서울행정법원 | 2019-06-26 | 2018구단55220
법원 판례 기준으로 판결요지와 원문 출처를 내부에서 확인하세요.
원문이 아닌 정리본이며, 저장된 요약의 끝부분이 잘려 있을 수 있습니다.
공무상 질병 인정 여부: 뇌경색증과 공무원 업무의 상당인과관계
결과 요약
- 근로자의 뇌경색증이 공무와 상당인과관계가 있다고 보기 어려워 장해급여 부지급 처분은 적법하다고 판단, 근로자의 청구를 기각함.
사실관계
- 근로자는 부산 C 주민센터 공무원으로, 2012. 10. 23. 점심 식사 중 우측 손, 팔에 힘이 빠지는 증상 발생 후 퇴근 후 증상 악화로 병원 내원함.
- 2012. 10. 31. '상세 불명의 뇌경색증' 진단받고 회사에게 공무상 요양 승인신청하였으나, 2014. 7. 7. 당뇨 등 공무 외적 요인으로 발병하였다는 이유로 요양 불승인 결정됨.
- 근로자는 2014. 10. 30. 명예퇴직 후 2017. 10. 19. 회사에게 해당 상병을 공무상 질병으로 하여 장해급여를 청구함.
- 회사는 2017. 11. 24. 근로자의 업무가 과도하지 않았고, 기존 질병 등 공무 외적 요인이 복합적으로 작용하여 발병하였다는 이유로 장해급여 부지급 처분함.
핵심 쟁점, 법리 및 법원의 판단
공무상 질병의 상당인과관계 인정 여부
- 법리: 공무원연금법상 공무상 질병은 공무 수행과 관련하여 발생한 재해를 의미하며, 공무와 질병 사이에 인과관계가 있어야 함.
- 인과관계는 직접적 의학적 증명뿐 아니라 간접 사실에 의해 추단될 정도로 증명되면 족함.
- 평소 정상 근무 가능한 기초 질병이나 기존 질병이 직무 과중 등으로 자연적인 진행 속도 이상으로 급격하게 악화된 경우도 공무상 질병에 포함됨.
- 다만, 과로나 스트레스가 질병 발생·악화의 원인이 될 수 있다고 막연히 보아 업무에 내재하는 위험이 현실화된 것으로 볼 수 없는 경우까지 인과관계를 인정하기는 어려움.
- 법원의 판단:
- 근로자의 주장 (공무와 상당인과관계 인정 사유):
- 2012. 5.경 E구청 무허가건축물 단속 업무로 민원인과의 마찰 및 스트레스 경험.
- 2012. 7.경 C 주민센터로 좌천성 전보 및 새로운 업무(기획, 업무보고, 선거, 동향보고)로 스트레스 가중.
- 해당 상병 발병 전 1주간 평균 업무시간 58시간(초과근무 18시간 포함)으로 단기간 과로.
- 2011. 2.경 제설 지원작업 중 어깨 부상에 대한 불충분한 보상으로 인한 스트레스.
- 위 사유들로 기존 질환(당뇨병, 이상지질혈증, 고혈압)이 자연적인 진행 속도 이상으로 급격하게 악화되어 뇌경색 발병.
확보한 수집 내용입니다. 전문 여부와 앞뒤 누락, 문단·표·공백의 원형 보존은 확인되지 않았습니다.
공식 원문 미확인
서울행정법원 판결
사건: 2018구단55220 장해급여부지급처분취소 원고: A 소송대리인 법무법인 공간 담당변호사 장보혜 소송복대리인 변호사 김종서 피고: 공무원연금공단 변론종결: 2019. 5. 22. 판결선고: 2019. 6. 26.
1. 원고의 청구를 기각한다. 2. 소송비용은 원고가 부담한다.
