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기초자치단체의 폭염으로 인한 온열 및 심뇌혈관질환 부담

Municipal Disease Burden Attributable to Heat Wave

  • 이수형 (한국보건사회연구원 보건정책연구본부) ;
  • 신호성 (원광대학교 치과대학 인문사회치의학교실)
  • Lee, Suehyung (Dept. of Health Policy Research, Korea Institute for Health and Affairs) ;
  • Shin, Hosung (Department of Social and Humanity dentistry, School of Dentistry Wonkwang University)
  • 투고 : 2014.08.18
  • 심사 : 2014.09.16
  • 발행 : 2014.10.01

초록

Objectives: The objective of study was to calculate the municipal level environmental burden of disease (EBD) due to heat wave. Methods: The data used were Korea National Health Insurance 2011 claim data and 2011 death registry. Heatwave related diseases included hypertensive heart diseases, ischemic heart diseases, cerebrovascular disease, and heat related illness. According to the method that WHO proposed, the study computed population-attributable fraction with relative risk which come from previous study and proportion of exposure which the study calculated with historical meteorology data. Results: The Average of 251 municipal EBD was 2.11 per thousand persons. The value of years lost due to disability was 11 times higher than that of years of life lost. On average EBD of county and southern geographical areas tended to be higher than those of District or city areas. The relationship between municipal deprivation index (composite deprivation index) and EBD showed the positive association, which means that the worse deprived municipal is, the higher EBD takes. Conclusions: Climate change is getting one of the major risk factors of cardio-cerebrovascular disease, which is the second leading cause of death. The study results suggested the urgent policy planning and reaction of climate change adaptation.

