Laubstein H, Mönnich H T, Hofmann S
Dermatol Monatsschr. 1989;175(7):425-36.
An epidemiological study focusing on the 1981 to 1985 occupational-dermatosis incidence was carried out, based on the medical-opinion data at the Potsdam County Council Occupational Hygiene Board, and comparisons were made with the results of previous studies. Occupational skin diseases accounted for 46 per cent of all cases and cases of BK 80 (BK stands for occupational disease recognised by GDR law) for 34.7 per cent, which is a 13.6 per cent increase over against the previous study covering the 1976 to 1980 period. A steady increase was found in the percentage of women with an occupational eczema (1981-1985: 66.2 per cent). Of all the eczema cases recognised as occupational diseases, 8.6 per cent had no allergic etiology. Among the various branches of occupation, the health service ranked first for the first time, accounting for 26.1 per cent. With regard to individual occupations too, the medical staff showed the highest incidence (20.8 per cent), followed by bricklayers and concrete workers (8.6 per cent), electroplating workers (6.7 per cent) and milkers (6.4 per cent). The allergens most frequently responsible for the occupational-eczema cases were formaldehyd (24.6 per cent), chromium compounds (15.7 per cent), nickel (15.6 per cent) and rubber ingredients (10.6 per cent). As compared with previous studies, there was an increase in terms of formaldehyde and nickel and a decrease in terms of turpentine oil, chromates and rubber ingredients. While one in five occupational contact eczema patients had to put up with occupational and social drawbacks in the course of their rehabilitation in the past, a substantial improvement has now been achieved by comprehensive organising measures taken by the Potsdam County Council Occupational-Hygiene Board.
基于波茨坦县议会职业卫生委员会的医学意见数据,开展了一项聚焦于1981年至1985年职业性皮肤病发病率的流行病学研究,并与之前的研究结果进行了比较。职业性皮肤病占所有病例的46%,BK 80病例(BK代表民主德国法律认可的职业病)占34.7%,相较于上一项涵盖1976年至1980年期间的研究,增长了13.6%。发现患职业性湿疹的女性比例呈稳步上升趋势(1981 - 1985年:66.2%)。在所有被认定为职业病的湿疹病例中,8.6%没有过敏病因。在各个职业分支中,卫生服务行业首次位居榜首,占比26.1%。在个体职业方面,医务人员的发病率最高(20.8%),其次是砖瓦工和混凝土工(8.6%)、电镀工(6.7%)以及挤奶工(6.4%)。导致职业性湿疹病例的最常见过敏原为甲醛(24.6%)、铬化合物(15.7%)、镍(15.6%)和橡胶成分(10.6%)。与之前的研究相比,甲醛和镍的比例有所增加,而松节油、铬酸盐和橡胶成分的比例有所下降。过去,五分之一的职业性接触性湿疹患者在康复过程中不得不忍受职业和社会方面的不利影响,而现在,通过波茨坦县议会职业卫生委员会采取的全面组织措施,情况已得到显著改善。