Korean J Occup Environ Med.  2008 Mar;20(1):1-8.

An Outbreak of Acute Beryllium Disease in a Compound Metal Alloy Factory

Affiliations
  • 1Department of Occupational and Environmental Medicine, College of Medicine, Dankook University, Korea. kuffs@dku.edu
  • 2Surgeon General's Office, ROKAF, Korea.
  • 3Department of Internal Medicine, College of Medicine, Dankook University, Korea.
  • 4Korea Occupational Safety and Health Agency, Korea.
  • 5Department of Occupational and Environmental Medicine, Dankook University Hospital, Korea.

Abstract


OBJECTIVES
We conducted an epidemiological survey to inquire into an outbreak of acute pneumonitis after two reported cases of interstitial lung disease.
METHODS
The study subjects were 45 workers from a compound metal alloy factory. We reviewed the factory's industrial hygiene data along with the results of a special health examination, including pulmonary function tests, simple chest X-rays, and high resolution computed tomography.
RESULTS
The air concentrations of beryllium ranged from 0.42 microgram/m3 to 112.3 microgram/m3, and the mean concentration of urinary beryllium were 1.53+/-0.79 microgram/g of creatinine in the molding workers, 1.41+/- 0.50 microgram/g of creatinine in the casting workers, and 1.16+/-0.53 microgram/g of creatinine in the sorting workers. The rates for cough (p=0.054), dyspnea (p=0.030), and the use of medical services (p=0.018) were higher in the molding workers than in the non-molding workers. The incidence rate of acute interstitial lung disease was higher for the molding process (32.0%) than for the non-molding process (5.0%) (p=0.012). The time of employment for all patients was prior to December 1st, 2002.
CONCLUSIONS
Since most of the patients were molding workers, and all of the patients had worked without a ventilation system, this outbreak of acute interstitial lung disease was regarded as acute beryllium disease. Although the direct cause of the epidemic was the beryllium fumes, the fundamental cause was improper control of the work environment. Therefore, the means for preventing avoidable epidemics of occupational diseases are discussed.

Keyword

Beryllium; Acute interstitial lung disease

MeSH Terms

Alloys
Berylliosis
Beryllium
Cough
Creatinine
Dyspnea
Employment
Fungi
Humans
Incidence
Lung
Lung Diseases, Interstitial
Occupational Diseases
Occupational Health
Pneumonia
Respiratory Function Tests
Thorax
Ventilation
Alloys
Beryllium
Creatinine
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