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Research Article
Acute Symptoms in Firefighters who Participated in Collection Work after the Community Hydrogen Fluoride Spill Accident
Seong-Yong Cho, Kuck-Hyun Woo, Jin-Seok Kim, Seong-Yong Yoon, Joo-Yong Na, Jin-Hyun Yu, Yong-Bae Kim
Ann Occup Environ Med 2013;25:36-36.   Published online November 28, 2013
DOI: https://doi.org/10.1186/2052-4374-25-36
AbstractAbstract PDFPubReaderePub
Objectives

This study aimed to analyze the relationship between clinical status and work characteristics of firefighters and other public officers who engaged on collection duties in the site of the hydrogen fluoride spill that occurred on September 27, 2012, in Gumi City, South Korea.

Methods

We investigated the clinical status, personal history, and work characteristics of the study subjects and performed physical examination and several clinical examinations, including chest radiography, echocardiography, pulmonary function test, and blood testing in 348 firefighters, police officers, volunteer firefighters, and special warfare reserved force who worked at the hydrogen fluoride spill area.

Results

The subjects who worked near the accident site more frequently experienced eye symptoms (p = 0.026), cough (p = 0.017), and headache (p = 0.003) than the subjects who worked farther from the accident site. The longer the working hours at the accident area, the more frequently the subjects experienced pulmonary (p = 0.027), sputum (p = 0.043), and vomiting symptoms (p = 0.003). The subjects who did not wear respiratory protective devices more frequently experienced dyspnea than those who wore respiratory protective devices (p = 0.013). In the pulmonary function test, the subjects who worked near the accident site had a higher decease in forced vital capacity than the subjects who worked farther from the site (p = 0.019); however, no statistical association was found between serum calcium/phosphate level, echocardiography result, chest radiographic result, and probation work characteristics.

Conclusions

The subjects who worked near the site of the hydrogen fluoride spill, worked for an extended period, or worked without wearing respiratory protective devices more frequently experienced upper/lower respiratory, gastrointestinal, and neurological symptoms. Further follow-up examination is needed for the workers who were exposed to hydrogen fluoride during their collection duties in the chemical plant in Gumi City.


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  • Highly sensitive sensing of CO and HF gases by monolayer CuCl
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    Michael Sung Pil Choe, Mi Jin Lee, Kang Suk Seo, Sin Kam, Keon Yeop Kim, Dongwook Je, Seong Hun Kim, Woo Young Nho, Hong In Park, Sujeong Shin, Hyun Wook Ryoo
    Burns.2020; 46(6): 1337.     CrossRef
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    Journal of Hazardous Materials.2020; 399: 123036.     CrossRef
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    Journal of Korean Society of Environmental Engineers.2020; 42(5): 229.     CrossRef
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    Workplace Health & Safety.2018; 66(8): 393.     CrossRef
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    Yooeun Chae, Dokyung Kim, Youn-Joo An
    Ecotoxicology and Environmental Safety.2018; 151: 21.     CrossRef
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    Yooeun Chae, Rongxue Cui, Jongmin Moon, Youn-Joo An
    Journal of Hazardous Materials.2018; 360: 490.     CrossRef
  • Combined acute inhalation of hydrofluoric acid and nitric acid: a case report and literature review
    Lucas Steverlynck, Nele Baert, Walter Buylaert, Peter De Paepe
    Acta Clinica Belgica.2017; 72(4): 278.     CrossRef
  • Innovative Monitoring of Atmospheric Gaseous Hydrogen Fluoride
    Stefano Dugheri, Alessandro Bonari, Ilenia Pompilio, Alessandro Monti, Nicola Mucci, Giulio Arcangeli
    International Journal of Analytical Chemistry.2016; 2016: 1.     CrossRef
  • Effect of fluoride on the cell viability, cell organelle potential, and photosynthetic capacity of freshwater and soil algae
    Yooeun Chae, Dokyung Kim, Youn-Joo An
    Environmental Pollution.2016; 219: 359.     CrossRef
  • Job Stress and Mental Health of Female Household Head Workers
    Hyung Seon Kim, Min Kwon, Jinhwa Lee
    Korean Journal of Occupational Health Nursing.2016; 25(4): 249.     CrossRef
  • Physical therapy performance in the rehabilitation of survivors of the Kiss nightclub tragedy: an experience report
    Isabella Martins de Albuquerque, Maria Elaine Trevisan, Adriane Schmidt Pasqualoto, Ana Lucia Cervi Prado, Marisa Bastos Pereira, Ana Fátima Viero Badaró
    Fisioterapia em Movimento.2015; 28(4): 649.     CrossRef
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Research Article
Acute Symptoms after a Community Hydrogen Fluoride Spill
Joo-Yong Na, Kuck-Hyun Woo, Seong-Yong Yoon, Seong-Yong Cho, In-Ung Song, Joo-An Kim, Jin-Seok Kim
Ann Occup Environ Med 2013;25:17-17.   Published online September 19, 2013
DOI: https://doi.org/10.1186/2052-4374-25-17
AbstractAbstract PDFPubReaderePub
Objectives

