Climate Change: Original Article
- Association Between Air Conditioning Use and Self-reported Symptoms During the 2018 Heat Wave in Korea
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Yong-Han Lee, Sanghyuk Bae, Seung-sik Hwang, Jong-Hun Kim, Kyoung-Nam Kim, Youn-Hee Lim, Miji Kim, Sohwa Jung, Ho-Jang Kwon
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J Prev Med Public Health. 2020;53(1):15-25. Published online November 26, 2019
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DOI: https://doi.org/10.3961/jpmph.19.171
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Supplementary Material
- Objectives
The purpose of this study was to investigate the health effects of air conditioning use during the 2018 heat wave in Korea, included the highest temperature ever recorded in the nation.
Methods
The participants in this study were 1000 adults aged 19 years and older recruited from across Korea. The participants were asked about their experience of symptoms of various diseases, disruptions of their daily lives, and use of air conditioning during the heat wave. The associations between air conditioning use during the heat wave and health outcomes were analyzed using the chi-square test and multiple logistic regression models.
Results
Among participants who lacked air conditioning in the main space where they spent time outside the home, 33.9%, 8.1%, 43.5%, and 19.4% experienced symptoms of heat-related, cardiovascular, nervous system diseases, and air-conditioningitis, respectively. In comparison, participants who did have air conditioning outside the home experienced the same symptoms at proportions of 21.0%, 1.9%, 26.8%, and 34.2%, respectively (p=0.027, 0.007, 0.007, and 0.023, respectively). Among participants who had no air conditioner at home, 10.0% were absent from school or work due to the heat wave. In contrast, among participants who had an air conditioner at home, only 3.7% were absent as a result of the heat wave (p=0.007).
Conclusions
When air conditioning was not used at home or in the main space where participants spent time outside the home during the 2018 heat wave, adverse health effects were more prevalent, but the risk of air-conditioningitis was reduced.
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Summary
Korean summary
본 연구는 한국 기상관측사상 가장 더웠던 2018년 한국의 폭염 기간 동안, 에어컨 사용이 건강에 미치는 영향에 대해 조사하였다. 가정 외 주 생활공간에 에어컨이 가동되지 않거나 가정에 에어컨이 없으면 폭염 기간 동안의 건강 및 일상생활에 좋지 않은 영향을 줄 수 있으나, 냉방병 위험은 낮아질 수 있다.
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Citations
Citations to this article as recorded by

- Projection of trade-offs of commercial air conditioning: Increasing carbon emission and reducing heat exposure
Mengzhen Zhao, Bo Yan, Wenjia Cai, Chi Zhang
Applied Energy.2025; 382: 125332. CrossRef - Integration and Optimal Control of MicroCSP with Building HVAC Systems: Review and Future Directions
Mohamed Toub, Chethan R. Reddy, Rush D. Robinett, Mahdi Shahbakhti
Energies.2021; 14(3): 730. CrossRef - Climate Change and Health: More Research Is Still Needed
Ho-Jang Kwon
Journal of Preventive Medicine and Public Health.2020; 53(1): 1. CrossRef
Special Articles
- Health Effects of Chronic Arsenic Exposure
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Young-Seoub Hong, Ki-Hoon Song, Jin-Yong Chung
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J Prev Med Public Health. 2014;47(5):245-252. Published online September 11, 2014
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DOI: https://doi.org/10.3961/jpmph.14.035
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24,805
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- Arsenic is a unique element with distinct physical characteristics and toxicity whose importance in public health is well recognized. The toxicity of arsenic varies across its different forms. While the carcinogenicity of arsenic has been confirmed, the mechanisms behind the diseases occurring after acute or chronic exposure to arsenic are not well understood. Inorganic arsenic has been confirmed as a human carcinogen that can induce skin, lung, and bladder cancer. There are also reports of its significant association to liver, prostate, and bladder cancer. Recent studies have also suggested a relationship with diabetes, neurological effects, cardiac disorders, and reproductive organs, but further studies are required to confirm these associations. The majority of research to date has examined cancer incidence after a high exposure to high concentrations of arsenic. However, numerous studies have reported various health effects caused by chronic exposure to low concentrations of arsenic. An assessment of the health effects to arsenic exposure has never been performed in the South Korean population; thus, objective estimates of exposure levels are needed. Data should be collected on the biological exposure level for the total arsenic concentration, and individual arsenic concentration by species. In South Korea, we believe that biological exposure assessment should be the first step, followed by regular health effect assessments.
