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Protecting Workers from Ultraviolet Radiation - icnirp

Protecting Workers from Ultraviolet Radiation - icnirp

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APPENDIX E<br />

<strong>Protecting</strong> <strong>Workers</strong> <strong>from</strong> <strong>Ultraviolet</strong> <strong>Radiation</strong><br />

FACTS FOR INCLUSION IN INFORMATION LEAFLETS FOR OUTDOOR WORKERS<br />

What is Solar UV <strong>Radiation</strong>? UVA is most abundant, can cause damage. UVB penetrates less<br />

deeply than UVA but is also damaging and is primarily responsible for sunburn. UVC is most<br />

hazardous but is absorbed by stratospheric ozone.<br />

What are the Short Term Dangers? Skin reddening, sunburn, photokeratitis.<br />

What are the Long Term Dangers? Immune system suppression, photoaging, skin cancer,<br />

outdoor workers have 6-8 times the risk compared to indoor workers. Risk is cumulative.<br />

Cutaneous Malignant Melanoma is the least prevalent skin cancer but has the greatest fatality<br />

risk (85% of all skin cancer deaths). For localized melanoma, the 5-year survival rate (U.S.) is<br />

96%, but for regional- and distant-stage diseases the survival rates are 61% and 12%. Other<br />

longer-term risks include keratoses, photoconjunctivitis, cataract, and pterygium.<br />

What are Skin Sensitizers? These include: medicines, dyes, wood preservatives, coal tar and<br />

pitch products, exposure to some plants and/or their juices, chlorinated hydrocarbons.<br />

Who is at Risk? People at risk include those with fair skin, red hair, light colored eyes, large<br />

number of moles, atypical moles, large number of freckles, family/personal history of melanoma,<br />

history of severe sunburn early in life, chronic exposure to sun, family/personal history of nonmelanoma<br />

skin cancer.<br />

What are the Skin Phototypes? What are the various skin types, and which are at highest risk?<br />

Skin Type Classification Burns in the Sun Tans after having been in the<br />

Sun<br />

I. Melano-compromised Always Seldom<br />

II. Usually Sometimes<br />

III. Melano-competent Sometimes Usually<br />

IV. Seldom Always<br />

V. Melano-Protected<br />

Naturally brown skin<br />

VI. Naturally black skin<br />

What are the Environmental Risk Factors? More exposure risk at high altitudes, at reflective<br />

surfaces like sand, sea foam, concrete, fresh snow, unpainted corrugated steel, aluminum roofing.<br />

When is the Risk at the Maximum? Risk is greater when the sun is high in the sky and your<br />

shadow is shorter than you height. This occurs in the four hours around midday in late spring<br />

and summer.<br />

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