DOI QR코드

DOI QR Code

Review for CAREX(CARcinogen EXposure) Exposure Surveillance System: Limitation and Application to Korea

발암인자 노출감시를 위한 CAREX(CARcinogen EXposure, CAREX) 프로그램 고찰; 한계점과 활용 방안

  • Received : 2014.09.05
  • Accepted : 2014.09.18
  • Published : 2014.09.30

Abstract

Objectives: We reviewed the CAREX (CARcinogen EXposure) program designed to estimate the prevalence of occupational exposure to carcinogens and summarized the advantages and limitations of this program. Methods: All literature, including reports on CAREX and the use of CAREX, were reviewed. The keyword search term was CAREX. Additional articles were identified from references cited in articles and reviewed. Results: An exposure information system, CAREX was developed based on data from the Finnish Institute of Occupational Health of Finland and from the US. CAREX has been applied in several countries, including in the EU, in order to estimate national exposure patterns to carcinogens. The initial exposure assessment carried out through CAREX was aimed at estimating exposures over the period of 1990-1993. To estimate the number of workers exposed to carcinogens by using CAREX, reference exposure prevalence from Finland and the United States was computed, which was then reviewed and corrected by national experts. Finally the overall number of workers exposed to carcinogens can be estimated. We found that CAREX has been used in a total of 18 countries. No Asian country has used CAREX. Conclusions: CAREX can be applied not only to estimate the number of workers exposed to carcinogens in Korea, but also to identify high-risk industries with workers most exposed to carcinogens.

Keywords

References

  1. Blanco-Romero, LE, Vega, LE, Lozano-Chavarria, LM, Partanen, TJ. CAREX Nicaragua and Panama: Worker exposures to carcinogenic substances and pesticides. Int J Occup Environ Health 2011;17(3):251-257 https://doi.org/10.1179/oeh.2011.17.3.251
  2. Kauppinen, T. Finnish occupational exposure databases. Appl Occup Environ Hyg 2001;16(2):154-158 https://doi.org/10.1080/104732201460253
  3. Kauppinen, T, Pajarskiene, B, Podniece, Z, Rjazanov, V, Smerhovsky, Z, Veidebaum, T, Leino, T. Occupational exposure to carcinogens in Estonia, Latvia, Lithuania and the Czech Republic in 1997. Scand J Work Environ Health 2001;343-345
  4. Kauppinen, T, Toikkanen, J, Pedersen, D, Young, R, Ahrens, W, Boffetta, P, Hansen, J, Kromhout, H, Blasco, JM, Mirabelli, D. Occupational exposure to carcinogens in the European Union. Occup Environ Med 2000; 57(1):10-18 https://doi.org/10.1136/oem.57.1.10
  5. Kauppinen, T, Uuksulainen, S, Saalo, A, Makinen, I, Pukkala, E. Use of the Finnish Information System on Occupational Exposure (FINJEM) in Epidemiologic, Surveillance, and Other Applications. Ann Occup Hyg 2014;met074
  6. Kauppinen, T, Vincent, R, Liukkonen, T, Grzebyk, M, Kauppinen, A, Welling, I, Arezes, P, Black, N, Bochmann, F, Campelo, F. Occupational exposure to inhalable wood dust in the member states of the European Union. Ann Occup Hyg 2006;50(6):549-561 https://doi.org/10.1093/annhyg/mel013
  7. Mannetje, At, Pearce, N, McLean, D, Douwes, J, Dryson, E, Walls, C, Ellison-Loschmann, L, Blair, A, Kromhout, H, Slater, T, Boffetta, P (2013). Workplace exposure to carcinogens in New Zealand (HRC 08/569). Centre for Public Health Research, Massey University.
  8. Mirabelli, D, Kauppinen, T. Occupational exposures to carcinogens in Italy: an update of CAREX database. Int J Occup Environ Health 2005;11(1):53-63 https://doi.org/10.1179/oeh.2005.11.1.53
  9. Partanen, T, Chaves, J, Wesseling, C, Chaverri, F, Monge, P, Ruepert, C, Aragón, A, Kogevinas, M, Hogstedt, C, Kauppinen, T. Workplace carcinogen and pesticide exposures in Costa Rica. Int J Occup Environ Health 2003;9(2):104-111 https://doi.org/10.1179/oeh.2003.9.2.104
  10. Pedersen, DH, Sieber, WK. National occupational exposure survey. Vol III. Analysis of management interview responses. Cincinnati, Ohio: US Department of Health and Human Services, National Institute for Occupational Safety and Health; 1990. (Publication No. 89-103.)
  11. Peters, CE, Calvin, BG, Hall, AL, Davies, HW, Demers, PA. CAREX Canada: an enhanced model for assessing occupational carcinogen exposure. Occup Environ Med 2014;oemed-2014-102286
  12. Seta, JA, Sundin, DS, Pedrsen, DH. National occupational exposure survey. Vol I. Survey manual. Cincinnati, Ohio: US Department of Health and Human Services, National Institute for Occupational Safety and Health; 1988. (Publication No. 88-106.)
  13. Sieber, WK. National occupational exposure survey. Vol II. Sampling methodology. Cincinnati, Ohio: US Department of Health and Human Services, National Institute for Occupational Safety and Health; 1990. (Publication No. 89-102.)