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HOME > Ann Occup Environ Med > Volume 30; 2018 > Article
Research Article An overview of compensated work-related injuries among Korean firefighters from 2010 to 2015
Hyung Doo Kim2, Yon Soo An3, Dong Hyun Kim4, Kyung Sook Jeong5, Yeon Soon Ahn1
Annals of Occupational and Environmental Medicine 2018;30:57.
DOI: https://doi.org/10.1186/s40557-018-0268-2
Published online: September 3, 2018

1Department of Preventive Medicine and Institute of Occupational and Environmental Medicine, Wonju College of Medicine, Yonsei University, 20 Ilsan-ro, Wonju, Gangwon-do 26426 Republic of KoreaJFIFddDuckydqhttp://ns.adobe.com/xap/1.0/ Adobed     ! 1AQa"q 2#w8B36v7XRr$9bCt%u&Ws'(xy4T5fH  !1AQaq"2B Rbr#u67Ѳ3sTt5v8Sc$4ĂCÔ%UӅFV ?_Aנj- H>>,m*>fzp"TrKkr^r.|_&]|*vPuܶvoQ1mwVJUhu-I"=LniAƕ8"۲ k*ҿ[yu:.vUQ+)%F DHyVBk>Hy8jݹ q~9D4KRmzQ)^ʔ.J%k_tVi5NTjg!'ky|5asOȻ)R۸ߩFMԿ3L4j6dڜ#NIwUF]JqB/(FafJRzq3\G՛ ?~\ 6)6W4m[O^L0E&rRMض*C .]Unl-1 1r#Rj/&QɈ׉˩s6Rj=5Tg.y.·Pӡ:JJS:C8-2u]d&vUz;7p9 5VnL֢"y)">iי(IDDd| Yj0; LRfS:ktYK%*N2^m|&dğth":ey)uPQZW)gcC3Pv&MMWd&Ŵ۲mvTRoժM03*F3Yd6\8,\hݻ kߔi<k NTwSԪmljj[>->ptU%'LR>&EBH$MQAUx[$Z6vi&_a.KIQ{hyƒ j"JOC9eFҝfj;˚Ω<[3_m% lQ@4g=5$(J]Yc-OMq<Ǎ wSzڗ)k$7VIP붾ͯnV+卵*t]iЎD31~SA1éC2u)ʼnQn-Uoi3:grI8ؓWm*G zܕ)ZקJ}Y YlGeJ6cB2I NS3Q>k=KTBT]W6+SOXQgGR? telˊ%-Re\hѯ2TF"C/OJΩ6r[N.0{SpljjX1“jOsӥ;ҭhe}xu`Ք&.)yO̒ Fߑ.$Qw;9Iw2o+RVJMSOj[SoҌZ%;`d$blQ{Ro{Imڌ>3egf\O֝Uzx"䢸g+mv%Gʆ:|V[N'&ס-ޝ'kfE|K,G&˳98Juin/\\Qݿ̋v~Ǩ!rtWU d|E߫R4d}.qPw*Ӭv5YEcn~f5c%MTMkb-F>5JT,})QHg%{("ӔȸWMsYyWNRrkkJr0XドnͫT}r-jj,Ŕʍ\Q2Ri>v$5!]"JB2WɅ)]VԜUc8i|.jeRO6^V.¸ Q&#|ܶ-*uOG%JAtRZRr]FFG\۩w+?'zչSѧt jz>KW&ot{7P&2D;&\\>Q2JzܗAKSfeNn[jRrԕf6,q,F1tRfԗ>vֶևj-&R'Zi2=xv~Elbsvm8=ӛ"ū񕜈BȩlWau[]ٷBߨF~J!|Ipr3R̴#Yp)={7:G{+:\W}n|Q#%)7^-h"Ƒq:M*%J&$T軨I333׎g_- ucBwwjp[6i25$̏bU’ٱRv?G\~#Iͪb7<<}Ezt" q_Inw,7-d,G÷%T* Wg1"䥱kq/A.,_KhqŒxwvo u2ۥۧ.bQ}XκA$֣ +K״ZUNmڸII{.v{5z5ѮRme[moyƾd~cRݾK'j.\i&/S6f|b=5: p!6i_ 4j6=.si˧eƾtS^c.Y^RJVS-Vi3,esi08?H$GvZgg?gi䤟2adw릿:"۪lkSN>q-4kI܋ێe̊qۅgDoѨ9; #T.Q;7#~_Ufstb_'w~Xw1Xk,vcOt._}v}8"(4Z\ۘgk?J?bm_c!g{HZV]Fkk%~gEt)b秴vΰB|꽸}mp~E6ݹv;7P٤v+ri*3Ԣ|'O14_~7nP{7ZU\Vű[ +7󖱅o#:ǥŬ\|3r%TJX]V7ez¨Y]lc|O3V! 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• Received: March 6, 2018   • Accepted: August 29, 2018

