期刊论文详细信息
Annals of Occupational and Environmental Medicine
Acute Symptoms in Firefighters who Participated in Collection Work after the Community Hydrogen Fluoride Spill Accident
Seong-Yong Cho2  Kuck-Hyun Woo2  Jin-Seok Kim2  Seong-Yong Yoon2  Joo-Yong Na2  Jin-Hyun Yu2  Yong-Bae Kim1 
[1] Department of Preventive Medicine, Soonchunhyang University School of Medicine, Cheonan, 23-20, Bongmyung-dong, Cheonan-si, Choongchungnam-do 330-721, South Korea
[2] Department of Occupational and Environmental Medicine, Soonchunhyang University Gumi Hospital, 179, Gongdan 1-dong, Gumi-si, Gyeongbuk 730-706, South Korea
关键词: Firefighters;    Chemical hazard release;    Hydrofluoric acid;   
Others  :  790752
DOI  :  10.1186/2052-4374-25-36
 received in 2013-09-11, accepted in 2013-10-29,  发布年份 2013
PDF
【 摘 要 】

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.

【 授权许可】

   
2013 Cho et al.; licensee BioMed Central Ltd.

【 预 览 】
附件列表
Files Size Format View
20140705003335295.pdf 260KB PDF download
【 参考文献 】
  • [1]Korea Occupational Safety & Health Agency: Practice guideline of health examination for workers (translated by Cho SY) Incheon(Korean). Korea: Health Research Institute; 2009.
  • [2]United States Environmental Protection Agency: Hydrogen fluoride study. 2012. http://www.epa.gov webcite cited 5 August 2012
  • [3]Wing JS, Brender JD, Sanderson LM, Perrotta DM, Beauchamp RA: Acute health effects in a community after a release of hydrofluoric acid. Arch Environ Health 1991, 46(3):155-160.
  • [4]Wong A, Greene S, Robinson J: Hydrofluoric acid poisoning: data from the Victorian Poisons Information Centre. Emerg Med Australas 2012, 24:98-101.
  • [5]Gumi City: Report of explosion accident in HUBE Global Inc(translated by Cho SY). 2013. http://www.gumi.go.kr webcite (cited 20 August 2013)
  • [6]Lim HS, Lee K: Health care plan for hydrogen fluoride spill, Gumi, Korea. J Korean Med Sci 2012, 27:1283-1284.
  • [7]Na JY, Woo KH, Yoon SY, Cho SY, Song IU, Kim JA, Kim JS: Acute symptoms after community hydrogen fluoride spill. Ann Occup Environ Med 2013, 25:17. BioMed Central Full Text
  • [8]Kim JM, Lee HJ: Hazard exposed to firefighter in fire- physical, chemical, and biological factors. J Korean Med Assoc 2008, 51(12):1072-1077.
  • [9]Won JW: Health and Firefighter(translated Cho SY). Korean Industrial Health Association. Korean 2006, 214:18-25.
  • [10]Jankovic J, Jones W, Burkhart J, Noonan G: Environmental study of firefighter. Ann Occup Hyg 1991, 35(6):581-602.
  • [11]Gyeongbuk Fire Service Headquaters: Briefing on the Initial Respose of Hydrogen Fluoride Spill (translated by Cho SY). 2013. http://www.gumi.go.kr webcite (cited 19 August 2013)
  • [12]Yonhap News Agency: Hydrogen fluoride accident caused five hundred patients of firefighter, officials in Gumi(translated by Cho SY). 2013. http://www.ytn.co.kr/ webcite (cited 5 August 2013)
  • [13]Dayal HH, Brodwick M, Morris R, Baranowski T, Trieff N, Harrison JA, Lisse JR, Ansari GAS: A community based epidemiologic study of health sequelae of exposure to hydrofluoric acid. Ann Epidemiol 1992, 2:213-230.
  • [14]Himes JE: Occupational medicine in Oklahoma: hydrofluoric acid dangers. J Okla State Med Assoc 1989, 82:567-569.
  • [15]Lund K, Ekstrand J, Boe J, Søstrand P, Kongerud J: Exposure to hydrogen fluoride: an experimental study in humans of concentrations of fluoride in plasma, symptoms, and lung function. Occup Environ Med 1997, 54:32-37.
