Working Conditions and Mental Health Status Related With Occupational Injury of Korean Outdoor Workers.

OBJECTIVE: This study investigated the working conditions and mental health status linked to occupational injury among Korean outdoor workers. METHODS: Socioeconomic and occupational characteristics were collected using self-reported questionnaires from 26,468 paid workers selected using the 5th Korean Working Conditions Survey. The relationships among mental health issues, occupational injury, and working outdoors were estimated by logistic regression. RESULTS: Outdoor workers were relatively older with lower educational levels and income, worked longer, and had greater exposure to occupational hazards, higher occupational injury rate, significantly higher risk of sleep disturbances, and higher occupational injury rates due to sleep disturbances than non-outdoor workers. CONCLUSIONS: There was a significant relationship among working outdoors, sleep quality, and mental health-related issues due to exposure to occupational hazards. Specific occupational health and safety strategies are needed to protect the mental health of outdoor workers.

Comparison of personal air benzene and urine t,t-muconic acid as a benzene exposure surrogate during turnaround maintenance in petrochemical plants.

Previous studies have shown that biomarkers of chemicals with long half-lives may be better surrogates of exposure for epidemiological analyses, leading to less attenuation of the exposure-disease association, than personal air samples. However, chemicals with short half-lives have shown inconsistent results. In the present study, we compared pairs of personal air benzene and its short-half-life urinary metabolite trans,trans-muconic acid (t,t-MA), and predicted attenuation bias of theoretical exposure-disease association. Total 669 pairs of personal air benzene and urine t,t-MA samples were taken from 474 male workers during turnaround maintenance operations held in seven petrochemical plants. Maintenance jobs were classified into 13 groups. Variance components were calculated for personal air benzene and urine t,t-MA separately to estimate the attenuation of the theoretical exposure-disease association. Personal air benzene and urine t,t-MA showed similar attenuation of the theoretical exposure-disease association. Analyses for repeated measurements showed similar results, while in analyses for values above the limits of detection (LODs), urine t,t-MA showed less attenuation of the theoretical exposure-disease association than personal air benzene. Our findings suggest that there may be no significant difference in attenuation bias when personal air benzene or urine t,t-MA is used as a surrogate for benzene exposure.

The Quality Control Program for Industrial Hygiene Laboratories in Korea.

In 1992, the quality control program was introduced in Republic of Korea to improve the reliability of the work environment monitoring, which was introduced in the 1980s. The commission entrusted by the Ministry of Employment and Labor, the Occupational Safety and Health Research Institute has conducted the program for industrial hygiene laboratories including designated monitoring institutions and spontaneously participating agencies. The number of institutions that participated in the program has increased from 30 to 161. The initial conformance ratio in the participants was 43% (organic solvents) and 52% (metals). Thereafter, the conformance ratio increased rapidly and it has remained in a stable state at more than 89% since 1996. As subject materials, 13 kinds of organic solvents and 7 kinds of metals were used. To improve the capability of measurement and analysis of private institutions, educational courses were conducted annually. An assessment at the actual sites of participants was additionally introduced into the program in 2013. Thus, the program turned into a system that administrates the overall process of participants. For the future, the scope of target materials will be extended through additional items. Thus, the reliability of the results of the work environment monitoring is expected to increase accordingly.

Cancer incidence and mortality among temporary maintenance workers in a refinery/petrochemical complex in Korea.

BACKGROUND: Petrochemical plant maintenance workers are exposed to various carcinogens such as benzene and metal fumes. In Korea, maintenance operations in petrochemical plants are typically performed by temporary employees hired as contract workers. OBJECTIVES: The purpose of this retrospective study was to evaluate cancer risk in temporary maintenance workers in a refinery/petrochemical complex in Korea. METHODS: Subjects consisted of 14 698 male workers registered in a regional petrochemical plant maintenance workers union during 2002-2007. Cancer mortality and incidence were identified by linking with the nationwide death and cancer registries during 2002-2007 and 2002-2005, respectively. Standardized mortality ratios (SMRs) and standardized incidence ratios (SIRs) were calculated for each cancer. RESULTS: Increased SMR 3·61 (six cases, 95% CI: 1·32-7·87) and SIR 3·18 (five cases, 95% CI: 1·03-7·42) were observed in oral and pharyngeal cancers. CONCLUSION: Our findings may suggest a potential association between oral and pharyngeal cancers and temporary maintenance jobs in the petrochemical industry. Future studies should include a longer follow-up period and a quantitative exposure assessment.

Characteristics of Occupational Exposure to Benzene during Turnaround in the Petrochemical Industries.

OBJECTIVES: The level of benzene exposure in the petrochemical industry during regular operation has been well established, but not in turnaround (TA), where high exposure may occur. In this study, the characteristics of occupational exposure to benzene during TA in the petrochemical companies were investigated in order to determine the best management strategies and improve the working environment. This was accomplished by evaluating the exposure level for the workers working in environments where benzene was being produced or used as an ingredient during the unit process. METHODS: From 2003 to 2008, a total of 705 workers in three petrochemical companies in Korea were studied. Long- and short-term (< 1 hr) samples were taken during TAs. TA was classified into three stages: shut-down, maintenance and start-up. All works were classified into 12 occupation categories. RESULTS: The long-term geometric mean (GM) benzene exposure level was 0.025 (5.82) ppm (0.005-42.120 ppm) and the short-term exposure concentration during TA was 0.020 (17.42) ppm (0.005-61.855 ppm). The proportions of TA samples exceeding the time-weighted average, occupational exposure level (TWA-OEL in Korea, 1 ppm) and the short-term exposure limit (STEL-OEL, 5 ppm) were 4.1% (20 samples of 488) and 6.0% (13 samples of 217), respectively. The results for the benzene exposure levels and the rates of exceeding the OEL were both statistically significant (p < 0.05). Among the 12 job categories of petrochemical workers, mechanical engineers, plumbers, welders, fieldman and scaffolding workers exhibited long-term samples that exceeded the OEL of benzene, and the rate of exceeding the OEL was statistically significant for the first two occupations (p < 0.05). CONCLUSION: These findings suggest that the periodic work environment must be assessed during non-routine works such as TA.

A study for health hazard evaluation of methylene chloride evaporated from the tear gas mixture.

This study explored the health hazard of those exposed to methylene chloride by assessing its atmospheric concentration when a tear gas mixture was aerially dispersed. The concentration of methylene chloride ranged from 311.1-980.3 ppm (geometric mean, 555.8 ppm), 30 seconds after the dispersion started. However, the concentration fell rapidly to below 10 ppm after dispersion was completed. The concentration during the dispersion did not surpass the National Institute for Occupational Safety and Health 'immediately dangerous to life or health' value of 2,300 ppm, but did exceed the American Conference of Governmental Industrial Hygienists excursion limit of 250 ppm. Since methylene chloride is highly volatile (vapor pressure, 349 mmHg at 20℃), the postdispersion atmospheric concentration can rise instantaneously. Moreover, the o-chlorobenzylidenemalononitrile formulation of tear gas (CS gas) is an acute upper respiratory tract irritant. Therefore, tear gas mixtures should be handled with delicate care.