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Bioten - new? brand at Chemist WarehouseVIDEO ON THE TOPIC: Hands and Feet Care in Winter - Skin Diaries
In some instances these started during childhood. Dermatitis is the main work- related skin disease. An important clue for diagnosis is the site of the area affected. If it is the hands, contact dermatitis should always be suspected. Occupational dermatitis is a skin disorder caused by coming into contact with certain substances in the workplace. It is therefore termed contact dermatitis. Contact dermatitis is the most common work related disease in Ireland. It can have long term consequences for workers health and in extreme cases it can hinder their ability to continue working.
It has financial implications in terms of ongoing medical treatment, absence from work, social welfare compensation and possible civil claims. It brings other costs in terms of pain and suffering to affected workers. In many instances it may be totally preventable by simple inexpensive measures. The outer layer of skin is called the epidermis.
New cells are constantly being formed and migrate to the surface over a period of months where they die and harden. Here they form a protective layer called the horny layer. This is constantly being worn away by friction. The protective layer is normally worn away but is constantly being regenerated. The problem arises where the rate of damage or wearing to this layer exceeds the rate of repair.
In contact irritant dermatitis the substance that damages the skin is known as the irritant. A highly irritant substance is known as a corrosive. Irritation is analogous to a chemical burn.
It acts by eroding or burning the outer protective layers of the skin. Irritant contact dermatitis usually occurs only on the parts of the body in direct contact with the irritant substance e.
Common irritants are wet work, cutting oils, solvents and degreasing agents which remove the skins outer oily barrier layer and allow easy penetration of hazardous substances, alkalis and acids see Table 1.
Wet cement coming into contact with exposed feet and hands is a particular example of a skin irritant. In this case, the substance causes the worker to become sensitised or to develop an allergic reaction some time after initial contact. The type of allergic mechanism is known as Type IV or delayed hypersensitivity.
People do not become allergic to a substance immediately at first contact. The sensitisation period the time between contact and the development of an allergy can vary from a number of days to months or even years. The risk of becoming allergic depends on several factors:. This is different to irritant dermatitis which is dose related. The long term health consequences and ability to remain at work can be significant.
In general the majority of an exposed occupational group do NOT become sensitised. It is an idiosyncratic or individual reaction. Sensitisation is specific to one substance or to a group of substances that are chemically similar. Once sensitised a person is likely to remain so for life. Common sensitisers are chromate's found in cement , nickel cheap jewellery , epoxy resins, formaldehyde, wood dust, flour, printing plates, chemicals and adhesives see Table 1.
Can a worker have both types of dermatitis together? Both irritant and allergic contact dermatitis can occur together and it is not uncommon for an employee to be exposed to several irritants and sensitisers simultaneously.
An irritant contact dermatitis may also develop first, rendering the skin more susceptible to penetration by sensitisers. It is also possible that an original allergic contact dermatitis might be later sustained by an irritant. What are the types of substances which cause dermatitis? Table 1 lists a number of well known substances and work activities which can cause occupational dermatitis.
Substances which are skin irritants or sensitisers have the symbol Xi on the packaging bag or container. The safety data sheet will also have valuable information on the health hazards associated with the substance and protective and preventive measures. There are other substances which have the capacity to penetrate intact skin and be absorbed directly into the body without necessarily having any effect on the skin. Under this Code substances with the Sen notation apply only to respiratory sensitisers.
The employer must ensure a safe working environment where exposure to substances which can cause dermatitis is prevented or controlled. The employer should have or provide the following:. How is a Risk Assessment carried out? All employers are required to have a written Safety Statement which must be brought to the attention of all employees. It is a further requirement to implement all health and safety measures identified in the Safety Statement. The Safety Statement will include a written Risk Assessment which will identify if there are substances in the workplace that may cause dermatitis.
The Risk Assessment should be able to answer the following questions:. How is exposure prevented and controlled? Both contact irritant and allergic dermatitis can be prevented by prevention or at least minimisation of skin contact with that substance. If the Risk Assessment identifies that workers are being exposed to substances, the following control measures should be considered to remove, minimise or reduce the risk:. Employees are entitled to information about hazards in the workplace and those contained in the Risk Assessment.
They are also entitled to information on the protective and preventive measures to be taken. Employees who are likely to work with and be exposed to substances causing dermatitis need information, instruction and supervision so that they know and understand the following;. Health surveillance is used to detect the early onset or symptoms of dermatitis.
