• Title/Summary/Keyword: Outbreak investigation

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Assessment about the measles elimination from cases and outbreaks, 2002-2007 - Assessment about the measles elimination - (2002-2007년 사례 및 유행을 통해서 본 홍역퇴치 수준에 대한 평가 - 홍역퇴치 수준에 대한 평가 -)

  • So, Jae Sung;Go, Un Yeong;Oh, Hyun Kyung;Baek, Soo Jin;Lee, Jong Koo
    • Clinical and Experimental Pediatrics
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    • v.52 no.1
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    • pp.68-74
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    • 2009
  • Purpose : We assessed about the measles elimination in Korea according to analyzing national data on measles cases for 2002-2007. Methods : We estimated the effective reproduction number according to the proportion of imported cases and outbreak size. Results : Eleven cases, thirteen cases, six cases, six cases, 25 cases (60.0% were linked to 1 outbreak of 15 cases), and 180 cases (55.6% were linked 11 outbreaks of 2, 2, 2, 3, 3, 3, 5, 9, 9, 12, 50 cases) were reported in 2002, 2003, 2004, 2005, 2006 and 2007, respectively. In 2002-2007, R is 0.95 by imported case and 0.43 by outbreak sizes. In 2007, multiple chains of transmission occurred in hospital. Most of cases were below 4 ages and unvaccinated. We didn't find most of the infection source. Conclusion : We should prevent outbreak of susceptibility pocket like nosocomial infection, conduct reliable routine surveillance and epidemiological investigation to solve a problem of the measles elimination.

Epidemiologic Investigation on an Outbreak of Shigellosis in Seongju-gun, Korea, 2003 (성주군 S 초등학교 및 중학교에서 집단 발생한 세균성 이질에 관한 역학조사)

  • Min, Young-Sun;Lee, Kwan;Lim, Sang-Hyuk;Lee, Bog-Soon;Lim, Hyun-Sul
    • Journal of Preventive Medicine and Public Health
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    • v.38 no.2
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    • pp.189-196
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    • 2005
  • Objectives: An outbreak of shigellosis occurred among students and staff of S primary and middle school, Seongju-gun, in 2003. This investigation was carried out to institute an effective counterplan, and study the infection source and transmission of the shigellosis. Methods: The authors conducted a questionnaire survey among 235 students and staff from S preschool, primary and middle school relating to the ingestion of school lunch and the manifestation of symptoms. Also, the author investigated the drinking water, feeding facility and reconstructed cooking process of the food presumed to be the cause of the shigellosis. The diarrhea cases were defined as confirmed cases and those cases who had had diarrhea more than one time, accompanied with symptoms such as fever, vomiting and tenesmus. Results: From rectal swabs 20 people, between June 28 and July 4, 2003, were confirmed with shigellosis. The diarrhea attack rate was 40.0%. Those who had ingested tomatoes and cubed radish kimchi had significantly higher diarrhea attack rates (p<0.05), with the relative risk of tomatoes being 2.69 (95% CI: 0.98-7.42). The major cause of shigellosis was presumed to be from contaminated tomatoes due to cooking with rubber gloves containing holes. Conclusion: The cooks in charge of school lunches must make doubly sure to not only attend to their sanitation, but also to manage the table wear and items used in providing school lunches. The health care authority should introduce higher-leveled criteria for health care among cooks, so that they cannot cook when the have a case of any infectious disease.

A Salmonella-related foodborne outbreak in a snack bar in Jeju Province: an epidemiological investigation (1개 분식점에서 발생한 살모넬라 식중독 집단 발생 역학조사)

  • Cho, Eun-Suk;Lee, Seung Hyuk;Bae, Jong-Myon
    • Journal of Medicine and Life Science
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    • v.18 no.2
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    • pp.25-30
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    • 2021
  • Many people reported suspected food poisoning after consuming food at the same snack bar on June 18, 2020. Thus, an in-depth epidemiological investigation was conducted to identify the infectious agent and establish additional food poisoning prevention measures. The study included people who reported to the local public health center after June 18 with acute gastroenteritis symptoms within 4 days of consuming food from the snack bar. The onset of symptoms and food items consumed by individuals were then investigated via phone calls and on-site visits. Afterward, the infectious agent was identified from human samples (stool or rectal swab) of four restaurant employees and 89 people and from environmental samples (materials, cooking utensils, and water). The analysis revealed that the incubation period ranged from 2 hours to 92 hours, with a median and mode of 16 hours and 12 hours, respectively. Moreover, the epidemic curve had a unimodal shape because of common exposure, which reached its peak on June 18. After monitoring for 8 days, which is more than twice the maximum incubation period of 92 hours, the end of the epidemic was declared on June 28 as no additional cases were reported. Analysis of human and environmental samples revealed Salmonella bareilly of the pulsed-field gel electrophoresis pulsotype SAPX01.017 as the causative agent. Therefore, it was concluded that the food poisoning outbreak was caused by S. bareilly.

