직업병 유소견자 및 요관찰자 추이 및 사후관리와의 관련성: 납 및 카드뮴 취급근로자를 중심으로 = Relationship of Follow-up Management, Trend of Possible Occupational Disease and Probable Occupational Disease: Focusing on Lead or Cadmium Workers

다국어 초록 (Multilingual Abstract)

Objectives: This study identifies the trend of possible occupational disease and probable occupational disease in lead or cadmium workers. It is also required to check the usefulness of follow-up management in lead or cadmium workers by reviewing the relevance between the results of follow-up management and the trend of possible occupational disease and probable occupational disease.
Methods: From 2009 to 2018, the results of the Ministry of Employment and Labor's special health-screening program for hazard agents for workers were used. The correlation between the ratio of possible occupational disease and probable occupational disease of lead or cadmium workers and the ratio of those who observed were and underwent observed follow-up management was analyzed to confirm the usefulness of follow-up management.
Results: Over the past decade, the average annual proportion of possible occupational disease and probable occupational disease among lead workers has been on the decline. Among cadmium workers, it has generally shown a trend of increasing and decreasing. After the implementation of follow-up management, possible occupational disease in lead workers showed significant relevance to work prohibitions and restrictions, and probable occupational disease in lead workers showed significant relevance to the work prohibitions and restrictions, on-duty treatment, and boundary lines. However, there was no significant correlation between persons involved in cadmium workers.
Conclusion: In this study, more active managements such as work ban and restrictions, on-duty treatment among follow-up management of possible occupational disease and probable occupational disease of lead worker and observers are related to a decrease in the ratio of those who have been diagnosed with possible occupational disease and probable occupational disease.

참고문헌 (Reference)

1 이성배, "혈장 중 납의 만성독성 지표로의 활용에 관한 연구" 한국산업보건학회 29 (29): 195-207, 2019

2 Faroon O, "Toxicological profile for cadmium"

3 Park JS, "Survey on the status of using lead and its compounds in Korea" Occupational Safety and Health Research Institute 4-14, 2008

4 Lee KH, "Survey on the cause of industrial accident in 2014 (work-related disease)" Occupational Safety and Health Research Institute Research 46-69, 2015

5 Ministry of Environmental(MoE), "Results report for chemicals statistic survey"

6 Ministry of Employment and Labor(MoEL), "Results of workers' health examination in 2018"

7 Ministry of Employment and Labor(MoEL), "Results of workers' health examination in 2017"

8 Ministry of Employment and Labor(MoEL), "Results of workers' health examination in 2016"

9 Ministry of Employment and Labor(MoEL), "Results of workers' health examination in 2015"

10 Ministry of Employment and Labor(MoEL), "Results of workers' health examination in 2014"

11 Ministry of Employment and Labor(MoEL), "Results of workers' health examination in 2013"

12 Ministry of Employment and Labor(MoEL), "Results of workers' health examination in 2012"

13 Ministry of Employment and Labor(MoEL), "Results of workers' health examination in 2011"

14 Ministry of Employment and Labor(MoEL), "Results of workers' health examination in 2010"

15 Ministry of Employment and Labor(MoEL), "Results of workers' health examination in 2009"

16 Ahn HC, "Relevance to cadmium exposure and blood pressure in one smelter worker" 11 : 339-340, 2016

17 David C Bellinger, "Prenatal Exposures to Environmental Chemicals and Children's Neurodevelopment: An Update" 한국산업안전보건공단 산업안전보건연구원 4 (4): 1-11, 2013

18 Jeong KS, "Performance IQ in children is associated with blood cadmium concentration in early pregnancy" 30 (30): 107-111, 2015

19 National Toxicology Program, "NTP Monograph;National Toxicology Program: Research Triangle Park" 61-87, 2012

20 Engin Y, "Is the concentration of cadmium, lead, mercury, and selenium related to preterm birth?" 191 : 306-312, 2019

21 Kang SK, "Health impact assessment of exposed workers to hazardous substance (Cadmium)"

22 Wang Y, "Effects of prenatal exposure to cadmium on neurodevelopment of infants in Shandong, China" 211 : 67-73, 2016

23 Kim MG, "Does low lead exposure affect blood pressure and hypertension?" 62 : e12107-, 2020

24 Ahn KD, "Development of data establishment and revision of permissible exposure level" Occupational Safety and Health Research Institute Research 109-153, 2002

25 Kim EA, "Decision rate of possible occupational disease in the past 6 years (2000-2005) in Korea special health-screening program" 11 : 312-316, 2008

26 Choi SW, "Characteristics of workplace that occur repeatedly possible occupational disease(D1) and probable occupational disease (C1)" 11 : 623-625, 2009

27 Ahn JO, "Changes of atmospheric and blood concentrations of lead and cadmium in the general population of south Korea from 2008 to 2017" 16 : 2096-, 2019

28 Kim JH, "Blood lead level of lead exposure workers shown in special screening data for 2003-2011" 11 : 790-791, 2013

29 안재욱, "Association of Blood Pressure with Blood Lead and Cadmium Levels in Korean Adolescents: Analysis of Data from the 2010–2016 Korean National Health and Nutrition Examination Survey" 대한의학회 33 (33): 1-12, 2018

30 Lee HJ, "Analysis of decision-making period of possible occupational disease and probable occupational disease of the person who was diagnosed with a special health-screening program after joining the company" 11 : 486-488, 2009

31 Lee DH, "A study on trends and characteristic of occupational diseases due to chemical exposure except for cancers during 2001~2018 in Korea" Hansung University of Korea 2020

32 Kjellstrom T, "A kinetic model of cadmium metabolism in the human being" 16 : 248-269, 1978