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Tuberculosis control in the Republic of Korea
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Kyung Sook Cho
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Epidemiol Health. 2018;40:e2018036. Published online August 2, 2018
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DOI: https://doi.org/10.4178/epih.e2018036
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Abstract
The incidence and mortality rates of tuberculosis (TB) in the Republic of Korea are 77 and 5.2 per 100,000 people, respectively (2016), which are the highest among the member countries of the Organization for Economic Cooperation and Development. Recently, the incidence of TB among teens and individuals in their 20s in the Republic of Korea decreased significantly. The decrease is largely attributed to the TB screening and contact investigation efforts targeting schools over the past few years. However, the incidence of TB among elderly individuals remains high, and it is even increasing compared to that in the past 10 years. Older individuals account for 42% of all TB cases and 82% of TB-related deaths. The success rate of TB treatment in the Republic of Korea has gradually increased due to various programs, such as control of non-compliance, insurance coverage for TB diagnosis and treatment, and TB public–private mix models. This study suggests that policy makers should focus their efforts on policies that prioritize a significant reduction in the incidence of TB based on the 2nd National Strategic Plan for Tuberculosis Control (2018–2022).
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Summary
Korean summary
2016년 한국의 결핵 발생률은 인구 10만명당 77명이고, 결핵 사망률은 인구 10만명당 5.2명으로 경제협력개발기구(OECD) 회원국 중 가장 높은 수준이다. 본 연구는 지난 수 십 년간 한국의 결핵 발생률, 유병률 및 사망률의 변화 추이와 그간 한국 정부가 시행해 온 다양한 결핵 관리 정책들을 분석하고 향후 개선방안을 제시하고자 하였다.
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Citations
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Fever screening and detection of febrile arrivals at an international airport in Korea: association among self-reported fever, infrared thermal camera scanning, and tympanic temperature
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Kyung Sook Cho, Jangho Yoon
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Epidemiol Health. 2014;36:e2014004. Published online May 30, 2014
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DOI: https://doi.org/10.4178/epih/e2014004
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Abstract
OBJECTIVES The purpose of this research was to measure fever prevalence and the effectiveness of a fever screening procedure in detecting febrile arrivals at an international airport in Korea.
METHODS Data were retrieved from arrivals’ health declaration forms and questionnaires for febrile arrivals at an international airport collected by a national quarantine station during the year 2012. Self-reported health declaration forms were returned by 355,887 arrivals (61% of the total arrivals). Of these, 608 symptomatic arrivals (0.2%) including 6 febrile arrivals were analyzed.
RESULTS Fever prevalence at an international airport in Korea was 0.002%. Self-reported fever was significantly positively associated with tympanic temperature (p<0.001). The difference between the thermal camera temperature (36.83°C) and tympanic (or ear) temperature (38.14°C) was not statistically significant.
CONCLUSIONS The findings imply that a procedure for mass detection of fever such as self-reported questionnaires and thermal camera scanning may serve as an effective tool for detecting febrile arrivals at quarantine stations. Future research can benefit from looking at the sensitivity, specificity, positive predictive value, and negative predictive value of the entry screening system.
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Summary
Korean summary
2003년 전 세계적인 SARS 대 유행 이후, 우리나라는 증상을 자가보고 하도록 하는 검역질문서, 열감지 카메라를 통한 체온 측정, 고막체온 측정 등과 같은 검역절차들이 상호 유기적으로 작용할 수 있도록 검역체계를 강화해 왔다. 그러나 이러한 검역절차들이 얼마나 효과적으로 작용하고 있는지, 그리고 이를 통해 실제로 발열환자가 얼마나 발견되고 있는지에 대한 연구는 전무하였다. 그러한 점에서 본 연구는 이러한 연구 질문에 대한 우리나라 최초의 시도로서, 검역 행정뿐만 아니라 향후 보다 발전된 후속 연구를 위한 기초자료로도 활용될 수 있을 것이다.
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Prevalence of Stroke in Pyongchang County.
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Jong Ku Park, Kyung Sook Cho, Chun Bae Kim, Jin Back Kim, Ha Ja Song, Kee Ho Park, Seong Gyu Ko
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Korean J Epidemiol. 2001;23(1):69-79.
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Abstract
PURPOSE The purpose of this study was to identify the prevalence of stroke in Pyongchang county, Kangwon do.METHODS The presumptive stroke patients of Pyongchang county were identified with a key-person method in October 2000. And then, medical records of these patients were reviewed by well-trained two students who major in the science of medical record.RESULTS In the year 2000, there were 92 males and 68 females of self-diagnosed stroke. Of these, stroke patients based on physician's diagnosis were 102, and stroke patients based on CT/MRI findings or Minnesota criteria were 93.
Prevalence rate of self-reported stroke, stroke based on physician's diagnosis, and stroke based on CT/MRI findings or Minnesota criteria were 0.33%, 0.29%, and 0.26% respectively.CONCLUSION We conclude that verifying process of diagnosis is needed to estimate the prevalence of stroke in community.
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