© The Author(s). 2018

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  • Background
    Although one in two firefighters in South Korea have experienced work-related injuries, there are few studies which show the overview description on work-related injuries and its analysis regarding such causes. Therefore, we aimed to show the overview of compensated work-related injuries in order to serve fundamental data for establishing prevention policies on work-related injuries for Korean firefighters.
  • Methods
    We requested the all claimed work-related injury data of Korean firefighters from 2010 to 2015 to the Korean National Fire Agency (NFA). The data from NFA including 2457 claimed cases was analyzed and we confirmed, 2154 approved work-related injuries for the kinds of job activities, cause of accident and type of injuries. Among 2154 approved cases, we analyzed more variables for the sex, age, and job duration of 1344 compensated cases through served text file on summary of accident.
  • Results
    The Government Employees Pension Service (GEPS) recognized 2154 (87.7%) approved work-related injuries among 2457 claimed cases. The incidence of work-related injuries per 1000 firefighters was 9.8 persons. By region, the incidence of work-related injuries per 1000 firefighters ranged from a maximum of 14.5 to a minimum of 4.0. The most common job activity caused the accident was fire suppression (18.0%), followed by Emergency medical services (EMS) (17.5%) and training (10.7%). The most common cause of these accident was movement imbalance (30.3%), followed by falls (18.9%) and traffic accident (13.4%). In these work-related injuries, sprains and bruises were the most common type of injury (27.2%), and the most commonly injured body site was the upper and lower back (25.3%). Data from identified 1344 firefighters showed that 1264 (94.0%) were male and 80 (6.0%) were female. Age group was the highest in the 40s with 623 cases (46.4%), and job duration was the highest with 650 cases in 5–10 years (48.4%).
  • Conclusion
    In this study, we could obtain the preliminary data necessary to establish preventive measures, including the cause of accident and region with high accident rates. However, the number of applications for compensated injuries was very small compared to the frequency of injuries found in previous studies. The lack of appropriate treatment suggested that many firefighter injuries can become chronic. In this study, we suggest that it is necessary to introduce an injury monitoring system and improve the accessibility of compensated injuries.
  • Trial registration
    CR318031. Registered 20 June 2018.
  • Keywords:

