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논문 기본 정보

자료유형
학술저널
저자정보
Yangwoo Kim (Hanyang University Hospital) Inah Kim (Hanyang University) Jung-Min Sung (Korea Occupational Safety and Health Agency) Jaechul Song (Hanyang University Hospital)
저널정보
대한직업환경의학회 대한직업환경의학회지 대한직업환경의학회지 제33권 제2호
발행연도
2021.3
수록면
14 - 27 (14page)

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초록· 키워드

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Background: Parkinson’s disease (PD) is a rare, neurodegenerative disease with various occupational and environmental risk factors. Exposure to specific pesticides contributes significantly to the incidence of PD. However, it is difficult to measure the level of pesticide exposure in workers. This study presents the first case recognized the work-relatedness between PD and pesticide exposure.
Case presentation: A 68-year-old male was diagnosed with PD after working with pesticides at a tomato greenhouse for 12 years and 5 months. From the results of a field study, it was reasonable to assume that the patient had been exposed to a significant level of various insecticides. In the present report, we described the first accepted case of work-relatedness between PD and exposure to pesticides. The evaluation was conducted using the following steps: we ruled out other possible risk factors including additional occupational history and personal risk factors, we assessed the work environment, surveyed possible exposures, found proper epidemiological evidence, and calculated the probability of causation. The work-relatedness was determined through the review of epidemiological evidence and estimation of exposure situation and level, and biological plausibility. We also decided work-relatedness based on the exposure of PD related pesticides with identified biologically plausible and the presumption that the exposure level would be high due to the working process.
Conclusions: In this case, the field study and epidemiological results supported the work-relatedness of PD and exposure to pesticides. Moreover, the results of previous studies have confirmed a causal relationship between exposure to pesticides and PD.

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ABSTRACT
BACKGROUND
CASE PRESENTATION
DISCUSSION AND CONCLUSION
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