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수질관련 질환에 의한 한국인의 질병부담

Burden of Disease Attributable to Water-related Diseases in Korea

  • 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)
  • 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)
  • 투고 : 2011.06.30
  • 심사 : 2011.08.16
  • 발행 : 2011.08.31

초록

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.

키워드

참고문헌

  1. Country profiles of environmental burden of disease website. Available: http://www.who.int/quantifying_ ehimpacts/national/countryprofile/republicofkorea.pdf [accessed 29 November 2008].
  2. Pruss A, Kay D, Fewtrell L, Bartram J. Estimating the burden of disease from water, sanitation, and Hygiene at a global level. Environmental Health Perspectives. 2002; 110(5): 537-542. https://doi.org/10.1289/ehp.02110537
  3. Pruss A, Mathers C, Corvalan C, Woodward, A Assessing the environmental burden of disease at national and local levels: introduction and methods. Environmental burden of disease series, No.1. Geneva: WHO; 2003. p.50.
  4. Report on Death Causes 2007. Korea National Statistical Office. Daejeon: Korean National Statistical Office: 2008 (Korean).
  5. Fewtrell L, Prüss A, Bos R, Core F, Bartram J. Water, sanitation and Hygiene: quantifying the health impact at national and local levels in countries with incomplete water supply and sanitation coverage. Environmental Burden of Disease Series No. 15. Geneva: WHO; 2007. p.20, 22-26, 31-47.
  6. 2009 Environment Statistics Yearbook. Seoul: Ministry of Environment; 2009. p.550-551.
  7. WHO/UNICEF. Meeting the MDG Drinking Water and Sanitation: The urban and rural challenge of the decade. Geneva: WHO /New York: United Nations Children's Fund. 2006.
  8. Pruss-Ustun A, Kay D, Fewtrell L, Bartram J. Unsafe water, sanitation and hygiene In: comparative quantification of health risks. Global and regional burden of disease attributable to selected risk factors. Geneva: WHO; 2004.
  9. Yoon SJ. Measuring burden of disease in Korea. Seoul: Ministry of Health and Welfare; 2005. p.67, 148, 150, 152.
  10. Keiser J, Caldas de Castro M, Maltese MF, Bos R, Tanner M, Singer BH, et al. Effect of irrigation and large dams on the burden of malaria on a global and regional scale. Am J Trop Med Hyg. 2005; 72: 392-406.
  11. Yu SH, Jung SH. The study for recent changes of disease-mix in health insurance data. Korean J Prev Med. 1990; 23(3): 345-357.