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이경무(Kyoung-Mu Lee),박문영(Moon-Young Park) 한국환경보건학회 2022 한국환경보건학회지 Vol.48 No.3
Background: Epidemiology is a fundamental study of public health, including environmental health, since the features and causes of diseases discovered through epidemiology provide crucial information for developing successful disease prevention strategies. Objectives: This paper tried to define the role and function of epidemiologic research in the field of environmental health, summarize examples of epidemiological studies with regard to selected environmental health events in South Korea, and address important issues that should be considered when conducting epidemiological research in the future. Methods: Epidemiological studies of selected environmental health events were reviewed and summarized in terms of their contribution to environmental health in South Korea. Based on the information, important issues were suggested for future epidemiological studies in environmental health. Results: The role and function of epidemiologic research in the field of environmental health includes the systematic description of the health effects caused by environmental exposure, verification of the causal relationship between environmental exposure and health effects, and provision of background data for conducting prevention strategies and developing policies. A number of epidemiological studies have contributed to characterizing and assessing the environmental risks involved in a series of environmental health events in South Korea. Conclusions: Important issues for future epidemiological studies may include health effects from chronic low-level environmental exposure, application of analytical epidemiology to elucidate causal relationships, use of exposure/disease/susceptibility biomarkers, accurate reconstruction of past exposure status, cohort recruitment and long-term follow-up, and in-advance surveillance of diseases with environmental causes.
대기오염물질과 환경성 질환 관련 의료이용률과의 연관성 - 일반거주지역을 대상으로 -
박동윤(Dong Yun Park),이채관(Chae Kwan Lee) 한국환경보건학회 2021 한국환경보건학회지 Vol.47 No.3
Objectives: This study investigated the association between air pollutant levels and medical usage rates for environmental disease in a general residential area during the period 2015-2017. Methods: Air pollutant (PM₁₀, PM₂.₅, SO₂, NO₂, CO, O₃) data were collected from Air-Korea. Medical usage data on environmental disease (asthma, allergic rhinitis, atopic dermatitis) for the period 2015-2017 in a general residential area in Gyeongsangnam-do Province were provided by the National Health Insurance Corporation. Pearson correlation analysis and multiple regression analysis were conducted to investigate the association between air pollutant levels and medical usage rates (SAS 9.4). In the multiple regression analysis, environmental disease was set as the dependent variable and air pollutants were set as independent variables and analyzed using the General Linear Model. Results: Except for PM₂.₅, the average concentration of air pollutants in the surveyed area was below than the air environment standards of Korea. NO₂ was higher than Korea’s national average, but CO was similar. The others were lower than the Korea’s national average. The daily medical usage rates for environmental disease were 1.38‰ for asthma, 9.90‰ for allergic rhinitis, and 0.32‰ for atopic dermatitis. As a result of correlation analysis, PM₁₀ and SO₂, NO₂ and CO were significantly correlated with asthma, PM₁₀ and NO₂ and CO were correlated with allergic rhinitis, and PM₁₀ and PM₂.₅, SO₂, NO₂ and CO were correlated with atopic dermatitis. As a result of multiple regression analysis, PM₁₀ and SO₂ were found to have a higher effect on asthma, PM₁₀ and NO₂ on allergic rhinitis, and SO₂ and NO₂ on atopic dermatitis, compared to other air pollutants. Conclusion: According to these results, air pollutants such as PM₁₀ and SO₂ and NO₂ were associated with the medical usage rates of environmental disease even in relatively low concentrations. Therefore, continuous monitoring will be required for general residential areas.
시중에 판매되는 다양한 비인증 마스크의 분진 포집효율과 안면부 흡기저항 평가
강소현(Sohyun Kang),김수민(Soomin Kim),윤충식(Chung Sik Yoon),이기영(Kiyoung Lee) 한국환경보건학회 2021 한국환경보건학회지 Vol.47 No.3
Objectives: Wearing medical masks has been recommended since the declaration of coronavirus disease-19 (COVID-19) as a pandemic disease. Certified medical masks are evaluated according to filtration efficiency and facial inhalation resistance. However, some people use non-certified common masks. This study aimed to evaluate various non-certified commercial masks based on the certification criteria for medical masks. Methods: Twenty mask products (three anti-droplet, three disposable dental, eight fashion, three cotton, and three children’s masks) were selected. For performance evaluation, filtration efficiency and facial inhalation resistance tests were conducted. The evaluation method followed the certification method for KF-certified masks of the Ministry of Food and Drug Safety (MFDS) and the N95 respirator of the National Institute for Occupational Safety and Health (NIOSH). Results: None of the 20 masks met the KF94 certification standard set by the MFDS. Four and three masks respectively met the KF80 certification standard and the N95 standard of NIOSH. Filtration efficiency was significantly higher in three-layer masks than in single layer masks. Pleated-type masks had higher filtration efficiency than cone-type masks. There was no correlation between the structure of masks and facial inhalation resistance. Conclusion: While no masks complied with the KF94 certification standard, a few masks met the KF80 and the N95 certification standards of NIOSH. Although some people wear non-certified commercial masks, protection from aerosols is not guaranteed by such masks. Evaluation of the protection efficiency of non-certified mask against microbiological infection is needed for the prevention of infectious disease.
