• Safety and Health at Work
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• 제4권3호
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• pp.136-141
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• 2013

Background: Occupational end users of pesticides may experience bodily absorption of the pesticide products they use, risking possible health effects. The purpose of this paper is to provide a guide for researchers, practitioners, and policy makers working in the field of agricultural health or other areas where occupational end use of pesticides and exposure issues are of interest. Methods: This paper characterizes the health effects of pesticide exposure, jobs associated with pesticide use, pesticide-related tasks, absorption of pesticides through the skin, and the use of personal protective equipment (PPE) for reducing exposure. Conclusions: Although international and national efforts to reduce pesticide exposure through regulatory means should continue, it is difficult in the agricultural sector to implement engineering or system controls. It is clear that use of PPE does reduce dermal pesticide exposure but compliance among the majority of occupationally exposed pesticide end users appears to be poor. More research is needed on higher-order controls to reduce pesticide exposure and to understand the reasons for poor compliance with PPE and identify effective training methods.

• 한국환경보건학회지
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• 제37권2호
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• pp.81-93
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• 2011

Although pesticides have increased crop production and controlled disease, they have produced a number of adverse health effects. Pesticides have potential human toxicity and a variety of groups, such as farmers or industrial workers, as well as the general population, are exposed to pesticides. The purpose of this article, therefore, is to provide an overview of pesticide exposure and health through a literature review, focusing on exposure assessment, acute poisoning, chronic health effects, and future research needs. The exposure types and levels of pesticides vary by study subjects and need to be assessed by integrating several methods focused on the epidemiological purpose. Acute pesticide poisoning is a major public health problem in the world. Paraquat is the main causative pesticide for acute poisoning in Korea and should be banned in order to save several thousands of lives every year. Occupational pesticide exposure also causes numerous chronic diseases among farmers and industrial workers, including cancers, respiratory diseases, depression, retinal degeneration, diabetes, and abnormal menstrual cycle. However, controversy exists regarding the long-term effects of low-dose environmental pesticide exposure. The area of pesticide study is relatively new with broad study populations and it has received little academic and policy attention, particularly in Korea. More detailed studies investigating the risk of pesticide-related health effects and intervention efforts to reduce the problems are needed in Korea.

• 한국산업보건학회지
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• 제17권3호
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• pp.203-211
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• 2007

This study was conducted in cut rose cultivation field in Goyang to evaluate pesticide exposure of farmers and the relationship between the exposure and work environment/method for cut rose farmers. Dermal exposure was assessed with patch (thin chromatography layer paper), cotton glove by body parts during mixing and spraying works in which pyrethroid, organophosphate, carbamate pesticide were used in 4 cut rose greenhouses located in Goyang province, checking characteristics of environment/working method at the same time. Body parts assessed were as follows ; glove : hand, patch : head, neck(front/back), chest, back, shoulder(right/left), upperarm(right/left), forearm(right/left), thigh(right/left), shin(right/left). Pesticides were analyzed using gas chromatography(NPD/FID) after extracting with ethyl acetate. Exposure amount differed according to pesticide type. But after standardizing with total net weight of pesticide sprayed, there were no significant difference among pesticides. There were significant difference in exposure amount among body parts(especially exposure amount of thigh, shin were more than the others), which means exposure happen not by pesticide dispersion in air but by contact with cut rose(leaf, branch) indirectly. Walking forward during spraying made farmers more exposed than waling backward, these results means contacts with leaves/branches made exposure happen in cut rose greenhouse also. As a result, pesticide exposure in cut rose greenhouse was related with contact of leaf/branch which pesticide remained in, which made exposure pattern (especially exposure amount) differ by body parts

• 한국산업보건학회지
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• 제28권3호
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• pp.267-272
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• 2018

Objective: This study aimed to test the accuracy of self-reported information used in indirect estimation of pesticide exposure. Methods: To do so, self-reported values on the duration of pesticide application per day were compared with observed values. The number of days of pesticide application per year as recorded in self-administered logs was compared with recalled values. Results: It was found that participants underestimated the duration and frequency of actual pesticide use. High correlations were found between self-reported values and observed values, as well as between recalled values and recorded values. Conclusions: The reason might be that farmers unconsciously under-recall the application of pesticide since many customers prefer eco-friendly agricultural products. Farmers thought the task of applying pesticides to be essential, and this may explain why the participants in this study tended to accurately recall their pesticide-related work.

