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Epidemiologic investigation
Epidemiological investigation of a food-borne outbreak in a kindergarten
Kyoung Mi Kim, Eun-Suk Cho, Seong Bae Ahn, Eun Ok Kang, Jong-Myon Bae
Epidemiol Health. 2023;e2023047.   Published online April 17, 2023
DOI: https://doi.org/10.4178/epih.e2023047    [Accepted]
  • 424 View
  • 37 Download
AbstractAbstract PDF
Abstract
Objectives
On Monday, September 6, 2021, at a kindergarten in Jeju Province, a large number of children vomited and developed food poisoning symptoms, and this necessitated an epidemiological investigation.
Methods
The team surveyed symptoms and food intake history of kindergarten children, teachers, and workers who ate lunch between September 2 (Thu) and September 6 (Mon), excluding weekends. In addition to rectal swabs, environmental samples from preserved foods, cooking utensils, drinking water, and refrigerator handles were collected. Pulsed field gel electrophoresis for genetic fingerprint analysis (PFGE) was also performed.
Results
There were 19 cases among 176 subjects, which indicated an attack rate of 10.8%. The epidemic curve showed a unimodal shape, and the average incubation period was 2.6 h. While no food was statistically significant in food intake history, the analysis of 35 rectal smear samples detected Bacillus cereus in 7 children, 4 teachers, and 1 cooking staff. Enterotoxins were also detected in 12 samples. Out of 38 environmental samples, Bacillus cereus and enterotoxins were detected in the morning snack cereal, lunch bean sprouts, and afternoon snack steamed potatoes on Monday, September 6th. The result of the PFGE test on 10 isolates of Bacillus cereus showed that there was no genetic homology.
Conclusions
Our results indicated that this outbreak was simultaneously caused by various strains of Bacillus cereus from the environment.
Summary
Korean summary
Key Message
Original Articles
Incidence of varicella in children in Jeju-do, Korea, 2005-2016: age-period-cohort analysis
Jinhee Kim, Ji-Eun Kim, Jong-Myon Bae
Epidemiol Health. 2018;40:e2018054.   Published online November 8, 2018
DOI: https://doi.org/10.4178/epih.e2018054
  • 10,680 View
  • 199 Download
  • 3 Citations
AbstractAbstract AbstractSummary PDFSupplementary Material
Abstract
OBJECTIVES
Although the nationwide inoculation rate of varicella vaccine was approximately 95% in Korean children recently, the number of notified varicella cases is unexpectedly continuously increasing till now. To suggest some hypotheses regarding this discrepancy, an age-period-cohort (APC) analysis as a descriptive epidemiology study was conducted for children residing in Jeju-do, Korea.
METHODS
The raw data were obtained from the nationwide database for insurance claim of healthcare fee provided by the National Health Insurance Service, Korea. The selection criteria were children aged 2-13 years who visited any healthcare center due to varicella from 2005 to 2016 while residing in Jeju-do. After calculating the birth cohort-specific crude incidence rates by age and year, the intrinsic estimator method was used to perform the APC analysis.
RESULTS
As the annual crude incidence rates decreased with increasing age between 2005 and 2016, the age and period effects also decreased. The intrinsic estimator coefficients suggesting the cohort effect shifted from positive to negative in 2011, the starting year of free varicella vaccine program in Jeju-do.
CONCLUSIONS
The results suggested that inoculated varicella vaccines have preventive effects. However, further studies to evaluate waning immunity would be needed.
Summary
Korean summary
2011년 이후 생후 12-15개월 유아에게 수두백신 무상접종을 시행해 오고 있는 제주도에 있어서, 수두발생 신고건수가 증가하는 괴리 현상에 있어, 국민건강보험공단의 수진자료를 확보하여 연령-기간-코호트 (age-period-cohort, APC) 분석을 시행하였다. 그 결과 연령이 증가하고 연도가 최근으로 올수록 수두 발생에 대한 연령과 기간효과는 점점 감소하는 반면, 수두백신 무상접종이 시작된 2011년을 전후해서 코호트 효과는 양에서 음으로 전환하였다. 따라서 현재 접종하고 있는 수두 백신은 수두발생을 예방하는 효과가 있으며, 돌발수두 발생은 이차백신 실패로 볼 수 있다.
Key Message