키워드

참고문헌

  1. Australia Department of Health. (2008). Health impacts of climate change: Adaptation strategies for Western Australia. Australia: Australia Department of Health.
  2. Blum, L.N., Bresolin, L.B., Williams, M.A. (1998). From the AMA Council on Scientific Affairs. Heat-related illness during extreme weather emergencies. JAMA, 279(19), 1514. https://doi.org/10.1001/jama.279.19.1514
  3. California Natural Resources Agency. (2009). 2009 California Climate Adaptation Strategy. the State of Clifornia: California Natural Resources Agency.
  4. Cheng X & Su, H. (2010). Effects of climate temperature stress on cardiovascular disease. Fur J Intern Med ,21(3) 164-167.
  5. Do. Y.K., Yoon, S.J., Lee, J.K., Kwon, S.I., Lee, S.I., Kim, C.Y.... & Shin, Y.S. (2004). Disability Weights for the Korean Burden of Disease Study: Focused on Comparison with Disability Weights in the Australian Burden of Disease Study. Korean J Prev Med, 37(1), 59-71.
  6. Greater London Authority. (2010). The draft climate change adaptation strategy for London: Public Consultation Draft. London: Greater London Authority.
  7. Hajat, S., Kovats, R.S. Atkinson, R.W., Haines, A. (2002). Impact of hot temperatures on death in London: a time series approach. J Epidemiol Community Health, 56(5), 367-372. https://doi.org/10.1136/jech.56.5.367
  8. Hong, J.M., Lee, S.H., Shin, H.S. (2013). Variation in Life Expectancy by Area Deprivation : Magnitude and Trends in Korea, 2000-2011. Korean Association of Health and Medical Sociology, 34. 273-298.
  9. Jo, S.N. (2013). Health impacts of climate change in the older population - Heatwaves, disaster, climate-change related infectious disease-. Ajou University.
  10. Jo. H.M. (2009). Climate change and Heat wave. World best 365_Korea Meteorological Administration. 2-3.
  11. Kim, S. Y. 2004. The impact of Summer Heatwave on Mortailty. Ajou University.
  12. Kim, Y.J., Kwak, C.H.. (2011). Prevalence and Associated Risk Factors for Cardiovascular Disease: Findings from the 2005, 2007 Korea National Health and Nutrition Examination Survey. Korean J Health Promot, 11(3), 169-176.
  13. Kim. H.J. (2009). Burden of disease due to outdoor air pollution in Korea : based on PM10. Korea University.
  14. Korea Centers for Disease Control and Prevention. (2008). Trends and socioeconomic differences in the prevalence of cardiocerebrovascular diseases: Results from the 2005 Korea National Health and Nutrition Examination Survey. Seoul: DHW.
  15. Korea Environmental Industry & Technology Institute. 2011. Assessment environmental composite health impact and development of adaptation to climate change. Korea Environmental Industry & Technology Institute. (unpublished)
  16. Korea Health Promotion Foundation. (2009). Development of Response Plan and Health Management plans for heat wave. Seoul: Korea Health Promotion Foundation
  17. Korea Institute for Health and Social Affairs. (2008). Climate change and burden of infectious disease. Seoul: Korea Institute for Health and Social Affairs.
  18. Korea Institute for Health and Social Affairs. (2012). Development of Strategy for Community-based Adaptation to the Health Impact of Climate change. Seoul: Korea Institute for Health and Social Affairs.
  19. Korea Meteorological Administration. (2013, August 28). 21th century, temperatures of 3.7 degrees, the sea level is 63 cm higher. retrieved from http://www.google.co.kr/url?sa=t&rct=j&q=&esrc=s&frm=1&source=web&cd=3&ved=0CDAQFjAC&url=http%3A%2F%2Fweb.kma.go.kr%2Fservlet %2FNeoboardProcess%3Bjsessionid%3DkXBa5vMXSTUU8eocex13ggcXOh8Qvc0F9CTRpbXoHOyca1R02udkEhNe0IYdv9nw%3Fmode%3Ddownload%26bid%3Dpress%26num%3D1192697%26fno%3D1%26callback%3Dhttp%253A%252F%252Fweb.kma.go.kr%252Fnotify%252Fpress%252Fkma_list.jsp%26ses%3DUSERSESSION%26k%3DATC201309271829021_eb515e85-eac8-44ad-963a-10e5e04c6a6a.hwp&ei=wQruU5uDB8jj8AX_hoKIBQ&usg=AFQjCNEPxO5faP7U269n4ZKksW7NjYJuWQ&sig2=KqJ3ZqFuN3KLmzzRe5WWKg&bvm=bv.73231344,d.cGE&cad=rjt.
  20. Lee, N.Y. Kim, S. Y. 2013. Effect of Climate change on mortality rate Analysis of Vulnerable Populations and Estimating of Socioeconomic Cost. Ajou University.
  21. Lim, Y.H., Kim, H., Hong. Y.C. (2013). Variation in mortality of ischemic and hemorrhagic stroke in relation to high temperature. Int J Biometeorol, 57(1) 145-153. https://doi.org/10.1007/s00484-012-0542-x
  22. Michelozzi P, Accetta G, Sario DM, D'Ippoliti D, Marino C, Baccini M et al. (2009). High temperature and hospitalizations for cardiovascular and respiratory causes in 12 European cities. Am J Respir Crit Care Med, 179(5), 383-389. https://doi.org/10.1164/rccm.200802-217OC
  23. Ministry of Environment. (2010). Measuring the burden of disease due to climate change and developing the forecast model in Korea. Seoul: Korea University Research management System
  24. Page, L. A., Hajat, S., Kovats, R. S., Howard, L.M. (2012). Temperature-related deaths in people with psychosis, dementia and substance misuse. Br J Psychiatry, 200(6), 485-490. https://doi.org/10.1192/bjp.bp.111.100404
  25. Shin, H.S., Lee, S.H., Chu, J.M. (2009). Development of Composite Deprivation Index for Korea: The Correlation with Standardized Mortality Ratio. J Prev Med Public Health, 42(6), 392-402. https://doi.org/10.3961/jpmph.2009.42.6.392
  26. World Health Organization. (2003). Introduction and methods. Assessing the environmental burden of disease at national and local levels. Geneva: WHO
  27. World Health Organization. (2004). Global Burden of disease 2004 update: disability weights for diseases and conditions Geneva: WHO
  28. World Health Organization. (2008). Environmental Burden of Disease Series. Geneva: WHO
  29. Yoon, T.H., Kim, J.H. (2006). Health Inequalities between Rural and Urban Areas in South Korea. Journal of Korean Academy of Rural Health Nursing, 1(1). 11-20.

피인용 문헌

  1. Evaluating the Effectiveness of Heat-Wave Adaptation Policies against Climate Risk: Application of Local-Level Health Impact Assessment vol.55, pp.2, 2020, https://doi.org/10.17208/jkpa.2020.04.55.2.101
  2. Temperature trend analysis associated with land-cover changes using time-series data (1980–2019) from 38 weather stations in South Korea vol.65, pp.None, 2014, https://doi.org/10.1016/j.scs.2020.102615