휴대용 혈중연 분석기를 이용한 혈중연 분석

이혜진 ( Hye Jin Lee ),유선우 ( Sun Woo You ),김형아 ( Hyoung Ah Kim ) 한국산업보건학회 2004 한국산업보건학회지 Vol.14 No.1

물질안전보건자료 대상물질의 유해성 분류기준 적용 연구

이혜진,이나루,이인섭 한국산업보건학회 2020 한국산업보건학회지 Vol.30 No.3

Objectives: Hazard classification is a controversial issue in the new MSDS system in which chemical companies have to prepare and submit MSDS for chemicals that they manufacture or import to the competent authorities according to the amended Occupational Safety and Health Act. The aim of this study is to suggest how to apply and manage harmonized hazard classification criteria and results by investigating current hazard classification systems and trends. Methods: The domestic issues about different hazard classification criteria and results were investigated by reviewing the literature and business outcomes regarding KOSHA. We also checked official and unofficial reports from the UN to understand international discussion about the topic. Chemical hazard classification results from agencies providing chemical information were analyzed to compare a harmonized rate between classifications. Furthermore, a field survey of a few chemical companies was conducted. Results: Under the related competent authorities, an integrated standard proposal was developed to harmonize the domestic hazard classification criteria. Although harmonized chemical information is strongly needed, we recognized the uncertainty and difficulty of harmonized hazard classification from the UN global list project review. In practice the harmonization rate of the classification was generally low between the classification in KOSHA, MoE, and EU CLP. Among hazard classes, health hazards largely led the disharmony. The field survey revealed a change of perception that the main body of chemical information production is manufacturers. Approaches and solutions about hazard classification issues differed depending on business size, types of chemical handling, and other factors. Conclusions: We proposed reasonable ways by time and step to apply hazard classification in the new MSDS system. Chemical manufacturers should make and offer chemical information including responsible hazard classifications. The government should primarily accept these classifications, evaluate them by priority, and support or supervise workplaces in order to communicate reliable chemical information.

1-브로모프로판의 노출 실태와 역학조사에 따른 노출기준 강화에 관한 연구

하권철,김승원,피영규,이나루 한국산업보건학회 2020 한국산업보건학회지 Vol.30 No.3

Objective: The aim of this study was to propose revision of the occupational exposure limit(OEL) for 1–Bromopropane(1-BP) following a review of the appropriateness of the standard in light of increasing epidemiological data and handling risk. Materials and Methods: The results of toxicity and epidemiologic investigations for 1-BP and agencies’ OELs were compared and reviewed through a literature review. In order to investigate the status of 1-BP handling in South Korea, data from work environment actual condition survey results and work environment measurement results were used. Results: The toxicity of 1-BP, such as central nervous system(CNS) damage, peripheral neuropathy, hematological adverse effects, and developmental and reproductive toxicity(male and female) has been reported. ACGIH recommends 0.1 ppm as a TLV-TWA value, but the OEL of South Korea stands at 25 ppm, which is 250 times higher than the TLV-TWA. Although 1-BP is a specially managed substance under the Industrial Safety and Health Law, the currently applied OEL cannot be said to be a safe level based on the results of epidemiological studies to date. In a work environment measurement in 2017, the total number of samples was 626, which were derived from 78 industries, and the average concentration was 1.173 ppm(standard deviation 2.88). Conclusions:To protect the health of workers handling 1-BP, estimated to be 780 in South Korea, it is necessary to strengthen the OEL(TWA) to a level of 0.3 ppm(lower than the 0.34 ppm with known toxic effects), which is believed to be safe as a result of epidemiological investigation. “Skin” notation should be recommended.

