1967年 三千浦에 發生한 腸지브스 流行에 關한 調査
A Preliminary Survey of a Typhoid Epidemic in the City of Samchunpo During 1967
Ryu Younghai, 기룡숙,
소속 상세정보
( Ryu Younghai ) - National Instituts of Health Instituts of Tropical Medicaine Department of Microbiology
기룡숙 ( Kee Ryong-Sook ) - Seoul Nationalt University College of Medicine Department of Microbiology
KMID : 0357319680030010035
Abstract
韓國에는 每年 相當한 數의 腸지브스流行이 發生 되고있으나 大部分의 境遇 其記錄이 없거나 或은 至極히 未備한 事實을 否認할 수가 없다. 1959年에 金相泰·高相均은 1957年에 發生된 慶北의 16例, 서울 盲啞學校의 70例, 釜山의 60例, 墨湖의 245例等과 1958年에 發生된 全北煙島의 60例를 要約한바 있으나 居昌(1964년) 咸陽(1965년) 및 丹陽(1966년) 等의 大流行에 關하여서는 別로 記錄되어 있는바가 없다. 이러한 點에 비추어 著者等은 1967年에 慶南三千浦市에 發生된 腸지브스 流行에 關하여 調査한바 있으므로 이에 記錄하는 바이다.
1. 人口 54, 064의 三千浦市에 638名의 患者가 發生하여 1,180/100,000이라는 高率의 罹患率을 나타냈고 死亡은 1名이었다.
2. 이 流行은 1967年 9月初에 始作하여 同年 11月末에 終熄되었으나 最高患者發生時期는 9月中 第三週였으며 繼燃流行曲線은 10月中旬까지 繼續되었다.
3. 感染經路는 水因性이었으며 感染源은 연구된 井戶(갈때샘)이었다.
4. 原因菌은 Salmonella typhi로 同定되었다.
5. 모든 患者와 保菌者는 三千浦市 醫師會의 監督下에 在家治療되었다.
6. 調査期中에 1年前에 腸지브스에 罹患되었든 3名中에서 1名이 保菌者로 나타났으며 Shigella flexneri에 依한 痢疾患者도 1名檢出되었다.
7. 1967년 11월 三千浦市流行이 거의 끝날 무렵 隣接固城郡에도 腸지브스發生이 報告되었으며 亦是 Salmonella typhirk 檢出되었다.
8. 1968년 春季에 實施된 前年度患者에 對한 保菌者檢素에서 1件의 保菌者도 檢出되지 않았으며 1968年 10月까지의 報告에서는 1件의 新患 發生되지 않았다.
An outbreak of typhoid fever in Samchunpo city was surveyed and the results were summarized as follows:
1. 638 of clinical cases were detected in 17 Dongs (districts) of the city of Samchunpo, (54,064), during the epidemic period from 1st September to the end of November, 1967.
2. The morbidity rate was 1,189 per 100,000 population; (1,300 female, and 1,060 male).
3. The highest peak was reached in the third week of September and a second peak appeared at the end of September 1967.
4. The mode of infection was suspected strongly as a water-borne and the source of infection as an old public well called Gal-Dae-Saim, since the causative agent was found in close public latrine and the contaminated sewage ditch which was connected with the well.
5. All patients and carriers were treated at their home under the supervision of local medical authorities.
6. The Gal-Dae-Saim was closed immediately on 7th October, 1967 by the order of the mayor.
7. At the end of November, 1967 when the outbreak in Samchunpo was almost ended, another small epidemic occurred in Koseong county which bordered the eastern outskirt of the city.
8. During the survey, a strain of Shigella fiexneri was isolated from the sewage located three meters from Gal-Dae-Saim and also from one case.
9. It was reported by the local health center in May, 1968, that no carrier had been detected in the survey made among the persons who had had typhoid fever in 1967. Also thereafter no cases of typhoid fever were reported through October, 1968.
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