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가습기살균제 노출로 인한 건강피해 신고자의 지역별 편차에 대한 고찰

A Study on the Regional Distribution of Enrollment Cases Who Reported Humidifier Disinfectant-Related Health Effects

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Background: Humidifier disinfectant is a biocidal product used in the water tanks of humidifiers to prevent the growth of microorganisms. Although there are a huge number of cases of reported humidifier disinfectant-related health effects across the entire Korean population, their numbers are distributed differently depending on the region. Objectives: This study aimed to investigate the regional distribution of enrollment cases who reported humidifier disinfectant-related health effects. Methods: This study used data on 6,240 subjects who experienced humidifier disinfectant-related health effects and who enrolled their cases which is conducted by the Korea Ministry of Environment. We examined the regional distribution of the enrolled cases based on sixteen administrative divisions and assessed the: 1) crude number; 2) proportional rate; and 3) age-standardized proportional rate of enrollment by region. Results: When we examined the crude number of enrollments by region, the highest number were in Gyeonggi-do Province (n=1,896), followed in order by Seoul (n=1,405), Incheon (n=436) Busan, Daegu, Gyeongsangnam-do Province, Daejeon, Chungcheongnam-do Province, Gyeongsangbuk-do Province, Jeollabuk-do Province, Gwangju, Chungcheongbuk-do Province, Gangwon-do Province, Jeollanam- do Province, Ulsan, and Jeju-do. When we examined proportional rate of the regional enrollment (cases per 100,000 population), Daejeon (n=16.2) was the region with the highest rate, followed in order by Gyeonggi-do Province (n=16.1), Incheon-do Province (n=15.9), Seoul, Daegu, Gwangju, Jeollabuk-do Province, Chungcheongnam-do Province, Busan, Chungcheongbuk-do Province, Gangwon-do Province, Gyeongsanbuk-do Province, Gyeongsangnam-do Province, Ulsan, Jeju-do, and Jeollanam-do Province, which is inconsistent with the order in terms of crude numbers. However, when we examined the age-standardized proportional rate of regional enrollment (cases per 100,000 population), their ranked distribution is consistent with the crude rate. Conclusions: This study observed that the regional distribution of the enrolled cases who reported humidifier disinfectant-related health effects is inconsistent with the regional distribution of the proportional rate of enrollment cases, which may be caused in part by the volume of the inherent population of each region.

Abstract

Background: Humidifier disinfectant is a biocidal product used in the water tanks of humidifiers to prevent the growth of microorganisms. Although there are a huge number of cases of reported humidifier disinfectant-related health effects across the entire Korean population, their numbers are distributed differently depending on the region. Objectives: This study aimed to investigate the regional distribution of enrollment cases who reported humidifier disinfectant-related health effects. Methods: This study used data on 6,240 subjects who experienced humidifier disinfectant-related health effects and who enrolled their cases which is conducted by the Korea Ministry of Environment. We examined the regional distribution of the enrolled cases based on sixteen administrative divisions and assessed the: 1) crude number; 2) proportional rate; and 3) age-standardized proportional rate of enrollment by region. Results: When we examined the crude number of enrollments by region, the highest number were in Gyeonggi-do Province (n=1,896), followed in order by Seoul (n=1,405), Incheon (n=436) Busan, Daegu, Gyeongsangnam-do Province, Daejeon, Chungcheongnam-do Province, Gyeongsangbuk-do Province, Jeollabuk-do Province, Gwangju, Chungcheongbuk-do Province, Gangwon-do Province, Jeollanam- do Province, Ulsan, and Jeju-do. When we examined proportional rate of the regional enrollment (cases per 100,000 population), Daejeon (n=16.2) was the region with the highest rate, followed in order by Gyeonggi-do Province (n=16.1), Incheon-do Province (n=15.9), Seoul, Daegu, Gwangju, Jeollabuk-do Province, Chungcheongnam-do Province, Busan, Chungcheongbuk-do Province, Gangwon-do Province, Gyeongsanbuk-do Province, Gyeongsangnam-do Province, Ulsan, Jeju-do, and Jeollanam-do Province, which is inconsistent with the order in terms of crude numbers. However, when we examined the age-standardized proportional rate of regional enrollment (cases per 100,000 population), their ranked distribution is consistent with the crude rate. Conclusions: This study observed that the regional distribution of the enrolled cases who reported humidifier disinfectant-related health effects is inconsistent with the regional distribution of the proportional rate of enrollment cases, which may be caused in part by the volume of the inherent population of each region.

참고문헌 (14)

  1. Korea Centers for Disease Control and Prevention, "White Paper on the Health-Related Damage Caused by Humidifier Disinfectants" (2014), KCDC
  2. Korea Centers for Disease Control and Prevention, "Interim report of epidemiological investigation on lung injury with unknown cause in Korea", Public Health Wkly Rep., 4(45), pp.817~818 (2011)
  3. Korea Centers for Disease Control and Prevention, "Hospital based case-control study on lung injury with unknown causes", Public Health Wkly Rep, 4(45), pp.825~829 (2011)
  4. "Report on Total Sales of Humidifier Disinfectant"[URL]
  5. 이종현, "Refined Exposure Assessment for Three Active Ingredients of Humidifier Disinfectants", Environmental Engineering Research, 18(4), pp.253~257 (2013), 대한환경공학회[DOI]
  6. Lee JH, "Fatal misuse of humidifier disinfectants in Korea: importance of screening risk assessment and implications for management of chemicals in consumer products", Environ Sci Technol, 46(5), pp.2498~2500 (2012)
  7. Pickering CA, "Humidifiers : the use of biocides and lung disease", Thorax, 69(8), pp.692~693 (2014)
  8. Korean Society of Environmental Health, "Case Studies on Victims of Humidifier Disinfectants" (2012), Korean Society of Environmental Health
  9. 박동욱, "가습기 살균제 제품에 표기된 안전보건정보 고찰", 한국환경보건학회지, 43(5), pp.349~359 (2017), 한국환경보건학회
  10. 변지은, "가습기 살균제 노출 실태와 피해규모 추산", 한국환경보건학회지, 46(4), pp.457~469 (2020), 한국환경보건학회
  11. "Statistical Data 2021"[URL]
  12. Paek D, "Assessment of Information System of Humidifier Disinfectant Damage Relief Management - Investigation and Recognition of Damage" (2019), National Institute of Environmental Research
  13. Geller AM, "Aging and the environment : a research framework", Environ Health Perspect, 113(9), pp.1257~1262 (2005)
  14. Selevan S, "Children's Health and The Environment- A Global Perspective", pp.17~26 (2005), World Health Organization

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