The earlier a skin condition is discovered the better the prognosis. It is deemed to be secondary prevention and not as effective as the primary prevention measures outlined above. Health surveillance where used, has to be used in conjunction with these other control measures. Health surveillance can help to show that workplace control measures are working.
A pre employment health questionnaire should be completed by all those going to work with substances which can cause dermatitis. There may be limitations in employing a person who currently suffers from dermatitis.
A health assessment is usually aimed at identifying an effect of work on health, in this case skin. It may be required before a worker commences work, especially for people with a previous known sensitivity to an irritant or sensitiser used in the workplace.
People with pre existing dermatitis are more likely to develop irritant dermatitis in the workplace. The person carrying out the assessment must be familiar with substances and processes used, standards of cleaning and hygiene, personal protective equipment used. The initial health assessment can be carried out by a health professional but the decision on whether an individual is suitable for a particular post is normally made by a doctor, preferably one with qualifications in occupational medicine.
Dermatitis may be considered a disability and the obligations under Equality Legislation should be considered on the suitability for employment. Again the decision whether to carry out health surveillance is based on the Risk Assessment.
When the Risk Assessment suggests there is the potential for an employee to develop work related dermatitis because of workplace exposure then usually health surveillance is required. Because dermatitis is normally evident first to the individual self examining and reporting of problems is hugely important. This can only be successful if individuals know what to report and to whom. Employee education and training is vital and should include the principles of prevention, skin care and the early signs of dermatitis.
It should also include who to report to, usually the occupational health nurse if present or company doctor. Self reporting can be augmented by a skin questionnaire which should be completed again and results compared to pre employment ones.
Ideally abnormal results should lead to the individual being assessed by a doctor qualified and experienced in occupational medicine or dermatology. If health surveillance indicates that an employee has developed dermatitis, it is important to try to identify the cause.
If a suspect cause can be identified and the dermatitis goes way either by avoiding the suspect substance or changing work practices, such as using gloves then usually no further action is required. If however the condition persists, the opinion of a specialist occupational physician or dermatologist should be sought. The assessment may include an inspection of the workplace. If allergic dermatitis is considered Patch Testing may be performed.
The test involves the application of various test substances to the skin under adhesive tape that are then left in place for 48 hours. The skin is then examined on the removal of these patches and again a further 48 hours later for any response. This can help the doctor decide which allergens the employee may be allergic to and identify those that could be aggravating the dermatitis.
This is normally carried out by a dermatologist. Any new case of dermatitis may indicate that the existing control measures are inadequate and the Risk Assessment should be reviewed and any necessary changes made.
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This industry is made up of a diverse range of occupations including:. Occupational contact dermatitis is caused by substances that come into contact with the skin at work and includes irritant and allergic contact dermatitis. Occasionally, it may also involve the exposed skin of the arms, face and legs of construction workers. Irritant contact dermatitis is the most common cause of occupational contact dermatitis. Continual wetting and drying of the skin, as well as handling some particular substances will cause the skin to dry out, flake, split and crack. This will occur more commonly in people with sensitive skin, especially those with a history of eczema even if only mild eczema as a baby , and also of asthma, or hay fever. Allergic contact dermatitis is fortunately less common than irritant contact dermatitis in the construction industry. Epoxy resins in floor coatings and adhesives are notorious skin allergens in this industry.
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With all that goes on during the winter , between the holidays and end-of-year plans, it's easy to neglect two of the things that help make it all possible—your hands. While gloves and cozy jacket pockets can help minimize the drying effects seen on your skin from winter elements, a moisturizing hand cream is a seasonal secret weapon. When you wash your hands—especially if you wash them in hot water—you tend to strip off natural oils that help keep your skin hydrated. To find out which creams are most effective at combating digit dry out especially that spot between your index finger and thumb , we asked 11 people with perpetually dry hands about the ones they're giving gold stars this winter. From household names like Neutrogena, to cult-favorite brands like Lush, read on for some of the best products to soothe dry, rough skin now, and all year round. All products featured on SELF are independently selected by our editors. If you buy something through our retail links, we may earn an affiliate commission.
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So i was scrolling through the Chemist Warehouse website and i noticed this brand called Biotin. So has anyone actually tried this brand before? I like the idea of their products but i'm a bit wary to try them as they seem a little to good for the price.
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