This study was conducted to describe the demographic characteristics, and clinical signs and symptoms of patients who visited a general hospital because of the release of chemically hazardous hydrogen fluoride that occurred on September 27, 2012 in Gumi City, Korea.

Methods

The medical records at 1 general hospital 9 km from the accident site were reviewed using a standardized survey format. There were 1,890 non-hospitalized and 12 hospitalized patients exposed to hydrogen fluoride between September 27 and October 13 2012.

Results

Among the 12 hospitalized patients, 11 were discharged within 1 week and the other was hospitalized for 10 days. The chief complaints were respiratory symptoms such as hemoptysis and shortness of breath, gastrointestinal symptoms, neurologic symptoms, sore throat, and lip burn.

The number of non-hospitalized patients exhibited a bimodal distribution, peaking on the first and twelfth days after the accident. Their chief complaints were sore throat (24.1%), headache (19.1%), cough (13.1%), and eye irritation (9.2%); some patients were asymptomatic (6.2%). Patients who visited the hospital within 3 days (early patients) of the spill more often had shortness of breath (27.0%) and nausea (6.3%) as the chief complaints than patients who visited after 3 days (late patients) (3.5% and 2.6%, respectively). However, cough and rhinorrhea were more common in the late patients (14.0% and 3.3%, respectively) than in the early patients (5.0% and 0.0%, respectively). Patients who were closer to the accident site more often had shortness of breath and sputum as the chief complaints than patients who were farther away. The mean serum calcium concentration was 9.37 mg/dL (range: 8.4–11.0 mg/dL); none of the patients had a decreased serum calcium level. Among 48 pulmonary function test results, 4 showed decreased lung function. None of the patients had abnormal urine fluoride levels on the eighth day after exposure.

Conclusions

Patients hospitalized due to chemical hazard release of hydrogen fluoride had acute respiratory, gastrointestinal, and neurologic health problems. Non-hospitalized patients have acute symptoms mainly related to upper respiratory irritation.


