1992 年石棉禁令后，意大利法律规定需要对接触石棉的前工人进行健康监测。我们描述了从 1994 年到 2020 年 27 年来对接触石棉的前工人进行健康监测的结果，网址为：巴里大学医院职业医学科。我们采用了健康监测方案，该方案于 2018 年在国家一级得到验证。总共对 1,405 名接触石棉的前工人进行了检查。我们对 339 例病例（占队列的 24% 接受监测）进行了病理诊断，其中一些病例的诊断涉及多种病理。具体而言，339例中，49.2%被诊断出胸膜斑块，35.9%被诊断为石棉肺，20.3%被诊断为恶性胸膜间皮瘤(MPM)，9.1%被诊断为睾丸阴道间皮瘤(MTVT)，5.8%被诊断为肺癌，喉癌占 0.8%。尽管 1992 年颁布了石棉禁令，但与石棉相关的疾病仍然是一个严重的公共卫生问题。重要的是要建立标准，确保对以前接触过的工人进行健康监测，最大限度地降低成本，减少侵入性检查的数量，并优化可实现的结果。版权所有 © 2024 De Maria, Pentimone, Cavone, Caputi, Sponselli, Fragassi, Dicataldo, Luisi, Delvecchio、Giannelli、Cafaro、Sole、Ronghi、Zagaria、Loiacono、Sifanno、Ferri 和 Vimercati。

The need for health surveillance of former workers exposed to asbestos was provided by law in Italy after the asbestos ban in 1992.We describe the results of the health surveillance of former workers exposed to asbestos, conducted over 27 years, from 1994 to 2020, at the Operative Unit of Occupational Medicine of the University Hospital of Bari.We adopted the health surveillance protocol, which was validated at the national level in 2018.A total of 1,405 former workers exposed to asbestos were examined. We proceeded with diagnosing pathologies in 339 cases (24% of the cohort subjected to surveillance), with diagnoses of some cases involving multiple pathologies. Specifically, pleural plaques were diagnosed in 49.2% of the 339 cases, asbestosis in 35.9%, malignant pleural mesothelioma (MPM) in 20.3%, mesothelioma of the vaginal tunic of the testis (MTVT) in 9.1%, lung cancer in 5.8%, and laryngeal cancer in 0.8%.Despite the 1992 asbestos ban, asbestos-related diseases remain a serious public health issue. It is important to establish criteria that ensure the health surveillance of formerly exposed workers minimizes costs, reduces the number of invasive examinations, and optimizes achievable results.Copyright © 2024 De Maria, Pentimone, Cavone, Caputi, Sponselli, Fragassi, Dicataldo, Luisi, Delvecchio, Giannelli, Cafaro, Sole, Ronghi, Zagaria, Loiacono, Sifanno, Ferri and Vimercati.