    Keywords

    Firefighter; Korean; Occupational injury; Occupational accident; Occupational environment; Work-related injury; Industrial accident
The incidence of work-related injuries among firefighters in South Korea is devastating, as highlighted in a study of Korean firefighters that surveyed via mail. According to the survey, 1216 (12.0%) of 10,127 fire suppression workers, 586 (18.5%) of 3169 EMS workers, and 299 (17.8%) of 1681 officers, had experienced one or more workplace injuries during the previous 12 months [1]. The risk of non-fatal injuries in firefighters was 1.4–7.4 times higher than that of other occupations in United States [2]. Although the occupational risk to firefighters is higher than normal population, the rate of on-duty deaths per 100,000 firefighters in South Korea is 2 times higher than that of United States (33 Korean firefighters died on duty from 2010 to 2014), suggesting that they are exposed to considerable occupational risk [3].
According to the Industrial Accident Analysis Data from 2010 to 2014 released by the Korea Occupational Safety & Health Agency, the average incidence of all industrial accidents per 1000 persons in South Korea is 6.0. The incidence of work-related injuries per 1000 firefighters is 1.6 times the average incidence of all industrial accidents per 1000 persons in South Korea. In addition, firefighters have a higher incidence of musculoskeletal diseases and noise-induced hearing loss due to the nature of the work, which exposed to various harmful factors than other occupations [4–8]. Although there is growing interest in work-related injuries among firefighters, there are only few studies that provide an overview of injuries to firefighters. We aimed to grasp the overview of compensated work-related injury among firefighters using the claimed data collected by the Korea Government Employee Pension Service (GEPS) from 2010 to July 2015, and use as preliminary data for establishing work-related injury prevention policies among firefighters.
Study participants
We requested the all claimed work-related injury data of Korean firefighters from 2010 to 2015 to the NFA. We analyzed 2154 approved firefighter cases from among 2457 claimed firefighter cases who submitted compensation applications for work-related injuries to the GEPS from January 2010 to July 2015. Only injury cases were included in this analysis.
Variables
We analyzed job activity, accident cause, injury type, the region of fire station and recuperation duration among 2154 approved cases. Among 2154 approved cases, we could get more information about age, sex and job duration in 1344 compensated cases through the text file for summary of accident. In the statistical data of the NFA, the incidence of work-related injuries were analyzed by referring to the number of firefighters and the frequency of dispatch [9–13].
Compensated cases were classified based on four categories: sex (male, female), age (20–29, 30–39, 40–49, 50–59 years, 60 years and over), region of fire station (Seoul, Busan, Daegu, Incheon, Gwangju, Daejeon, Ulsan, Gyeonggi, Gangwon, Chungbuk, Chungnam, Jeonbuk, Jeonnam, Gyeongbuk, Gyeongnam, and Jeju), and job duration (0–5, 5–10, 10–20, 20–30, 30 years and over).
The causes of accident were classified as falling from a height, slips, falling beneath, coming into contact with an object, being struck with an object, being trapped, involvement in a structural collapse, movement imbalance, hazardous and dangerous material exposure, fire, violence, traffic accident, and others based on the Industrial Accident Cause Statistics of the Ministry of Employment and Labor [13]. The incidence of work-related injuries is expressed in a number of injuries per 1000 firefighters. The job activities were classified as fire suppression, emergency medical services (EMS), rescue, training, respond/return, commuting, office work or facility repair, outside work service, athletic events, and others. The type of injuries was classified as sprains and bruises, fractures, ligament injury and dislocations, nerve injury, muscle injury, laceration or injury from a bite, burns, amputations, poisoning, hearing loss, visual impairment, frostbite, and others. Body parts of injuries were classified as head, neck, shoulder, arm, forearm and hand, trunk, upper and lower back, upper leg and knee, lower leg and knee, and others.
