• Journal of Preventive Medicine and Public Health
• /
• 제35권2호
• /
• pp.129-135
• /
• 2002

목적 : 1998년 한국인 성인에서의 혈청 HBsAg의 양성률을 추정하는 것을 일차적 목적으로 하며, HBsAg 양성률의 연령별로 분포, 지역적 차이, 과거 간질환력, 만성간질환 가족력 및 예방접종과의 관련성을 파악하며 또한 양성자를 6개월간 추적후 재검사 하여 B형 간염의 만성보균율을 파악하고자 하는 것을 이차적 목적으로 하였다. 방법 : 1998년 전국 10개 지역에서 의료보험관리공단의 정기건강검진 수진자를 대상으로 하여 HBsAg의 혈청유병률을 조사하였다. HBsAg 양성인 사람들을 대상으로 6개월 이상 추적조사하여 B형간염 만성보균율을 파악하였다. 총 1,816명에 대한 혈청과 설문서가 수집되었다. HBsAg는 RIA로 측정하였다. 결과 : HBsAg의 혈청유병률은 5.5%(95% CI-4.5-6.6)였으며 남자에서 7.4%(95% CI=5.8-9.4), 여자에서 3.6%(95% CI=2.5-5.0)로 나타났다. 급성간질환 과거력과 만성간질환 가족력을 HBsAg 혈청검사결과와 비교한 결과 유의한 관련성이 있는 것으로 나타났다. HBsAg 양성자에서 6개월 후에 음성으로 전환한 사람은 3.2%(95% CI=0.1-16.7)였으며 따라서 B형간염의 만성보균율은 5.3%(95% CI=3.7-6.6)로 추정되었다. 결론 : 본 연구결과에서는 HBsAg의 양성률이 1980년대의 연구결과들에 비하여 비교적 낮게 추정되었으며 이는 특히 여성과 젊은 연령층에서 두드러지게 나타났다. 그러나 우리나라에서의 간암 및 만성간질환의 공중보건학적 중요성을 고려하면 지속적인 간염발생의 예방대책이 필요하다고 할 수 있다.

• Parasites, Hosts and Diseases
• /
• 제52권2호
• /
• pp.143-149
• /
• 2014

To evaluate the seroprevalence against circumsporozoite protein (CSP) of Plasmodium vivax in sera of Korean patients, the central repeating domain (CRD) of CSP was cloned and analyzed. From the genomic DNA of patient's blood, 2 kinds of CSPs were identified to belong to a VK210 type, which is the dominant repeating of GDRA(D/A)GQPA, and named as PvCSPA and PvCSPB. Recombinantly expressed his-tagged PvCSPA or PvCSPB in Escherichia coli reacted well against sera of patients in western blot, with the detecting rate of 47.9% (58/121), which included 15 cases positive for PvCSPA, 6 cases positive for PvCSPB, and 37 cases for both. The mixture of PvCSPA and PvCSPB was loaded to a rapid diagnostic test kit (RDT) and applied with the same set of patient sera, which resulted in detection rates of 57.0% (69/121). When the protein sequences of PvCSPA were compared with those of P. vivax in endemic regions of India and Uganda, they were compatibly homologous to PvCSPA with minor mutations. These results suggested that the recombinant PvCSPA and PvCSPB loaded RDT may be a milestone in latent diagnosis which has been a hot issue of domestic malaria and important for radical therapy in overlapped infections with P. falciparum in tropical and subtropical areas. During the biological process of malarial infection, exposure of CSP to antigen-antibody reaction up to 57.0% is the first report in Korea.

