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Description of the population affected by seafood-based protein contact dermatitis
Source publication
Background
Protein contact dermatitis has frequently been reported in case studies (usually in cases involving contact with seafood products), but there are very few descriptive series.The objectives of this present study were firstly to determine the incidence of protein contact dermatitis among fishermen in France and compare it with data from on...
Contexts in source publication
Context 1
... out of the eight patients were chefs or worked in the catering sector (that is to say about 900, 000 em- ployees (with seasonable variations) per year in France, 200, 000 of whom are chefs); one patient was a pet shop employee. Four patients had a prior history of skin prob- lems (eczema) and one patient was asthmatic (Table 1). ...
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Citations
... Most occupational skin diseases described in salmon-processing workers are CU and contact dermatitis from protein [1,13]. In 8 cases of contact dermatitis from protein from a national network, majority was chief cook and linked to salmon [14]. The penetration of allergens is facilitated by irritant contact dermatitis or atopic skin. ...
We report a case of occupational allergy to salmon combining allergic asthma, allergic rhinitis and allergic contact urticaria in a 59-year-old salmon-processing worker. Parvalbumin is the most common allergen, but indeed sensitisation to tropomyosin, preservatives and spices could occur.
... Whereas PCD is relatively rare in the general population, it is regularly seen in chefs and food handlers [14,[17][18][19][20][21]. PCD was diagnosed in 2.7% of n ¼ 873 employees from the foodhandling industries [8], and it was found that chefs who have to cook seafood are more at risk of occupational PCD than fishermen [22]. ...
... In contrast, the frequency of PCD was 4% in bakers and pastry cooks, 1.9% in meat and fish processing industries, and 1.5% in cooks and caterers [21]. Atopic eczema and irritant skin damage are predisposing factors for PCD [22]. Patients with PCD were found to experience more severe and frequent consequences than patients with other food-related hand dermatoses [20]: 75% of patients with PCD had to wear gloves at work, and 62.5% reported sick leave lasting for >3 weeks, as compared with 60.2% and 30%, respectively, of the patients with other occupational food-related hand dermatoses (p ¼ 0.02). ...
Chefs and food handlers are at high risk for developing occupational skin diseases. Incidence rates per 10,000 workers per year range from 2.9 (butchers/food processing industries) and 6.6 (cooks) up to 23.9 (pastry cooks) and 33.2 (bakers). Irritant contact dermatitis is the most prevalent occupational disease in chefs and food handlers followed by allergic contact dermatitis (most frequently due to Compositae (foods), thiurams (gloves), and formaldehyde (detergents and disinfectants)). Food-handling occupations are also prone for IgE-mediated protein contact dermatitis and immunological (IgE-mediated) and nonimmunological occupational contact urticaria. Some foods and food additives can trigger several of these mechanisms independently and may induce different clinical pictures. The prerequisite for a successful treatment is the individual identification and exclusion of the disease-eliciting allergen(s) as well as implementation of skin protection.
... The use of simple equipment causes the body of fishermen to be in direct contact with water, causing environmental-based diseases, one of which is a disease caused by work. Occupational diseases occur in fishermen caused by exposure to hazardous substances that occur during work [1]. Based on the types of organs that can experience abnormalities due to work, the skin is the organ most frequently affected by occupational diseases. ...
BACKGROUND: Many factors can influence the occurrence of dermatitis; this factor is divided into two, namely exogenous and endogenous factors. Fishermen are jobs that are susceptible to disease in dermatitis, especially contact dermatitis in the small island. AIM: This study aimed to determine the factors associated with the incidence of contact dermatitis in fishermen on the Spermonde islands. METHODS: This study was an observational analytic study using a cross-sectional design study. This research was conducted on Lae-Lae, Barrang Lompo, and Lumu-Lumu Island in 2019. Samples in this study were 110 fishermen obtained using Accidental sampling techniques. Data collection is using research instruments. RESULTS: Data analysis performed was univariate and bivariate analysis with a Chi-square test. Based on the results of the study, the research variables related to factors affecting contact dermatitis in fishermen in the Spermonde Islands were a history of skin diseases (p = 0.000), use of PPE (p = 0.000), personal hygiene (p = 0.000), and working period (p = 0.003) while unrelated factors are age (p = 0.373). CONCLUSION: Fishermen should pay more attention to four factors, namely the history of skin diseases, the use of PPE, hygiene, and work period, to avoid contact dermatitis.