1. 처분의 경위 가. 원고(B 생)는 부산 C 주민센터에서 기획, 업무보고, 선거, 동향보고 업무를 담당하는 공무원으로, 2012. 10.23. 12:30경 점심 식사 도중 우측 손, 팔에 힘이 빠지는 증상이 발생하였고, 퇴근 후에는 입이 좌측으로 돌아가고 말이 어눌해지는 등 증상이 악화되어 같은 날 20:35 양산부산대학교병원에 내원하여 치료를 받았다. 나. 원고는 2012. 10. 31. 양산부산대학교병원에서 '상세 불명의 뇌경색증'(이하 '이 사건 상병'이라 한다)을 진단받아 피고에게 공무상 요양 승인신청을 하였으나, 피고는 2014. 7. 7. 원고에 대하여 이 사건 상병은 당뇨 등 공무 외적인 요인으로 발병하
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'\uc0c1\uc138 \ubd88\uba85\uc758 \ub1cc\uacbd\uc0c9\uc99d' \uc9c4\ub2e8\ubc1b\uace0 \ud53c\uace0\uc5d0\uac8c \uacf5\ubb34\uc0c1 \uc694\uc591 \uc2b9\uc778\uc2e0\uccad\ud558\uc600\uc73c\ub098, 2014. 7. 7. \ub2f9\ub1e8 \ub4f1 \uacf5\ubb34 \uc678\uc801 \uc694\uc778\uc73c\ub85c \ubc1c\ubcd1\ud558\uc600\ub2e4\ub294 \uc774\uc720\ub85c \uc694\uc591 \ubd88\uc2b9\uc778 \uacb0\uc815\ub428.\n- \uc6d0\uace0\ub294 2014. 10. 30. \uba85\uc608\ud1f4\uc9c1 \ud6c4 2017. 10. 19. \ud53c\uace0\uc5d0\uac8c \uc774 \uc0ac\uac74 \uc0c1\ubcd1\uc744 \uacf5\ubb34\uc0c1 \uc9c8\ubcd1\uc73c\ub85c \ud558\uc5ec \uc7a5\ud574\uae09\uc5ec\ub97c \uccad\uad6c\ud568.\n- \ud53c\uace0\ub294 2017. 11. 24. \uc6d0\uace0\uc758 \uc5c5\ubb34\uac00 \uacfc\ub3c4\ud558\uc9c0 \uc54a\uc558\uace0, \uae30\uc874 \uc9c8\ubcd1 \ub4f1 \uacf5\ubb34 \uc678\uc801 \uc694\uc778\uc774 \ubcf5\ud569\uc801\uc73c\ub85c \uc791\uc6a9\ud558\uc5ec \ubc1c\ubcd1\ud558\uc600\ub2e4\ub294 \uc774\uc720\ub85c \uc7a5\ud574\uae09\uc5ec \ubd80\uc9c0\uae09 \ucc98\ubd84\ud568.\n## \ud575\uc2ec \uc7c1\uc810, \ubc95\ub9ac \ubc0f \ubc95\uc6d0\uc758 \ud310\ub2e8\n### \uacf5\ubb34\uc0c1 \uc9c8\ubcd1\uc758 \uc0c1\ub2f9\uc778\uacfc\uad00\uacc4 \uc778\uc815 \uc5ec\ubd80\n- **\ubc95\ub9ac**: \uacf5\ubb34\uc6d0\uc5f0\uae08\ubc95\uc0c1 \uacf5\ubb34\uc0c1 \uc9c8\ubcd1\uc740 \uacf5\ubb34 \uc218\ud589\uacfc \uad00\ub828\ud558\uc5ec \ubc1c\uc0dd\ud55c \uc7ac\ud574\ub97c \uc758\ubbf8\ud558\uba70, \uacf5\ubb34\uc640 \uc9c8\ubcd1 \uc0ac\uc774\uc5d0 \uc778\uacfc\uad00\uacc4\uac00 \uc788\uc5b4\uc57c \ud568.