Epidemiologic Investigation into the Outbreak of Acute Hemorrhagic Conjunctivitis in Gyeongju-City, South Korea, in 2002 (2002년 경주시에서 유행한 급성출혈성결막염에 관한 역학조사)

  • Kim, Hong-Hwan;Min, Young-Sun;Lim, Hyun-Sul
    • Journal of Preventive Medicine and Public Health
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    • v.37 no.4
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    • pp.312-320
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    • 2004
  • Objectives : An outbreak of acute hemorrhagic conjunctivitis (AHC) caused by coxsackie A24 (CA24) virus occurred in South Korea in 2002. CA24 was isolated for the first time from patients with AHC. Therefore, this study was conducted to understand the transmission routes and prevent another AHC outbreaks. Methods : The authors conducted a questionnaire survey among 1,730 students from 2 middle schools and 1 technical high school in Gyeongju city. For statistical analysis the chi-square test was used, and chi-square for trend method showing a level of significance less than p<0.05 was proven to be significant. Variables which were proven to be significant in univariate analysis were analysed by multiple logistic regression. Results : The attack rate was 57.1%. The student groups with rubbing one s own eyes, computer usage, and sharing cellular phone had a significantly higher AHC attack rate (p<0.05). According to the multiple logistic regression, the odds ratios for male, high school, computer use, sharing cellular phone, and rubbing one s own eyes were significant (p<0.05). Conclusion : The most significant feature of this outbreak was that many students rubbed their own eyes following contact with AHC patients in a deliberate attempt to avoid going to school. Other transmission methods were computer usage and sharing cellular phone. In the future, health and school authorities must plan new strategies for the prevention of AHC.

An Outbreak of Novel Influenza A (H1N1) in the English Language Institute

  • Kim, Joon-Hyung;Lee, Han-Sung;Park, Hye-Kyung;Kim, Jin-Seok;Lee, Sang-Won;Kim, Seong-Sun;Lee, Jong-Koo
    • Journal of Preventive Medicine and Public Health
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    • v.43 no.3
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    • pp.274-278
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    • 2010
  • Objectives: This report describes the results of an investigation on an outbreak of novel influenza A (H1N1) in an English language Institute in Seoul, Korea in May 2009. Methods: In this outbreak, novel influenza A (H1N1) was confirmed in 22 of 91 trainees, trainers and staff members. The trainees and 2 staff members were isolated in an assigned facility and the rest were isolated in their homes after we discovered the first patient with novel influenza A (H1N1). After the isolation, the people in the assigned facility were educated to use N95 respirators and they received oseltamivir for prophylaxis. Results: The initial findings in this study suggest that the symptoms were mild and similar to those of seasonal influenza. The classmates and roommates of the infected patients were more likely to get infected with novel influenza A (H1N1) than the trainees who were not classmates or roommates of the patients (OR: 3.19, 95% Cl=0.91 - 11.11 for classmates and OR: 40.0, 95% Cl=7.4-215.7 for roommates). Conclusions: The public health response seems successful in terms of preventing the spread of this virus into the local community.

Epidemic Outbreak of Blast Disease in the Resistant Variety of Rice, 'Kwanok' (저항성품종인 '관옥'의 도열병 격발원인)

  • Lee E. C.
    • Korean journal of applied entomology
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    • v.11 no.1
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    • pp.41-43
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    • 1972
  • 1. In order to investigate the epidemic outbreak of rice blast disease on the resistant variety Kwankon in 1969, this investigation was undertaken as a basis for breeding resistant varieties. 2. The 16 isolates collected from Kyunggi area were inoculated at the 3-4 leaf stage on 12 Japanese differential varieties used for identifying races under greenhouse conditions. Out of 16 isolates 15 were identified as C race group and one as N race group. Of the 15 rates, nine were C-8, two were C-7 and two were C-1. Of the remaining two isolates, one was similar to C-1, and the other was similar to C-5. 3. It is concluded that the epidemic in the resistant variety 'Kwanok' was due to the occurrence of the C race group, which can infect the Chinese type varieties.