• 한국동물위생학회지
• /
• 제21권4호
• /
• pp.451-465
• /
• 1998

The present study was carried out to investigate the prevalence of brucellosis in Kyungbuk area for the 3 years from 1966 to 1998. Collective milk samples were routinely screened to detect positive farms by using the milk ring test(MRT), and serum agglutination test was performed to detect sero-positive individuals in the MRT positive farms. Attempt were made to isolate the causative organismas from slaughtered sero-positive reactors and some biochemical and polymerase chain reation characters of the isolates were also made to identify the organisms. Seroprevalence to brucellosis in peoples who are close contact with infected dairy herds was also investigated. Brucellosis of dairy cattle was rare before 1997, but has been broken more frequently since early 1998. By the MRT for dairy herds, positive rate was gradually increased every year : 0.6% in 1996, 1.5% in 1997, 3.9% in 1998. Among 262 MRT-positive herds, only 21 herds(8.0%) showed positive brucellosis in serological test. The isolation rates of Brucella sp from tested materials were 51.2% in supramammary glands, 39.5% in milks, and 50.0% in pulmonary Iymphnode, respectively. Isolated strain and biotype were Brucella(B) arbortus biotype 1 in 26 heads, and were B suis biotype 1 in 2 heads. Isolated strain and vaccine strain were very similar in their colony morphology and staining. In drug susceptibility, isolated stains(B abortus) and vaccine strain(B abortus RB-51) were sensitive to ampicillin, gentamycin, kanamycin, neomycin, penicillin, streptomycin, and to tetracycline, but resistant to erythromycin. In the PCR, field strains reacted to BA and IS711 primers, and vaccine strain reacted to BA, IS711, and RB5l primers. In the plate agglutination test of 96 sera of human contacted with animals, serum antibody titer detected 1 : 100 in one person, 1 : 200 in one, and below 1 : 25 in the others.

• 한국동물위생학회지
• /
• 제30권2호
• /
• pp.259-267
• /
• 2007

A study on the relation between some husbandry practices and brucellosis in goats in Bangladesh was conducted at selected areas of Mymensingh and Dhaka district, Bangladesh, from March 2005 to May 2006. Sera from 300 goats were tested by Rose bengal test (RBT), plate agglutination test (PAT), tube agglutination test (TAT) and mercaptoethanol test (MET). Out of the 300 goats, 1.670% (n=5) were positive to RBT and PAT respectively, and 2.0% (n=6) were positive to TAT and 2.33% (n=7) were positive to MET. The prevalence of brucellosis was bigger in goats reared collectively (n=2, 4%) than reared individually (n=5, 2%), and bigger in goats housed with concrete floor (n=2, 4%) than that of bare floor (n=5, 2%). The rate of brucellosis was higher in goats keep separately (n=6, 2.61%) than that of kept with other animals (n=1, 1.43%) especially with cattle. Out of 290 goats from free grazing, 7 were positive but no positive reactor(n=10) was found in non grazing goats. In conclusion, however, seroprevalence of brucellosis had no statistically significant association with rearing type, housing type and grazing or not.

• Parasites, Hosts and Diseases
• /
• 제59권4호
• /
• pp.415-419
• /
• 2021

The circumsporozoite protein (CSP) of Plasmodium spp. is a diagnostic antigen and useful biomarker for monitoring short-term/seasonal changes to malaria transmission. Using P. vivax CSP antibody ELISA, epidemiological characteristics were analyzed in the residents of Ganghwa, Cheorwon, Paju, and Goseong from 2017 to 2018. In Ganghwa and Cheorwon, 1.6% and 1.2% of residents, respectively, were PvCSP-antibody-positive in 2018, which indicates a decrease of 0.4% in the positive rate compared to 2017. The annual parasite incidence (API) in Ganghwa and Cheorwon was 24.9 and 10.5 in 2017 and 20.3 and 10.7 in 2018, respectively. Although the changes were not significant, the API in Ganghwa decreased slightly by 4.5 in 2018 compared to the previous year. In Paju and Goseong, 3.9% and 2.0% of residents were positive for the PvCSP antibody. The API in Paju was 13.1 in 2017 and 16.0 in 2018, although no malaria patients were reported for the 2 years. Therefore, the results suggest that PvCSP is a useful antigen for confirming initial malaria infection. Additionally, considering that the antibody is relatively transient, it can be employed for sero-epidemiological studies to determine the extent of malaria transmission in the current year.