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Citations
Citations to this article as recorded by

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Human and Ecological Risk Assessment: An International Journal.2020; 26(5): 1313. CrossRef - Hepatoprotective role of swimming against arsenic induced oxidative stress in mice
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Wojciech Marciniak, Róża Derkacz, Magdalena Muszyńska, Piotr Baszuk, Jacek Gronwald, Tomasz Huzarski, Cezary Cybulski, Anna Jakubowska, Michał Falco, Tadeusz Dębniak, Marcin Lener, Oleg Oszurek, Katherine Pullella, Joanne Kotsopoulos, Ping Sun, Steven A.
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Japanese Journal of Applied Physics.2020; 59(SA): SAAC05. CrossRef - Arsenic: Geochemical distribution and age-related health risk in Italy
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Environmental Research.2020; 182: 109076. CrossRef - Arsenic and Selenium Profile in Erythrocytes of Renal Transplant Recipients
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Biological Trace Element Research.2020; 197(2): 421. CrossRef - Chronic exposure to arsenite enhances influenza virus infection in cultured cells
Eva A. Amouzougan, Ricardo Lira, Walter T. Klimecki
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Nelly Molina-Frechero, Martina Nevarez-Rascón, Omar Tremillo-Maldonado, Marcela Vergara-Onofre, Rey Gutiérrez-Tolentino, Enrique Gaona, Enrique Castañeda, Lizet Jarquin-Yañez, Ronell Bologna-Molina
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Daniela Silva-Adaya, Lucio Antonio Ramos-Chávez, Pavel Petrosyan, Wendy Leslie González-Alfonso, Alegna Pérez-Acosta, Maria E. Gonsebatt
Frontiers in Cellular Neuroscience.2020;[Epub] CrossRef - Environmental complex exposure and the risk of influenza-like illness among housewives: A case study in Shanxi Province, China
Yiming Pang, Lailai Yan, Mengyuan Ren, Xiaoqian Jia, Tanxin Liu, Wei Du, Bin Wang, Zhiwen Li, Qun Lu
Ecotoxicology and Environmental Safety.2020; 194: 110405. CrossRef - Magnetic metal–organic framework composites for environmental monitoring and remediation
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Coordination Chemistry Reviews.2020; 413: 213261. CrossRef - Environmental Epigenetics and Genome Flexibility: Focus on 5-Hydroxymethylcytosine
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International Journal of Molecular Sciences.2020; 21(9): 3223. CrossRef - A case-control study of arsenic exposure with the risk of primary ovarian insufficiency in women
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Advanced Science.2020;[Epub] CrossRef - Hair arsenic level in rice‐based diet‐fed Staffordshire bull terriers
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Veterinary Record.2020;[Epub] CrossRef - Change in Arsenic Leaching from Silty Soil by Adding Slag Cement
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Computers and Electronics in Agriculture.2020; 175: 105539. CrossRef - MiADMSA ameliorate arsenic induced urinary bladder carcinogenesis in vivo and in vitro
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Emerging Contaminants.2020; 6: 204. CrossRef - Arsenic, cadmium, mercury, and lead levels in hair and urine in first-year RUDN University students of different geographic origins
Anatoly A. Kirichuk, Andrey A. Skalny, Alexander I. Rusakov, Alexey A. Tinkov, Anatoly V. Skalny
Environmental Science and Pollution Research.2020; 27(27): 34348. CrossRef - HB-EGF Activates the EGFR/HIF-1α Pathway to Induce Proliferation of Arsenic-Transformed Cells and Tumor Growth
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Frontiers in Oncology.2020;[Epub] CrossRef - Determination of arsenic (V) in cannabis oil by adsorption on multiwall carbon nanotubes thin film using XRF technique
Anabel Laza, Estebán Orozco, Martín Fernández Baldo, Julio Raba, Pedro R. Aranda
Microchemical Journal.2020; 158: 105265. CrossRef - Effects of curcumin, D-pinitol alone or in combination in cytotoxicity induced by arsenic in PC12 cells
Md Shiblur Rahaman, Shojiro Yamasaki, Kaniz Fatima Binte Hossain, Toshiyuki Hosokawa, Takeshi Saito, Masaaki Kurasaki
Food and Chemical Toxicology.2020; 144: 111577. CrossRef - Cellular response of Brevibacterium casei #NIOSBA88 to arsenic and chromium—a proteomic approach