\n- \uc778\uacfc\uad00\uacc4\ub294 \uc9c1\uc811\uc801 \uc758\ud559\uc801 \uc99d\uba85\ubfd0 \uc544\ub2c8\ub77c \uac04\uc811 \uc0ac\uc2e4\uc5d0 \uc758\ud574 \ucd94\ub2e8\ub420 \uc815\ub3c4\ub85c \uc99d\uba85\ub418\uba74 \uc871\ud568.\n- \ud3c9\uc18c \uc815\uc0c1 \uadfc\ubb34 \uac00\ub2a5\ud55c \uae30\ucd08 \uc9c8\ubcd1\uc774\ub098 \uae30\uc874 \uc9c8\ubcd1\uc774 \uc9c1\ubb34 \uacfc\uc911 \ub4f1\uc73c\ub85c \uc790\uc5f0\uc801\uc778 \uc9c4\ud589 \uc18d\ub3c4 \uc774\uc0c1\uc73c\ub85c \uae09\uaca9\ud558\uac8c \uc545\ud654\ub41c \uacbd\uc6b0\ub3c4 \uacf5\ubb34\uc0c1 \uc9c8\ubcd1\uc5d0 \ud3ec\ud568\ub428.\n- \ub2e4\ub9cc, \uacfc\ub85c\ub098 \uc2a4\ud2b8\ub808\uc2a4\uac00 \uc9c8\ubcd1 \ubc1c\uc0dd\u00b7\uc545\ud654\uc758 \uc6d0\uc778\uc774 \ub420 \uc218 \uc788\ub2e4\uace0 \ub9c9\uc5f0\ud788 \ubcf4\uc544 \uc5c5\ubb34\uc5d0 \ub0b4\uc7ac\ud558\ub294 \uc704\ud5d8\uc774 \ud604\uc2e4\ud654\ub41c \uac83\uc73c\ub85c \ubcfc \uc218 \uc5c6\ub294 \uacbd\uc6b0\uae4c\uc9c0 \uc778\uacfc\uad00\uacc4\ub97c \uc778\uc815\ud558\uae30\ub294 \uc5b4\ub824\uc6c0.\n- **\ubc95\uc6d0\uc758 \ud310\ub2e8**:\n- **\uc6d0\uace0\uc758 \uc8fc\uc7a5 (\uacf5\ubb34\uc640 \uc0c1\ub2f9\uc778\uacfc\uad00\uacc4 \uc778\uc815 \uc0ac\uc720)**:\n- 2012. 5.\uacbd E\uad6c\uccad \ubb34\ud5c8\uac00\uac74\ucd95\ubb3c \ub2e8\uc18d \uc5c5\ubb34\ub85c \ubbfc\uc6d0\uc778\uacfc\uc758 \ub9c8\ucc30 \ubc0f \uc2a4\ud2b8\ub808\uc2a4 \uacbd\ud5d8.\n- 2012. 7.\uacbd C \uc8fc\ubbfc\uc13c\ud130\ub85c \uc88c\ucc9c\uc131 \uc804\ubcf4 \ubc0f \uc0c8\ub85c\uc6b4 \uc5c5\ubb34(\uae30\ud68d, \uc5c5\ubb34\ubcf4\uace0, \uc120\uac70, \ub3d9\ud5a5\ubcf4\uace0)\ub85c \uc2a4\ud2b8\ub808\uc2a4 \uac00\uc911.\n- \uc774 \uc0ac\uac74 \uc0c1\ubcd1 \ubc1c\ubcd1 \uc804 1\uc8fc\uac04 \ud3c9\uade0 \uc5c5\ubb34\uc2dc\uac04 58\uc2dc\uac04(\ucd08\uacfc\uadfc\ubb34 18\uc2dc\uac04 \ud3ec\ud568)\uc73c\ub85c \ub2e8\uae30\uac04 \uacfc\ub85c.\n- 2011. 2.