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KMID : 1141220100010020134
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Safety and Health at Work
2010 Volume.1 No. 2 p.134 ~ p.139
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Occupational Lung Cancer Surveillance in South Korea, 2006-2009
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Leem Jong-Han
Kim Hwan-Cheol
Ryu Jeong-Seon
Won Jong-Uk
Moon Jai-Dong
Kim Young-Chul
Koh Sang-Baek
Yong Suk-Joong
Kim Soo-Geun
Park Jae-Yong
Kim In-Ah
Kim Jung-Il
Kim Jung-Won
Lee Eui-Cheol
Kim Hyoung-Ryoul
Kim Dae-Hwan
Kang Dong-Mug
Hong Yun-Chul
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Abstract
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Objectives: The lung cancer mortality in Korea has increased remarkably during the last 20 years, and has been the first leading cause of cancer-related deaths since 2000. The aim of the current study was to examine the time trends of occupational lung cancer and carcinogens exposure during the period 2006-2009 in South Korea, by assessing the proportion of occupational burden.
Methods: We defined occupational lung cancer for surveillance, and developed a reporting protocol and reporting website for the surveillance of occupational lung cancer. The study patients were chosen from 9 participating university hospitals in the following 7 areas: Seoul, Incheon, Wonju, Daejeon, Daegu, Busan, and Gwangju.
Results: The combined proportion of definite and probable occupational lung cancer among all lung cancers investigated in this study was 10.0%, 8.6%, 10.7%, and 15.8% in the years 2006 to 2009, respectively, with an average of 11.7% over the four-year study period. The main carcinogens were asbestos, crystalline silica, radon, polyaromatic hydrocarbons (PAHs), diesel exhaust particles, chromium, and nickel.
Conclusion: We estimated that about 11.7% of the incident lung cancer was preventable. This reveals the potential to considerably reduce lung cancer by intervention in occupational fields.
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KEYWORD
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Occupational cancer, Lung cancer, Surveillance, Occupational disease burden, Asbestos
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