Annals of Occupational and Environmental Medicine

Choong Hee Park

4 Articles

Emphysema prevalence related air pollution caused by a cement plant: Hyun Seung Lee, Chul Gab Lee, Dong Hun Kim, Han Soo Song, Min Soo Jung, Jae Yoon Kim, Choong Hee Park, Seung Chul Ahn, Seung Do Yu; Ann Occup Environ Med 2016;28:17. Published online April 7, 2016; DOI: https://doi.org/10.1186/s40557-016-0101-8

Background

To identify adverse pulmonary health effects due to air pollution derived from a cement plant in Korea. The emphysema prevalence in residents around a cement plant was compared to that in the group who live far away from the plant by chest films (PA and lateral view) and high-resolution computed tomography (HRCT) lung images.

Methods

From June to August in 2013 and from August to November in 2014, chest films and HRCT scan were conducted on residents over the age of 40 who lived around a cement plant. The residents were divided into two groups; a “more exposed group (MEG)” which consisted of 1,046 people who lived within a 1 km radius and a “less exposed group (LEG)” which consisted of 317 people who lived more than 5 km away from the same plant. We compared the emphysema prevalence and estimated the OR of this between the MEG and the LEG by using a chi-square and logistic regression on chest films and HRCT.

Results

The emphysema prevalence was 9.1 % in the LEG, 14.3 % in the MEG on chest films and 11.4 %, 17.8 % on the HRCT, respectively. The OR of the emphysema prevalence in MEG was 2.92 (95 % CI 1.77-4.83) on the chest films, 2.56 (95 % CI 1.64–3.99) on the HRCT after sex, age, body mass index (BMI), smoking history, residency period and firewood used history were adjusted. The OR in the less than 29 pack-years smoking history was 1.66 (95 % CI 0.92–3.06) and in the more than 30 pack-years was 3.05 (95 % CI 1.68–5.52) on the chest films, and was 1.68 (95 % CI 0.98–2.90), 2.93 (95 % CI 1.72–4.98) on the HRCT, respectively.

Conclusion

The emphysema prevalence seems to be affected by the level of exposure to air pollution derived from the cement plant as well as sex, age, BMI, and smoking history in this study. Moreover, the OR of the case of the more exposed to the air pollution was similar to that of the case in smoking.

Citations

Citations to this article as recorded by

Assessing heavy metal contamination and health risks in playground dust near cement factory: exposure levels in children
Aşkın Birgül
Environmental Geochemistry and Health.2024;[Epub] CrossRef
Residential Proximity to Biorefinery Sources of Air Pollution and Respiratory Diseases in New York State
Eun Kyung Lee, Xiaobo Xue Romeiko, Wangjian Zhang, Beth J. Feingold, Haider A. Khwaja, Xuesong Zhang, Shao Lin
Environmental Science & Technology.2021; 55(14): 10035. CrossRef
Space-Borne Monitoring of NOx Emissions from Cement Kilns in South Korea
Hyun Cheol Kim, Changhan Bae, Minah Bae, Okgil Kim, Byeong-Uk Kim, Chul Yoo, Jinsoo Park, Jinsoo Choi, Jae-bum Lee, Barry Lefer, Ariel Stein, Soontae Kim
Atmosphere.2020; 11(8): 881. CrossRef
Planning of cement plants for environmentally friendly production: a fuzzy-weighted stochastic multi-objective model
E. Bakhtavar, R. Lotfian, R. Sadiq, K. Hewage
Clean Technologies and Environmental Policy.2019; 21(10): 2005. CrossRef
Cement plant emissions and health effects in the general population: a systematic review
Elena Raffetti, Michele Treccani, Francesco Donato
Chemosphere.2019; 218: 211. CrossRef
Exposure to Traffic Emissions and Fine Particulate Matter and Computed Tomography Measures of the Lung and Airways
Mary B. Rice, Wenyuan Li, Kirsten S. Dorans, Elissa H. Wilker, Petter Ljungman, Diane R. Gold, Joel Schwartz, Petros Koutrakis, Itai Kloog, Tetsuro Araki, Hiroto Hatabu, Raul San Jose Estepar, George T. O’Connor, Murray A. Mittleman, George R. Washko
Epidemiology.2018; 29(3): 333. CrossRef
Exposure assessment of particulate matter and blood chromium levels in people living near a cement plant
Sung Ho Hwang, Jae Bum Park, Kyung Jong Lee
Environmental Geochemistry and Health.2018; 40(4): 1237. CrossRef
Hexavalent chromium and some trace metals in concrete from buildings of different ages in northern Italy
Eric Costeri, Giovanni Martinelli, Giampaolo Sighinolfi, Lorenzo Tassi, Paolo Zannini
Environmental Earth Sciences.2016;[Epub] CrossRef
Air pollution and urinary n-acetyl-B-glucosaminidase levels in residents living near a cement plant
Min Soo Jung, Jae Yoon Kim, Hyun Seung Lee, Chul Gab Lee, Han Soo Song
Annals of Occupational and Environmental Medicine.2016;[Epub] CrossRef