• Yonsei Medical Journal
• /
• 제59권9호
• /
• pp.1072-1078
• /
• 2018

Purpose: The Korean society has moved rapidly toward becoming a multicultural society. This study aimed to estimate the seroprevalence of hepatitis viruses and investigate hepatitis B virus (HBV) genotypic diversity in female marriage immigrants. Materials and Methods: Screening program was conducted at support centers for multicultural families in 21 administrative districts in Korea between July 2011 and January 2017. A total of 963 female marriage immigrants were included in this study. Blood samples were tested for hepatitis viral markers and HBV genotype. Results: Subjects' median age was 33 years (20-40 years), and they originated from nine countries including Vietnam (n=422, 43.8%), China (n=311, 32.3%), the Philippines (n=85, 8.8%), Cambodia (n=58, 6.0%), and Japan (n=39, 4.0%). About 30% (n=288) of subjects required hepatitis A vaccination. HBsAg positive rate was 5.4% (n=52). Positive HBsAg results were the highest in subjects from Southeast Asia (6.6%, n=38). Anti-HBs positive rate was 60.4% (n=582). About 34% (n=329) of subjects who were negative for anti-HBs and HBsAg required HBV vaccinations. Genotypes B and C were found in 54.6% (n=12) and 45.4% (n=10) of the 22 subjects with HBV, in whom genotypes were tested. Eight (0.8%) subjects were positive for anti-HCV. Positive anti-HCV results were the highest in subjects from Central Asia (7.9%, n=3). Conclusion: Testing for hepatitis viral marker (hepatitis A virus IgG and HBsAg/anti-HBs) is needed for female marriage immigrants. Especially, HBV genotype B is different from genotype C of Koreans. Therefore, interest and attention to vaccination programs for female marriage immigrants are necessary for both clinicians and public health institutes.

• Pediatric Gastroenterology, Hepatology & Nutrition
• /
• 제3권1호
• /
• pp.17-22
• /
• 2000

목 적: 우리 나라 청소년기 소아의 H. pylori 감염 유병율을 조사하고, 사회경제적 요인이 청소년의 H. pylori 감염에 어떠한 영향을 미치는지 알아보고자 하였다. 대상 및 방법: 1996년 10월 부천시에 살고 있는 10~15세의 532명(남아 285명, 여아 247명)의 소아를 대상으로 채혈을 시행하여 혈청학적인 방법(serum IgG antibody)으로 H. pylori 감염을 진단하였다. 설문지를 통하여 성별, 연령, Hollingshead index에 따라 분류한 사회경제적 수준, 주거형태(전세 또는 자가), 혼잡지수(crowding index)를 조사하였는데, 532명 중 375명(70.5%, 남:여=205:170)의 설문이 회수되었다. Hollingshead index는 부모의 교육정도와 직업을 고려하여 구분하였고 crowding index는 식구수/방수로 구하였다. 각각 단변수 회귀분석 후 의미있는 결과를 모아 다중회귀분석을 시행하였다. 결 과: H. pylori 유병률은 남아에서 17.1% (32/205), 여아에서 16.5% (28/170)로 통계적으로 유의한 차이는 없었다(P=0.88). 10~11세, 12~13세, 14~15세의 세 연령군으로 나누어 비교한 결과, 연령이 증가할수록 H. pylori 유병률은 각각 10.3% (7/68), 15.9% (25/157), 20.7% (31/150)로 유의한 증가를 보였다(P=0.05). 사회경제적 수준을 Hollingshead index로 구하여 세 군으로 나누어 비교한 결과, 사회경제적 수준이 높을수록 H. pylori 양성은 각각 20.0% (23/115), 16.0% (39/244), 6.3% (1/16)로 감소하는 역비례 관계를 보였으나 통계적으로 유의한 차이는 아니었다(P=0.16). 전세와 자가를 비교했을 때 H. pylori 양성은 각각 15.7% (22/140), 17.5% (41/235)로 유의한 차이가 없었다(P=0.66). 혼잡지수(crowding index: 식구수/방수)가 1.5 미만일 때 H. pylori 양성은 16.0% (26/163), 1.5 이상일 때 17.5% (37/212)로 유의한 차이가 없었다(P=0.70). 다중회귀분석 결과 H. pylori 감염에 대해 연령은 odds ratio 2.2 (95% confidence interval 0.9~5.4), Hollingshead index에 의한 사회경제적 수준은 odds ratio 3.6 (95% confidence interval 0.5~28.9)이었다. 결 론: 부천시 청소년기 소아의 H. pylori 감염유병률은 16.8%이며, 부모의 교육정도와 직업에 따른 사회경제적 수준이 가족내 혼잡도, 주거형태보다 감염에 더욱 영향을 미치는 것으로 보인다.

