EADV Task Force Occupational Skin Diseases and Dept. Dermatology, Environmental Medicine, University of Osnabrueck, Osnabrueck, Germany.
European Association of Dermato Oncology (EADO) and Department of Dermatology, Eber, hard Karls University, Tübingen, Germany.
J Eur Acad Dermatol Venereol. 2021 Jun;35(6):1278-1284. doi: 10.1111/jdv.17011. Epub 2020 Nov 21.
The vast majority of non-melanoma skin cancer (NMSC) is attributable to excessive exposure to ultraviolet radiation (UVR). Outdoor workers are exposed to an UVR dose at least 2 to 3 times higher than indoor workers and often to daily UVR doses 5 times above internationally recommended limits. The risk of UVR workplace exposure is vastly neglected, and the evident future challenges presented in this statement are contrasted with the current situation regarding legal recognition, patient care and compensation. While prevention is crucial to reduce cancer risks for outdoor workers, it is as much of relevance to better protect them through legally binding rules and regulations. Specific actions are outlined in five recommendations based on a Call to Action (table 1). The role of health professionals, including dermatologists, in this context is crucial.
绝大多数非黑色素瘤皮肤癌（NMSC）可归因于过度暴露于紫外线辐射（UVR）。户外工作者所接触的 UVR 剂量至少比室内工作者高 2 至 3 倍，而且往往每天接触的 UVR 剂量是国际建议限值的 5 倍以上。UVR 工作场所暴露的风险被严重忽视，本声明中所呈现的明显未来挑战与当前在法律认可、患者护理和赔偿方面的情况形成鲜明对比。虽然预防对于降低户外工作者的癌症风险至关重要，但通过具有法律约束力的规则和条例更好地保护他们同样重要。基于一项行动呼吁（表 1），提出了五项建议，其中概述了具体行动。在这种情况下，包括皮肤科医生在内的卫生专业人员的作用至关重要。
