Surveys have shown that more than 90% of physicians in private practice see patients with occupational diseases, about 45% to 55% of whom have a skin disease. The most common condition is contact dermatitis, usually irritant but frequently causing allergy. Selected current resources for more indepth information are listed in etable 2110. Occupational exposures and the cooccurrence of workrelated. The classifications contain both categories defined by the causative agent and categoriesdefined by the medical diagnosis. Adams, is bigger and better than the first edition. However, populationbased surveys on ocd in the clothing industry are limited 1, 2. Korean occupational skin disease list is presented in the industrial accident compensation insurance act, article 34 criteria for recognition of workrelated diseases, schedule 3 11. The typical result in machinists and allied tradespeople exposed to oils is the formation of blackheads caused by blockage of the hair follicles, particularly on the forearms and the back of the hands. Occupational disease legal definition of occupational disease. Occupational contact dermatitis ocd is one of the most common occupational skin diseases. The different occupational health systems and legislations in the countries across europe makes it difficult for one to sketch a detailed picture for the whole continent. Another occupational skin disease is gloverelated hand urticaria, believed to be caused by repeated wearing and removal of the gloves. To describe the characteristics of patients with occupational skin disease osd in a tertiary referral clinic in victoria, australia.
An occupational skin disease is one in which workplace exposure to some physical, chemical or. Wet work increases the opportunity for dermatitis due to recurrent exposure to. A disease resulting from exposure during employment to conditions or substances that are detrimental to health such as black lung disease contracted by miners. Occupational skin diseases are ranked among the top five occupational diseases in many countries contact dermatitis due to irritation is inflammation of the skin which results from a contact with an irritant. Occupational skin disease is usually reserved for those cases that are. The international contributors have presented consistent, wellreferenced discussions of the complete range of occupational skin disorders, with careful attention to historical antecedents, animal research, basic pathophysiology, and a balanced presentation of controversial material.
Occupational skin diseases due to irritants and allergens. Occupational diseases for the skin oils and rela ted liquids oil dermatitis is a significant occupational skin disease. It can make it hard to grip, move or hold objects with your hands. Contact dermatitis is a common inflammatory, noninfectious skin disease, largely preventable, which imposes a significant burden of human distress. An occupational skin disease osd is a skin disease that is caused or made worse by a workrelated exposure. The prevalence of occupational skin disease in hcws has been reported in several international studies, but not in the uk. Skin disorders vary greatly in symptoms and severity. You can get more information on these skin diseases on the hses webpage, types of skin diseases. Two copies of the checklist describing evidence required in support of. Occupational skin diseases are among the top three registered occupational diseases in europe. Medical aspects of occupational skin disease pdf icon external icon pdf 47 kb human exposure research organizations exchange herox external icon a forum for people interested in research on human exposure to hazardous substances.
Most occupational skin diseases are confined to the hands and forearms, since they are the parts of the body most often in contact with hazardous agents. There have been studies to support that past or present atopic dermatitis is. It has been reported as an occupational problem among the health care workers. Occupational skin disease is a common problem among health care workers hcws. The rash improves on removal of the offending agent. Get a printable copy pdf file of the complete article 1. As with any occupational disease, a certain degree of causal relationship between the skin disease and the occupation must be verified during investigation. Occupational skin diseases are the most frequent occupational diseases.
The reaction is caused by the latex or the nitrile present in the gloves. Irritant contact dermatitis, eczema, and taroil acne were the commonest types 4. Beyond skin deep irena kudla, hbsc, mhsc, cih pilar gomez, hbscot, regont, ohs dip. The first edition contained 20 chapters by four contributors and had 477 pages. A new occupational hazard of automatic selfphotographing machines. Pdf occupational skin disease in finland an analysis of. Reporting bias and selection bias have a considerable impact on the perceived prevalence and incidence, while reliable data are hard to extract from official registries.
