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Thursday, April 30, 2009
Sadrivaan A and B (The Hilton Istanbul Hotel )
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0 A ( , v T T | ^ L F G v A : Occupational Contact Dermatitis: A compensation process gone wrong.
Rose A1, Fourie A2, Rees D2, Hillary C3
Background: The workplace is an important source of morbidity and mortality. The importance of good occupational health practices becomes even more imperative in developing countries. South Africa has good occupational health policies but implementation of these policies are sometimes lacking. Contact dermatitis is a common occupational disease with a significant impact on earnings and quality of life. Though compensable cases are under reported and the compensation process is flawed. This leaves the worker to bear the
Aims: To evaluate the compensation process for occupational contact dermatitis cases submitted by the dermatology clinic at the NIOH (National Institute for Occupational Health.) To access the outcomes of claims submitted to the Compensation Commission. To access the impact on earnings.
Methods: A cross sectional study. Review of clinical records to ascertain agents and industries. A telephonic interview of these patients to establish financial loses and impact on employment statutes. A review of the Compensation Commissions records of claimants to determine compensation outcomes.
Results: A total of 131 cases were reviewed. Results show 67% of cases were occupationally related contact dermatitis. Irritant contact dermatitis (45%) was the most common diagnosis. Nickel was the most common allergen (11 cases.) Exposure to epoxy resins, cleaning materials, metal cutting oils and gloves were the most common exposures. Only 39% on claims submitted by the NIOH were traceable at the Compensation Commission.
Conclusion: The prevalence of OCD in South Africa is not known. The compensation process needs to be evaluated to improve efficiency. The worker suffers under such a flawed process.
Wits School of Public Health
NIOH (National Institute for Occupational Diseases.)
Private dermatologist, affiliated to NIOH
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Learning Objectives: To evaluate the compensation process for occupational contact dermatitis cases submitted by the dermatology clinic at the NIOH (National Institute for Occupational Health.) To access the outcomes of claims submitted to the Compensation Commission. To access the impact on earnings.
Sub-Theme: Environmental and Occupational Health
See more of: Poster: Environmental and Occupational Health
See more of: Public Health Practices Around the Globe
See more of: Public Health Practices Around the Globe