산업위생 분야 종사자들의 사회 안전의식변화에 관한 조사

임대성 ( Dae Sung Lim ),이승길 ( Seung Kil Lee ) 한국산업보건학회 (구 한국산업위생학회) 2020 한국산업보건학회지 Vol.30 No.4

Objectives: This study was conducted to evaluate perceptions of safety and risk among Korean industrial hygienists and the change between before and after the Sewol Ferry Disaster in 2014. Two surveys with questionnaires composed of 51 questions were completed by attendees of the Korea Industrial Hygiene Association(KIHA) conference. Methods: One was conducted at the 2013 KIHA Fall Conference(N=181) and the other was from the 2014 KIHA Summer Conference(N=123). Between these two surveys was the Sewol Ferry Disaster on April 14, 2014, which was believed to seriously affect safety and risk perceptions in Korea. Results: It was revealed that industrial hygienists’ awareness of safety rules strengthened after the Sewol Ferry Disaster(p<0.05). It was apparent that people over the age of 30 were more sensitive to social safety. There was no significant difference in the evaluation and attitude regarding governmental safety policy between the years of 2013 and 2014. The credibility of public organizations responsible for the disaster management system decreased. The self-evaluation of respondents’ safety level also decreased. This trend shows mainly in the younger generation. It was evaluated that the overall social safety level decreased and the anxiety level increased. The score on social safety on a ±5 Likert scale was 0.68 in the 2013 survey and -0.33 in the 2014 survey(p< 0.05). It was reported that the most serious threat factors for accident or disaster were ‘building collapse > illegalities and corruption > side effects of radiation therapy >accidents in normal activity > occupational disease,’ in order. They picked ‘safety ignorance > hurry-up habits and culture > focusing on short-term benefit > easy-going attitude > insufficient safety education’ for the causes of low social safety levels in 2013. In 2014, they were ‘safety ignorance > easy-going attitude > focusing on short-term benefit > insufficient safety education > hurry-up habits and culture’. Conclusions: This study has some limitations because it was originally not designed to survey attitudes prior to the Sewol Ferry disaster in 2013. In addition, the survey targets are industrial hygienists who are familiar with occupational disease and injury.

우리나라 COVID-19 확진자 직업 분포와 노동자 보호 방안

홍종우,최소현,박정임 한국산업보건학회 2020 한국산업보건학회지 Vol.30 No.3

Objectives: Everyone has been affected in some way by the COVID-19 pandemic, while some workers face threats to their health due to their jobs as well as worries about spreading the virus to intimate family members. With these concerns in mind, this study aims to identify occupations more vulnerable to COVID-19 and suggests the necessity of providing proper control measures against the risks in a timely manner in Korea. Methods: Daily briefing reports by the Korea Centers for Disease Control and Prevention (KCDC) were compiled (n=120) for between January 20 and May 31, 2020. A total of 11,486 confirmed cases were included, which were sorted by occasion, area, and occupation. Among them, 2,411 cases were classified with specific occasions and/or areas of infection, while only 544 cases were determined with identifiable occupations. Guidelines for biological hazard management and COVID-19 guidelines for workplaces from domestic and international bodies were enlisted and compared. Results: It is unsurprising to find that healthcare professionals are experiencing the most immediate threat from COVID-19. In addition, service workers with face-to-face practices or indirect contact are also facing high risks. Religion facilities and eating places (dining, drinking bar, café, etc., 13%) follow. Guidelines and manuals for biological hazards are still lacking in Korea compared to the US and EU. Workplace manuals for managing COVID-19 are neither as comprehensive as the approaches of NIOSH’s hierarchy of controls nor inclusive enough for minimizing secondary or tertiary suffering. Conclusions: The COVID-19 crisis is still ongoing and there is no doubt there will be more such events in the future. This analysis suggests that occupational health professionals, amid a pandemic including COVID-19, are urged to anticipate emerging risks related to all sorts of occupations, identify vulnerable workers and working environments, and plan and take actions to protect workers’ health.

