Optimal medical counselling for allergic apprentices

Transcription

1 Optimal medical counselling for allergic apprentices D.Olgiati-Des Gouttes 1, M.-A. Boillat 2 1 Pneumo-Allergology Group Practice, Delémont dolgiati@sunrise.ch 2 Institute of Work and Health, Lausanne, Switzerland Medical Counseling for Apprentices EADV / EPOS / Lisbon Oct 20-23,

2 Introduction The prevalence of allergies in a cohort of apprentices rises as in the general population Too many future apprentices still ignore which job may develop work related allergies They may consult a doctor with full-blown allergies, and be impaired in their apprenticeship or future career Medical Counseling for Apprentices EADV / EPOS / Lisbon Oct 20-23,

3 Aim of the study Increase awareness of the first line physician about work related allergies Elaborate a medical brochure for an adequate counselling of the allergic apprentice. Distribute a flyer for apprentices in schools, workplaces and other apprentice s surroundings Medical Counseling for Apprentices EADV / EPOS / Lisbon Oct 20-23,

4 Characteristics of apprentices Adolescents escape from medical control Adolescents and GPs have a poor knowledge of work related allergies Lack of prospective studies with apprentices Primary prevention starts with the cohort of apprentices Medical Counseling for Apprentices EADV / EPOS / Lisbon Oct 20-23,

5 Method Assessment by different specialists of the importance of an early prevention of work related allergies 7 out of 30 cases of allergic apprentices were selected from an allergy practice according to the frequency of work related allergic situations Respiratory and skin allergies were included The cases were analysed by the joint approach of specialists in allergology and in occupational medicine Medical Counseling for Apprentices EADV / EPOS / Lisbon Oct 20-23,

6 Results Publication of a medical brochure in French and German The counselling proceeds through time related objectives : prior to and during apprenticeship Medical Counseling for Apprentices EADV / EPOS / Lisbon Oct 20-23,

7 Quels conseils donner aux apprentis allergiques Medical Counseling for Apprentices EADV / EPOS / Lisbon Oct 20-23,

8 Results Publication of a flyer for apprentices in the 4 national languages of Switzerland and in English Medical Counseling for Apprentices EADV / EPOS / Lisbon Oct 20-23,

9 Creation of EAACI taskforce 7 countries (Europe and Canada) pulmonologists, allergologists, occupational physicians 2011: publication of a EAACI position paper about the counselling of apprentices focusing on respiratory allergies G. Moscato et al : EAACI Position Paper: Prevention of work-related respiratory allergies among pre-apprentices or apprentices and young workers. Allergy 2011; 66: Medical Counseling for Apprentices EADV / EPOS / Lisbon Oct 20-23,

10 The missing piece of the EACCI position paper Work related skin diseases and allergies are more frequent than work related respiratory problems Number of cases/year [Source : Statistics of occupational diseases (SSAA), Switzerland] Medical Counseling for Apprentices EADV / EPOS / Lisbon Oct 20-23,

11 Occupational Skin Diseases Contact dermatitis 90 95% of occupational dermatoses irritant contact dermatitis (70 80%) allergic contact dermatitis (20 25%) contact urticaria (<5% including immediate hypersensitivity reactions to food proteins and latex allergy). Other occupational dermatoses infections, miliaria, psoriasis, paronychia, photosensitivity, stasis eczema, acne, chloracne, and depigmenting disorders. R.Nixon Austr Fam Phys 2005, 34, 327 Medical Counseling for Apprentices EADV / EPOS / Lisbon Oct 20-23,

12 Most common occupations of patients with work related contact dermatitis Health care workers Metal workers Machine operators Food handlers Hairdressers Motor mechanics Concreters/bricklayers Printers Florists/nursery assistants Dentists/dental assistants R.Nixon Austr Fam Phys 2005, 34, 327 Medical Counseling for Apprentices EADV / EPOS / Lisbon Oct 20-23,

13 Advocacy 1. Complete the EAACI position paper by a EADV consensus on work related skin diseases during apprenticeship 2. Avoid parallel prevention strategies 3. Use EPOS Network with EADV to elaborate this consensus (our brochure as a starter) Medical Counseling for Apprentices EADV / EPOS / Lisbon Oct 20-23,