Other skin diseases caused by physical, chemical or biological agents at work not included under other items where a direct link is established scienti. Control measures to minimize or prevent exposure in the workplace, including personal and. Occupational dermatitis among construction workers. In 2010, 23 596 out of a total of 71 263 reports 33% of suspected occupational disease reports were classified as skin diseases in the german ordinance on occupational disease bk listed as. Occupational skin diseases are among the most common. There are a number of different types of workrelated skin diseases, including contact dermatitis, contact urticaria, folliculitis, acne, infective and mechanical skin disease, and skin cancer see the technical note for. The society is made up of dermatologists, allergists, physicians, researchers, nurses and health care professionals and provides dermal information and education tools to. While this skin disease isnt lifethreatening, it can be uncomfortable and ignoring the symptoms could lead to infection. Skin disorders institution of occupational safety and health. Preventing occupational skin diseases occupational health. Occupational skin disease is usually reserved for those cases that are directly caused by work.
Sep 15, 2002 contact dermatitis, the most common occupational skin disease, is characterized by clearly demarcated areas of rash at sites of exposure. Recognition of occupational skin disease while a rash is the. In germany, based on epidemiological studies in the state of saarland and in northern bavaria, the rate of new notified occupational skin disease is 0. They can be temporary or permanent, and may be painless or painful. In germany, 23 596 out of a total of 71 263 reported occupational diseases in 2010 were classified as occupational skin diseases bk no. The annual incidence of occupational skin disease cases was 1. Occupational skin diseases and dermal exposure in the.
Gaps in workplace education for prevention of occupational. Occupational skin disease an overview sciencedirect topics. Occupational skin diseases request pdf researchgate. Occupational skin diseases are among the most commonly occurring work. Common workplace materials such as grease, oil, solvent, detergent, soapy. Form ca2, federal employees notice of occupational disease and claim for compensation, and 2. Workrelated skin conditions make up around 50% of occupational illnesses and are responsible for about 25% of all lost work days. Medical aspects of occupational skin disease guidance notes are published under five subject headings. Occupational skin disease in hairdressers request pdf. There are a number of different types of workrelated skin diseases, including contact dermatitis, contact urticaria, folliculitis, acne, infective and mechanical skin disease, and.
Exposure to chemical, physical, biological risk factors can lead to different skin diseases, though several individual genetic factors influence the outcome too. Such diseases result from a variety of biological, chemical, physical, and psychological factors that are present in the work environment or are otherwise encountered in the course of employment. In allergic contact dermatitis, even minute exposures to antigenic substances can lead to a skin rash. Mental and behavioural disorders have been, for the first time, specifically included in the ilo list. Occupational skin disease a universal problem the range of risks managed by a health and safety manager varies from workplace to workplace, but the threat of employees contracting a form of occupational skin disease on their premises is universal. Contact dermatitis is the most common form of occupational skin disease and can happen in any workplace, but there are certain highrisk jobs. In germany, occupational skin diseases have topped the annual list of suspected workrelated diseases for years. Adams first book on this subject has been the primary reference since 1969, and now it has a longawaited sequel. Understanding the causes of occupational skin disease. It includes a range of internationally recognized occupational diseases, from illnesses caused by chemical, physical and biological agents to respiratory and skin diseases, musculoskeletal disorders and occupational cancer. The best estimate of the prevalence of workrelated skin disease comes from the selfreported workrelated illness survey for. Agricola described deep skin ulcers in his book about metalworkers at the same time. Occupational skin diseases are among the most common occupational diseases reported.
The health and safety executive defines occupational skin disease as any disorder of the skin which is caused or made worse by work or workplace activity. Contact dermatitis, the most common occupational skin disease, is characterized by clearly demarcated areas of rash at sites of exposure. Susan ford bsc hons occupational health, practice nurse, new zealand, 2011. Two copies of the checklist describing evidence required in support of the claim. There are three broad groups of occupational skin disease. Paracelsus 14981541, in his morbis metallicus, was the first to write about osd, including changes in the skin caused by salt compounds. An occupational disease is any chronic ailment that occurs as a result of work or occupational activity.