\uacbd \uc81c\uc124 \uc9c0\uc6d0\uc791\uc5c5 \uc911 \uc5b4\uae68 \ubd80\uc0c1\uc5d0 \ub300\ud55c \ubd88\ucda9\ubd84\ud55c \ubcf4\uc0c1\uc73c\ub85c \uc778\ud55c \uc2a4\ud2b8\ub808\uc2a4.\n- \uc704 \uc0ac\uc720\ub4e4\ub85c \uae30\uc874 \uc9c8\ud658(\ub2f9\ub1e8\ubcd1, \uc774\uc0c1\uc9c0\uc9c8\ud608\uc99d, \uace0\ud608\uc555)\uc774 \uc790\uc5f0\uc801\uc778 \uc9c4\ud589 \uc18d\ub3c4 \uc774\uc0c1\uc73c\ub85c \uae09\uaca9\ud558\uac8c \uc545\ud654\ub418\uc5b4 \ub1cc\uacbd\uc0c9 \ubc1c\ubcd1.\n- **\ubc95\uc6d0\uc758 \ud310\ub2e8 (\uacf5\ubb34\uc640 \uc0c1\ub2f9\uc778\uacfc\uad00\uacc4 \ubd80\uc815 \uc0ac\uc720)**:\n- **\uae30\uc874 \uc9c8\ud658 \ubc0f \uc0dd\ud65c \uc2b5\uad00**:\n- \uc6d0\uace0\ub294 2004\ub144\ubd80\ud130 \uc2e0\uacbd\ud559\uc801 \ud569\ubcd1\uc99d\uc744 \ub3d9\ubc18\ud55c \ub2f9\ub1e8\ubcd1\uc73c\ub85c \uc9c0\uc18d \uce58\ub8cc\ubc1b\uc558\uace0, 2012. 11. 12. \ub2f9\ub1e8\ubcd1\uc131 \ub9dd\ub9c9\ubcd1\uc99d \ud655\uc778\ub428.\n- 2005\ub144 \ubcf8\ud0dc\uc131 \uace0\ud608\uc555, \uc9c0\uc9c8\ub2e8\ubc31 \ub300\uc0ac\uc7a5\uc560, 2009\ub144 \uc9c0\uc9c8\ub2e8\ubc31 \ub300\uc0ac\uc7a5\uc560 \uc9c4\ub2e8 \uc774\ub825 \uc788\uc74c.\n- 2008\ub144, 2010\ub144 \uac74\uac15\uac80\uc9c4 \uacb0\uacfc \ud608\ub2f9, \ud608\uc555, \uc694\ub2e8\ubc31, \uc911\uc131\uc9c0\ubc29 \uc218\uce58 \ube44\uc815\uc0c1\uc774\uc5c8\uace0, \ud2b9\ud788 \ud608\ub2f9 \uc218\uce58\ub294 2008\ub144\ubd80\ud130 2012\ub144\uae4c\uc9c0 \uc810\uc9c4\uc801\uc73c\ub85c \uc545\ud654\ub428.\n- \uc57d 30\ub144\uac04 \ud558\ub8e8 \ubc18 \uac11~\ud55c \uac11 \ud761\uc5f0, 4~5\ub144\uac04 \ub9e4\uc77c \ud558\ub8e8 4\uc794 \uc815\ub3c4 \uc74c\uc8fc \ub4f1 \ub1cc\uacbd\uc0c9 \ubc1c\ubcd1 \uc704\ud5d8\uc694\uc18c\uc5d0 \ud574\ub2f9\ud558\ub294 \uc0dd\ud65c \uc2b5\uad00 \uc720\uc9c0.\n- **\uc5c5\ubb34 \uad00\ub828\uc131**:\n- \ubb34\ud5c8\uac00\uac74\ucd95\ubb3c \ub2e8\uc18d \uc5c5\ubb34\ub294 \ud55c \ub2ec\uac04\uc758 \ud55c\uc2dc\uc801 \uc5c5\ubb34\uc600\uace0, \ud2b9\ubcc4\ud788 \uc5c5\ubb34 \uac00\uc911\uc774\ub098 \uc2a4\ud2b8\ub808\uc2a4\uac00 \uc788\uc5c8\ub2e4\uace0 \ubcf4\uae30 \uc5b4\ub824\uc6c0.