• 제목/요약/키워드: Infectious Disease Transmission

검색결과 138건 처리시간 0.024초

가금류 악성 전염병 감염축 처리자의 보호 장비 착용실태 조사 및 개선에 관한 연구 (A study on wearing practice and improvement of personal protective equipment for participant handling livestock carcass infected with virulent avian infectious agents)

  • 이혜연;임의형;김종원;김원일;강아름;임채웅;홍철운;한지현;강석진;김범석
    • 한국동물위생학회지
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    • 제38권4호
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    • pp.241-248
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    • 2015
  • This study was aimed to investigate factors that affected the status of wearing personal protective equipment (PPE) for handling poultry carcasses with potential exposure to virulent avian infectious agents. A large outbreak of high pathogenic avian influenza (HPAI) occurred in South Korea in 2014. Many public officers participated for euthanizing and handling livestock carcass. However, several safety issues with using PPE were revealed. Therefore, a questionnaire survey was conducted for 340 people who participated euthanasia and carcass disposal in the place where HPAI mainly occurred in 2014. It was found that 31.8% of the respondents had ever taken off their protective equipment during operations because of its inconvenience. The most inconvenient PPE was goggles (54.6%), followed by mask (20.2%), latex gloves (11.6%), shoe covers (5.9%) and protective clothing (5.3%). The main complaints about this individual PPE was unclear sight, damp emitted toward eye, sweating, tearing easily and sweating, respectively. Considering such problems of PPE, new possible directions for improvement of gloves and goggles were suggested. With newly developed rubber coating fabric gloves and conventionally using latex and fabric gloves, H3N2 influenza virus transmission experiment was conducted. Rubber coating fabric gloves showed similar efficiency for blocking virus transmission with latex laboratory gloves and were not easily torn by sharp claws of chicken. In addition, air flow control safety eyewear was suggested to minimize moisture formation. The air flow control system efficiently suppressed moisture formation inside the goggles. Therefore our study will provide more specific directions about new PPE development for safety protection of actual wearers.

닭 전염성후두기관염의 역학적 조사 (Epizootiological Investigation on Infectious Laryngotracheitis in Commercial Chicken Flocks)

  • 김선중;서익수
    • 한국가금학회지
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    • 제10권2호
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    • pp.113-121
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    • 1983
  • 국내에서 발생하고 있는 ILT의 역학적인 사항을 파악하기 위하여 1982년 6월부터 1983년 8월까지 ILT가 발생된 5개 종계농장과 1개 산란계농장의 총56개 계군을 대상으로 계군간 및 계군내 전파속도와 전파수단, 품종, 나이, 사양형태에 따른 감수성의 차이, 발병 전후의 백신접종이 피해를 줄이는데 미치는 영향 등을 조사하였다. 6개 대상농장 중 5개 농장에서는 ILT발생 직전 또는 직후 백신접종을 실시하였으며 겨울철에 발생한 2개 농장에서는 발생직후 철저한 전파수단의 차단에 의해서 농장별로 1-2계군의 발생에 그치고 나머지 5-7계군은 발생이 없었다. 계군간의 전파속도는 평사계군이 평균 6일로서 케이지계군(11.5일)보다 빨랐으나 유의적인 차이는 인정할 수 없었다. 한편 케이지계군 중 산란을 하지 않는 미성숙계군간의 전파기간이 17일인데 반하여 산란중인 계군에서는 8일로서 유의적인 차이가 인정되어 난좌나 집란과정에 의한 전파촉진 가능성을 엿볼 수 있었다. 발병계군 내에서의 폐사기간은 평균 18일로서 사육형태. 품종 및 나이에 따른 차이를 인정할 수 없었다. 또한 폐사율은 평균 6.5%로서 미성숙육계종계군(2.9%)이 미성숙산란계군(11.8%)이나 산란중인 육계종계군(6.9%)에 비하여 월등히 낮았을 뿐 다른 어떤 기준에서도 궤사율의 차이를 인정할 수 없었다. 조사대상 농장 중 여름철에 발생한 한 육계종계 농장에서는 계군의 나이에 따라 37주령 이상된 7개 계군에서는 모두 수탉이 암탉에 비하여 두배 이상의 높은 폐사율을 보여 주었다.