Occupational skin disease jama dermatology jama network. Clothing processing workers are frequently exposed to many substances, such as garment textiles, leather, adhesives, preservatives. The cost of occupational skin disease jama dermatology. The acds was founded in 1989 to promote, support, develop and stimulate information about contact dermatitis and occupational skin disease for improved patient care. The second edition of occupational skin disease, by robert m. Data from one region in germany will serve as an example. Occupational skin disease 90% 95% is contact dermatitis other types. The typical result in machinists and allied tradespeople exposed to oils is the formation of blackheads caused by blockage of the hair follicles, particularly. Occupational skindisease data in europe springerlink. Apr 16, 2016 skin disorders vary greatly in symptoms and severity. Prevention of occupational skin disease the skin rash you see in these pictures is preventable. Occupational skin disease annals of internal medicine. Folliculitis, acne infections actinic changes cancer pigmentary changes vitiligo ohao pdc, march 20, 20. Occupational skin disease it is more than just a rash.
Occupational skin disease it is more than just a rash this pshsa fast fact is intended to provide workplace parties with information on the recognition and prevention of occupational skin disease. Pdf occupational skin disease in victoria, australia. Important factors to consider include percutaneous absorption and alterations in resistance to microbial agents. It has been observed that this type of dermatitis does not require prior sensitization of the immune system. Many people consider common skin rashes to be no more than an inconvenience. Occupational disease, any illness associated with a particular occupation or industry. Occupational skin diseases an occupational skin disease is one in which workplace exposure to some physical, chemical or biologic hazard has been a causal or a major and necessary contributing factor in the development of the disease. Michaels hospital in toronto has diagnostic facilities. Occupational exposures and the cooccurrence of work. Although endogenous skin diseases are rarely caused initially by occupational factors, they may be aggravated by exposure to various agents in the workplace.
Examples of occupations at risk of developing occupational skin diseases. Skin changes are often seen in health care workers hcws, the main responsible agents being wet work, soaps and cleaning materials. Contact dermatitis allergic, irritant of the hands is the most common skin disease and atopic skin diathesis is often an important cofactor. Pdf occupational skin disease in finland an analysis of 10.
For a skin disease to be considered occupational in origin, there must be a causal relationship between the occupation or work and the skin disease. Mar 27, 2012 in germany, occupational skin diseases have topped the annual list of suspected work. Occupational skin disease american family physician. Whenever an employee wants to file a claim for occupational disease or illness, please give him or her. In europe, the incidence of newly reported disease is estimated at 0. These figures may be conservative estimates, because researchers. The majority is caused by wet work, workplace exposure to chemicals and high ultraviolet radiation from the sun.
Medical environmental hygiene chemical safety plant and machinery general 4 occupational dermatoses are not uncommon. Preventing occupational skin diseases occupational. Full text full text is available as a scanned copy of the original print version. An individual suffering from an occupational disease can seek compensation for his or her condition under workers compensation statutes or such federal. Guidance note ms24 medical aspects of occupational skin. The new edition contains 32 chapters by 45 contributors. Some have situational causes, while others may be genetic. Guidance note ms24 medical aspects of occupational skin disease. Occupational skin disease in finland an analysis of 10 years of statistics from an occupational dermatology clinic. Occupational contact dermatitis is the most common occupational skin disease, and represents approximately 90% to 95% of cases.
Certain industries are at a particularly high risk. In 2014, 1,336 cases of occupational skin disease were reported by dermatologists and occupational physicians in great britain. An occupational disease is typically identified when it is shown that it is more prevalent in a given body of workers than in the general population, or in other worker populations. Abstract surveys have shown that more than 90% of physicians in private practice see patients with occupational diseases, about 45% to 55% of whom have a skin disease.627 1190 70 893 1220 12 1294 1131 516 266 999 1567 933 200 1324 210 109 1337 453 1452 1071 314 155 1003 1389 1257 921 1055 1048 1046 953