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| CONTENTS Preface Acknowledgements & Bibliography Introduction 1.0 The Intergumenary System 1.1 Structure 1.1 1 Stranum corneum 1.1.2 Stranum spinosum 1.1.3 Stranum lucidium. 1.1.4 Stranum garnulosum 1.2 Dermis 1.3 Epidermal derivatives 1.3.1 Glands 1.3.2 Sweat Glands 1.3.3 Eccrine sweat glands 1.4 Functions Of The Skin 1.4.1 Homeostasis Of Body Functions 1.4.2 The Skin And Immunity 1.4.3 Reception Of Stimuli 1.4.4 Synthesis of Vitamin D 1.5 Ageing of the skin 2.0 Dermatitis 2.1 Catagorising Severity 2.1.1 Acute 2.1.2 Subacute. 2.1.3 Chronic 2.1.4 Systemic Anaphylactic Shock 2.2 Irritant Contact Dermatitis 2.2.1 Hand Dermatitis 2.3 Acute Allergic/Sensitised Dermatitis. 2.3.1 Phytophotic dermatitis 2.3.2 Pollen dermatitis. 3.0 How Dermatitis Is Caused 3.1 Contact Dermatitis 3.2 Sensitisation 4.0 History Of Dermatitis 5.0 Physical and Chemical Causes Of Dermatitis 5.1 Typical Chemical Groups Causing Dermatitis 5.1.1 Essential & Volatile Oils 5.1.2 Phenols, aromatic alchohols, and aldehydes 5.1.3 Terpenes 5.1.4 Aliphatic and aromatic esters. 5.1.5 Substitute benzene hydrocarbons 5.2 Primary Chemical Irritants Of Plants 5.3 Plant Dermatitis Caused By Mechanical Means. 6.0 Who In The Industry Is Affected 6.1 Nurseries and Greenhouses 6.2 Florists 6.3 Bulb Industry 6.4 Timber & Woodlands Industry 6.5 Horticultural Field Workers 6.6 Groundsmen 6.7 Professional Horticulturists 7.0 Who Is At Risk In The Industry And Why Are They At Risk? 8.0 Number Of People Who Suffer From Plant Contact Dermatitis The Cost To The British Industry 8.1 Why The Numbers Of Cases Are Increasing 9.0 Awareness Of The Affliction [Questionare] 9.0.1 Results 9.1 Discussion Of Questionare Results. 9.1.1 Workers 9.1.2 Dermatologists 9.2 Let Us Now Investigate 10.0 Diagnosis 10.1 Patch Test 10.1.1 Patch Testing With Woods. 10.1.2 Testing with oleorasins 10.1.3 Testing With Specific Plants:. 11.0 Current Treatment Of Plant Dermatitis 11.1 Topical Steroids 12.0 Problems Associated With This Treatment. 13.0 Prevention Measures Recomended By Statutory Bodies& Employers. 14.0 The Problems With Preventative Recomendations 14. 1 Problems With Protective clothing 15. The Law and Skin Disease - Current 15.1 The Health and Safety At Work Act 1974 15.2 Workplace Regulations 1992 15.3 COSHH Regulations 15.4 The Offices and Railway Premises Act ‘63 and the Factories Act‘61 15. 5 Pre Employment Health Screening 16.0 Problems Associated With The Law 17.0 Reporting The Disease-Current Methods 17.1 Industrial Diseases Notification Act 1981 HS 17.2 RIDOR Reporting Injuries Diseases Occurances Regulations 17.3 EMA's Employment Medical Advisers 18.0 Problems Associated With Reporting Dermatitis 19.0 Current Workers Compensation 19.1 Private Insurance Cover 19.2 The Social Security Department Payments 20.0 Problems Associated With Current Compensation 21.0 Current Education Methods 22.0 The Problems With Education 23.0 Why Plant Dermatitis From Plants Must Be Eliminated 24.0 Changes Advocated 24.1 Changes Advocated To Law & Compenstation 24.2 Changes Advocated For Employer Insurance 24.3 Changes Advocated To Surveillance Programmes 24.4 Changes Advocated For COSSH 24.5 Changes In Protection 24.6 Changes Advocated To Cleansing Methods 24.7 Changes In Work Practices 24.8 Changes Advocated For Pre Employment Screening 24.9 Changes Advocated For Education 24.10 Changes Advocated For Doctor Registration 24.11 Changes Advocated To Treatment 24.12 After Care: TreatmentOf Skin . 24.13 Changes Advocated In Personal Care 25.0 Appendixes Appendix One : Plants Causing Dermatitis Appendix Two : Bibliography & References Appendix Three : Organisations Contacted Appendix Four : Glossary Of Medical Terms Appendix Five : Survey Samples Appendix Six : Pictures Of Severe Plant Dermatitis. Appendix Seven : Dermatitis Leaflet For Distribution To Public List Of Tables, Figures, Diagrams, Charts Etc. FIGURE 1.0.1 Diagram crossection of the epidermis and dermis FIGURE 2.0.1 Table:Difference between allergic and sensitised dermatitis FIGURE 3.3 Diagram: How sensitisation and inflammation occurs. TABLE 5.2.1 Table 1: Plants & compounds commonly causing dermatitis FIGURE 5.2.2 Diagrams: Irritant compound structures (as ref in TABLE 5.2.1) FIGURE 5.2.3 Diagrams: Plant trichomes with irritant comp.(TABLE 5.2.1) FIGURE 5.3.1 Protective trichomes on plants causing inflammation FIGURE 7.1 Graph: Relation between susceptibility to dermatitis & age FIGURE 8.0.1 Graph: claims for compensation from DSS for dermatitis TABLE 9.0.1 Graphs: Results Of Questionares FIGURE 10.2 List: of compounds used in patch testing 53 FIGURE 24.3.1 Diagram: labelling advocated for plants sold to public FIGURE 24.5.1 Diagram: changes advocated for employee protection Usefull Links for Botanical Dermatology | ||||||||
