Safety and health at work is everyone’s concern. It’s good for you. It’s good for business.

Healthy Workplaces Summit 2013‘Working together for risk prevention’

Successful networking and campaigning in OSH:“healthy skin @ work“

Swen Malte JohnUniversity of Osnabrueck

Most Frequent Occupational Diseases: Skin

Metallarbeiter,25 Jahre

Irritatives Kontaktekzem

Occupational skin diseases in Germany:Notifications (total)/ accepted as occupational/ recognized cases (job resignation)

Quelle: DGUV 2013

2007 2008 2009 2010 2011 20120

5000

10000

15000

20000

25000

Verdachtsanzeigen

Bestätigte Fälle

Anerkannte Fälle (in Bestätigte Fälle en-thalten)

56,4 % 54,8 %

50,1 %

67 %

77,4 % 80 %

Source: DGUV; German Accident Insurance

recognized cases=jobresignation

Occup. origin

"Crude" notifications

Effects of "healthy skin@ work"awareness campaign in Germany:Melting down underreporting

30% 27% 22%

581586

Underreporting(ca. 50 fold)

Meding B, Järvholm B (2002) Hand Eczema in Swedish adults - Changes in prevalence between 1983 and 1996. J Invest Dermatol 118: 719-723.Meding B, Wrangsjo K, et al. (2005) Fifteen-year follow-up of hand eczema: persistence and consequences. Br J Dermatol 152: 975-80

Kütting B, Diepgen TL, Drexler H et al. (2005) Überlegungen zu notwendigen Konsequenzen für arbeitsmedizinische Vorsorgeuntersuchungen durch die Novellierung der Gefahrstoffverordnung... Arbeitsmed Sozialmed Umweltmed 40: 308-312.

25.056 p.a.

> 2.000.000 (Prevalence)

Incidence

Notifications of occupational skin diseases 2012Ntotal=24,384

9,628; 50%

8,996; 47%

586; 6%

Notifications of occupational skin diseases 2009 vs. 2012

Occupational origin accepted Notifications unconfirmed Recognized Occupational Disease (Job resignation)

Ntotal2009= 19,210

581; 3%

19.447; 80%

4,357; 18%

Ntotal2012=24,384

Skin (Ntotal=19,210): 29% of all notifications of occup. Diseases 2009 (66,951);Skin (Ntotal=24,384): 35% of all notifications of occup. Diseases 2012 (70,566);

Source: DGUV (German statutory accident insurance)

Costs of occupational skin diseases German Social Accident Insurance 2006 vs. 2011

2006 2011

Nr. of casesCosts

per case(€)

TotalCosts

(€)Nr. of cases

Costs per case

(€)

TotalCosts

(€)Difference

MedicalCosts 26,246 656 17,214 € 43,368 560 24,292 € + 41%

Jobretraining 4,739 9,074 43,003 € 3,710 7,009 26,003 € - 40%

DGUV-Veranstaltung VERFAHREN HAUT Seite 6

Cost reduction 2011 vs. 2006: ~10 million € p a (not adjusted for inflation)

Increase of dermatology-treated cases by 65%

Source: German Accident Insurance (DGUV), 2013

Cases:

Costs:

cost reduction for employers (who pay the statutory accident insurance fees) by preventive measures

Safety and health at work is everyone’s concern. It’s good for you. It’s good for business.

Healthy Workplaces Summit 2013‘Working together for risk prevention’

Successful networking and campaigning in OSH:“healthy skin @ work“

Come pain

Safety and health at work is everyone’s concern. It’s good for you. It’s good for business.

Get comfy with campaigning,BILBAO !

Swen Malte John, johnderm@uos.de