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김판기(Pangyi Kim),최윤형(Yoon-Hyeong Choi),박영철(YeongChul Park),박태현(Tae-Hyun Park),임종한(JongHan Leem) 한국환경보건학회 2022 한국환경보건학회지 Vol.48 No.1
Objectives: The purpose of this study is to reveal the circumstances under which the cases of harm to health caused by humidifier disinfectant were neglected and show the points where the number of victims and the degree of damage could have been reduced. In addition, it attempts to describe how damage management proceeded immediately after the incident and actually exacerbated the damage. Finally, it explores the unfortunate aspects of the recent trial. By doing so, it attempts to take this as an opportunity to consider whether a tragic event such as the humidifier disinfectant incident could occur in the future. Methods: This study collected and analyzed data on chemical material characteristics related to humidifier disinfectants, data on health effect characteristics, data on related laws and regulations from the Ministry of Environment, data related to the damage investigation by the Korea Environmental Industry and Technology Institute, and current contents. Results: The lack of related systems and laws is the area where the greatest responsibility for the cause of the humidifier disinfectant disaster falls, so it is difficult for the government to escape this responsibility. Establishing a dedicated department to identify the prevalence of certain diseases within the functions of the Health Insurance Review and Assessment Service to monitor health can greatly contribute to the prevention and management of diseases through early detection and management of group outbreaks caused by harmful factors. Humidifier disinfectant damage relief should have been expanded earlier beyond HDLI (humidifier disinfectant lung injury) to include non-specific diseases such as asthma, pneumonia, and interstitial pneumonia. The scope of relief benefits should have also been expanded earlier to include the payment of disability benefits. Fortunately, with the 2020 revision of the Special Act, the conditions for estimating causal relations were eased and individual screening systems such as health impact assessment were reorganized along with the introduction of a rapid screening system. Conclusions: The management system for chemical substances in a country is clearly of paramount importance, and the ministry in charge must have a response system in case of damage to health effects. Administration that looks at the victims situation from their point of view is needed, and technical countermeasures are required to quickly recognize the prevalence of certain diseases.
Risk assessment of pharmaceuticals in Korea
김영희(Younghee Kim),Kyungho Choi,Jeongim Park,Changu Park,Minyoung Kim,PanGyi Kim 한국보건교육건강증진학회 2006 한국보건교육·건강증진학회 학술대회 발표논문집 Vol.- No.-
Because pharmaceuticals are developed for specific biological effects, there are concerns about the potential for their impacts to non-target species when they are discharged into environment. The hazard of twenty six pharmaceuticals abundantly used in Korea were preliminary assessed employing a marine bacterium (Vibrio fischeri), a freshwater invertebrate (Daphnia magna) and the Japanese medaka (Oryzias latipes). The ecological hazards of these compounds were compared with environmental occurrence data obtained from our investigation and literature. Daphnia was the most susceptible among the test organisms employed in this study. The hazard quotients (HQ) derived from dividing environmental concentration with predicted no effect concentrations (PNECs) were mostly lower than unity. However a few chemicals including chlortetracycline showed high potential risk, suggesting a need of more detailed ecological risk assessment.