Journal of Life Science (생명과학회지)

Korean Society of Life Science (한국생명과학회)
권호 표지
DOI QR코드

DOI QR Code

Survey of Asbestos-Related Disease on Chest Radiograph of Workers Exposed to Asbestos in Ship Repair

조선수리업종 석면노출 근로자들의 흉부방사선상 석면관련 폐질환 소견의 발생양상

  • Lee Hyun Jae (Department of Occupational Medicine, Dong-A University) ;
  • Hong Young Seoub (Department of Preventive Medicine, College of Medicine and Medical Research Center for Cancer Molecular Therapy, and The Research Society of Environmental Genetic Epidemiology, Dong-A University) ;
  • Son Ji Eun (Department of Preventive Medicine, College of Medicine and Medical Research Center for Cancer Molecular Therapy, and The Research Society of Environmental Genetic Epidemiology, Dong-A University) ;
  • Lee Young Ill (Department of Occupational Medicine, Dong-A University) ;
  • Kim Sang Hoon (Department of Occupational and Environmental Medicine, Inha University Hospital) ;
  • Im Hyoung June (Department of Occupational Medicine, Hallym University Sacred Heart Hospital) ;
  • Kim Jung Man (Department of Preventive Medicine, College of Medicine and Medical Research Center for Cancer Molecular Therapy, and The Research Society of Environmental Genetic Epidemiology, Dong-A University) ;
  • Kim Joon Youn (Department of Preventive Medicine, College of Medicine and Medical Research Center for Cancer Molecular Therapy, and The Research Society of Environmental Genetic Epidemiology, Dong-A University)
  • 이현재 (동아대학교의료원 산업의학과) ;
  • 홍영습 (동아대학교 의과대학 예방의학교실 및 동아대학교 암분자치료 연구센타 및 환경유전역학연구회) ;
  • 손지언 (동아대학교 의과대학 예방의학교실 및 동아대학교 암분자치료 연구센타 및 환경유전역학연구회) ;
  • 이영일 (동아대학교의료원 산업의학과) ;
  • 김상훈 (인하대학교 의과대학 산업의학교실) ;
  • 임형준 (한림대학교 성심병원 산업의학과) ;
  • 김정만 (동아대학교 의과대학 예방의학교실 및 동아대학교 암분자치료 연구센타 및 환경유전역학연구회) ;
  • 김준연 (동아대학교 의과대학 예방의학교실 및 동아대학교 암분자치료 연구센타 및 환경유전역학연구회)
  • Published : 2006.02.01
Download PDF
⟨ Previous Next ⟩

Abstract

There was cross-sectional study on investigating the factors related asbestos-related disease on chest radiograph of workers exposed to asbestos in ship repair. According to Occupational Safety & Health Administration asbestos standard, medical surveillance, chest radiologic study, pulmonary function test and medical questionnaire are performed in 118 subjects exposed to asbestos for 10 years or more in ship repair. The sixteen out of 118 subjects $(13.6\%)$ were observed asbestos-related disease finding on chest radiography. Significant factors related to those finding on chest radiography were abnormal pulmonary function test, cough, sputum, past history of respiratory disease, work duration. Workers with Significant factors related asbestos-related disease finding on chest radiography should be managed on a strict program. Further, factors unrelated with asbestos-related disease finding on this study should be evaluated prospectively for medical surveillance program of workers exposed to asbestos.

모 조선수리업에 근무하는 1,086명 중 석면에 노출되는 작업공정에 10년 이상 근무한 근로자 118명을 대상으로 단면조사연구를 수행하였다. 연구대상자들에 대해 흥부방사선검사, 폐기능검사와 미국의 산업안전보건청 석면표준, 의학적 감시 프로그램(OSHA asbestos standard, medical surveillance program)에 따라 국내 실정에 맞게 일부 편집한 설문조사를 시행하였고 아울러 이들의 작업장에 대한 작업환경측정 자료도 분석하였다. 흉부방사선검사상 석면관련 폐질환 소견의 유병율은 118명의 근로자중 16명으로 $13.6\%$였다. 흉부방사선검사상 정상군에 비해 석면관련 폐질환 유소견군에서 유의한 요인들은 폐기능검사상 이상소견, 기침, 가래, 호흡기 질환의 과거력, 근무력이었다. 본 연구 결과를 통해 볼 때 폐기능검사 소견상 이상소견, 기침과 가래의 임상증상을 호소하거나 호흡기질환의 과거력, 20년 이상의 근무력이 있는 근로자에 대해서는 석면관련 폐질환의 엄격한 관리가 필요할 것으로 생각된다. 그리고, 본 연구에서 관련성 여부를 완전히 배제할 수 없었던 요인들에 대해서는 향후 광범위한 전향적 연구를 통하여 연관성을 규명하여 석면노출 사업장의 의학적 감시 프로그램에 적극 활용되기를 기대한다.

