• Title/Summary/Keyword: occupational health strategy

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Improvement of Epidemiology Intelligence Service Officer Program for Preparedness and Response against Future Health Issues Included Communicable and Non-communicable Diseases in Korea (미래 보건문제 발생에 대응·대비를 위한 역학조사관제도 개선방안)

  • Lee, Moo-Sik
    • Health Policy and Management
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    • v.28 no.3
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    • pp.294-300
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    • 2018
  • The development and management of epidemiology intelligence service (EIS) officer with more specialized competence to cope with and prepare for health threats, including pandemic of emerging and re-emerging infectious diseases, is a high priority policy issue in Korea. First of all, we need to establish the training goal of EIS officer. It is necessary to establish manpower training and management system with at least three tiers including quantitative and qualitative targets. Second, at least 50% of all EIS officer must secure a physician and secure expertise and competence for epidemic. Third, for the ultimate purpose of EIS officer, the establishment of a public health expert should expand the scope of epidemiologist's work to health and medical care, occupational environment, and various disasters. Fourth, it is essential to expand the epidemiologist training and education program to the level of advanced countries. Especially, the training course should be expanded at least twice of current times. Fifth, it is necessary to independently install and operate the 'EIS Officer Training Center' as a mid- and long-term goal. Stewardship and governance are secured with the organization, personnel, etc. that can fully manage the planning, management, and evaluation of the EIS system. In the future, it will be necessary to establish a systematic and phased operational base of education and training programs for EIS officer, and establish a sustainable implementation system for strategy development. In addition, it is urgent to revise the guidelines for training public health professionals and strengthening competencies, and for establishing professional educational institutions.

Quantitative Assessment Strategy for Determining the Exposures to Volatile Organic Chemicals in Chemistry Laboratories (화학실험실의 휘발성유기화합물 노출에 대한 정량적 평가전략)

  • Byun, Hyaejeong;Ryu, Kyongnam;Yoon, Chungsik;Park, Jeongim
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.21 no.1
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    • pp.11-24
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    • 2011
  • Working in a research laboratory means exposure to a wide range of hazardous substances. Several studies indicated that laboratory workers, especially working with chemicals, might have an increased risk of certain cancers. However, exposure assessment data in laboratory settings are scarce. This study was performed to examine several approaches for quantitatively assessing the exposure levels to volatile organic compounds (VOCs) among workers in chemistry laboratories. The list of 10 target VOCs, including ethanol, acetone, 2-propanol, dichlormethane, tetrahydrofuran, benzene, toluene, n-hexane, ethyl acetate, chloroform, was determined through self-administered questionnaire for six chemistry research laboratories in a university, a government-funded research institute, or private labs. From September to December 2008, 84 air samples were collected (15 area samples, 27 personal time weighted samples, 42 personal task-basis short-term samples). Real time monitors with photo ionization detector were placed during the sampling periods. In this study, benzene was observed exceeding the action levels, although all the results were below the American Conference of Governmental Industrial Hygienists (ACGIH) Threshold Limit Value (TLV). From the air sampling results, we concluded that (1) chemicals emitted during experiments could directly affect to neighbor office areas (2) chemical exposures in research laboratories showed a wide range of concentrations depending on research activities (3) area samples tended to underestimate the exposures relative to personal samples. Still, further investigation, is necessary for developing exposure assessment strategies specific to laboratories with unique exposure profiles.

Public Perceptions of the Risk of Asian Dust Storms in Seoul and its Metropolitan Area (황사에 대한 수도권 거주 성인의 위해도 인식 조사)

  • Im, Hyoung-June;Ha, Mi-Na;Lee, Sang-Gyu;Hwang, Seung-Sik;Ha, Eun-Hee;Cho, Soo-Hun;Kwon, Ho-Jang
    • Journal of Preventive Medicine and Public Health
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    • v.39 no.3
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    • pp.205-212
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    • 2006
  • Objectives: In spite of the recent increased concern for Asian dust storms, there are few studies concerning how dangerous the general public recognizes these dust storms to be. This study examined the public's perceptions of the risk of the Asian dust storms and also the source of the information concerning the risk. Methods: A telephone interview survey using a standardized questionnaire was done for the adults living in Seoul and its metropolitan area from May 15th, 2003 to May 16th, 2003. The contents of the questionnaire were the sociodemographic characteristics, the perceptions of risk to the Asian dust storms, and the coping strategy of the study participants. Results: The study participants get their information on Asian dust storms mainly from TV newscasts and they have a good knowledge of them. They regard it as one of the most dangerous health risks, along with dioxin. They think that it is associated with allergic rhinitis, conjunctivitis and bronchial asthma, etc. Of the 500 study participants, 201 (40.2%) persons suffered bodily discomforts during the Asian dust storm period. Conclusions: Although there are uncertainties about the health risks of Asian dust storms, the public thinks these dust storms are very dangerous to health in many ways This negative perception will not disappear easily. To fill the gap of the public's perceptions of the risk and the objective evidence of its health effects, more studies about its health effects and the methods to reduce exposure are required.

