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Epidemiological Characteristics of Scrub Typhus in Korea, 2009
Sunja Kim, Jin Seok Kim, Hagyung Lee
Osong Public Health Res Perspect. 2010;1(1):55-60.   Published online December 31, 2010
DOI: https://doi.org/10.1016/j.phrp.2010.12.012
  • 2,099 View
  • 20 Download
  • 15 Citations
AbstractAbstract PDF
Objectives
Currently, the incidence of scrub typhus has increased in urban areas. In this study, we described the epidemiological characteristics of scrub typhus cases reported in the urban areas of Korea in 2009.
Methods
We analysed the case investigation reports of scrub typhus cases that were collected in Korea in 2009. Specially, the different risk factors such as fieldwork and outdoor activity were compared to urban and rural areas, and six urban cities. Statistical analysis was performed using χ2 test.
Results
A total of 4,461 cases (including 1,663 suspected cases) were analysed in this study. Among these, the case reports of 4,254 cases had complete addresses. The cases with outdoor activities were 720 (85.2%) in urban areas. In Daegu and Daejeon, the number of cases participated in outdoor activities was 32 (34.4%) and 23 (31.5%), respectively. In other urban areas, cases with outdoor activities were more than 85%.
Conclusion
The most common infection risk factor was outdoor activity in urban areas. However, the proportion and distribution of outdoor activities were different in urban areas. These results will be used to establish strategies for effective prevention and management in urban areas.

