• Journal of Environmental Health Sciences
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• v.49 no.5
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• pp.262-274
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• 2023

Background: Exposure levels for heavy metals such as lead (Pb), mercury (Hg), and cadmium (Cd) have increased due to human activities. They are known to be a public health concern. Objectives: This study aimed to determine the exposure levels to heavy metals in the blood and urine of South Korean adults and to present the contribution rate of exposure pathways using an exposure algorithm for men aged 19~64, women aged 19~64, and all seniors aged 65 or older. Methods: We analyzed data from the Korean National Environmental Health Survey (KoNEHS) Cycle 4 (2018~2020). A total of 2,646 participants aged ≥19 years were included. Multiple regression analysis was performed to determine the factors affecting heavy metal concentrations. The contribution rate was calculated by applying three exposure algorithms for ingestion, inhalation, and dermal exposure. Results: Factors that commonly affect heavy metal concentrations in blood and urine were gender and age. The main influencing factors for Pb and Cd were education level and smoking status, while frequency of fish consumption and of alcohol consumption were indicated to be the main influencing factors for mercury. The contribution rates of lead and cadmium from food ingestion were 78.03~79.62% and 88.39~92.89%, respectively. Additionally, the highest contribution for mercury was accounted for by food at 81.69~85.77%. As a result of the risk assessment, cadmium was found to pose a potential health risk a with total cancer risk (TCR) of more than 1×10^-6. Conclusions: The KoNEHS could be an important study for determining the level of exposure to heavy metals and their influencing factors. Integrated exposure to heavy metals could assess the main exposure pathways, and this methodology could be applied to exposure management of heavy metals.

• Journal of Environmental Health Sciences
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• v.49 no.6
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• pp.324-333
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• 2023

Background: Human exposure to phthalates in indoor environments occurs via dermal absorption, oral ingestion of indoor dust, and inhalation of indoor air. However, systematic studies to investigate the exposure rate to phthalates among the three exposure routes in indoor environments are currently limited. Objectives: A theoretical exposure ratio between inhalation and oral exposure was calculated based on the total amount of di(2-ethyl-hexyl) phthalate (DEHP) emitted into indoor air and deposited into floor dust in a test house. Methods: Flooring and wallpaper containing DEHP were installed in a test house and the concentration of DEHP in both indoor air and floor dust were monitored for five months. Based on the measured DEHP concentrations, the theoretical total amount ratio of DEHP that could be exposed through inhalation and oral ingestion was calculated. Results: Considering the period of operation in the test house, the theoretical total amount of DEHP through inhalation and oral ingestion exposures in the entire test house space was calculated to be 0.014 mg and 5.5 mg, respectively. The exposure ratio of the two routes between inhalation and oral exposure corresponding to the total DEHP amount in flooring and wallpaper was 6.0×10^-7% and 2.3×10^-4%, indicating that theoretical oral exposure to DEHP is approximately 380 times higher than inhalation. Conclusions: Monitoring results from a test house has shown that oral exposure is the main exposure route for DEHP in indoor environments. The experimental design employed in this study and theoretical exposure ratio obtained can be applied to investigate actual exposure to DEHP and to determine the exposure characteristics of various types of semi-volatile organic compounds.

• Journal of The Korean Society of Clinical Toxicology
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• v.5 no.1
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• pp.74-78
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• 2007

The carbamates are a group of insecticides derived from carbamic acid, with a broad spectrum of uses as agricultural and household garden insecticides. Carbamate insecticides are reversible cholinesterase inhibitors. Their inhibitory action is mediated by reversible carbamylation of acetylcholine, as with the organophosphate insecticides. Carbamates are absorbed by the body through multiple routes, including inhalation, ingestion, and dermal absorption. Although poisoning can result from occupational exposure or accidental ingestion, in most cases there is suicidal intent. This is particularly true in developing countries, where the highest incidence of morbidity and mortality from this cause occurs. Cardiac complications often accompany poisoning by carbamate compounds, which may be serious and often fatal. The extent, frequency, and pathogenesis of cardiac toxicity from carbamate compounds has not been clearly defined. Possible mechanismsinclude sympathetic and parasymphatetic overactivity, hypoxemia, acidosis, electrolyte derangements, and a direct toxic effect of the compounds on the myocardium. Patients with carbamate poisoning should immediately be transferred to an intensive or coronary care unit where appropriate monitoring and resuscitative facilities are available. We here report a case of acute coronary syndrome resulting from acute carbamate ingestionthat resulted in a healthy discharge.

• Journal of Korean Society of Environmental Engineers
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• v.35 no.9
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• pp.630-635
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• 2013

There is a need to establish systematic procedure of groundwater quality standards, however, there were no specified basis for establishing substances and values in Korean groundwater quality standards for non-drinking water. In this study, we reviewed basis for deriving groundwater quality standard in the developed countries, considering carcinogenic and non-carciongenic risk via inhalation and dermal contact exposure pathways. Also, we reviewed the prior systematic procedure of standards related to water quality (e.g. drinking water, surface water, and wastewater). USEPA RAGS, ASTM RBCA, and Massachusettes presented the formulas for deriving groundwater concentrations of chemicals and there were similarity and differences. We suggests systematic procedure of groundwater quality standards, as follows. (1) Selection of groundwater pollutants population, (2) Possibility of risk assessment, (3) Selection of monitoring priority substances, (4) Monitoring, (5) Risk assessment, (6) Selection of groundwater quality standard candidates, (7) Selection of new substances and values for groundwater quality standards. Especially, groundwater concentration of hazardous material were presented according to revised risk formulas via inhalation and dermal contact.

• Journal of Environmental Impact Assessment
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• v.29 no.4
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• pp.286-297
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• 2020

This research studied human health risk assessment of PAHs (Polycyclic Aromatic Hydrocarbons) in road dust sediments collected from 6 sites in four different cities in Korea. PAHs are well known to be human carcinogens and toxic compounds that are commonly generated from incomplete combustion of fuels and energy products. Such compounds which is absorbed by atmospheric suspended dust can be emitted into air in gaseous form and often deposited on road dust sediments. The PAHs which is deposited on sediment particles can also be re-dispersed by vehicles or winds on the road surface. It can be harmful for humans when exposed via breathing, ingestion and dermal contact. This study examined human health risk assessment of PAHs in deposited road dust sediments. Results showed that the excess cancer risk estimates were above 1.0×10-6 at main traffic roads and resident area in Ulsan city. According to the result of deterministic risk assessment, dermal-contact was the major pathway, while the contribution of the risk from inhalation was less than 1%. The probabilistic risk assessment showed similar levels of cancer risk derived from the deterministic risk assessment. The result of sensitivity analysis reveal that exposure time is the most contributing factor (69%). Since the values of carcinogenic risk assessment were higher than 1.0 × 10^-6, further detailed monitoring and refined risk assessment for PAHs may be required to identify more reliable and potential cancer risks for those who live in the study locations in Ulsan city.