This study investigated the current status and needs for nutrition education to help reduce children’s sugars intake at the Center for Children’s Foodservice Management (CCFM, n=115), and Child Care Facilities (CCF, n=646) through an online survey conducted from October 5th to 30th 2015. A total of 14.8% of CCFM respondents and 31.9% of CCF respondents provided nutrition education on sugars intake to young children as a main topic (p<0.001). A higher percentage (CCFM 47.8%: CCF 42.4%) delivered nutrition education on sugars intake to young children as a sub-component (p<0.001). Over 90% of the CCFM and CCF participants agreed on the necessity of providing nutrition education on sugars intake to children. The most common reasons given for delivering nutrition education on children’s sugar intake were “there are many more urgent nutrition education topics” for CCFM, and “insufficient nutrition education information and materials” for CCF. The percentage of nutrition education on children’s sugar intake provided to the children’s parents was low showing about 20% in the both groups. The percentage of CCFM participants providing nutrition, education on children’s sugar intake to the teachers in CCF was also low, showing about 14.8%; however, 68.0% of the CCF participants wanted to received teacher's education on guiding children’s sugar intake. Regarding ideas about a nutrition education program on children’s sugar intake for young children, most respondents in both groups answered “sugar intake and dental cavities or obesity” for appropriate education contents, “story telling or puppet show” for appropriate education methods, and “dietitian from CCFM and class teacher together” for appropriate educator. For appropriate education time, there was a significantl difference between the CCFM responses (average 2.7 times) and the CCF responses (average 4 times). Based on the above results, we found that implementing nutrition education on children's sugar intake at the CCFM and CCF, was low; however, awareness of the need for nutrition education on children’s sugar intake and the program development and supply was very high. Also, the opinions of CCFM and CCF participants about a nutrition education program on children’s sugar intake for young children can provide foundation data to develop and implement the CCFM-based nutrition education program.

The objective of the current study was to compare the execution of hygiene and safety management according to the characteristics of children’s food service stations, with the ultimate objective of providing sanitary and safe food service to children. To this end, the study conducted surveys of 73 public and private pre-schools with fewer than 100 children in district A from July 30 to October 31 2015. The differences were evaluated by t-test and analysis of variance. The confidence and validity of the results were analyzed by six food ingredient and facilities management questions, three personal hygiene and facilities management questions, four environmental management questions, and five storage and treatment management questions; for a total of 18 questions. The cumulative distribution of the four factors was 61.569%, and the Cronbach’s alpha was 0.821, which indicated that the results were reliable. The results revealed that public pre-schools (a) and home-based pre-schools (b) had different levels of food ingredient and facility management, but no differences in the number of cooks, number of children served, type of food distribution, and the existence of mass food service facilities. The results of the study may be used to develop hygiene and safety management manual and educational contents to promote the health of the children served.

Children’s play facilities have changed over a decade from the traditional play facilities in the front yard to the new type of commercial play facilities which install more exciting and enjoyable facilities, such as Kids Park. The more diversified in the type of facilities, the more difficult in the safety management by the existing system. The ‘Safety Management System of Children’s Play Facilities’ of MOSPA(Ministry of Security and Public Administration) has provided the safety information uni-directly by government sector to the private communities. Recently, multi-directional information sharing methods, such as community mapping are adopted actively in the social activities which have common purpose for making the better community by information sharing with government and private sector. On the purpose of citizen’s participation for safe play facilities and preventing accidents, this study investigated the status of child accidents and safety standards, especially focused on the children’s play facilities. And the way for sharing safety information among the communities with the GIS mapping skills is suggested in the respect of more easily monitoring and practically inputting the comments on the status of management of play facilities by real users based on their experiences. It is expected that more activities from the private sector would participate to the safety management of children’s play facilities by realizing the suggested system.