Statistical analysis
The descriptive analyses were performed for sex, age, job duration, region of fire station, job activity, accident cause, and injury type using the SPSS version 21.0 software program.
Incidence of work-related injuries
The GEPS recognized 2154 (87.7%) approved work-related injuries among 2457 claimed cases. The proportion of compensated work-related injuries per year was as follow: 87.8% in 2010, 87.8% in 2011, 85.0% in 2012, 87.6% in 2013, 87.9% in 2014 and 90.8% from January to July 2015 (Fig. 1).
Fig. 1
Number of claimed or approved work-related injuries by year. Gray bars mean total number of claimed cases, while dark gray is the total number of approved cases
40557_2018_268_Fig1_HTML.jpg
The incidence of work-related injuries per 1000 firefighters was 9.8, from 8.7 in 2013 to 11.0 in 2011. Based on the analysis of the region of fire station, the Gyeonggi Province was the largest proportion of compensated cases (415, 19.3%), followed by 382 (17.7%) in Seoul, and 161 (7.5%) in Daegu. The incidence of work-related injuries per 1000 firefighters was the highest in Daegu area (14.4), followed by Jeonbuk (13.7), and Gangwon Province (12.5). The lowest in Gwangju (4.0), followed by Gyeongbuk (4.4), and Jeonnam (7.1) (Table 1).
Table 1
The incidence of approved work-related injuries per 1000 firefighters by the region and year (2010 to 2014)
Variables 2010 2011 2012 2013 2014 Total
N a n b ‰ c N a n b ‰ c N a n b ‰ c N a n b ‰ c N a n b ‰ c N a n b ‰ c
Region Seoul 5800 67 11.6 6051 90 14.9 6359 55 8.7 6501 51 7.8 6461 70 10.8 30,839 333 10.7
Busan 2546 34 13.4 2546 28 11.0 2559 26 10.2 2594 20 7.7 2635 20 7.6 12,752 128 9.9
Daegu 1878 34 18.1 1959 24 12.3 1959 18 9.2 1985 31 15.6 1975 34 17.2 9615 141 14.5
Incheon 2222 16 7.2 2237 18 8.1 2246 7 3.1 2255 27 12.0 2236 27 12.1 11,101 95 8.5
Gwangju 1092 6 5.5 1092 6 5.5 1092 5 4.6 1115 3 2.7 1108 2 1.8 5477 22 4.0
Daejeon 1129 11 9.7 1136 17 15.0 1139 13 11.4 1158 12 10.4 1157 10 8.6 5656 63 11.0
Ulsan 717 12 16.7 777 11 14.2 835 8 9.6 835 3 3.6 828 10 12.1 3948 44 11.0
Gyeonggi 5538 81 14.6 5957 77 13.0 6176 62 10.0 6176 70 11.3 6418 67 10.4 29,908 357 11.8
Gangwon 2277 28 12.9 2203 30 13.6 2253 22 9.8 2290 29 12.7 2291 31 13.5 11,074 140 12.5
Chungbuk 1378 16 11.6 1382 16 11.6 1456 13 8.9 1479 13 8.8 1462 6 4.1 7093 64 8.9
Chungnam 2033 21 10.3 2059 17 8.3 1986 20 10.1 2270 18 7.9 2270 10 4.4 10,532 86 8.1
Jeonbuk 1970 21 10.7 1970 23 11.7 1970 32 16.2 1970 27 13.7 1927 31 16.1 9673 134 13.7
Jeonnam 2058 14 6.8 2062 17 8.2 2066 12 5.8 2066 10 4.8 2022 20 9.9 10,201 73 7.1
Gyeongbuk 2570 13 5.1 2747 9 3.3 2934 13 4.4 3033 13 4.3 2976 14 4.7 14,198 62 4.3
Gyeongnam 2764 22 8.0 2764 27 9.8 2780 28 10.1 2823 10 3.5 2796 20 7.2 13,820 107 7.7
Jeju 594 7 11.8 627 7 11.2 647 11 17.0 647 7 10.8 647 7 10.8 3123 39 12.3
Total 36,711 403 11.0 37,826 417 11.0 38,557 345 8.9 39,519 344 8.7 40,406 379 9.4 191,131 1888 9.8
Firefighters working in Sejong are included in Chungnam. aTotal number of firefighters; bNumber of approved work-related injuries; cProportion of injuries (per 1000 persons)
From 2010 to 2014, the monthly incidence of work-related injuries was high during the period from April to June; 186 in April (9.8%), 197 in May (10.4%), and 173 in June (9.2%). The number of work-related injuries per 1000 dispatches was 8.9. February was the lowest at 6.0, and August was the highest at 11.5. No increase in incidence with increasing dispatch was observed (Table 2).
Table 2
The incidence of approved work-related injuries per 1000 dispatches by the month
Variable Jan. Feb. Mar. Apr. May. Jun. Jul. Aug. Sep. Oct. Nov. Dec. Total
Compensated cases 158 122 163 186 197 173 158 161 136 158 146 131 1889
