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lenihan1974  
#1 Posted : 25 November 2010 15:11:11(UTC)
Rank: Forum user
lenihan1974

Hello I am having a crazy week. New newest problem raised is a colleague in work is seriously allergic to the cold. I have helped her to the best of my ability and now I don’t know what else I can do. She is on medication prescribed from her doctor and we have her sitting in a warm as possible area. This obviously has had an effect on other members of staff – they find the area too warm. I have run out of ideas. All suggestions welcome. Thanks Lorna
Ron Hunter  
#2 Posted : 25 November 2010 15:18:21(UTC)
Rank: Super forum user
Ron Hunter

I'm a hardball 16 degrees minimum man myself. Whilst I like to think I'm sensitive to the human condition, I draw the line at pandering. Sensitive to cold perhaps. I don't think "allergy" covers this. And you now have a majority who are becoming "sensitive" about it being too hot. I think it was Spock who said "the needs of the many outweigh the needs of the few"...................
lenihan1974  
#3 Posted : 25 November 2010 15:30:14(UTC)
Rank: Forum user
lenihan1974

Hi Ron I like what you have said - so true! btw the person in question lives and works in Scotland. L
Bob Shillabeer  
#4 Posted : 25 November 2010 15:43:30(UTC)
Rank: Super forum user
Bob Shillabeer

I take it you are meeting the minimum temps under the Work Place Regs so there is no problem there, there is also no maximum. What medication is she on? Does it have anything to do with her feeling the cold are there any alternative medications available? Should she be off sick? You need to remember that the well being of the majority comes first, perhaps she should be away from work? Have you got an occ health person who can assist? If so ask them about it. Remember you don't have to do the impossible just what is reasonable.
Safety Smurf  
#5 Posted : 25 November 2010 15:57:04(UTC)
Rank: Super forum user
Safety Smurf

I'm not one for pandering to every whim but if it's what I think it is it can drive you to distraction. Does this manifest itself as extreme itching of the skin causing the sufferer to scratch until they bleed?
lenihan1974  
#6 Posted : 25 November 2010 16:13:26(UTC)
Rank: Forum user
lenihan1974

Safety smurf - yes, this is some of the symtoms the person experiences. Swelling, blotching and itching.... Bob shillabeer - yes, we are meeting the minimum temps, the last reading was 24 degrees. Thansk for the other tips, I will have a chat with HR and our occupational doctor.
grim72  
#7 Posted : 25 November 2010 16:21:40(UTC)
Rank: Super forum user
grim72

If the person in question is office based, is it not an option for them to work from home - therby they could have the temperature to meet their own requirements without a detrimental effect to the others?
HSSnail  
#8 Posted : 25 November 2010 16:29:23(UTC)
Rank: Super forum user
HSSnail

Lorna never know allergic to cold. But did have a friend who suffered from Reynolds syndrome. Try the following link. http://www.buzzle.com/ar...ptoms-and-treatment.html this condition is know joke - my friend was a fellow H&S person so she did not make any unreasonable demands but was often seen sat at her desk with fingerless gloves! Brian
Ron Hunter  
#9 Posted : 25 November 2010 23:17:40(UTC)
Rank: Super forum user
Ron Hunter

I take it you meant Raynaud's syndrome Brian. Reynolds syndrome is a condition that is characterized by cirrhosis of the liver and hardened skin. Raynaud's is localised to fingers and toes and is something the individual should be managing by keeping the hands and feet warm - no need for everyone else to be sweltering in a hot room.
bleve  
#10 Posted : 25 November 2010 23:26:33(UTC)
Rank: Super forum user
bleve

And who said H&S is boring?
HSSnail  
#11 Posted : 26 November 2010 08:05:51(UTC)
Rank: Super forum user
HSSnail

Thank you for the spelling correction Ron - Spell check is not always fool proof - yes if you had clicked on the link it would be clear. I am no medical expert but I an not convinced about your claimed link to liver cirrhosis - its not mentioned in all of the web pieces I have seen and certainly my friend did not have any issues. The information I have read is that you can get Raynaud's Syndrome and Raynaud's disease and while people may use the two as interchangeable the are very different. The condition I knew of was more about poor circulation in feet and hands which was badly affected by cold. Brian
chris.packham  
#12 Posted : 26 November 2010 08:15:43(UTC)
Rank: Super forum user
chris.packham

