The survey of cement dermatitis among construction industry workers
DOI:
https://doi.org/10.22100/jkh.v2i3.244Keywords:
Cement dermatitis, Cement manufactory, Terrazzo Worker.Abstract
Introduction: Cement has long been known as a cause of both irritant and allergic contact dermatitis. However, there are little data relating to occupational skin diseases (OSD) in the Iranian construction industry. The aim of this study is to evaluate the epidemiology of cement dermatitis among terrazzo and cement manufactory workers.
Methods and Materials: This is cross-sectional descriptive study. In this study 50 cement manufact-ory workers in Shahroud and 150 terrazzo workers in Lordegan were interviewed through questionnaire. Questionnaire includes demographic characteristics and questions about present dermatitis, background eczema, daily work hours, exposed chemical agents, using of gloves. Patients examined and patch tested by dermatologist. Data analyzed with SPSS software and c2, Mann Whitney and logistic regression statistical test.
Results: The findings of the study showed that 8 workers (16%) in cement factories and 52 workers (34.7%) in Lordegan terrazzo enterprises had reported dermatitis at the time of review. Of which 15.5% in terrazzo workers had allergic contact dermatitis. In this study the prevalence of cement dermatitis increased with increasing age and there was significantly differences between dermatitis and background of dermatitis in terrazzo workers (P<0.05).
Conclusion: Cement should be treated as hazardous materials, wearing of suitable gloves, early diagnosis and treatment of contact dermatitis and health education to workers is suggested.
References
Lodi A, Mancini LL, Ambonati M, Coassini A, Rava- nelli G, Crosti C. Epidemiology of occupati- onal contact dermatitis in a north Italian population. Eur J Dermatol 2000; 10(2): 128- 32.
Held E, Mygind K, Wolff C, Gyntelberg F, Agner T. Prevention of work related skin problems: An intervention study in wet work employees. Occup Environ Med 2002; 59: 556- 561.
Larese F, Mattia CF, De Toni A. Incidence of occupa-tional contact dermatitis in the province of pordenone in the period of 1995-2000. J Ital Med Lav Ergon 2003; 25 Suppl (3): 252- 3.
Kaufman J D, Cohen M A, Sama S R, Shields J W, Kalat J. Occupational skin diseases in Washington State, 1989 through 1993: Using workers' compensa- tion data to identify cutaneous hazards. Am J Public Health 1998; 88: 1047- 1051.
Kanerva L, Aitio A. Dermatotoxicological aspects of metalic chromium. Europ J Dermatol¬ 1997; 7(2): 79-84.
Winder C, Carmody M. The dermal toxicity of cement. Toxicol Ind Health 2002; 18(7): 321- 31.
National occupational health and safety commission Cement. Dermatitis. Common wealth of Australian Government Publishing Service; 1993.
اصيليان علي، اصيليان حسن. بيماري¬هاي شغلي پوست، اصفهان: انتشارات دانشگاه علوم پزشکي اصفهان، 1372.
Cronin E. Contact Dermatitis. Edinburgh: Churchill Livingstone; 1980.
Burrows D, Adams RM. Metals. In: Adams RM, editor. Occupational skin disease. 2nded. WB Saunders Co; 1990. p. 349- 86.
Kjuus H, Lenvik K, Kjaerheim K, Austad J. Epidemiological assessment of the occurrence of allergic dermatitis in workers in the construction industry. related to the content of Cr(VI) in cement National Institute of Occupational Health Oslo – Norway: National Institute of Occupational Health (NIOH); 2003.
Bock M, Schmidt A, Bruckner T, Diepgen TL. Developments in chromate allergy in the German construction industry. Hautarzt 2004; 55(5): 460- 4.
Lips R, Rast H, Elsner P. Outcome of job change in patients with occupational chromate dermatitis. Contact Dermatitis 1996; 34(4): 268- 71.
Guin JD. Potassium dichromate. In: Guin JD, editor. Practical contact dermatitis: A handbook for the practitioner. McGraw-Hill; 1995.p. 253.
Soleo L, Foti C, Pesola G, Lasorsa G, Candilio G, Marconi M. Clinico-statistical investigation about cement dermatitis in Italy. J Ital Med Lav 1996; 18 (1-3): 87- 96.
Bock M, Schmidt A, Bruckner T, Diepgen TL. Occu-pational skin disease in the construction industry. Br J Dermatol 2003; 149(6): 1165- 71.
Koch P, Skin burns. Necrosis and ulcers caused by wet cement, ready-mixed concrete and lime, 8 cases. Ann Dermatol Venereol 1996; 123(12): 832- 6.
Yamamoto O, Nishio D, Tokui N. Six cases of occupational skin diseases caused by cement: considerations from the aspect of occupational dermatology. J UOEH 2001; 23(2): 169- 80.
Wong SS, Chan MT, Gan SL, Ng SK, Goh CL. Occupational chromate allergy in Singapore: A study of 87 patients and a review from 1983 to 1995. Am J Contact Dermatitis 1998; 9(1): 1- 5.
Halbert AR, Gebauer KA, Wall LM. Prognosis of occupational chromate dermatitis. Contact Dermatitis 1992; 27(4): 214- 9.
Conde-Salazar L, Guimaraens D, Villegas C, Romero A, Gonzalez MA. Occupational allergic contact dermatitis in construction workers. Contact Dermatitis 1995; 33(4): 226- 30.
Kiec-Swierczynska M. Occupational allergic contact dermatitis in Lodz: 1990-1994. Occup Med(Lond) 1996; 46(3): 205- 208.
Goh CL, Gan SL, Ngui SJ, Occupational dermatitis in a prefabrication construction factory. Contact Dermatitis, 1986; 15(4):235- 40.
Roto P, Sainio H, Reunala T, Laippala P. Addition of ferrous sulfate to cement and risk of chromium dermatitis among construction workers. Contact Dermatitis 1996; 34(1): 43- 50.
Zachariae CO, Agner T, Menne T. Chromium allergy in consecutive patients in a country where ferrous sulfate has been added to cement since 1981. Contact Dermatitis 1996; 35(2): 83- 5.
Guo YL, Wang BJ, Yeh KC, Wang JC, Kao HH, Wa-ng MT. Dermatoses in cement workers in southern Taiwan. Contact Dermatitis 1999; 40(1):1-7.
Avnstorp C. Risk factors for cement eczema. Contact Dermatitis 1991; 25(2): 81- 8.
چوبينه عليرضا، اميرزاده فريد. كليات بهداشت حرفه¬اي، شیراز: انتشارات دانشگاه علوم پزشكي شيراز، 1379.
Uter W, Ruhl R, Pfahlberg A. Contact allergy in construction workers: Results of a multifactorial analysis. Ann Occup Hyg 2004; 48(1): 21- 7.
Rietschel RL, Fowler JF. Occupational dermatitis. In: Fisher AA, Rietschel RL, Fowler JF, editors. Fisher's contact dermatitis. 4th ed Philadelphia: Lippincott Williams and Wilkins; 2001.
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