6, 7, 12, 13 The recognition of NMSC as occupational disease sets a strong incentive for the German Statutory Social Accident Insurance bodies for effective strategies to prevent NMSC geared at reducing UVR exposure. 5103 by the German Social Accident Insurance. 8, 9, 10, 11 Since January 2015, “ squamous cell carcinoma or multiple actinic keratosis of the skin caused by natural UV irradiation” is recognized as occupational disease no. 5, 6, 7 Due to their profession, outdoor workers are at increased risk for developing basal cell carcinoma and squamous cell carcinoma compared to indoor workers or the general population. 5 In Germany, between 2 and 3 million employees work outdoors for a major part of their working hours-up to 75% of their working time. There are about 14.5 million outdoor workers in Europe.
2, 3 Already in 1992, the International Agency for Research on Cancer classified artificial and natural UV radiation as carcinogenic to humans (Group 1). 2 The most important external risk factor for developing NMSC is exposure to ultraviolet radiation (UVR). 1 Annually, there are between 2 and 3 million new cases of NMSC on a global scale.
1 NMSC is by far the most common type of cancer worldwide. The increasing number of nonmelanoma skin cancer (NMSC) and melanoma makes skin cancer an important public health issue.
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