Digitally measuring solar ultraviolet radiation in outdoor workers: A study protocol for establishing the use of electronic personal dosimeters in Portugal

Frontiers in Public Health

Public Health

Marília Silva Paulo¹  Luís Velez Lapão²  Tom Loney³  Ana Rodrigues⁴  Cristina Pinho⁴  Jorge Barroso Dias⁵  Fabriziomaria Gobba⁶  Alberto Modenese⁶  Cara Symanzik⁷  Swen Malte John⁷  Marc Wittlich⁸  Sven Conneman⁸  Claudine Strehl⁸  Fernanda Carvalho⁹  Thomas Tenkate^1,10  Melanie R. Maia^1,11 

[1] CHRC, NOVA Medical School, Faculdade de Ciências Médicas, NMS, FCM, Universidade NOVAde Lisboa, Lisboa, Portugal;Institute of Public Health, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates;CHRC, NOVA Medical School, Faculdade de Ciências Médicas, NMS, FCM, Universidade NOVAde Lisboa, Lisboa, Portugal;UNIDEMI, NOVA School of Science and Technology, NOVA University Lisbon, Caparica, Portugal;College of Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, United Arab Emirates;Departamento de Saúde, Higiene e Segurança, Câmara Municipal de Lisboa, Lisboa, Portugal;Departamento de Saúde, Higiene e Segurança, Câmara Municipal de Lisboa, Lisboa, Portugal;Portuguese Society of Occupational Medicine, Working Committee "Work at Open Air", Lisboa, Portugal;Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy;Institute for Interdisciplinary Dermatological Prevention and Rehabilitation (iDerm) at Osnabrück University, Osnabrück, Germany;Department of Dermatology, Environmental Medicine and Health Theory, Institute for Health Research and Education (IGB), Faculty of Human Sciences, Osnabrück University, Osnabrück, Germany;Institute for Occupational Safety and Health of the German Social Accidents Insurance (IFA), Saint Augustin, Germany;Instituto Português do Mar e da Atmosfera, Atmosfera, Portugal;School of Occupational and Public Health, Toronto Metropolitan University, Toronto, ON, Canada;UNIDEMI, NOVA School of Science and Technology, NOVA University Lisbon, Caparica, Portugal;

关键词: outdoor workers;    occupational health;    solar ultraviolet radiation (UVR);    digital public health;    non-melanoma skin cancer;   

DOI  :  10.3389/fpubh.2023.1140903

 received in 2023-01-09, accepted in 2023-03-14,  发布年份 2023

来源: Frontiers

【 摘 要 】

IntroductionThe rising incidence of skin cancer over the years has made it a significant public and occupational health issue. However, skin cancer is highly preventable, mainly through reduced exposure to solar ultraviolet radiation (UVR), which can be achieved by a variety of individual and collective protective measures and interventions. The relative risk associated with different patterns of exposure to solar UVR differs for the subtypes of keratinocyte cancers (KC). Specifically, whether the exposure is intermittent or continuous, and occurs in an occupational or leisure/recreational setting. The main aim of the study using this protocol is to contribute to raising public and policy awareness on solar UVR-inflicted occupational skin cancers in Lisbon. This will be achieved by performing direct measurements of the solar UVR dose received by outdoor workers using a digital platform. Results will likely contribute to further understanding the risk estimates for keratinocyte cancer estimations in this population.MethodsA prospective observational study will be conducted in Lisbon, Portugal. Personal electronic dosimeters (GENESIS-UV system) integrated with a digital platform will be used to assess occupational solar UVR doses of gardeners, masons, and gravediggers of the municipality of Lisbon. Two hundred and ten outdoor workers will be selected to wear the dosimeter for 1 month each, between April and October during their daily working hours. A digital web-based platform that offers private access to information through dashboard visualization will provide information for the outdoor workers and facilitate communication with the participants.DiscussionThe expected results of the overall proposal comprise the occupational solar UVR doses, expressed in standard erythemal dose (SEDs) per day of outdoor work for 7 months. Study data will provide outdoor workers with information on their personal solar UVR exposure during their working hours and an estimate of their risk of developing skin cancer. It is expected that the occupational solar UVR doses of the outdoor workers in Portugal will be above the threshold of 1 to 1.33 SED/day, due to the latitude of Lisbon and the nature of the occupations. The results prospectively should flow into the design of adequate prevention campaigns for skin cancer in outdoor workers.

【 授权许可】

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Copyright © 2023 Paulo, Symanzik, Maia, Lapão, Carvalho, Conneman, Dias, Gobba, John, Loney, Pinho, Rodrigues, Strehl, Tenkate, Wittlich and Modenese.