European Code Against Cancer, 5th edition – occupational exposures and cancer

IARC / European Commission (ECAC5) · 2026 · Europe

Source and licence

Authors
Sylvia H J Jochems, Nadia Vilahur, Martie van Tongeren et al.
Title
European Code Against Cancer, 5th edition – occupational exposures and cancer
Journal
Molecular Oncology, 2026
Licence
CC BY 4.0
Changes
Verbatim excerpts; formatting adapted

Full text retrieved 2026-10-27 from Europe PMC · PMC12809471

Licence statement of the original publication

This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

This page reproduces excerpts of the original publication; the original is authoritative. It has not been reviewed by a physician, does not state a recommendation of Medelix and does not replace medical advice. The guideline may have been updated since.

Open the original publication →Full text on Europe PMC

Recommendations

We found no explicitly labelled recommendations in this publication; its recommendations are in the running text of the original.

Abstract

Occupational exposure to cancer‐causing agents is a major, yet preventable, contributor to cancer in Europe and globally. In the European Union (EU), cancer is responsible for nearly half of all work‐related deaths, underscoring the critical need for prevention measures. Effective strategies typically involve regulatory and workplace measures aimed at reducing or eliminating exposure risks. Raising awareness of hazardous workplace exposures is essential to empower individuals, foster a culture of prevention, and support effective regulation. The 5th edition of the European Code Against Cancer (ECAC5) includes a recommendation on how individuals can minimize their cancer risk and highlights the shared responsibilities of workers and employers for occupational safety and health: ‘Inform yourself about cancer‐causing factors at work and call on your employer to protect you against them. Always follow health and safety instructions at your workplace’. Key to ECAC5 is the addition of policy pointers at the governance level to support employers in taking preventive action and improving worker awareness. Strengthening regulatory frameworks and increasing awareness are crucial steps toward reducing the burden of occupational cancer.

Contents of the original publication

The section headings of the original.

  • Introduction
  • Occupational exposures in the EU
  • EU legislative framework regulating occupational exposures
  • Monitoring initiatives and exposure prevalence
  • Cancer burden in the EU attributable to occupational exposures
  • Recommendations for individuals
  • Scientific justification for updating the recommendation
  • Evidence on the association between occupational exposures and cancer
  • Presentation of the recommendation
  • Cobenefits for the prevention of noncommunicable diseases other than cancer with similar risk factors and opportunities for health promotion
  • Recommendations for policymakers
  • Presentation of the recommendation for policymakers and key stakeholders
  • Feasibility and resources required to implement the recommendation
  • Conclusions
  • Supporting information
  • Data accessibility

A question about this guideline?

Medelix answers clinical questions from guidelines and studies – every statement with its source.

Are you the rights holder and object to this reproduction? Write to contact@medelix.ai and we will take the page down promptly. Imprint