OCCUPATIONAL DERMATITIS IN THE HEALTH SERVICES INDUSTRY Carol A. Burnett and Boris D Lushniak, National Institute for Occuuational Safetv and Health. Cincinnati. OH &is report d&ibes occupational dermatitis in the health services industry The data are from the Bureau ofLabor Statistics’ (BLS) Annual Survey of Occupational Injuries and Illnesses The survey collects employer reports from private industry Descriptive data on the cases and characteristics of the illnesses are collected on a sample of the cases that result in days away from work (DAFW) In 1994 there were an estimated 9,100 cases of occupationally related skin diseases or disorders in the health services industry for a rate of 12 7 per 10,000 workers Ofthese, about 15% were DAFW dermatitis cases Most cases occurred in nursing and personal care facilities and hospitals Nursing aides, orderlies, and attendants, registered nurses and health technologists and technicians reported the largest number of cases The largest SOUIC~Sof dermatitis were clothing and shoes, cleaning and polishing agents, and unspecified chemicals The median DAFW was three Health aides, except nursing, with dermatitis caused by beauty preparations experienced a median of 13 DAFW The BLS survey data show that the impact of occupational dermatitis in the health services industry is significant Since the prognosis of dermatitis may be poor, prevention is of great importance
CONTACT DERMATITIS AND SPECIALIZED RECREATIONAL FOOTWEAR James L. Camobell. Jr.. MD. MS and Kathryn A. Zug. MD, Section of Dermatology, Dartmouth-Hitchcock Medical Center, Lebanon, NH Case Report: A 21 year old male college student developed acute eczematous dermatitis involving both feet while working at a salmon fishery in his home state of Washington. His work required that he wear neoprene boots each day. The eruption cleared spontaneously when he returned to school in the fall only to recur the following spring after wearing specialized rock climbing shoes. Patch testing confirmed marked sensitivity to paratertiary butylphenol formaldehyde resin as well as to nickel. While the allergens found in standard footwear are well described, little can be found in the literature on specialized recreatmnal footwear. This case report reviews the various types of footwear from in-line skates to climbing shoes and their potential allergens.
Acknowledgments We would like to thank Linda Garris of the Bureau of Labor Statistics for her programming efforts.