Barriers and Facilitators in the Creation of a Surveillance System for Solar Radiation-Induced Skin Cancers

New Solut. 2023 May;33(1):7-24. doi: 10.1177/10482911231165975. Epub 2023 Apr 21.


Outdoor workers are exposed to many hazards, including solar ultraviolet radiation (UVR). Identifying, reporting, analyzing and tracking the exposures or health outcomes of outdoor workers have not generally been formally considered. This article aims to summarize the best practices/strategies for creating an occupational sun exposure or skin cancer surveillance system for outdoor workers and to understand the key barriers and facilitators to the development of such a system. For the design of a successful occupational safety and health (OSH) surveillance system five occupational surveillance strategies are summarized: exposure registry, disease registry, disease screening/medical surveillance, sentinel event surveillance, and disease surveillance via data linkage. Ten key considerations are identified, including identifying a clear goal, a defined target population and stakeholder involvement, five critical barriers are highlighted including underreporting and funding, and five vital facilitators are recognized including communication/collaboration and a simple reporting process.

Keywords: occupational cancer; occupational surveillance; outdoor workers; skin cancer; sun exposure.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Humans
  • Occupational Exposure* / analysis
  • Skin Neoplasms* / epidemiology
  • Skin Neoplasms* / etiology
  • Sunlight
  • Ultraviolet Rays / adverse effects