캠프 캐럴 인근 선별 주민에 대한 건강검진 결과 분석
Analysis of Mass Screening Results Among Sampled Residents Around Camp Carroll, Gyeongsangbuk-do, Korea
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초록
Objectives: This study describes the results of a mass screening and secondary questionnaire conducted among sampled residents around Camp Carroll. Methods: The subjects were sampled based on Waegwan groundwater ingestion history via a primary health questionnaire survey. However, the study population included voluntary participants and there were no grounds for disqualification. Among the 1,033 residents, excluding people living outside Waegwan, 844 subjects age 30and over were analyzed. History of physician-diagnosed disease (including detailed history of cancer), eating habits, drinking and smoking histories were queried through questionnaires. Health screening consisted of a blood pressure check and blood test (complete blood cell, liver enzyme, lipid, blood sugar test, etc.). Results: The proportion of abnormal gamma-glutamyltransferase levels was higher in the groundwater ingesting female group than the non-ingesting female group. The odds ratios of the ingested ‘1 to 9 years’ and ‘10 years and over’ groups were 3.09 and 0.87, respectively. Proportions of hypertension in males, abnormal serum triglyceride levels in all and in females, and abnormal serum high density lipoprotein cholesterol levels in males were higher in the ‘10 to 29-year’ resident group than in the ‘1 to 9 year’ group. However, there were no significant trends according to length of residence. Conclusions: Physician-diagnosed prevalence and laboratory test results are not different by histories of Waegwan groundwater ingestion and by length of residence. Even if there are partially significant differences,they do not tend to follow increases of exposure amount and trends.
Abstract
Objectives: This study describes the results of a mass screening and secondary questionnaire conducted among sampled residents around Camp Carroll. Methods: The subjects were sampled based on Waegwan groundwater ingestion history via a primary health questionnaire survey. However, the study population included voluntary participants and there were no grounds for disqualification. Among the 1,033 residents, excluding people living outside Waegwan, 844 subjects age 30and over were analyzed. History of physician-diagnosed disease (including detailed history of cancer), eating habits, drinking and smoking histories were queried through questionnaires. Health screening consisted of a blood pressure check and blood test (complete blood cell, liver enzyme, lipid, blood sugar test, etc.). Results: The proportion of abnormal gamma-glutamyltransferase levels was higher in the groundwater ingesting female group than the non-ingesting female group. The odds ratios of the ingested ‘1 to 9 years’ and ‘10 years and over’ groups were 3.09 and 0.87, respectively. Proportions of hypertension in males, abnormal serum triglyceride levels in all and in females, and abnormal serum high density lipoprotein cholesterol levels in males were higher in the ‘10 to 29-year’ resident group than in the ‘1 to 9 year’ group. However, there were no significant trends according to length of residence. Conclusions: Physician-diagnosed prevalence and laboratory test results are not different by histories of Waegwan groundwater ingestion and by length of residence. Even if there are partially significant differences,they do not tend to follow increases of exposure amount and trends.
참고문헌 (25)
- Study on the Health Effect among Residents around Camp Carroll Area, Gyeongbuk, Korea: Final Report, "Lim HS", National institute of environmental research, 444~ (2011)
- 양원호, "고엽제 노출에 따른 건강위해의 보건학적 고찰", 한국환경보건학회지, 38(03), pp.175~183 (2012), 한국환경보건학회[DOI]
- Schecter A, "agent orange and the Vietnamese: the persistence of elevated dioxin levels in human tissues", Am J Public Health, 85(4), pp.516~522 (1995)
- 황석연, "기니피그에서 홍삼 사포닌의 2,3,7,8-TCDD 독성 방어 효과", 한국환경보건학회지, 35(4), pp.259~268 (2009), 한국환경보건학회
- Helder T, "Effects of 2,3,7,8-tetrachlorodibenzopdioxin( TCDD) on early life stages of the pike", Sci Total Environ, 14(3), pp.255~264 (1980)
- 정재연, "다이옥신과 건강: 인체 노출 수준 및 건강영향에 대한 역학적 연구", 예방의학회지, 36(4), pp.1~313 (2003), 대한예방의학회
- Committee to Review the Health Effects in Vietnam Veterans of Exposure to Herbicides, "Institute of Medicine of the National Academies. Veterans and agent orange: Update 2010", pp.540~730 (2011), National Academy of Sciences press
- Michalek JE, "Health status of Air Force veterans occupationally exposed to herbicides in Vietnam. II. Mortality", JAMA, 264(14), pp.1832~1836 (1990)
- Chuan Shen, "Acute Liver Failure Associated with Occupational Exposure to Tetrachloroethylene", Journal of Korean Medical Science, 26(1), pp.138~142 (2011), 대한의학회
- Gold LS, "Systematic literature review of uses and levels of occupational exposure to tetrachloroethylene", J Occup Environ Hyg, 5(12), pp.807~839 (2008)
- Garnier R, "Coinoperated dry cleaning machines may be responsible for acute tetrachloroethylene poisoning: report of 26 cases including one death", J Toxicol Clin Toxicol, 34, pp.191~197 (1996)
- Vizcaya D, "Risk of lung cancer associated with six types of chlorinated solvents: results from two case-control studies in Montreal, Canada", Occup Environ Med, 70(2), pp.81~85 (2013)
- Christensen KY, "Risk of selected cancers due to occupational exposure to chlorinated solvents in a case-control study in montreal", J Occup Environ Med, 55(2), pp.198~208 (2013)
- Gallagher LG, "Risk of breast cancer following exposure to tetrachloroethylene-contaminated drinking water in Cape Cod, Massachusetts: reanalysis of a case-control study using a modified exposure assessment", Environ Health, 10, pp.47~ (2011)
- Neta G, "Occupational exposure to chlorinated solvents and risks of glioma and meningioma in adults", Occup Environ Med, 69(11), pp.793~801 (2012)
- Caramaschi F, "Chloracne following environmental contamination by TCDD in Seveso, Italy", Int J Epidemiol, 10(2), pp.135~143 (1981)
- Calvert GM, "Hepatic and gastrointestinal effects in an occupational cohort exposed to 2,3,7,8- tetrachlorodibenzo-para-dioxin", JAMA, 267(16), pp.2209~2214 (1992)
- Suskind RR, "Human health effects of 2,4,5-T and its toxic contaminants", JAMA, 251(18), pp.2372~2380 (1984)
- Webb KB, "Medical evaluation of subjects with known body levels of 2,3,7,8- tetrachlorodibenzo-p-dioxin", J Toxicol Environ Health, 28(2), pp.183~193 (1989)
- Gennari P, "gamma-Glutamyltransferase isoenzyme pattern in workers exposed to tetrachloroethylene", Am J Ind Med, 21(5), pp.661~671 (1992)
- Nagaya T, "Subclinical and reversible hepatic effects of occupational exposure to trichloroethylene", Int Arch Occup Environ Health, 64(8), pp.561~563 (1993)
- Martin JV, "Lipid abnormalities in workers exposed to dioxin", Br J Ind Med, 41(2), pp.254~256 (1984)
- Calvert GM, "Evaluation of serum lipid concentrations among U.S. workers exposed to 2,3,7,8- tetrachlorodibenzo-p-dioxin", Arch Environ Health, 51(2), pp.100~107 (1996)
- Pelclova D, "Adverse health effects in humans exposed to 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD)", Rev Environ Health, 21, pp.119~138 (2006)
- Jong Bum Kim, "Clinical Outcome of Veterans with Acute Coronary Syndrome Who Had Been Exposed to Agent Orange", 전남의대학술지, 48(1), pp.47~51 (2012), 의과학연구소[DOI]