Song Han-Soo, Ryou Hyun-chul
Department of Occupational and Environmental Medicine, College of Medicine, Chosun University, Gwangju, Korea.
Teo Center of Occupational and Environmental Medicine, Changwon, Korea.
J Korean Med Sci. 2014 Jun;29 Suppl(Suppl):S52-8. doi: 10.3346/jkms.2014.29.S.S52. Epub 2014 Jun 13.
The Korean list of occupational skin diseases was amended in July 2013. The past list was constructed according to the causative agent and the target organ, and the items of that list had not been reviewed for a long period. The revised list was reconstructed to include diseases classified by the International Classification of Diseases (10th version). Therefore, the items of compensable occupational skin diseases in the amended list in Korea comprise contact dermatitis; chemical burns; Stevens-Johnson syndrome; tar-related skin diseases; infectious skin diseases; skin injury-induced cellulitis; and skin conditions resulting from physical factors such as heat, cold, sun exposure, and ionized radiation. This list will be more practical and convenient for physicians and workers because it follows a disease-based approach. The revised list is in accordance with the International Labor Organization list and is refined according to Korean worker's compensation and the actual occurrence of occupational skin diseases. However, this revised list does not perfectly reflect the actual status of skin diseases because of the few cases of occupational skin diseases, incomplete statistics of skin diseases, and insufficient scientific evidence. Thus, the list of occupational diseases should be modified periodically on the basis of recent evidence and statistics.
韩国职业性皮肤病名录于2013年7月修订。过去的名录是根据致病因素和靶器官制定的,且该名录的条目长期未得到审查。修订后的名录按照《国际疾病分类》(第10版)进行重构。因此,韩国修订名录中可补偿的职业性皮肤病条目包括接触性皮炎;化学灼伤;史蒂文斯-约翰逊综合征;焦油相关皮肤病;感染性皮肤病;皮肤损伤引起的蜂窝织炎;以及由热、冷、日晒和电离辐射等物理因素导致的皮肤疾病。该名录采用基于疾病的方法,对医生和工人而言将更加实用和便捷。修订后的名录符合国际劳工组织名录,并根据韩国的工人赔偿情况和职业性皮肤病的实际发生情况进行了完善。然而,由于职业性皮肤病病例较少、皮肤病统计不完整以及科学证据不足,这份修订后的名录并未完美反映皮肤病的实际状况。因此,应根据最新证据和统计数据定期修订职业病名录。