02487nas a2200301 4500000000100000000000100001008004100002260003800043653003200081653001000113653001100123653001200134653001500146653001100161653003200172653001300204653001700217653003800234653001900272653001900291100001800310700001800328245003200346856015400378300001400532520159200546020004702138 2019 d bSpringer International Publishing10aAllergic contact dermatitis10aBatik10aCallus10aCanting10aDermatitis10aIndigo10aIrritant contact dermatitis10aNaphthol10aNatural dyes10aPersonal protective equipment/PPE10aSynthetic dyes10aWaste disposal1 aR.W. Soebaryo1 aW.K. Budianti00aBatik manufacturing workers uhttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85088732103&doi=10.1007%2f978-3-319-68617-2_124&partnerID=40&md5=56d3b462f980a3b996b3cb2d2f53f56c a1743-17513 aBatik is an intangible cultural heritage from Indonesia, designated by UNESCO in 2009. Batik has been both an art and craft for centuries. Especially for some parts of Indonesia, batik is not only a popular decorated textile but has a deeper philosophy. The production process is complicated, and the drawing process of the liquid wax needs a special tool called “canting.” Most of batik production is an informal or home industry, and the workers had low to medium education level. Batik workers are usually loyal to the job and will be passed down the skill unformally among generations. Batik process needs some supplies that could act as irritant and/or allergens and could have an impact on personal health and environment. Results of several studies revealed that most workers had more than 10 years duration of work, and the first step of batik process is done by women, between 20 and 50 years of age, at their own home, and the following steps are mostly done by men. Glove is usually the only personal protective equipment (PPE) used by the workers. The proportion between dermatitis and non-dermatitis skin impairment is about 18.2\% by 65.5\%. There is a positive correlation between the use of PPE and handwashing with the occurrence of contact dermatitis. The most frequent non-dermatitis found was callus, probably cause by repeated friction. Irritant contact dermatitis is more common than allergic contact dermatitis that mostly caused by colorant and wet environment. Health and environment improvement programs had been implemented with the key point in education. a9783319686172 (ISBN); 9783319686158 (ISBN)