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le travail à l'écran de visualisation work with display units

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SKIN COMPLAINTS AND VDU WORK; AN EPIDEMIOLOGICAL STUDYMats Berg and Sture Lidén, Department of Dermatology, Karolinska Hospital,Stockholm, Swe<strong>de</strong>n. Olav Axelson, Department of Occupational Medicine, UniversityHospital, Linkôping, Swe<strong>de</strong>n.The aim of the study was to investigate whether skin prob<strong>le</strong>ms are more commonin VDU exposed persons than in controls, whether these possib<strong>le</strong> differencesare objective or subjective, whether there is a dose-response effect, aspecific "VDU <strong>de</strong>rmatosis" or any indication of a risk for cancerous or precancerousskin changes.A questionnaire about skin rashes/symptoms was sent to 3877 randomly se<strong>le</strong>ctedoffice employees <strong>with</strong> different <strong>de</strong>grees of vi<strong>de</strong>o <strong>display</strong> unit exposure (participationrate 96.6 %). From this group 809 randomly se<strong>le</strong>cted individuals wereexamined and interviewed.Self-reported skin complaints/rashes were more common amongst those highlyexposed than amongst the non-exposed category (relative risk (RR) 1.96, 95 %confi<strong>de</strong>nce (CI) 1.74-2.21). The only symptoms that were significantly morecommon were pronounced itching and burning sensations but <strong>with</strong> few visib<strong>le</strong>signs. Objective facial signs were slightly but not significantly more common inthe highly exposed category (RR=1.24, 95 % CI 0.93-1.66). There was no doseresponseeffect regarding the amount of VDU exposure and objective skin signs.Unilateral skin rashes and skin malignancies were found in the same frequencyin both the exposed and the non-exposed categories.This study does not support the hypothesis that yDU <strong>work</strong> causes <strong>de</strong>finite skindiseases, although some associated sensations in the skin might occur in connection<strong>with</strong> such <strong>work</strong>.Keywords: epi<strong>de</strong>miology, facial <strong>de</strong>rmatoses, office employeesDermatologie Symptoms among Visual Display Unit operators using LiquidPlasma Display and Catho<strong>de</strong> Hay Tube screensKoh D, Goh CL, Jeyaratnara J, Kee WC and Ong CNDept of community, Occupational & Family MedicineNational University of SingaporeKent RidgeSINGAPOREABSTRACTSeveral reports have suggested that <strong>work</strong> <strong>with</strong> visual <strong>display</strong> <strong>units</strong>(VDUs) may be associated <strong>with</strong> skin rashes. Moat of these studies wereconducted <strong>with</strong> operators using catho<strong>de</strong> ray tube (CRT) monitors. However,other monitors which employ alternative technologies are also in use.Among these are Liquid Plasma Display (LPD) monitors, which are currentlyused by a number of <strong>work</strong>ers in Singapore. This study was conducted tocompare the preva<strong>le</strong>nce of <strong>de</strong>rmatologie symptoms among VDU operators usingboth these types of monitors.A questionnaire survey was conducted to <strong>de</strong>termine the preva<strong>le</strong>nce of<strong>de</strong>rmatologie complaints among $72 full time VDU operators. 269 of the•operators <strong>work</strong>ed <strong>with</strong> LPD screens, whi<strong>le</strong> 403 operators used CRT monitors.The overall one year period preva<strong>le</strong>nce rate for <strong>de</strong>rmatologie complaintswas 12%. 36 (13.4%) of the LPD operators had <strong>de</strong>rmatologie complaints ascompared to 45 (11.2%) of the CRT operators. The age di&tribution an<strong>de</strong>thnicity of the complainants were similar in the two groups.Among those <strong>with</strong> complaints of the akin prob<strong>le</strong>ms in the last year,27 (60%) of the LPD <strong>work</strong>ers and 25 (71%) of the CRT <strong>work</strong>ers complained ofsymptoms of itchiness, tingling, or the feeling of being stroked by afeather after <strong>work</strong>ing <strong>with</strong> the VDU for some time. 19 (54%) of the LPD and14 (33%) of the CRT <strong>work</strong>ers stated that their skin prob<strong>le</strong>ms improvedduring weekends or when they were off duty.An association was noted among those <strong>with</strong> skin complaints and apersonal history of atopy. However, no statistically significantassociation was seen among those who had skin complaints <strong>with</strong> either theirrelationship <strong>with</strong> col<strong>le</strong>agues and management, satisfaction <strong>with</strong> job, ortheir likelihood of having musculoske<strong>le</strong>tal complaints.The results indicate that the preva<strong>le</strong>nce and nature of <strong>de</strong>rmatologiesymptoms is similar for <strong>work</strong>ers who use either type of VDU.TEV 1989 — DEUXIÈME CONFÉRENCE SCIENTIFIQUE INTERNATIONALE • MONTRÉAL • SECOND INTERNATIONAL SCIENTIFIC CONFERENCE — WWDU 1989136TEV 1989 — DEUXIÈME CONFÉRENCE SCIENTIFIQUE IN TERNATIONALE • MONTRÉAL • SECOND INTERNATIONAL SCIENTIFIC CONFERENCE — WWDU 1989138

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