Safety and Health at Work

  • 제1권2호
  • /
  • Pages.134-139
  • /
  • 2010
  • /
  • 2093-7911(pISSN)
  • /
  • 2093-7997(eISSN)
산업안전보건연구원 (Occupational Safety and Health Research Institute, Korea Occupational Safety and Health Agency)
권호 표지
DOI QR코드

DOI QR Code

Occupational Lung Cancer Surveillance in South Korea, 2006-2009

  • Leem, Jong-Han (Department of Occupational and Environment Medicine, Inha University Hospital) ;
  • Kim, Hwan-Cheol (Department of Occupational and Environment Medicine, Inha University Hospital) ;
  • Ryu, Jeong-Seon (Department of Internal Medicine, Inha University Hospital) ;
  • Won, Jong-Uk (Department of Preventive Medicine, Yonsei University College of Medicine) ;
  • Moon, Jai-Dong (Department of Occupational and Environment Medicine, Chonnam National University Hwasun Hospital) ;
  • Kim, Young-Chul (Department of Internal Medicine, Chonnam National University Hwasun Hospital) ;
  • Koh, Sang-Baek (Department of Occupational and Environment Medicine, Wonju Christian Hospital) ;
  • Yong, Suk-Joong (Department of Internal Medicine, Wonju Christian Hospital) ;
  • Kim, Soo-Geun (Department of Occupational and Environment Medicine, Kangbuk Samsung Hospital) ;
  • Park, Jae-Yong (Department of Internal Medicine, Kyungpook University Hospital) ;
  • Kim, In-Ah (Department of Occupational and Environment Medicine, Eulgi University Hospital) ;
  • Kim, Jung-Il (Department of Occupational and Environmental Medicine, Dong-A University Hospital) ;
  • Kim, Jung-Won (Department of Occupational and Environmental Medicine, College of Medicine, Koshin University Hospital) ;
  • Lee, Eui-Cheol (Department of Occupational and Environmental Medicine, College of Medicine, Koshin University Hospital) ;
  • Kim, Hyoung-Ryoul (Department of Occupational and Environment Medicine, Catholic University Hospital) ;
  • Kim, Dae-Hwan (Department of Occupational and Environment Medicine, Inje University Paik Hospital) ;
  • Kang, Dong-Mug (Department of Occupational and Environment medicine, Busan University) ;
  • Hong, Yun-Chul (Department of Preventive Medicine, Seoul National University College of Medicine)
  • 투고 : 2010.05.31
  • 심사 : 2010.09.19
  • 발행 : 2010.12.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Objectives: The lung cancer mortality in Korea has increased remarkably during the last 20 years, and has been the first leading cause of cancer-related deaths since 2000. The aim of the current study was to examine the time trends of occupational lung cancer and carcinogens exposure during the period 2006-2009 in South Korea, by assessing the proportion of occupational burden. Methods: We defined occupational lung cancer for surveillance, and developed a reporting protocol and reporting website for the surveillance of occupational lung cancer. The study patients were chosen from 9 participating university hospitals in the following 7 areas: Seoul, Incheon, Wonju, Daejeon, Daegu, Busan, and Gwangju. Results: The combined proportion of definite and probable occupational lung cancer among all lung cancers investigated in this study was 10.0%, 8.6%, 10.7%, and 15.8% in the years 2006 to 2009, respectively, with an average of 11.7% over the four-year study period. The main carcinogens were asbestos, crystalline silica, radon, polyaromatic hydrocarbons (PAHs), diesel exhaust particles, chromium, and nickel. Conclusion: We estimated that about 11.7% of the incident lung cancer was preventable. This reveals the potential to considerably reduce lung cancer by intervention in occupational fields.

