Reemerging vivax malaria: changing patterns of annual incidence and control programs in the Republic of Korea
Reemerging vivax malaria: changing patterns of annual incidence and control programs in the Republic of Korea
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DOI：
10.3347/kjp.2006.44.4.285
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发表时间：
2006-12-01
影响因子：
--
通讯作者：
Chai, Jong-Yil
中科院分区：
文献类型：
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作者：
Han, Eun-Taek;Lee, Duk-Hyoung;Chai, Jong-Yil
简要分析了1993年至2005年期间大韩民国（韩国）重新出现的间日疟原虫疟疾的变化模式，重点是所采用的控制措施以及气象和昆虫学因素的影响。数据来自韩国疾病控制和预防中心发布的传染病月报以及世界卫生组织和联合国的网页。江原道的气象数据来自当地气象站。疟疾在1993年首次重新出现后，发病率呈指数级增长，2000年达到高峰，然后下降。1993年至2005年期间，韩国共报告了21,419例病例。在北朝鲜，1999年至2004年期间共报告了916，225例病例。韩国疟疾高发区的疟疾发病率与蚊虫数量显著相关（P < 0.05），但与气温和降雨量无关。控制计划，包括早期病例发现和治疗，士兵的大规模化学预防，以及国际社会对朝鲜疟疾控制的财政援助。近年来，大韩民国重新出现的间日疟的情况有了显著改善，至少部分原因是韩国和北朝鲜开展了防治活动。
Changing patterns of the reemerging Plasmodium vivax malaria in the Republic of Korea (South Korea) during the period 1993 to 2005 are briefly analyzed with emphasis on the control measures used and the effects of meteorological and entomological factors. Data were obtained from the Communicable Diseases Monthly Reports published by the Korea Center for Disease Control and Prevention, and webpages of World Health Organization and United Nations. Meteorological data of Kangwon-do (Province) were obtained from local weather stations. After its first reemergence in 1993, the prevalence of malaria increased exponentially, peaking in 2000, and then decreased. In total, 21,419 cases were reported between 1993 and 2005 in South Korea. In North Korea, a total of 916,225 cases were reported between 1999 and 2004. The occurrence of malaria in high risk areas of South Korea was significantly (P < 0.05) correlated with the mosquito population but not with temperature and rainfall. Control programs, including early case detection and treatment, mass chemoprophylaxis of soldiers, and international financial aids to North Korea for malaria control have been instituted. The situation of the reemerging vivax malaria in the Republic of Korea is remarkably improving during the recent years, at least in part, due to the control activities undertaken in South and North Korea.