잠시만 기다려 주세요. 로딩중입니다.

2020년 국내 공수병 교상환자 발생 감시 현황

Animal Bite and Rabies Case Surveillance in South Korea, 2020

주간 건강과 질병 2021년 14권 10호 p.530 ~ 537
이지연, 송주하, 김화미, 박숙경,
소속 상세정보
이지연 ( Lee Ji-Yeon ) - Korea Disease Control and Prevention Agency Bureau of Infectious Disease Policy Division of Zoonotic and Vector Borne Disease Control
송주하 (  ) - Korea Disease Control and Prevention Agency Bureau of Infectious Disease Policy Division of Zoonotic and Vector Borne Disease Control
김화미 ( Kim Hwa-Mi ) - Korea Disease Control and Prevention Agency Bureau of Infectious Disease Policy Division of Zoonotic and Vector Borne Disease Control
박숙경 ( Park Sook-kyung ) - Korea Disease Control and Prevention Agency Bureau of Infectious Disease Policy Division of Zoonotic and Vector Borne Disease Control

Abstract

2005년 이후 국내 공수병 사례는 발생하지 않았으나, 야외 활동 및 해외여행의 증가 등으로 교상환자는 지속적으로 보고되고 있다. 질병관리청은 교상환자를 효율적으로 모니터링하기 위해 2011년부터 국가 교상환자 발생 감시(National Animal Bite Patient Surveillance, NABPS)를 강화했다. 교상환자 수는 2005년 359건에서 2019년 670건까지 증가 추세에 있으나, 2020년에는 코로나바이러스감염증-19로 인해 302건까지 감소한 것으로 추정된다. 본 보고서는 2020년 1월 1일부터 12월 31일까지 시스템에 등록된 교상환자를 중심으로 분석하였다. 2020년 보고된 302건의 사례를 살펴보면 남성(55.0%)이 여성(45.0%)보다 교상 환자발생이 많았고, 연령대별로는 50대가 20.5%로 교상 당하는 비율이 가장 높았다. 월별 발생은 크게 차이가 없으나, 여름철(7~8월)이 24.5%로 가장 많이 발생하였다. 지역별로는 공수병 위험지역인 강원도(70.5%)가 가장 높게 발생하였고, 다음은 경기도(19.2%) 순이었다. 교상 동물은 개가 82.5%로 가장 많았다.

According to the World Health Organization (WHO), 3 billion people live in dog-mediated rabies endemic areas. Domestic
dogs are the most common transmitter of the rabies virus, with 99% of human deaths caused by dog-mediated rabies.
Despite goals to eliminate rabies worldwide, the virus remains an under-reported neglected zoonosis with a case-fatality
rate of almost 100% in humans and animals. Although 100% preventable, dog-mediated rabies causes tens of thousands of
human deaths. However, due to South Korea’s eradication efforts, there have not been any confirmed cases of human rabies since 2005. However, animal bite patients have been reported due to an increase in outdoor activities and international travel. Since 2011, the Korea Disease Control and Prevention Agency (KDCA) has enhanced the National Animal Bite Patient Surveillance (NABPS) to effectively monitor animal-associated bite incidents. The aim of this report was to analyze the KDCA’s 2020 animal bite and rabies surveillance. Findings indicated that the numbers of animal bite cases increased from 359 in 2005 to 670 in 2019, but it was estimated that the number decreased to 302 in 2020 because of COVID-19, which limited people’s domestic and international travel. This report analyzed characteristics of animal bite cases recorded on the NABPS system from January 1 to December 31, 2020. Among the 302 cases reported in 2020, males (55.0%) had a higher incidence of animal bites than females (45.0%) and the highest incidence of animal bites was observed in the age group of 50 to 59 years of age (20.5%). By time, the higher proportion of bite incidents occurred between July and August (24.5%). Also, the geographical frequency was the highest in Gangwon province (70.5%), followed by Gyeonggi province (19.2%). Lastly, at 82.5%, domestic dogs were the most common biting animal. To minimize the risk of animal bites and rabies, it is essential that South Korea maintain its rabies-free status through an enhanced national rabies control program.

키워드

공수병; 광견병; 교상; 교상환자; 개 물림
Human rabies; Animal rabies; Bite; Bite patient; Dog bite

원문 및 링크아웃 정보

등재저널 정보