Citations

Citations to this article as recorded by  
  • The comparison of seroconversion rates among different varicella vaccines administered Turkish children; MAV/06 and vOka
    Zuhal Umit, Zumrut Sahbudak Bal, Aysin Zeytinoglu, Tansu Gulbahar Aydogan, Ozlem Bag, Gizem Guner Ozenen, Ferda Ozkinay, Zafer Kurugol
    Human Vaccines & Immunotherapeutics.2021; 17(11): 4190.     CrossRef
  • Recent increase in pertussis incidence in Korea: an age-period-cohort analysis
    Chanhee Kim, Seonju Yi, Sung-il Cho
    Epidemiology and Health.2021; 43: e2021053.     CrossRef
  • Incidence of Scarlet Fever in Children in Jeju Province, Korea, 2002-2016: An Age-period-cohort Analysis
    Jinhee Kim, Ji-Eun Kim, Jong-Myon Bae
    Journal of Preventive Medicine and Public Health.2019; 52(3): 188.     CrossRef
Seasonality of tuberculosis in the Republic of Korea, 2006-2016
Eun Hee Kim, Jong-Myon Bae
Epidemiol Health. 2018;40:e2018051.   Published online October 20, 2018
DOI: https://doi.org/10.4178/epih.e2018051
  • 9,171 View
  • 171 Download
  • 12 Citations
AbstractAbstract AbstractSummary PDFSupplementary Material
Abstract
OBJECTIVES
While the seasonality of notified tuberculosis has been identified in several populations, there is not a descriptive epidemiological study on the seasonality of tuberculosis in Korea. This study aimed to evaluate the seasonality of tuberculosis in Korea from 2006 to 2016.
METHODS
Data regarding notified cases of tuberculosis by year and month was obtained from the Infectious Diseases Surveillance Yearbook, 2017 published by the Korea Centers for Disease Control and Prevention. Seasonal decomposition was conducted using the method of structural model of time series analysis with simple moving averages.
RESULTS
While the trough season was winter from 2006 to 2016, the peak season was summer between 2006 and 2012, but shifted to spring between 2013 and 2016.
CONCLUSIONS
Notified tuberculosis in Korea also showed seasonality. It is necessary to evaluate factors related to the seasonality of tuberculosis for controlling tuberculosis.
Summary
Korean summary
2006-2016년 신고된 신환자의 연보를 근거로 결핵발생의 계절성 여부를 분석한 결과, 2006-2012년까지는 여름, 2013년이후는 봄에 발생 신고율이 높은 계절성을 확인하였다. 계절성을 야기하는 이유들을 찾아서 향후 결핵 예방에 활용할 필요가 있다.
Key Message

