J Korean Med Sci.  2023 Sep;38(37):e289. 10.3346/jkms.2023.38.e289.

Exposure to Hazardous Substances and Their Health Effects Among Residents Living Near Three Industrial Waste Incinerators in Korea

• Eom SY
• Lee B
• Hong S
• Hong YS
• Choi KH
• Kwon HJ
• Yoon M
• Kang YS
• Lee JH
• Kim YD
• Kim H

• KMID: 2546200
• DOI: http://doi.org/10.3346/jkms.2023.38.e289

Abstract

Background
This study aimed to evaluate exposure to various hazardous substances emitted by incineration facilities and their likely effect on the health for residents of Bugi-myeon, Cheongju, Korea, which has three incineration facilities.
Methods
Heavy metals, polycyclic aromatic hydrocarbons (PAHs), and dioxin concentrations in the air and soil of exposed and control areas were measured. Moreover, the exposure levels to harmful substances and its effects on health were investigated in 1,124 exposed and 232 control adults.
Results
PAHs and dioxin concentrations in the air in the exposed area were significantly higher than in the control area. Urinary cadmium and PAHs metabolite concentrations were significantly higher in the exposed group than in the control group. The exposure group also had a higher prevalence of depression and self-reported allergic symptoms than the control group.
Conclusion
The possibility of residents in Bugi-myeon being exposed to hazardous substances at incineration facilities cannot be ruled out. To prevent them from further exposure to hazardous substances, it is necessary to prohibit the expansion of additional incineration facilities in this area and to implement continuous monitoring projects for residents

Keyword

Heavy Metals; Dioxins; Polycyclic Aromatic Hydrocarbons; Incinerator

Figure

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  Fig. 1 Subject participation and environmental sampling points. Bugi-myeon and Miwon-myeon belong to Cheongju-si, and Iwol-myeon to Jincheon-gun, respectively.

Reference

1. Moy P, Krishnan N, Ulloa P, Cohen S, Brandt-Rauf PW. Options for management of municipal solid waste in New York City: a preliminary comparison of health risks and policy implications. J Environ Manage. 2008; 87(1):73–79. PMID: 17379391.

2. Ministry of the Environment. National Waste Generation and Treatment Status (2001 Contract No.: 11-1480000-000533-10). Gwacheon, Korea: Ministry of Environment;2000.

3. Ministry of the Environment, Korea Environment Corporation. National Waste Generation and Treatment Status (2020 Contract No.: 11-1480000-001552-10). Incheon, Korea: Ministry of the Environment, Korea Environment Corporation;2019.

4. Korean Statistical Information Service. Updated 2023. Accessed May 26, 2022. https://kosis.kr/index/index.do/ .

5. Porta D, Milani S, Lazzarino AI, Perucci CA, Forastiere F. Systematic review of epidemiological studies on health effects associated with management of solid waste. Environ Health. 2009; 8(1):60. PMID: 20030820.

6. de Titto E, Savino A. Environmental and health risks related to waste incineration. Waste Manag Res. 2019; 37(10):976–986. PMID: 31319775.

7. Hu SW, Shy CM. Health effects of waste incineration: a review of epidemiologic studies. J Air Waste Manag Assoc. 2001; 51(7):1100–1109. PMID: 15658227.

8. Committee on Health Effects of Waste Incineration. Waste Incineration and Public Health. Washington, D.C., USA: The National Academies Press;2000. p. 17–32.

9. Perrot JF, Subiantoro A. Municipal waste management strategy review and waste-to-energy potentials in New Zealand. Sustainability (Basel). 2018; 10(9):3114.

10. Ranzi A, Fano V, Erspamer L, Lauriola P, Perucci CA, Forastiere F. Mortality and morbidity among people living close to incinerators: a cohort study based on dispersion modeling for exposure assessment. Environ Health. 2011; 10(1):22. PMID: 21435200.

11. Fukuda Y, Nakamura K, Takano T. Dioxins released from incineration plants and mortality from major diseases: an analysis of statistical data by municipalities. J Med Dent Sci. 2003; 50(4):249–255. PMID: 15074352.

12. Candela S, Ranzi A, Bonvicini L, Baldacchini F, Marzaroli P, Evangelista A, et al. Air pollution from incinerators and reproductive outcomes: a multisite study. Epidemiology. 2013; 24(6):863–870. PMID: 24076993.

13. Zambon P, Ricci P, Bovo E, Casula A, Gattolin M, Fiore AR, et al. Sarcoma risk and dioxin emissions from incinerators and industrial plants: a population-based case-control study (Italy). Environ Health. 2007; 6(1):19. PMID: 17634118.

14. Comba P, Ascoli V, Belli S, Benedetti M, Gatti L, Ricci P, et al. Risk of soft tissue sarcomas and residence in the neighbourhood of an incinerator of industrial wastes. Occup Environ Med. 2003; 60(9):680–683. PMID: 12937191.

15. Floret N, Mauny F, Challier B, Arveux P, Cahn JY, Viel JF. Dioxin emissions from a solid waste incinerator and risk of non-Hodgkin lymphoma. Epidemiology. 2003; 14(4):392–398. PMID: 12843761.

16. Viel JF, Daniau C, Goria S, Fabre P, de Crouy-Chanel P, Sauleau EA, et al. Risk for non Hodgkin’s lymphoma in the vicinity of French municipal solid waste incinerators. Environ Health. 2008; 7(1):51. PMID: 18959776.

17. Ministry of the Environment, Korea Environment Corporation. Persistent Organic Pollutant Environmental Monitoring White Paper. Sejong, Korea: Ministry of the Environment;2021.

18. Li Z, Romanoff L, Bartell S, Pittman EN, Trinidad DA, McClean M, et al. Excretion profiles and half-lives of ten urinary polycyclic aromatic hydrocarbon metabolites after dietary exposure. Chem Res Toxicol. 2012; 25(7):1452–1461. PMID: 22663094.

19. Kim YD, Eom SY, Yim DH, Kim IS, Won HK, Park CH, et al. Environmental exposure to arsenic, lead, and cadmium in people living near Janghang copper smelter in Korea. J Korean Med Sci. 2016; 31(4):489–496. PMID: 27051230.

20. Pizzino G, Irrera N, Cucinotta M, Pallio G, Mannino F, Arcoraci V, et al. Oxidative stress: harms and benefits for human health. Oxid Med Cell Longev. 2017; 2017:8416763. PMID: 28819546.

21. Lim CC, Thurston GD. Air pollution, oxidative stress, and diabetes: a life course epidemiologic perspective. Curr Diab Rep. 2019; 19(8):58. PMID: 31325070.

22. Yang W, Omaye ST. Air pollutants, oxidative stress and human health. Mutat Res. 2009; 674(1-2):45–54. PMID: 19013537.

23. Choi KH, Lim H, Bae S, Ha M, Kwon HJ, Yoon M, et al. Cancer risk in the residents of a town near three industrial waste incinerators in Korea: a retrospective cohort study. Int Arch Occup Environ Health. 2022; 95(9):1829–1843. PMID: 35585357.