A Study on Worker-Exposure to Formaldehyde in Some Histological Laboratories of Hospitals (일부 종합병원 조직검사실에서의 포름알데히드 노출에 관한 연구)

  • Park, Jiyoung;Zong, Moonshik
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.8 no.1
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    • pp.95-104
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    • 1998
  • This Study was conducted at nine Histological Laboratories in the hospitals located in Seoul from August 20 to October 10, 1996. The main purpose of this study was to assess the TWA & STEL exposure to formaldehyde and to evaluate factors affecting formaldehyde concentration in Histological Laboratory. With evaluated factors, proper improvement strategy to minimize exposure was suggested. The results are summarized as follows ; 1. The TWA concentrations of the personal samples ranged from 0.02 to 3.86 ppm and that of one laboratory out of nine was exceeding 0.75 ppm, USA OSHA standard. The TWA concentrations of the area samples ranged from 0.08 ppm to 1.49 ppm and those of three laboratories out of nine were exceeding OSHA standard. 2. When measurement was conducted on the working tables. around Formaldehyde vessel, fixation container and storage cabinet, the geometric means of TWA concentrations were 0.62 ppm, 0.64 ppm. 0.58 ppm and 0.37 ppm respectively. 3. When overnight fixed specimens were examined, the STEL concentrations of personal samples ranged from 0.59 ppm to 5.01 ppm, those of three laboratories out of nine were exceeding 2 ppm, OSHA standard and the STEL concentrations of area samples ranged from 0.31 ppm to 3.08 ppm, those of four laboratories from nine were exceeding OSHA standard. 4. Factors affecting Formaldehyde exposure level were sanitation state of laboratory, volume of the room and opening state of fixation container & formaldehyde vessel(p<0.05).

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Diagnostic Methods of Respiratory Virus Infections and Infection Control (호흡기 바이러스 감염의 진단법과 감염관리)

  • Park, Chang-Eun
    • Korean Journal of Clinical Laboratory Science
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    • v.53 no.1
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    • pp.11-18
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    • 2021
  • Respiratory viruses (RVs) cause infections in hospital environments through direct contact with infected visitors. In infection control, it causes major problems of acquired infections in hospitals by respiratory viruses. The surveillance data derived from clinical laboratories are often used to properly allocate medical resources to hospitals and communities for treatment, consumables, and diagnostic product purchases in the institutions and public health sectors that provide health care. An early diagnosis is essential in infection with respiratory viruses, and methods that can be used in diagnostic methods using respiratory samples include virus culture, molecular diagnosis, and analysis. A microchip provides a new strategy for developing a more diverse and powerful technology called point-of-care testing. The importance of the respiratory system should be applied strictly to the infection control guidelines to ensure the occupational health and safety of health care workers. Evidence of clinical efficacy, including this study, is challenging the long-standing paradigm for infection propagation. Additional assistance will be needed for frequent tests to detect respiratory viruses in inpatients who have begun to show new respiratory symptoms indicating infections requiring efforts to control the infection.

Relationship between Prevalence of Musculoskeletal Symptoms and Occupational and Personal Factors among Street Cleaners (일부 거리환경미화원의 근골격계 증상 유병률과 직업적 및 개인적 요인의 관련성)

