• Journal of Korean Society for Atmospheric Environment
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• v.26 no.3
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• pp.253-264
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• 2010

This study investigates the relationship between daily mortality and heat stress in Seoul, using perceived temperatures (PT) derived from a heat budget model. During the summer season, observed PT intensity showed the biggest magnitude of summer heat stress from the middle 10 days of July to the first 10 days of August. The elderly (65 and above) were found to be the most vulnerable to heat stress. The threshold PT, with a significant increase in excess mortality, was $38^{\circ}C$. No time lagged effect was observed with summer heat stress, while a high correlation was observed between anomalies in PT and relative deviation of mortality. A comparison of the heat index and the discomfort index with excess mortality revealed that the discomfort index underestimated excess mortality, whereas the heat index could not appropriately explain the increase in excess mortality correlated with the increase in excess heat. In contrast, PT was found to be the weather element that best represents excess mortality due to heat stress, and is thus expected to serve as a more reliable forecast index of human biometeorology.

• The Journal of the Korean life insurance medical association
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• v.33 no.2
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• pp.12-14
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• 2014

Worldwide, stroke is the 2nd or 3rd leading cause of death and a major health problem. Recent advances in medical technology have significantly improved diagnosis and treatment strategies of ischemic stroke. The ischemic stroke subtype is an important determinant of mortality and long-term prognosis of patients. To estimate excess-risks of the ischemic stroke subtype, recently published article, Korean cohort study of stroke, was used as a source article. According to mortality analysis methodology from American academy of insurance medicine, the overall mortality ratio and excess death rate was the highest in patients with SOD, followed by those with CE. Calculated mortality ratio and excess death rate for subtype in this review are SOD, 920%/34‰; CE 267%/34‰; UI 209%/25‰; UM 190%/23‰; UN 188%/15‰; LAA 162%/15‰; LAC 117%/3‰.

• Asian Journal of Atmospheric Environment
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• v.11 no.2
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• pp.61-70
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• 2017

This study evaluated the human health risk in terms of the excess number of mortality and morbidity in the megacity Mumbai, India due to air pollution. AirQ software was used to enumerate the various health impacts of critical pollutants in Mumbai in past 22 years during 1992-2013. A relationship concept based on concentration-response relative risk and population attributable-risk proportion was employed by adopting World Health Organization (WHO) guideline for concentrations of air pollutants like $PM_{10}$, $SO_2$ and $NO_2$. For the year 1992 in Mumbai, it was observed that excess number of cases of total mortality, cardiovascular mortality, respiratory mortality, hospital admission due to COPD, respiratory disease and cardiovascular disease were 8420, 4914, 889, 149, 10568 and 4081 respectively. However, after 22 years these figures increased to 15872, 9962, 1628, 580, 20527 and 7905 respectively, but all of these reached maximum in the year 2006. From the result, it is also noted that except COPD morbidity the excess number of cases from 1992-2002 to 2003-2013 increased almost by 30%; and the excess number of mortality and morbidity is basically due to particulate matter ($PM_{10}$) than due to gaseous pollutants.

• Journal of Environmental Impact Assessment
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• v.21 no.1
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• pp.71-80
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• 2012

Against the backdrop of the clear impact of climate change, it has become essential to analyze the influence of climate change and relevant vulnerabilities. This research involved evaluating the impact of heat waves in Seoul, from among many local autonomous bodies that are responsible for implementing measures on adapting to climate change. To carry out the evaluation, the A1B scenario was used to forecast future temperature levels. Future climate scenario results were downscaled to $1km{\times}1km$ to result in the incorporation of regional characteristics. In assessing the influence of heat waves on people-especially the excess mortality-we analyzed critical temperature levels that affect excess mortality and came up with the excess mortality. Results of this evaluation on the impact of climate change and vulnerabilities indicate that the number of days on which the daily average temperature reaches $28.1^{\circ}C$-the critical temperature for excess mortality-in Seoul will sharply increase in the 2050s and 2090s. The highest level of impact will be in the month of August. The most affected areas in the summer will be Songpa-gu, Gangnam-gu, and Yeongdeungpo-gu. These areas have a high concentration of residences which means that heat island effects are one of the reasons for the high level of impact. The excess mortality from heat waves is expected to be at least five times the current figure in 2090. Adaptation plan needs to be made on drawing up long-term adaptation measures as well as implementing short-term measures to minimize or adapt the impact of climate change.

• The Journal of the Korean life insurance medical association
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• v.28 no.1_2
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• pp.15-18
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• 2009

Background: Recent emergence of drug-resistant tuberculosis such as multidrug-resistant tuberculosis(MDR-TB) or extensively drug-resistant tuberculosis(XDR-TB) has become important health care problems. It has also became grave issues for insurance industries in determining medical risks. We have therefore strived to analyze the comparative mortality rates for drug-resistant tuberculosis through utilization of results from previous articles. Methods: Comparative mortality was calculated from source articles using mortality analysis methods. Results: Mortality ratio of MDR-TB was estimate to 1200%, and excess death rate was 110 per 1,000. Comparative mortality between MDR-TB and XDR-TB by Korean $study^{(1)}$ were 1750, 382, 405, 443, 1025, and 357%, for each 10 months study intervals, respectively. Total mortality ratio was 594% and total excess death rate was 60 per 1,000person. It was determined that the risk of XDR-TB was much greater than MDR-TB. Discussion; Pending the development of a novel anti-tuberculosis drug, it would be prudent to steer clear insuring XDR-TB during underwriting phase due to high medical cost that it creates.

