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http://dx.doi.org/10.5668/JEHS.2013.39.4.335

Cancer Mortality and Morbidity Based on Secondary Data Analysis of Health Among Residents Around Waegwan, Gyeongsangbuk-do, Korea  

Lee, Kwan (Department of Preventive Medicine, College of Medicine, Dongguk University)
Lim, Hyun-Sul (Department of Preventive Medicine, College of Medicine, Dongguk University)
Min, Young-Sun (Department of Preventive Medicine, College of Medicine, Dongguk University)
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, Won-Ho (Department of Occupational Health, Catholic University of Daegu)
Cho, Yong-Sung (Environmental Health Research Division, National Institute of Environmental Research)
Kim, Geun-Bae (Environmental Health Research Division, National Institute of Environmental Research)
Publication Information
Journal of Environmental Health Sciences / v.39, no.4, 2013 , pp. 335-345 More about this Journal
Abstract
Objectives: As the suspicion was raised that 'Agent Orange' was reclaimed 30 years ago at Camp Carol, located in Waegwan, Gyeongsangbuk-do, the government conducted an investigation of the influence of environmental and health effects around Camp Carol through a public-private joint investigation team. As part of the investigation of population health effects, this study was carried out in order to observe changes and regional differences in diseases, particularly cancer, by year. Methods: We authors conducted an analysis of secondary health data, such as cancer registration data, mortality data, and health insurance data. We drew an age standardized incidence ratio (SIR), death rate (SDR), mortality ratio (SMR), and health care utilization rate using these data. Results: For gastric cancer in women, and other cancers in men, a significant increase in incidence was observed compared to the control area. For biliary tract cancer, gallbladder cancer, and thyroid cancer in women, and prostate cancer in men, a significant decrease in incidence was observed compared to the control area. In the national statistical analysis of data, such as health insurance data and mortality data, we did not observe a significant increase at the Waegwan region compared to other regions. Conclusions: We must consider the limitations of this study. Because thirty years have passed from the time of the estimated landfill of 'Agent Orange', recent national statistical data may not reflect the past real situation. Therefore, the monitoring of secondary data for health effects at the municipal level should be carried out continuously.
Keywords
Cancer; dioxin; health insurance; incidence; mortality;
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