Migration, Work, and Health: Lessons Learned from a Clinical Case Series in a Northern Italy Public Hospital

Background: Migrant workers (MWs) generally perform dangerous jobs and have reduced access to occupational health (OH) care, therefore being prone to developing occupational diseases (OD). The aim of the work is to describe a case series of MWs and report on related outcomes for OH professionals. Methods: A case series of 724 MWs, sent from January 2001 to June 2013 to a public OH unit for OD or fitness-for-work (FFW) evaluation, was entered in a dedicated database and elaborated for descriptive statistics with Microsoft Excel. Results: MWs were mostly (75%) men, with a mean age of 40. They came mainly from Morocco, Senegal, Albania, Romania, and Pakistan. Main sectors of employment were manufacturing, metal industry, services, construction. OD were found in 210 cases, main diagnoses being: Lumbar disc and upper limb musculoskeletal disorders (51%), contact dermatitis (15%), allergic asthma (8%), noise-induced hearing loss (7%), tumors (3%), psychiatric disorders (2%). Moreover, 136 FFW judgements were formulated, with some limitations/restrictions expressed. Finally, a relevant prevalence of some chronic non-occupational diseases was found. Conclusions: MWs in Italy may suffer from OH inequalities. Qualified public OH professionals and occupational physicians in workplaces should have a proactive role to concretely meet MWs’ health needs.

[1]  J. Friedland,et al.  Occupational health outcomes among international migrant workers: a systematic review and meta-analysis , 2019, The Lancet. Global health.

[2]  T. Tynes,et al.  A systematic review of working conditions and occupational health among immigrants in Europe and Canada , 2018, BMC Public Health.

[3]  S. Moyce,et al.  Migrant Workers and Their Occupational Health and Safety. , 2018, Annual review of public health.

[4]  A. Bena,et al.  La salute dei lavoratori stranieri: una priorità italiana e internazionale , 2017 .

[5]  Who Europe.  Public Health Aspects of Migrant Health: A Review of the Evidence on Health Status for Labour Migrants in the European Region , 2015 .

[6]  F. G. Benavides,et al.  Condiciones de trabajo y salud de los trabajadores inmigrantes en España: revisión bibliográfica , 2014 .

[7]  S. Porru,et al.  [Work-related accidents and diseases in migrant workers]. , 2011, Giornale italiano di medicina del lavoro ed ergonomia.

[8]  S Porru,et al.  [Occupational health and immigration: skills, perspectives and areas of intervention]. , 2011, Giornale italiano di medicina del lavoro ed ergonomia.

[9]  M. Schenker.  A global perspective of migration and occupational health. , 2010, American journal of industrial medicine.

[10]  C. Muntaner,et al.  Immigration, employment relations, and health: Developing a research agenda. , 2009, American journal of industrial medicine.

[11]  Joan Benach,et al.  Immigrant populations, work and health--a systematic literature review. , 2007, Scandinavian journal of work, environment & health.

[12]  F. Carnevale,et al.  The Health of Foreign Workers in Italy , 2005, International journal of occupational and environmental health.

[13]  E. Komatsu,et al.  Annual Report 2017 , 2017, CAGE – Centre for Arctic Gas Hydrate, Environment and Climate Report Series.

[14]  A. Bena,et al.  [The health of foreign workers: an Italian and international priority.] , 2017, Recenti progressi in medicina.

[15]  Ana M. García,et al.  [Scoping review about working conditions and health of immigrant workers in Spain]. , 2014, Revista espanola de salud publica.

[16]  S. Porru,et al.  [Immigration and work. Roles and opportunities for occupational medicine in the health and safety of migrant workers]. , 2010, La Medicina del lavoro.