Impact of preventive strategies on trend of occupational skin disease in hairdressers: population based register study

doi:10.1136/bmj.324.7351.1422

BMJ 2002;324:1422-1423 ( 15 June )

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Impact of preventive strategies on trend of occupational skin disease in hairdressers: population based register study

Heinrich Dickel, dermatologist ^a, Oliver Kuss, biostatistician ^a, Anne Schmidt, governmental physician ^b, Thomas L Diepgen, professor of clinical social medicine ^a.

^a Centre of Occupational and Environmental Dermatology, Department of Clinical Social Medicine, University Hospital of Heidelberg, D-69115 Heidelberg, Germany, ^b Department of Occupational Medicine, Bavarian Health and Safety Executive Nuremberg, D-90429 Nuremberg, Germany

Correspondence to: T L Diepgen thomas_diepgen@med.uni-heidelberg.de

The first 150 words of the full text of this article appear below.

Hairdressing is one of the occupations most hazardous to the skin.¹ Various efforts have been made in Germany in the past10 years to reduce the incidence of occupational skin diseasesamong hairdressers. ² ³ Two legislative regulations introducedas Technical Rules for Hazardous Substances 530 "Hairdressingtrade" and 531 "Endangerment of the skin by work in the wet environment(wet work)" came fully into force in September 1992 and September1996.

Because of the high cost of medical treatment, professional retraining, and disability pensions for hairdressers with an occupationalskin disease, the Statutory Accident Insurance Institution forthe Health and Welfare Services (workers' compensation board)coupled the new technical rules with information campaigns andpassed a resolution in 1994 to strengthen "secondary individualprevention," in accordance with the Ordinance on Industrial Disease.Sensitisation to glyceryl monothioglycolate is common, and in1995 hair cosmetics manufacturers agreed with the hairdressers'guild to stop the use of this allergen in . . . [Full text of this article]

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