J Korean Med Sci.  2014 Jun;29(Suppl):S12-S17. 10.3346/jkms.2014.29.S.S12.

Compensation for Work-Related Cerebrocardiovascular Diseases

Affiliations
  • 1Department of Preventive Medicine, College of Medicine, Yonsei University, Seoul, Korea.
  • 2Department of Occupational and Environmental Health, Yonsei University Graduate School of Public Health, Seoul, Korea. ptdoctor@hanmail.net

Abstract

The purpose of this study was to discuss the history of, and concerns regarding, the newly amended criteria of occupational cerebrovascular or cardiovascular diseases (CCVDs). Since the early 1990s, CCVDs have been the second most common occupational disease, despite fluctuations in their criteria. The first issue was the deletion of cerebral hemorrhage on duty as a recognized occupational disease in 2008. The second issue was the obscurity regarding definitions of an acute stressful event (within 24 hr before disease occurrence), short-term overwork (within 1 week), and chronic overwork (for 3 or more months). In this amendment, chronic overwork was defined as work exceeding 60 hr per week. If the average number of weekly working hours does not exceed 60 hr, night work, physical or psychological workload, or other risk factors should be considered for the recognition of occupational CCVDs. However, these newly amended criteria still have a few limitations, considering that there is research evidence for the occurrence of disease in those working fewer than 60 hr per week, and other risk factors, particularly night work, are underestimated in these criteria. Thus, we suggest that these concerns be actively considered during future amendment and approval processes.

Keyword

Myocardial Infarction; Cardiovascular Diseases; Stroke; Overwork; Workers' Compensation; Korea

MeSH Terms

Cardiovascular Diseases/*economics
Cerebrovascular Disorders/*economics
Humans
Insurance, Health/economics
Occupational Diseases/*economics
Organization and Administration
Republic of Korea
Work Capacity Evaluation
Workers' Compensation/*economics
*Workload

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