Citations

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    Frontiers in Public Health.2021;[Epub]     CrossRef
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    Infection and Drug Resistance.2021; Volume 14: 4641.     CrossRef
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    Yongbin Wang, Chunjie Xu, Jingchao Ren, Weidong Wu, Xiangmei Zhao, Ling Chao, Wenjuan Liang, Sanqiao Yao
    Infection and Drug Resistance.2020; Volume 13: 733.     CrossRef
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    Ying Mao, Rongxin He, Bin Zhu, Jinlin Liu, Ning Zhang
    International Journal of Environmental Research and Public Health.2020; 17(7): 2301.     CrossRef
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    Jiandong Yang, Mengxi Zhang, Yanggui Chen, Li Ma, Rayibai Yadikaer, Yaoqin Lu, Pengwei Lou, Yujiao Pu, Ran Xiang, Baolin Rui
    International Journal of Infectious Diseases.2020; 96: 42.     CrossRef
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    Kai Huang, Xiao-Jing Yang, Cheng-Yang Hu, Kun Ding, Wen Jiang, Xiao-Guo Hua, Jie Liu, Ji-Yu Cao, Chen-Yu Sun, Tao Zhang, Xiao-Hong Kan, Xiu-Jun Zhang
    Environmental Research.2020; 189: 109900.     CrossRef
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    Jinou Chen, Yubing Qiu, Rui Yang, Ling Li, Jinglong Hou, Kunyun Lu, Lin Xu
    BMC Public Health.2019;[Epub]     CrossRef
Brief Communication
Prophylactic efficacy of probiotics on travelers’ diarrhea: an adaptive meta-analysis of randomized controlled trials
Jong-Myon Bae
Epidemiol Health. 2018;40:e2018043.   Published online August 29, 2018
DOI: https://doi.org/10.4178/epih.e2018043
  • 11,318 View
  • 411 Download
  • 12 Citations
AbstractAbstract AbstractSummary PDFSupplementary Material
Abstract
OBJECTIVES
The 2017 guideline for the prevention of travelers’ diarrhea (TD) by the International Society of Travel Medicine suggested that ‘there is insufficient evidence to recommend the use of commercially available prebiotics or probiotics to prevent or treat TD.’ However, a meta-analysis published in 2007 reported significant efficacy of probiotics in the prevention of TD (summary relative risk [sRR], 0.85, 95% confidence interval [CI], 0.79 to 0.91). This study aimed to synthesize the efficacy of probiotics on TD by updating the meta-analysis of double-blind, placebo-controlled, randomized human trials.
METHODS
The search process was conducted by the adaptive meta-analysis method using the ‘cited by’ and ‘similar articles’ options provided by PubMed. The inclusion criteria were double-blind, placebo-controlled, randomized human trials with hypotheses of probiotics as intervention and TD as an outcome. The adaptive meta-analysis was conducted using Stata software using the csi, metan, metafunnel, and metabias options.
RESULTS
Eleven articles were selected for the meta-analysis. The sRR was 0.85 (95% CI, 0.79 to 0.91) and showed statistical significance. There was no heterogeneity (I-squared=28.4%) and no publication bias.
CONCLUSIONS
Probiotics showed statistically significant efficacy in the prevention of TD.
Summary
Korean summary
활생제가 여행자설사를 예방하는 효과가 있는가에 대한 기존 메타분석결과들과 지침간의 괴리가 확인되어서 갱신용 메타분석을 수행하였다. 총 11편의 무작위배정, 위약대조비교 임상시험결과에 대한 메타분석결과 통계적으로 유의한 효과가 있는 것으로 산출되었다 (summary relative risk =0.85; 95% confidence interval: 0.77-0.91).
Key Message

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  • Phenotypic Assessment of Probiotic and Bacteriocinogenic Efficacy of Indigenous LAB Strains from Human Breast Milk
    Senbagam Duraisamy, Fazal Husain, Senthilkumar Balakrishnan, Aswathy Sathyan, Prabhu Subramani, Prahalathan Chidambaram, Selvaraj Arokiyaraj, Wahidah H. Al-Qahtani, Jothiramalingam Rajabathar, Anbarasu Kumarasamy
    Current Issues in Molecular Biology.2022; 44(2): 731.     CrossRef
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    Bantayehu Addis Tegegne, Bekalu Kebede
    Heliyon.2022; 8(6): e09725.     CrossRef
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    Hao Fan, Lei Gao, Zidan Yin, Sheng Ye, Hua Zhao, Qi Peng
    Medicine.2022; 101(40): e30921.     CrossRef
  • Gut Microbiota-targeted Interventions for Reducing the Incidence, Duration, and Severity of Respiratory Tract Infections in Healthy Non-elderly Adults
    J Philip Karl
    Military Medicine.2021; 186(3-4): e310.     CrossRef
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    A. Darb Emamie, M. Rajabpour, R. Ghanavati, P. Asadolahi, S. Farzi, B. Sobouti, A. Darbandi
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    Harald Brüssow
    F1000Research.2019; 8: 1157.     CrossRef
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Perspectives
Vitamin D supplementation as a control program against latent tuberculosis infection in Korean high school students
Eun Hee Kim, Jong-Myon Bae
Epidemiol Health. 2018;40:e2018035.   Published online July 27, 2018
DOI: https://doi.org/10.4178/epih.e2018035
  • 9,880 View
  • 228 Download
  • 4 Citations
AbstractAbstract AbstractSummary PDFSupplementary Material
Abstract
The prevalence of latnet Mycobacterium tuberculosis infection (LTBI) in the first-grade high school students in South Korea was 2.1%, which was the lowest level at congregated settings in 2017. For LTBI cases refusing anti-tuberculosis (TB) medication or having poor compliance, additional support should be considered. Eight systematic reviews concluded that vitamin D (VD) deficiency is a risk factor for TB. While three of four South Korean adolescents were VD deficiency, VD supplementation could be a practical remedy to protect LTBI students of refusing anti-TB medication or having poor compliance.
Summary
Korean summary
잠복결핵검진 검사 양성자이면서 항결핵제 복용을 거부하는 고1학생에 대한 사후 조치가 필요하다. 그동안의 연구결과들에 근거할 때, 잠복결핵이 활동성결핵으로의 전환을 억제하기 위해서 비타민 D 보충제의 투여를 검토해 볼 수 있다.
Key Message

