Osong Public Health and Research Perspectives

Economic effectiveness of training personnel for infectious disease response and improving information systems in Republic of Korea: a cost-benefit analysis: Sunung Moon, Sangwon Lee, Yunhyung Kwon, Chaeeun Lee, Nahyun Kwon; Received January 27, 2026 Accepted June 18, 2026 Published online August 14, 2026; DOI: https://doi.org/10.24171/j.phrp.2026.0019 [Epub ahead of print]

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Environmental emergence and dissemination of clinically relevant multidrug-resistant bacteria and resistance genes in sewage and aquatic ecosystems: Smita Atara, Komal Antaliya, Nilam Vaghamshi, Ashaka Vansia, Anjana Ghelani, Rajesh Patel, Pravin Dudhagara; Received February 19, 2026 Accepted May 28, 2026 Published online July 23, 2026; DOI: https://doi.org/10.24171/j.phrp.2026.0186 [Epub ahead of print]

Objectives
This study characterized multidrug-resistant (MDR) bacteria in sewage, river, and marine ecosystems in South Gujarat, India.
Methods
Water samples were collected from 25 hospital drainage, sewage treatment/pumping, Tapi River, and coastal marine sites at multiple time points. From 270 screened colonies, 166 morphologically and biochemically distinct nonduplicate isolates were retained. Antimicrobial susceptibility was assessed, and isolates were classified as MDR, extensively drug-resistant (XDR), or pan-drug-resistant (PDR). Biofilm formation, metabolic activity, extracellular polymeric substance protein, heavy metal tolerance, extended-spectrum β-lactamase production, carbapenemase production, and metallo-β-lactamase activity were assessed phenotypically. Tapi River estuary water was used for taxonomic profiling and antibiotic resistance gene (ARG) detection.
Results
The 166 isolates comprised 45 bacterial species, with clinically significant Gram-negative pathogens predominating, including Pseudomonas aeruginosa (n=24, 14.5%), Ochrobactrum intermedium (n=16, 9.6%), Stenotrophomonas maltophilia (n=15, 9.0%), and Escherichia coli (n=12, 7.2%). MDR phenotypes were detected in 80.1% of isolates; 18.1% were XDR, and 1.8% were PDR, with PDR isolates confined to river water samples. Biofilm formation was observed in 86.1% (n=143) of isolates, including 28.3% (n=47) strong, 24.7% (n=41) moderate, and 32.5% (n=54) weak producers. Extended-spectrum β-lactamase production was confirmed in 13.4% of Gram-negative isolates, and carbapenemase activity was detected in 11 isolates. Zinc and copper tolerance were significantly higher in XDR than in MDR isolates (p<0.05). Metagenomics identified efflux pumps as the dominant ARG class (36.2%), followed by target-site mutations (21.3%) and β-lactamases (14.9%), and detected blaCTX-M-15, blaTEM-207, gyrA, and parC.
Conclusion
These interconnected aquatic systems represent important reservoirs for community-level antimicrobial resistance transmission.

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Association between ambient temperature and blood pressure in hypertensive adults in Bogor City, Indonesia: a 6-year longitudinal cohort study: Puti Sari Hidayangsih, Woro Riyadina, Ika Dharmayanti, Pandji Wibawa Dhewantara, Ning Sulistiyowati, Noor Edi Widya Sukoco, Yuda Turana; Osong Public Health Res Perspect 2026;17(4):326-336.
Published online May 14, 2026; DOI: https://doi.org/10.24171/j.phrp.2025.0226

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The role of artificial intelligence in managing COVID-19 and long COVID: a narrative review: Bikash Kanti Sarkar, Ambuj Kumar; Osong Public Health Res Perspect 2026;17(1):17-31.
Published online February 4, 2026; DOI: https://doi.org/10.24171/j.phrp.2025.0347

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Crisis-driven innovation in the Republic of Korea's in vitro diagnostics industry: a pandemic case study: Minjoon Kim, Harry Jeong, Kwangsoo Shin; Osong Public Health Res Perspect 2026;17(1):33-49.
Published online January 28, 2026; DOI: https://doi.org/10.24171/j.phrp.2025.0313

