DOI QR코드

DOI QR Code

Review of a Case of Chronic Obstructive Pulmonary Disease in Workers Exposed to Synthetic Fibers

  • Hyeon-cheol Oh (Department of Occupational and Environmental Medicine, Kosin University School of Medicine) ;
  • Chae-seong Lim (Department of Occupational and Environmental Medicine, Kosin University Gospel Hospital ) ;
  • Jung-won Kim (Department of Occupational and Environmental Medicine, Kosin University School of Medicine) ;
  • Eun-seok Kim (Department of Occupational and Environmental Medicine, Kosin University Gospel Hospital ) ;
  • Ji-eun Lee (Department of Occupational and Environmental Medicine, Kosin University Gospel Hospital ) ;
  • Sang-cheol Kim (Department of Occupational and Environmental Medicine, Kosin University Gospel Hospital )
  • 투고 : 2023.07.28
  • 심사 : 2023.09.26
  • 발행 : 2023.09.30

초록

Objectives: Objectives of this study were: 1) to introduce industrial situation and health hazards of synthetic fiber, 2) to review a case of chronic obstructive pulmonary disease in a worker exposed to synthetic fiber reported to the Korea Occupational Disease Surveillance Center, and 3) to suggest supplementary measures for the occupational health system for workers exposed to synthetic fibers. Methods: Respiratory exposure, health hazards, and exposure standards for synthetic fiber dust in Korea and other countries were reviewed. In addition, a case of chronic obstructive pulmonary disease due to exposure to nylon dust reported to the Korea Occupational Disease Surveillance Center was reviewed and summarized. Results: The worker was a 53-year-old non-smoking male who had been involved in the nylon weaving process for 26 years. He had shortness of breath from three years ago. He was diagnosed with chronic obstructive pulmonary disease. PM1.0, PM2.5, and PM10 were measured at 26.6 ㎍/m3, 48.2 ㎍/m3, and 91.7 ㎍/m3, respectively. Fiber components estimated as nylon fiber were detected in the microscopic examination of a solid sample. Conclusions: For workers exposed to synthetic fiber dust, special health examinations of the respiratory system, regular work environment measurement, and work environment management through workplace health management should be performed. It is necessary to research on health effects of synthetic fibers.

키워드

참고문헌

  1. Barroso E et al. "Polyethylene flock-associated interstitial lung disease in a Spanish female." European Respiratory Journal 20.6 (2002): 1610-1612. https://doi.org/10.1183/09031936.02.00030102
  2. Burkhart J et al. "Hazardous occupational exposure and lung disease among nylon flock workers." American journal of industrial medicine 36.S1 (1999): 145-146. https://doi.org/10.1002/(SICI)1097-0274(199909)36:1+<145::AID-AJIM51>3.0.CO;2-F
  3. CDC [Internet]. c2021. Lung disease in Textile workers; [cited 2021 May 4]. Available from : https://blogs.cdc.gov/niosh-science-blog/2021/03/02/textile-workers/
  4. Eschenbacher WL et al. "Nylon flock-associated interstitial lung disease." American journal of respiratory and critical care medicine 159.6 (1999): 2003-2008. https://doi.org/10.1164/ajrccm.159.6.9808002
  5. Exposure Limit for Chemical and Physical Factors Appendix 1, Ministry of Employment and Labor Notice 2020-48, January 14, 2020, partially amended, URL : https://www.law.go.kr/LSW/admRulInfoP.do?admRulSeq=2100000186058
  6. HSE [Internet]. c1991. Mad-made mineral fibers(MMMF); [cited 1991 Feb 18]. Available from : https://www.hse.gov.uk/foi/internalops/ocs/200-299/oc267_2.html
  7. Kern DG et al. "A retrospective cohort study of lung cancer incidence in nylon flock workers, 1998-2008." International journal of occupational and environmental health 17.4 (2011): 345-351. https://doi.org/10.1179/oeh.2011.17.4.345
  8. Kim JW et al. "Health Diagnosis Items, Frequency, and Maintenance According to the Principles and Objectives of Worker Health Diagnosis." Industrial Safety and Health Research Report (2020).
  9. Lee SH, Yim SJ, Kim HC. "Aging of the respiratory system." Kosin Medical Journal 31.1 (2016): 11-18. https://doi.org/10.7180/kmj.2016.31.1.11
  10. National law information center [Internet]. c2022. Worker health promotion activity guidelines; [cited 2022 Mar 25]. Available from: https://www.law.go.kr/LSW//admRulInfoP.do?admRulSeq=2100000210460&chrClsCd=010201
  11. Nordness ME et al. "Occupational lung disease related to cytophaga endotoxin exposure in a nylon plant." Journal of occupational and environmental medicine 45.4 (2003): 385-392. https://doi.org/10.1097/01.jom.0000058340.05741.37
  12. Park H. Recycled textile industry status and its policy agenda. KIET Monthly Industrial Economics, 277(2021),30-39.
  13. Pimentel JC, Ramiro A, Galvao LA. "Respiratory disease caused by synthetic fibres: a new occupational disease." Thorax 30.2 (1975): 204-219. https://doi.org/10.1136/thx.30.2.204
  14. Porter DW et al. "Acute inflammatory reaction in rats after intratracheal instillation of material collected from a nylon flocking plant." Journal of Toxicology and Environmental Health Part A 57.1 (1999): 25-45. https://doi.org/10.1080/009841099157845
  15. Textile technology [Internet]. c2019. Technical textile market: Global opportunity analysis and industry forecast, 2018 - 2025; [cited 2019 Apr 23]. Available from : https://www.textiletechnology.net/technology/trendreports/Research-and-Markets-Technical-Textile-Market-Global-opportunity-analysis-and-industry-forecast-2018-2025-13207