In 2014, almost 1.3 million people died from cancer in the EU-28, which equates to more than one quarter (26.4 %) of the total number of deaths. Many of these deaths are the direct result of workers being exposed to carcinogens at work. The available evidence supports the view that at least 8% of cancer deaths are work-related. For some types of cancer, like lung or bladder cancer, the figure is even well above 10%. With more than 100 000 deaths per year, occupational cancers are the leading cause of death at work in the EU. The ETUC and ETUI believe that prevention must be the main focus of any trade union strategy to tackle occupational cancers. EU law hands workers good tools geared to the specific aim of reducing or eliminating workplace carcinogens. The problem is that workers are still fairly unfamiliar with them and few employers are fulfilling their legal obligations. As a result, a number of national surveys of workers have found that while industrial employment is shrinking, the number of workers exposed to carcinogens is not going down. This means that real grassroots union action is needed along with work to further improve the EU legal framework.