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Cancer Mortality and Morbidity Based on Secondary Data Analysis of Health Among Residents Around Waegwan, Gyeongsangbuk-do, Korea
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 Title & Authors
Cancer Mortality and Morbidity Based on Secondary Data Analysis of Health Among Residents Around Waegwan, Gyeongsangbuk-do, Korea
Lee, Kwan; Lim, Hyun-Sul; Min, Young-Sun; Lee, Duk-Hee; Ju, Young-Su; Yang, Won-Ho; Cho, Yong-Sung; Kim, Geun-Bae;
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Objectives: As the suspicion was raised that 'Agent Orange' was reclaimed 30 years ago at Camp Carol, located in Waegwan, Gyeongsangbuk-do, the government conducted an investigation of the influence of environmental and health effects around Camp Carol through a public-private joint investigation team. As part of the investigation of population health effects, this study was carried out in order to observe changes and regional differences in diseases, particularly cancer, by year. Methods: We authors conducted an analysis of secondary health data, such as cancer registration data, mortality data, and health insurance data. We drew an age standardized incidence ratio (SIR), death rate (SDR), mortality ratio (SMR), and health care utilization rate using these data. Results: For gastric cancer in women, and other cancers in men, a significant increase in incidence was observed compared to the control area. For biliary tract cancer, gallbladder cancer, and thyroid cancer in women, and prostate cancer in men, a significant decrease in incidence was observed compared to the control area. In the national statistical analysis of data, such as health insurance data and mortality data, we did not observe a significant increase at the Waegwan region compared to other regions. Conclusions: We must consider the limitations of this study. Because thirty years have passed from the time of the estimated landfill of 'Agent Orange', recent national statistical data may not reflect the past real situation. Therefore, the monitoring of secondary data for health effects at the municipal level should be carried out continuously.
Cancer;dioxin;health insurance;incidence;mortality;
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Lim HS, Lee DH, Ju YS, Park SA, Yang WH, Lee K, et al. A Study on the Health Effect among Residents in Waegwan Area, Gyeongbuk. Incheon: National Institute of Environmental Research; 2011. p.1-5.

Koh SB. Environmental disease. J Kor Med Assoc. 2012; 55(3): 212-213. crossref(new window)

IOM. Veterans and Agent Orange: Update 2010. Washington DC: The National Academies Press; 2011. p.265-539.

Steenland K, Bertazzi P, Baccarelli A, Kogevinas M. Dioxin revisited: developments since the 1997 IARC classification of dioxin as a human carcinogen. Environ Health Perspect. 2004; 112(13): 1265-1268. crossref(new window)

Warner M, Mocarelli P, Samuels S, Needham L, Brambilla P, Eskenazi B. Dioxin Exposure and Cancer Risk in the Seveso Women's Health Study. Environ Health Perspect. 2011; 119(12): 1700-1705. crossref(new window)

Akhtar FZ, Garabrant DH, Ketchum NS, Michalek JE. Cancer in US Air Force veterans of the Vietnam War. J Occup Environ Med. 2004; 46(2): 123-136 crossref(new window)

Guha N, Loomis D, Grosse Y, Lauby-Secretan B, El Ghissassi F, Bouvard V, et al. Carcinogenicity of trichloroethylene, tetrachloroethylene, some other chlorinated solvents, and their metabolites. Lancet Oncol. 2012; 13(12): 1192-1193. crossref(new window)

International Agency for Research on Cancer. IARC Monographs on the Evaluation of Carcinogenic Risks to Humans, vol. 63. Dry Cleaning, Some Chlorinated Solvents and Other Industrial Chemicals. Lyon: IARC Press; 1995. p.75-158.