• Journal of Preventive Medicine and Public Health
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• 제57권1호
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• pp.73-82
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• 2024

Objectives: The unsafe use of pesticides in agriculture represents a major hazard to human health. This study was conducted to investigate the association between pesticide exposure and health symptoms among chili farmers in northeast Thailand. Methods: This cross-sectional analytic study included 141 chili farmers in Sakon Nakhon Province, in northeast Thailand. Data regarding health symptoms were gathered using a self-report questionnaire. A medical technician tested blood cholinesterase activity using an erythrocyte method, and an occupational medicine specialist at Ramathibodi Hospital in Bangkok, Thailand reviewed the results. Associations between personal characteristics, pesticide exposure factors, and health symptoms were analyzed using multiple logistic regression. Results: Of the 141 chili farmers studied, 66.7% experienced pesticide poisoning, as indicated by below-normal cholinesterase levels. Fatigue was the most frequently reported symptom associated with pesticide exposure, affecting 37.6% of participants. This was followed by nausea and vomiting (31.9%), dizziness (14.9%), and dry throat (14.9%). Multivariate logistic regression analysis revealed that several factors were significantly associated with adverse symptoms: amount of work experience, volume of pesticides used, use of chemical pesticides, use of leaking containers during spraying, direct pesticide exposure while working, contact with pesticide-soaked clothing, consumption of food and drinks in the fields, and blood cholinesterase level indicating risk. Conclusions: This study suggests potential health risks for chili farmers stemming from exposure to and contamination by pesticides used in agricultural practices. To mitigate these risks, it is essential to supply personal protective equipment and to implement educational programs aimed at improving protective behaviors among farmers.

• 한국지역사회생활과학회지
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• 제28권3호
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• pp.391-401
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• 2017

This study was conducted to evaluate the relationships between exposure level to pyrethroid pesticide and wearing of protective equipment in 194 Chung-nam orchard male farmers. The urinary metabolites of pyrethroid pesticides, including Cis, Trans, DBCA, and 3-PBA, were analyzed by GC/MSD. As a result of this study, the detection rate and exposure level of 3-PBA was the highest among pyrethroid metabolites discovered by orchard farmers. As a result of analyzing the actual conditions of wearing protective equipment by the subjects of this study, the rate of agricultural farmers who wore four pieces of protective equipment compared to agricultural farmers wearing a single piece of protective clothing was as high as 35.1%. Pyrethroid exposure levels were low when farmers wore more personal protective equipment (PPE). In conclusion, training with regards to pesticide hazards and protective equipment for farmers who spray pesticides will help reduce pesticide exposure levels.

• Journal of Preventive Medicine and Public Health
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• 제43권6호
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• pp.535-542
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• 2010

Objectives: Exposure assessment is a major challenge faced by studies that evaluate the association between pesticide exposure and adverse health outcomes. The objective of this study was to investigate the reliability of information that farmers self-report regarding their pesticide use. Methods: Twenty five items based upon existing questionnaires were designed to focus on pesticide exposure. In 2009, a selfadministrated survey was conducted on two occasions four weeks apart among 205 farmers residing in Gyeonggi and Gangwon provinces. For a reliability measure, we calculated the percentage agreement, the kappa statistics and the intraclass correlation coefficient (ICC) between the two reports according to the characteristics of the subjects. Results: Agreement for ever-never use of any pesticide was 96.4% (kappa 0.61). For both 'years used' and 'age at the first use' of overall pesticides, high agreement was obtained (ICC: 0.88 and, 0.78, respectively), whereas those of 'days used' and 'hours used' were relatively low (ICC: 0.42 and, 0.66, respectively). The kappa value for the use of personal protective equipment ranged from 0.46 to 0.59, and hygiene activities came out at 0.19 to 0.37. The agreement for individual pesticide use ranged widely and there was relatively low agreement due to the low response rates. The reliability scores did not significantly vary according to gender, age, the education level, the types of crop or the years of farming. Conclusions: Our results support that carefully designed, self-reported information on ever-never pesticide use among farmers is reliable. However, the reliability of data on individual pesticide exposure may be unstable due to low response rates and needs to be refined.

• 농약과학회지
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• 제11권4호
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• pp.281-288
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• 2007

