Open AccessKarcinomi kože uzrokovani solarnim zračenjem kao profesionalna bolest
Author(s) -
Krunoslav Mikolašević,
Jelena Macan
Publication year - 2018
Publication title -
sigurnost
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.14
H-Index - 4
eISSN - 1848-6347
pISSN - 0350-6886
DOI - 10.31306/s.60.3.4
Subject(s) - skin cancer , actinic keratosis , medicine , occupational exposure , dermatology , personal protective equipment , sunlight , sun exposure , basal cell carcinoma , environmental health , basal cell , cancer , pathology , covid-19 , disease , physics , astronomy , infectious disease (medical specialty)
SUMMARY: The aim of this review article is to point out to the danger for workers who, by the nature of their occupation, spend most of their working hours outdoor and are exposed to sunlight that increases their risk of skin cancer.Exposure to sunlight during outdoor work increases the average annual dose of UV radiation for 4-5 times compared to people who do not work in the sun, which in outdoor workers significantly increases the risk for the occurrence of actinic keratosis, basal-cell skin cancer and squamous-cell skin cancer. It is considered that the risk for the occurrence of these disorders is doubled if the total lifetime UV radiation dose for persons occupationally non exposed to sun (130 SED annually) is exceeded by 40%. In the EU countries, including Croatia, the introduction of UV radiation personal dosimetry for outdoors workers is in progress.In order to prevent skin cancer caused by occupational UV exposure, it is necessary to implement preventive measures for outdoor workers. Minimum standards for prevention at the EU level include the application of personal protection measures (sunglasses, headgear, clothing, creams with sun protective factor) and health and safety educational programs implemented in the curricula of secondary high schools, and provided to workers at risky workplaces.Skin cancers or multiple actinic keratosis can be recognized as an occupational disease if: 1) diagnosis of squamous-cell skin cancer or basal-cell skin cancer or multiple actinic keratosis (minimum 6 changes) is histologically confirmed; 2) the changes are expressed in occupationally exposed areas of the skin; 3) the history of the disease reveals sufficient occupational exposure to UV radiation.