GENERAL AWARENESS OF OCCUPATIONAL SKIN DISEASE General Awareness Occupational skin disease represents 8.5% of all occupational disease claims to WSIB. Dermatitis is the most prevalent form, with 1,200 to 1,500 claims in Ontario annually, but it is believed that less than half of the cases are reported. Occupational dermatitis (OD) is often characterized by a rash and dry, cracked skin. It can cause significant pain, discomfort, and can be debilitating, limiting the ability to work and the quality of life. Causes OD is generally caused by prolonged and frequent skin contact with a range of chemicals commonly found in a workplace such as metalworking fluids, detergents, paints, beauty products, resins, cleaning products, and other chemical agents. Workers in occupations where those hazards are present are at a greater risk. Other common risk factors include wet-work, mechanical irritation of the skin, and the prolonged use of dirty gloves. Dermatitis can develop acutely or develop over time becoming a chronic disease. A history of pre-existing allergies or skin disease has been associated with increased risk. Recognition Quite often OD goes unrecognized and is often not diagnosed as a work-related disease. Early recognition is the key to treating OD. Common symptoms of OD: - A skin rash that develops in the area that most commonly comes into contact with a chemical - Redness, itching, dryness and mild swelling on the skin - Development of blisters, hives, cracked skin and burning sensation - The hands are the most commonly affected areas, however, any unprotected skin exposed to hazardous agents can present signs of dermatitis Prevention Workers should be aware of the hazards in their workplace that may cause OD. If possible, they should avoid them completely, substitute a safer product, and always wear the appropriate personal protective equipment. Employers should ensure that their workers are aware of the hazardous agents and are trained according to safe standard operating procedures. Workers should familiarize themselves with a product’s Material Safety Data Sheet before using a chemical. If workers come in direct contact with a chemical, they should wash the affected area immediately with warm water and mild moisturizing soap. They should also advise their employer and doctor if they suspect they are showing signs of OD. Who to Talk to Employers should talk to their workers about occupational skin disease. Workers, with any signs or symptoms, should talk to their employers and go see a doctor as soon as possible. Want to Know More See fact sheets on preventing and recognizing occupational skin disease. Workplace Safety & Prevention Services website has additional information and resources. Turn this sheet over for more images and facts. WSPS.CA GENERAL AWARENESS OF OCCUPATIONAL SKIN DISEASE An occupational skin disease hazard can be a substance used or generated in the workplace. The first step in recognizing a potential skin hazard is to identify what chemicals are being used in a workplace. An employer may need to change substances used in the workplace or the way processes are done to reduce exposure risks. Some people may react severely to a substance while others may not have a reaction at all. Dermatitis is the most common occupational skin disease. There are two forms of dermatitis: allergic and irritant. - Irritant dermatitis can be acute or chronic. Both are caused by direct and frequent exposure to a hazardous substance, mechanical irritation, use of dirty gloves, and or wet-work (immersing hands in water for several hours or washing skin in excess of 20 times per day) - Allergic dermatitis occurs when a person becomes sensitive to a specific substance – an allergen – and every time they are in contact, a rash may develop. Sensitivity may occur within days of exposure, but usually it takes months or years. A doctor will determine the likely cause of occupational dermatitis by asking the worker questions about the symptoms and workplace. Employers should ensure that appropriate personal protective equipment is available and is being used. Workers and employers should be encouraged to check for early signs of occupational skin disease. Early diagnosis and advice is important. Flip this sheet over for more information. WSPS.CA