한국환경보건학회지 (Journal of Environmental Health Sciences)

  • 제39권4호
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  • Pages.322-334
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  • 2013
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  • 1738-4087(pISSN)
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  • 2233-8616(eISSN)
한국환경보건학회 (Korean Society of Environmental Health)
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캠프 캐럴 인근 선별 주민에 대한 건강검진 결과 분석

Analysis of Mass Screening Results Among Sampled Residents Around Camp Carroll, Gyeongsangbuk-do, Korea

  • 민영선 (동국의대 예방의학교실) ;
  • 임현술 (동국의대 예방의학교실) ;
  • 이관 (동국의대 예방의학교실) ;
  • 박선애 (경북과학대학 간호학과) ;
  • 이덕희 (경북의대 예방의학교실) ;
  • 주영수 (한림의대 성심병원 직업환경의학과) ;
  • 양원호 (대구가톨릭대 산업보건학과) ;
  • 김근배 (국립환경과학원 환경보건연구과) ;
  • 유승도 (국립환경과학원 환경보건연구과)
  • Min, Young-Sun (Department of Preventive Medicine, Dongguk University College of Medicine) ;
  • Lim, Hyun-Sul (Department of Preventive Medicine, Dongguk University College of Medicine) ;
  • Lee, Kwan (Department of Preventive Medicine, Dongguk University College of Medicine) ;
  • Park, Sun Ae (Department of Nursing, Kyongbuk Science College) ;
  • Lee, Duk-Hee (Department of Preventive Medicine, College of Medicine, Kyungpook National University) ;
  • Ju, Young-Su (Department of occupational and environmental medicine Hallym university sacred heart hospital) ;
  • Yang, Wonho (Department of Occupational Health, Catholic University of Daegu) ;
  • Kim, Geun-Bae (National Institute of Environmental Research, Environmental Health Research Division) ;
  • Yu, Seung Do (National Institute of Environmental Research, Environmental Health Research Division)
  • 투고 : 2013.04.26
  • 심사 : 2013.08.07
  • 발행 : 2013.08.31
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초록

Objectives: This study describes the results of a mass screening and secondary questionnaire conducted among sampled residents around Camp Carroll. Methods: The subjects were sampled based on Waegwan groundwater ingestion history via a primary health questionnaire survey. However, the study population included voluntary participants and there were no grounds for disqualification. Among the 1,033 residents, excluding people living outside Waegwan, 844 subjects age 30 and over were analyzed. History of physician-diagnosed disease (including detailed history of cancer), eating habits, drinking and smoking histories were queried through questionnaires. Health screening consisted of a blood pressure check and blood test (complete blood cell, liver enzyme, lipid, blood sugar test, etc.). Results: The proportion of abnormal gamma-glutamyltransferase levels was higher in the groundwater ingesting female group than the non-ingesting female group. The odds ratios of the ingested '1 to 9 years' and '10 years and over' groups were 3.09 and 0.87, respectively. Proportions of hypertension in males, abnormal serum triglyceride levels in all and in females, and abnormal serum high density lipoprotein cholesterol levels in males were higher in the '10 to 29-year' resident group than in the '1 to 9 year' group. However, there were no significant trends according to length of residence. Conclusions: Physician-diagnosed prevalence and laboratory test results are not different by histories of Waegwan groundwater ingestion and by length of residence. Even if there are partially significant differences, they do not tend to follow increases of exposure amount and trends.

