Annals of Occupational and Environmental Medicine

The Korean Society of Occupational & Environmental Medicine (대한직업환경의학회)
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Clusters of Pneumoconiosis among Residents Near Cement Factories

영월 시멘트공장 인근 주민에게서의 진폐증 집단 발생 사례보고

  • Leem, Jong-Han (Department of Internal Medicine, Inha University Hospital) ;
  • Cho, Jae-Hwa (Department of Internal Medicine, Inha University Hospital) ;
  • Lee, Eui-Cheol (Department of Occupational and Environmental Medicine, Kosin University Hospital) ;
  • Kim, Jeong-Hoon (Department of Occupational and Environmental Medicine, Inha University Hospital) ;
  • Lee, Dong-Hoon (Department of Occupational and Environmental Medicine, Inha University Hospital) ;
  • Lee, Seung-Jun (Department of Occupational and Environmental Medicine, Inha University Hospital) ;
  • Lee, Ji-Young (Department of Social Medicine, College of Medicine, Inha University) ;
  • Kim, Hwan-Cheol (Department of Occupational and Environmental Medicine, Inha University Hospital)
  • 임종한 (인하대병원 호흡기내과) ;
  • 조재화 (인하대병원 호흡기내과) ;
  • 이의철 (고신대병원 산업의학과) ;
  • 김정훈 (인하대병원 산업의학과) ;
  • 이동훈 (인하대병원 산업의학과) ;
  • 이승준 (인하대병원 산업의학과) ;
  • 이지영 (인하대병원 사회의학교실) ;
  • 김환철 (인하대병원 산업의학과)
  • Received : 2009.11.13
  • Accepted : 2010.06.08
  • Published : 2010.06.30
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Abstract

Objective: This study investigated case clusters of pneumoconiosis among residents near cement factories in Young_Wol, Korea. Methods: There were 1,396 residents of a total 3,418 residents surveyed for this study. Informations on demographics, health-related behaviors (smoking and drinking), past medical history, and clinical symptoms were collected using a self-administered questionnaire. All study participants underwent a physical examination, including chest X-ray, and physicians' interview. Chest CT (computerized tomography) was taken if there was abnormal finding on chest X-ray and physicians' interview. Results: We detected 5 cases of pneumoconiosis. 2 cases were related to occupational exposure to dust, such as underground mining and the breaking up of concrete. However, 3 cases were not related to occupational or environmental exposure, except that persons were living near cement factories and limestone mines. Conclusion: This study suggests that the long-term exposure of cement dust among residents near cement factories and mines may lead to the development of pneumoconiosis.

목적: 본 연구에서는 영월 시멘트 공장 주변 주민들에게서 호흡기계 건강진단을 시행하여 진폐증 집단 발병을 보고하고자 하였다. 방법: 시멘트 공장 주변지역 주민들 1,396명을 대상으로 (1) 흉부방사선 검사, (2) 전문과(산업의학과, 호흡기내과 등) 문진을 시행하였으며, 호흡기계 중증질환이 의심되는 주민의 경우 흉부 전산화단층촬영(CT)을 추가로 시행하였다. 결과: 전체 연구대상자중 17명을 대상으로 CT 및 호흡기 내과진료 등의 호흡기 정밀 진료를 시행하였는데, 과거 지하 착암작업 및 지하 채탄작업 직업력이 있는 2명을 제외한 나머지 3명은 진폐증을 유발할만한 직업적 노출력이 없었다. 결론: 이번 연구는 시멘트공장 및 석회석 광산 주변 인근 주민들에게서 장기간의 분진 노출은 진폐증을 발생시킬 수 있음을 시사한다.