키워드

참고문헌

  1. Chung JI, Song YM, Choi JS, Kim BM. Trends in avoidabledeath over 20 years in Korea. J Korean Med Sci 2008;23:975-81. https://doi.org/10.3346/jkms.2008.23.6.975
  2. Jung KW, Won YJ, Park S, Kong HJ, Sung J, Shin HR, ParkEC, Lee JS. Cancer statistics in Korea: incidence, mortalityand survival in 2005. J Korean Med Sci 2009;24:995-1003. https://doi.org/10.3346/jkms.2009.24.6.995
  3. Paek D. Asbestos problems yet to explode in Korea. Int J OccupEnviron Health 2003;9:266-71. https://doi.org/10.1179/oeh.2003.9.3.266
  4. Bae JM, Jung KW, Won YJ. Estimation of cancer deaths inKorea for the upcoming years. J Korean Med Sci 2002;17:611-5. https://doi.org/10.3346/jkms.2002.17.5.611
  5. Higginson J, Muir CS. Determination of the importance ofenvironmental factors in human cancer: the role of epidemiology.Bull Cancer 1977;64:365-84.
  6. Doll R, Peto R. The causes of cancer: quantitative estimatesof avoidable risks of cancer in the United States today. J NatlCancer Inst 1981;66:1191-308.
  7. Occupational Lung cancer Surveillance System [Internet],Incheon: OLCAS (Lung cancer Surveillance System in Korea).2007 [cited 2010 May 28]. Available from: http://www.olcas.org.
  8. Mannetje A, Kromhout H. The use of occupation and industryclassifications in general population studies. Int J Epidemiol2003;32:419-28. https://doi.org/10.1093/ije/dyg080
  9. Siemiatycki J, Richardson L, Straif K, Latreille B, Lakhani R,Campbell S, Rousseau MC, Boffetta P. Listing occupationalcarcinogens. Environ Health Perspect 2004;112:1447-59. https://doi.org/10.1289/ehp.7047
  10. Steenland K, Loomis D, Shy C, Simonsen N. Review of occupationallung carcinogens. Am J Ind Med 1996;29:474-90. https://doi.org/10.1002/(SICI)1097-0274(199605)29:5<474::AID-AJIM6>3.0.CO;2-M
  11. Pukkala E, Guo J, Kyyronen P, Lindbohm ML, Sallmen M,Kauppinen T. National job-exposure matrix in analyses ofcensus-based estimates of occupational cancer risk. Scand JWork Environ Health 2005;31:97-107. https://doi.org/10.5271/sjweh.856
  12. CAREX database [Internet]. Helsinki (Finland): Finnish Instituteof Occupational Health (FIOH). 1998 [cited 2010 May28]. Available from: http://www.ttl.fi/en/chemical_safety/carex.
  13. CAREX database [Internet]. Helsinki (Finland): Finnish Instituteof Occupational Health (FIOH). 1999 [cited 2010 May28]. Available from: http://www.ttl.fi/en/chemical_safety/carex.
  14. Kim HR. Overview of asbestos issues in Korea. J KoreanMed Sci 2009;24:363-7. https://doi.org/10.3346/jkms.2009.24.3.363
  15. Lipsett M, Campleman S. Occupational exposure to dieselexhaust and lung cancer: a meta-analysis. Am J Public Health1999;89:1009-17. https://doi.org/10.2105/AJPH.89.7.1009
  16. Bhatia R, Lopipero P, Smith AH. Diesel exhaust exposureand lung cancer. Epidemiology 1998;9:84-91. https://doi.org/10.1097/00001648-199801000-00017
  17. Boffetta P, Autier P, Boniol M, Boyle P, Hill C, Aurengo A,Masse R, The G, Valleron AJ, Monier R, Tubiana M. Anestimate of cancers attributable to occupational exposures inFrance. J Occup Environ Med 2010;52:399-406. https://doi.org/10.1097/JOM.0b013e3181d5e355
  18. IARC monograph on the evaluation of carcinogenic risks tohumans. Volume 68 silica, some silicates, coal dust and paraaramidfibrils. Lyon (France): International Agency for Research on Cancer (IARC); 1997. 521 p.
  19. Pelucchi C, Pira E, Piolatto G, Coggiola M, Carta P, La VecchiaC. Occupational silica exposure and lung cancer risk:a review of epidemiological studies 1996-2005. Ann Oncol2006;17:1039-50. https://doi.org/10.1093/annonc/mdj125
  20. IARC monograph on the evaluation of carcinogenic risksto humans. Volume 62 wood dust and formaldehyde. Lyon(France): International Agency for Research on Cancer(IARC); 1995. p. 31-195.
  21. Wu X, Delclos GL, Annegers JF, Bondy ML, Honn SE, HenryB, Hsu TC, Spitz MR. A case-control study of wood dustexposure, mutagen sensitivity, and lung cancer risk. CancerEpidemiol Biomarkers Prev 1995;4:583-8.
  22. Stellman SD, Demers PA, Colin D, Boffetta P. Cancer mortalityand wood dust exposure among participants in the AmericanCancer Society Cancer Prevention Study-II (CPS-II). AmJ Ind Med 1998;34:229-37. https://doi.org/10.1002/(SICI)1097-0274(199809)34:3<229::AID-AJIM4>3.0.CO;2-Q
  23. Barcenas CH, Delclos GL, El-Zein R, Tortolero-Luna G,Whitehead LW, Spitz MR. Wood dust exposure and the associationwith lung cancer risk. Am J Ind Med 2005;47:349-57. https://doi.org/10.1002/ajim.20137
  24. Matte TD, Baker EL, Honchar PA. The selection and definitionof targeted work-related conditions for surveillance underSENSOR. Am J Public Health 1989;79:21-5.
  25. Landrigan PJ, Baker DB. Clinical recognition of occupationaland environmental disease. Mt Sinai J Med 1995;62:406-11.
  26. Rushton L, Hutchings S, Brown T. The burden of cancer atwork: estimation as the first step to prevention. Occup EnvironMed 2008;65:789-800. https://doi.org/10.1136/oem.2007.037002
  27. Mosavi-Jarrahi A, Mohagheghi M, Kalaghchi B, Mousavi-Jarrahi Y, Noori MK. Estimating the incidence of lung cancerattributable to occupational exposure in Iran. Popul HealthMetr 2009;7:7. https://doi.org/10.1186/1478-7954-7-7
  28. Ahn YS, Kang SK. Asbestos-related occupational cancerscompensated under the Industrial Accident CompensationInsurance in Korea. Ind Health 2009;47:113-22. https://doi.org/10.2486/indhealth.47.113
  29. Landrigan PJ. The prevention of occupational cancer. CACancer J Clin 1996;46:67-9. https://doi.org/10.3322/canjclin.46.2.67

피인용 문헌

  1. Occupational Cancers with Chemical Exposure and their Prevention in Korea: A Literature Review vol.14, pp.6, 2013, https://doi.org/10.7314/APJCP.2013.14.6.3379
  2. Chronic Exposure to Chlorophenol Related Compounds in the Pesticide Production Workplace and Lung Cancer: A Meta-Analysis vol.15, pp.13, 2014, https://doi.org/10.7314/APJCP.2014.15.13.5149
  3. Reducing the underreporting of lung cancer attributable to occupation: outcomes from a hospital-based systematic search in Northern Italy vol.89, pp.6, 2016, https://doi.org/10.1007/s00420-016-1135-5
  4. Lung Cancer Risk and Residential Exposure to Air Pollution: A Korean Population-Based Case-Control Study vol.58, pp.6, 2017, https://doi.org/10.3349/ymj.2017.58.6.1111
  5. Occupational Respiratory Cancer in Korea vol.25, pp.Suppl, 2010, https://doi.org/10.3346/jkms.2010.25.S.S94