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Epidemiological Investigation of an Outbreak of Salmonellosis in Gyeongju, Korea

  • Yoo, Seok-Ju;Lim, Hyun-Sul;Lee, Kwan
    • Journal of Preventive Medicine and Public Health
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    • v.47 no.3
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    • pp.177-181
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    • 2014
  • Objectives: A salmonellosis outbreak occurred within a community of Gyeongju residents who ingested catered food from a wedding in June 2009. We aimed to epidemiologically investigate the probable vehicle of the infection. Methods: We conducted a retrospective cohort study on 34 local residents who ingested the wedding food. Results: Among the 34 residents, 31 (91.2%) reported symptoms of infection after eating the food. Among all of the wedding foods, pan-fried foods were highly associated with the diarrheal attack rate. On bacteriological examination, Salmonella species were detected in the pan-fried foods among the leftover foods and in 17 of the 31 stool specimens from the cases. There were five different types of pan-fried foods, but the onset of symptoms was independent of the ingredients used. We found that the pan-fried food was prepared at a food store in Seoul and that eggs were a common ingredient. Conclusions: The major cause of the salmonellosis in this population was presumed to be the pan-fried food prepared with contaminated eggs. These food items might have been partially undercooked because of their irregular shape, which allowed the Salmonella species to survive and multiply before ingestion.

Investigation of Goyang Tornado Outbreak Using X-band Polarimetric Radar: 10 June 2014 (X밴드 이중편파레이더를 활용한 고양 토네이도 발생 사례 분석: 2014년 6월 10일)

  • Jeong, Jong-Hoon;Kim, Yeon-Hee;Oh, Su-Bin;Lim, Eunha;Joo, Sangwon
    • Atmosphere
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    • v.26 no.1
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    • pp.47-58
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    • 2016
  • On 10 July 2014, tornado outbreak occurred over Goyang province in Korea. This was the first supercell tornado ever reported or documented in Korea. The characteristics of the supercell tornado were investigated using an X-band polarimetric radar, surface meteorological observation, wind profiler, and operational numerical weather prediction (Regional Data Assimilation and Prediction System, RDAPS). The supercell tornado developed along a preexisting dryline that was contributed to surface wind shear. The radar analyses examined here show that the supercell tornado indicated a hook echo with mesocyclone. The decending reflectivity core as well was detected before tornadogenesis and prior to intensification of supercell. The supercell tornado exhibited characteristics similar to typical supercell tornado over the Great Plains of the United States, such as hook echo, bounded weak echo region, and slower movement speed relative to the mean wind. Compared to the typical supercell tornado over U.S., this tornado showed horizontal scale of the mesocyclone was relatively smaller and left-mover.

An Analysis of Epidemiological Investigation Reports Regarding to Pathogenic E. coli Outbreaks in Korea from 2009 to 2010 (최근 2년간(2009-2010) 우리나라 병원성 대장균 식중독 역학조사 보고서 분석)

  • Lee, Jong-Kyung;Park, In-Hee;Yoon, Kisun;Kim, Hyun Jung;Cho, Joon-Il;Lee, Soon-Ho;Hwang, In-Gyun
    • Journal of Food Hygiene and Safety
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    • v.27 no.4
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    • pp.366-374
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    • 2012
  • Recently pathogenic E. coli is one of the main foodborne pathogens resulting in many patients in Korea. To understand the characteristics of pathogenic E. coli outbreaks in Korea, the epidemiological investigation reports of pathogenic E. coli outbreak in 2009 (41 reports) and in 2010 (27 reports) were collected in the web site of the Korea Centers for Disease Control and Prevention, reviewed and analysed in this study. The main places of the pathogenic E. coli outbreaks were food catering service area (64.8%) and restaurants (25.0%). The main type of the pathogens were EPEC (44.7%) and ETEC (34.2%). EAEC and EHEC was responsible for 10.5 and 9.2%, respectively. Eight of 68 outbreak cases were caused by more than 2 types of pathogenic E. coli which implicates the complicated contamination pathways of pathogenic E. coli. The incidence rate of pathogenic E. coli was $33.6{\pm}30.5%$ and the main symptoms were diarrhea, stomach ache, nausea, vomiting, and fever etc. The two identified food sources were identified as frozen hamburger pattie and squid-vegetable mixture. To improve the food source identification by epidemiological investigation, food poisoning notification to the agency should not be delayed, whole food items attributed the outbreak should be collected and detection method of the various pathogenic E. coli in food has to be improved. In conclusion, the characteristics between the EHEC outbreaks in the western countries and the EPEC or ETEC outbreaks in Korea needs to be distinguished to prepare food safety management plan. In addition, the development of the trace back system to find the contamination pathway with the improved detection method in food and systemic and cooperative support by the related agencies are necessary.