Occupational airborne allergic contact dermatitis from azithromycin

The Dutch government has recently taken initiatives to improve the protection of labourers against diseases which are related to their work, and most especially, to reduce the rapidly increasing number of patients who have to definitely stop working and who, eventually, end up being dependent on social welfare. Firstly, a number of new laws have been adopted which define the responsibilities of both the employers and the employees. Secondly the cooperation is stimulated between the Dermatologist and the Occupational Health Physician of the patient. The latter is (according to law) employed by the employer of the patient and regularly visits the place of work. We now had the opportunity to treat and study both the social, medical and occupational aspects of a patient's case simultaneously.
We decided to eliminate the existing hesitation of consulting or referring, as well as the barriers created by matters of procedure, bureaucracy and waiting lists. In our paper we discuss the above‐mentioned laws and regulations, and the way in which cooperation takes place between the doctors. We will present figures showing the effects of this approach on sickleave.