Citations

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  • Vitamin D and the risk of latent tuberculosis infection: a systematic review and meta-analysis
    Yan Cao, Xinjing Wang, Ping Liu, Yue Su, Haotian Yu, Jingli Du
    BMC Pulmonary Medicine.2022;[Epub]     CrossRef
  • Association of vitamin D levels and risk of latent tuberculosis in the hemodialysis population
    Shang-Yi Lin, Yi-Wen Chiu, Hui-Ru Yang, Tun-Chieh Chen, Min-Han Hsieh, Wen-Hung Wang, Yen-Hsu Chen
    Journal of Microbiology, Immunology and Infection.2021; 54(4): 680.     CrossRef
  • A scoping review on climate change and tuberculosis
    Bijay Maharjan, Ram Sharan Gopali, Ying Zhang
    International Journal of Biometeorology.2021; 65(10): 1579.     CrossRef
  • Tuberculosis risk is associated with genetic polymorphisms in the LRP2, CUBN, and VDR genes
    Sung-Soo Kim, Sang In Lee, Hyun-Seok Jin, Sangjung Park
    Genes & Genomics.2020; 42(10): 1189.     CrossRef
Interpretation of the hygiene and microflora hypothesis for allergic diseases through epigenetic epidemiology
Jong-Myon Bae
Epidemiol Health. 2018;40:e2018006.   Published online March 10, 2018
DOI: https://doi.org/10.4178/epih.e2018006
  • 10,310 View
  • 295 Download
  • 7 Citations
AbstractAbstract AbstractSummary PDFSupplementary Material
Abstract
The hygiene hypothesis (HH) proposed by Strachan in 1989 was expanded to explain the inverse association between the occurrence of allergy disorders and the risk of infectious diseases and parasite infestation. The microflora hypothesis (MH) suggests that gut microbial dysbiosis in early life might trigger hypersensitivity disorders. The sharing concept of both HH and MH is gene-environment interaction, which is also a key concept in epigenetics. The amalgamation of epidemiology and epigenetics has created a scientific discipline termed epigenetic epidemiology. To accomplish an era of gene-environment-wide interaction studies, it is necessary to launch a national human epigenome project.
Summary
Korean summary
1989년 제시된 위생가설 (Hygiene hypothesis)은 최근 체내미생물가설 (Microflora hypothesis) 대치되어 알레르기 질환의 발생기전을 해석하고 있다. 두 가설 모두 유전-환경 상호작용 gene-environment interaction) 을 강조하고 있다는 점에서 향후 후성유전역학 연구에 대한 활성화가 필요하다.
Key Message

Citations

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    Mark Nomden, Daan B.E. van Wessel, Solomon Ioannou, Henkjan J. Verkade, Ruben H. de Kleine, Behrooz Z. Alizadeh, Janneke L.M. Bruggink, Jan B.F. Hulscher
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    Jong-Myon Bae
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Correspondence
Letter to the Editor: Epidemiological characteristics of scrub typhus on the Jeju Island
Jong-Myon Bae
Epidemiol Health. 2017;39:e2017060.   Published online December 26, 2017
DOI: https://doi.org/10.4178/epih.e2017060
  • 9,450 View
  • 184 Download
  • 1 Citations
PDFSupplementary Material
Abstract
Summary
Korean summary
Key Message

