Occupational diseases of teachers and neoplasms



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In the well-known comparative study published in n. 5/2004 of La Medecine del Lavoro, it is found that psychiatric pathologies are the main cause of “inability to teach” sanctioned by the associations of forensic doctors (CMV). These diagnoses are far superior to the three control groups consisting of health workers, manual workers, and administrative workers.

Similar results were obtained in the group of teachers, although with a lower incidence compared to psychiatric disorders, in terms of neoplasms. To explain the mechanism physiopathogenetic From this last evidence, the authors argued that anxiety-depressive disorders, generated by a situation of prolonged chronic stress, produced a high increase in cortisol which, in turn, resulted in a prolonged state of immunosuppression. A second retrospective study of 133,000 teachers was carried out by researcher Bernstein in 2002 in California and confirmed the high incidence of cancer in teachers, with a prevalence of breast cancers since the teaching population is mainly female.

Surprisingly, as is often the case with teachers’ health problems, the problem has not had the answer it deserves. Few or none of the school leaders accepted the invitation to be included in the Risk assessment document a periodic reminder to teachers to take available cancer screenings. Therefore, I would like to raise the issue to raise awareness among those responsible (institutions, politics, unions, unions) through the testimonies of the teachers who recently wrote me their stories, inviting anyone who has had similar health problems to share your experience on my page www.facebook.com/vittoriolodolo or write directly to my email [email protected].

The teachers who recounted their odyssey had tumors of the uterus (2 cases) and intestine (2 cases) and come from kindergarten (3) and high school (1). All of them have a kind of professional psychophysical exhaustion that determines the immunosuppressive condition through the aforementioned pathogenic mechanism mediated by cortisol. On the fourth floor, unlike the previous ones, it is not about professional clothes but about “major adverse occupational event“(professional life event) which induced one shock higher psychic and can cause the same effects in a much shorter time.

I’m witness

The work of teachers requires, towards users and their families, unconditional acceptance, empathy, creativity, competence, serenity and quality. Difficult task because we have on our shoulders a load of at least one hundred people to manage every day, including students, parents, Ata staff, colleagues, managers. Unfortunately, we experience and manage stress-related illnesses alone. I have taught preschool for over 30 years and I can’t take it anymore. Over the years I have matured a 75% disability due to various pathologies: uterine cancer and to follow other related pathologies. Now I also suffer from urinary incontinence after surgery. I would like to apply for a change to another job and get started. I am also acquiring information through a union and ask if they can give me some advice on this.

The testimony

My name is Anna, I am a high school teacher and I am 59 years old. I was already exhausted when I was diagnosed with colon cancer. I had surgery at the end of June, it had to be a month or so, but unfortunately the operation had many serious complications … peritonitis, septicemia … and finally I had a surgical wound that took seven months to heal. Discharged from the hospital in May, a recurrence is discovered after nine months. In summer the chemo and the radio, which he had not been able to do the previous year due to septicemia. After all the October cycles, now in January I will have to have surgery again to remove the tumor mass. I can not take it anymore. In all this confusion, I have applied for permanent disability for service.

In September I passed the collegiate medical examination that decreed a temporary inability to teach for 5 years, so I decided to apply for a pension. Despite what I’ve been through, despite the disability that will remain, despite the fear that still grips me at night … of dying … I can’t help but think that luckily I no longer have to go to school . How nice, I’m retired. And I feel guilty about myself for thinking this. And I wonder, what school is this that leads us to this madness? Of the many teachers I know, only one in a hundred regrets school.

III testimony

Dear Doctor: I have been a kindergarten teacher since 1998 and dismissed since 2018 due to postoperative problems of uterine cancer (depression, tachycardia, panic attacks and many other disorders due to surgical menopause). By law I should have placed myself in the library and didactic support, but due to a misinterpretation by the administration of the legislation on inadequate teachers, they placed me in the secretariat, where I suffered psychophysical stress because I had never performed administrative services. Unfortunately, I was left at the secretariat without any duty and completely ignored. This situation is causing me a lot of disturbances, fear of going to work, panic attacks, feelings of incompetence and lack of esteem. What do you recommend. I need my serenity so much.

Testimony IV (story of a colleague)

Professor Giovanna, my colleague in kindergarten, was a precarious teacher because she started giving school availability six / seven years ago when she lost her job as a secretary in a multinational company in Rome. He arrived in our country 700 km away with a suitcase and nothing else in October 2015, accepting a temporary displacement that initially had to last a month and then lasted throughout the school year. In July 2016 he returned to the capital and, in mid-October 2016, he was notified of the guarantee notice for alleged abuse at school. My colleague was upset, he rushed over from Rome in late October to answer the GIP. After a few weeks, at the end of December 2016, he began to suffer from intestinal problems.

Doctors in Rome immediately said that it was a discomfort strongly linked to a strongly tested and shocked nervous and emotional system. In fact, there was never any peace over the whole thing that was going on. He underwent a first surgery in January 2017 during which a section of his colon was removed. She followed a course of chemotherapy, everything seemed to be going well, but Giovanna was never calm and the doctors indicated it to her at each check-up. There was no peace, he did not understand why so much evil after the great sacrifice he had made to help, with determination, the children and families most in need. I saw her again at Christmas 2017 when I went to Rome to visit her. He resumed teaching by accepting a part-time support position. Finally the terrible blow: the tumor had progressed to force her to a new hospitalization in December 2018. Giovanna died in May 2019, at the age of 58, after numerous interventions and her court case was interrupted without even being able to have justice, since that “the death of the accused extinguishes the crime.”

Comments

The reported cases do not have any statistical value, however they tend to confirm what was reported in the cited clinical studies that show ahigh psychophysical exhaustion in teachers of all levels. This would imply the manifestation of psychiatric pathologies (that is, as we all know, job of report with a particular type of relationship with the user) that are accompanied by immunosuppression and the consequent appearance of neoplastic phenomena of any order and type (with a prevalence of breast tumors according to scientific publications).

Despite the importance of the subject, no one has paid it due attention and the Ministry of Economy and Finance (Office III) has even stubbornly denied over the years the data of inadequacy for teaching to the school unions that have it. requested (including another topic of recent parliamentary question). This reckless attitude prevents us from defining once and for all the occupational diseases of teachers and the consequent preventive activity. So it continues to feed the improvised stereotypes in teachers and severely penalize the entire professional category (83% are women). A society that neglects the health of teachers cannot go very far, does not pay them properly, retires them exhausted and finally humiliates them with silly stereotypes. A professional category resigned and still without a future due to the inability to react.

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