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      저자 : 최지완 ( Jeewan Choi ) (검색결과 1 건)
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      • 2019~2021년 육군 군부대 말라리아의 역학적 특성: 매개체 감시활동을 중심으로

        최지완 ( Jeewan Choi ),김유진 ( Yujin Kim ),하범만 ( Beomman Ha ),신현일 ( Hyunil Shin ),이버들 ( Buddle Lee ),주영훈 ( Younghoon Joo ),김재형 ( Jaehyung Kim ) 국군의무사령부 2022 대한군진의학학술지 Vol.53 No.1

        Objective: Military malaria patients continuously occur despite the preventive efforts, and the ROK Army started the malaria vector surveillance program co-operated with the Korea Disease Control and Prevention Agency (KDCA) since 2019. This study was performed to investigate malaria-epidemiological characteristics through malaria-vector surveillance during 2019∼2021. Method: Anopheles spp. were collected from the surveillance military units for 22 weeks from May to September during 2019∼2021. The ratio of Anopheles spp. was calculated, and Anopheles spp. infected with Plasmodium vivax were identified by nested polymerase chain reaction (nPCR). Correlations between the number of Anopheles spp. and the number of military patients were analyzed using the Pearson correlation test. Results: A total of 5,513 Anopheles spp. were collected, 2,866 in 2019, 1,500 in 2020, and 1,147 in 2021. The ratio of Anopheles spp. in total mosquitoes was 62.4%, and numbers of infected Anopheles spp. were 29 pools (17 in 2019, 11 in 2020, and 1 in 2021). There was a strong positive correlation between the number of Anopheles spp. and the number of military malaria-patients by year, but there was no correlation by month except for Paju-si in 2020. Conclusion: Military units had a higher ratio of Anopheles spp. than civilian region, and infected Anopheles species were also continuously collected, so it was necessary to comply with malaria prevention rules including chemoprophylaxis. From our study, we concluded that malaria vector surveillance is crucial and should be continued, and through malaria-vector surveillance, it could be possible to predict the occurrence of military malaria-patients.

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