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Analysis of Contaminated Ground Water Inducing Methemoglobinemia and Epidemiologic Investigation of Contaminated Ground Water

Journal of the Korean Pediatric Society 1995;38(4):507-512.
Published online April 15, 1995.
Analysis of Contaminated Ground Water Inducing Methemoglobinemia and Epidemiologic Investigation of Contaminated Ground Water
Bu Heon Lee1, Ji Young Suh1, Nam Su Kim1, Hang Lee2, Young Yeul Kim3, Bo Youl Choi3, Hung Bae Park3, Min Young Kim4, In Hak Yeo4
1Department of Pediatrics, Preventive Medicine, College of Medicine, Hanyang University, Seoul, Korea
2Department of Pediatrics, College of Medicine, Hanyang University, Seoul, Korea
3Department of Preventive Medicine, College of Medicine, Hanyang University, Seoul, Korea
4Seoul Metropolitan Government Institute of Health and Environment
메트헤모글로빈혈증을 유발한 지하수에 대한 수질분석과 역학조사에 의한 수질오염의 실태
이부헌1, 서지영1, 김남수1, 이항2, 김영렬3, 최보율3, 박항배3, 김민영4, 여인학4
1한양대학교 의과대학 소아과학교실
2한양대학교 의과대학 소아과학교실
3한양대학교 의과대학 예방의학교실
4서울시 보건환경연구원
Abstract
Purpose
: Drining of Nitrate-contaminated water has been the most common cause of acquired methemoglobinemia. We had cyanotic infant diagnosed as methemoglobinemia caused by feeding with powdered formula mixed with nitrate-contaminated ground water.
Methods
: We had done epidemiologic investigation to identify the cause of an infant's methemoglobinemia. Analysis of ground water and blood test of involved family members and neighbors were performed
Results
: Analysis of the 8 household ground water revealed high level of nitrate(29837 ppm), indicating contamination of water as the cause of methemoglobinemia. We had done blood tests to evaluate the methemoglobin level of 65 people in the neighborhood ; among them, there was no infant and we could not find another cyanotic case of methemoglobinemia. They had normal blood level of methemoglobinemic concentration.
Conclusion
: If ground water will be used for drinking water, especially for formula water, epidemiologic investigation and analysis of ground waters should be recommended.
Key Words: Nitrate-contaminated methemoglobinemia, Epidemiologic investigation


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