ACC receives many claims for chronic toxicity. Most are from people who have worked with pesticides, solvents, heavy metals or petrochemicals but almost any substance, pungent or otherwise, can be implicated. Claims are also received from those alleging that they have been poisoned by involuntary chemical exposures independent of work. Injuries claimed for include various types of cancers, neurotoxicity, skin diseases, chronic fatigue syndrome, multiple chemical sensitivities and a wide range of symptoms.

Investigating these claims can be difficult because exposure is often historical, in many cases there is no workplace to assess, exposure data are lacking, multiple confounders exist and there may be little in the way of relevant toxicological information on the substances concerned. In addition, many claims are underpinned by a sense of grievance or entitlement. 
In 1998 ACC set up a Toxicology Panel to assess these cases and provide advice on cover and management. In this workshop two Panel members will take you through the evaluation process using selected case studies to illustrate the variety of claims seen, the range of issues to be dealt with and the manner in which decisions are reached. 

As the starting point for most workplace poisoning claims the GP is well placed to advise the patient on the chances of success. It is hoped that the workshop will serve not only to demystify the process but also to help doctors feel less pressured to lodge a claim just because the patient wishes it.