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    Young-Sun Min, Soo-Young Kim, Sun-Kyeong Choi, Yeon-Soon Ahn
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    Workplace Health & Safety.2018; 66(8): 393.     CrossRef
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    Fisioterapia em Movimento.2015; 28(4): 649.     CrossRef
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  • Acute Symptoms in Firefighters who Participated in Collection Work after the Community Hydrogen Fluoride Spill Accident
    Seong-Yong Cho, Kuck-Hyun Woo, Jin-Seok Kim, Seong-Yong Yoon, Joo-Yong Na, Jin-Hyun Yu, Yong-Bae Kim
    Annals of Occupational and Environmental Medicine.2013; 25(1): 36.     CrossRef
  • 63 View
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  • 21 Web of Science
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Case Report
Hydrofluoric Acid Burns: A Case Report
Jieun Lee, Byung Seong Suh, Chanho Jo, Won Cheol Lee
Korean Journal of Occupational and Environmental Medicine 2011;23(2):225-233.   Published online June 30, 2011
DOI: https://doi.org/10.35371/kjoem.2011.23.2.225
AbstractAbstract PDF
BACKGROUND
Hydrofluoric acid_(HF) is widely used in many industrial and domestic settings such as etching glass, and polishing metals. HF is one of the most corrosive inorganic acids and can produce progressive and serious tissue necrosis with severe pain. Since HF chemical burns can be asymptomatic for the first few hours, it is crucial to understand its toxicity and the early use of antidote.
CASE
A 37-year-old man presented with erythematous lesion and pain on his face, anterior neck, both forearms, both thighs, and left ankle after injury resulting from a chemical burn caused by HF. He showed normal vital signs and dyspnea, but complained of a sore throat. Liquid form of HF had splashed on his face and anterior neck first and run down his forearms and thighs while working at HF supply tanks. Some of the HF was splashed into his mouth. He immediately removed his clothes and showered with abundant water. A 4.5% calcium gluconate jel was applied to the involved area. He was given subcutaneous injection of 10% calcium gluconate solution. During 17 days of admission he didn't show any signs of systemic intoxication or deep tissue defects.
CONCLUSIONS
Immediate cleansing of the affected area with running cold water is the first critical treatment for a chemical burn due to HF. Applying calcium gluconate gel within one hour was very effective for preventing further damage to the injured area as well as systemic injury. In order to reduce the risk of accident and perform first-aid treatment quickly, it is imperative to provide workers with safety education and establish safety facilities.

Citations

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  • Analysis of Trend of Studies on Microneedle Treatment System (MTS)
    Hea-Sun Chun, Ho-Seub Song
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Original Article
A Study on the Change of the Bone Density among Workers Exposed to Hydrofluoric Acid
Ji Yong Kim, Hyun Sul Lim, Hoe Kyeong Cheong, Hyeon Kyeong Lee, Heung Sik Kang
Korean Journal of Occupational and Environmental Medicine 1995;7(1):120-127.   Published online February 28, 1995
DOI: https://doi.org/10.35371/kjoem.1995.7.1.120
AbstractAbstract PDF
Hydrofluoric acid is one of the strongest irritating, corrosive and poisonous inorganic chemicals. The most significant chronic consequence of excessive fluoride exposure is the disorder of skeletal system and connective tissue. The first stage of osteofluorosis consists of an increase in the density of flatbone such as pelvic bone and vertebral bones, with coarseness and blurring of bone trabecular. Therefore we wanted to observe the change of the bone density among workers exposed to hydrofluoric acid. Questionnaires and radiological investigations were performed for 39 hydrofluoric acid manufacturing factory worker sexposed to hydrofluoric acid. And then authors checked urinary fluoride level by fluoride ion method. the radiographs were doubly read by two radiologists for reliability. The results were as follows; 1. There was a significant difference in urinary fluoride level (p<0.01), but not in age, in tenure(p>0.05) among workers by the job title. 2. By the two radiologists, eight cases were read as bone fluorosis. The prevalence rate of bone fluorosis was 20.5%. 3. There was not a significant difference in general characteristic such as age, tenure and in muculoskeletal signs and symptoms between the fluorosis group and the normal group. 4. However, a close relationship between the occurence of the change of bone density and the degree of fluorde exposure such as burn was found. The difficulties in diagnosing fluorosis result from the questionable sensitively of x-ray techniques and from the non-specific associated signs and symptoms. A quantitative method such as densitometry to assessosteosclerosis and bone structure alteration and a follow-up study are needed.

Citations

Citations to this article as recorded by  
  • Health Care Plan for Hydrogen Fluoride Spill, Gumi, Korea
    Hyun-Sul Lim, Kwan Lee
    Journal of Korean Medical Science.2012; 27(11): 1283.     CrossRef
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  • 1 Crossref
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