What is Vibration White Finger (VWF)?
Vibration White Finger (VWF) is a secondary form of Raynaud's disease, an industrial injury triggered by continuous use of vibrating hand-held machinery. Vibration white finger is the vascular component hand-arm vibration syndrome or HAVS.
VWF is characterized by episodic blanching of the fingers in response to cold. Other symptoms can include numbness, tingling (parasthesia) and pain in the hands and fingers, but these are now believed to be a separate neurologic component of HAVS. The thumb is not normally affected. Smoking and stress are also thought to be factors. There are various medications that cause Raynaud's Disease, including beta blocker drugs, and various diseases, such as scleroderma, that can have similar symptoms. These other causes must be ruled out before a diagnosis of vibration white finger can be arrived at. In extreme cases, the sufferer may lose fingers. The effect is cumulative. When symptoms first appear, they may disappear after a short time. If exposure to vibration continues over months or years, the symptoms can become worse and become permanently present.
The first scale for assessing the condition was published in 1975- the Taylor-Pelmear scale, but it was not listed as a prescribed disease in the United Kingdom until 1985, and the Stockholm scale introduced in 1987. In 1997 the Miners High Court awarded £127,000 in compensation to seven coal miners for vibration white finger. A UK government fund set up to cover subsequent claims by ex-coalminers had exceeded £100 million in payments by 2004.
The European Union passed Directive 2002/44/EC in 2002 on the minimum health and safety requirements for workers exposed to vibrations, to be ratified by July 2005.
The effect of legislation on worker vibration limits is intended to drive employers to provide better-designed, better-maintained tools, and to train workers appropriately. It also drives tool designers to innovate to reduce vibration. One example is the suspension mechanism designed into chainsaws.
Hand Arm Vibration Syndrome (HAVS) is vibration which
reaches the hands whilst working with handheld power tools, hand-guided machinery,
or by holding materials against a moving surface.
Hand Arm Vibration Syndrome (HAVS)
is the collective term for a range
of long-term injuries to arms, hands, wrists, fingers or thumbs resulting
from prolonged exposure to hand transmitted vibration. Damage occurs to
the circulation and nerve supply to the hands, the symptoms of which
include blanching (whitening), numbness, tingling and loss of nerve function.
Vibration White Finger (VWF), the most well known form of Hand
Arm Vibration Syndrome or (HAVS),
results from damage to the blood circulatory system.
Typically, fingers become white when cold and then red and painful when warmed up again.
It is estimated that around five million people are exposed to hand arm vibration
(HAVS) with some two million being
regularly exposed at levels where there are clear risks of developing disease.
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