Citations

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  • Epidemiological and Clinical Characteristics of Confirmed Cases of Severe Fever With Thrombocytopenia Syndrome in Jeju Province, Korea, 2014-2018
    Jinhee Kim, Jong-Myon Bae
    Journal of Preventive Medicine and Public Health.2019; 52(3): 195.     CrossRef
Epidemiologic Investigation
Vaccination history in elementary school children enrolled in the varicella epidemic investigations held in Jeju-si, Korea in the first half of 2017
Hyun-Suk Oh, Jong-Myon Bae
Epidemiol Health. 2017;39:e2017053.   Published online November 13, 2017
DOI: https://doi.org/10.4178/epih.e2017053
  • 9,371 View
  • 194 Download
  • 4 Citations
AbstractAbstract AbstractSummary PDFSupplementary Material
Abstract
OBJECTIVES
The reported incidence rate of varicella infection in Jeju-do is higher compared with the national average. This study aimed to examine varicella vaccination history and evaluate clinical manifestation of varicella cases in Jeju-do.
METHODS
Based on the guideline suggested by the Korea Centers for Disease Control and Prevention (KCDC), two epidemic investigations for varicella infection were conducted in the first half of 2017. The history of varicella vaccination was confirmed using the Integrated Control System for Diseases and Health operated by the KCDC.
RESULTS
Out of a total of 60 elementary school children as the study subjects, all had been previously vaccinated against varicella. Twenty cases (33%) showed mild clinical manifestations and no complications.
CONCLUSIONS
As the government of Jeju-do has supplied a single-labeled vaccine since 2011, there is a need to evaluate the type of vaccination failure such as primary or secondary.
Summary
Korean summary
수두 발생 신고률에 있어 제주도는 전국에 비해 높은 수준을 보이고 있지만, 수둑접종률은 전국과 유사한 수준이다. 이에 2017년 상반기 수두 집단발생에 대응한 2건의 역학조사를 수행한 결과, 33%에서 돌발수두 임상 증상을 보였고 모두 백신 접종력이 있었다. 높은 발생 신고률은 지역사회 소아 개원의들의 높은 신고에 의한 것으로 유추할 수 있으며, 수두 백신 실패에 대한 추후 조사가 필요하다.
Key Message

Citations

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  • Seroprevalence and molecular characteristics of varicella-zoster virus infection in Chinese children
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  • Incidence of varicella in children in Jeju-do, Korea, 2005-2016: age-period-cohort analysis
    Jinhee Kim, Ji-Eun Kim, Jong-Myon Bae
    Epidemiology and Health.2018; 40: e2018054.     CrossRef
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Lecture
Shared decision making: relevant concepts and facilitating strategies
Jong-Myon Bae
Epidemiol Health. 2017;39:e2017048.   Published online October 30, 2017
DOI: https://doi.org/10.4178/epih.e2017048
  • 14,386 View
  • 399 Download
  • 46 Citations
AbstractAbstract AbstractSummary PDFSupplementary Material
Abstract
As the paradigm in healthcare nowadays is the evidence-based, patient-centered decision making, the issue of shared decision making (SDM) is highlighted. The aims of this manuscript were to look at the relevant concepts and suggest the facilitating strategies for overcoming barriers of conducting SDM. While the definitions of SDM were discordant, several concepts such as good communication, individual autonomy, patient participants, and patient-centered decision-making were involved. Further, the facilitating strategies of SDM were to educate and train physician, to apply clinical practice guidelines and patient decision aids, to develop valid measurement tools for evaluation of SDM processes, and to investigate the impact of SDM.
Summary
Korean summary
오늘날 보건의료가 지향하는 목표가 근거에 기반한 환자중심의 의사결정 (Evidence-based Patient-centered Decision Making)인 점에서, 공유된 의사결정 (Shared Decision Making, SDM)의 중요성이 강조되고 있다. 본 원고는 SDM의 관련 개념들을 정리하고, 진료에 적용하는 과정에서의 한계점들과 이를 극복하기 위한 방안들을 살펴보았다.
Key Message

