Occupational Ultraviolet Radiation Exposure and Skin Cancer Prevention

Summary

Occupational exposure to solar ultraviolet radiation (UVR) is a widespread hazard for outdoor workers, including agricultural labourers, construction crews and postal delivery personnel. Prolonged UVR exposure damages DNA in epidermal cells, leading to actinic keratoses and to non-melanoma skin cancers (NMSCs), principally basal cell carcinoma and squamous cell carcinoma. The risk is influenced by geographical latitude, seasonality, work practices and individual susceptibility factors such as skin phototype. Prevention strategies span engineering controls (for example shaded shelters), administrative measures (scheduling high-exposure tasks outside peak UV hours), personal protective equipment (wide-brimmed hats, UV-blocking clothing and sunglasses) and regular application of broad-spectrum sunscreen. Complementary interventions include workplace policies to mandate sun-safety training, provision of protective gear and monitoring of ambient UV levels. Despite growing regulatory recognition of skin cancer as an occupational disease in some regions, implementation of effective prevention remains inconsistent. Addressing gaps in risk perception, strengthening policy frameworks and integrating wearable dosimetry with behavioural interventions promise to reduce the global burden of occupational skin cancer.

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Occupational Ultraviolet Radiation Exposure and Skin Cancer Prevention publication trend

The graph below shows the total number of articles in occupational ultraviolet radiation exposure and skin cancer prevention across all publications each year (not limited to Nature Index journals).

Technical terms

Solar ultraviolet radiation (UVR): The component of sunlight with wavelengths shorter than visible light that can damage skin and eyes.

Non-melanoma skin cancer (NMSC): Skin cancers arising from keratinocytes, primarily basal cell carcinoma and squamous cell carcinoma.

Standard erythemal dose (SED): A quantitative unit of UV radiation exposure weighted by its ability to induce erythema (sunburn) in human skin.

Population-attributable fraction (PAF): The proportion of disease incidence in a population that can be attributed to a specific risk factor.

References

  1. Global, regional and national burdens of non-melanoma skin cancer attributable to occupational exposure to solar ultraviolet radiation for 183 countries, 2000–2019: A systematic analysis from the WHO/ILO Joint Estimates of the Work-related Burden of Disease and Injury. Environment International (2023).
  2. Solar Radiation Exposure and Outdoor Work: An Underestimated Occupational Risk. International Journal of Environmental Research and Public Health (2018).
  3. Reducing ultraviolet radiation exposure among outdoor workers: State of the evidence and recommendations. Environmental Health (2007).
  4. Solar UV exposure among outdoor workers in Denmark measured with personal UV-B dosimeters: technical and practical feasibility. BioMedical Engineering OnLine (2017).
  5. Outdoor workers’ perceptions of skin cancer risk and attitudes to sun-protective measures: A qualitative study. Journal of Occupational Health (2019).
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