Myong Jun-Pyo, Ahn Yeon-Soon, Kim Hyoung-Ryoul, Kim Youn Jeong, Park Chung Yill, Koo Jung-Wan
Department of Occupational and Environmental Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Department of Occupational and Environmental Medicine, Dongguk University, Ilsan Hospital, Goyang, Republic of Korea.
Int J Occup Environ Health. 2013 Oct-Dec;19(4):344-51. doi: 10.1179/2049396713Y.0000000042.
Korea has no surveillance system for work-related infectious disease. However, these diseases are compensated by the Korea Workers' Compensation & Welfare Service (KCOMWEL).
To understand the nature and distribution of compensated occupational infectious diseases in Korea.
We used the KCOMWEL electronic database to analyze compensated cases of work-related occupational infectious disease. We reviewed and confirmed diagnoses excluding denied claims, secondary infections, dermatoid diseases, duplicated cases and those with missing information. We calculated the distribution of work-related infectious disease in Korea by occupation, calendar year, gender, age, and employment duration, as well as the annual compensated claim rates (per million).
We included 1,062 compensated cases of work-related infectious disease. The most common was scrub typhus (n = 567, 53.4%), followed by tuberculosis (n = 227, 21.4%), viral hepatitis (n = 55, 5.2%), and viral influenza (n = 53, 5.0%). A sudden increase in scrub typhus was observed in 2009. Unskilled laborers, including short-term contract workers in public sectors, were most commonly affected by these diseases, followed by health care professionals.
Workers employed in forestry care in the public sectors and in hospitals were most vulnerable to infections. Proper surveillance systems to monitor infectious diseases among vulnerable working groups and improved prevention measures are needed.
韩国没有针对与工作相关的传染病的监测系统。然而，这些疾病由韩国职工工伤赔偿和福利服务局（KCOMWEL）进行赔偿。
了解韩国获得赔偿的职业性传染病的性质和分布情况。
我们使用KCOMWEL电子数据库分析与工作相关的职业性传染病的赔偿案例。我们审查并确认了诊断结果，排除了被驳回的索赔、继发性感染、类皮肤病、重复案例以及信息缺失的案例。我们计算了韩国按职业、日历年、性别、年龄和就业时长划分的与工作相关的传染病分布情况，以及年度赔偿索赔率（每百万）。
我们纳入了1062例与工作相关的传染病赔偿案例。最常见的是恙虫病（n = 567，53.4%），其次是结核病（n = 227，21.4%）、病毒性肝炎（n = 55，5.2%）和病毒性流感（n = 53，5.0%）。2009年观察到恙虫病病例突然增加。包括公共部门短期合同工在内的非技术工人受这些疾病影响最为普遍，其次是医疗保健专业人员。
公共部门从事林业护理工作的工人和医院工作人员最易受到感染。需要建立适当的监测系统来监测弱势群体中的传染病，并改进预防措施。
