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A Study on Hepatitis Infection Risk of Funeral director related to wearing PPE(Personal Protect Equipment)

한국 장례종사자의 개인보호물품 착용에 따른 A형 간염, B형 간염 위험도 및 로지스틱 분석

  • Received : 2017.03.10
  • Accepted : 2017.03.30
  • Published : 2017.05.31

Abstract

We are investigated about the Hepatitis infection risk of the funeral director related to wearing PPE(Personal Protect Equipment) within Metropolitan, Chungcheong and Gyeongsang regions in Korea. We are classified that the vaccinated group was classified as low risk group and the non-vaccinated group was classified as high risk group. And we are analyzed the risk rate of infection based on whether or not to wear PPE(personal protective equipment) among high-risk groups. The result is as follows. The mask wearing rate of high-risk group about HAV(hepatitis A virus) is three times lower than that of low-risk group. The surgical glove wearing rate of high-risk group about HBV(hepatitis B virus) is twice lower than that of low-risk group. The surgical glove and mask not wearing rate among the high-risk group observe that potential infection risk was high 4.23 times and 3.5 times, respectively. We are concluded that increasing the risk of potential infection risks from the funeral director could result in increased risk of infection to national public health, including the bereaved family. We are suggested that the funeral director must be bound to vaccinate against hepatitis and make PPE mandatory. It is deemed necessary for the government to develop policies to promote personal health and national health care.

본 연구는 국내 수도권, 충청권, 경상권의 3개 지역의 장례종사자를 대상으로 간염A형 바이러스, 간염B형 바이러스에 대해 백신 접종 군을 저위험성군으로, 접종하지 않은 군을 고위험성으로 분류하여, 개인보호물품의 착용정도에 대해 조사하고, 고위험성군 내의 감염보호물품 착용 유무에 따른 감염잠재위험도를 분석한 연구이다. 연구결과 A형간염 고위험군의 마스크 미착용률이 저위험군보다 3배 이상 높았으며, B형 간염 고위험군의 글러브 미착용률이 저위험군에 비해 2배 이상 높았다. 고위험군을 대상으로 한 개인보호물품 착용에 대한 연구에서 A형 간염에서 글러브와 마스크 미착용 장례종사자의 감염잠재위험도가 각각 4.23배, 3.5배로 매우 높음을 관찰할 수 있었다. 장례종사자의 잠재적 감염위험성이 증가되는 것은 결과적으로 유가족 등 국민의 감염위험성이 증대될 수 있으며, 국가적 공중보건에 위해요인이 될 것으로 결론내릴 수 있었다. 장례종사자는 반드시 간염에 대한 백신접종과 개인보호장비를 의무화하고, 영업자에는 주기적으로 장례종사자 질병감염 상항을 모니터링하고, 장례종사자가 입었던 가운, 마스크 등의 위생처리 등 보건위생관련에 대한 정책적 노력이 필요하다고 판단된다.

Keywords

References

  1. KS Hwang, et al. Embalming: History, Theory and Practice. 3th. korean version. DaihakseolimPub. 2003.
  2. CM Beck-Sague, WR Jarvis, JA Fruehling, CE Ott, MT Higgins, FL Bates. Universal precautions and mortuary practitioners: Influence on practices and risk of occupationally acquired infection. Journal of occupational medicine(J Occup Med). 33(8): 874-882, 1991.
  3. DM Bell. Occupational risk of human immunodeficiency virus infection in healthcare workers: An overview. The American journal of Medicine. 102(5B):9-15, 1997.
  4. KS Hwang, JW Youn, Study on the risk of disease infection for the funeral workers, Journal of Korea Funeral Cultural, 1(1);189-204, 2002.
  5. KS Hwang, JY Jin, JL Kim, Prevention Guidelines for Infection-associated funeral directors in Korea. The Journal of the Convergence on Culture Technology(JCCT), 1(4):103-106, 2015. https://doi.org/10.17703/JCCT.2015.1.4.103
  6. KS Hwang, MS Chang, JS Myoung, JL Kim, A Study on the Funeral director's working Circumstances and Management Facilities associated Infection Disease on Funeral home. The Journal of the Convergence on Culture Technology(JCCT), 2(3):1-7, 2016. https://doi.org/10.17703/JCCT.2016.2.3.1
  7. KS Hwang, JL Kim, A Study on the Funeral director's working Circumstances and Personal Protective Equipment on Funeral home. The Journal of the Convergence on Culture Technology(JCCT), 3(1):1-8, 2017. https://doi.org/10.17703/JCCT.2017.3.1.1
  8. SB Turners. Occupational Exposure to Human Immunodeficiency Virus(HIV) and Hepatitis B virus(HBV) among Embalmers : A Pilot Seroprevalence Study. AJPH, 79(10); 1425-1426, 1989. https://doi.org/10.2105/AJPH.79.10.1425
  9. JS Hwang. Analysis of Interaction between NS3 Protease Domain of HCV and Its Specific RNA Aptamer. University of Tsukuba. 2001.
  10. RR Gershon, D Vlahov, H Farzadegan, MJ Alter. Occupational Risk of Human Immunodeficiency Virus, Hepatitis B Virus, and Hepatitis C Virus Infections Among Funeral Service Practitioners in Maryland. Infection Control and Hospital Epidemiology, 16(4); 194-197, 1995. https://doi.org/10.2307/30140977
  11. BP Watkins, RE Haushalter, DL Bolender, SKaplan, GL Kolesari. Postmortem Blood Tests for HIV, HBV and HCV in a body Donation Program. Clinical Anatomy, 11; 250-252, 1998. https://doi.org/10.1002/(SICI)1098-2353(1998)11:4<250::AID-CA5>3.0.CO;2-V