Environmental Analysis Health and Toxicology

  • 제31권
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  • Pages.19.1-19.7
  • /
  • 2016
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  • 2671-9525(eISSN)
환경독성보건학회 (The Korean Society of Environmental Health and Toxicology)
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Humidifier disinfectant lung injury, how do we approach the issues?

  • Choi, Jihyun Emma (Department of Pediatrics, Childhood Asthma Atopy Center, Environmental Health Center, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Hong, Sang-Bum (Department of Pulmonary and Critical Care Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Do, Kyung-Hyun (Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Kim, Hwa Jung (Department of Preventive Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Chung, Seockhoon (Department of Psychiatry, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Lee, Eun (Department of Pediatrics, Inje University Haeundae Paik Hospital) ;
  • Choi, Jihyun (Environmental Health Center, Asan Medical Center) ;
  • Hong, Soo-Jong (Department of Pediatrics, Childhood Asthma Atopy Center, Environmental Health Center, Asan Medical Center, University of Ulsan College of Medicine)
  • 투고 : 2016.06.20
  • 심사 : 2016.08.29
  • 발행 : 2016.01.01
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초록

A large portion of the Korean population has been exposed to toxic humidifier disinfectants (HDs), and considering that the majority of the victims are infants, the magnitude of the damage is expected to be considerably larger than what has currently been revealed. The current victims are voicing problems caused by various diseases, including but not limited to lung, upper respiratory tract, cardiovascular, kidney, musculoskeletal, eye, and skin diseases, etc. However, there has been difficulty in gaining validation for these health problems and identifying causal relationships due to lack of evidence proving that toxic HD is the specific causes of extrapulmonary diseases such as allergic rhinitis. Furthermore, the victims and bereaved families of the HD case have not received any support for psychological distress such as post-traumatic stress disorder, depression, feelings of injustice, and anger caused by the trauma. In addition, because the underlying mechanisms of the toxic materials within the HDs such as polyhexamethylene guanidine phosphate, poly(oxyalkylene guanidine) hydrochloride, chloromethylisothiazolinone /methylisothiazolinone have yet to be determined, the demand for information regarding the HD issue is growing. The victims of the HD cases require support that goes beyond financial aid for medical costs and living expenses. There is a desperate need for government-led integrated support centers that provide individualized support through health screenings; in other words, we need an integrated facility that provides the appropriate social support to allow the victims to recover their physical and mental health, so as to well prepare them to return to a normal life. The implementation of such a plan requires not only the close cooperation between those departments already directly involved such as the Ministry of Environment and the Ministry of Health and Welfare, but also active support on a national scale from pan-governmental consultative bodies.

키워드

참고문헌

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피인용 문헌

  1. Combined approaches using adverse outcome pathways and big data to find potential diseases associated with humidifier disinfectant vol.32, pp.None, 2016, https://doi.org/10.5620/eht.e2017003
  2. Cognitive Emotion Regulation Strategies and Insomnia or Other Psychiatric Symptoms among Humidifier Disinfectant Victims vol.9, pp.1, 2016, https://doi.org/10.17241/smr.2018.00136
  3. Family-based case-control study of exposure to household humidifier disinfectants and risk of idiopathic interstitial pneumonia vol.14, pp.9, 2019, https://doi.org/10.1371/journal.pone.0221322
  4. Problems with diagnostic criteria for humidifier disinfectant lung injury (HDLI): two cases of radiologically improved HDLI vol.32, pp.1, 2020, https://doi.org/10.35371/aoem.2020.32.e1
  5. Mental health impact on a humidifier disinfectant disaster victim: a case report vol.32, pp.1, 2016, https://doi.org/10.35371/aoem.2020.32.e15
  6. Mental health impact on a humidifier disinfectant disaster victim: a case report vol.32, pp.1, 2016, https://doi.org/10.35371/aoem.2020.32.e15
  7. Comparison of Long Term Follow-up Chest CT Imaging in Adult and Pediatric Patients with Humidifier Disinfectant-related Lung Injury vol.35, pp.45, 2016, https://doi.org/10.3346/jkms.2020.35.e377