2008; Geier 2004). Occupational skin diseases in the leather industry are rarely reported despite their potential high risk. In a study from 1960 to 1969 among male workers in Sweden, it was reported that 12% of those suspected of occupational dermatitis and sensitized to chromium were tannery workers (Fregert 1975). Recent reports on properly conducted occupational dermatological surveys in this industry are virtually

absent. This situation may be the result of outsourcing leather manufacturing to newly industrialized countries (NIC: a country once designated as less developed, but which has undergone recent, rapid industrialization) where attention into occupational health hazards is limited. Trade and financial changes because of JPH203 globalization have been associated with an ABT-888 in vivo increasing outsourcing and subcontracting of hazardous work from developed to

developing countries. The burden of diseases from occupational hazards associated with globalization is difficult to determine. Occupational illness is less likely to be detected in developing countries partly as a result of inadequate occupational health services (London and Kisting 2002). Developing countries generally have fewer adequately effective occupational health programs and fewer adequately developed and enforced laws and regulations than those in the developed countries (Levy 1996). This may be a find more reason why tannery work is not reported in statistics on occupational dermatoses in high-risk occupations (Athavale et al. 2007). Another reason for the absence of occupational skin disease data in tanneries may be the extensive automation implemented in this industry as long as it remained in developed countries (Geier

2004). By outsourcing leather manufacturing, the occupational health risks that come along with it are also outsourced. Indonesia is one of the newly industrialized countries (NICs) with 586 leather factories operating in 2003 that produced leather for the European market. These factories use a combination of traditional and modern technologies C-X-C chemokine receptor type 7 (CXCR-7) (Centre for Leather 2004). Although tanning industry has been present in Indonesia for several decades, there are no statistics on occupational skin diseases among tannery workers in Indonesia. A careful investigation of representative workplaces and examination of the workers is imperative to establish the actual risk of occupational skin diseases in leather manufacturing industry. The purpose of this study was to investigate the nature of exposure and the occurrence of occupational skin diseases in workers in leather manufacturing industry in a NIC. An inventory of the chemicals to which the workers and the potential consumers may be exposed was compiled.