30th International Congress on Occupational Health Cancun, Mexico, March 18 23, 2012
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1 30th International Congress on Occupational Health Cancun, Mexico, March 18 23, 2012 Progress in Prevention of Occupational Skin Diseases Global Medical, Regulatory and Societal Aspects - Occupational dermatoses: disease burden and options of prevention from an insurer s point of view - Prof. Dr. Stephan Brandenburg Institution for Statutory Accident Insurance and Prevention, Director General
2 BGW Institution for Statutory Accident Insurance and Prevention one of the largest institutions for statutory accident insurance in Germany more than 6 million insured people in more than 550,000 companies e.g. non-governmental hospitals, physicians, veterinary and dental practices, homes for the elderly, pharmacies, outpatient nursing services, midwives, hairdressing salons IOCH 2012_Cancun/Prof. Dr. Brandenburg Seite 2 von 31
3 BGW Institution for Statutory Accident Insurance and Prevention Statutory Duties: Prevention of - workplace accidents - occupational diseases - work-related health hazards in more than 550,000 companies Rehabilitation - optimal medical treatment - benefits to promote occupational and social integration - reasonable compensation IOCH 2012_Cancun/Prof. Dr. Brandenburg Seite 3 von 31
4 BGW Institution for Statutory Accident Insurance and Prevention Insured Persons: Compulsory Insurance (Examples) - Employees (of the professions mentioned above) - Employers / Self-employed persons of companies which are part of the public health sector Voluntary Insurance (Examples) - Self-employed doctors, dentists, veterinarians, pharmacists IOCH 2012_Cancun/Prof. Dr. Brandenburg Seite 4 von 31
5 Occupational Diseases Cases reported in 2010 Occupational Skin Diseases constitute the most frequent occupational disease to affect persons insured with the BGW: 20% 10% 9% 5% 56% Skin diseases diseases of the respiratory tract Infectious diseases Diseases of the vertebral column Miscellaneous diseases IOCH 2012_Cancun/Prof. Dr. Brandenburg Seite 5 von 31
6 Prevention Measures specifically matched with the different Professions insured with the BGW Elements e. g.: Informations concerning measures of prevention of occupational Skin diseases for employers and employees printed and online Secondary individual prevention program Advisory service and training specifically designed for the different professions (e. g. hairdressers, nursing service) Individual counselling and doctor's advice for insured persons affected by occupational skin diseases IOCH 2012_Cancun/Prof. Dr. Brandenburg Seite 6 von 31
7 Prevention of Occupational Skin Diseases Special Procedure for the Report of Occupational Skin Diseases: allows an intervention at an early stage 1. Dermatologists notify BGW (or the appropiate Institution for Statutory Accident Insurance and Prevention) about patients affected by occupational skin diseases 2. Doctors other than dermatologists have to refer patients to dermatologists 3. Patient is treated by dermatologist 4. Institution for Statutory Accident Insurance and Prevention supervises treatment dermatologists sends reports about the course of treatment IOCH 2012_Cancun/Prof. Dr. Brandenburg Seite 7 von 31
8 Occupational skin diseases Ordinance on occupational diseases No reported cases of occupational skin diseases accepted cases / skin diseases accepted as occupational IOCH 2012_Cancun/Prof. Dr. Brandenburg Seite 8 von 31
9 Elements of Prevention Specifically designed for different professions Special programmes designed for - Hairdressers - employees / self-employed persons working in the health care sector IOCH 2012_Cancun/Prof. Dr. Brandenburg Seite 9 von 31
10 Secondary individual prevention program Hairdressers Set up of 10 training and advisory centers across Germany quick and nonbureaucratic help Dermatological examination and advice as early as possible Seminars on skin protection health educational training for two days Result 70% of participants stay in their job IOCH 2012_Cancun/Prof. Dr. Brandenburg Seite 10 von 31
11 Prevention Example: Hairdressers Cooperation with the association of German hairdressers and the association of manufacturers of personal care products and detergents Education and cooperation with manufacturers of latex gloves (powder free) Issue of mandatory "technical rules for hazardous substances" Information of hairdressers Development of media for the training Exhibiting at trade shows IOCH 2012_Cancun/Prof. Dr. Brandenburg Seite 11 von 31
12 Secondary individual prevention Information about Measures of Prevention for all Professions Skin protection: - Use of skin protection creams without fragrance, preservatives and dyes - Use of suitable gloves Skin cleansing: - Waiver of soap, use of ph-neutral synthetic detergents - Drying hands with soft and absorbent towels for single use Skin Care: - Cream without fragrance, preservatives and dyes IOCH 2012_Cancun/Prof. Dr. Brandenburg Seite 12 von 31
