우리나라의 장티브스 발생(發生)에 대(對)한 역학적(疫學的) 고찰(考察) = An Epidemiological Study on Typhoid Fever in Korea

다국어 초록 (Multilingual Abstract)

Typhoid fever is one of the most serious health hazards in Korea. Although the incidence rate has been assumed to be very high. This study was carried out using the records of the acute communicable diseases reported to the Ministry of Health and Soclal Affalrs during past 10 years from 1961 to 1970. The results are summarized as follows: 1. Typhoid fever cases were 60.2 percent of the class 1 communicable disease cases in the past 10 years in Korea. 2. The Morbidity rate for typhoid fever .was 14.9 based on 100,000 population, and the case fatality ratc was 2. 1 percent. 3. The high epidemic period is from May to October each year. The frequency of incidence was highest in July. 4. The incidence is higher in the rural areas, lower in urban area, but lowest in mountainous districts. 5. The number of typhold fever mobidity was higher amongmales than females and the high incidence age group was the 10 to 35 age groups (Median 22.35 years, standard deviation 12.50) 6. Most typhoid fever cases were diagnosed by clinical dispensary. (Clinical dispensary diagnosis 71.3 %, serological examination 24.3 %, bacteriological examination 4.4 %) 7. The expenditure on typhiod vaccine averaged 20.8 percent of population based on 0.5 ml doses given to the whole population. 8. Piped mineral water supply ratio was 24.0 percent based on the total number of houses in Korea in 1970. The authors recommend the need for nationwide hea1th education and increased safety of drinking watcr supply system in the rural areas. The cnotrol and detecion of carriers should be processed bacteriologically and serological diagnosis and annually vaccintions should be given to the age group from 9 to 35 years seasonally in March or April.