농작업시 발생하는 화학적 및 생물학적 위험요인에 대한 유사노출작업군 설정 연구

이민지,신소정,김효철,허진영,안민지,김경란,김경수 한국산업보건학회 2020 한국산업보건학회지 Vol.30 No.3

Objectives: The aim of this research is to establish Similar Exposure Groups (SEGs) for chemical and biological risk factors that occur in farm work involving 24 tasks among 15 crops. Methods: To categorize SEGs, work type, work environment, and similar tasks for each crop were considered. After confirming the chemical risk factors (pesticides, inorganic dust-total dust and PM10, ammonia, and hy-drogen sulfide) and biological factors (organic dust-total dust and PM10, and endotoxins) that occur in the crops and tasks, similar crops and tasks were selected as SEGs. Results: Among chemical risk factors, pesticides was selected for the SEGs, which was categorized by open field, greenhouse, fruit, and specialty crops. For inorganic dust, open field (plowing harrowing, seeding, plant-ing, harvest, and sorting and packing) and specialty crops (plowing harrowing, seeding, planting, and harvest) were selected as SEGs. For ammonia and hydrogen sulfide, livestock (preparation of farm, management of nurse-ry bed, feeding, shipment and manure treatment) were selected as SEGs. For biological risk factors such as or-ganic dust (total dust, PM10) and endotoxins, open field (manure application), greenhouse (plowing harrowing, planting, manure application, and harvest), fruit (manure application), specialty crops (manure application, making furrows, mixing mushroom media, harvest, and sorting and packing), and livestock (preparation of farm, maintaining poultry litter, feeding, shipment, manure treatment) were selected as SEGs. Conclusions: To establish similar exposure groups in agriculture, it is important that the characteristics of each hazard factor are categorized by identifying risk factors occurring by tasks.

일개 전자제품 제조업 근로자에서 교대근무와 불안증상: 비타민 D와 수면의 질의 매개효과

채창호,박영숙 한국산업보건학회 2020 한국산업보건학회지 Vol.30 No.3

Objectives: The purpose of this study was to compare vitamin D levels, sleep quality, and anxiety symptoms between shift workers and daytime workers and analyze the mediating effect of vitamin D and sleep quality between shift work and anxiety symptoms. Methods: The subjects of the study were 6744 people who received a medical examination while working for an electronics manufacturing company in 2016. We evaluated their shift work, vitamin D levels, sleep quality, and anxiety symptoms with blood samples and questionnaires. Chi-square test, t-test and path statistical analysis were performed. Results: The shift workers had significantly higher symptoms of anxiety than the day workers, significantly lower levels of vitamin D in the blood, and significantly poorer quality of sleep. The results of the pathway analysis confirmed that blood vitamin D and sleep quality had a mediating effect between shift work and anxiety symptoms. Conclusions: Shift workers should be constantly paying attention to mental health effects such as anxiety symptoms. Shift workers should also be alerted of the risk of vitamin D deficiency, encouraged about sun exposure and vitamin D intake, and required to undergo training and counseling on sleep hygiene.

ACGIH TLV가 전면 개정된 알루미늄 화합물의 노출기준 관리

박승현,김세동 한국산업보건학회 2020 한국산업보건학회지 Vol.30 No.3

Objective: The purpose of this study was to provide technical information about the management of occupational exposure limits(OELs) for substances with completely revised ACGIH TLVs. Methods: The history of ACGIH TLVs for aluminum compounds, the reason for the complete revision of the related ACGIH TLV in 2008, and OELs for them in respective countries were reviewed. In addition, the results of a 2019 work environment assessment for aluminum compounds in Korea were reviewed. Results: In 1979, the ACGIH set up the TLVs for aluminum compounds considering types of compounds such as metal dust, pyro powders, welding fumes, soluble salts, alkyls, and aluminum oxide. However, in 2008 the ACGIH withdrew the TLVs for all types of aluminum and its compounds and adopted new TLVs for aluminum metal and insoluble compounds. This can cause confusion in many countries in the management of exposure to aluminum compounds because they adopt or refer to the ACGIH TLVs. Conclusion: Although Korea is setting occupational exposure limits by referring to the ACGIH's TLVs, it is necessary to sufficiently review whether it is necessary to accept the TLVs as they are if a TLV is completely changed, like took place with the revision of aluminum compounds in 2008.