본 연구는 우리나라 과원에서 농작업자 농약노출량의 산정방법을 제안하기 위하여 수행되었다. 우리나라 농작업자의 농약 노출량을 산정하기 위한 벤치마킹 모델로써 UK-POEM을 제안하였다. 그러나 이 모델은 영국에서 자국의 농작업자에 대한 농약 노출량을 산정하기 위한 모델이므로 우리나라 농작업자의 농약노출량 산정에 직접이용 하기에는 1일 농약살포 기기 및 면적, 살포시간, 살포물량 등에서 많은 차이점이 있다. 따라서 우리나라 과수농업의 현실을 반영하기 위하여 UK-POEM의 구동방법을 분석하곤 우리나라 과원의 농약 살포기기, 1일 농약살포 시간, 1일 농약살포 면적, ha당 농약살포 물량 등을 204농가 4351 농약사용 건수에 대하여 조사하였다. 과원에 농약 살포를 위하여 사용되는 살포기기를 분석한 결과 SS기(speed sprayer)가 64.9%이었고, 동력분무기(Motor sprayer)가 33.9% 사용되는 것으로 조사되었다. 또한 1일 농약살포시간을 조사한 결과 SS기, 동력살포기 모두 4시간 이상 작업하는 농가가 가장 많았고, 1일 농약 살포 면적은 SS기의 사용 시 4 ha를 작업하는 농가가 95%이었으며, 동력분무기를 이용하는 농가는 하루 1 ha를 처리하는 것으로 나타났다. 이러한 조사 결과를 바탕으로 UK-POEM을 근간으로 한 우리나라 실정에 맞는 노출시나리오를 작성하였다. SS기의 경우 약제의 살포방법 면에서 유사한 UK-POEM의 "Tractor-mounted/trailed broadcast air-assist sprayer: 500 L/ha"에 1일 작업면적 4 ha, 1일 농약살포 시간 6시간, 피부흡수율 10%를 대입할 것을 제안하였다. 동력분무기의 경우 UK-POEM의 "hand-held rotary atomizer equipment(2.5 L tank). Outdoor, high level target" 시나리오의 내용을 조금 변형한 400 L tank에 대한 시나리오를 작성하여 살포액의 조제시 노출량을 계산할 것과 1일 작업면적 1 ha, 1일 농약살포 시간 6시간, 피부흡수율 10%를 대입할 것을 제안하였다.

• 한국환경보건학회지
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• 제43권4호
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• pp.280-297
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• 2017

Objectives: We assessed pesticide exposure levels according to cultivation and crop type and investigated agricultural factors related to exposure. Methods: The participants, 341 male and 127 female farmers, were divided into three groups by cultivation crop type: chili greenhouse, cucumber greenhouse, and orchard. We collected questionnaires, socioeconomic characteristics and agricultural factors, and spot urine. Pesticide exposure was examined using four organophosphate and four pyrethroids urinary metabolites: dimethylphosphate, dimethylthiophosphate, diethylphosphate, diethylthiophosphate, Cis and Trans-3-(2-2dichlorovinyl)-2, 2-dimethylcyclopropane carboxylic acid, 3-phenoxybenzoic acid (3-PBA), Cis-3-(2-2dibrmovinyl)-2, and 2-dimethylcyclopropane carboxylic acid. Each metabolite was summed ${\Sigma}DAP$ and ${\Sigma}PY$ according to the chemical class. Results: Urinary metabolite detection rates and concentrations were similar between the greenhouse groups, but the orchard group was different. Similar 3-PBA detection rates were found in the three groups, but the geometric mean was very high in the orchard group compared to the two greenhouse groups. 3-PBA concentration in the orchard group was $4.11{\mu}g/g$ creatinine; the chili and cucumber greenhouse groups were 1.27 and $1.16{\mu}g/g$ creatinine, respectively. ${\Sigma}DAP$ was significantly associated with cultivation crop type and seasonal variation, but ${\Sigma}PY$ was not relevant. Conclusions: Our results suggest that cultivation and crop type may be correlated with different pesticide types and exposure levels. Furthermore, seasonal factors were related as potential factors influencing the level of organophosphate metabolites, but not for pyrethroid metabolites.

• Safety and Health at Work
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• 제14권4호
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• pp.451-456
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• 2023

Background: We conducted a case-control study to identify high-risk occupations and exposure to occupational hazards for acute myeloid leukemia (AML). Methods: When patients with AML admitted to the Department of Hematology in the study hospital for the first time are referred to the Department of Occupational and Environmental Medicine, data on occupation are collected by investigators to evaluate work-relatedness. Community-based controls were recruited through an online survey agency, and four controls per case were matched. Occupational information was estimated using structured questionnaires covering 27 specific occupations and 32 exposure agents. Conditional logistic regression analysis was performed by pairing cases and controls. Results: In the analysis of the risk of AML according to occupational classification, a significant association was found in paint manufacturing or painting work (OR = 2.22, 95% CI: 1.03-4.81) and aircrew (OR = 6.00, 95% CI: 1.00-35.91) in males, and in pesticide industry (OR = 6.89, 95% CI: 1.69-28.07) and cokes and steel industry (OR = 2.00, 95% CI: 1.18-22.06) in ≥60 years old. Moreover, the risk of AML increased significantly as the cumulative exposure to thinners increased. In the analyses stratified by sex and age, the association between pesticide exposure and AML was significant in males (OR = 3.28, 95% CI: 1.10-9.77) and in ≥60 years old (OR = 6.22, 95% CI: 1.48-26.08). Conclusion: This case-control study identified high-risk occupational groups in the Republic of Korea including paint manufacturers and painters, aircrew, and those who are occupationally exposed to pesticides or paint thinners.