Korea Occupational Safety and Health Agency

The manufacture of lithium-ion batteries involves hazardous substances such as nickel and cobalt, which may adversely affect the respiratory and dermatological health of workers. With the rapid growth of the electric vehicle and energy storage system industries, the production of lithium-ion batteries-and consequently the use of nickel and cobalt-has been steadily increasing. This study aims to assess occupational exposure to nickel and cobalt and to evaluate their potential health effects among male workers in the lithium-ion battery industry. We conducted a cross-sectional study to analyze urinary nickel and cobalt concentrations in 1298 male workers from 22 workplaces across nine industry types in Korea's lithium-ion battery sector. Work history and symptom data were collected via questionnaires, and the odds ratios for respiratory and skin symptoms were calculated relative to the reference value exceedances. Urinary nickel concentrations were highest in lithium manufacturing and recycling industries (maximum: 753.84µg/L), while cobalt concentrations were elevated in cathode active material manufacturing and recycling industries (maximum: 378.58µg/L). Exceeding reference values for nickel and cobalt were significantly associated with respiratory symptoms (odds ratio [OR] 2.06-3.97) and skin symptoms (OR 1.70-2.28). Elevated urinary concentrations of Ni and Co were closely associated with respiratory and skin symptoms among workers in the lithium-ion battery industry. As the structure of the industry evolves, it is crucial to conduct continuous exposure assessments and establish comprehensive health management systems to better protect worker health.

In 2006, the IARC reported that inorganic lead is carcinogenic in animals but with limited evidence in humans. In addition, some studies have reported that exposure to lead increases the risk of lung cancer, but this remains controversial. Therefore, we aimed to assess the risk of developing lung cancer according to blood lead levels in workers with occupational lead exposure. A retrospective cohort study of male workers with 2009 blood lead (PbB) concentrations was conducted using nationwide special health examination data (SHED) from 2009 to 2021 and cancer registry data from 1999 to 2020 from the Republic of Korea. Standardized incidence ratios (SIRs) for lung cancer risk at each PbB level were calculated with a five-year wash-out period, adjusting for age, smoking status, duration of exposure, and the number of co-exposures to lung carcinogens. The study included 26,092 workers with an average follow-up period of 9.98 years. Compared with workers with PbB levels <3.130 µg/dL, the adjusted SIRs for lung cancer risk were 2.95 (95% confidence interval [CI]: 1.47-5.27) and 3.13 (95% CI: 1.82-5.00) for workers with PbB levels of 3.130-4.899 and ≥4.900 µg/dL, respectively, indicating a significant dose-response trend. This study demonstrates a significant association between lead exposure and an increased risk of lung cancer, highlighting the need for stronger occupational health policies and ongoing monitoring of workers exposed to lead. The observed dose-response relationship underscores the importance of reassessing current occupational safety standards and strengthening measures to reduce lead exposure in the workplace.

This study applies econometric methodologies to conduct a quantitative assessment of the overall impact of occupational accidents on changes in firms' labor productivity. In particular, it examines whether the magnitude of this impact varies according to the technological intensity required for production and further explores the mechanisms through which occupational accidents affect productivity, as well as the duration of these effects. The empirical results demonstrate that increases in occupational accident rates are significantly associated with declines (1%p increase in the accident rate reduces 3.9% in the average labor productivity) in labor productivity, with such adverse effects evident in both very low- and very high-technology firms. Moreover, the analysis identifies a self-reinforcing vicious cycle for approximately 3 to 4 years, wherein higher accident rates lead to productivity deterioration, exacerbating accident incidence. The findings also indicate that a substantial period (about 2 to 3 years) is required for firms to recover from productivity losses attributable to occupational accidents. Our findings catalyze firms to undertake proactive and voluntary measures to prevent occupational accidents and will provide an empirical foundation for policy interventions targeting vulnerable groups that are disproportionately affected by productivity losses resulting from such incidents.

Abstract This study aimed to evaluate the safety of small-scale asbestos dismantling and removal work, especially ceiling tile removal using glove bags (GBs), and to investigate the potential for asbestos dispersion in GBs during ceiling material removal to propose safe work practices and related regulations. Asbestos exposure assessment was conducted at five asbestos-containing ceiling tile dismantling sites nationwide. Air sampling was performed during ceiling tile removal at four points per site: near workers’ respiratory tract, at the GB fixed boundary, inside the GB, and within the general work area. Phase contrast microscopy (PCM) was applied to determine asbestos. The results indicated that airborne asbestos concentrations varied by region, with the highest levels detected inside the GB. Elevated concentrations were also observed near workers’ respiratory tract. During ceiling tile removal, asbestos concentrations increased as the number of ceiling tiles removed rose from one to three. Proper sealing of asbestos dust to prevent leakage from the GB is essential, and removing ceiling tiles individually rather than in batches effectively reduces asbestos concentrations.

The purpose of this study is to explore the client service experience of medicaid case managers in Korea and prepare health protection measures. The research method was in-depth interviews, and data was collected twice in total from 04 September to 06 September, 2023. The study participants were five medicaid care managers belonging to cities, counties, and districts across the country. As a result of this study, participants experienced problem behaviors such as unreasonable demands, verbal abuse and assault, a threatening environment, a passive attitude toward expressing emotions, and a defensive attitude when performing work. In addition, the participants appeared to be unaware of the organization’s management policy, the absence of a healing program for health disorders, and the follow-up management system to resolve client problem behavior. In conclusion, the organization must establish a safety and health management policy, establish a grievance handling committee, conduct safety and health education, investigate job stress and prepare countermeasures, prepare follow-up measures to protect health, and prepare a job stress relief program.

Three automobile company workers (one from Factory D and two from Factory E) were diagnosed with amyotrophic lateral sclerosis. The Korean Epidemiologic Investigation and Evaluation Committee determined that there is considerable scientific evidence supporting the association between amyotrophic lateral sclerosis and combined exposure to heavy metals, organic solvents, and diesel exhaust at the manufacturing plant. Patient A, who primarily engaged in engine processing and completed vehicle inspection at Factory D, was exposed to considerable amounts of heavy metals and organic solvents during medium- and large-engine processing, welding, and painting for over 23 years. Additionally, the patient was likely exposed to diesel exhaust for 33 years from forklifts delivering engines in the workshop. Patients B and C, who were responsible for engine assembly, ignition testing, and engine shipment at Factory E since around 1990, were exposed to lead and benzene from gasoline during engine ignition tests in the engine department for 15 and 16 years, respectively. They also encountered welding fumes, heavy metals, and organic solvents during welding and painting tasks. In addition, Patients B and C were continuously exposed to diesel exhaust from logistics vehicles on standby during work hours for 25 and 30 years, respectively. Although the specific level of lead exposure causing amyotrophic lateral sclerosis remains undetermined, numerous studies have consistently reported a relationship between lead exposure and disease development. Limited evidence suggests that exposure to organic solvents and diesel exhaust may increase the risk of amyotrophic lateral sclerosis. Therefore, the Epidemiological Investigation and Evaluation Committee concluded that the three patients' work-related exposure to heavy metals, organic solvents, and diesel exhaust is significantly supported by scientific evidence as a cause of their amyotrophic lateral sclerosis.