연구활동종사자 작업환경측정 결과 및 제도개선 방향

황제규 ( Je-gyu Hwang ),변헌수 ( Hun-soo Byun ) 한국산업보건학회 (구 한국산업위생학회) 2020 한국산업보건학회지 Vol.30 No.4

Objectives: The characteristics of research workers are different from those working in the manufacturing industry. Furthermore, the reagents used change according to the research due to the characteristics of the laboratory, and the amounts used vary. In addition, since the working time changes almost every day, it is difficult to adjust the time according to exposure standards. There are also difficulties in setting standards as in the manufacturing industry since laboratory environments and the types of experiments performed are all different. For these reasons, the measurement of the working environment of research workers is not realistically carried out within the legal framework, there is a concern that the accuracy of measurement results may be degraded, and there are difficulties in securing data. The exposure evaluation based on an eight-hour time-weighted average used for measuring the working environment to be studied in this study may not be appropriate, but it was judged and consequently applied as the most suitable method among the recognized test methods. Methods: The investigation of the use of chemical substances in the research laboratory, which is the subject of this study, was conducted in the order of carrying out work environment measurement, sample analysis, and result analysis. In the case of the use of chemical substances, after organizing the substances to be measured in the working environment, the research workers were asked to write down the status, frequency, and period of use. Work environment measurement and sample analysis were conducted by a recognized test method, and the results were compared with the exposure standards (TWA: time weighted average value) for chemical substances and physical factors. Results: For the substances subject to work environment measurement, the department of chemical engineering was the most exposed, followed by the department of chemistry. This can lead to exposure to a variety of chemicals in departmental laboratories that primarily deal with chemicals, including acetone, hydrogen peroxide, nitric acid, sodium hydroxide, and normal hexane. Hydrogen chloride was measured higher than the average level of domestic work environment measurements. This can suggest that researchers in research activities should also be managed within the work environment measurement system. As a result of a comparison between the professional science and technology service industry and the education service industry, which are the most similar business types to university research laboratories among the domestic work environment measurements provided by the Korea Safety and Health Agency, acetone, dichloromethane, hydrogen peroxide, sodium hydroxide, nitric acid, normal hexane, and hydrogen chloride are items that appear higher than the average level. This can also be expressed as a basis for supporting management within the work environment measurement system. Conclusions: In the case of research activity workers' work environment measurement and management, specific details can be presented as follows. When changing projects and research, work environment measurement is carried out, and work environment measurement targets and methods are determined by the measurement and analysis method determined by the Ministry of Employment and Labor. The measurement results and exposure standards apply exposure standards for chemical substances and physical factors by the Ministry of Employment and Labor. Implementation costs include safety management expenses and submission of improvement plans when exposure standards are exceeded. The results of this study were presented only for the measurement of the working environment among the minimum health management measures for research workers, but it is necessary to prepare a system to improve the level of safety and health.

보건업 종사자의 업무상 질병

안선아 ( Seona An ),함승헌 ( Seunghon Ham ),이완형 ( Wanhyung Lee ),최원준 ( Won-jun Choi ),강성규 ( Seong-kyu Kang ) 한국산업보건학회 (구 한국산업위생학회) 2020 한국산업보건학회지 Vol.30 No.4

Objectives: Occupational diseases that occur due to or aggravated by work have commonly been recognized in the manufacturing industry, but there are now more incidences happening in the service industry due to changes in the industrial structure. Health workers are exposed to direct factors and various other causes of occupational disease at work, such as physical, chemical, biological, and psyco-social factors. This study aims to identify work-related diseases affecting health workers that are recognized as occupational diseases. Methods: The research is based on the data of workers whose diseases were accepted as work-related by the Industrial Accidents Compensation Insurance, and filed by the Korean Occupational Safety and Health Agency. Amongst the approved claims during 2011 to 2015, we focused on healthcare workers and health-related workers of the Korean Standard Classification of Occupations. Descriptive statistics were performed. Results: The number of health workers(HWs) with approved work-related disease was 1,707 over 5 years. The number of healthcare workers(HCWs) excluding caregivers was 370 (21.7%) and of health-related workers (HRWs) it was 736 (43.1%). Out of HWs who were approved for their illnesses, females were 80% of HCWs and 88% of HRWs. The most common occupational disease in HWs was musculoskeletal diseases, while that of nurses was infectious disease. Conclusions: HWs are exposed to various risks from their profession and are affected by occupational diseases. It is necessary to focus on this issue and provide preventive measures.