Occupational Skin Diseases

Diseases of the skin are the leading cause of occupational illness across all professions, reports the National Institute of Occupational Safety and Health (NIOSH).

"Irritant contact dermatitis is the most common skin condition we see at BarnesCare," says Karen Moore, MSN, APRN, ANP, BC, BarnesCare nurse practitioner. "The condition is due to a combination of a reduced ability of the skin to resist injury and exposure to a strong concentration of irritating materials, such as soaps or chemicals." Symptoms appear only in the area of skin that came in contact with the irritant, says Moore. Symptoms typically include redness, burning, itching, and pain.

Chemicals that come into contact with the skin can be absorbed, cause irritation, break down the skin or sensitize the immune system. Studies have shown the mass of chemical that can be deposited on a square meter of exposed skin can easily exceed by 500 to 1,500 times the mass that can be inhaled over the same period of time.

When evaluating the control of hazards, consideration must be given to substituting chemicals. Substitution to a less toxic chemical is almost always a good option, unless the alternative chemical is much more volatile, reports the Occupational Safety and Health Administration (OSHA). Additional control options may include redesigning the work process, eliminating the chemical, including enclosures, and/or personal protective equipment.

Education is important in controlling skin diseases, says Moore. Simple tips for all workers include:

• Know about the chemicals you are exposed to
• Follow safe work practices
• Use the protection provided
• Understand the benefits and limitations of personal protective equipment
• Know how to check your skin

To learn more, e-mail BarnesCare or contact a BJC Corporate Health Consultant at 314.747.5859.