup>18<\/sup><\/li>\n<li>Introduce closed-system transfer devices (CSTDs) during preparation and administration to help decrease surface contamination from HDs<sup>19<\/sup><\/li>\n<li>Carry out regular surface monitoring with wipe sampling<sup>20<\/sup><\/li>\n<li>Ensure there is a specific standard operating procedure, staff training and kit for managing HD spills<sup>21<\/sup><\/li>\n<li>Combine cleaning techniques to deactivate, decontaminate, clean and disinfect potentially contaminated work surfaces<sup>21<\/sup><\/li>\n<li>Make sure your occupational safety and health officer conducts risk assessments to determine adverse health effects at assessed exposure levels<sup>22<\/sup><\/li>\n<\/ol>\n<p>\u201cWhile the majority of occupational hazards have been successfully addressed by legislation at the European and national level, much remains to be done when it comes to the exposure of HCWs to chemical risks during activities such as the preparation and administration of cytotoxic drugs used to treat patients with cancer,\u201d according to a report by the European Parliament.<sup>11<\/sup><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Healthcare workers (HCWs) who handle hazardous drugs (HDs) or hazardous medicinal products (HMPs) have a highly significant genotoxic risk, which&#8230;<\/p>\n","protected":false},"author":8,"featured_media":8137,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-8134","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news-innovation","speciality-drug-compounding","speciality-healthcare-worker-safety","speciality-medical-oncology","contenttype-article","target-clinical-pharmacy","target-doctor","target-nursing","target-occupational-health"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Occupational cancer: How you can help reduce the risk - BD IV News<\/title>\n<meta name=\"description\" content=\"Explore the link between hazardous drug exposure and occupational cancer among healthcare workers in the EU. 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