Occupational Lymphohematopoietic Cancer in Korea.
10.3346/jkms.2010.25.S.S99
- Author:
Eun A KIM
1
;
Won Jin LEE
;
Mia SON
;
Seong Kyu KANG
Author Information
1. Occupational Safety and Health Research Institute, Korea Occupational Safety and Health Agency, Incheon, Korea. toxneuro@kosha.net
- Publication Type:Research Support, Non-U.S. Gov't ; Review
- Keywords:
Occupational Cancer;
Lymphohematopoietic;
Benzene;
Population Attributable Fraction
- MeSH:
Adult;
Benzene/toxicity;
Cohort Studies;
Female;
Humans;
Incidence;
Leukemia/*chemically induced/*epidemiology;
Leukemia, Radiation-Induced/*epidemiology;
Male;
Middle Aged;
Occupational Diseases/*epidemiology/etiology;
Occupational Exposure/*adverse effects;
Prevalence;
Radiation, Ionizing;
Republic of Korea/epidemiology;
Workers' Compensation
- From:Journal of Korean Medical Science
2010;25(Suppl):S99-S104
- CountryRepublic of Korea
- Language:English
-
Abstract:
The purpose of this study was to review the existing studies on lymphohematopoietic (LHP) cancer in Korea, estimate the prevalence of workers exposed to carcinogens, and determine the population attributable fraction (PAF) of leukemia. Two case series and 4 case reports were reviewed. Using official statistics, the prevalence of benzene exposure and ionizing radiation exposure was estimated. Based on the prevalence of exposure and the relative risk, The PAF of leukemia was calculated. Between 1996 and 2005, 51 cases of LHP cancer were reported from the compensation system. Greater than 50% of occupational LHP cancer was leukemia, and the most important cause was benzene. In a cohort study, the standardized incidence ratio was 2.71 (95% CI, 0.56-7.91). The prevalence of exposure was 2.5% and 2.2% in 1995 and 2000, respectively. Using the 1995 prevalence, 3.6-4.8% and 0.1% of cases with leukemia were attributable to benzene and ionizing radiation exposure, respectively, which resulted in 39.7-51.4 cases per year. Benzene is the most important cause of occupational leukemia in Korea. Considering the estimated PAF in this study, the annual number of occupational LHP cancer (51 cases during 10-yr period), might be underreported within the compensation system.