Citations

Citations to this article as recorded by  
  • Orientia tsutsugamushi: The dangerous yet neglected foe from the East
    Anwesha Banerjee, Smita Kulkarni
    International Journal of Medical Microbiology.2021; 311(1): 151467.     CrossRef
  • Scrub typhus mimicking the clinical course of infectious mononucleosis: a case report
    Yusuke Watanabe, Shouta Mashimo, Hiroyuki Ichige, Hiroyuki Nagata, Masayuki Kojima
    Journal of Rural Medicine.2021; 16(1): 62.     CrossRef
  • The Effect of Long-lasting Permethrin Impregnated Socks on Tick Bite in Korea
    Mi Ah Han, Choon-Mee Kim, Na Ra Yun, Dong-Min Kim, Sun Mi Park, Hyoju Kim, Hwan Ho Shin
    Journal of Korean Medical Science.2021;[Epub]     CrossRef
  • Epidemiology and Risk Factors for Notifiable Scrub Typhus in Taiwan during the Period 2010–2019
    Fu-Huang Lin, Yu-Ching Chou, Wu-Chien Chien, Chi-Hsiang Chung, Chi-Jeng Hsieh, Chia-Peng Yu
    Healthcare.2021; 9(12): 1619.     CrossRef
  • Surveillance of Chigger Mite Vectors for Tsutsugamushi Disease in the Hwaseong Area, Gyeonggi-do, Republic of Korea, 2015
    Young Yil Bahk, Hojong Jun, Seo Hye Park, Haneul Jung, Seung Jegal, Myung-Deok Kim-Jeon, Jong Yul Roh, Wook-Gyo Lee, Seong Kyu Ahn, Jinyoung Lee, Kwangsig Joo, Young Woo Gong, Mun Ju Kwon, Tong-Soo Kim
    The Korean Journal of Parasitology.2020; 58(3): 301.     CrossRef
  • Diagnosis of scrub typhus: recent advancements and challenges
    Deepak Kala, Shagun Gupta, Rupak Nagraik, Vivek Verma, Atul Thakur, Ankur Kaushal
    3 Biotech.2020;[Epub]     CrossRef
  • Differences in agricultural activities related to incidence of scrub typhus between Korea and Japan
    Chang-Jin Ma, Gyung-Jae Oh, Gong-Unn Kang, Jeong Mi Lee, Da-Un Lee, Hae-Sung Nam, So Yeon Ryu, Young-Hoon Lee
    Epidemiology and Health.2017; 39: e2017051.     CrossRef
  • A review of the global epidemiology of scrub typhus
    Guang Xu, David H. Walker, Daniel Jupiter, Peter C. Melby, Christine M. Arcari, Nicholas P. Day
    PLOS Neglected Tropical Diseases.2017; 11(11): e0006062.     CrossRef
  • Meteorological factors affecting scrub typhus occurrence: a retrospective study of Yamagata Prefecture, Japan, 1984–2014
    J. SETO, Y. SUZUKI, R. NAKAO, K. OTANI, K. YAHAGI, K. MIZUTA
    Epidemiology and Infection.2017; 145(3): 462.     CrossRef
  • A Recombinant 47-kDa Outer Membrane Protein Induces an Immune Response against Orientia tsutsugamushi Strain Boryong
    Sangho Choi, Hang Jin Jeong, Kyu-Jam Hwang, Byoungchul Gill, Young Ran Ju, Yeong Seon Lee, Jeongmin Lee
    The American Journal of Tropical Medicine and Hygi.2017; 97(1): 30.     CrossRef
  • Neurological manifestations of scrub typhus in adults
    Abhinav Rana, Sanjay K Mahajan, Arindam Sharma, Sudhir Sharma, Balbir S Verma, Ashok Sharma
    Tropical Doctor.2017; 47(1): 22.     CrossRef
  • Urbanization of Scrub Typhus Disease in South Korea
    Sang-Won Park, Na-Young Ha, Boyeong Ryu, Ji Hwan Bang, Hoyeon Song, Yuri Kim, Gwanghun Kim, Myoung-don Oh, Nam-Hyuk Cho, Jong-koo Lee, Darren J. Gray
    PLOS Neglected Tropical Diseases.2015; 9(5): e0003814.     CrossRef
  • Epidemic characteristics and spatio-temporal patterns of scrub typhus during 2006–2013 in Tai'an, Northern China
    L. ZHENG, H.-L. YANG, Z.-W. BI, Z.-Q. KOU, L.-Y. ZHANG, A.-H. ZHANG, L. YANG, Z.-T. ZHAO
    Epidemiology and Infection.2015; 143(11): 2451.     CrossRef
  • The Geographical and Economical Impact of Scrub Typus, the Fastest-growing Vector-borne Disease in Korea
    Hae-Wol Cho, Chaeshin Chu
    Osong Public Health and Research Perspectives.2013; 4(1): 1.     CrossRef
  • Comparison of the Awareness and Knowledge of Scrub Typhus between Case and Control Groups
    Kwan Lee, Byeong-Chan Park, Hyun-Sul Lim, Sun-Seog Kweon, Jin-Su Choi, Jang-Rak Kim, Keon-Yeop Kim, So-Yeon Ryu
    Journal of agricultural medicine and community hea.2012; 37(1): 1.     CrossRef
Trends in Water- and Foodborne Disease Outbreaks in Korea, 2007–2009
Jin Gwack, Kyoung-Chan Lee, Hyo Jin Lee, Wooseok Kwak, Dong Woo Lee, Yeon Hwa Choi, Jin Seok Kim, Young Ah Kang
Osong Public Health Res Perspect. 2010;1(1):50-54.   Published online December 31, 2010
DOI: https://doi.org/10.1016/j.phrp.2010.12.011
  • 2,070 View
  • 13 Download
  • 14 Citations
AbstractAbstract PDF
Objectives
In Korea, every outbreak of acute gastroenteritis in two or more patients who are epidemiologically related is investigated by local public health centres to determine causative agents and control the outbreak with the support of the Korean Centers for Disease Control and Prevention. The findings and conclusions of each outbreak investigation have been summarized annually since 2007 to make reports and statistics of water- and foodborne disease outbreaks.
Methods
All outbreaks reported to Korean Centers for Disease Control and Prevention from 2007 to 2009 were included in the study. We analysed the trends and epidemiologic aspects of outbreaks by month, year, and location.
Results
The total number of outbreaks decreased steadily each year for the period the study covered, whereas the number of patients per outbreak continued to increase resulting from a dramatic increase in the number of patients per outbreak in food service establishments. The outbreaks occurred in the period of June to September, when temperature and humidity are relatively high, which accounted for 44.3% of total outbreaks. The monthly number of outbreaks decreased steadily until November after peaking in May 2009. The most common causative agent was norovirus (16.5%) followed by pathogenic Escherichia coli. The rate of causative agent identification was 60.1%, with higher identification rates in larger outbreaks.
Conclusions
Although a decreasing trend of outbreaks by year was observed in the study, the food services in schools and companies require more attention to hygiene and sanitation to prevent large outbreaks. The ability to establish the cause of an outbreak should be further improved.

