Swen-Malte John|M. Trakatelli|Ronette Gehring|Katherine A. Finlay|C Fionda|Marc Wittlich|Matthias Augustin|G Hilpert|Josiane Mourão Dias|Claas Ulrich|G. Pellacani
CONSENSUS REPORT: Recognizing non-melanoma skin cancer, including actinic keratosis, as an occupational disease - A Call to Action
Papageorgiou General Hospital|Aristotle University of Thessaloniki|Centre Hospitalier Universitaire de Saint-Pierre|European Steel Association|Institut für Arbeitsschutz der Deutschen Gesetzlichen Unfallversicherung|University Medical Center Hamburg-Eppendorf|Federal Ministry of Labour and Social Affairs|Portuguese Army|Charité - Universitätsmedizin Berlin|University of Modena and Reggio Emilia
1 nonmelanoma skin cancer nmsc far common cancer diagnosed westernized countries one almost preventable cancers detected treated early 90 nmsc may attributed excessive exposure ultraviolet radiation 2 incidence nmsc increasing 23 million people diagnosed worldwide annually average yearly increase 38 among white populations australia europe us canada last 30 years 3 link solar ultraviolet uv radiation certain forms nmsc clearly recognized estimated outdoor workers exposed uv radiation dose 23 times higher indoor workers growing body research linking uv radiation exposure outdoor workers nmsc occupationally uvexposed workers least 43 higher risk basal cell carcinoma bcc almost doubled risk squamous cell carcinoma scc compared average population risk increasing decreasing latitude ii risk bcc scc actinic keratosis ak among workers worked outdoors 5 years 3fold higher risk among years working outdoors 4 primary prevention early detection treatment regular followup skin cancer nmsc melanoma shown beneficial health economic perspective 5 action needed international european national level legislate recognizing ak nmsc occupational disease potential improve access compensation drive preventative activities 6 report call action engagement key stakeholders including supranational institutions national governments trade organizations employers workers patient organizations drive change prevention protection atrisk groups ii employers obliged prevent outdoor workers uv exposure exceeding limit values implement occupational skin cancer screening programmes among atrisk workforce iii educational programmes outdoor workforce needed improve health literacy drive behavioural change iv nationally steps improve notifications surveillance skin cancers occupational services public health programmes required v future research activities focus precise definition atrisk groups among outdoor workers increased data gathering including uvdosimetry evaluation