• The Journal of the Korean life insurance medical association
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• v.30 no.2
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• pp.12-15
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• 2011

Background: The beneficial effects of implantable cardioverter defibrillators (ICDs) in primary and secondary prevention patients are well established. However, data on potential differences between both groups in mortality are scarce. The aim of this study was to assess extra risk differences between primary and secondary prevention ICD recipients. Methods: Comparative mortality figures were calculated from a source article using mortality analysis methods. Results: Mortality ratio (MR) of primary and secondary prevention ICD recipients were 393% and 373%. Excess death rates (EDR) of both groups were 42 and 38 per 1,000. Discussion: MR and EDR were higher in primary prevention group. But, there was no significant difference.

• Atmosphere
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• v.17 no.4
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• pp.463-470
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• 2007

This study aims to assess the impact of the hot summer weather on daily mortality in Busan. Daily total all-caused mortality in the entire population in Busan has been examined during 1991-2005. The daily deaths were standardized to account for the long-term trend in mortality and their seasonal and weekly cycles. We found the net increase (about 8.2%) of excess deaths during the extraordinary heat wave period in July of 1994. It corresponds to the excess deaths of 109.5 during the month. The abnormality of temperature extremes in July of 1994 and their impacts on human health were also investigated. Unusual heat wave appeared in the first ten days in July of 1994. The excess deaths are likely to be attributable to the record-breaking heat waves. The result suggests that unusual early heat waves would be dangerous, even for inhabitants who live in an acclimated region to the heat waves such as Busan.

• Safety and Health at Work
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• v.7 no.3
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• pp.251-255
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• 2016

Background: Building demolition can lead to emission of dust into the environment. Exposure to silica dust may be considered as an important hazard in these sites. The objectives of this research were to determine the amount of workers' exposure to crystalline silica dust and assess the relative risk of silicosis and the excess lifetime risk of mortality from lung cancer in demolition workers. Methods: Four sites in the Tehran megacity region were selected. Silica dust was collected using the National Institute for Occupational Safety and Health method 7601 and determined spectrophotometrically. The Mannetje et al and Rice et al models were chosen to examine the rate of silicosis-related mortality and the excess lifetime risk of mortality from lung cancer, respectively. Results: The amount of demolition workers' exposure was in the range of $0.085-0.185mg/m^3$. The range of relative risk of silicosis related mortality was increased from 1 in the workers with the lowest exposure level to 22.64/1,000 in the employees with high exposure level. The range of the excess lifetime risk of mortality from lung cancer was in the range of 32-60/1,000 exposed workers. Conclusion: Geometric and arithmetic mean of exposure was higher than threshold limit value for silica dust in all demolition sites. The risk of silicosis mortality for many demolition workers was higher than 1/1,000 (unacceptable level of risk). Estimating the lifetime lung cancer mortality showed a higher risk of mortality from lung cancer in building demolition workers.

• Safety and Health at Work
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• v.12 no.2
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• pp.174-183
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• 2021

Background: Toluene diisocyanate (TDI) is a highly reactive chemical that causes sensitization and has also been associated with increased lung cancer. A risk assessment was conducted based on occupational epidemiologic estimates for several health outcomes. Methods: Exposure and outcome details were extracted from published studies and a NIOSH Health Hazard Evaluation for new onset asthma, pulmonary function measurements, symptom prevalence, and mortality from lung cancer and respiratory disease. Summary exposure-response estimates were calculated taking into account relative precision and possible survivor selection effects. Attributable incidence of sensitization was estimated as were annual proportional losses of pulmonary function. Excess lifetime risks and benchmark doses were calculated. Results: Respiratory outcomes exhibited strong survivor bias. Asthma/sensitization exposure response decreased with increasing facility-average TDI air concentration as did TDI-associated pulmonary impairment. In a mortality cohort where mean employment duration was less than 1 year, survivor bias pre-empted estimation of lung cancer and respiratory disease exposure response. Conclusion: Controlling for survivor bias and assuming a linear dose-response with facility-average TDI concentrations, excess lifetime risks exceeding one per thousand occurred at about 2 ppt TDI for sensitization and respiratory impairment. Under alternate assumptions regarding stationary and cumulative effects, one per thousand excess risks were estimated at TDI concentrations of 10 - 30 ppt. The unexplained reported excess mortality from lung cancer and other lung diseases, if attributable to TDI or associated emissions, could represent a lifetime risk comparable to that of sensitization.

• Atmosphere
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• v.19 no.4
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• pp.309-318
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• 2009

Vulnerability to heat was examined for populations of 6 major cities in South Korea (Seoul, Incheon, Daejeon, Gwangju, Daegu, and Busan). Daily excess mortality and maximum temperature from 1991 to 2005 were employed in this study. The results show that the standardized mortality increase associated with a $1^{\circ}C$ increase in daily maximum temperature above the city-specific threshold explains the heat acclimatization effect better than the threshold temperature itself. The estimated increase in mortality (standardized per 10 million population) associated with a $1^{\circ}C$ increase in temperature above the threshold is 4.8 in Incheon, 4.7 in Seoul, 4.3 in Daejeon, 2.8 in Gwangju, 2.4 in Daegu, and 1.5 in Busan, well reflecting the latitudinal locations and local climates of each city. Climate models project more frequent, more intense, and longer lasting heat waves in most land areas in both hemispheres in the 21st century under increasing greenhouse gas concentrations. In order to mitigate the adverse human health impacts due to excess heat, more detailed characteristics of acclimatization to heat need to be understood and quantified.