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Sequence analysis of the fusion protein gene of Newcastle disease virus isolated from breeder ducks in Korea

  • Han, Mi Na;Byeon, Hyeon Seop;Lee, Cho Yeon;Jo, Nam Sin;Lee, Jong Hwa;Jang, Rae Hoon;Kim, Chang Seop;Na, Ki Jeong
    • 한국동물위생학회지
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    • 제42권4호
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    • pp.245-250
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    • 2019
  • Newcastle disease (ND) is an infectious poultry disease that caused high mortality and reduced egg production. NDVs are regularly present in the domestic duck population. And ducks play a possible role in the maintenance and transmission of NDVs. While we were monitoring the Avian Influenza, NDVs were isolated from field samples by accident. So we analysed the biological and genetic characteristics of these viruses. Lentogenic NDVs were isolated from two farms among twenty breeder duck farms. The ages of ducks were 39 weeks old in the 'A' farm and 3~72 weeks old in the 'B' farm. And they were not inoculated with the NDVs vaccine. In the biological characteristics, the both viruses which separated from the farm 'A' and 'B' were thermostable. The amino acid sequence of a site from 112 to 119 in the fusion (F) protein was 'GKQGRLIG' which has monobasic motif in the samples of both farms. And this means the separated NDVs are lentogenic. Phylogenetic analysis was performed by entire nucleotide sequence of F protein. The virus strains from the A farm (MN095239) and the B farm (MN095240) belonged to class II genotype I. Using the analysis of whole F protein nucleic acid sequence, the MN095239 (GenBank) had homology with Ulster strain about 99.95% and the MN095239 (GenBank) had homology with KR/CK/KU_LBM255/09 strain about 99.89%. NDV surveillance is needed to investigate epidemiological relationship of domestic breeder duck isolates in Korea.

미얀마의 말라리아, 결핵 및 간염의 표준 진단법 및 치료법 현황 (Current Status of Standard Diagnostics and Treatment for Malaria, Tuberculosis, and Hepatitis in Myanmar)

  • 한은택;이종석;정재훈;장철훈
    • Laboratory Medicine Online
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    • 제7권3호
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    • pp.94-102
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    • 2017
  • 말라리아, 결핵, 간염은 미얀마의 중요한 감염 질환으로, 퇴치를 위한 노력에도 불구하고 여전히 심각한 상황이다. 곤충 매개 질환의 하나인 말라리아는 관리 목표치에 도달하여 관리가 잘 이루어지고 있음을 보여주고 있다. 하지만 결핵은 과거 수십년간 오히려 증가하고 있으며, 만성 바이러스성 간염은 주변 국가들에 비해 여전히 높은 수준이다. 이들 감염 질환을 통제하는데 중요한 방법은 조기 진단과 치료이다. 저자들은 최근 4년간 KOICA의 지원으로 미얀마의 주요 감염병의 실태를 파악하고, 감염병 퇴치를 위한 노력을 기울여 왔다. 지금은 이동 수단의 발달로 인해 감염병의 전파에서 국경의 한계가 없어졌기에, 세계 어느 곳에서의 감염도 다른 지역의 사람들에게 끼치는 영향이 크다. 비록 우리나라에서 멀리 떨어진 곳이기는 하나, 미얀마의 감염병 퇴치 노력이 우리나라와 전 세계의 인류 보건 향상에 중요한 영향을 끼칠 것으로 생각한다.

코로나 바이러스 대유행에 따른 치과 의료 관리 가이드라인 (Guidelines for dental clinic infection prevention during COVID-19 pandemic)

