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Humidifier Disinfectant Consumption and Humidifier Disinfectant-Associated Lung Injury in South Korea: A Nationwide Population-Based Study

Author

Listed:
  • Jeonggyo Yoon

    (Department of Preventive Medicine, Gachon University College of Medicine, Incheon 21999, Korea
    Jeonggyo Yoon and Minsun Kang contributed equally and should be considered co-first authors.)

  • Minsun Kang

    (Artificial Intelligence and Big-Data Convergence Center, Gachon University Gil Medical Center, Incheon 21565, Korea
    Jeonggyo Yoon and Minsun Kang contributed equally and should be considered co-first authors.)

  • Jaehun Jung

    (Department of Preventive Medicine, Gachon University College of Medicine, Incheon 21999, Korea
    Artificial Intelligence and Big-Data Convergence Center, Gachon University Gil Medical Center, Incheon 21565, Korea)

  • Min Jae Ju

    (Department of Preventive Medicine, Gachon University College of Medicine, Incheon 21999, Korea
    Department of Health Sciences and Technology, GAIHST, Gachon University, Incheon 21999, Korea)

  • Sung Hwan Jeong

    (Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Gachon University Gil Medical Center, Incheon 21565, Korea)

  • Wonho Yang

    (Department of Occupational Health, Daegu Catholic University, Gyeongbuk 38430, Korea)

  • Yoon-Hyeong Choi

    (Department of Preventive Medicine, Gachon University College of Medicine, Incheon 21999, Korea
    Department of Health Sciences and Technology, GAIHST, Gachon University, Incheon 21999, Korea)

Abstract

Humidifier disinfectant (HD) is a household biocidal product used in humidifier water tanks to prevent the growth of microorganisms. In 2011, a series of lung injury cases of unknown causes emerged in children and pregnant women who had used HD in Korea. This study investigated changes in the nationwide number of cases of humidifier disinfectant-associated lung injury (HDLI) in concordance with nationwide HD consumption using data covering the entire Korean population. More than 25 kinds of HD products were sold between 1994 and 2011. The number of diagnosed HDLI, assessed by S27.3 (other injuries of lungs) of the Korea National Health Insurance Service (NHIS) data, sharply increased by 2005, subsequently decreased after 2005, and almost disappeared after 2011 in concordance with the annual number of HD sales. The number of self-reported HDLIs, assessed using data from all suspected HDLI cases registered in the Korea Ministry of Environment, changed with the annual number of HD sales, with a delay pattern, potentially induced by the late awareness of lung injury diseases. The present study suggests that changes in the nationwide annual consumption of HD products were consistent with changes in the annual number of HDLI cases in Korea.

Suggested Citation

  • Jeonggyo Yoon & Minsun Kang & Jaehun Jung & Min Jae Ju & Sung Hwan Jeong & Wonho Yang & Yoon-Hyeong Choi, 2021. "Humidifier Disinfectant Consumption and Humidifier Disinfectant-Associated Lung Injury in South Korea: A Nationwide Population-Based Study," IJERPH, MDPI, vol. 18(11), pages 1-15, June.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:11:p:6136-:d:569946
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    Citations

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    Cited by:

    1. Frank Li & Jiwoong Choi & Xuan Zhang & Prathish K. Rajaraman & Chang-Hyun Lee & Hongseok Ko & Kum-Ju Chae & Eun-Kee Park & Alejandro P. Comellas & Eric A. Hoffman & Ching-Long Lin, 2022. "Characterizing Subjects Exposed to Humidifier Disinfectants Using Computed-Tomography-Based Latent Traits: A Deep Learning Approach," IJERPH, MDPI, vol. 19(19), pages 1-19, September.
    2. Hye-Yun Ko & Seung-Hun Ryu & Min-Joo Lee & Hun-Ju Lee & Soo-Young Kwon & Seong-Mi Kim & Sang-Min Lee, 2021. "Exploring Socio-Demographic Factors Affecting Psychological Symptoms in Humidifier Disinfectant Survivors," IJERPH, MDPI, vol. 18(22), pages 1-11, November.

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