Dermatologist Mind : Occupational Contact Dermatitis
Work-related dermatoses, in particular hand dermatitis, are still among the
most prevalent occupational diseases. Understanding the epidemiology of OCD
is essential to determine etiologic factors of the disease and to make
recommendations for its prevention.
Fig. 2. Incidence rates of ICD and ACD in the occupational groups with the highest risk for occupational skin diseases. Different professions have differing risks for occupational skin disease. Those at the highest risk for a contact dermatitis are hairdressers (yearly rate 120/100,000), printers (rate 71/100,000), machine tool operatives (rate 56/100,000), chemical/petroleum plant peratives (rate 45/100,000), assemblers (rate 35/100,000), and machine tool setters (rate34/100,000). Accurate estimates of the incidence of occupational skin disease are difficult to find but a recent report from the EPIDERM and OPRA occupational skin disease surveillance project suggests a rate of 13 per 100 000 per year 5 and a prevalence of 15 per 10,000 of those ever employed has been quoted.
Occupational disease registries provide national incidence data based on the notification of occupational skin diseases and are available in many countries. Although the comparison of national data are hampered by differences across countries in reporting and the definition of occupational diseases, the average incidence rate of registered occupational contact dermatitis in some countries lies around 0.5-1.9 cases per 1,000 fulltime workers per year.
The highest incidence rates were seen in hairdressers. In Figure 2, the incidence rates of ICD and ACD of employees of the twelve groups with the highest risk for an occupational skin disease are presented.
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