  • Jung, Suk-Chul;Lee, Kyung-Sun;Jung, Myung-Chul;Lee, In-Seok;JungChoi, Kyung-Hee;Bahk, Jin-Wook;Kim, Hyun-Joo
    • Journal of the Korean Society of Safety
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    • v.25 no.6
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    • pp.169-179
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    • 2010
  • The aim of this study was to investigate occupational and individual risk factors and working conditions in relation to musculoskeletal symptoms in street cleaners. Investigation was conducted through a survey of 395 male street cleaners employed by the government office in Seoul, Gyeonggi and Chung-Nam from July to August of 2009. The control group was comprised of 143 male drivers and security guards. Risk factors for musculoskeletal symptoms in street cleaners were investigated by multiple logistic regression analysis and also evaluated ergonomic risk factors by assessing working conditions of 4 street cleaners. As a result of symptom questionnaires, all of the prevalent rates of musculoskeletal symptoms in street cleaners had significantly higher results than those of the control group(p<0.05). On binary logistic regression analysis of musculoskeletal symptoms, street cleaners showed significant higher odds ratio as 18.84(95%CI: 6.56-54.12) in the arm/elbow, 10.49(95%CI: 4.29-25.65) in the hand/wrist compared to the control group. Both absence of rest breaks and exposure to ergonomic risk factors showed to be important internal risk factors of musculoskeletal symptoms among street cleaners. The exposure levels of QEC(Quick exposures checklist) in street cleaners were revealed to be higher on the shoulder/arm, wrist/hand, and neck than back, or from stress. The findings appear to show that street cleaners were high-risk group of work-related musculoskeletal disorders. Therefore street cleaners require a holistic interventional strategy, including adequate arrangement of rest breaks, improvement of working tools and control of individual risk factors such as obesity and smoking.

Levels of Bioaerosols in Cattle Sheds and Nearby Farmers' Houses in Korea

  • Kang, Jung-Hwan;Jo, Wan-Kuen
    • Journal of Korean Society for Atmospheric Environment
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    • v.23 no.E1
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    • pp.1-9
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    • 2007
  • In Korea, there is only a limited amount of information currently available on the levels of airborne bacteria and fungi of cattle sheds, although certain portions of people are potentially exposed to these bioaerosols in cattle sheds. Accordingly, the current study measured them inside cattle sheds, inside and outside farmers' houses near the sheds, and/or inside residential houses far away from the sheds during winter, 2004 and summer, 2005. The airborne bacteria and fungi were detected in most samples in the cattle farmers' houses as well as in the cattle sheds. Aspergillus, Cladosporium, and Penicillium, which have been associated with adverse health effects, were three most prevalent fungal genera, and they took most of the total fungi (more than 69%). The microbial concentrations measured inside the cattle sheds were comparable to those in other reports. Nevertheless, the present arithmetic and geometric mean (GM) microbial concentrations exceeded the Korean guideline for total airborne bacteria at medical facilities ($800\;CFU\;m^{-3}$), the current GM residential indoor concentrations at houses, and the residential indoor levels reported in other countries. The present findings suggest the need for a strategy to reduce Korean cattle farmers' exposure to these microorganisms. In contrast to the microbes, it is suggested that the cattle shed is not an important microenvironment for $PM_{10}$ exposure. Two characteristics examined in this study (seasonal variation and summer survey period, i.e., temperature and humidity) were all important for the cattle farmers' occupational exposure to airborne microbes. The lack of constancy between highest and lowest concentrations of bioaerosols over the survey period further suggests the necessity of performing a long-term survey to better examine farmer exposure levels and their variability.

Ergonomics Job Hazard Evaluation of Building Cleaners

  • Lee, Kyung-Sun;Lee, In-Seok;Kim, Hyun-Joo;Jung-Choi, KyungHee;Bahk, Jin-Wook;Jung, Myung-Chul
    • Journal of the Ergonomics Society of Korea
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    • v.30 no.3
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    • pp.427-435
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    • 2011
  • Objective: The objective of this study was to evaluate a work of building cleaners using the ergonomic methods. Background: Previous studies about cleaning worker describe typical physical demands of this work. They found that the most significant risk factors associated with the physical work of cleaners are static loads and repetitive movements and high output of force. Method: A head of ergonomics estimation was work analysis(define of combined task, work tool, work time and frequency of combined task) and posture analysis of worker. Results: The results showed that combined task of building cleaners was classification sweeping, mopping(wet), mopping(oil), moving barrels/carts, dumping trash bags, scrubbing, arrangement of cleaning tool, arrangement of circumferential, moving of cleaning tool, and waiting. The work time of combined task such as mopping(wet) and scrubbing indicated high ratio. The posture analysis of building cleaners indicated high value in bending of the head, lower arm, and hands. Conclusion: The findings appear to indicate that building cleaner were related to high risk of work-related musculoskeletal disorders. So, building cleaner would be required an interventional strategy, improvement of cleaning tools and working environment. Application: If ergonomics rule can be integrated into existing cleaning tools and work environments, the risk of occupational injuries will be reduced.

