中国和国际劳工组织职业性放射性疾病诊断标准比对分析OA

The diagnosis of occupational radiation diseases,with the diagnostic criteria as main technical basis,has always been one of the emphases of China's occupational health work.This study compared the diagnostic standards for occupational radiation diseases between China and the International Labour Organization(ILO)across three aspects—types,classifications/grades,and diagnostic dose requirements—categorizing the diseases into tissue reactions and stochastic ef-fects.① For tissue reactions,8 types are included both in China and ILO standards,13 unique to China's standards,and 4 unique to the ILO standards;significant differences exist in classifaton/grading;China's standards are either consistent with or stricter(i.e.,requiring higher diagnostic dose values)than the ILO standards.② For stochastic effects(radiation-induced can-cer),12 types were included in both standards;China's standards provide more comprehensive coverage for certain malignancies(e.g.,bone cancer);while 5 types were unique to the ILO stan-dards have,some(e.g.salivary gland cancer)are primarily observed in non-occupational popula-tions.Overall,China's standards include more disease types and maintain more stringent diag-nostic dose requirements.However,specific discrepancies require further deliberation during fu-ture revisions.Finally,based on these results,recommendations were provided for basic research and the evaluation of Chinese diagnostic criteria.