دورية أكاديمية
Personal solar ultraviolet radiation dosimetry in an occupational setting across Europe.
العنوان: | Personal solar ultraviolet radiation dosimetry in an occupational setting across Europe. |
---|---|
المؤلفون: | Wittlich M; Institute for Occupational Safety and Health of the German Social Accident Insurance, Sankt Augustin, Germany., John SM; Department of Dermatology, Environmental Medicine and Health Theory, University of Osnabrück, Osnabrück, Germany., Tiplica GS; 2nd Department of Dermatology, Colentina Clinical Hospital, 'Carol Davila' University of Medicine and Pharmacy, Bucharest, Romania., Sălăvăstru CM; Pediatric Dermatology Department, Colentina Clinical Hospital, 'Carol Davila' University of Medicine and Pharmacy, Bucharest, Romania., Butacu AI; 2nd Department of Dermatology, Colentina Clinical Hospital, 'Carol Davila' University of Medicine and Pharmacy, Bucharest, Romania., Modenese A; Occupational Medicine, Department of Biomedical, Metabolic and Neural Sciences, University of Modena & Reggio Emilia, Modena, Italy., Paolucci V; Department of Prevention, Health and Safety Unit, AUSL South-East Tuscany, Grosseto, Italy., D'Hauw G; Department of Medical Biotechnology, Unit of Occupational Medicine, Azienda Ospedaliera Universitaria Senese, University of Siena, Siena, Italy., Gobba F; Occupational Medicine, Department of Biomedical, Metabolic and Neural Sciences, University of Modena & Reggio Emilia, Modena, Italy., Sartorelli P; Department of Medical Biotechnology, Unit of Occupational Medicine, Azienda Ospedaliera Universitaria Senese, University of Siena, Siena, Italy., Macan J; Occupational Health and Environmental Medicine Unit, Institute for Medical Research and Occupational Health, Zagreb, Croatia., Kovačić J; Occupational Health and Environmental Medicine Unit, Institute for Medical Research and Occupational Health, Zagreb, Croatia., Grandahl K; Department of Occupational and Social Medicine, Copenhagen University Hospital, Holbaek, Denmark., Moldovan H; Department of Occupational Medicine, University of Medicine, Pharmacy, Science & Technology of Targu-Mures, Targu Mures, Romania. |
المصدر: | Journal of the European Academy of Dermatology and Venereology : JEADV [J Eur Acad Dermatol Venereol] 2020 Aug; Vol. 34 (8), pp. 1835-1841. Date of Electronic Publication: 2020 Mar 10. |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Wiley-Blackwell Country of Publication: England NLM ID: 9216037 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1468-3083 (Electronic) Linking ISSN: 09269959 NLM ISO Abbreviation: J Eur Acad Dermatol Venereol Subsets: MEDLINE |
أسماء مطبوعة: | Publication: Oxford : Wiley-Blackwell Original Publication: Amsterdam ; New York : Elsevier Science Publishers, c1992- |
مواضيع طبية MeSH: | Occupational Exposure* , Ultraviolet Rays*/adverse effects, Croatia ; Europe ; Germany ; Humans ; Italy ; Prospective Studies ; Romania |
مستخلص: | Background: Work-related solar ultraviolet radiation (UVR) is an important factor in the pathogenesis of non-melanoma skin cancer (NMSC). The World Health Organization, through the International Agency for Research on Cancer, has classified solar UVR as a group 1 carcinogen since 2012. The main problems encountered so far in the study of occupationally induced skin cancer include the lack of accurate occupational UVR dosimetry as well as insufficient distinction between occupational and leisure UVR exposure and underreporting of NMSC. Objectives: The aim of this study was to collect long-term individual UVR measurements in outdoor workers across European countries. Methods: A prospective study was initiated through the European Academy of Dermatology and Venereology, Healthy Skin@Work Campaign, measuring UVR exposure doses at occupational settings of masons from five European countries. Measurements were performed for several consecutive months using the GENESIS-UV measurement system. Results: The results identified alarming UVR exposure data. Average daily UVR doses ranged 148.40-680.48 J/m 2 in Romania, 342.4-640.8 J/m 2 in Italy, 165.5-466.2 J/m 2 in Croatia, 41.8-473.8 J/m 2 in Denmark and 88.15-400.22 J/m 2 in Germany. Results showed an expected latitude dependence with increasing UVR yearly dosage from the north to the south of Europe. Conclusions: This study shows that outdoor workers from EU countries included in this study are exposed to high levels of occupational solar UVR, vastly exceeding the occupational exposure limits for solar UVR exposure, considered to be 1-1.33 SED/day in the period from May to September. This finding may serve as an evidence-based recommendation to authorities on implementing occupational skin cancer prevention strategies. (© 2020 European Academy of Dermatology and Venereology.) |
