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[紫外线诱导皮肤肿瘤的社会法律评估]

[Socio-legal evaluation of UV-induced skin tumors].

作者信息

Völter-Mahlknecht S, Berneburg M, Rose D-M, Drexler H, Röcken M, Letzel S, Wehrmann W

机构信息

Institut für Arbeits-, Sozial- und Umweltmedizin, Johannes-Gutenberg-Universität Mainz.

出版信息

Hautarzt. 2005 Aug;56(8):759-67. doi: 10.1007/s00105-004-0883-4.

Abstract

The present work deals with insurance and legal issues on the prevention of UV-induced skin tumors. We are convinced that squamous cell carcinoma of the skin fulfils the socio-legally required conditions according to paragraph 9 Abs. 2 SGB VII for approval as an occupational disease. In malignant melanoma evidence also exists for its induction through UV exposure and increased risk for occupational UV exposure, thus, making approval as an occupational disease possible in individual cases. According to the currently available medical knowledge on basal cell carcinoma and malignant melanoma, there is no sufficient basis for the approval of these as occupational disorders. Therefore, significant actions should not only be taken in the context of primary disease prevention, but also within the framework of secondary and tertiary disease prevention in occupational UV exposure.

摘要

本研究涉及预防紫外线诱发皮肤肿瘤的保险和法律问题。我们确信,皮肤鳞状细胞癌符合社会法律要求的条件,根据社会法典第七编第9条第2款,可被批准为职业病。在恶性黑色素瘤方面,也有证据表明其可由紫外线暴露诱发,且职业性紫外线暴露风险增加,因此在个别情况下有可能被批准为职业病。根据目前关于基底细胞癌和恶性黑色素瘤的医学知识,尚无足够依据将其批准为职业性疾病。因此,不仅应在原发性疾病预防方面采取重大行动,而且应在职业性紫外线暴露的二级和三级疾病预防框架内采取行动。

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