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Brazilian Journal of Microbiology.2020; 51(4): 1885. CrossRef - Genetic Determinants of Reduced Arsenic Metabolism Efficiency in the 10q24.32 Region Are Associated With ReducedAS3MTExpression in Multiple Human Tissue Types
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Toxicological Sciences.2020; 176(2): 382. CrossRef - Prevalence of Arsenic in chicken feed and its contamination pattern in different parts of chicken flesh: a market basket study
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ACS Omega.2020; 5(33): 21000. CrossRef - Rapid and Highly Sensitive Extended Gate FET-Based Sensors for Arsenite Detection Using a Handheld Device
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ECS Journal of Solid State Science and Technology.2020; 9(11): 115014. CrossRef - Effects of arbuscular mycorrhizal fungi, biochar, selenium, silica gel, and sulfur on arsenic uptake and biomass growth in Pisum sativum L.
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Emerging Contaminants.2020; 6: 312. CrossRef - Distribution of essential and non-essential elements in rice located in a Protected Natural Reserve “Marjal de Pego-Oliva”
Marina Cano-Lamadrid, Dámaris Girona, Elena García-García, Vicente Dominguis-Rovira, Concha Domingo, Esther Sendra, David López-Lluch, Ángel A. Carbonell-Barrachina
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BMJ Open.2020; 10(9): e038507. CrossRef - Elemental Composition and Associated Health Risk of Honey Obtained from Apiary Farms in Southeast Nigeria
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Quantitative Biology.2019; 7(3): 182. CrossRef - Arsenic induces fibrogenic changes in human kidney epithelial cells potentially through epigenetic alterations in DNA methylation
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Journal of Cellular Physiology.2019; 234(4): 4713. CrossRef - Redox metabolism of ingested arsenic: Integrated activities of microbiome and host on toxicological outcomes
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Current Opinion in Toxicology.2019; 13: 90. CrossRef - Role of pigment epithelium-derived factor (PEDF) on arsenic-induced neuronal apoptosis
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Chemosphere.2019; 215: 925. CrossRef - Regulation of gasdermin D by miR-379-5p is involved in arsenite-induced activation of hepatic stellate cells and in fibrosis via secretion of IL-1β from human hepatic cells
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International Immunopharmacology.2019; 71: 115. CrossRef - Quality and health risk assessment of shallow groundwater aquifers within the Atankwidi basin of Ghana
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Groundwater for Sustainable Development.2019; 9: 100217. CrossRef - Oxidative stress: One potential factor for arsenite-induced increase of N6-methyladenosine in human keratinocytes
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Ecotoxicology and Environmental Safety.2019; 180: 588. CrossRef - Urinary arsenic concentration, airway inflammation, and lung function in the U.S. adult population
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Ecotoxicology and Environmental Safety.2019; 181: 572. CrossRef - Distribution of arsenic in an argillaceous sample using sequential chemical extractions: application to the Hydrogeological Experimental Site of Poitiers (HESP)
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Metallomics.2019; 11(8): 1411. CrossRef - Microarray analysis of apoptosis gene expression in liver injury induced by chronic exposure to arsenic and high-fat diet in male mice
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Toxicology and Applied Pharmacology.2019; 380: 114700. CrossRef - Arsenic toxicity, bioaccumulation and risk assessment: A case study in Tolimique Dam, Aguascalientes, Mexico
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Cogent Environmental Science.2019; 5(1): 1650630. CrossRef - Biological and molecular modifications induced by cadmium and arsenic during breast and prostate cancer development
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Environmental Research.2019; 178: 108700. CrossRef - Arsenic Removal from Water by Adsorption onto Iron Oxide/Nano-Porous Carbon Magnetic Composite