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참고문헌

  1. Lim HS, Lee DH, Ju YS, Park SA, Yang WH, Lee K, et al. Study on the Health Effect among Residents around Camp Carroll Area, Gyeongbuk, Korea: Final Report. Incheon: National institute of environmental research; 2011. p.444.
  2. Yang WH, Hong GY, Kin GB. Review of public health aspects of exposure to agent orange. J Environ Health Sci. 2012; 38(3): 175-183.
  3. Schecter A, Dai LC, Thuy LTB, Quynh HT, Minh DQ, Cau HD, et al. agent orange and the Vietnamese: the persistence of elevated dioxin levels in human tissues. Am J Public Health. 1995; 85(4): 516-522. https://doi.org/10.2105/AJPH.85.4.516
  4. Hwang SY, Lee CY. Protective effects of red ginseng saponins against to 2,3,7,8-tetrachlorodibenzop- dioxin (TCDD) induced toxicity in Guinea pigs. J Environ Health Sci. 2009; 35(4): 259-268.
  5. Helder T. Effects of 2,3,7,8-tetrachlorodibenzopdioxin( TCDD) on early life stages of the pike. Sci Total Environ. 1980; 14(3): 255-264. https://doi.org/10.1016/0048-9697(80)90027-3
  6. Jang JY, Kwon HJ. Dioxins and health: human exposure level and epidemiologic evidences of health effects. Kor J Prev Med. 2003; 36(4): 303-313
  7. Committee to Review the Health Effects in Vietnam Veterans of Exposure to Herbicides. Institute of Medicine of the National Academies. Veterans and agent orange: Update 2010. National Academy of Sciences press; 2011. p.540-730.
  8. Michalek JE, Wolfe WH, Miner JC. Health status of Air Force veterans occupationally exposed to herbicides in Vietnam. II. Mortality. JAMA. 1990; 264(14): 1832-1836. https://doi.org/10.1001/jama.1990.03450140054033
  9. Shen C, Zhao CY, Liu F, Wang YD, Wang W. Acute liver failure associated with occupational exposure to tetrachloroethylene. J Kor Med Sci. 2011; 26(1): 138-142. https://doi.org/10.3346/jkms.2011.26.1.138
  10. Gold LS, De Roos AJ, Waters M, Stewart P. Systematic literature review of uses and levels of occupational exposure to tetrachloroethylene. J Occup Environ Hyg. 2008; 5(12): 807-839. https://doi.org/10.1080/15459620802510866
  11. Garnier R, Bedouin J, Pepin G, Gaillard Y. Coinoperated dry cleaning machines may be responsible for acute tetrachloroethylene poisoning: report of 26 cases including one death. J Toxicol Clin Toxicol. 1996; 34: 191-197. https://doi.org/10.3109/15563659609013769
  12. Vizcaya D, Christensen KY, Lavoue J, Siemiatycki J. Risk of lung cancer associated with six types of chlorinated solvents: results from two case-control studies in Montreal, Canada. Occup Environ Med. 2013; 70(2): 81-85. https://doi.org/10.1136/oemed-2012-101155
  13. Christensen KY, Vizcaya D, Richardson H, Lavoue J, Aronson K, Siemiatycki J. Risk of selected cancers due to occupational exposure to chlorinated solvents in a case-control study in montreal. J Occup Environ Med. 2013; 55(2): 198-208. https://doi.org/10.1097/JOM.0b013e3182728eab
  14. Gallagher LG, Vieira VM, Ozonoff D, Webster TF, Aschengrau A. Risk of breast cancer following exposure to tetrachloroethylene-contaminated drinking water in Cape Cod, Massachusetts: reanalysis of a case-control study using a modified exposure assessment. Environ Health. 2011; 10: 47. https://doi.org/10.1186/1476-069X-10-47
  15. Neta G, Stewart PA, Rajaraman P, Hein MJ, Waters MA, Purdue MP, et al. Occupational exposure to chlorinated solvents and risks of glioma and meningioma in adults. Occup Environ Med. 2012; 69(11): 793-801. https://doi.org/10.1136/oemed-2012-100742
  16. Caramaschi F, del Corno G, Favaretti C, Giambelluca SE, Montesarchio E, Fara GM. Chloracne following environmental contamination by TCDD in Seveso, Italy. Int J Epidemiol. 1981; 10(2): 135-143. https://doi.org/10.1093/ije/10.2.135
  17. Calvert GM, Hornung RW, Sweeney MH, Fingerhut MA, Halperin WE. Hepatic and gastrointestinal effects in an occupational cohort exposed to 2,3,7,8- tetrachlorodibenzo-para-dioxin. JAMA. 1992; 267(16): 2209-2214. https://doi.org/10.1001/jama.1992.03480160067036
  18. Suskind RR, Hertzberg VS. Human health effects of 2,4,5-T and its toxic contaminants. JAMA. 1984; 251(18): 2372-2380. https://doi.org/10.1001/jama.1984.03340420038023
  19. Webb KB, Evans RG, Knutsen AP, Roodman ST, Roberts DW, Schramm WF, et al. Medical evaluation of subjects with known body levels of 2,3,7,8- tetrachlorodibenzo-p-dioxin. J Toxicol Environ Health. 1989; 28(2): 183-193. https://doi.org/10.1080/15287398909531339
  20. Gennari P, Naldi M, Motta R, Nucci MC, Giacomini C, Violante FS, et al. gamma-Glutamyltransferase isoenzyme pattern in workers exposed to tetrachloroethylene. Am J Ind Med. 1992; 21(5): 661-671. https://doi.org/10.1002/ajim.4700210506
  21. Nagaya T, Ishikawa N, Hata H, Otobe T. Subclinical and reversible hepatic effects of occupational exposure to trichloroethylene. Int Arch Occup Environ Health. 1993; 64(8): 561-563. https://doi.org/10.1007/BF00517701
  22. Martin JV. Lipid abnormalities in workers exposed to dioxin. Br J Ind Med. 1984; 41(2): 254-256.
  23. Calvert GM, Willie KK, Sweeney MH, Fingerhut MA, Halperin WE. Evaluation of serum lipid concentrations among U.S. workers exposed to 2,3,7,8- tetrachlorodibenzo-p-dioxin. Arch Environ Health. 1996; 51(2): 100-107. https://doi.org/10.1080/00039896.1996.9936001
  24. Pelclova D, Urban P, Preiss J, Lukas E, Fenclova Z, Navratil T, et al. Adverse health effects in humans exposed to 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD). Rev Environ Health. 2006; 21: 119-138.
  25. Kim JB, Kang WY, Moon SG, Kim HJ, Kim KH, Kim YH, et al. Clinical outcome of veterans with acute coronary syndrome who had been exposed to agent orange. Chonnam Med J. 2012; 48(1): 47-51. https://doi.org/10.4068/cmj.2012.48.1.47

피인용 문헌

  1. A Proposal to Change Welfare Policy Principles for Agent Orange Exposed Korean Veterans vol.40, pp.2, 2014, https://doi.org/10.5668/JEHS.2014.40.2.157