[Accidents & insurance medicine].
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The frequency of lung carcinoma among the deaths of silicotics registered by the Swiss National Accident Insurance Fund from 1960 to 1978 has been compared with the causes of death of all Swiss males during the same period. The PMR, while underestimating the true risk, is significantly raised among foundry workers. SMR's for lung cancer (estimated by comparing the numbers of pulmonary and non-pulmonary malignancies) are elevated among foundry workers, miners, workers in ceramic and miscellaneous industries. Only the stone/slate industry has not yielded a significant excess of lung cancers.
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The present study is aimed to relate occupational accidents, as recorded by SAIF for 1974, to several risk factors among which the size of industrial enterprises. The results seem to demonstrate that very small enterprises (of less than ten employees) produce the highest rate of occupational accidents and accumulate risk factors. Nevertheless, before going very much further in the comment of results, the authors emphasize the limitations of the available statistical material. Further limitation in planning an ergonomical prevention programme on the basis of those records is to be related to the parameters chosen to explain the genesis of occupational accidents.
The federal law-court for social insurance in Switzerland has recently changed his way of judging insurance claims for neurotic sequels of accidents. A short history of the traumatic neurosis is given and the consequences of this new situation are discussed in view of the psychiatrist as legal expert.
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