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Applied Sciences.2019; 9(18): 3732. CrossRef - Newly Identified Nematodes from Mono Lake Exhibit Extreme Arsenic Resistance
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Current Biology.2019; 29(19): 3339. CrossRef - Occurrence of 30 trace elements in foods from a multi-centre Sub-Saharan Africa Total Diet Study: Focus on Al, As, Cd, Hg, and Pb
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Environment International.2019; 133: 105197. CrossRef - Investigation into arsenic retention in arid contaminated soils with biochar application
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Arabian Journal of Geosciences.2019;[Epub] CrossRef - Arsenic-induced neurotoxicity: a mechanistic appraisal
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JBIC Journal of Biological Inorganic Chemistry.2019; 24(8): 1305. CrossRef - Semiconductor Work and the Risk of Spontaneous Abortion: A Systematic Review and Meta-Analysis
Kyungsik Kim, Ho Sung, Kwan Lee, Sue Park
International Journal of Environmental Research and Public Health.2019; 16(23): 4626. CrossRef - Evaluation of Arsenic Leaching Potential in Gold Mine Tailings Amended with Peat and Mine Drainage Treatment Sludge
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Journal of Environmental Quality.2019; 48(3): 735. CrossRef - Arsenic Induces Thioredoxin 1 and Apoptosis in Human Liver HHL-5 Cells
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Biological Trace Element Research.2018; 182(1): 111. CrossRef - Identification and Characterization of Cadmium-Related Genes in Liver Carcinoma
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Biological Trace Element Research.2018; 182(2): 238. CrossRef - The effect of association between inefficient arsenic methylation capacity and demographic characteristics on the risk of skin lesions
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Toxicology and Applied Pharmacology.2018; 339: 42. CrossRef - Arsenic exposure to breast-fed infants: contaminated breastfeeding in the first month of birth
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Environmental Science and Pollution Research.2018; 25(7): 6680. CrossRef - LncRNA UCA1 attenuates autophagy-dependent cell death through blocking autophagic flux under arsenic stress
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Toxicology Letters.2018; 284: 195. CrossRef - Human health risks and socio-economic perspectives of arsenic exposure in Bangladesh: A scoping review
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Ecotoxicology and Environmental Safety.2018; 150: 335. CrossRef - A Case-Control Study of Skin Cancer and Exposure of Toxic Heavy Metals
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Annals of Dermatology.2018; 30(2): 238. CrossRef - Maternal arsenic exposure and birth outcomes: A birth cohort study in Wuhan, China
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Environmental Pollution.2018; 236: 817. CrossRef - Risk analysis of heavy metal concentration in surface waters across the rural-urban interface of the Wen-Rui Tang River, China
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Environmental Pollution.2018; 237: 639. CrossRef - Embryonic-only arsenic exposure alters skeletal muscle satellite cell function in killifish (Fundulus heteroclitus)
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Aquatic Toxicology.2018; 198: 276. CrossRef - DMSA-Functionalized Gold Nanorod on Paper for Colorimetric Detection and Estimation of Arsenic (III and V) Contamination in Groundwater
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ACS Sustainable Chemistry & Engineering.2018; 6(5): 6264. CrossRef - Distribution and level of arsenic in selected environmental indicators
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African Journal of Environmental Science and Technology.2018; 12(4): 123. CrossRef - Trace elements bioaccumulation in liver and fur of Myotis myotis from two caves of the eastern side of Sicily (Italy): A comparison between a control and a polluted area
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Environmental Pollution.2018; 240: 273. CrossRef - 3,4‐Dihydroxybenzaldehyde lowers ROS generation and protects human red blood cells from arsenic(III) induced oxidative damage
