Journal of Preventive Medicine and Public Health

  • 제35권4호
  • /
  • Pages.295-304
  • /
  • 2002
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  • 1975-8375(pISSN)
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  • 2233-4521(eISSN)
대한예방의학회 (The Korean Society for Preventive Medicine)
권호 표지

2001년 경상북도에서 발생한 콜레라 유행에 관한 역학조사

Epidemiologic Investigation on an Outbreak of Cholera in Gyeongsangbuk-do, Korea, 2001

  • 이준호 (동국대학교 의과대학 예방의학교실) ;
  • 이관 (동국대학교 의과대학 예방의학교실) ;
  • 김준철 (경상북도 보건위생과) ;
  • 이상원 (국립보건원 전염병관리부) ;
  • 고운영 (국립보건원 전염병관리부) ;
  • 양병국 (국립보건원 전염병관리부) ;
  • 이종구 (국립보건원 전염병관리부) ;
  • 김문식 (국립보건원 전염병관리부) ;
  • 임현술 (동국대학교 의과대학 예방의학교실)
  • Lee, Jun-Ho (Department of preventive Medicine, College of Medicine, Dongguk University) ;
  • Lee, Kwan (Department of preventive Medicine, College of Medicine, Dongguk University) ;
  • Kim, Jun-Chul (Public Health & Sanitation Division Gyeongbuk) ;
  • Lee, Sang-Won (Communicable Disease Control Division, National Institute of Health) ;
  • Go, Un-Yeong (Communicable Disease Control Division, National Institute of Health) ;
  • Yang, Byung-Kuk (Communicable Disease Control Division, National Institute of Health) ;
  • Lee, Jong-Koo (Communicable Disease Control Division, National Institute of Health) ;
  • Kim, Moon-Sik (Communicable Disease Control Division, National Institute of Health) ;
  • Lim, Hyun-Sul (Department of preventive Medicine, College of Medicine, Dongguk University)
  • 발행 : 2002.12.01
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초록

Objectives : This study was carried out to investigate the cause, magnitude and transmission route of the cholera outbreak in 2001 Methods : The study population were those persons who ingested foods at the restaurant, were confirmed as cholera patients, had symptoms of diarrhea and sewed as workers at the restaurant. A questionnaire survey and microbiological examinations on the microbes isolated from rectal swabs were conducted. Of the cases, 316 food histories were surveyed by an analysis of the restaurant menu. Results : There were 139 confirmed cases of cholera reported in Korea in 2001. Of these, 104 were related to the restaurant. By region, Gyeongsangbuk-do had the highest incidence with 91 cases. Of these 91 cases, 74 had ingested foods at the restaurant, 2 were employees and 3 were secondary infection cases within the families. The results of the odds ratio analysis of the 316 persons having ingested foods at the restaurant were as follows: sandwiches 5.07 (95% CI, 1.85-14.59), soybean curd 2.45 (95% CI, 1.09-5.56), noodles 2.34 (95% CI, 1.24-4.42), steamed squid 2.01 (95% CI, 1.17-3.47) and vinegared rice 1.82 (95%, CI, 1.08-3.09). It was certain the restaurant in question was the cause of the 2001 outbreak. Conclusions : We suspected that more than one restaurant employee contaminated foods served at the restaurant. In addition, eating raw fishes purchased at the Pohang Fisheries infected the employees of the restaurant. There is a possibility that these raw fishes were themselves contaminated by cholera bacilli in the sea.

키워드

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