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Institute for InterdisciplinaryDermatological Preventionand Rehabilitation (iDerm)

Contact address

iDerm Osnabrck

Pro. Dr. S. M. John, MD

iDerm Osnabrueck

Sedanstrasse 115 (ward D1)

D-49069 Osnabrck

Tel: +49.541.969-2357

Fax: +49.541.969-2445

sjohn@uos.de

www.iderm.de

iDerm Berlin

Patricia Weinert

Project Coordinator

iDerm Berlin

Spichernstr. 2-3

D-10777 Berlin

Tel: +49.30.896 856 274

Fax: +49.30.896 856 292

pweinert@uos.de

www.iderm.de

iDerm Hamburg

Pro. Dr. S. M. John, MD

iDerm

BG Trauma Hospital Hamburg

Bergedorer Strae 10

21033 Hamburg

Tel.: +49.040.7306-3261

Fax: +49.040.7306-3203

www.iderm.de

Publications

1. John SM (2008) Occupational skin diseases: options or multi-

disciplinary networking in preventive medicine. GMS Ger Med

Sci 2008;6:Doc07 (Online-Publikation: http://www.egms.de/en/

gms/2008-6/000052.shtml.)

2. Skudlik C et al. (2008) Tertiary individual prevention o occupa-

tional skin diseases - a decades experience with recalcitrant oc-

cupational dermatitis. Int Arch Occup Environ Health 81(8): 1045-

10583. de Jongh CM et al. (2008) Loss-o-unction polymorphisms in the

laggrin gene increase susceptibility to chronic irritant contact

dermatitis. Br J Dermatol 159: 621-627

4. Skudlik C et al. (2009) Multicenter study Medical-Occupational

Rehabilitation Procedure Skin optimizing and quality assur-

ance o inpatient-management (ROQ). JDDG, 7:122-127

5. Skudlik C et al. (2009) Hand Eczema in Geriatric Nurses in Ger-

many. Prevalence and Risk Factors. Contact Dermatitis 60:136-

143

6. Skudlik C et al. (2009) Cooperation among clinics and practices.

Integrated medical care in occupational dermatology. Hautarzt

60: 722726

7. Vo H et al. (2009) Optimized dermatologists report and hierar-

chical multi-step invention : Randomized evaluation o the cor-

nerstones o preventive occupational dermatology. Hautarzt 60:

695-701

8. Wulorst B et al. (2010). Sustainability o an InterdisciplinarySecondary Prevention Program in Hairdressers. Int Arch Occup

Environ Health 83(2):165-171

9. Frosch PJ, John SM et al. (2011) International Legal Aspects o

Workers Compensation or Occupational Contact Dermatitis. In:

Duus Johansen J, Frosch PJ, Lepoittevin JP (eds.) Contact Dermati-

tis. Springer Berlin, Heidelberg, 5th edition, 1029-1051

10. Wulorst B et al. (2011) Prevention o hand eczema gloves,

barrier creams and workers education. In: Duus Johansen J ,

Frosch PJ, Lepoittevin JP (eds.) Contact Dermatitis. Springer Ber-

lin, Heidelberg, 5th edition, 985-1028

iDerm

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The burden o Occupational Skin Diseases (OSD)

Occupational skin diseases (OSD) are to date among the

most requent occupational diseases worldwide. In Europe

they are considered to be the second most common work-

related health problem, in the US they account or up to 20

percent o all reported occupational diseases and in Colum-

bia dermatological skin diseases are reported to be the third

most common occupational diseases. Published gures or

the prevalence o skin diseases in emerging countries rangerom 20 to 80 percent.

It is estimated that the costs o OSD-related medical treat-

ment, sick leave and loss o productivity in Europe exceed

5 billion Euro annually. By way o example, in the UK costs

amount up to 400 million and in Germany up to 1.5 bil-

lion. In the US, total annual costs or occupational skin dis-

eases amount to more than $ 1 billion. While no reliable g-

ures are available or emerging countries it can be assumed

that the gures would not be signicantly dierent i compre-

hensive estimates were made.

For individuals, the chronic course o OSD may result in det-

rimental socio-economic and psychological consequences,

including job loss and long-term employment. Aected work-

ers may require prolonged absences o work, retraining and

relocation.

Prevention makes the dierence

Established scientic data demonstrate the outstanding e-

ectiveness o OSD prevention. Prevention can save workers

health and job, and signicantly reduce costs or industry and

society. Early dermatological interventions as well as targeted

workers education have proved successul.

For workers, prevention helps improve health and quality o lie

o those susceptible to or suering rom OSD and protect indi-

viduals rom detrimental socioeconomic losses resulting rom

OSD (sick leave, job loss, unemployment, relocation). Through

specically tailored workers education, workers may urther-

more be empowered in all proessions at risk by scienticallyproven approaches. Prevention measures (including technical

measures, manuacturing standards, substance regulation) and

skin protection strategies ensure saer work environments, a

reduction to risk exposure, and ultimately increase the peror-

mance o workers.

For employers, prevention measures raise competitiveness

by increasing workplace productivity and avoid loss o experi-

enced workorce, which might be difcult to be replaced. This

holds particularly true or small- and medium-sized enterprises.

For social security, employers and society at large, compen-

sation and rehabilitation costs can be reduced considerably

through the implementation o comparatively cheap and

able prevention services.

Fields o research

The main goal o iDerm is the primary, secondary and tertiary

prevention o occupational skin diseases in particularpertaining to:

> Health education

> Allergology

> Related occupational respiratory diseases

> Dermatological Microbiology

> Skin sensitivity research

> Skin bioengineering

> Inpatient/outpatient diagnostics, therapy and rehabilitatio

> International standardization and promotion o measures

> Individual susceptibility/imm unogenetics o contact dermat

> The development and assessment o product saety o skin

care products, protective creams, cleaners, gloves, protecti

clothing

> Occupational skin cancer

> Quality management in occupational dermatology

> Health economy.