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Environmental Toxicology.2018; 33(8): 861. CrossRef - Analysis and probabilistic risk assessment of bioaccessible arsenic in polished and husked jasmine rice sold in Bangkok
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Chemosphere.2018; 207: 637. CrossRef - Identifying a panel of genes/proteins/miRNAs modulated by arsenicals in bladder, prostate, kidney cancers
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Scientific Reports.2018;[Epub] CrossRef - m6A Demethylase FTO Regulates Dopaminergic Neurotransmission Deficits Caused by Arsenite
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Toxicological Sciences.2018; 165(2): 431. CrossRef - Redox balance and DNA fragmentation in arsenic-exposed occupational workers from different industries of Pakistan
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Toxicology Letters.2017; 266: 65. CrossRef - Arsenic downregulates tight junction claudin proteins through p38 and NF-κB in intestinal epithelial cell line, HT-29
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Toxicology.2017; 379: 31. CrossRef - Circulating miRNAs and their target genes associated with arsenism caused by coal-burning
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Aquatic Toxicology.2017; 186: 1. CrossRef - Environmental exposure to arsenic and chromium in an industrial area
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Applied Clay Science.2017; 143: 279. CrossRef - Review on Biosorption of Arsenic From Contaminated Water
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- Methylmercury Exposure and Health Effects
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Young-Seoub Hong, Yu-Mi Kim, Kyung-Eun Lee
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J Prev Med Public Health. 2012;45(6):353-363. Published online November 29, 2012
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DOI: https://doi.org/10.3961/jpmph.2012.45.6.353
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Abstract
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Methylmercury is a hazardous substance that is of interest with regard to environmental health, as inorganic mercury circulating in the general environment is dissolved into freshwater and seawater, condensed through the food chain, ingested by humans, and consequently affects human health. Recently, there has been much interest and discussion regarding the toxicity of methylmercury, the correlation with fish and shellfish intake, and methods of long-term management of the human health effects of methylmercury. What effects chronic exposure to a low concentration of methylmercury has on human health remains controversial. Although the possibility of methylmercury poisoning the heart and blood vessel system, the reproductive system, and the immune system is continuously raised and discussed, and the carcinogenicity of methylmercury is also under discussion, a clear conclusion regarding the human health effects according to exposure level has not yet been drawn. The Joint FAO/WHO Expert Committee on Food Additives proposed to prepare additional fish and shellfish intake recommendations for consumers based on the quantified evaluation of the hazardousness of methylmercury contained in fish and shellfish, methylmercury management in the Korea has not yet caught up with this international trend. Currently, the methylmercury exposure level of Koreans is known to be very high. The starting point of methylmercury exposure management is inorganic mercury in the general environment, but food intake through methylation is the main exposure source. Along with efforts to reduce mercury in the general environment, food intake management should be undertaken to reduce the human exposure to methylmercury in Korea.
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Original Article
- Acute Health Effects of the Hebei Oil Spill on the Residents of Taean, Korea.
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Cheol Heon Lee, Young A Kang, Kyu Jin Chang, Chang Hoon Kim, Jong Il Hur, Jae Youn Kim, Jong Koo Lee
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J Prev Med Public Health. 2010;43(2):166-173.
