Occupational diseases caused by optical radiation

If a disease’s clinical characteristics are determined to be of occupational origin in accordance with the criteria stated in Volume VII, Section 9 (1) of the German Social Code (SGB), the German Federal Ministry of Labour and Social Affairs (BMAS) can add it to the list of occupational diseases formally recognized as such in Germany (BKs). This is a time-consuming process, since all interrelated aspects, both medical and technical, must be scientifically substantiated before they can be included in the statutory provisions.

Currently there is one occupational disease (BK) that is formally recognized as such for the sphere of natural optical radiation:

• Occupational disease (BK) No 5103, squamous-cell carcinomas and multiple actinic keratoses of the skin caused by natural UV radiation.

As of 1 January 2015, squamous-cell carcinomas and multiple actinic keratoses of the skin caused by natural UV radiation can be recognized as cases of an occupational disease in Germany, if certain necessary criteria are met. The IFA has developed an algorithm for determining occupational exposure to sunlight (PDF, 365 kB, non-accessible) . This algorithm can be used for retrospective calculation of insured individuals’ exposure, based upon a reference radiation value in conjunction with person-specific additions and reductions. Duration of radiation exposure and geographical and personal characteristics are included in the formula.

Research conducted by the IFA in the GENESIS-UV project is closely linked to the scientific background of this occupational disease. Further information relating to useful instructions (e.g. forms for reporting suspected cases, skin-cancer reports and follow-up reports) is available from the DGUV.