[New occupational diseases in Germany].

Every physician is legally required to officially report potential occupational diseases in case of reasonable suspicion.Due to these legal reporting requirements, knowledge about occupational diseases including necessary actualizations is essential for all physicians. In January 2015 the third regulation to change the Ordinance on Occupational Diseases came into force, adding four new diseases to the existing list of occupational diseases. New diseases include a laryngeal carcinoma caused by intensive and perennial exposition to aerosols containing sulphuric acid, and squamos-cell carcinoma or multiple actinic keratosis of the skin caused by natural UV radiation. Furthermore the carpal tunnel syndrome, a pressure damage of the Nervus medianus, caused by repetitive manual tasks with flexion and extension of wrists has been added as well as the hypothenar- and thenar-hammer-syndrome which are vascular damages of the hand caused by shock-type application of force.