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Burden of Disease Attributable to Water-related Diseases in Korea

수질관련 질환에 의한 한국인의 질병부담

  • Hwang, Sun-Bin (Department of Public Health, Graduate School, Korea University) ;
  • Kim, Hyeong-Su (Department of Preventive Medicine, School of Medicine, Konkuk University) ;
  • Yoon, Seok-Jun (Department of Preventive Medicine, College of Medicine, Korea University) ;
  • Lee, Kun-Sei (Department of Preventive Medicine, School of Medicine, Konkuk University) ;
  • Kim, Eun-Jung (Department of Nursing, Cheju Halla College) ;
  • Jo, Min-Woo (Department of Preventive Medicine, College of Medicine, University of Ulsan) ;
  • Oh, In-Hwan (Department of Preventive Medicine, College of Medicine, Korea University) ;
  • Kim, Hyun-Jin (Department of Public Health, Graduate School, Korea University)
  • 황선빈 (고려대학교 보건대학원 보건학과) ;
  • 김형수 (건국대학교 의학전문대학원 예방의학교실) ;
  • 윤석준 (고려대학교 의과대학 예방의학교실) ;
  • 이건세 (건국대학교 의학전문대학원 예방의학교실) ;
  • 김은정 (한라대학 간호학과) ;
  • 조민우 (울산대학교 의과대학 예방의학교실) ;
  • 오인환 (고려대학교 의과대학 예방의학교실) ;
  • 김현진 (고려대학교 보건대학원 보건학과)
  • Received : 2011.06.30
  • Accepted : 2011.08.16
  • Published : 2011.08.31

Abstract

Objectives: This study was aimed at re-assessing the environmental burden of disease attributable to waterrelated diseases using available local data from Korea. Methods: The general methods and the operational definitions for water, sanitation and hygiene applied to the study were based on an environmental burden of disease study conducted by WHO. Eleven water-related diseases were selected. The attributable fraction for diarrhea was calculated by assessing local exposure levels to drinking water, sanitation and hygiene according the scenario-based approach. The attributable fractions for the other ten diseases were derived from the results of the environmental burden of diseases study. The attributable DALYs were measured by using the attributable fractions and local health statistics. Results: The total environmental burden of disease attributable to water, sanitation and hygiene for Korea was 0.9210 DALY per 1000 capitals. Of the total burden of disease, the attributable burden of diarrhea was 0.8863 (96.1%), the attributable burden of malaria and malnutrition was 0.0236 and 0.0063 DALY per 1000 capitals, respectively. There was little burden of disease measured for other diseases. Conclusions: This study is meaningful in re-assessing the environmental burden of disease using available local exposure data and health statistics. Quantitative analysis of the environmental risk factors and a health impact assessment would be helpful to prioritize health policies or interventions in the future.

Keywords

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