강원도 홍천강 유역의 Metagonimus속 흡충 감염상

Epidemiological studios on Metagonimus infection along the Hongcheon river, Kangwon Province

강원도 홍천군내를 임류하여 경기도 청평댐으로 유입되는 홍천강 유역 주민의 Metagonimus속 흡충 감염실태와 홍천강에 서식하는 중간숙주의 감염상을 조사하였다. 홍천강 유역 주민의 Metngonimus속 흡충 감염률은 529명(남 314, 여 215)중 39명(남 33명, 10.5%; 여 6명, 2.8%)으로 평균 7.4%의 양성률을 보였다. 총 8개 지점에 대한 조사중 북방면 굴흑이가 주민감엽률 26.9% (남자는 38.2%)로 가장 높았고 제 1중간숙주인 다슬기의 서식밀도도 높았다(m2당10∼20개). 다슬기의 Metagonimus 유미유충 감염률은 10.7%(121개중 13개)였다. 주민들의 호생식성 어종이며 근단. 수가 많은 피라미 (Zncco platypus)의 metacercaria 감염은 68.2%(44마리중 30마리)이며 주 검출부위는 비늘(89.9%)이었다. 피라미에서 검출된 metacercaria를 흰쥐에 감염시킨 다음 15일후에 성충을 회수하고, 사람에서 검출한 충체와 비교하였던 바 동일종으로 관찰되었다. 검출된 충체는 Metagcnimus takahashis([고교]흡충)와 기타 Metagonimus속 흡충이 혼재해 있었다. 이상의 결과로 강원도 홍천강 유역에 Metagonimus 흡충 감염이 높은 지역이 있음을 알았고 주요 감염원이 되는 어종은 피라미임을 알 수 있었다.

The Hongcheon river system knows down through the Hongcheon area of Kangwon-do, and reaches to the Cheongpyeong "Dam in Kyonggi.do. Stool specimens from the inhabitants residing along the Hongcheon river basin were examined to detect infection rates of Metagonimus sp. , and the intermediate hosts were collected to detect larval stages. The results obtained were as follows: 1. Thirty-nine (33 males and 6 females) out of 529 (314 males and 215 females) inhabitants were infected with Metagonimus sp., showing a total positive rate of 7.4%. 2. In eight areas surveyed, the specimens from Kulji.ri of Bukbang-myon at the middle part of the river showed the highest positive rate of 26.9% (14 positives out of 52) (males; 38.2%), The specimens from Mogog-ri of Seo-myon at the downstream of the river showed a positive rate of 10.4%(13 positives out of 125) (males; 12.6%). The positive rates in other regions were less than 10%. 3. The density of the first intermediate host, Semisulcospira sp., was the highest in Kulji.ri of Bukbang-myon (10~20 snails per $m^2$), and the infection rate of Metagonimus cercariae in the snails was 10.7%(13 positives out of 121 snails). 4. The infection rate of Metagonimus metacercariae in Zacco platypus, the freshwater Bish favorably eaten raw by the inhabitants, was 68.25 (30 positives out of 44 fishes), and most metacercariae were detected under the scales (89.95). 5. Adult flukes were obtained from the small intestine of a rat, 15 days after infection with the metacercariae obtained from Z. platypus. These adult cukes were identified to be the same species as thcse obtained from human hosts. By this survey, new endemic areas of Metagonimus infection were discovered along the Hongcheon river basin and the main source of infection was the fresh water ash, Z. platypus.