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Effectiveness of non-pharmacological school-based therapies for cigarette smoking cessation among adolescents in South and Southeast Asian countries: a systematic review and meta-analysis: Fahad Ali Mangrio, Penpaktr Uthis, Suwimon Rojnawee, Alicia K Matthews; Osong Public Health Res Perspect 2025;16(3):195-210.
Published online April 30, 2025; DOI: https://doi.org/10.24171/j.phrp.2024.0320

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Methodology of comparative studies on the relative effectiveness of COVID-19 vaccines: a systematic review: Erdenetuya Bolormaa, Jiae Shim, Young-Sook Choi, Donghyok Kwon, Young June Choe, Seung-Ah Choe; Osong Public Health Res Perspect 2024;15(5):395-408.
Published online October 15, 2024; DOI: https://doi.org/10.24171/j.phrp.2024.0063

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Establishment of a registry of clinical data and bioresources for rare nervous system diseases: Dayoung Kim, Sooyoung Kim, Jin Myoung Seok, Kyong Jin Shin, Eungseok Oh, Mi Young Jeon, Joungkyu Park, Hee Jin Chang, Jinyoung Youn, Jeeyoung Oh, Eunhee Sohn, Jinse Park, Jin Whan Cho, Byoung Joon Kim; Osong Public Health Res Perspect 2024;15(2):174-181.
Published online April 30, 2024; DOI: https://doi.org/10.24171/j.phrp.2023.0353

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Psychiatric adverse events associated with the COVID-19 vaccines approved in the Republic of Korea: a systematic review: Seungeun Ryoo, Miyoung Choi, Nam-Kyong Choi, Hyoung-Shik Shin, Jun Hee Woo, Byung-Joo Park, Sanghoon Oh; Osong Public Health Res Perspect 2024;15(2):107-114.
Published online March 28, 2024; DOI: https://doi.org/10.24171/j.phrp.2023.0325

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Predictors of outcomes 3 to 12 months after traumatic brain injury: a systematic review and meta-analysis: Younes Iderdar, Maryem Arraji, Nadia Al Wachami, Morad Guennouni, Karima Boumendil, Yassmine Mourajid, Noureddine Elkhoudri, Elmadani Saad, Mohamed Chahboune; Osong Public Health Res Perspect 2024;15(1):3-17.
Published online February 5, 2024; DOI: https://doi.org/10.24171/j.phrp.2023.0288

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Spatiotemporal analysis of environmental and physiographic factors related to malaria in Bareilly district, India: Shikhar Chaudhary, Biju Soman; Osong Public Health Res Perspect 2022;13(2):123-132.
Published online March 31, 2022; DOI: https://doi.org/10.24171/j.phrp.2021.0304

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Behavioral interventions for smoking cessation among adolescents: a rapid review and meta-analysis for the Korea Preventive Services Task Force: Younglee Choi, Cheol Min Lee, Belong Cho, Eon Sook Lee, Seung-Won Oh, Naae Lee, Jae Moon Yun; Osong Public Health Res Perspect 2021;12(3):177-186.
Published online June 2, 2021; DOI: https://doi.org/10.24171/j.phrp.2021.0018

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COVID-19 Patients: A Systematic Review and Meta-Analysis of Laboratory Findings, Comorbidities, and Clinical Outcomes Comparing Medical Staff versus the General Population: Mina Ebrahimi, Amal Saki Malehi, Fakher Rahim; Osong Public Health Res Perspect 2020;11(5):269-279.
Published online October 22, 2020; DOI: https://doi.org/10.24171/j.phrp.2020.11.5.02

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Contact Transmission of COVID-19 in South Korea: Novel Investigation Techniques for Tracing Contacts: COVID-19 National Emergency Response Center, Epidemiology & Case Management Team, Korea Centers for Disease Control & Prevention; Osong Public Health Res Perspect 2020;11(1):60-63.
Published online February 28, 2020; DOI: https://doi.org/10.24171/j.phrp.2020.11.1.09

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Natural Infection with Rabies Virus: A Histopathological and Immunohistochemical Study of Human Brains: Firouzeh Farahtaj, Leila Alizadeh, Alireza Gholami, Alireza Tahamtan, Sadegh Shirian, Maryam Fazeli, Amir Sasan Mozaffari Nejad, Ali Gorji, Hamid Mahmoudzadeh Niknam, Amir Ghaemi; Osong Public Health Res Perspect 2019;10(1):6-11.
Published online February 28, 2019; DOI: https://doi.org/10.24171/j.phrp.2019.10.1.03

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