The objective of the present study was to estimate the health risk level for children exposed to phthalate and identify the pathways including indoor floor dust, surface wipe and hand wipe in elementary-schools and institutes. The samples of indoor place were collected at children's facilities (50 elementary-schools and 46 academies) in summer (Aug ~ Sept, 2008), winter (Dec 2008 ~ Feb, 2009) and Spring (Mar ~ Apr, 2009) periods. Hazard Index (HI) were estimated for the non-carcinogens and the examined phthalate were diethylhexyl phthalate (DEHP), dibutyl-n-butyl phthalate (DnBP), butylbenzyl phthalate (BBzP). Risk analysis indicates that did not exceed 0.01 (HI) for all subjects in all facilities it's 50^th % and 95^th % value. For DEHP, DnBP and BBzP their detection rates through multi-pathways were high and their risk based on health risk assessment was also observed to be acceptable.

The aim of this study was to calculate the health risks which children were exposed to trace metals through several pathways including air, floor dust, wipe and hand wipes in elementary-schools and academies. The samples were collected at children's facilities (50 elementary-schools and 46 academies) in summer (Aug ~ Sept, 2008), winter (Dec 2008 ~ Feb, 2009) and Spring (Mar ~ Apr, 2009) periods. The lifetime Excess Cancer Risks (ECRs) were estimated for carcinogen trace elements such as As, Cd, and Cr. For carcinogens, the Excess Cancer Risk (ECR) was calculated by considering the process of deciding Cancer Potency Factor (CPF) and Age Dependent Adjust Factor (ADAF) of the data of adults. Hazard Quotients (HQs) were estimated for the non-carcinogens trace metals like Cd, Cr, Hg and Pb. The average ECRs for young children were 1×10^-9~1×10^-8 (50%th percentile) level in all facilities. Non-carcinogens did not exceed 0.1 for all subjects in all facilities. For trace metals their risk based on health risk assessment was also observed to be acceptable.

This study assessed the health risk of trace elements in indoor children-facilities by multi-pathway measurements (Air, Dust, Wipe, Hand washing). The samples of indoor place were collected at various children's facilities (40 day-care houses, 42 child-care centers, 44 kindergartens, and 42 indoor playgrounds) in summer (Jul~Sep, 2007) and winter (Jan~Feb, 2008) periods, and analyzed by ICP-MS. The lifetime Excess Cancer Risks (ECRs) were estimated for carcinogen trace elements such as As, Cd, Cr and Ni. For carcinogens, the Excess Cancer Risk (ECR) was calculated by considering the process of deciding Cancer Potency Factor (CPF) and Age Dependent Adjust Factor (ADAF) of the data of adults. Both Hazard Quotients (HQs) and Hazard Index (HI) were estimated for the non-carcinogens and children sensitivity trace elements like Cd, Cu, and Cr. The average ECRs for young children were 1×10^-10~1×10^-6 (50%th percentile) level in all facilities. Non-carcinogens and Children's sensitivity materials did not exceed 1.0 (HQs, HI) for all subjects in all facilities. For trace elements their detection rates through multi-pathways were not high and their risk based on health risk assessment was also observed to be acceptable. In addition, through education on the risk of multi-pathway exposure of trace elements for managers of facilities as well as for users the risk control of exposure of children.

This study was performed to investigate the concentration of indoor aldehydes in children’s facilities. The samples were collected from various children's facilities (40 playrooms, 42 day-care centers, 44 kindergartens, and 42 indoor playgrounds) in summer (Jul~Sep, 2007), winter (Jan~Feb, 2008) and spring (Mar~Apr, 2008). The ratio of Indoor and outdoor (I/O) of aldehydes exceeds 1.0 and the formaldehyde levels in each child-care facilities were significantly different. We evaluated the lifetime cancer and non-cancer risk of young children due to indoor aldehyde exposure. We estimated the lifetime excess cancer risks (ECRs) of formaldehyde, acetaldehyde and the hazard quotients (HQs) of non-carcinogens (benzaldehyde and formaldehyde). Formaldehyde was evaluated for both carcinogenic and non-carcinogenic risk. The average ECRs of formaldehyde for young children were 1×10^-4~1×10^-5 level in all facilities. HQs of four non-carcinogens did not exceed 1.0 for all subjects in all facilities.