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DOI: https://doi.org/10.3961/jpmph.2010.43.2.166
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Abstract
PDF
- OBJECTIVES
On December 7, 2007, the Hebei Spirit oil tanker spilled out 12,547 kl of crude oil on the Yellow Sea 10 km away from the cost of Taean Province, Korea. As the coastline has been contaminated, local residents have been exposed to crude oil. Because the residents were showing many symptoms, we investigated the acute health effects of this oil spill on them. METHODS: We conducted a cross-sectional study consisting of the heavy and moderately oil soaked area in Taean and the lightly oil soaked area in Seocheon. Ten seashore villages were selected from each area, and 10 male and female adults were selected from each village. We interviewed the subjects using a structured questionnaire on the characteristics of residents, the cleanup activities, the perception of oil hazard, depression and anxiety, and the physical symptoms. The odds ratios and 95% confidence intervals were analyzed using logistic regression analysis. The logistic regression model was adjusted for age, gender, education, smoking, the perception of oil hazard and anxiousness. RESULTS: The more highly contaminated the area, the more likely it was for residents to be engaged in cleanup activities and have a greater chance of exposure to oil. The indexes of anxiety and depression were higher in the heavy and moderately oil soaked areas. The increased risks of headache, nausea, dizziness, fatigue, tingling of limb, hot flushing, sore throat, cough, runny nose, shortness of breath, itchy skin, rash, and sore eyes were significant. CONCLUSIONS: The results suggest that exposure to crude oil is associated with various acute physical symptoms. Long-term investigation is required to monitor the residents' health.
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Summary
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Citations
Citations to this article as recorded by

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English Abstract
- BTEX Exposure and its Health Effects in Pregnant Women Following the Hebei Spirit Oil Spill.
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Byung Mi Kim, Eun kyo Park, So Young LeeAn, Mina Ha, Eun Jung Kim, Hojang Kwon, Yun Chul Hong, Woo Chul Jeong, Jongil Hur, Hae Kwan Cheong, Jongheop Yi, Jong Ho Kim, Bo Eun Lee, Ju Hee Seo, Moon Hee Chang, Eun Hee Ha
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J Prev Med Public Health. 2009;42(2):96-103.
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DOI: https://doi.org/10.3961/jpmph.2009.42.2.96
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6,650
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147
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25
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Abstract
PDF
- OBJECTIVES
We evaluated the health effects of exposure to BTEX (Benzene, Toluene, Ethylbenzene, m,p-Xylene, o-Xylene) in the Taean area after the Hebei Spirit oil spill. METHODS: We used a questionnaire survey to look for health effects among 80 pregnant women 2 to 3 months following the Hebei Spirit oil spill. Their BTEX exposures were estimated using the CALPUFF method. We then used a multiple logistic regression analysis to evaluate the effects of BTEX exposure on the women's health effets. RESULTS: Pregnant women who lived near the accident site reported more symptoms of eye irritation and headache than those who lived farther from the site. There was a trend of decreasing symptoms with an increase in distance from the spill site. Pregnant women exposed to higher ambient cumulative levels of Xylene were significantly more likely to report symptoms of the skin (OR 8.01 95% CI=1.74-36.76) in the first day after the accident and significantly more likely to report abdominal pain (OR 3.86 95% CI=1.02-14.59 for Ethylbenzene, OR 6.70 95% CI=1.82-24.62 for Xylene) during the 1st through 4th days following the accident. CONCLUSIONS: This study suggests that exposure to BTEX from an oil spill is correlated with an increased risk of health effects among pregnant women. This implies the need to take proper measures, including the development of a national policy for environmental health emergencies and a plan for studying the short- and long-term chronic health effects associated with such spills.
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Summary
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Citations
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Original Article
- Lifestyle.
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Hee Choul Ohrr
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Korean J Prev Med. 1993;26(4):469-479.
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Abstract
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- This article reviewed the historic and epidemiologic reasons for the emergence of health promotion with a special focus on lifestyle. Health effects of tobacco, alcohol, physical exercise, and nutrition were briefly presented by reviewing recent researches. Social environments supposed to limit the application of health promotion strategies are also mentioned.
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Summary
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