  • 김진
    • 대한치과의료관리학회지
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    • 제8권1호
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    • pp.1-7
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    • 2020
  • Dental settings have unique characteristics that warrant specific infection control considerations, including (1) prioritizing the most critical dental services and provide care in a way that minimizes harm to patients due to delayed care, or harm to personnel from potential exposure to persons infected with the COVID-19 disease, and (2) proactively communicate to both personnel and patients the need for them to stay at home if sick. For health care, an interim infection prevention and control recommendation (COVID-19) is recommended for patients suspected of having coronavirus or those whose status has been confirmed. SARS-CoV-2, which is the virus that causes COVID-19, is thought to be spread primarily between people who are in close contact with one another (within 6 feet) through respiratory droplets that are produced when an infected person coughs, sneezes, or talks. Airborne transmission from person-to-person over long distances is unlikely. However, COVID-19 is a new disease, and there remain uncertainties about its mode of spreads and the severity of illness it causes. The virus has been shown to persist in aerosols for several hours, and on some surfaces for days under laboratory conditions. COVID-19 may also be spread by people who are asymptomatic. The practice of dentistry involves the use of rotary dental and surgical instruments, such as handpieces or ultrasonic scalers, and air-water syringes. These instruments create a visible spray that can contain particle droplets of water, saliva, blood, microorganisms, and other debris. While KF 94 masks protect the mucous membranes of the mouth and nose from droplet spatter, they do not provide complete protection against the inhalation of airborne infectious agents. If the patient is afebrile (temperature <100.4°F)* and otherwise without symptoms consistent with COVID-19, then dental care may be provided using appropriate engineering and administrative controls, work practices, and infection control considerations. It is necessary to provide supplies for respiratory hygiene and cough etiquette, including alcohol-based hand rub (ABHR) with 60%~95% alcohol, tissues, and no-touch receptacles for disposal, at healthcare facility entrances, waiting rooms, and patient check-ins. There is also the need to install physical barriers (e.g., glass or plastic windows) in reception areas to limit close contact between triage personnel and potentially infectious patients. Ideally, dental treatment should be provided in individual rooms whenever possible, with a spacing of at least 6 feet between the patient chairs. Further, the use of easy-to-clean floor-to-ceiling barriers will enhance the effectiveness of portable HEPA air filtration systems. Before and after all patient contact, contact with potentially infectious material, and before putting on and after removing personal protective equipment, including gloves, hand hygiene after removal is particularly important to remove any pathogens that may have been transferred to the bare hands during the removal process. ABHR with 60~95% alcohol is to be used, or hands should be washed with soap and water for at least 20 s.

일반병실을 음압격리병실로 전환 시 병실 전환 방식에 관한 연구 - 국가지정입원치료병상과 긴급치료병상을 중심으로 (A Study on the Room Conversion Type when Converting a Patient Bed-Room into a Negative Pressure Isolation Room - Focused on Nationally designated Isolation Wards and Urgent Isolation Wards)

  • 김지윤;이현진;권순정
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제29권4호
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    • pp.29-35
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    • 2023
  • Purpose: The 2015 Middle East Respiratory Syndrome (MERS) outbreak and the recent COVID-19 pandemic have highlighted the lack of negative pressure isolation rooms and the fragility of the healthcare system. The need for healthcare facility transformation for respiratory infectious diseases has become more prominent due to COVID-19, and the purpose of this study is to provide a foundation for the rapid, economical, and safe construction of negative pressure isolation wards. Methods: This study analyzes the current status of hospitals that have been converted to negative pressure isolation rooms, and provides architectural plans and examples to provide a reference for bedroom change. Research data of this study have been obtained by analyzing the drawings of negative pressure isolation wards of nationally designated inpatient treatment beds and urgent isolation beds. In addition, the relevant literature of urgent isolation beds has been analyzed to derive bedroom change type. Result: In this study, a total of 21 isolation bed conversion methods have been presented. Implications: In order to change efficiently from a general ward to an isolation ward, it is necessary to consider the actual hospital's infectious disease transmission patterns and facility conditions.

Self-Symptom Checker for COVID-19 Control and Symptom Management

  • Sun-Ju Ahn;Jong Duck Kim;Jong Hyun Yoon;Jung Ha Park
    • 보건행정학회지
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    • 제33권1호
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    • pp.29-39
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    • 2023
  • Background: Breaking the chain of disease transmission from overseas is necessary to control new infectious diseases such as coronavirus disease 2019 effectively. In this study, we developed a mobile app called Self-Symptom Checker (SSC) to monitor the health of inbound travelers. Methods: SSC was developed for general users and administrators. The functions of SSC include non-repudiation using QR (quick response) codes, monitoring fever and respiratory symptoms, and requiring persons showing symptoms to undergo polymerase chain reaction tests at nearby screening stations following a review of reported symptoms by the Korea Disease Control and Prevention Agency, as well as making phone calls, via artificial intelligence or public health personnel, to individuals who have not entered symptoms to provide the necessary information. Results: From February 12 to March 27, 2020, 165,000 people who were subjected to the special entry procedure installed SSC. The expected number of public health officers and related resources needed per day would be 800 if only the phone was used to perform symptom monitoring during the above period. Conclusion: By applying SSC, more effective symptom monitoring was possible. The daily average number of health officers decreased to 100, or 13% of the initial estimate. SSC reduces the work burden on public healthcare personnel. SSC is an electronic solution conceived in response to health questionnaires completed by inbound travelers specified in the World Health Organization International Health Regulations as a requirement in the event of a pandemic.

