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Hautkrebs als Berufserkrankung

机译：皮肤癌为职业病

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摘要

In Germany approximately 2.5 million employees are exposed to natural UV radiation for vocational reasons. Intensive occupational exposure to natural UV radiation over long periods of time is associated with an increased risk of skin cancer. Epidemiological studies have confirmed a positive statistically significant and relevant association of vocation-linked UV exposure and the risk for development of squamous epithelial carcinoma (PEK) and actinic keratosis (AK). Employees in Germany with long-lasting outdoor work have on average an approximately 100 % higher risk for the development of PEK than the rest of the population. Therefore, the prerequisites for a new occupational disease are fulfilled and PEK including multiple AK should be registered as an occupational disease if such an intensive and long-lasting vocational UV radiation exposure has occurred and the clinical criteria are indicative for a vocational causal connection. The current state of medical knowledge is sufficient to acknowledge “squamous cell carcinoma or multiple actinic keratosis of the skin due to natural UV radiation” as a new occupational disease to be included in the annex of the Occupational Disease Act (BKV).
机译：在德国，由于职业原因，约有250万名员工暴露在自然紫外线辐射下。长时间在自然紫外线中进行密集的职业暴露会增加皮肤癌的风险。流行病学研究证实，与职业有关的紫外线暴露与鳞状上皮癌（PEK）和光化性角化病（AK）发生的风险之间存在统计学上的显着正相关关系。在德国，长期从事户外工作的员工比其他人群平均患PEK的风险高约100％。因此，如果发生了这种密集而持久的职业性紫外线辐射并且临床标准表明存在职业因果关系，则满足新职业病的先决条件，包括多个AK的PEK应注册为职业病。医学知识的现状足以承认“由于自然紫外线辐射引起的皮肤鳞状细胞癌或皮肤多光化性角化病”是一种新的职业病，将被纳入《职业病法》（BKV）的附件。

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