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Ventilation impairment of residents around a cement plant: Sul Ha Kim, Chul Gab Lee, Han Soo Song, Hyun Seung Lee, Min Soo Jung, Jae Yoon Kim, Choong Hee Park, Seung Chul Ahn, Seung Do Yu; Ann Occup Environ Med 2015;27:3. Published online January 24, 2015; DOI: https://doi.org/10.1186/s40557-014-0048-6

Abstract PDF PubReader ePub

Objectives

To identify adverse health effects due to air pollution derived from a cement plant in Korea. The ventilation impairment in residents around a cement plant was compared to another group through a pulmonary function test (PFT).

Methods

From June to August of 2013, both a pre and post-bronchodilator PFT was conducted on a “more exposed group (MEG)” which consisted of 318 people who lived within a 1 km radius of a cement plant and a “less exposed group (LEG)” which consisted of 129 people who lived more than 5 km away from the same plant. The largest forced expiratory volume in a one second (FEV1) reading and a functional residual capacity (FVC) reading were recorded after examining the data from all of the usable curves that were agreed upon as valid by PFT experts of committee of National Institute of Environmental Research. The global initiative for chronic obstructive lung disease (GOLD) criteria for COPD, defined the FEV1/FVC ratio < 0.7 as the obstructive type, and the FEV1/FVC ratio ≧ 0.7 and FVC% predicted < 80% were as the restrictive type. The FVC% predicted value was estimated using Korean equation. We compared the proportion of lung function impairments between the MEG and the LEG by using a chi-square, and estimated the OR of obstructive and restrictive ventilation impairments by logistic regression.

Results

The obstructive type impairment proportion was 9.7% in the MEG, whereas it was 8.5% in the LEG. The restrictive type was 21.6% in the MEG which was more than the 12.4% of the LEG. The odds ratio (OR) of total ventilation impairment in the MEG was 2.63 (95% CI 1.50 ~ 4.61) compared to the LEG. The OR of obstructive type in the MEG was 1.60 (95% CI 0.70 ~ 3.65), the smoking history was 3.10 (CI 1.10 ~ 8.66) whereas OR of restrictive type in the MEG was 2.55 (95% CI 1.37 ~ 4.76), the smoking history was 0.75 (95% CI 0.35 ~ 1.60) after adjusting for sex and age. Level of exposure to particulate played a role in both types. However, it appeared to be a significant variable in restrictive type, while smoking history was also an important variable in obstructive type.

Conclusion

Although this study is a limited cross-section study with a small number of subjects, ventilation impairment rate is higher in the MEG. There might be a possibility that it is due to long-term exposure to particulate dust generated by the cement plant.