Anders IS, Gunnar AJ. Cancer morbidity in Swedish dry-cleaners and laundry workers: historically prospective cohort study. Int Arch Occup Environ Health. 2011; 84(4): 435-443. crossref(new window)

Cheryl SS, Jennifer J. Trichloroethylene and cancer: systematic and quantitative review of epidemiologic evidence for identifying hazards. Int J Environ Res Public Health. 2011; 8(11): 4238-4271. crossref(new window)

Purdue MP, Bakke B, Stewart P, De Roos AJ, Schenk M, Lynch CF, et al. A case-control study of occupational exposure to trichloroethylene and nonhodgkin lymphoma. Environ Health Perspect. 2010; 119(2): 232-238. crossref(new window)

Aschengrau A, Weinberg JM, Janulewicz PA, Romano ME, Gallagher LG, Winter MR, et al. Affinity for risky behaviors following prenatal and early childhood exposure to tetrachloroethylene (PCE)-contaminated drinking water: a retrospective cohort study. Environ Health. 2011; 10: 102-115. crossref(new window)

Scott CS, Jinot J. Trichloroethylene and cancer: systematic and quantitative review of epidemiologic evidence for identifying hazards. Int J Environ Res Public Health. 2011; 8(11): 4238-4272. crossref(new window)

Collotta M, Bertazzi PA, Bollati V. Epigenetics and pesticides. Toxicology. 2013; 307: 35-41. crossref(new window)

Turusov V, Rakitsky V, Tomatis L. Dichlorodiphenyltrichloroethane (DDT): ubiquity, persistence, and risks. Environ Health Perspect. 2002; 110(2): 125-128. crossref(new window)

Boslaugh S. An introduction to secondary data analysis. In Secondary Data Sources for Public Health: A Practical Guide. New York: Cambridge University Press; 2007. p.2-10.

The Korean Society for Preventive Medicine. Preventive Medicine and Public Health, 2nd ed. Seoul: Gyechuk Munwhasa Press; 2013. p.67-72.

Curado MP, Edwards B, Shin HR, Storm H, Ferlay J, Heanue M, et al. Cancer Incidence in Five Continents, vol. 9. France: IARC Scientific Press; 2007. p.40-60.

Han MA, Choi KS, Lee HY, Kim Y, Jun JK, Park EC. Current status of thyroid cancer screening in Korea: results from a nationwide interview survey. Asian Pac J Cancer Prev. 2011; 12(7): 1657-1663.

Park KA. Cause-specific mortality at the provincial level. Kor J Popul Stud. 2003; 26(2): 1-32.

Chun JH, Lee KS. Actual conditions and pitfalls of death statistics based on the current death registration system in Korea. Kor J Epidemiol. 2000; 22(2): 124-135.

Kim BY. A development of the cause of death statistics. J Kor Official Statistics. 1999; 4(2): 1-30.

Kim KS, Lim YS, Rhee JE, Suh GJ, Youn YK, Eo EK, et al. Problems in completing a death certificate. J Kor Soc Emerg Med. 2000; 11(4): 443-9.

Won TY, Kang BS, Im TH, Choi HJ. The study of accuracy of death statistics. J Kor Soc Emerg Med. 2007; 18(3): 256-262.

Khang YH, Kim HR. Socioeconomic mortality inequality in Korea: mortality follow-up of the 1998 National Health and Nutrition Examination Survey (NHANES) data. J Prev Med Public Health. 2006; 39(2): 115-122.

Veugelers, PJ and Yip AM. Socioeconomic disparities in health care use: Does universial coverage reduce inequalities in health?. J Epidemiol Community Health. 2003; 57(6): 424-428. crossref(new window)

Kim DS, Park HJ. Regional differentials in mortality in Korea, 1990-2000. Kor J Popul Stud. 2003; 26(1): 1-30.

Lee SC, Lee KH, Kim HS, Lee SH, Choi TH, Park YJ, et al. The comparative study of cancer incidence between urban and rural area in Gangneung ; gastric cancer, hepatoma and lung cancer. Kor J Med. 2005; 68(1): 66-75.

Nam JM, Lee SH, Cho WH. A study on the statistical distribution and testing of variation indicies at the small area variation analysis. Kor J Prev Med. 1999; 32(1): 80-87.

Park IS, Lee DH. Analysis of Utilization Medical services using Data for National Health Insurance focused on Cancer. Seoul: National Health Insurance Policy Research Institute Press; 2010. p.105-118

Seo HJ, Oh IH, Yoon SJ. A comparison of the cancer incidence rates between the National Cancer Registry and Insurance Claims Data in Korea. Asian Pac J Cancer Prev. 2012; 13(12): 6163-6168. crossref(new window)