Journal of Environmental Health Sciences (한국환경보건학회지)

Korean Society of Environmental Health (한국환경보건학회)
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Burden of Disease Due to Outdoor Air Pollution in Korea: Based on PM10

  • Kim, Hyun-Jin (Department of Occupational Therapy, Woosong University) ;
  • Yoon, Seok-Jun (Department of Preventive Medicine, College of Medicine, Korea University) ;
  • Kim, Hyeong-Su (Department of Preventive Medicine, School of Medicine, Konkuk 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)
  • Received : 2011.10.17
  • Accepted : 2011.10.26
  • Published : 2011.10.31
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Abstract

Purpose: This study measured the burden of disease in Korea related to outdoor air pollution using disability-adjusted life year (DALY). Materials and Methods: As a risk factor of outdoor air pollution, particulate matter with a diameter less than 10 ${\mu}m$($PM_{10}$) was used. First, $PM_{10}$-related diseases and their relative risk (RR) were selected by means of a literature review. Second, population attributable fractions were computed by using formulae including RR and population exposure to $PM_{10}$. Third, DALYs of $PM_{10}$-related diseases in Korea were estimated. Finally, the attributable burden of disease due to $PM_{10}$ was measured as the sum of the products that multiplied the DALYs of $PM_{10}$-related diseases by their population attributable fractions. Results: The disease burden of PM10 was 6.9 DALY per 1,000 persons in 2007. The attributable burden of $PM_{10}$ was 2.68 for lung cancer, 2.41 for COPD, 0.62 for ischemic heart disease, 0.61 for pneumonia, 0.55 for asthma, and 0.03 for preterm. Conclusions: This study showed the environmental burden of disease of $PM_{10}$ and burden of $PM_{10}$-related disease through objective data. It also suggested that active efforts are needed to continuously measure and reduce the burden of environmental diseases in Korea.

