Analisi comparativa degli obblighi del medico competente alla luce dell’art.25 del Decreto legislativo 81/2008 e del codice etico della Commissione Internazionale di Medicina del Lavoro (ICOH)

Introduction: Ethical behaviour consists ofindividual choices inspired by knowledge and professional experience derived from the univer- sally acknowledged ethical principles ofbeneficience/nonmaleficience,autonomy and justice.However,in spite ofthe unanimous consent on their universal importance, such principles do not usually have the strength of a law.Aim: The recently introduced Italian law on the protection of workers’ health represents a novelty because it gives the Ethics Code ofthe International Commission on Occupational Health legal strength.This paper aims at examining article 25 oflegislative decree 81/2008 by comparing the points ofthe Ethics Code and the Deontology Code ofthe Italian medical profession. Results: The relationships between the 12 points of paragraph 1 of article 25, the 26 points ofthe Code ofEthics and the 75 articles ofthe Deontology Code are described with regard to the occupational health physician’s duties (i) of collaboration with other occupational health professionals, (ii) of organization and execution ofhealth surveillance,(iii) ofrecording,securing,transmitting ofmedical files on workers’ health and (iv) ofemployee and employer information on the importance and meaning ofhealth surveillance.