Total Dispatches 21,774 20,299 22,186 20,085 18,166 16,053 14,024 14,007 13,605 15,821 16,483 19,550 212,053
work-related injuries per 1000 Dispatches 7.3 6.0 7.3 9.3 10.8 10.8 11.3 11.5 10.0 10.0 8.9 6.7 8.9
Burden of work-related compensated injuries (recuperation duration and compensation cost)
The average recuperation duration during the study period was 96.4 days. The recuperation duration was the longest at 115.2 days in 2013 (Standard deviation, SD: 104.0), and the shortest was 67.7 days in 2011 (SD: 54.8). The per-claim average compensation cost of injury to firefighters was 358,780 won. In 2013, it was the highest at 520,926 won (SD: 1,028,345), the lowest at 155,049 won in 2011 (SD: 648,347) (Fig. 2).
Fig. 2
The average recuperation duration (days/person) and compensation cost (thousand won/person) per firefighter
40557_2018_268_Fig2_HTML.jpg
Characteristics of compensated work-related injuries
We analyzed 2154 approved work-related injuries for job activities, causes of accident and type of injuries (Table 3).
Table 3
Recuperation duration and amount of payment according to type of injuries and injured body sites
Variable Recuperation duration (days) Compensation (thousand won)
N % Mean Median Max Mean Median Max
All 2154 100 96.4 60 1183 358.8 19.3 14,889.8
Sprains and bruises 586 27.2 52.9 60 228 88.0 0 2386.9
Fractures 501 23.3 110.0 90 730 397.6 44.9 11,416.0
Ligament injury and dislocations 421 19.5 101.3 69 1183 527.8 52.9 6429.9
Nerve injury 177 8.2 90.9 60 816 544.5 90.4 6407.1
Laceration or injury from bite 115 5.3 68.6 60 236 106.9 9.7 1733.9
Muscle injury 99 4.6 82.7 60 366 294.3 16.6 3096.0
Burns 94 4.4 89.3 60 383 626.0 67.5 14,889.8
Amputations 12 0.6 86.2 61 180 186.0 0 2094.2
Poisoning 8 0.4 64.9 60 99 110.0 23.5 450.7
Hearing loss 8 0.4 112.6 60 464 121.7 0 551.9
Visual impairment 4 0.2 46.8 60 60 4.7 0 18.7
Frostbite 1 0.0 60.0 60 60 0 0 0
Others 128 5.9 278.8 92 883 773.8 14.9 11,343.6
Upper and lower back 544 25.3 73.7 60 816 296.2 17.9 7965.7
Upper leg and knee 368 17.1 94.0 63 1183 477.0 30.1 6429.9
Lower leg and foot 267 12.4 98.6 78 726 416.7 64.2 11,416.0
Head 262 12.2 103.0 60 883 265.5 0 14,889.8
Forearm and hand 219 10.2 89.7 60 366 223.6 30.8 4139.6
Shoulder 128 5.9 82.9 60 309 436.2 10.1 3702.2
Trunk 107 5.0 100.1 60 383 389.0 0 4980.0
Neck 79 3.7 65.9 60 263 79.5 0 1283.2
Arm 68 3.2 99.1 72 320 367.5 36.3 8105.7
Others 112 5.2 239.3 90 730 693.0 13.8 11,343.6
The most common job activity at the time of accident was fire suppression (n = 387, 18.0%), followed by rescue activities (n = 377, 17.5%), training (n = 230, 10.7%), respond/return (n = 200, 9.3%), and commuting (n = 199, 9.2%) (Fig. 3). In terms of accident cause, movement imbalance was the most common cause (n = 652, 30.3%), followed by falls (n = 408, 18.9%), traffic accidents (n = 289, 13.4%), falling from a height (n = 179, 8.3%), and coming into contact with an object (n = 176, 8.2%) (Fig. 4).
Fig. 3
Number of approved work-related injuries by duty. The number of work-related injuries among firefighters was highest in fire suppression, followed by emergency rescue activities, and training. All natures of duty conducted only injured situation
40557_2018_268_Fig3_HTML.jpg
Fig. 4
Cause of injuries in firefighters. The most common cause of injury was movement imbalance, followed by slips and traffic accidents. All natures of multiple injury were counted only most severe site
40557_2018_268_Fig4_HTML.jpg
In terms of injury type, sprains and bruises were the most common (n = 586, 27.2%), followed by fractures (n = 501, 23.3%), ligament injuries and dislocations (n = 421, 19.5%), nerve injuries (n = 177, 8.2%), and sharps or bite injuries (n = 115, 5.3%).
The upper and lower back were the most commonly injured sites (n = 544, 25.3%), followed by the upper leg and knee (n = 368, 17.1%), the lower leg and foot (n = 267, 12.4%), the head (n = 262, 12.2%), and the forearm and hand (n = 219, 10.2%).
The characteristics of identified firefighters
