title: The incidence of occupational skin disease as reported to The Health and Occupation Reporting (THOR) network between 2002 and 2005.
abstract: BACKGROUND
  Estimated incidence rates for occupational skin disease in the U.K. are provided by voluntary surveillance schemes involving dermatologists and occupational physicians. These rates allow monitoring of occupational dermatoses, and intervention planning aimed at reducing workplace risks.
  
  
  OBJECTIVE
  To summarize occupational skin disease reported to The Health and Occupation Reporting (THOR) network (2002-2005), and to provide baseline information for comparison with future studies of occupational skin disease in the U.K. and beyond.
  
  
  METHODS
  Incidence rates for occupational dermatoses were calculated using THOR data as numerators, and Labour Force Survey data or information from the most recent U.K. survey on provision of occupational physician services as denominators.
  
  
  RESULTS
  In the U.K. (2002-2005) the average annual incidence rate of work-related skin disease reported to THOR by dermatologists was 91.3 [95% confidence interval (CI) 81.8-101.1] per million, and by occupational physicians was 316.6 (95% CI 251.8-381.3) per million. Most reports were of contact dermatitis: dermatologists 68.0 (95% CI 59.8-76.2) per million, occupational physicians 259.7 (95% CI 200.8-318.6) per million.
  
  
  CONCLUSIONS
  Information produced by THOR is an important source for calculating incidence rates of occupational skin disease. A range of reporting groups should also be used when building an overall picture of occupational skin disease incidence in the U.K.
authors.affiliation: Centre for Occupational and Environmental Health, School of Medicine, The University of Manchester, 4th Floor C Block Humanities Devas Street, Oxford Road, Manchester, U.K. susan.m.turner@manchester.ac.uk
authors.forename: S
authors.initials: S
authors.lastname: Turner
authors.forename: M
authors.initials: M
authors.lastname: Carder
authors.forename: M
authors.initials: M
authors.lastname: van Tongeren
authors.forename: R
authors.initials: R
authors.lastname: McNamee
authors.forename: S
authors.initials: S
authors.lastname: Lines
authors.forename: L
authors.initials: L
authors.lastname: Hussey
authors.forename: A
authors.initials: A
authors.lastname: Bolton
authors.forename: M H
authors.initials: MH
authors.lastname: Beck
authors.forename: M
authors.initials: M
authors.lastname: Wilkinson
authors.forename: R
authors.initials: R
authors.lastname: Agius
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000368:Aged; D003877:Dermatitis, Contact / Q000453:epidemiology / Q000209:etiology; D009783:Dermatitis, Occupational / Q000175:diagnosis / Q000453:epidemiology*; D005260:Female; D019981:Health Care Sector / Q000706:statistics & numerical data; D006801:Humans; D015994:Incidence; D007221:Industry / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D017678:Sex Distribution; D012947:Social Work / Q000706:statistics & numerical data; D006113:United Kingdom / Q000453:epidemiology; D014581:Urticaria / Q000453:epidemiology