The Determinants of Health Promoting Behavior of Industrial Workers (산업장 근로자의 건강증진행위와 자아개념 및 건강의 중요성 인식에 관한 연구)

  • Kim, Chung Nam
    • Korean Journal of Occupational Health Nursing
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    • v.7 no.1
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    • pp.5-19
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    • 1998
  • This descriptive-correlational study was conducted to identify the major factors affecting health promoting behaviors. 344 workers who employed in four different manutacturing plants in Taegu and Kyungbuk area were selected by convenience sampling method. Data were collected from April let to April 18th, 1998 by ready structured questionaires. The purpose of this study was to offer the basic data for health promotion theory development and health promotion strategy planning. This study was based on Pender's Health Promotion Model and examined three variables health promoting behavior, self-concept and perceived importance of health. The Life Style and Health Habit Assessment scale(LHHA) developed by Pender(1982).The Self-concept scale developed by Choi(1972) and the Health Value scale developed by Wallston, Maides and Wallston(1980) were used for this study. Data was analyzed by percentage, mean. t-test. ANOVA, Pearson Correlation Coefficient, and Stepwise Multiple Regression. The major findings of this study are as follows ; 1. The average level of health promoting behavior practice was 63.2% and possible range was from 62 to 248 point. The mean score of respondent's positive self-concept was 75.8. 81.4% of respondents put a high priority on the importance of health. 2. There was a significant difference between the practice level in the category of general self care and less amount of working hours per day(P=0.000), less amount of working hours per week(P=0.000). There was a significant difference between the practice level in the category of nutrition and age(0.002), marital status(0.000), working hour per day(0.008), working hours per week(0.001), There was a significant difference between the practice level in the category of nutriton and sex(0.000), age(0.000), marital status(0.025), education level(0.000), working hours per day(0.002), working hours per week(0.006). There was a significant difference between the practice level in the category of sleep and rest and age(0.003), marital status(0.002), working hours per day(0.001), working hours per week(0.001). There was a significant difference between the practice level in the category of stress management and working hours per day(0.001), working hours per week(0.002). There was a significant difference between the practice level in the category of self-actualization and working hours per day(0.050). 3. General characteristics influencing the respodent's self-concept were level(P=0.009) and worksite(P=0.001). 4. The results of the hypothesis tests are as follows The first hypothesis, that "The respondent who have more positive self-concept will have higher scores in the practice of health promoting behavior." was supported(r=0.2973, P=0.0001). The second hypothesis that "The respondent who have higher perception level on importance of health will have higher scores in the practice health promoting behavior." was rejected(r=- 0665, P=0.2225). 5. The most important factor that affects health promoting behavior practice was working hours per week(6.0%). The combination of working hours per week, age, education level accounted for 10.0% of the variance in health promoting behavior. In conclusion, the results of this study on industrial workers supported Pender's health promotion model in partial and showed the relatedness between self concept and the practice of health promoting behavior. Further research is required to find factors influencing health promoting behaviors of industrial workers.

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Related factors on musculoskeletal symptoms in selected Korean female office and blue-collar workers (우리나라 일부 사무직과 생산직 여성근로자에서 근골격계 자각증상과 관련요인)

  • Lee, Kyung-Jae;Han, Sung-Hyun;Ahn, Yeon-Soon;Hwang, Jung-Ho;Kim, Joo-Ja
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.17 no.4
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    • pp.289-299
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    • 2007
  • Objectives : To investigate the related factors on musculoskeletal symptoms among Korean female workers. Methods : A total of 1,875 female workers (1,002 office workers and 873 blue-collar workers) was analyzed. They were randomly selected among female workers by cluster sampling and interviewed by well trained interviewer, who filled out a structured questionnaire on the musculoskeletal symptoms. Other factors such as general and occupational characteristics including workplace location, employment condition, work duration, and working condition were also investigated. Results : Current smokers and drinkers were significantly more common in blue-collar workers than in office workers. Those working full time were significantly more common in blue-collar workers than in office workers. Those working over 8 hours per day were also popular in office workers than in blue-collar workers. Subjective musculoskeletal symptoms were significantly higher in the type of work including excessive repetitive work, work using awkward stretching hand upwards, work using repetitive wrist movements, static work using awkward hand posture, and heavy manual lifting and handling works. The mean score of the symptoms were significantly higher in blue-collar than in office workers. The significantly different working factors between two groups were work duration, employment condition and daily work hours. Conclusion : We suggest that the type of work including awkward and repetitive works as well as job type may be one of the most important factors related to musculoskeletal symptoms of female workers in the workplace. Preventive strategy will be needed to prevent the negative impact on health status of working women in the workplace.