Keywords

References

  1. Stellman JM (ed). Encyclopedia of Occupational Health. 4th ed. ILO. Geneva, 1998. p 93.44-47.
  2. Bencko V. Chromium: a review of environmental and occupational toxicology. J Hyg Epidemiol Microbiol Immunol. 1985;29(1):37-46.
  3. Dietz A, Ramroth H, Urban T, Ahrens W, Becher H. Exposure to cement dust, related occupational groups and laryngeal cancer risk: results of a population based case-control study. Int J Cancer 2004 ;108(6):907-11. https://doi.org/10.1002/ijc.11658
  4. Yang CY, Huang CC, Chiu HF, Chiu JF, Lan SJ, Ko YC. Effects of occupational dust exposure on the respiratory health of Portland cement workers. J Toxicol Environ Health 1996;49:581-8. https://doi.org/10.1080/009841096160637
  5. Meo SA. Health hazards of cement dust. Saudi Med J 2004;25(9): 1153-9.
  6. Maciejewska A, Bielichowska-Cybula G. Biological effect of cement dust. Med Pr 1991;42:281-90.
  7. Tarnopol'skaia MM, Osetinskii TG, Zaidenverg RA, Krinichnyi PN. On the problem of pneumoconiosis in inhalation of cement dust. Gig Sanit 1951;1:26-9.
  8. Doerr W. Pneumoconiosis caused by cement dust. Virchows Arch 1952;322(4):397-427. https://doi.org/10.1007/BF00957587
  9. Farini C, Canitano P. Malignant pneumoconiosis caused by inhalation of cement dust. G Ital Della Tuberc 1958;12(6):355-60.
  10. Meo SA. Chest radiological findings in Pakistani cement mill workers. Saudi Med J 2003;24:287-90.
  11. Maestrelli P, Simonato L, Bartolucci GB, Gemignani C, Maffessanti MM. Pneumoconiosis and chronic bronchitis in a group of cement workers. Med Lav 1979;70:195-202.
  12. Herrera L, Pulido P, Rosario R. Respiratory Hazards in the Venezuelan Cement Industry. Presented at the VIth International Pneumocociosis Conference. Ruhr Universitat. Bochum (Germany). 1983. pp 1270-87.
  13. Popovic D. Pneumoconiosis of workers in the cement industry. Arh Hig Rada Toksikol 1984;35:245-253.
  14. Saiyed HN, Sharma YK, Sadhu HG, Norboo T, Patel PD, Patel TS, Venkaiah K, Kashyap SK. Non-occupational pneumoconiosis at high altitude villages in central Ladakh. Br J Ind Med. 1991;48(12):825-9.
  15. Cheong HK, Lim HS, Cho CJ, Ben JJ, Ahn YT, Yoon Y, Lim CG. Development of pneumoconiosis among inhabitants around a Briquet factory. Korean Society of Epidemiology 1988;10(1):102-8. (Korean)
  16. NIER (National Institute of Environmental Research). Environmental Health Effects Survey on Residents Living Near the Cement Factory in Yeongwol County. NIER. Incheon. 2007. pp 1-229. (Korean)
  17. Short S, Petsonk EL. Non-fibrous Inorganic Dusts. In: Harber P, Schenker MB, Balmes JR, Occupational and Environmental Respiratory Disease. Mosby. London (UK). 1996. pp 356.
  18. Sheppard D, Hughson WG, Shellito J. Occupational Lung Diseases. In: La Dou J. Occupational Medicine. USA: Appleton and Lange; 1990. pp 221-36.
  19. Scansetti G, Coscia GC, Pisani W, Rubino GF. Cement, asbestos and cement asbestos pneumoconioses. Arch Environ Health 1975;30:272-5.
  20. Al-Neaimi YI, Gomes J, Lloyd OL. Respiratory illnesses and ventilatory function among workers at a cement factory in a rapidly developing country. Occup Med 2001;51:367-73. https://doi.org/10.1093/occmed/51.6.367
  21. Noor H, Yap CL, Zolkepli O, Faridah M. Effects of exposure to dust on lung function of cement factory workers. Med J Malaysia 2000;55:51-7.
  22. Mengesha Y, Bekele A. Relative chronic effects of different occupational dusts respiratory indices and health of workers in three Ethiopian factories. Am J Ind Med 1998;34:373-80. https://doi.org/10.1002/(SICI)1097-0274(199810)34:4<373::AID-AJIM11>3.0.CO;2-#
  23. Oleru G. Pulmonary function and symptoms of Nigerian workers exposed to cement dust. Environ Res 1984;33:379-85. https://doi.org/10.1016/0013-9351(84)90036-7
  24. Abou-Taleb ANM, Musaiger AO, Abdelmoneim RB. Health status of cement workers in the United Arab Emirates. JR Soc Health 1995;115:378-81. https://doi.org/10.1177/146642409511500610
  25. Alvear-Galindo MG, Mendez-Ramirez I, Villegas-Rodriguez JA, Chapela-Mendoza R, Eslava-Campos CA, Laurell AC. Risk indicators of dust exposure and health effects in cement plant workers. J Occup Environ Med 1999;41:654-61. https://doi.org/10.1097/00043764-199908000-00007
  26. Abudhaise BA, Rabi AZ, Zwairy MA, Hader AF, Qaderi S. Pulmonary manifestations in cement workers in Jordan. Int J Occup Med Environ Health 1997;10:417-28.
  27. IARC. IARC on Monographs of Carcinogenic Risk to Humans. Volume 68. Silica, Some Silicates. Coal Dust and Para-Aramid Fibrils. IARC. Lyon. 1997. pp 1-271.