You mention swellilng, blotching and itching, presumably mainly in the skin. There is a recognised skin condition called cold urticaria. This is not an immune response but is a genuine skin condition. I am not currently up to date on treatment for cold urticaria, but will check this out and get back to you. Chris
chris.packham  
#13 Posted : 26 November 2010 08:22:18(UTC)
Rank: Super forum user
chris.packham

Re my last e-mail, having just referred to the Textbook of Dermatology (Rook, Wilkinson et al) it appears that there are several different skin reactions to cold, all of which are genuine medical conditions. My recommendation, therefore, would be that this person should be referred to a dermatologist for appropriate tests and diagnosis as, depending upon the type of reaction, there are different medical treatments. One of the treatments involves antihistamines, and it is possible that this is what the doctor has prescribed. Of course, this is not an occupational problem, but a personal condition. You would be expected to make reasonable adjustments, but I would suggest that it is also their responsibility to seek the appropriate medical advice. Chris
Dave C  
#14 Posted : 26 November 2010 08:58:55(UTC)
Rank: Forum user
Dave C

Having read all the posts on this surely a diagnosis from her GP and thereafter referral to specialist is the way ahead? Yes make appropriate workplace adjustments but I find it difficult to believe a doctor would diagnose "allergic to cold" - further medical investigation required surely.
chris.packham  
#15 Posted : 26 November 2010 09:16:20(UTC)
Rank: Super forum user
chris.packham

Dave I would caution about relying on a diagnosis regarding this type of condition made by the GP. In a study of the knowledge of GPs on skin carried out by the All Party Parliamentary Group on Skin it was found that their knowledge was largely inadequate. Of course, there are GPs with particular interest in skin conditions, but few have the knowledge, time and facilities to carry out the tests needed for a proper diagnosis. Chris
lenihan1974  
#16 Posted : 26 November 2010 10:05:55(UTC)
Rank: Forum user
lenihan1974

Hi everyone I have our occupational doctor on the case. Thanks for all the advice L
colinreeves  
#17 Posted : 26 November 2010 14:01:12(UTC)
Rank: Super forum user
colinreeves

Chris.Packham wrote:
Of course, this is not an occupational problem, but a personal condition. You would be expected to make reasonable adjustments, but I would suggest that it is also their responsibility to seek the appropriate medical advice.
However, if it is a chronic condition it is possible that the requirements of DDA will apply ....
KarenH  
#18 Posted : 26 November 2010 14:39:27(UTC)
Rank: New forum user
KarenH

Dear All Sad but true, I have this allergy known as cold urticaria which is an allergy to the cold. It developed in my early twenties and became the interest of many specialist consultants in my hospital. At the time I was a staff nurse. The problem was in skin exposure to the cold - therefore touching metal handles, cutlery and going out on a day like today was a nightmare and resulted in severe allergic reaction, skin swelling and itching. In the end it was managed by a combination of steroidal drugs used for common allergies and wearing the equivalent of personal protective equipment as necessary gloves - scarves etc. While this was difficult for actual nursing I used to wear gloves for handling cutlery etc and properly dressed for the cold exposure outside. It was suggested at the time that skin exposure to sun could help the condition -so it presented the best excuse and I left the UK working and travelling in sunny countries for the next two years. Whether by luck or coincidence the symptoms improved on my return to the UK. Taking a health and safety perspective you will see from my own experience of this condition prevention and control measures were eventually found and put in place for work activities. For the case in hand I would strongly suggest that the actual causation or type of cold allergy needs to be ascertained - only then can suitable precautions be put in place. The person in question must have some form of diagnosis and be aware of particular triggers rather than the cold in general??? To build on previous advice: 1. Seek medical advice - this is likely to need specialist input and not just the GP or occupational health doctors. Hopefully the person will have already had access to this if they have been diagnosed? 2. Try and find out if there are any specific triggers? 3. There are a wide range of specialist clothing materials that can be used for gloves, vests etc that will provide some insulation and protection for the skin and not impinge on working activities. 4. You need to find out what medicine is being taken and potential side effects such as drowsiness 5. Is there any possibility of severe allergic reaction requiring emergency intervention??? Consider epipens, lone working precautions etc..... 6. Not withstanding all of these form a risk assessment!!!! Hope this is of use and is partly based on personal experience of a similar condition - there are quite a few ones out there!!!!! Regards
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