  • [16]Wu ML, Deng JF, Fan JS: Survival after hypocalcemia, hypomagnesemia, hypokalemia and cardiac arrest following mild hydrofluoric acid burn. J Clin Toxicol 2010, 48:953-955.
  • [17]Dünser MW, Ohlbauer M, Rieder J, Zimmermann I, Ruatti H, Schwabegger AH, Bodrogi F, Huemer GM, Friesenecker BE, Mayr AJ, Lirk P: Critical care management of major hydrofluoric acid burns: a case report, review of the literature, and recommendations for therapy. Burns 2004, 30:391-398.
  • [18]Lee JE, Suh BS, Jo SS, Lee WC: Hydrofluoric acid burns: a case report. Korean J Occup Environ Med 2011, 23(2):225-233.
  • [19]Blodgett DW, Suruda AJ, Crouch BI: Fatal unintentional occupational poisonings by hydrofluoric acid in the U.S. Am J Ind Med 2001, 40:215-220.
  • [20]Lim HS, Cheong HK, Kim JY: A study on occupational hydrofluoric acid burns in a hydrofluoric acid manufacturing factory. Korean J Prev Med 1993, 26(4):587-598.
  • [21]Seo IK, Kim SJ: A case of successful management of inhalation injury caused by hydrofluoric acid poisoning. Korean Soc Emerg Med 2011, 22(1):116-120.
  • [22]Lim IA, Sung JC: Occupational health and fitness for work of firefighters. J Korean Med Assoc 2008, 51(12):1078-1086.
  • [23]Gumi City: Briefing Data related to Hydrogen Fluoride Spill (translated by Cho SY). 2013. http://www.gumi.go.kr webcite (cited 19 August 2013)
  • [24]Ministry of Environment: The result of Pollution Survey and Progress Situation related to Hydrogen Fluoride Spill. (translated by Cho SY). 2013. http://www.me.go.kr webcite (cited 19 August 2013)
  • [25]Ozcan M, Allahbeickaraghi A, Dundar M: Possible hazardous effects of hydrofluoric acid and recommendations for treatment approach: a review. Clin Oral Investig 2012, 16:15-23.
  • [26]Son BS, Oh SH, Kim YR: A study on measures to achieve performance and safety of air respirators for fire fighters. J Korean Inst Fire Sci Eng 2012, 26(4):77-81.
  • [27]Kim KR: The thought for toxic materials exposure of firefighter during inspect the remaining fire (translated Cho SY). Disaster Prev Insur 2001, 90:48-51.
  • [28]Centers for Disease Control and Prevention: Hydrogen Fluoride/Hydrofluoric Acid: Systemic Agent. 2013. http://www.cdc.gov/niosh/ershdb/EmergencyResponseCard_29750030.html webcite (cited 30 August 2013)
  • [29]Agency for Toxic Substance and Disease Resistry: Hydrogen Fluoride. 2013. http://www.atsdr.cdc.gov/mhmi/mmg11.pdf webcite (cited 30 August 2013)
  • [30]Harvard University: Guidelines for the safe Use of Hydrofluoric Acid. 2013. http://chemistry.harvard.edu/files/chemistry/files/safe_use_of_hf_0.pdf webcite (cited 30 August 2013)
  • [31]Franzblau A, Sahakian N: Asthma following household exposure to hydrofluoric acid. Am J Ind Med 2003, 44:321-324.
  • [32]Dalamaga M, Karmaniolas K, Nikolaidou A, Papadavid E: Hypocalcemia, hypomagnesemia and hypokalemia following hydrofluoric acid chemical injury. J Burn Care Res 2008, 29:541-543.
  • [33]Chung YK, Kim SY, Cho SM: Postraumatic stress disorder in firefighters. J Korean Med Assoc 2008, 51(12):1103-1110.
  • [34]Kwon SC, Song JC, Lee SJ, Koh JW, Ryou HC, Kim SH, Kim DH, Jung SA: Posttraumatic stress symptoms and related factors in firefighters of a firestation. Korean J Occup Environ Med 2008, 20(3):193-204.
  文献评价指标  
  下载次数:9次 浏览次数:6次