OCCAM

The OCCAM (Occupational Cancer Monitoring) project derives from the article n. 71 of the Italian Occupational Safety act the foresee an occupational cancer registry. This act attributes to ISPESL the duty of establish a system for the "occupational cancer monitoring", with an archive of names of cases likely to be of occupational origin, notified by "practitioners, hospitals and social security institutions. The attention paid from health professionals to the occupational risk, however, has been scarce. Moreover, the difficulty of performing a detailed professional history for many patient is enormous. Therefore, a system based on "spontaneous" notifications is infeasible. In 2000 ISPESL and Istituto Nazionale per lo Studio e la Cura dei Tumori in Milano prepared a project to identify cancer cases attributable to occupational origin by using information available on existing archives... This system is active in almost all Italian regions; although the quality of information is less..