박주현(Juhyun Park),김선정(Seonjung Kim),이윤국(Youn-gook Lee),김난희(Nanhee Kim),강유미(Yumi Kang),배석진(Seokjin Bae),김종민(Jongmin Kim) 한국환경보건학회 2021 한국환경보건학회지 Vol.47 No.2
Objective: This study was performed to detect indicator bacteria in drinking spring water samples in Gwangju City and to identify their genus using the VITEK-II system. Methods: The subjects were ten drinking spring water sites in Gwangju. Samples of spring water were taken every month from September 2019 to August 2020. We analyzed for the indicator bacteria Yersinia and microorganisms isolated from the spring water. Result: According to the research results on indicator bacteria, general bacteria in st1-st7 with sterilization facilities in the spring and summer were investigated in the range of 0-2 CFU/mL and 0-12 CFU/mL. In st9, where a sterilization facility was not installed, the most general bacteria were detected (160 CFU/mL). Total coliform and fecal coliform showed unsatisfied rates of 16.7 and 11.1% in spring and 14.7 and 11.8% in summer, respectively. The unsatisfied rates of total coliform for the designated and non-designated spring water facilities were 3.8 and 47.1%, respectively, and for the fecal coliform group they were 2.5 and 35.3%. The difference was confirmed according to the presence of a sterilization facility. Yersinia spp. was not detected in all drinking spring water. Forty-one strains in 25 species were isolated from ten sites. The results classified as major dominant species are Pseudomonas spp. 14.6%, Pantoea spp. 9.8%, Serratia spp. 9.8%, Acinetobacter spp. 9.8%, Citrobacter spp. 7.3%, Bordetella spp. 7.3%, Delftia spp. 4.9%, and Enterobacter spp. 4.9%. Conclusions: Based on the result that various species derived from fecal pollution and artificial pollutants were detected in the non-specified public spring water facilities that many people use, the facilities need institutional complements such as continuous management or complete shutdowns.
사스-코로나바이러스-2 공기 중 부유 전파이론과 에어로졸 제어기술
이병욱(Byung Uk Lee) 한국환경보건학회 2021 한국환경보건학회지 Vol.47 No.2
Objectives: Control methods against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) aerosols have been introduced. Airborne spreading theories for SARS-CoV-2 were analyzed in this study. Methods: Control methods for airborne microorganisms were discussed. Studies on theoretical estimations for airborne spreading of SARS-CoV-2 were presented and analyzed. Analytic calculations were conducted for explaining control techniques for airborne microorganisms. Results: Control methods for SARS-CoV-2 aerosols can include physical or biological procedures. Characterization of SARS-CoV-2 aerosols and massive clustering infection cases of COVID-19 support the airborne spreading theories of SARS-CoV-2. It is necessary to consider the disadvantages of control methods for airborne microorganisms. Conclusions: A study on control methods against bioaerosols is necessary to prevent the spreading of viruses. Airborne spreading theories of SARS-CoV-2 were supported by the current evidence, but further studies are needed to confirm these theories.
화학사고물질 노출에 따른 피해지역 주민 건강위해성평가: 폼알데하이드 사례를 중심으로
박시현(Sihyun Park),조용성(Yong-Sung Cho),임희빈(Huibeen Lim),박지훈(Jihoon Park),이철민(Cheolmin Lee),황승율(Seung-Ryul Hwang),이청수(Chungsoo Lee) 한국환경보건학회 2021 한국환경보건학회지 Vol.47 No.2
Objectives: Acute exposure to high concentrations of chemicals can occur when a chemical accident takes place. As such exposure can cause ongoing environmental pollution, such as in the soil and groundwater, there is a need for a tool that can assess health effects in the long term. The purpose of this study was assessing the health risks of residents living near a chemical accident site due to long-term exposure while considering the temporal concentration changes of the toxic chemicals leaked during the accident until their extinction in the environment using a multimedia environmental dynamics model. Methods: A health risk assessment was conducted on three cases of formaldehyde chemical accidents. In this study, health risk assessment was performed using a multimedia environmental dynamics model that considers the behavior of the atmosphere, soil, and water. In addition, the extinction period of formaldehyde in the environment was regarded as extinction in the environment when the concentration in the air and soil fell below the background concentration prior to the accident. The subjects of health risk assessment were classified into four groups according to age: 0-9 years old, 10-18 years old, 19-64 years old, and over 65 years old. Carcinogenic risk assessment by respiratory exposure and non-carcinogenic risk assessment by soil intake were conducted as well. Results: In the assessment of carcinogenic risk due to respiratory exposure, the excess carcinogenic risk did not exceed 1.0×10⁻⁶ in all three chemical accidents, so there was no health effect due to the formaldehyde chemical accident. As a result of the evaluation of non-carcinogenic risk due to soil intake, none of the three chemical accidents had a risk index of 1, so there was no health effect. For all three chemical accidents, the excess cancer risk and hazard index were the highest in the age group 0-9. Next, 10-18 years old, 65 years old or older, and 19-64 years old showed the highest risk. Conclusion: This study considers environmental changes after a chemical accident occurs and until the substance disappears from the environment. It also conducts a health risk assessment by reflecting the characteristics of the long-term persistence and concentration change over time. It is thought that it is of significance as a health risk assessment study reflecting the exposure characteristics of the accident substance for an actual chemical accident.