• 대한수의학회지
• /
• 제48권1호
• /
• pp.67-73
• /
• 2008

Porcine reproductive and respiratory syndrome (PRRS) is the most economically important viral infectious disease in pig populations worldwide. This study was conducted to better understand the epidemic and dynamics of PRRS virus (PRRSV) on each farm and to evaluate the risk of PRRSV infection in Korea. Interviews with pig farmers were carried out to obtain PRRS vaccination programmes in 60 pig farms throughout Korea. Blood samples were also collected from the 59 pig farms to investigate outbreak patterns of each farm. Vaccination against PRRS was performed in 16.7% farms for breeding pigs and 8.3% of farms for nursery pigs. According to the seroepidemiological analysis, 56 (94.9%) out of 59 farms were considered to be affected by PRRSV infection. The results revealed that 68.9% of sows tested were seroconverted and interestingly, gilt herds had the highest seropositive rate (73%), suggesting that gilts may play a key role in PRRSV transmission in sow herds. Among the PRRS-affected piglet herds, 33 (55.9%), 14 (23.7%) and 6 (10.2%) farms were initially infected with PRRSV during the weaning, suckling and nursery period, respectively. It seems likely, therefore, that PRRSV infection predominantly occurs around the weaning period in piglet herds. Based on antibody seroprevalence levels in both sow and piglet groups, we were able to classify patterns of PRRSV infection per farm unit into 4 categories; category 1 (stable sow groups and non-infected piglet groups), category 2 (unstable sow groups and non-infected piglet groups), category 3 (stable sow groups and infected piglet groups), and category 4 (unstable sow groups and infected piglet groups). Our data suggested that 43 (72.9%) farms were analysed to belong to category 4, which is considered to be at high-risk for PRRS outbreak. Taken together, our information from this study will provide insight into the establishment of an effective control strategy for PRRS on the field.

• 한국임상수의학회지
• /
• 제27권3호
• /
• pp.268-272
• /
• 2010

한국은 가축의 수입이 많아 외래성 질병에 항상 노출되어 있다. 이에 본 연구의 목적은 2003년부터 2008년까지 외국에서 한국으로 수입된 말의 전염성 질환의 발생실태를 조사하기 위하여 실시하였다. 2003년부터 2008년까지 수입된 6,650두의 말을 대상으로 가축전염병예방법에 등재되어 있는 주요 전염병 7개 항목(말전염성빈혈, 말파이로플라스마병, 말전염성동맥염, 비저, 구역, 전염성자궁염, 수포성구내염)을 검사하였다. 말전염성빈혈은 수입된 말 6,189두 중 3두에서 양성을 나타내었으며, 말파이로플라스마병은 6,005두 중 37두, 말전염성동맥염은 6,043두 중 28두, 구역은 2,071두 중 4두, 비저는 1,950두 중 4두가 양성을 나타내었다. 말전염성자궁염과 수포성구내염은 모든 말에서 검출되지 않았다. 전체적으로 수입된 말 6,650두 중 76두가 전염성 질환에 대해 양성을 나타내었다. 특히 탄자니아에서 수입 된 말의 66.6%가 비저에 양성을 나타내었다는 것은 주목할만한 결과이며, 이것은 1996년 이래 최초로 검출되었다.