This section provides useful links to sources of guidance, research and information on the management of dermatitis in the health and social care sector. In 2008, the NHS Plus Occupational Health Clinical Effectiveness Unit, in association with the Royal College of Physicians, produced evidence based guidelines for the occupational aspects of latex allergy management. Breathing problems such as cough, wheeze or difficulty in breathing as a result of breathing in latex protein that becomes airborne (from balloons and rubber gloves) If you are highly allergic to latex, it may be worth carrying a set of sterile latex-free gloves, especially if you are travelling away from home. Hospitals and doctors in the UK are becoming more aware of latex allergy, but unfortunately the same may not be true of healthcare abroad. In employees with latex-induced asthma or rhinitis, the use of powder-free, low-protein gloves by colleagues reduces symptoms and indices of severity in the affected employee to a similar degree as the use of non-latex gloves by colleagues

Natural rubber latex (NRL) is a milky fluid obtained from the Hevea brasiliensis tree, which is widely grown in south-east Asia. As with many other natural products, NRL contains proteins to which some individuals may develop an allergy. to finish with a shafred (system-wide) TeX installation. Executables like lualatex will be installed in /usr/local/bin. NRL can be found in many products used in health and social care. It has been extensively used in the manufacture of medical gloves (non-sterile examination gloves, surgical gloves) because it is a very durable and flexible material giving wearers a high degree of dexterity, sensitivity and microbiological protection. It is also used in a range of medical devices. The majority of healthcare products containing NRL are 'medical devices' as defined by the Medical Devices Regulations 1999. Therefore, their manufacture and provision are regulated by the Medicines and Healthcare Products Regulatory Agency (MHRA). Recent research All but the most severe cases of latex allergy and latex-induced asthma can be managed without the need for redeployment, ill-health retirement or termination of employment. Adjustments include careful personal avoidance of latex at work and minor changes in the workplaceIn employees who are latex allergic/sensitised, taking latex avoidance measures results in symptoms reducing or disappearing The female condom is made from polyurethane and is safe for you to use. A variety of non rubber (latex free) condoms are available and should be available from a pharmacy. Before you can use MiKTeX, you have to finish the setup. You can use MiKTeX Console or, if you prefer the command line, miktexsetup. Start MiKTeX Console to finish the setup Latex allergy is less common now than it was in the 1990s when natural latex allergy was a common cause of allergic reactions, affecting healthcare workers and other occupations where there was exposure to latex gloves and other products containing latex rubber, as part of the job. Since latex and powder free gloves and other latex free products are now widely available, the amount of people with latex allergy has been reduced. What is natural rubber latex and how is it used? NRL proteins can cause type I (immediate) hypersensitivity. In addition, the products manufactured using NRL proteins contain other chemicals that can cause irritant reactions and/or type IV (delayed) hypersensitivity reactions. Typical skin and respiratory problems associated with the use of NRL single-use gloves are:

There are several types of synthetic rubber materials used instead of natural rubber latex for protective gloves. PVC gloves are widely available and safe. If you have been advised to carry non-latex gloves for use in an emergency, it is sensible to carry a large size. Suitable gloves are Ansell Dermoprene, Elastryren, Johnson & Johnson Allergard, Neolon Latex is found in many products used in healthcare. These products are often for single patient use, for example disposable gloves or equipment. The use and availability of powdered latex gloves has reduced due to an increased awareness of latex allergy. Now alternative materials are used, such as nitrile, to provide safe alternatives to those with a natural rubber latex allergy. Gloves containing powder (used as a lubricant) can be a problem for those with a latex allergy or asthma as it is possible for latex protein to become airborne when the gloves are removed, releasing particles into the air which can cause allergic symptoms. Once the diagnosis of allergy to natural rubber latex has been confirmed avoidance is the key to preventing exposure and further reactions. Letting other people know you have a latex allergy is important, including your employer, if you are at risk, through your job, of exposure to latex. You should also tell any Healthcare/ beauty/hairdressing provider that they will need to avoid latex gloves and equipment containing latex. If you have been prescribed allergy medication it is important that you can recognise allergy signs and symptoms and know how and when to use your medication and/or adrenaline auto injector device. If you do need to use emergency allergy medication (your adrenaline auto injector) then an ambulance should be called immediately to ensure that skilled medical help and access to any further medication is on its way.Employers should carefully consider the risks when selecting gloves for use in the health and social care sector. HSE has provided specific guidance on selecting latex gloves and recommends following HSE's glove selection guidance when considering glove use in the workplace (latex or otherwise), Further information At a national and local level, a policy that encourages switching from powdered latex gloves to powder-free, low-protein latex gloves is a proven effective method of reducing the incidence of latex allergy

Employees with latex allergy, latex sensitivity or latex-induced asthma should use non-latex gloves

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to finish with a private (for you only) TeX installation. Executables like lualatex will be installed in ~/bin. Your doctor or allergy specialist will carry out an individual risk assessment to help decide on what medication, if any, is needed to manage your allergy. For mild to moderate reactions your doctor may advise using an antihistamine medication and will decide whether you should carry emergency medication (adrenaline) to treat a severe allergic reaction. If you are prescribed an adrenaline auto injector it is important that you are able to recognise the signs and symptoms of a severe allergic reaction. It is also important that you are shown how to use your adrenaline auto injector and have been given an allergy action plan (a detailed plan of the symptoms of an allergic reaction and medication needed). Alternative choices of latex free products: Natural rubber latex proteins have the potential to cause asthma and dermatitis. Although rare, more serious allergic reactions such as anaphylaxis are also possible. The amount of latex exposure needed to induce sensitisation is unknown. A substance which causes sensitisation can also cause an allergic reaction in certain people. Once sensitisation has taken place, further exposure to the substance, even to low levels, may cause a reaction. Increasing the exposure to latex proteins increases the risk of inducing a sensitised state and triggering allergic symptoms. People with latex allergy should avoid products containing latex. This will prevent their symptoms getting any worse. There are many lists of products containing latex available but as a general guide, you should try to avoid: Do you want to set up a private (for you only) TeX installation, or do you want to set up a shared (system-wide) TeX installation?