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" I would recommend that anyone who has come into contact with this weed seek immediate medical attention , including having the affected area of skin treated with topical steroids to prevent potential permanent skin damage , " Dr. Bielory said . Indeed , for some of them , community service may have been worse than irrelevant , persisting problem that affected their survival , let alone success , in the course . Other users are not affected . PhRMA now understands that at least five of its member companies may be severely affected by the new de-listing decision . In order to quantify the extent of work-related illness in the British population and identify the occupations and industries that are most affected , many types of data are used ; HSE currently uses data from : self-report surveys of members of the public ; specialist doctors ; Department of Social Security compensation assessments ; RIDDOR reports ; and death certificates .