미세먼지 발생 레미콘시설에서의 대기확산모델 CALPUFF와 AERMOD 비교 분석
한진희(Jin-hee Han),김영희(Younghee Kim) 한국환경보건학회 2021 한국환경보건학회지 Vol.47 No.3
Objectives: Using atmospheric dispersion representative models (AERMOD and CALPUFF), the emissions characteristics of each model were compared and analyzed in ready-mixed concrete manufacturing facilities that generate a large amount of particulate matter (PM-10, PM-2.5). Methods: The target facilities were the ready-mixed concrete manufacturing facilities (Siheung RMC, Goyang RMC, Ganggin RMC) and modeling for each facility was performed by dividing it into construction and operation times. The predicted points for each target facility were selected as 8-12ea (Siheung RMC 10, Goyang RMC 8, and Gangjin RMC 12ea) based on an area within a two-kilometer radius of each project district. The terrain input data was SRTM-3 (January-December 2019). The meteorological input data was divided into surface weather and upper layer weather data, and weather data near the same facility as the target facility was used. The predicted results were presented as a 24-hour average concentration and an annual average concentration. Results: First, overall, CALPUFF showed a tendency to predict higher concentrations than AERMOD. Second, there was almost no difference in the concentration between the two models in non-complex terrain such as in mountainous areas, but in complex terrain, CALPUFF predicted higher concentrations than AERMOD. This is believed to be because CALPUFF better reflected topographic characteristics. Third, both CALPUFF and AERMOD predicted lower concentrations during operation (85.2-99.7%) than during construction, and annual average concentrations (76.4-99.9%) lower than those at 24 hours. Fourth, in the ready-mixed concrete manufacturing facility, PM-10 concentration (about 40 µg/㎥ ) was predicted to be higher than PM-2.5 (about 24 µg/㎥). Conclusions: In complex terrain such as mountainous areas, CALPUFF predicted higher concentrations than AERMOD, which is thought to be because CALPUFF better reflected topographic characteristics. In the future, it is recommended that CALPUFF be used in complex terrain and AERMOD be used in other areas to save modeling time. In a ready-mixed concrete facility, PM-10, which has a relatively large particle size, is generated more than PM-2.5 due to the raw materials used and manufacturing characteristics.
신평·장림 산단 인근 주민의 PAHs 및 VOCs 노출
윤미라(Mi-Ra Yoon),조혜정(HyeJeong Jo),김근배(GeunBae Kim),장준영(JunYoung Chang),이철우(Chul-Woo Lee),이보은(Bo-Eun Lee) 한국환경보건학회 2021 한국환경보건학회지 Vol.47 No.2
Objectives: This study aims to investigate the atmospheric concentration of polycyclic aromatic hydrocarbons (PAHs) and volatile organic compounds (VOCs) and the urinary concentration of biomarkers in residents near the Shinpyeong·Jangrim Industrial Complex to compare them with those of residents in a control area. Methods: Hazardous air pollutants (PAHs and VOCs) were measured in an exposure area (two sites) and a control area (one site). Urine samples were collected from residents near the industrial complex (184 persons) and residents in the control area (181 persons). Multiple linear regression analysis was used to identify which factors affected the concentration of PAHs and VOCs metabolites. Results: The average atmospheric concentration of PAHs in Shinpyeong-dong and Jangrim-dong was 0.45 and 0.59 ppb for pyrene, 0.15 and 0.16 ppb for benzo[a]pyrene, and 0.29 and 0.35 ppb for dibenz[a,h]anthracene. The average atmospheric concentration of VOCs was 1.10 and 0.99 ppb for benzene, 8.22 and 11.30 ppb for toluene, and 1.91 and 3.05 ppb for ethylbenzene, respectively. The concentrations of PAHs and VOCs in residents near the Shinpyeong·Jangrim Industrial Complex were higher than those of residents in the control area. Geometric means of urinary 2-hydroxyfluorene, 1-hydroxypyrene, methylhippuric acid, and mandelic acid concentrations were 0.45, 0.22, 391.51, and 201.36 μg/g creatinine, respectively. Those levels were all significantly higher than those in the control area (p<0.05). In addition, as a result of multiple regression analysis, even after adjusting for potential confounding factors such as gender and smoking, the concentration of metabolites in urine was high in residents near the Shinpyeong·Jangrim Industrial Complex. Conclusion: The results of this study show the possibility of human exposure to VOCs in residents near the Shinpyeong·Jangrim Industrial Complex. Therefore, continuous monitoring of the local community is required for the management of environmental pollutant emissions.