Keywords

References

  1. American conference of govermental industrial hygienests(ACGIH). 1991. Documentation of threshold limit values and biological exposure indices. pp 84-89, 6th ed., Cincineti, Ohio
  2. Becklake, M. R., Arhiri, M., Gibbs, G. W., Hurwitz, S. 1980. Exposure to asbestos and respiratory abnormality: the influence of fibre type and nature of exposure. IARC Sci. Publ. 30, 76
  3. Becklake, M. R. 1976. Asbestos-related disease of the lung and other organs: their epidemiology and implications for clinical practice. Am. Rev. Respir. Dis. 114, 187-227
  4. Finkelstein, M. 1986. Pulmonary function in asbestos cement workers: a dose-response study. Br. J. Ind. Med. 43, 406-413
  5. Hillerdal, G. 1980. Pleural plaques: Occurence, exposure, to asbestos, and clinical importance: [with a literature review on medical asbestos problems]. Acta Universitatis upsaliensis
  6. Im, J. G., Lee, G. S. 2000. pp381-387. Chest Radiology. Ilchokak. Seoul
  7. Jung, J. Y., Ahn, H. S., Kim, J. W., Kim, K. A., Yun, I. G., Kim, H. W., Choi, Y. M., Song, J. S. 1994. A case of asbestosis, pleural effusion and lung cancer caused by longterm occupational asbestos exposure. Tuberc. Respir. Dis. 41, 651-657 https://doi.org/10.4046/trd.1994.41.6.651
  8. Kalacic, I. 1973. Chronic nonspecific lung disease in cement workers. Arch. Environ. Health 26, 78-83 https://doi.org/10.1080/00039896.1973.10666228
  9. Karacic, I. 1973. Ventilatory lung function in cement workers. Arch. Environ. Health 26, 84-85 https://doi.org/10.1080/00039896.1973.10666229
  10. Kang, D. M., Kim, ,J. W., Son, B. C., Kim, J. I., Woo, J. C., Lee, J. T. 1998. A case of malignant pleural mesothelioma combined with asbestosis in a boilermaker and plumber. Korean J. Occup. Environ. Med. 10, 610-617
  11. Kim, J. W., Ahn, H. S., Kim, K. A., Lim, Y., Yun, I. G. 1995. The effect of pleural thickening on the impairment of pulmonary function in asbestos exposed workers. Tuberc. Respir. Dis. 42, 923-933 https://doi.org/10.4046/trd.1995.42.6.923
  12. Lee, Y. S., Jang, T. W., Yu, H. D., Jung, M. H., Lee, Y. H., Suh, J. Y., Bur, B., Lee, J. S. 1999. A case of asbestosis. Korean J. Occup. Environ. Med. 11, 119-124
  13. Lilis, R., Daum, S., Anderson, H., Sirota, M., Andrews, G., Selikoff, I. J. 1979. Asbestos disease in maintenance workers of the chemical industry. Ann. N. Y. Acad. Sci. 330, 127-135 https://doi.org/10.1111/j.1749-6632.1979.tb18713.x
  14. Loh, I. K. 1982. Asbestosis among sheetmetal workers. Tuberc. Respir. Dis. 29, 213-219
  15. Ministry of labor. 2003. Annual report of physical examination health diagnosis in Korean workers, 2001
  16. Ministry of labor. 2004. Annual report of physical examination health diagnosis in Korean workers, 2002
  17. Ministry of labor. 2005. Annual report of physical examination health diagnosis in Korean workers, 2003
  18. Murphy, R. L., Becklake, M. R., Brooke, S. M., Gaensler, E. A., Gee, B. L., Goldman, A. M., Kleinerman, J. I., Lewinsohn, H. C., Mitchell, R. S., Utell, M. J., Weill, H. 1987. The diagnosis of nonmalignant diseases related to asbestos. Am. Rev. Respir. Dis. 136, 1516-1517 https://doi.org/10.1164/ajrccm/136.6.1516
  19. Ohlson, C. G., Rydman, T., Sundell, L., Bodir, L., Hogstedt, C. 1984. Decreased lung function in the long term asbestos cement workers: a cross-sectional study. Am. J. Ind. Med. 5, 359-366 https://doi.org/10.1002/ajim.4700050504
  20. Paek, D. M., Paik, N. W., Choi, J. K., Son, M. A., Im, J. G., Lee, W. J., Moon, Y. H., Park, J. S., Choi, B. S. 1995. Prevalence of asbestosis in Korean asbestos industry. Korean J. Occup. Environ. Med. 7, 46-57
  21. Park, J. I., Yoon, C. S., Paik, N. W. 1995. A study on exposure among asbestos textile workers and estimation of their historical exposures. J. Korean Soc. Occup. Environ. Hyg. 5, 16-39
  22. Park, M. I., Choi, J. S., Choi, H. M., Jang, T. I., Moon, I. H., Kim, J. H., Jang, T. H., Lee, D. H., Jung, M, H,. 1995. A case of diffuse malignant pleural mesothelioma with occupational asbestos exposure. Korean J. Medicine 48, 526-530
  23. Yoon, D. Y., Kang, J. W., Lee, H. J., Kim, J. I., Son, J. E., Jung, K. Y., Kim, J. Y., Roh, M. S. 2004. A case of lung cancer caused by long-term asbestos exposure. Korean. J. Occup. Environ. Med. 16, 499-507
  24. Yun, I. G., Park, C. Y., Lee, W. C., Lim, Y., Kim, K. A. 1993. Epidemiological survey on the environmental and health status in asbestos factories. Korean J. Occup. Environ. Med. 5, 137-151