References: | Watson M, Holman DM, Maguire-Eisen M. Ultraviolet radiation exposure and its impact on skin cancer risk. Ed. WB Saunders. Semin Oncol Nurs 2016; 32: 241-254. IARC Monographs on the Evaluation of Carcinogenic Risks to Humans, Volume 100D, 2012. URL http://monographs.iarc.fr/ENG/Monographs/vol100D/index.php (last accessed: 18 February 2019). Kauppinen T, Toikkanen J, Pedersen D et al. Occupational exposure to carcinogens in the European Union. Occup Environ Med 2000; 57: 10-18. Thieden E, Philipsen PA, Heydenreich J, Wulf HC. UV radiation exposure related to age, sex, occupation, and sun behavior based on time-stamped personal dosimeter readings. Arch Dermatol 2004; 140: 197-203. Schmitt J, Haufe E, Trautmann F et al. Occupational UV-exposure is a major risk factor for basal cell carcinoma: results of the population-based case-control study Fb-181. J Occup Environ Med 2018; 60: 36-43. Schmitt J, Haufe E, Trautmann F et al. Is ultraviolet exposure acquired at work the most important risk factor for cutaneous squamous cell carcinoma? Results of the population-based case-control study FB-181. Br J Dermatol 2018; 178: 462-472. Salavastru CM, Ulrich C, Cretu S, Moldovan HR, Tiplica GS. The experience of a tertiary referral centre in Romania on basal cell carcinomas in outdoor workers: why to assess? J Eur Acad Dermatol Venereol 2016; 30: 12-16. Diepgen TL, Fartasch M, Drexler H, Schmitt J. Occupational skin cancer induced by ultraviolet radiation and its prevention. Br J Dermatol 2012; 167(s2): 76-84. Gordon LG, Rowell D. Health system costs of skin cancer and cost-effectiveness of skin cancer prevention and screening: a systematic review. Eur J Cancer Prev 2015; 24: 141-149. Paulo MS, Adam B, Akagwu C et al. WHO/ILO work-related burden of disease and injury: protocol for systematic reviews of occupational exposure to solar ultraviolet radiation and of the effect of occupational exposure to solar ultraviolet radiation on melanoma and non-melanoma skin cancer. Environ Int 2019; 126: 804-815. Moldovan HR, Voidazan ST, John SM et al. The Eastern European experience on occupational skin diseases. Make underreporting an issue? J Eur Acad Dermatol Venereol 2017; 31: 5-11. Ulrich C, Salavastru C, Agner T et al. The European Status Quo in legal recognition and patient-care services of occupational skin cancer. J Eur Acad Dermatol Venereol 2016; 30(S3): 46-51. Wittlich M, Westerhausen S, Kleinespel P, Rifer G, Stöppelmann W. An approximation of occupational lifetime UVR exposure: algorithm for retrospective assessment and current measurements. J Eur Acad Dermatol Venereol 2016; 30: 27-33. Knuschke P, Unverricht I, Ott G, Janssen M. [Personenbezogene Messung der UV-Exposition von Arbeitnehmern im Freien]; Aufl. Forschungsprojekt F 1777, Schriftenreihe der Bundesanstalt für Arbeitsschutz und Arbeitsmedizin, 2007, ISBN 978-3-88261-060-4. Diepgen TL, Brandenburg S, Aberer W et al. Skin cancer induced by natural UV-radiation as an occupational disease-Requirements for its notification and recognition. J Dtsch Dermatol Ges 2014; 12: 1102-1106. Butacu AI, Moldovan H, Wittlich M, John SW, Tiplica GS, Salavastru CM. UV occupational exposure in Romania. 15th EADV Spring Symposium, 3-6 May 2018, Budva, Montenegro. CD Abstract. ISBN: 978-88-942552-2-5. Grandahl K, Eriksen P, Ibler KS, Bonde JE, Mortensen OS. Measurements of solar ultraviolet radiation exposure at work and at leisure in Danish workers. Photochem Photobiol 2018; 94: 807-814. Miligi L, Benvenuti A, Legittimo P et al. Solar ultraviolet radiation risk in outdoor workers: a specific project of Tuscany Region (Italy). Epidemiol Prev 2013; 37: 51-59. Siani AM, Casale GR, Sisto R, Colosimo A, Lang CA, Kimlin MG. Occupational exposures to solar ultraviolet radiation of vineyard workers in Tuscany (Italy). Photochem Photobiol 2011; 87: 925-934. |
معلومات مُعتمدة: | European Academy of Dermatology and Venereology |
تواريخ الأحداث: | Date Created: 20200222 Date Completed: 20210514 Latest Revision: 20210514 |
رمز التحديث: | 20221213 |
DOI: | 10.1111/jdv.16303 |
PMID: | 32080895 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1468-3083 |
---|---|
DOI: | 10.1111/jdv.16303 |