Inhalation Configuration Detection for COVID-19 Patient Secluded Observing using Wearable IoTs Platform

  • Sulaiman Sulmi Almutairi;Rehmat Ullah;Qazi Zia Ullah;Habib Shah
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • 제18권6호
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    • pp.1478-1499
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    • 2024
  • Coronavirus disease (COVID-19) is an infectious disease caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus. COVID-19 become an active epidemic disease due to its spread around the globe. The main causes of the spread are through interaction and transmission of the droplets through coughing and sneezing. The spread can be minimized by isolating the susceptible patients. However, it necessitates remote monitoring to check the breathing issues of the patient remotely to minimize the interactions for spread minimization. Thus, in this article, we offer a wearable-IoTs-centered framework for remote monitoring and recognition of the breathing pattern and abnormal breath detection for timely providing the proper oxygen level required. We propose wearable sensors accelerometer and gyroscope-based breathing time-series data acquisition, temporal features extraction, and machine learning algorithms for pattern detection and abnormality identification. The sensors provide the data through Bluetooth and receive it at the server for further processing and recognition. We collect the six breathing patterns from the twenty subjects and each pattern is recorded for about five minutes. We match prediction accuracies of all machine learning models under study (i.e. Random forest, Gradient boosting tree, Decision tree, and K-nearest neighbor. Our results show that normal breathing and Bradypnea are the most correctly recognized breathing patterns. However, in some cases, algorithm recognizes kussmaul well also. Collectively, the classification outcomes of Random Forest and Gradient Boost Trees are better than the other two algorithms.

누에 전염성 연화병의 발병 억제제에 의한 방제 (Inhibitory Effect of Guanidine Hydrochloride on the Infectious Flacherie Virus of the Silkworm, Bombyx mori)

  • 강석권;김근영;이재창;조용섭
    • 한국잠사곤충학회지
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    • 제25권2호
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    • pp.37-43
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    • 1984
  • 누에병 중에 피해가 막대한 전염성 연화병을 방제하기 위하여 바이러스 증식을 특이적으로 억제하는 guanidine 유도체중에서 그 억제효과가 큰 guanidine hydrochloride(GH)를 도입하여 전염성 연화병 바이러스의 증식억제효과에 관하여 조사하였다. 1. 누에에 대한 GH의 약해시험 결과에서는 GH농도 0.01% 수준 이하에서는 약해가 전혀 없었다. 2. FV 감염잠 혼입에 따른 피해조사에서는 화용비율은 무처리(대조) 89.2% (100)에 대하여 1% 감염잠혼입구 70.7%(79), 5% 감염잠 혼입구 38.4%(43)이었으며 1만두수견양은 대조구 21.3kg(100)에 대하여 1% 혼입구 16.7kg(77), 5% 혼입구 8.8kg(41)으로서 전자와 같은 경향으로 나타났다. 3. FV에 대한 GH의 발병억제효과는 GH 0.01% 농도에서 대조구에 비하여 약 10배의 억제효과가 있었다. 4. GH의 투여회수와 발병억제효과에서는 FV접종후 계속 투여하는 것이 가장 효과적이었다. 5. FV 접종후 GH투여시간에 대한 발병억제 효과는 접종과 동시에 투여는 것이 가장 효과적이었다. 6. FV의 GH에 의한 시험관내 불활화조사에서는 GH가 시험관내에서 FV를 불활화시키는 작용이 인정되지 않았다.

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Pulmonary Tuberculosis, Tuberculous Meningitis의 임상치험 3례 (The Clinical Report on the Pulmonary Tuberculosis, Tuberculosis Meningitis)

  • 손윤정;임중화;이도형
    • 대한한방내과학회지
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    • 제25권2호
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    • pp.352-360
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    • 2004
  • Tuberculosis, one of the oldest diseases known to affect humans, is caused by bacteria belonging to the Mycobacterium luberculosis complex. The diseases usually affects the lungs, although in up to one-third of cases other organs are affected. If properly treated, tuberculosis caused by drug-susceptible strains is curable in virtually all cases. If untreated, the disease may be fatal within 5 years in more than half of cases. Transmission usually takes place through the airborne spread of droplets of nuclei produced by patients with infectious pulmonary tuberculosis. Two patients with Pulmonary Tuberculosis and one with Tuberculous Meningitis were recently examined. The changes in these patient's symptoms through both western medical treatment and oriental medical treatment are reported.

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