가습기 살균제 제조 공정 근로자 건강영향 조사
Survey on Health Effects among Workers in the Humidifier Disinfectant Manufacturing Process
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초록
Objectives: An outbreak of humidifier disinfectant-related respiratory disease has not only been a massive disaster for end users, but it is also a concern for the workers of the manufacturers. This study presents the results of a questionnaire survey on the health effects among workers involved in the manufacture of humidifier disinfectants. Methods: Seven sites where humidifier disinfectants were manufactured were identified. A questionnaire survey was conducted to assess the physical symptoms experienced by workers related to humidifier disinfectants. Among a total of 177 workers, 42 subjects were available for the survey. Results: Twenty-one of the 42 respondents reported that they experienced respiratory or skin and mucosal irritation symptoms during work. Of the respondents who experienced symptoms, 14 believed that their symptoms were related to the work process and reported that the symptoms were experienced while working. However, no respondents reported ongoing symptoms or sequelae during the investigation period, and this result could not minimize selection bias due to low response rates. We then compared the characteristics of the group who experienced suspicious symptoms with those of the group without any symptoms. There was no statistically significant difference between two groups. Conclusions: We could not find significant health effects related to the humidifier disinfectant manufacturing process, although 21 respondents experienced stimulant symptoms and 14 respondents believed that the symptoms were related to the work process. Due to the long period of time after occupational exposure and the lack of data, there were many limitations to this study. However, this is one of the few follow-up investigations of workers related to this large-scale disaster in South Korea and the limitations of this study highlight the need to follow up with a nationwide database rather than an occasional survey.
Abstract
Objectives: An outbreak of humidifier disinfectant-related respiratory disease has not only been a massive disaster for end users, but it is also a concern for the workers of the manufacturers. This study presents the results of a questionnaire survey on the health effects among workers involved in the manufacture of humidifier disinfectants. Methods: Seven sites where humidifier disinfectants were manufactured were identified. A questionnaire survey was conducted to assess the physical symptoms experienced by workers related to humidifier disinfectants. Among a total of 177 workers, 42 subjects were available for the survey. Results: Twenty-one of the 42 respondents reported that they experienced respiratory or skin and mucosal irritation symptoms during work. Of the respondents who experienced symptoms, 14 believed that their symptoms were related to the work process and reported that the symptoms were experienced while working. However, no respondents reported ongoing symptoms or sequelae during the investigation period, and this result could not minimize selection bias due to low response rates. We then compared the characteristics of the group who experienced suspicious symptoms with those of the group without any symptoms. There was no statistically significant difference between two groups. Conclusions: We could not find significant health effects related to the humidifier disinfectant manufacturing process, although 21 respondents experienced stimulant symptoms and 14 respondents believed that the symptoms were related to the work process. Due to the long period of time after occupational exposure and the lack of data, there were many limitations to this study. However, this is one of the few follow-up investigations of workers related to this large-scale disaster in South Korea and the limitations of this study highlight the need to follow up with a nationwide database rather than an occasional survey.
참고문헌 (18)
- "Comprehensive web portal supporting damage to humidifier disinfectant"[URL]
- 정남순, "가습기 살균제를 통해 본 화학물질관리제도의 현황과 문제점에 대한 고찰", 환경법과 정책, 11, pp.35~56 (2013), 비교법학연구소[DOI]
- 공혜정, "가습기 살균제 연구의 배후에 있는 재정적 이해상충에 대한 비판적 검토- 미국대학의 경우와 비교를 통하여 –", 생명윤리정책연구, 9(3), pp.1~43 (2016), 생명의료법연구소[DOI]
- 박태현, "The humidifier disinfectant case and the legislative challenges of the 20th Congress", 환경독성보건학회지, 31, pp.1~6 (2016), 환경독성보건학회
- 이상만, "생명 및 신체의 안전에 대한 국가의 보호의무 - 가습기 살균제 피해사건과 일본 센난 석면사건의 판결을 중심으로 -", 의생명과학과법, 15, pp.35~71 (2016), 법학연구소
- 이정훈, "국내 언론의 가습기 살균제 참사에 대한 보도 경향 분석", ECO, 20(2), pp.351~398 (2016), 한국환경사회학회
- White paper of the humidifier disinfectant health damage issue, "Committee for lung injury investigation of Center for Disease Control and Prevention of Ministry of Health and Welfare", Korea Center for Disease Control and Prevention (KCDC), 28~36 (2014)
- Kim HR, "Polyhexamethylene guanidine phosphate aerosol particles induce pulmonary inflammatory and fibrotic responses", Archives of Toxicology, 90(3), pp.617~632 (2016)[DOI]
- Hong SB, "A cluster of lung injury associated with home humidifier use: clinical, radiological and pathological description of a new syndrome", Thorax, 69(8), pp.694~702 (2014)[DOI]
- Yoon HM, "Humidifier disinfectant-associated children's interstitial lung disease: computed tomographic features, histopathologic correlation and comparison between survivors and non-survivors", European radiology, 26(1), pp.235~243 (2016)[DOI]
- "Ministry of Environment press release on September 28, 2016 "Government, investigation on CMIT/MIT-use products including CMIT/MIT-containing toothpaste""[URL]
- Kim HJ, "A cluster of lung injury cases associated with home humidifier use: an epidemiological investigation", Thorax, 69(8), pp.703~708 (2014)[DOI]
- 전병학, "Frequency of Humidifier and Humidifier Disinfectant Usage in Gyeonggi Provine", 환경독성보건학회지, 27, pp.1~4 (2012), 환경독성보건학회
- Moon-Hee Chang, "Characteristics of Humidifier Use in Korean Pregnant Women: The Mothers and Children’s Environmental Health (MOCEH) Study", 환경독성보건학회지, 27, pp.1~4 (2012), 환경독성보건학회
- 최예용, "가습기살균제 피해사건과 교훈", 한국환경보건학회지, 38(02), pp.166~174 (2012), 한국환경보건학회[DOI]
- "Ministry of Employment and Labor Enforcement Decree of the Occupational Safety and Health Act" (2017)
- 문성제, "가습기살균제로 인한 피해와 국가의 위험관리책임", 소비자문제연구, 45(1), pp.67~88 (2014), 한국소비자원[DOI]
- 윤충식, "환경부의 화학물질관리법, 화학물질등록 및 평가에 관한 법률, 고용노동부의 산업안전보건법의 화학물질 관련 내용 비교", 한국환경보건학회지, 40(5), pp.331~345 (2014), 한국환경보건학회[DOI]