\n- C \uc8fc\ubbfc\uc13c\ud130\ub85c\uc758 \uc804\ubcf4 \ubc0f \uc0c8\ub85c\uc6b4 \uc5c5\ubb34(\uae30\ud68d, \uc5c5\ubb34\ubcf4\uace0, \uc120\uac70, \ub3d9\ud5a5\ubcf4\uace0)\ub294 \uc6d0\uace0\uc758 23\ub144 \uc774\uc0c1 \uc21c\ud658 \uadfc\ubb34 \uacbd\ub825 \ubc0f \uacfc\uac70 C \uc8fc\ubbfc\uc13c\ud130 \uadfc\ubb34 \uacbd\ud5d8\uc5d0 \ube44\ucd94\uc5b4 \ud2b9\ubcc4\ud788 \uc5c5\ubb34 \uac15\ub3c4\uac00 \ub192\uac70\ub098 \uc801\uc751\uc774 \uc5b4\ub824\uc6e0\ub2e4\uace0 \ubcf4\uae30 \uc5b4\ub824\uc6c0.\n- 2011. 2.\uacbd \uc5b4\uae68 \ubd80\uc0c1\uc740 \uacf5\ubb34\uc0c1 \uc9c8\ubcd1\uc73c\ub85c \uc778\uc815\ub41c \ubd80\ubd84\uc5d0 \ub300\ud574 \uc694\uc591 \uc2b9\uc778\uc744 \ubc1b\uc558\uace0, \ubd88\uc2b9\uc778 \ubd80\ubd84\uc5d0 \ub300\ud55c \uc7c1\uc1a1\ub3c4 \uc5c6\uc5c8\uc73c\uba70, \ub1cc\uacbd\uc0c9 \ubc1c\ubcd1 \uc2dc\uc810 1\ub144 \uc804 \uc0ac\uac74\uc73c\ub85c \uacfc\ub3c4\ud55c \uc2a4\ud2b8\ub808\uc2a4\ub97c \uc8fc\uc5c8\ub2e4\uace0 \ubcf4\uae30 \uc5b4\ub824\uc6c0.\n- \uc774 \uc0ac\uac74 \uc0c1\ubcd1 \ubc1c\ubcd1 \uc6d4\uc758 \ucd08\uacfc\uadfc\ubb34 \uc2dc\uac04(36.5\uc2dc\uac04)\uc740 \uc774\uc804 6\uac1c\uc6d4 \ud3c9\uade0(28.9\uc2dc\uac04)\uacfc \ube44\uad50\ud558\uc5ec \uac74\uac15\uc5d0 \ubd80\ub2f4\uc744 \uc904 \uc815\ub3c4\ub85c \uacfc\ub3c4\ud558\uc9c0 \uc54a\uc558\uace0, \ud734\uc77c \uadfc\ubb34\ub3c4 \uc774\uc804\uacfc \ud070 \ucc28\uc774 \uc5c6\uc74c.\n- \uc6d0\uace0\uc758 \uadfc\ubb34 \uacbd\ub825, \uc5c5\ubb34 \ub0b4\uc6a9, \uadfc\ubb34 \uc2dc\uac04\uc744 \uace0\ub824\ud560 \ub54c \uc5c5\ubb34\ub85c \uc778\ud55c \uc2a4\ud2b8\ub808\uc2a4\uac00 \uc624\ub79c \uae30\uac04 \ub204\uc801\ub418\uac70\ub098 \ud1b5\uc0c1\uc801\uc778 \uacf5\ubb34\uc6d0\uc73c\ub85c\uc11c \uac10\ub0b4\ud558\uae30 \uc5b4\ub824\uc6b4 \uc218\uc900\uc774\uc5c8\ub2e4\uace0 \ubcf4\uae30 \uc5b4\ub824\uc6c0.