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Methods
Network meta-analysis: application and practice using Stata
Sungryul Shim, Byung-Ho Yoon, In-Soo Shin, Jong-Myon Bae
Epidemiol Health. 2017;39:e2017047.   Published online October 27, 2017
DOI: https://doi.org/10.4178/epih.e2017047
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AbstractAbstract AbstractSummary PDFSupplementary Material
Abstract
This review aimed to arrange the concepts of a network meta-analysis (NMA) and to demonstrate the analytical process of NMA using Stata software under frequentist framework. The NMA tries to synthesize evidences for a decision making by evaluating the comparative effectiveness of more than two alternative interventions for the same condition. Before conducting a NMA, 3 major assumptions—similarity, transitivity, and consistency—should be checked. The statistical analysis consists of 5 steps. The first step is to draw a network geometry to provide an overview of the network relationship. The second step checks the assumption of consistency. The third step is to make the network forest plot or interval plot in order to illustrate the summary size of comparative effectiveness among various interventions. The fourth step calculates cumulative rankings for identifying superiority among interventions. The last step evaluates publication bias or effect modifiers for a valid inference from results. The synthesized evidences through five steps would be very useful to evidence-based decision-making in healthcare. Thus, NMA should be activated in order to guarantee the quality of healthcare system.
Summary
Korean summary
같은 치료 목적을 가진 여러 치료법들 간의 효과를 상호 비교한 결과들을 통합하기 위해 개발된 네트워크 메타분석 (NMA) 결과는 의사결정의 우선순위를 정하는데 있어 가장 상위의 과학적 설득력을 갖는다. STATA 통계프로그램에서 제공하는 빈도주의 틀에 기반한 NMA를 수행하는데 점검해야 할 가정들과 실제 적용 과정을 소개한다.
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Brief Communication
Relationship between shipping amounts of olive flounder aquacultured from Jejudo and the reported events of acute food poisoning by Kudoa septempunctata in 2015, South Korea: an ecological study
Jong-Myon Bae
Epidemiol Health. 2017;39:e2017041.   Published online September 6, 2017
DOI: https://doi.org/10.4178/epih.e2017041
  • 10,858 View
  • 216 Download
  • 2 Citations
AbstractAbstract AbstractSummary PDFSupplementary Material
Abstract
OBJECTIVES
Confirmation of Kudoa septempunctata (K. septempunctata) as the pathogenic agent causing acute food poisoning remains under debate owing to inconsistencies in the reproducibility of experimental evidence. Higher intake of olive flounder infected with K. septempunctata would result in increased diagnosis of food poisoning by K. septempunctata, if the latter was one of the causal agents of acute food poisoning. The aim was to evaluate the relationship between the shipping amount of olive flounder aquacultured from Jejudo and the incidence of K. septempunctata food poisoning in 2015, Korea.
METHODS
Data of shipping amounts between March 2014 and February 2016 and of monthly reported events of Kudoa food poisoning were taken from Jejudo Fish-Culture Fisheries Cooperatives and Korea Centers for Disease Control and Prevention, respectively. Non-parametric correlation analyses were conducted.
RESULTS
Shipping amounts indicated the seasonal changes according to variation of consumption. Spearman’s rho and Kendall’s tau-a between the monthly shipping amounts and the reported events in 2015 were 0.39 (p=0.21) and 0.27 (p=0.20), respectively.
CONCLUSIONS
An independent relationship was noted between the shipping amount and the reported events, which contrasted with the claim that the virulence of K. septempunctata caused acute food poisoning.
Summary
Korean summary
질병관리본부가 보고한 2015년도 쿠도아 식중독 발생 사례의 월별 분포와, 같은 기간에 제주도 수산협동조합이 국내 시장에 제공한 출하량 간의 상관성 (correlation)을 알아보았을 때, 유의한 관련성이 없었다. 이는 칠성 쿠도아충이 급성식중독을 일으킨다는 주장을 의심케 하는 근거의 하나이다.
Key Message

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  • An update of the species of Myxosporea (Cnidaria, Myxozoa) described from Indian fish
    Jorge C. Eiras, Gyan Deb Barman, Sukanya Chanda, Ashis Kumar Panigrahi
    Journal of Parasitic Diseases.2023; 47(1): 12.     CrossRef
  • Additional experimental and epidemiologic studies for evaluating pathogenecity of Kudoa septempunctata should be needed
    Jong-Myon Bae
    International Journal of Food Microbiology.2018; 266: 222.     CrossRef
Perspectives
Suggestions for the promotion of evidence-based public health in South Korea
Jong-Myon Bae
Epidemiol Health. 2017;39:e2017030.   Published online July 19, 2017
DOI: https://doi.org/10.4178/epih.e2017030
  • 12,104 View
  • 207 Download
  • 2 Citations
AbstractAbstract AbstractSummary PDFSupplementary Material
Abstract
Evidence-based public health (EBPH) is defined as public health decision-making based on current best evidence. Debates about the latent tuberculosis infection control program suggested by the Korea Centers for Disease Control and Prevention in 2017 highlight the need to promote EBPH. Three strategies have been proposed, including providing necessary evidence by evaluating policy-evidence gaps; delivering high-quality, relevant, and timely evidence by conducting systematic reviews and adapting public health guidelines; and making value-driven decisions by training and educating public health policymakers.
Summary
Korean summary
근거중심 공중보건 (EBPH)는 공중보건영역에서 최신과 최선의 근거에 기반하여 의사결정을 하는 것이다. EBPH를 활성화하기 위해서는 정책-근거 간의 간극을 알아내고, 체계적 고찰을 통한 공중보건지침을 개발하며, 의사결정참여자의 역량을 높이기 위한 교육훈련을 추진하는 것이다.
Key Message

