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Since 1990 the number of cases of occupational skin disease in
hairdressers in northern Bavaria has fallen. Dickel and colleagues (p 1422) report that the annual incidence fell from 194 to 18 per
100 000 between 1990 and 1999. This decline, they say, seems to
reflect an improvement in working conditions due to new legislation and
intensified preventive measures rather than a change in the clinical
course of occupational skin disease.