\n- **\uc758\ud559\uc801 \uc18c\uacac**:\n- \uc9c4\ub8cc\uae30\ub85d\uac10\uc815\uc758\ub294 \ub1cc\uacbd\uc0c9\uc99d\uc758 \ubc1c\ubcd1\uc6d0\uc778\uc774 \ubcf5\ud569\uc801\uc774\uba70, \ub2f9\ub1e8\ubcd1, \ud761\uc5f0\uc774 \uc798 \uc54c\ub824\uc9c4 \uc704\ud5d8\uc778\uc790\ub77c\uace0 \uc18c\uacac \uc81c\uc2dc.\n- \ub1cc\uacbd\uc0c9\uc774 \ubc1c\ubcd1\ud55c \ud658\uc790 \uc911 \uc704\ud5d8\uc694\uc778\uc774 \ubc1c\uacac\ub418\uc9c0 \uc54a\uc740 \ube44\uc728\uc740 20% \ubbf8\ub9cc.\n- **\uacb0\ub860**: \uc774 \uc0ac\uac74 \uc0c1\ubcd1\uc740 \uc5c5\ubb34\uc5d0 \ub0b4\uc7ac\ud558\ub294 \uc704\ud5d8\uc774 \ud604\uc2e4\ud654\ub41c \uac83\uc774\ub77c\uae30\ubcf4\ub2e4\ub294 \uc6d0\uace0\uc758 \uae30\uc874 \uc9c8\ud658, \uc0dd\ud65c \uc2b5\uad00, \uccb4\uc9c8 \ub4f1 \uc0ac\uc801\uc778 \uc694\uc778\uc774 \uad00\uc5ec\ud558\uc5ec \ubc1c\ubcd1\ud558\uc600\ub2e4\uace0 \ubd04\uc774 \uc0c1\ub2f9\ud568. \uc6d0\uace0\uc758 \uc5c5\ubb34\uc0c1 \ubd80\ub2f4\uc73c\ub85c \ub1cc\uacbd\uc0c9\uc774 \ubc1c\ubcd1\ud558\uc600\uac70\ub098 \uc790\uc5f0\uc801\uc778 \uc9c4\ud589 \uc18d\ub3c4 \uc774\uc0c1\uc73c\ub85c \uae09\uaca9\ud558\uac8c \uc545\ud654\ub418\uc5c8\ub2e4\uace0 \uc778\uc815\ud558\uae30 \uc5b4\ub824\uc6c0.\n#### \uad00\ub828 \ud310\ub840 \ubc0f \ubc95\ub839\n- \uacf5\ubb34\uc6d0\uc5f0\uae08\ubc95 \uc81c51\uc870 \uc81c1\ud56d\n- \ub300\ubc95\uc6d0 2013. 4. 11. \uc120\uace0 2012\ub45025880 \ud310\uacb0\n- \ub300\ubc95\uc6d0 2002. 2. 5. \uc120\uace0 2001\ub4507725 \ud310\uacb0\n## \uac80\ud1a0\n- \ubcf8 \ud310\uacb0\uc740 \uacf5\ubb34\uc0c1 \uc9c8\ubcd1 \uc778\uc815\uc5d0 \uc788\uc5b4 **\uae30\uc874 \uc9c8\ud658 \ubc0f \uac1c\uc778\uc758 \uc0dd\ud65c \uc2b5\uad00\uc774 \uc9c8\ubcd1 \ubc1c\ubcd1\uc5d0 \ubbf8\uce5c \uc601\ud5a5**\uc744 \uc911\uc694\ud558\uac8c \uace0\ub824\ud558\uace0 \uc788\uc74c.