... Par exemple : les pêcheurs français ont adopté le port systématique de gants de travail. Contrairement à d'autres populations exposées, aucun cas de dermite de contact aux protéines de poissons n'a été recensé au sein de cette population entre 2000 et 2012 [64] . ...
... The patient worked in a high-risk occupation for PCD, but primary preventive measures were not properly implemented. For example, chefs who handle seafood have a higher occurrence of PCD than fishermen due to poorer implementation of skin protection measures [14]. The lack of training in the use of personal protective equipment and wrong glove use (vinyl gloves that break more easily) may have contributed to the development of CHE. ...
Protein contact dermatitis (PCD) often presents as chronic hand eczema (CHE) with an immediate hypersensitivity to protein proved by a positive skin prick test or by the presence of specific immuno-globulin E. This is frequently induced by occupational exposure to proteins in food workers, farmers, animal breeders, veterinarians and healthcare professionals. While skin barrier impairment is crucial in the pathogenesis of PCD, methods to assess skin barrier function such as trans-epidermal water loss and stratum corneum hydration are not widely used in clinical settings. We describe the diagnostic workup of occupational PCD due to Argentinean shrimps and discuss how the use of skin bioengineering methods including assessment of corneocytes morphology by Scanning Electron Microscopy provides with insightful information on skin barrier function. Diagnosis of PCD is time-consuming and a multidisciplinary team contributes to early diagnosis and proper occupational rehabilitation.
... Underdiagnoses may occur for various reasons: fishers may not report the incidence or request compensation, they may find another occupation (the healthy worker effect) before the problem worsens (atopy sufferers may self-select to not fish), or they notice the problem and begin to wear gloves and other protective gear that may prevent future skin problems. Only fishers with serious cases of contact dermatitis may seek hospital care and, thus, be counted as having the condition [35]. Sridhar and Deo reported that common aquatic skin hazards include sunburn, hives (urticarial: itchy patch of skin that turns into swollen red welts), jellyfish stings, wound infections, and rubber contact allergic dermatitis related to diving equipment [36]. ...
The purpose of this literature review, the second in a series following one on traumatic injuries and fatigue, is to identify potential health hazards to inform a study of occupational health and safety among fish harvesters in the Gulf of Mexico (GoM). Fish harvesters are potentially at a high risk of occupational illnesses in GoM fisheries. GoM fishers engage in harvesting shrimp, finfish, oysters, crabs, and clams. Method: The method is a narrative literature review. Search terms that included safety, seafood, occupational, fishing, oyster, clam, shrimp, crab, and GoM were used to identify relevant literature in combination (i.e., a string search). Results: A total of 53 manuscripts were reviewed, of which only two regarded the GoM, but 19 were from the US Atlantic Coast. Musculoskeletal disorders are widespread across the fishing sector. Other hazards include bites and stings from aquatic animals (some of which may be life-threatening), vessel engine noise, dermatoses, and other skin afflictions (including possible strep infection of wounds), solar ray-induced eye diseases, and respiratory exposures (such as to protein aerosols) that can cause asthma. Diving poses multiple breathing and other hazards. Conclusion: While fish harvesters are protected from respiratory problems when working on the well-ventilated deck and dermal hazards by wearing gloves, musculoskeletal, bite and sting, ocular, engine-related hearing loss, and skin, lip, and eye cancer hazards are potentially serious risks among GoM fish harvesters.
