Medical surveillance of hairdressers The approach and experience

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Medical surveillance of hairdressers The approach and experience in Belgium dr. Mathieu Verbrugghe

Medical surveillance of hairdressers The approach and experience in Belgium dr. Mathieu Verbrugghe

Mensura in numbers 102 centres across Belgium 520, 000 medical exams each year 597

Mensura in numbers 102 centres across Belgium 520, 000 medical exams each year 597 employees 50, 000 customers + 146 prevention advisors and paramedics 289 physicians

Content • • Legislation Medical surveillance Figures Conclusions

Content • • Legislation Medical surveillance Figures Conclusions

Legislation • Law on Well-being at Work (4 August 1996) One codex including: -Dynamic

Legislation • Law on Well-being at Work (4 August 1996) One codex including: -Dynamic Risk Management -Biological Agents -Chemical Agents -Occupational Health Surveillance • Federal Agency for Occupational Risks codes: 1. 202: Skin disorders in the work environment caused by substances not included in other items 1. 305. 06. 01: Asthma as a result of specific hypersensitivity caused by substances not included in other headings 1. 606. 22: Conditions affecting the tendons, the tendinous sheaths and the muscular and tendinous insertions of the upper limbs due to excessive strain of these structures by movements of a repetitive nature requiring strength, or by unfavourable positions

Medical surveillance – in function of risk analysis Hairdresser Risk code Description Medical Exam

Medical surveillance – in function of risk analysis Hairdresser Risk code Description Medical Exam 03. 04. 03. 00 Ergonomic strain Questionnaire locomotor complaints 03. 04. 03 Static load Questionnaire locomotor complaints 03. 04. 03. 01 Repetitive movements Questionnaire locomotor complaints 03. 01. 00 Chemical agents In function of the product 03. 01. 30. 00 Soaps – detergents – surfactants: anionic, cationic and nonionic Examination of the skin 03. 01. 33. 10 Hair and hair fragments Lung function test 03. 02. 01. 00 Noise Audiometry

Figures: General • 3029 hairdressers affiliated with Mensura (2756 employers) • Number of periodic

Figures: General • 3029 hairdressers affiliated with Mensura (2756 employers) • Number of periodic medical examinations 2010 -2016 1000 907 900 831 827 810 800 700 680 650 600 500 371 400 300 200 100 0 2011 2012 2013 2014 2015 2016

Figures: Locomotor complaints 2010 -2016 Shoulder 14, 11% Upper back 5, 92% Neck 15,

Figures: Locomotor complaints 2010 -2016 Shoulder 14, 11% Upper back 5, 92% Neck 15, 72% Elbow 1, 44% Lower back 16, 08% Wrist/hand 7, 07% Knee 3, 04% Hip/thigh 1, 61% Ankle/foot 2, 99%

Figures: Locomotor complaints 2010 -2015 Evolution % locomotor complaints 2010 -2015 25. 00% 2010

Figures: Locomotor complaints 2010 -2015 Evolution % locomotor complaints 2010 -2015 25. 00% 2010 15. 00% 2011 2012 2013 10. 00% 2014 2015 5. 00% 0. 00% Neck Shoulder Wrist/hand Upper back Lower back

Figures: Conclusions medical examinations • Periodic medical examinations 2010 -2016: - 4896 declared fit

Figures: Conclusions medical examinations • Periodic medical examinations 2010 -2016: - 4896 declared fit - 22 declared unfit: 19 temporary and 3 permanent • Medical examinations at work resume 2010 -2016 (n=28): - 16 declared fit - 9 declared unfit: 8 temporary and 1 permanent - 3 missing values

Figures: Occupational diseases Belgium Fund for Occupational Diseases 2016: • 1. 202: Skin disorders

Figures: Occupational diseases Belgium Fund for Occupational Diseases 2016: • 1. 202: Skin disorders in the work environment caused by substances not included in other items n=289 • 1. 305. 06. 01: Asthma as a result of specific hypersensitivity caused by substances not included in other headings n=8 • 1. 606. 22: Conditions affecting the tendons, the tendinous sheaths and the muscular and tendinous insertions of the upper limbs due to excessive strain of these structures by movements of a repetitive nature requiring strength, or by unfavourable positions n=1. 043

Figures: Declarations occupational diseases Mensura declarations of occupational diseases of hairdressers to the Fund

Figures: Declarations occupational diseases Mensura declarations of occupational diseases of hairdressers to the Fund for Occupational Diseases (2012 -2016): • 1. 606. 22 (tendons): 1 • 1. 701 (latex allergy): 1 • 1. 305. 06. 01 (asthma): 4 • 1. 202 (skin disorders): 12

Conclusions • Lower back pain, shoulder and neck pain, and wrist/hand pain are frequently

Conclusions • Lower back pain, shoulder and neck pain, and wrist/hand pain are frequently reported among hairdressers • Decrease in lower and upper back complaints – increase in shoulder complaints • Small number of medical examinations at work resume (≥ 1 month on sick leave) • High recovery rate

Thank you for your attention! Mathieu. Verbrugghe@Mensura. be www. mensura. be

Thank you for your attention! Mathieu. [email protected] be www. mensura. be