NDLI: Occupational contact allergy in the building trade in Germany: influence of preventive measures and changing exposure

Content Provider	Springer Nature Link
Author	Geier, Johannes Krautheim, Andrea Uter, Wolfgang Lessmann, Holger Schnuch, Axel
Copyright Year	2010
Abstract	Since 1993, assiduous efforts have been made in Germany to lower the incidence of allergic cement dermatitis by reducing the content of hexavalent chromium (Cr VI). Usage of epoxy resin systems has considerably increased in the building trade in the same period. We analysed data of the Information Network of Departments of Dermatology (IVDK) to evaluate the influence of these changing occupational exposures on frequencies of sensitization.IVDK data of 1,153 men working in the building trade (bricklayers, tile setters etc.) presenting with occupational skin disease in the years 1994–2008 were analysed, taking into consideration not only the year of patch testing, but also beginning and duration of work in the building trade.While contact sensitization to chromate decreased from 43.1 to 29.0%, sensitization to epoxy resin increased from 8.4 to 12.4%. Logistic regression analysis revealed that, compared to those who had already worked before 1994, patients having started to work in building trade after 1999 had a significantly decreased risk of chromate sensitization (odds ratio 0.42) and a significantly increased risk of sensitization to epoxy resin (odds ratio 2.79). Additionally, risk of thiuram sensitization increased with the duration of employment.Our data confirm that reducing Cr VI content of cement is useful in preventing allergic cement eczema, as previously found in Scandinavia. In contrast, the increasing prevalence of contact sensitization to epoxy resin components in the building trade is alarming. Preventive measures, which have already been implemented, have to be enforced.
Starting Page	403
Ending Page	411
Page Count	9
File Format	PDF
ISSN	03400131
Journal	International Archives of Occupational and Environmental Health
Volume Number	84
Issue Number	4
e-ISSN	14321246
Language	English
Publisher	Springer-Verlag
Publisher Date	2010-09-24
Publisher Place	Berlin, Heidelberg
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Bricklayers Cement dermatitis Chromate Construction workers Contact allergy Epoxy resin Occupational dermatitis Prevention Thiurams Environmental Health Rehabilitation Occupational Medicine/Industrial Medicine
Content Type	Text
Resource Type	Article
Subject	Public Health, Environmental and Occupational Health

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