설문조사에 근거한 캠프 캐럴 인근 주민의 건강수준
Health Status Based on Questionnaire Survey Among Residents Around Camp Carroll, Gyeongsangbuk-do, Korea
2
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Objective: In May 2011, an interview with three United States Forces Korea veterans revealed that chemicals believed to be ‘Agent Orange’ were buried at Camp Carroll (situated in Waegwan, Chilgok-gun, Gyeongsangbukdo,Korea) in 1978. Many hazardous chemicals, such as perchloroethylene (PCE), trichloroethylene (TCE), and organochlorines were subsequently found in a joint US-ROK environmental investigation, although dioxins or burial evidence related to 'Agent Orange' have been not uncovered. This study was carried out to investigate the relevance of hazardous chemical exposure and health effects of the residents around Camp Carroll. Methods: The authors conducted a health questionnaire survey among residents around Camp Carroll regarding Waegwan groundwater ingestion, length of residence in Waegwan, and physician-diagnosed disease history (such as cancer, hypertension, diabetes and etc.). Logistic regression was performed to identify the associations between hazardous chemical exposure and physician-diagnosed diseases. Results: Among the 5,320 residents, excluding those living outside the Waegwan area, 3,430 subjects age 30and over were analyzed. Among females, upon correction of age, smoking history and Camp Carroll working history, a higher distribution in the Waegwan groundwater ingestion group was demonstrated for patients with physician-diagnosed cancer and hypertension. The odds ratios have a tendency to increase with increased length of Waegwan groundwater ingestion. Conclusions: This study may be limited by not adopting a cohort study for the evaluation of factors that may confound environmental exposure. Yet it is meaningful that the correlation between Waegwan groundwater ingestion and chronic diseases were found through regression analysis in female; and further, this outcome may be used as a sampling basis for a secondary epidemiologic study.
Abstract
Objective: In May 2011, an interview with three United States Forces Korea veterans revealed that chemicals believed to be ‘Agent Orange’ were buried at Camp Carroll (situated in Waegwan, Chilgok-gun, Gyeongsangbukdo,Korea) in 1978. Many hazardous chemicals, such as perchloroethylene (PCE), trichloroethylene (TCE), and organochlorines were subsequently found in a joint US-ROK environmental investigation, although dioxins or burial evidence related to 'Agent Orange' have been not uncovered. This study was carried out to investigate the relevance of hazardous chemical exposure and health effects of the residents around Camp Carroll. Methods: The authors conducted a health questionnaire survey among residents around Camp Carroll regarding Waegwan groundwater ingestion, length of residence in Waegwan, and physician-diagnosed disease history (such as cancer, hypertension, diabetes and etc.). Logistic regression was performed to identify the associations between hazardous chemical exposure and physician-diagnosed diseases. Results: Among the 5,320 residents, excluding those living outside the Waegwan area, 3,430 subjects age 30and over were analyzed. Among females, upon correction of age, smoking history and Camp Carroll working history, a higher distribution in the Waegwan groundwater ingestion group was demonstrated for patients with physician-diagnosed cancer and hypertension. The odds ratios have a tendency to increase with increased length of Waegwan groundwater ingestion. Conclusions: This study may be limited by not adopting a cohort study for the evaluation of factors that may confound environmental exposure. Yet it is meaningful that the correlation between Waegwan groundwater ingestion and chronic diseases were found through regression analysis in female; and further, this outcome may be used as a sampling basis for a secondary epidemiologic study.
참고문헌 (20)
- 양원호, "고엽제 노출에 따른 건강위해의 보건학적 고찰", 한국환경보건학회지, 38(03), pp.175~183 (2012), 한국환경보건학회[DOI]
- "The final announcement of ROK-US joint investigation result on the alleged burial of agent orange at Camp Carroll" (2011)[URL]
- A Study on Health Hazard Evaluation among Residents in Waegwan, Gyeongbuk, Final Report, "Lim HS", National Institute of Environmental Research, 444~ (2011)
- Warner N, "Dioxin exposure and cancer risk in the Seveso women's health study", Environ Health Perspect, 119(12), pp.1700~1705 (2011)
- Costas K, "A case-control study of childhood leukemia in Woburn, Massachusetts: the relationship between leukemia incidence and exposure to public drinking water", Sci Total Environ, 300(1-3), pp.23~35 (2002)
- Gensburg LJ, "Cancer incidence among former Love Canal residents", Environ Health Perspect, 117(8), pp.1265~1271 (2009)
- O'Neill MS, "Poverty, environment, and health: the role of environmental epidemiology and environmental epidemiologists", Epidemiology, 18(6), pp.664~668 (2007)
- Baker D, "Environmental Epidemiololgy: Study Methods and Application", pp.41~72 (2008), Oxford University Press
- Hertz-Picciotto, "Environmental Epidemiology, In morden Epidemiology", pp.598~619 (2008), Lippincott Willians & Wilkins
- Pekkanen J, "Environmental epidemiology: challenges and opportunities", Environ Health Perspect, 109(1), pp.1~5 (2001)
- Soskoline CL, "Toward a global agenda for research in environmental epidemiology", Epidemiology, 18(1), pp.162~166 (2007)
- Joan ED, "Public Health Goal for TCDD (Dioxin) in Drinking Water", pp.1~10 (2010), Governor of the State of California Arnold Schwarzenegger
- Akhtar FZ, "Cancer in US Air Force veterans of the Vietnam War", J Occup Environ Med, 46(2), pp.123~136 (2004)
- Anders IS, "Cancer morbidity in Swedish dry-cleaners and laundry workers: historically prospective cohort study", Int Arch Occup Environ Health, 84(4), pp.435~443 (2011)
- Cheryl SS, "Trichloroethylene and cancer: systematic and quantitative review of epidemiologic evidence for identifying hazards", Int J Environ Res Public Health, 8(11), pp.4238~4271 (2011)
- Purdue MP, "A case-control study of occupational exposure to trichloroethylene and non-hodgkin lymphoma", Environ Health Perspect, 119(2), pp.232~238 (2010)
- Ann A, "Affinity for risky behaviors following prenatal and early childhood exposure to tetrachloroethylene (PCE)-contaminated drinking water: a retrospective cohort study", Environ Health, 10(2), pp.102~115 (2011)
- Arrebola JP, "Concentrations of organochlorine pesticides and polychlorinated biphenyls in human serum and adipose tissue from Bolivia", Environ Res, 112, pp.40~47 (2012)
- Boada LD, "Complex organochlorine pesticide mixtures as determinant factor for breast cancer risk: a population-based case-control study in the Canary Islands (Spain)", Environ Health, 11, pp.28~36 (2012)
- Gordis L., "Epidemiology", pp.167~200 (2008), Saunders