\n- **\uc5c5\ubb34\uc758 \uacfc\uc911\uc131 \ubc0f \uc2a4\ud2b8\ub808\uc2a4 \uc815\ub3c4**\uc5d0 \ub300\ud55c \ud310\ub2e8 \uc2dc, \ub2e8\uc21c\ud788 \uc5c5\ubb34 \uc2dc\uac04 \uc99d\uac00\ub098 \uc0c8\ub85c\uc6b4 \uc5c5\ubb34 \ubd80\uc5ec\ub9cc\uc73c\ub85c \uacf5\ubb34\uc0c1 \uc9c8\ubcd1\uacfc\uc758 \uc778\uacfc\uad00\uacc4\ub97c \uc778\uc815\ud558\uae30\ubcf4\ub2e4\ub294, **\uc5c5\ubb34\uc758 \uc2e4\uc9c8\uc801 \ub0b4\uc6a9, \uac15\ub3c4, \uadf8\ub9ac\uace0 \uac1c\uc778\uc774 \uac10\ub0b4\ud560 \uc218 \uc788\ub294 \uc218\uc900\uc778\uc9c0 \uc5ec\ubd80**\ub97c \uc885\ud569\uc801\uc73c\ub85c \ud310\ub2e8\ud558\uace0 \uc788\uc74c.\n- \ud2b9\ud788, **\uc758\ud559\uc801 \uc18c\uacac**\uc744 \ud1b5\ud574 \uc9c8\ubcd1\uc758 \ubc1c\ubcd1\uc6d0\uc778\uc774 \ubcf5\ud569\uc801\uc774\uba70 \uae30\uc874 \uc9c8\ud658\uc774 \uc8fc\uc694 \uc704\ud5d8\uc778\uc790\uc784\uc744 \ud655\uc778\ud558\uc5ec, \uc5c5\ubb34\uc640\uc758 \uc778\uacfc\uad00\uacc4\ub97c \ubd80\uc815\ud558\ub294 \uadfc\uac70\ub85c \ud65c\uc6a9\ud568.\n- \uc774 \ud310\uacb0\uc740 \uacf5\ubb34\uc0c1 \uc7ac\ud574 \uc778\uc815\uc5d0 \uc788\uc5b4 **\uac1d\uad00\uc801\uc778 \uc5c5\ubb34 \ubd80\ub2f4\uacfc \ud568\uaed8 \uac1c\uc778\uc758 \uac74\uac15 \uc0c1\ud0dc \ubc0f \uc0dd\ud65c \uc2b5\uad00\uc774 \uc9c8\ubcd1 \ubc1c\ubcd1\uc5d0 \ubbf8\uce58\ub294 \uc601\ud5a5**\uc744 \uba74\ubc00\ud788 \uac80\ud1a0\ud574\uc57c \ud568\uc744 \uc2dc\uc0ac\ud568."}
- 법원의 판단 (공무와 상당인과관계 부정 사유):
- 기존 질환 및 생활 습관:
- 근로자는 2004년부터 신경학적 합병증을 동반한 당뇨병으로 지속 치료받았고, 2012. 11. 12. 당뇨병성 망막병증 확인됨.
- 2005년 본태성 고혈압, 지질단백 대사장애, 2009년 지질단백 대사장애 진단 이력 있음.
- 2008년, 2010년 건강검진 결과 혈당, 혈압, 요단백, 중성지방 수치 비정상이었고, 특히 혈당 수치는 2008년부터 2012년까지 점진적으로 악화됨.
- 약 30년간 하루 반 갑~한 갑 흡연, 4~5년간 매일 하루 4잔 정도 음주 등 뇌경색 발병 위험요소에 해당하는 생활 습관 유지.
- 업무 관련성:
- 무허가건축물 단속 업무는 한 달간의 한시적 업무였고, 특별히 업무 가중이나 스트레스가 있었다고 보기 어려움.
- C 주민센터로의 전보 및 새로운 업무(기획, 업무보고, 선거, 동향보고)는 근로자의 23년 이상 순환 근무 경력 및 과거 C 주민센터 근무 경험에 비추어 특별히 업무 강도가 높거나 적응이 어려웠다고 보기 어려움.
- 2011. 2.경 어깨 부상은 공무상 질병으로 인정된 부분에 대해 요양 승인을 받았고, 불승인 부분에 대한 쟁송도 없었으며, 뇌경색 발병 시점 1년 전 사건으로 과도한 스트레스를 주었다고 보기 어려움.
-