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서울 일부 지하철 승무원석의 PM, 이산화탄소, 일산화탄소 모니터링에 의한 실내 공기질 특성 평가
곽현석,진구원,김원,양원수,최상준,박동욱,Kwag, Hyun-Suk,Jin, Ku-Won,Kim, Won,Yang, Won-Su,Choi, Sang-Jun,Park, Dong-Uk 한국환경보건학회 2005 한국환경보건학회지 Vol.31 No.5
[ $PM_{10},\;PM_{2.5},\;CO_2\;and\;CO$ ] in driver cabins of subway line from 5 to 8 were monitored from 07:00 through 21:00 (or 19:30 or 20:00) on May. Driver cabin of subway line 7 showed the highest $PM_{10},\;PM_{2.5},\;CO_2\;and\;CO$ concentrations. General Linear Model indicated that subway line, subway location (ground and underground track) and running time (morning and afternoon) significantly influenced the concentrations of $PM_{10},\;PM_{2.5},\;CO_2\;and\;CO$ (p=0.000). Daily profile of $PM_{10},\;PM_{2.5},\;CO_2\;and\;CO$, expressed as an 30 minutes average, showed similar variation pattern over day period. These concentrations showed the highest concentrations between 07:00 and 09:00 of rush hour, slightly dropped and again rose slightly after 18:00. In correlation analysis, significant relations among $PM_{10},\;PM_{2.5},\;CO_2\;and\;CO$ were detected (p<0.01). In particular, correlation coefficient between $PM_{10}\;and\;PM_{2.5}$ was highly significant (r=0.884). Regression analysis also concluded that $PM_{10}$ concentration significantly explained 71.4% of variation of $PM_{2.5}$ concentration (p=0.000, $R^2=0.714$). Correlations by CO with $PM_{10}\;and\;PM_{2.5}$ were 0.451 and 0.520, which were higher than those by $CO_2$. Further study is needed to examine the sources of $PM_{2.5}$ and CO in subway and to compare pollutants concentration among subway lines.
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서울 지하철을 이용하는 승객들의 비악성 호흡기질환과 졸음 증상 유병물 분석
박동욱,진구원,류경남,Park, Dong-Uk,Jin, Ku-Won,Yoo, Kyong-Nam 한국환경보건학회 2006 한국환경보건학회지 Vol.32 No.5
A self-administrated non-malignant respiratory symptoms questionnaire was sent to 1,099 citizens who take subway running in Seoul city. Symptom prevalence rate was high: 70.6% of subjects reported 'chest tightness', 43.4%, 'dysphnea'; 76.2%, 'dry cough'; 49.5%, 'runny nose'; 94.4%, 'drowsiness' when they take subway. The groups responding significant higher respiratory and drowsiness symptoms were 'young passengers' (vs elderly passengers), 'the female' (vs male), 'using subway everyday' (vs often), 'using subway for rush-hour time' (vs other than rush-hour), 'using transfer subway' (no transfer), 'using underground track' (vs ground track). Logistic. regression model was employed to find personal and subway characteristics affecting non-malignant respiratory symptoms. This study concluded that respiratory diseases history such as asthma, rhinitis, sinusitis, hypersensitivity pneumonitis significantly affect 'dry cough' and 'runny nose'. Thus, passengers with respiratory diseases history shows 2.8 times greater 'dry cough' than and 3.4 times greater 'runny nose' than those passengers without respiratory diseases history felt. This results indicated that several measures have to take to protect sensitive groups such as passengers with respiratory diseases, children and elderly people. Also passenger who use to transfer shows 1.7 times higher runny nose symptoms than that passenger who do not transfer felt.
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이선웅,고동희,진구원,박동욱,이정탁,송윤희,이상윤 大韓産業醫學會 2008 대한직업환경의학회지 Vol.20 No.1
서론: 과민성폐장염의 원인물질로 금속가공유는 외국의 경우 작업장의 집단발병 사례들을 중심으로 많은 보고가 되어 왔으나 우리나라에서는 아직 보고되지 않았으며,저 자들은 금속가공유에 1년간 노출된 근로자에서 발생한 과민성폐장염 1예를 발견하였기에 작업환경측정을 시행한 후 작업관련성을 평가하여 보고하는 바이다. 증례: 64세 남자 환자가 1년간 강관을 절단하는 작업을 한 후 호흡곤란을 주소로 내원하였다 노출력,임상적 소견 및 방사선학적 소견을 토대로 과민성폐장염으로 진단되었다. 작업환경 측정결과 공기 중 금속가공유,엔도 톡신,총 세균 및 곰팡이는 각각 0.531 mg/m³, 6.33 EU/m³ 100 CFU/m³ 및 75 CFU/m³이었고,금속가 공유 내 엔도톡신,총세균 및 곰팡이는 각각 1.5x10⁴EU/mL,4.6x10^(5) CFU/mL 및 1.8×10^(5) CFU/mL이었다. 고찰: 금속가공유 내의 원인항원에 대한 침강항체를 검사하지 못했으나,작업환경 측정결과 금속가공유가 일반적인 허용가능 수준 이상으로 오염되었으며,기존의 과민성폐장염 발생 사례들과 비슷한 수준 또는 그 이상으로 오염되어 있었다. 공기 중 금속가공유 농도 역사 NIOSH의 REL과 ACGIH의 NIC를 초과하고,기존의 사례들에 비해서도 대체적으로 높은 수준 이었다. 금속가공유 이외의 다른 원인에 대한 감별과 기존의 발생사례들과의 노출수준 비교를 통하여,저자들은 환자가 금속가공유에 의한 미생물 항원에 노출되어 과민성폐장염이 발생한 것으로 판단하였다. Introduction: There have been no reports of hypersensitivity pneumonitis caused by metal working fluids in Korea, despite their existence in other countries. Here, we report the first such case, along with an assessment of work-relatedness through exposure assessment. Case report: A 64-year old male patient visited the hospital with dyspnea after metal pipe cutting for about a year. He was diagnosed with hypersensitivity pneumonitis from the evidence of specific exposure history, clinical symptoms, and radiologic findings. The air exposure levels of the oil mist, endotoxin, total bacteria and fungus in the work environment was TWA(8-hr) 0.531 mg/m³, 6.33 EU/m³, 100 CFU/m₃ and 75 CFU/m³, respectively. The concentrations of the endotoxin, total bacteria and fungus within the metal working fluid was 1.5 X 10⁴EU/mL, 4.6 X 10^(5) CFU/mL and 1.8 X 10^(5) CFU/mL, respectively. Discussion: Although the patient did not receive a specific precipitating antibody test, the microbial concentration within the metal working fluid was higher than normal and similar to previous case reports, The oil mist level in the air exceeded the NIOSH REL and ACGIH NIC, and were similar or higher than previous cases. By excluding other causes of hypersensitivity pneumonitis, we concluded that the disease developed from exposure to microbial antigens in the metal working fluid.
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