Citations

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A numerical study on airflow and particle transport characteristics of subjects with cement dust exposure
Jimin Hwang, Woo Jin Kim, Kum Ju Chae, Gong Yong Jin, Chang Hyun Lee, Xinguang Cui, Sanghun Choi
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Assessing heavy metal contamination and health risks in playground dust near cement factory: exposure levels in children
Aşkın Birgül
Environmental Geochemistry and Health.2024;[Epub] CrossRef
The Effect of Cement Dust Exposure on Lung Function among Cement Factory Workers
Nedal Alnawaiseh, Fathi M. El-Gamal
Biomedical and Pharmacology Journal.2022; 15(4): 2061. CrossRef
Consequences of cement dust exposure on pulmonary function in cement factory workers
Sadeel A. Shanshal, Harith K. Al‐Qazaz
American Journal of Industrial Medicine.2021; 64(3): 192. CrossRef
Air Pollution Associated with Total Suspended Particulate and Particulate Matter in Cement Grinding Plant in Vietnam
Tinh Thai, Ales Bernatik, Petr Kučera
Atmosphere.2021; 12(12): 1707. CrossRef
Space-Borne Monitoring of NOx Emissions from Cement Kilns in South Korea
Hyun Cheol Kim, Changhan Bae, Minah Bae, Okgil Kim, Byeong-Uk Kim, Chul Yoo, Jinsoo Park, Jinsoo Choi, Jae-bum Lee, Barry Lefer, Ariel Stein, Soontae Kim
Atmosphere.2020; 11(8): 881. CrossRef
Exposure effect to cement dust pollution: a mini review
Emmanuel Adeyanju, Chukwueloka Austin Okeke
SN Applied Sciences.2019;[Epub] CrossRef
Cement plant emissions and health effects in the general population: a systematic review
Elena Raffetti, Michele Treccani, Francesco Donato
Chemosphere.2019; 218: 211. CrossRef
Airborne dust and high temperatures are risk factors for invasive bacterial disease
Jean-François Jusot, Daniel R. Neill, Elaine M. Waters, Mathieu Bangert, Marisol Collins, Laura Bricio Moreno, Katiellou G. Lawan, Mouhaiminou Moussa Moussa, Emma Dearing, Dean B. Everett, Jean-Marc Collard, Aras Kadioglu
Journal of Allergy and Clinical Immunology.2017; 139(3): 977. CrossRef
Increased incidence of respiratory tract cancers in people living near Portland cement plants in Korea
Sang-Yong Eom, Eun-Bi Cho, Moo-Kyung Oh, Sun-Seog Kweon, Hae-Sung Nam, Yong-Dae Kim, Heon Kim
International Archives of Occupational and Environmental Health.2017; 90(8): 859. CrossRef
Air pollution and urinary n-acetyl-B-glucosaminidase levels in residents living near a cement plant
Min Soo Jung, Jae Yoon Kim, Hyun Seung Lee, Chul Gab Lee, Han Soo Song
Annals of Occupational and Environmental Medicine.2016;[Epub] CrossRef

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Second-hand Smoke Exposure and Urine Cotinine Levels by Occupation in the Busan, Ulsan, Kyeongnam Provinces: So Ryong Lee, Soo Jin Jeong, Chun Hui Suh, Chae Kwan Lee, Chang Hee Lee, Byung Chul Son, Dae Hwan Kim, Jeong Ho Kim, Jong Tae Lee, Jin Heon Lee, Moon Young Hwang, Choong Hee Park; Korean Journal of Occupational and Environmental Medicine 2011;23(1):42-52. Published online March 31, 2011; DOI: https://doi.org/10.35371/kjoem.2011.23.1.42

