Vivax malaria: A continuing health threat to the Republic of Korea
Vivax malaria: A continuing health threat to the Republic of Korea
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DOI：
10.4269/ajtmh.2003.69.159
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发表时间：
2003-08-01
影响因子：
3.3
通讯作者：
Choe, KW
中科院分区：
文献类型：
--
作者：
Park, JW;Klein, TA;Choe, KW
1993年间日疟在大韩民国重新出现。1995年以前，大多数案件发生在邻近非军事区地区的士兵中。为了确定间日疟的传播率，我们评估了其流行病学特征。在2000年报告的13 903例间日疟病例中，大韩民国军人占40.1%（5 577例），退伍不到两年的退伍军人占26.2%（3 641例），平民占33.7%（4 685例）。间日疟病例在毗邻非军事区的各州每年迅速增加，并已蔓延到非军事区以南约40公里处。对军事人员进行化学预防可能是大韩民国军人中病例数量减少的原因。第一个蚊子传播的病例出现在6月初。因此，应在4月初开始进行化学预防，以减少受感染蚊子的数量。有必要采取广泛的干预措施，以减少间日疟在大韩民国的传播。
Vivax malaria reemerged in the Republic of Korea in 1993. Most of the cases occurred among soldiers in the region adjacent to the Demilitarized Zone (DMZ) until 1995. To determine the rate of dispersion of vivax malaria, we evaluated its epidemiologic characteristics. Of 13,903 cases of vivax malaria reported in 2000, 40.1% (5,577) were reported among Republic of Korea military personnel, 26.2% (3,641) among veterans discharged less than two years from the military, and 33.7% (4,685) among civilians. Cases of vivax malaria have rapidly increased annually among counties bordering the DMZ, and have spread to approximately 40 km south of the DMZ. Chemoprophylaxis administered to military personnel may have been responsible for the decreasing number of cases among the Republic of Korea military population. The first mosquito-transmitted cases appeared in early June. Therefore, chemoprophylaxis should be instituted in early April to reduce the number of infected mosquitoes. Extensive intervention is warranted to reduce the spread of vivax malaria in the Republic of Korea.