13 Tertiary prevention Inpatient treatment Effective help for patients affected by severe and recurring cases of occupational skin diseases Elements: - inpatient treatment (for three weeks) followed by - a three-weeks leave of work and treatment by dermatologist - further examinations in regular intervals - information and counselling for the patient IOCH 2012_Cancun/Prof. Dr. Brandenburg Seite 13 von 31
14 Keeping in the job Disability managers give advice at the workplace Explanation of the necessary preventive measures Takeover of costs during a trial period Support of return to work Take account of particular problems: - Family situation - Care of relatives IOCH 2012_Cancun/Prof. Dr. Brandenburg Seite 14 von 31
15 Effective measures of prevention Results Number of cases of occupational skin disease is reduced, severe courses of occupational skin diseases are prevented Employees can remain in their profession their work experience is preserved for the company Lower costs to be paid for insurance contribution by companies IOCH 2012_Cancun/Prof. Dr. Brandenburg Seite 15 von 31
16 Compensation payments for skin diseases / latex only in millions of Euro IOCH 2012_Cancun/Prof. Dr. Brandenburg Seite 16 von 31
17 Compensation payments for occupational skin diseases in millions of Euros IOCH 2012_Cancun/Prof. Dr. Brandenburg Seite 17 von 31
18 Measures of Prevention costs for vocational Rehabilitation for Hairdressers in Mill. of Euros Berufshilfekosten (in Mio. ) IOCH 2012_Cancun/Prof. Dr. Brandenburg Seite 18 von 31
19 Measures of Prevention Insurance Contributions to be paid by Hairdressers per Euros paid to Employee - Trend Beitrag/ je Entgelt/VS IOCH 2012_Cancun/Prof. Dr. Brandenburg Seite 19 von 31
20 The success decline in latex allergy IOCH 2012_Cancun/Prof. Dr. Brandenburg Seite 20 von 31
21 Achieving better Protection of the skin - an ongoing Commitment of the BGW Developing better methods and products for skin protection Perspective / Research: Design of gloves with semipermeable membranes to avoid occlusion and humidity IOCH 2012_Cancun/Prof. Dr. Brandenburg Seite 21 von 31
22 30th International Congress on Occupational Health Cancun, Mexico, March 18 23, 2012 Progress in Prevention of Occupational Skin Diseases Global Medical, Regulatory and Societal Aspects - Occupational dermatoses: disease burden and options of prevention from an insurer s point of view - Prof. Dr. Stephan Brandenburg Institution for Statutory Accident Insurance and Prevention, Director General
23 30th International Congress on Occupational Health Cancun, Mexico, March 18 23, 2012 Allergic Contact Dermatitis - Facts and Figures - Prof. Dr. Stephan Brandenburg Institution for Statutory Accident Insurance and Prevention, Director General
24 Occupational diseases reported in % Skin diseases 20% 10% 5% 56% diseases of the respiratory tract Infectious diseases Diseases of the vertebral column Miscellaneous diseases IOCH 2012_Cancun/Prof. Dr. Brandenburg Seite 24 von 31
25 Allergic Contact Dermatitis Hairdressers Cases decided in 2010 by the BGW Hairdressers: - Cases concerning all types of occupational skin diseases: Cases concerning Allergic Contact Dermatitis: 549 IOCH 2012_Cancun/Prof. Dr. Brandenburg Seite 25 von 31
26 Allergic Contact Dermatitis Hairdressers skin diseases other than allergic contact dermatitis allergic contact dermatitis 38% 62% IOCH 2012_Cancun/Prof. Dr. Brandenburg Seite 26 von 31
27 Allergic Contact Dermatitis Hairdressers Main Allergens / Causes - Hairdressers: - dyes, - hairspray, - chemicals for applying perms, - humidity IOCH 2012_Cancun/Prof. Dr. Brandenburg Seite 27 von 31
28 Allergic Contact Dermatitis Health Care Sector Cases decided in 2010 by the BGW Employees / Self-employed in the health care sector: - Cases concerning all types of occupational skin diseases: Cases concerning Allergic Contact Dermatitis: 485 IOCH 2012_Cancun/Prof. Dr. Brandenburg Seite 28 von 31
29 Allergic Contact Dermatitis Health Care Sector skin diseases other than allergic contact dermatitis allergic contact dermatitis 28% 72% IOCH 2012_Cancun/Prof. Dr. Brandenburg Seite 29 von 31
30 Allergic Contact Dermatitis Health Care Sector Main Allergens / Causes Health Care Sector: - disinfectants, - cleansing agents, - humidity (e. g. due to having to wear gloves) IOCH 2012_Cancun/Prof. Dr. Brandenburg Seite 30 von 31
31 30th International Congress on Occupational Health Cancun, Mexico, March 18 23, 2012 Allergic Contact Dermatitis - Facts and Figures - Prof. Dr. Stephan Brandenburg Institution for Statutory Accident Insurance and Prevention, Director General
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