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기고 - 산업의학 역사적 사건에 있어 나타난 산업의학 의사 윤리 문제
임현술,Im, Hyeon-Sul 대한산업보건협회 2010 산업보건 Vol.263 No.-
2009년 대한산업의학회 춘계학술대회 심포지엄 '산업의학 분야의 의학윤리'에서 위의 제목으로 지정 토론한 내용을 정리한 글입니다.
임현술,최금발,이새롬 대한예방의학회 2013 Journal of Preventive Medicine and Public Health Vol.46 No.2
Objectives: An outbreak of hepatitis A occurred at a residential facility for the disabled in July 10, 2011. This investigation was carried out to develop a response plan, and to find the infection source of the disease. Methods: A field epidemiologist investigated the symptoms, vaccination histories, living environments, and probable infection sources with 51 residents and 31 teachers and staff members. In July 25, 81 subjects were tested for the hepatitis A virus antibody, and specimens of the initial 3 cases and the last case were genetically tested. Results: Three cases occurred July 10 to 14, twelve cases August 3 to 9, and the last case on August 29. Among the teachers and staff, no one was IgM positive (on July 25). The base sequences of the initial 3 and of the last case were identical. The vehicle of the outbreak was believed to be a single person. The initial 3 patients were exposed at the same time and they might have disseminated the infection among the patients who developed symptoms in early August, and the last patient might have, in turn, been infected by the early August cases. Conclusions: The initial source of infection is not clear, but volunteers could freely come into contact with residents, and an infected volunteer might have been the common infection source of the initial patients. Volunteers’ washing their hands only after their activity might be the cause of this outbreak. Although there may be other possible causes, it would be reasonable to ask volunteers to wash their hands both before and after their activities.