Among 2154 approved work-related injuries, only 1344 firefighters were identified such variables as sex, age and job duration through the text file for accident summary (Table 4).
Table 4
The characteristics of a part of study subjects
Variable n %
Sex
 Male 1264 94.0
 Female 80 6.0
Age (years)
 20–29 41 3.1
 30–39 477 35.5
 40–49 623 46.4
 50–59 200 14.9
  ≥ 60 3 0.2
Job duration (years)
  < 5 109 8.1
 5–10 290 21.6
 10–20 650 48.4
 20–30 258 19.2
  ≥ 30 37 2.8
1264 (94.0%) were male and 80 (6.0%) were female. The average age of firefighters was 47.7. The most common age group was 40–49 (46.4%), followed by 30–39 (35.5%). Job duration was average 14.2 years. 10–20 years were the largest with 650 (48.4%), followed by 5–10 years with 290 (21.6%). A further analysis of the 10–20 years’ job duration firefighter group, which accounted for a large proportion, did not show any difference from the other groups.
The significance of this study is the analysis of the incidence, regional differences, cause of accident, and job activity through compensated work-related injury data of NFA for about 5 years in all firefighters in Korea.
The incidence of compensated work-related injuries per 1000 firefighters was just 9.8 persons. However, there is a large difference between this finding and the results of a previous survey of work-related injuries of Korean firefighters that reported 116 cases per 1000 firefighters within the preceding 12 months [1]. This difference is likely due to a number of firefighters not claiming compensation for work-related injury compensation even when they had experienced a work-related injury. 33 Korean firefighters died on duty from 2010 to 2014. The rate of on-duty deaths per 100,000 firefighters in Korea is 83.2, compared to 35.9 in US firefighters [3]. This suggests that firefighters in Korea are exposed to more dangerous work environments. However, the accident rate is the opposite, the accident rate in the US in 2013 was 15.1%, while the rate of injury in Korea was 0.7% in the same year. That means that a large number of firefighters compensated injury does not apply for non-fatal work-related injury [3]. The most common reason for not reporting work-related injuries was because of mild disease [14]. Furthermore, due to concerns that reporting work-related injuries would be a burden to their colleagues or to the fire service, a failure to recognize a work-related injury or ignorance of the application procedure may have resulted in late reporting of work-related injuries, and neglect and aggravation of the injury [15]. Consequently, the work-related injury may have a long duration, and injury sequelae may require treatment for several days to several years, even after being treated as a compensated work-related injury. Therefore, systematic injury report systems and treatment systems for managing work-related injuries are needed. This provides additional insight into mild or severe but not reported injuries. There is a difference in incidence by region. To find out the cause, it is necessary to study the difference in the number of firefighting activities, preventive measures, and accessibility of compensated injuries. Preventive measures can be established through these studies.
Analysis of recuperation duration and compensation cost shows that these are constantly increasing. Although the increase in medical expenses every year can be judged by an increase in medical prices, a sharp increase from 2010 to 2015 can be interpreted as occupational injuries becoming more severe and becoming chronic. It is reported that during the recuperation duration, many firefighters fail to fully recover, paying their personal costs and receiving additional treatment [16]. Therefore, it is necessary to prevent deterioration of injury through early detection and early treatment, and to minimize the loss of firepower through quick recovery for them to return to work.