Abstract PDF

OBJECTIVES
Exposure to second-hand smoke varied by smoking rate in the workplace and no-smoking policies. The purpose of this study was to estimate the status of second-hand smoke exposure by occupation through urine cotinine analysis in Busan, Ulsan, and Kyeongnam provinces.
METHODS
Data was obtained from the National Institute of Environmental Research of Korea as 'The 2008 Korea National Survey for Environmental Pollutants in Human Body'. We selected 629 non-smokers who lived in Busan, Ulsan and Gyeongnam provinces. General and occupational characteristics were gathered using a structured questionnaire. Urine cotinine concentrations were analyzed by a gas chromatograph-mass selective detector. Statistical analysis was carried out using the Chi-square test, Student t-test and ANOVA.
RESULTS
The geometric mean (geometric standard deviation) of urine cotinine concentration was 17.11 (2.74) ng/ml. The urine cotinine concentration of the middle school graduate group (18.47 (2.86) ng/ml) was higher than the college graduate group (15.64 (2.60) ng/ml, p=0.212). Also, the cotinine concentration of current drinkers (18.98 (2.47) ng/ml) was higher than non-drinkers (16.15 (2.88) ng/ml, p=0.054). The proportion who smelled smoke was higher in workers (38.5%) than in non-workers (29.7%, p=0.02). Therefore, urine cotinine concentration was higher in workers (17.29 (2.66) ng/ml) than in non-workers (16.97 (2.81) ng/ml) but not at a statistically significant amount (p=0.826). In addition, cotinine concentration between the group who smelled smoke (20.45 (2.42) ng/ml) and the group who did not smelled smoke (15.53 (2.78) ng/ml) was significantly different (p=0.016) in workers but not in non-workers (17.08 (2.42) ng/ml vs 16.92 (2.98) ng/ml, p=0.942). According to the National Center for Health Statistics occupational categories in the US and the Korea Standard Classification of Occupations, the urine cotinine concentration of white collar workers such as technical workers and administrators, professional specialists, and managers was higher (18.01 (2.55) ng/ml) than that of blue collar workers such as plant and machine operators and assemblers, elementary occupations, and craft and related trades workers (15.36 (3.48) ng/ml).
CONCLUSIONS
The workplace is an important contributor to second-hand smoke exposure in Busan, Ulsan and Kyeongnam provinces. Unlike in advanced countries, where anti-smoking policies have been implemented, urine cotinine concentration in people in Busan, Ulsan and Kyeongnam provinces was higher in the white collar group than in the blue collar group. This result might be due to a higher indoor second-hand smoking rate of workplaces in these areas. Further studies are needed to evaluate the correlation between regional characteristics of industries, anti-smoking policies in the workplace, smoking rates and urine cotinine concentrations of workers.

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Yu-Rin Kim, Kyeung-Ae Jang
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Evaluation of Serum Cotinine Cut-Off to Distinguish Smokers From Nonsmokers in the Korean Population
Kiwoong Ko, Min-Jung Kwon, Song-Hyun Yang, Chul-Jin Moon, Eun Hee Lee, Hee-Yeon Woo, Hyosoon Park
Annals of Laboratory Medicine.2016; 36(5): 427. CrossRef
Decline in non-smoking workers’ urine cotinine levels after increased smoking regulation in Korea
Ju-Hyoung Park, Chae-Kwan Lee, Se-Yeong Kim, Chunhui Suh, Kun-Hyung Kim, Jeong-Ho Kim, Byung-Chul Son, Jong-Tae Lee, Seung-Do Yu, Wookhee Choi, Hosub Im
Annals of Occupational and Environmental Medicine.2015;[Epub] CrossRef

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Health Effect Assessment on Volunteers Involved in the Cleanup Operation Following the Hebei Spirit Oil Spill Along the Taean Coast, Korea: Chul Ho Lee, Kyung Hwa Park, Min Jung Lee, Wook Hee Choi, Heon Kim, Choong Hee Park, Dae Seon Kim, Seung Do Yu; Korean Journal of Occupational and Environmental Medicine 2010;22(1):11-19. Published online March 31, 2010; DOI: https://doi.org/10.35371/kjoem.2010.22.1.11

Abstract PDF

OBJECTIVE: The objetive of this study is to assess the level of oxidative stress by the exposure to volatile organic compounds (VOCs) and polycyclic aromatic hydrocarbons (PAHs) in volunteers who cleaned up the crude oil spilled from the Hebei Spirit on the Coast of Taean County, Korea.
METHODS
The study subjects were 46 volunteers and 37 controls from the National Institute of Environmental Research. A self-administered questionnaire was used for volunteers to examine their working environment and health effects. Urinary concentrations of hippuric acid, 1-hydroxypyrene, and 2-naphthol were measured as exposure markers for VOCs and PAHs, and urinary thiobarbituric acid reactive substances (TBARS) and 8-hydroxydeoxyguanosine (8-OHdG) levels were measured as oxidative stress markers.
RESULTS
Sixty-four percent of the respondents presented a variety of symptoms, including sore eyes and throat, nausea, dizziness, headache, low back pain, and leg pain after participating in the cleanup operation. Urinary 2-naphthol and TBARS concentrations appeared higher in the volunteers. Univariate and multivariate analyses showed that urinary TBARS and 8-OHdG levels were positively correlated with urinary 2-naphthol and 1-hydroxypyrene concentrations respectively, especially among the volunteers.
CONCLUSIONS
The result implies that participating in cleanup work of oil spills may have a possibility to induce oxidative damage by exposure to PAHs in crude oil.

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