Citations

Citations to this article as recorded by  
  • Trends in recent waterborne and foodborne disease outbreaks in South Korea, 2015–2019
    Sang Hyuk Lee, Jae-Won Yun, Ji Hee Lee, Yeon Haw Jung, Dong Han Lee
    Osong Public Health and Research Perspectives.2021; 12(2): 73.     CrossRef
  • Nationwide surveillance on serotype distribution and antimicrobial resistance profiles of non-typhoidal Salmonella serovars isolated from food-producing animals in South Korea
    Abraham Fikru Mechesso, Dong Chan Moon, Su-Jeong Kim, Hyun-Ju Song, Hee Young Kang, Seok Hyeon Na, Ji-Hyun Choi, Ha-Young Kim, Soon-Seek Yoon, Suk-Kyung Lim
    International Journal of Food Microbiology.2020; 335: 108893.     CrossRef
  • Development of an HTS system to identify natural chemicals that specifically inhibit Escherichia coli O157:H7 adhesion to host cells
    Seung Min Kim, Hyun Jung Kim
    Food Control.2017; 73: 185.     CrossRef
  • Epidemiological relationships of Campylobacter jejuni strains isolated from humans and chickens in South Korea
    Jae-Young Oh, Yong-Kuk Kwon, Bai Wei, Hyung-Kwan Jang, Suk-Kyung Lim, Cheon-Hyeon Kim, Suk-Chan Jung, Min-Su Kang
    Journal of Microbiology.2017; 55(1): 13.     CrossRef
  • A large outbreak of acute gastroenteritis caused by the human norovirus GII.17 strain at a university in Henan Province, China
    Xue-Yong Huang, Jia Su, Qian-Chao Lu, Shi-Zheng Li, Jia-Yong Zhao, Meng-Lei Li, Yi Li, Xiao-Jing Shen, Bai-Fan Zhang, Hai-Feng Wang, Yu-Jiao Mu, Shu-Yu Wu, Yan-Hua Du, Li-Cheng Liu, Wei-Jun Chen, John David Klena, Bian-Li Xu
    Infectious Diseases of Poverty.2017;[Epub]     CrossRef
  • Consecutive Outbreaks of EnterotoxigenicEscherichia coliO6 in Schools in South Korea Caused by Contamination of Fermented Vegetable Kimchi
    Jaeseung Shin, Ki-Bok Yoon, Doo-Young Jeon, Sung-Suk Oh, Kyung-Hwan Oh, Gyung Tae Chung, Seung Woo Kim, Seung-Hak Cho
    Foodborne Pathogens and Disease.2016; 13(10): 535.     CrossRef
  • Prevalence and characterization of Salmonella in pigs from conventional and organic farms and first report of S. serovar 1,4,[5],12:i:- from Korea
    Migma Dorji Tamang, Mamata Gurung, Hyang-Mi Nam, Dong Chan Moon, Su-Ran Kim, Geum-Chan Jang, Dae-Yeong Jung, Suk-Chan Jung, Yong-Ho Park, Suk-Kyung Lim
    Veterinary Microbiology.2015; 178(1-2): 119.     CrossRef
  • First norovirus outbreaks associated with consumption of green seaweed (Enteromorpha spp.) in South Korea
    J. H. PARK, H. S. JEONG, J. S. LEE, S. W. LEE, Y. H. CHOI, S. J. CHOI, I. S. JOO, Y. R. KIM, Y. K. PARK, S. K. YOUN
    Epidemiology and Infection.2015; 143(3): 515.     CrossRef
  • Antimicrobial Susceptibility and Virulence Characteristics of Salmonella enterica Typhimurium Isolates from Healthy and Diseased Pigs in Korea
    MIGMA DORJI TAMANG, MAMATA GURUNG, HYANG-MI NAM, DONG CHAN MOON, GEUM-CHAN JANG, SUK-CHAN JUNG, SUK-KYUNG LIM
    Journal of Food Protection.2014; 77(9): 1481.     CrossRef
  • Emerging Pathogens and Vehicles of Food- and Water-borne Disease Outbreaks in Korea, 2007–2012
    Shinje Moon, Il-Woong Sohn, Yeongseon Hong, Hyungmin Lee, Ji-Hyuk Park, Geun-Yong Kwon, Sangwon Lee, Seung-Ki Youn
    Osong Public Health and Research Perspectives.2014; 5(1): 34.     CrossRef
  • Diarrheal Outbreak Caused by Atypical EnteropathogenicEscherichia coliO157:H45 in South Korea
    Ji-Hyuk Park, Sung-Suk Oh, Kyung-Hwan Oh, Jaeseung Shin, Eun Jung Jang, Byung-Yool Jun, Seung-Ki Youn, Seung-Hak Cho
    Foodborne Pathogens and Disease.2014; 11(10): 775.     CrossRef
  • Efficiency of fractionated γ-irradiation doses to eliminate vegetative cells and spores of Bacillus cereus from raw rice
    Adelard B. Mtenga, Neema Kassim, Won-Bo Shim, Duck-Hwa Chung
    Food Science and Biotechnology.2013; 22(2): 577.     CrossRef
  • Norovirus Contamination Levels in Ground Water Treatment Systems Used for Food-Catering Facilities in South Korea
    Bo-Ram Lee, Sung-Geun Lee, Jong-Hyun Park, Kwang-Yup Kim, Sang-Ryeol Ryu, Ok-Jae Rhee, Jeong-Woong Park, Jeong-Su Lee, Soon-Young Paik
    Viruses.2013; 5(7): 1646.     CrossRef
  • A review of microbial biofilms of produce: Future challenge to food safety
    Iqbal Kabir Jahid, Sang-Do Ha
    Food Science and Biotechnology.2012; 21(2): 299.     CrossRef

PHRP : Osong Public Health and Research Perspectives