Keywords

References

  1. Country profiles of environmental burden of disease website. Available at http://www.who.int/ quantifying_ehimpacts/national/countryprofile/ republicofkorea.pdf. November 29, 2008.
  2. Ostro B. Outdoor air pollution: Assessing the environmental burden of disease at national and local levels. Geneva, World Health Organization, 2004.
  3. Annals of atmospheric environment, Ministry of Environment; 2007; p.270.
  4. Report on Death Causes 2007. Korea National Statistical Office. Daejeon: Korean National Statistical Office: 2008. (Korean).
  5. Quantification of the disease burden attributable to environmental risk factor, WHO, 2006.
  6. Abbey DE, Nishino N, McDonnell WF, Burchette RJ, Knutsen SF, Lawrence BW, et al. Long-term inhalable particles and other air pollutants related to mortality in nonsmokers. Am JRespir. Crit. Care Med. 1999; 159: 373-382. https://doi.org/10.1164/ajrccm.159.2.9806020
  7. Puett RC, Schwartz J, Hart JE, Yanosky JD, Speizer FE, Suh H, et al. Chronic Particulate Exposure, Mortality, and Coronary Heart Disease in the Nurses' Health Study. Am J Epidemiol. 2008; 168: 1161-1168. https://doi.org/10.1093/aje/kwn232
  8. Dugandzic R, Dodds L, Stieb D, Smith-Doiron M. The association between low level exposure to ambient air pollution and term low birth weight retrospective cohort study 2006. Environ Health. 2006; 17: 5-3.
  9. Leem JH, Kaplan BM, Shim YK, Pohl HR, Gotway CA, Bullard SM, et al. Exposures to air pollutants during pregnancy and preterm delivery. Environ Health Perspect. 2006; 114: 905-10. https://doi.org/10.1289/ehp.8733
  10. Schwartz J. Air Pollution and Hospital Admissions for the Elderly in Birmingham, Alabama. Am J Epidemiol. 1994; 139: 589-598.
  11. Kaiser R, Romieu I, Medina S, Schwartz J, Krzyzanowski M, Kunzli N. Air pollution attributable postneonatal infant mortality in U.S. metropolitan areas: a risk assessment study. Environ Health. 2004; 5: 3-4.
  12. Lipsett M, Hurley S, Ostro B. Air Pollution and Emergency Room visits for asthma in Santa Clara County, California. Environmental Health Perspectives. 1997; 105; 216-222. https://doi.org/10.1289/ehp.97105216
  13. Kim OJ, Ha EH, Kim BM, Seo JH, Park HS, Jung WJ, et al. $PM_{10}$ and pregnancy outcomes: a hospital- based cohort study of pregnant women in Seoul. J Occup Environ Med. 2007; 49: 1394-1402. https://doi.org/10.1097/JOM.0b013e3181594859
  14. Kan HD, Chen BH, Chen CH, Wang BY, Fu QY. Establishment of Exposure-response functions of air particulate matter and adverse health outcomes in China and Worldwide. Biomed Environ Sci. 2005; 18: 159-63.
  15. Wong T, Tam W, Yu T, Wong A. Association between daily mortalities from respiratory and cardiovascular diseases and air pollution in Hong Kong, China. Occup Environ Med. 2002; 59: 30-35. https://doi.org/10.1136/oem.59.1.30
  16. Murray CJL, Lopez AD. The Global Burden of Disease. Geneva, World Health Organization, Harvard School of Public Health, World Bank. 1996.
  17. Lee JK, Kim YI, Yoon SJ, Lee JY, Lee HY, Park JH, et al. Estimating the burden of diseases due to high alcohol consumption in Korea. Korean J Prev Med Public Health. 2005; 38:175-181.
  18. Lee JK, Yoon SJ, Do YK, Kim CH, Park KD et al., Disability weights for diseases in Korea. Kor J Prev Med. 2003; 36: 1-26 (Korean). https://doi.org/10.1006/pmed.2002.1133
  19. Norman R, Cairncross E, Witi J, Bradshaw D. South African comparative risk assessment collaborating group. Estimating the burden of disease attributable to urban outdoor air pollution in South Africa in 2000. S Afr Med J. 2007; 97: 782-790.
  20. Yoon SJ. Measuring burden of disease in Korea. Ministry of Health and Welfare, 2005, (p.67, 148, 150, 152).
  21. Alberg AJ, Samet JM. Epidemiology of lung cancer. Chest 2003; 123: 21S-49S. https://doi.org/10.1378/chest.123.1_suppl.21S
  22. International Agency for Research on Cancer: Tobacco Smoke and Involuntary Smoking. IARC Monograph 83. Lyon: International Agency for Research on Cancer; 2004; p.161.
  23. Chan-Yeung M, Ait-Khaled N, White N, Ip MS, Tan WC. The burden and impact of COPD in Asia and Africa. Int JTuberc Lung Dis. 2004; 8: 2-14.
  24. Lee K.Y. Epidemiology of COPD. 14th Korean society of Tuberculosis & respiration Workshop 2001.
  25. Norris G, Young Pong SN, Koenig JQ, Larson TV, Sheppard L, Stout JW. An association between fine particles and asthma emergency department visits for children in Seattle. Environ Health Perspect. 1999; 107: 489-493.
  26. Lee JT. Association between air pollution and asthma-related hospital admissions in children Seoul, Korea: A case-crossover study. Korean J Prev Med. 2003; 36: 47-53.
  27. Lee JT, Kim H, Son H, Hong YC, Cho YS, Shin SY, et al. Air pollution and asthma among children in Seoul, Korea. Epidemiology. 2002; 13: 481-484. https://doi.org/10.1097/00001648-200207000-00018
  28. Dixon JK. Kids need clean air: air pollution and children's health. Fan Community Health. 2002; 24: 9-26. https://doi.org/10.1097/00003727-200201000-00004
  29. Seo JH, Ha EH, Kim OJ, Kim BM, Park HS, Leem JH, et al. Environmental health surveillance of low birth weight in Seoul using air monitoring and birth data. J Prev Med. 2007; 40: 363-370. https://doi.org/10.3961/jpmph.2007.40.5.363