... However, in our study, the cause of onset of transient itchy wheals most frequently referred by the fishermen was skin contact with algae, aquatic plants and seabed sludge, whereas handling the catch seemed to play a secondary causal role. This may be explained by the different types of contact with fish products in different working activities [16]. ...
This survey aimed to evaluate the applicability of the Nordic Occupational Skin Questionnaire (NOSQ) as a preliminary screening tool to investigate the presence of contact dermatological disorders in sea fishermen. The Italian version of the NOSQ was administered to 143 male fishermen working at an Apulia (Southern Italy) Fisheries, and 136 male workers who had never worked as sea fishers (controls). A significantly higher rate of frequency of transient itchy wheals on the hands, wrists, and forearms was recorded in the fishermen as compared to the controls (49.6% vs. 8.1%; p < 0.001), while there was no significant difference in the frequency of eczema (8.4% vs. 6.6%). In 46.1% of the fishermen, the onset of transient itchy wheals was associated with contact with specific agents and the most common causes were algae and aquatic plants (49.3%) and seabed sludge (25.3%). In conclusion, the administration of the NOSQ can be useful in preliminary screening for dermatitis in fishermen, although it could show a possible overestimation of the prevalence of transient itchy wheals.
... Whereas PCD is relatively rare in the general population, it is regularly seen in chefs and food handlers [14,[17][18][19][20][21]. PCD was diagnosed in 2.7% of n ¼ 873 employees from the foodhandling industries [8], and it was found that chefs who have to cook seafood are more at risk of occupational PCD than fishermen [22]. ...
... In contrast, the frequency of PCD was 4% in bakers and pastry cooks, 1.9% in meat and fish processing industries, and 1.5% in cooks and caterers [21]. Atopic eczema and irritant skin damage are predisposing factors for PCD [22]. Patients with PCD were found to experience more severe and frequent consequences than patients with other food-related hand dermatoses [20]: 75% of patients with PCD had to wear gloves at work, and 62.5% reported sick leave lasting for >3 weeks, as compared with 60.2% and 30%, respectively, of the patients with other occupational food-related hand dermatoses (p ¼ 0.02). ...
Chefs and food handlers are at high risk of developing occupational skin diseases. Incidence rates per 10,000 workers per
year range from 2.9 (butchers/food processing industries) and 6.6 (cooks) to 23.9 (pastry cooks) and 33.2 (bakers). Irritant
contact dermatitis is the most prevalent occupational disease in chefs and food handlers, followed by allergic contact dermatitis
(most frequently due to compositae (food), thiurams (gloves) and formaldehyde (detergents and disinfectants)). Food handling
occupations are also prone to IgE-mediated protein contact dermatitis and immunological (IgE-mediated) and non-immunological
occupational contact urticaria. Some food and food additives can trigger several of these mechanisms independently and may
induce different clinical pictures. The prerequisite for a successful treatment is the individual identification and exclusion
of the disease eliciting allergen(s), as well as implementation of skin protection.
Background
Small-scale fishermen's work activities are carried out in a marine environment which has the potential to cause certain work-related diseases. AIMS: This study aims to identify the incidence of work-related diseases among small-scale fishermen in Batam Island, Indonesia.
Methods
This study used both quantitative and qualitative approaches involving 119 small-scale fishermen. Data was collected through questionnaires, observations, documentation, interviews, focus group discussions, and secondary data collection.
Results
The results showed that all small-scale fishermen complained of diseases caused by threats in the chemical, physical, biological, psychological, and ergonomic factors group.
Conclusion
Most fishermen complained about colds, fever, stings, blisters, skin allergies, and eye disorders/myopia. Most complaints were obtained from small-scale fishermen over 40 years old, especially the ones with smoking habits. Identification of work-related diseases was required to prevent and control the health problems that could endanger small-scale fishermen’s health and productivity.