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  • Ethical, pedagogical, socio-political and anthropological implications of quaternary prevention
    Marc Jamoulle, Michel Roland, Jong-Myon Bae, Bruno Heleno, Giorgio Visentin, Gustavo Diniz Ferreira Gusso, Maciek Godycki-Ćwirko, Miguel Pizzanell, Patrick Ouvrard, Ricardo La Valle, Luis Filipe Gomes, Daniel Widmer, Jorge Bernstein, Mariana Mariño, Hamil
    Revista Brasileira de Medicina de Família e Comunidade.2018; 13(40): 1.     CrossRef
  • Network meta-analysis: application and practice using Stata
    Sungryul Shim, Byung-Ho Yoon, In-Soo Shin, Jong-Myon Bae
    Epidemiology and Health.2017; 39: e2017047.     CrossRef
An opposing view on including high school students in a latent tuberculosis infection control program in Korea
Jong-Myon Bae
Epidemiol Health. 2017;39:e2017015.   Published online March 31, 2017
DOI: https://doi.org/10.4178/epih.e2017015
  • 12,411 View
  • 194 Download
  • 5 Citations
AbstractAbstract AbstractSummary PDFSupplementary Material
Abstract
The Korea Centers for Diseases Control and Prevention (KCDC) has announced a control program against latent Mycobacterium tuberculosis infection (LTBI), for a “TB-safe country” this year with the goal of a “TB-free Korea” by 2025. The program includes high school students as one target group; however, some school health teachers and parents have expressed their opposition to this. The 2015 World Health Organization guidelines do not recommend inclusion of asymptomatic high school students in LTBI control programs. Based on this guideline, the KCDC should consider excluding this population from the program.
Summary
Korean summary
질병관리본부는 결핵안심국가를 만들기 위하여 고등학교 1학년생을 포함한 잠복결핵감염 검사사업을 2017년 추진하기로 공고하였다. 그러나 2015년에 발표된 WHO 지침에 따르면 해당 대상자들은 검사대상자로 제시되어 있지않다. 근거중심의 보건정책 추진을 위해서 사업 대상 선정을 재검토할 필요가 있다.
Key Message

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  • The cascade of care for latent tuberculosis infection in congregate settings: A national cohort analysis, Korea, 2017–2018
    Jinsoo Min, Hyung Woo Kim, Helen R. Stagg, Molebogeng X. Rangaka, Marc Lipman, Ibrahim Abubakar, Yunhee Lee, Jun-Pyo Myong, Hyunsuk Jeong, Sanghyuk Bae, Ah Young Shin, Ji Young Kang, Sung-Soon Lee, Jae Seuk Park, Hyeon Woo Yim, Ju Sang Kim
    Frontiers in Medicine.2022;[Epub]     CrossRef
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    Doosoo Jeon
    The Korean Journal of Internal Medicine.2020; 35(2): 269.     CrossRef
  • Vitamin D supplementation as a control program against latent tuberculosis infection in Korean high school students
    Eun Hee Kim, Jong-Myon Bae
    Epidemiology and Health.2018; 40: e2018035.     CrossRef
  • Suggestions for the promotion of evidence-based public health in South Korea
    Jong-Myon Bae
    Epidemiology and Health.2017; 39: e2017030.     CrossRef
  • 결핵정책에 대하여
    찬병 박
    Public Health Affairs.2017; 1(1): 13.     CrossRef
Is there evidence that Kudoa septempunctata can cause an outbreak of acute food poisoning?
Young-Bae Chung, Jong-Myon Bae
Epidemiol Health. 2017;39:e2017004.   Published online January 30, 2017
DOI: https://doi.org/10.4178/epih.e2017004
  • 16,228 View
  • 336 Download
  • 10 Citations
AbstractAbstract AbstractSummary PDFSupplementary Material
Abstract
After publishing results of a study that revealed diarrheagenic and emetic activity in 4-5-day old mice infected with Kudoa septempunctata (K. septempunctata) spores, the Korea Centers for Disease Control and Prevention reported 11 events of “Kudoa food poisoning” in 2015. The epidemiological design of the previous study was descriptive rather than analytical; therefore, this study aimed to further investigate the pathogenicity of K. septempunctata. Academic articles showing evidence of the pathogenicity of K. septempunctata were searched via PubMed using the citation discovery tool. Information regarding the kinds of experimental animals and inoculum spores used, as well as study results were extracted. Four articles evaluating the pathogenicity of Myxospran parasites were selected; the first article suggested the pathogenicity of K. septempunctata, while the remaining three articles reported no abnormal symptoms or histopathologic changes. Our findings indicate that there is weak evidence supporting the pathogenicity of K. septempunctata. Further studies evaluating the pathogenicity of K. septempunctata are needed urgently.
Summary
Korean summary
“질병관리본부는 2015년 쿠도아충 환자 사례조사 (cases reports)를 발표하였다. 제주산 광어에서 발견되는 칠성쿠도아충이 급성 식중독을 일으키는 병인 원충이라는 주장과 관련한 병인성 (pathogenicity) 근거들을 정리한 결과 실험실적 근거에 일관성이 없었다. 이렇게 실험실적 근거가 불충분한 상황에서, 오직 환자사례 결과들만으로 칠성쿠도아충을 급성식중독의 역학적 인과성 (epidemiologic causality)을 부여하는 것은 과학적 타당성이 떨어진다.”
Key Message

