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@ U;20121031\mXֽE̷ll110 p.shttp://repository.kei.re.kr/handle/2017.oak/19898;
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Environmental burden of disease (EBoD) is an environmental risk indicator that evaluates the burden of disease resulting from environmental risk factors with disability-adjusted life year(DALY). EBoD is utilized as a measure in prioritizing environmental risks, and in the process of planning environmental health policies and evaluating the effectiveness of those policies afterwards. However, estimating EBoD is a challenging process since it comprises various uncertainty factors such as many assumptions and lack of data. Such uncertainties may cause difficulty in utilizing EBoD as a national environmental health policy indicator. The purpose of this study is to diagnose the possibility of EBoD as an environmental health policy indicator and to provide technical and institutional measures for enhancing its utility to policy makers by analyzing the uncertainty factors of EBoD. In the study, we reviewed the EBoD calculation methodology developed by WHO and calculated domestic EBoDs by using data available in Korea. In addition, uncertainty analysis was carried out in estimating EBoD in Korea. As a result, we could confirm that we need to establish a tailored methodology for calculating EBoD in Korea in order to overcome uncertainty factors including data gaps. We proposed the technical and institutional measures for introducing EBoD as a national environmental health policy indicator in Korea as following. As technical measures, it was proposed to develop 'Korean EBoD calculation protocol' and build EBoD database in consideration of domestic data availability and environmental concerns. First of all, it is necessary to define which environmental diseases should be considered in Korea. As institutional measures, we proposed to designate EBoD as a national environmental health policy indicator and monitor it periodically. When technical and institutional challenges are solved, it is proposed to build a 'Korean EBoD system' shall be launched to provide services to officials and citizens. The Korean EBoD system is expected to contribute to implementing more efficient and objective environmental health policies in Korea.;
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