The most common job activity that caused the accident was fire suppression (n = 387, 18.0%), followed by EMS (n = 377, 17.5%), and training (n = 230, 10.7%). There was a high probability that firefighters may be injured during fire dispatch since, according to the statistics data released by the NFA, fire dispatches, rescue activity, and EMS accounted for 1.6%, 18.6% and 79.8% of all the dispatches from 2010 to 2014, respectively [9–13]. 927 compensated cases (43.0%) occurred in direct firefighting activities such as fire suppression, EMS, rescue, and 391 compensated cases (18.2%) occurred in training and athletic events. This indicates that current training has become an important cause of work-related injuries among firefighters, and in conflict with its original purpose of preventing injuries and enhancing job performance. And effective training methods to prevent injuries occurring during training or athletic events [17–19].
Also, 199 cases (9.2%) of injuries were caused by traffic accidents. Further studies are needed to determine whether the occurrence of a traffic accident is a work-related fatigue due to shift work. Previous studies have also shown that decreased concentration was associated with increased occupational accidents or traffic accidents [20–23]. Therefore, it is necessary to study the fatigue caused by the shift work of the firefighters and their effects.
We reviewed the compensated work-related injuries applications received by the NFA and analyzed the causes of the injury in detail. The most common injuries pertained to musculoskeletal injuries of the lower back or lower legs, caused by a movement or a fall. Therefore, preventive measures against frequent injuries should be given priority. Programs should be developed to improve the strength and flexibility or frequent injured sites in firefighter training [17–19]. In addition, financial and medical support should be need, until an individual fully recovers from a work-related injury [6, 24, 25]. Further studies should prioritize injuries that occur frequently but which are not yet addressed through preventative or management measures.
Among 2154 approved cases, we could analyze more variables for the sex, age, and job duration of 1344 compensated cases (62.4%). However, there are insufficient data on sex, age, and job duration for all compensated cases. As a result, since there is no data on the number of firefighters per job duration, duty, sex, and age, there is a limitation of research that fails to calculate the incidence rate of firefighters by job duration, duty, sex, and age. We could not be concluded that incidence of injury is high or low depending on these characteristics due to missing components of data. 10–20 years’ firefighter, which can be judged to high proficiency, accounts for 48.4% of all in all injuries, suggests that preventive education for the skilled firefighter is needed continuously.
In summary, as a result of the study, we could obtain the information necessary to establish preventive measures such as cause of accident and region with high accident rates. However, the number of applications for compensated injuries was very small compared to the frequency of injuries found in previous studies. This suggested that many firefighter injuries can become chronic due to lack of appropriate treatment, so it is necessary to introduce an injury monitoring system and improve the accessibility of compensated injuries. In addition, the results of this study can be used to analyze the changing trend of work-related injuries among firefighters and to compare occupational accidents with other occupations in the future; they can also be used as baseline data for establishing work-related injury prevention policies for firefighters.
This research was supported by the Field-oriented Support of Fire Fighting Technology Research and Development Program funded by National Fire Agency (“MPSS-Fire Fighting Safety-2017-87”).
Funding
This study was funded by the National Fire Agency (“MPSS-Fire Fighting Safety-2017-87”).
Availability of data and materials
Please contact author for data requests.