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    Gyung-Hye Sung, In-Ji Park, Hee-Soo Koo, Eun-Hee Park, Mi-Ok Lee
    Parasites, Hosts and Diseases.2023; 61(1): 15.     CrossRef
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    Parasitology International.2022; 87: 102536.     CrossRef
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    Systematic Parasitology.2022; 99(5): 621.     CrossRef
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    BMB Reports.2020; 53(9): 478.     CrossRef
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    International Journal of Food Microbiology.2018; 266: 222.     CrossRef
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    Joon Jai Kim, Sukhyun Ryu, Heeyoung Lee
    Osong Public Health and Research Perspectives.2018; 9(2): 66.     CrossRef
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    Michio Jinnai, Takao Kawai, Tetsuya Harada, Yasutaka Nishiyama, Hiroshi Yokoyama, Sho Shirakashi, Hiroshi Sato, Junko Sakata, Yuko Kumeda, Yutaka Fukuda, Kikuyo Ogata, Kentaro Kawatsu
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  • Relationship between shipping amounts of olive flounder aquacultured from Jejudo and the reported events of acute food poisoning by Kudoa septempunctata in 2015, South Korea: an ecological study
    Jong-Myon Bae
    Epidemiology and Health.2017; 39: e2017041.     CrossRef
Methods
Meta-analysis for genome-wide association studies using case-control design: application and practice
Sungryul Shim, Jiyoung Kim, Wonguen Jung, In-Soo Shin, Jong-Myon Bae
Epidemiol Health. 2016;38:e2016058.   Published online December 18, 2016
DOI: https://doi.org/10.4178/epih.e2016058
  • 14,516 View
  • 369 Download
  • 3 Citations
AbstractAbstract AbstractSummary PDFSupplementary Material
Abstract
This review aimed to arrange the process of a systematic review of genome-wide association studies in order to practice and apply a genome-wide meta-analysis (GWMA). The process has a series of five steps: searching and selection, extraction of related information, evaluation of validity, meta-analysis by type of genetic model, and evaluation of heterogeneity. In contrast to intervention meta-analyses, GWMA has to evaluate the Hardy–Weinberg equilibrium (HWE) in the third step and conduct meta-analyses by five potential genetic models, including dominant, recessive, homozygote contrast, heterozygote contrast, and allelic contrast in the fourth step. The ‘genhwcci’ and ‘metan’ commands of STATA software evaluate the HWE and calculate a summary effect size, respectively. A meta-regression using the ‘metareg’ command of STATA should be conducted to evaluate related factors of heterogeneities.
Summary
Korean summary
오늘날 활발히 수행되고 있는 유전체역학연구는 재현성의 문제, 대상자 크기의 한계 등으로 유전체 메타분석 연구가 요구되고 있다. 유전체 메타분석의 전반적인 수행 단계는 약물, 수술 등의 중개연구의 메타분석처럼 5 단계를 밟아 수행된다. 그러나, 유전체 메타분석은 3번째 과정에서 Hardy–Weinberg equilibrium (HWE) 검정과 4번째 과정에서 5가지 가능한 유전형 모델에 따라 메타분석이 이루어진다는 점에서 중개연구의 메타분석과 차이가 있다.
Key Message

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Epidemiol Health : Epidemiology and Health