EMS

Emergency medical services

GEPS

Government Employees Pension Service

NFA

National Fire Agency
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      An overview of compensated work-related injuries among Korean firefighters from 2010 to 2015
      Ann Occup Environ Med. 2018;30:57  Published online September 3, 2018
      DOI: https://doi.org/10.1186/s40557-018-0268-2
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    An overview of compensated work-related injuries among Korean firefighters from 2010 to 2015
    Image Image Image Image
    Fig. 1 Number of claimed or approved work-related injuries by year. Gray bars mean total number of claimed cases, while dark gray is the total number of approved cases
    Fig. 2 The average recuperation duration (days/person) and compensation cost (thousand won/person) per firefighter
    Fig. 3 Number of approved work-related injuries by duty. The number of work-related injuries among firefighters was highest in fire suppression, followed by emergency rescue activities, and training. All natures of duty conducted only injured situation
    Fig. 4 Cause of injuries in firefighters. The most common cause of injury was movement imbalance, followed by slips and traffic accidents. All natures of multiple injury were counted only most severe site

    Fig. 1

    Fig. 2

    Fig. 3

    Fig. 4

    An overview of compensated work-related injuries among Korean firefighters from 2010 to 2015
    Variables 2010 2011 2012 2013 2014 Total
    N a n b ‰ c N a n b ‰ c N a n b ‰ c N a n b ‰ c N a n b ‰ c N a n b ‰ c
    RegionSeoul58006711.660519014.96359558.76501517.864617010.830,83933310.7
    Busan25463413.425462811.025592610.22594207.72635207.612,7521289.9
    Daegu18783418.119592412.31959189.219853115.619753417.2961514114.5
    Incheon2222167.22237188.1224673.122552712.022362712.111,101958.5
    Gwangju109265.5109265.5109254.6111532.7110821.85477224.0
    Daejeon1129119.711361715.011391311.411581210.41157108.656566311.0
    Ulsan7171216.77771114.283589.683533.68281012.139484411.0
    Gyeonggi55388114.659577713.061766210.061767011.364186710.429,90835711.8
    Gangwon22772812.922033013.62253229.822902912.722913113.511,07414012.5
    Chungbuk13781611.613821611.61456138.91479138.8146264.17093648.9
    Chungnam20332110.32059178.319862010.12270187.92270104.410,532868.1
    Jeonbuk19702110.719702311.719703216.219702713.719273116.1967313413.7
    Jeonnam2058146.82062178.22066125.82066104.82022209.910,201737.1
    Gyeongbuk2570135.1274793.32934134.43033134.32976144.714,198624.3
    Gyeongnam2764228.02764279.827802810.12823103.52796207.213,8201077.7
    Jeju594711.8627711.26471117.0647710.8647710.831233912.3
    Total36,71140311.037,82641711.038,5573458.939,5193448.740,4063799.4191,13118889.8
    VariableJan.Feb.Mar.Apr.May.Jun.Jul.Aug.Sep.Oct.Nov.Dec.Total
    Compensated cases1581221631861971731581611361581461311889
    Total Dispatches21,77420,29922,18620,08518,16616,05314,02414,00713,60515,82116,48319,550212,053
    work-related injuries per 1000 Dispatches7.36.07.39.310.810.811.311.510.010.08.96.78.9
    VariableRecuperation duration (days)Compensation (thousand won)
    N %MeanMedianMaxMeanMedianMax
    All215410096.4601183358.819.314,889.8
    Sprains and bruises58627.252.96022888.002386.9
    Fractures50123.3110.090730397.644.911,416.0
    Ligament injury and dislocations42119.5101.3691183527.852.96429.9
    Nerve injury1778.290.960816544.590.46407.1
    Laceration or injury from bite1155.368.660236106.99.71733.9
    Muscle injury994.682.760366294.316.63096.0
    Burns944.489.360383626.067.514,889.8
    Amputations120.686.261180186.002094.2
    Poisoning80.464.96099110.023.5450.7
    Hearing loss80.4112.660464121.70551.9
    Visual impairment40.246.860604.7018.7
    Frostbite10.060.06060000
    Others1285.9278.892883773.814.911,343.6
    Upper and lower back54425.373.760816296.217.97965.7
    Upper leg and knee36817.194.0631183477.030.16429.9
    Lower leg and foot26712.498.678726416.764.211,416.0
    Head26212.2103.060883265.5014,889.8
    Forearm and hand21910.289.760366223.630.84139.6
    Shoulder1285.982.960309436.210.13702.2
    Trunk1075.0100.160383389.004980.0
    Neck793.765.96026379.501283.2
    Arm683.299.172320367.536.38105.7
    Others1125.2239.390730693.013.811,343.6
    Variable n %
    Sex
     Male126494.0
     Female806.0
    Age (years)
     20–29413.1
     30–3947735.5
     40–4962346.4
     50–5920014.9
      ≥ 6030.2
    Job duration (years)
      < 51098.1
     5–1029021.6
     10–2065048.4
     20–3025819.2
      ≥ 30372.8
    Table 1 The incidence of approved work-related injuries per 1000 firefighters by the region and year (2010 to 2014)

    Firefighters working in Sejong are included in Chungnam. aTotal number of firefighters; bNumber of approved work-related injuries; cProportion of injuries (per 1000 persons)

    Table 2 The incidence of approved work-related injuries per 1000 dispatches by the month

    Table 3 Recuperation duration and amount of payment according to type of injuries and injured body sites

    Table 4 The characteristics of a part of study subjects

    Table 1

    Table 2

    Table 3

    Table 4

    Ann Occup Environ Med : Annals of Occupational and Environmental Medicine
    © Korean Society of Occupational & Environmental Medicine.
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