Epidemiological survey on paragonimiasis in Kang Hwa Gun

, Rim, Han Jong; , Lee, Joon Sang; , Chung, Han Sung; , Hyun, Il; , Jung, Kye Hun

doi:1975.13.2.139

Korean J Parasito > Volume 13(2):1975 > Article

Original Article


Korean J Parasitol. 1975 Dec;13(2):139-151. English. Published online Mar 20, 1994. http://dx.doi.org/10.3347/kjp.1975.13.2.139
Copyright © 1975 by The Korean Society for Parasitology


Epidemiological survey on paragonimiasis in Kang Hwa Gun
Han-Jong Rim,Joon-Sang Lee,Han-Sung Chung,Il Hyun and Kye-Hun Jung
Department of Parasitology and Institute for Tropical Endemic Diseases, College of Medicine, Korea University, Seoul, Korea.


Abstract
This study was undertaken to evaluate the status of human paragonimiasis in Kang Hwa Gun, Kyunggi Do, Korea from March 1973 to October 1975 by the use of intradermal screening test with Veronal buffered saline antigen. A total number of 7,352 (male 3,936; female 3,4l6) consisting of 3,447 primary school children, 2,689 middle school students, l,008 high school students of 9 Myuns out of 13 Myuns of this County and 208 residents of all age group in Kilgeong-Ri, Yangdo Myun were examined by the intradermal test with Paragonimus antigen. In order to detect Paragonimus egg, the sputum and the stool examinations were undertaken on the residents in Kilgeong-Ri.The infestation rate of crayfish with Paragonimus metacercaria was also examined in Konneung and Jeongha village in Kilgeong-Ri. The following results were obtained in this survey: 1. As a whole, 16.6 per cent of the examiners showed positive reaction with sexual difference of 16.1% in male and 14.8% in female. 2. In age groups, the highest positive rate showed in middle school age group (17.1%) than primary school (14.0%) and high school age group (11.4%). 3. In regional differences of positive rates, the highest rate (28.4%) showed at Yangdo Myun followed by Kilsang Myun (27.0%), Hwado Myun (%), and Naega Myun(20.8%). 4. In the result of 208 residents Kilgeong-Ri, the positive of 36.1% in male and 20.2% in female. The highest positive rate showed in 10 to 19 age group (41.5%). 5. Among the residents in Kilgeong-Ri, Paragonimus eggs were detected in 11 residents by the sputum and the stool examinations. 6. The infestation rate of crayfsh with Paragonimus metacercariae was 100% (41 out of 41 crayfishes) in Konneung village, and 84.6% (9 out of 13 crayfishes) in Jeongha village, Kilgeong-Ri. 7. The fluctuation of the infection rate of crayfish with Paragonimus metacercariae was decreased in Konneung village in 2 years after the treatment with Bilevon against 10 paragonimiasis patients.

Figures


	Fig. 1 Map showing the geographical distribution of Paragonimus westermani infection by skin test positive rate in Kang-wha Gun.

Tables


	Table 1 Prevalence rates of P. westermani in Kang-wha Gun by skin test


	Table 2 Prevalence rates of dermal reactors to P. westermani antigen in different schools in Kang wha Gun


	Table 3 Prevalence rates of P. westermani positive in Kang-wha Gun by skin test


	Table 4 Positive rates of intradermal test with P. westermani antigen by age and sex at Kilgeong-Ri, Kang Hwa Gun


	Table 5 Paragonimus metacercaria infestation in crayfishes at a stream of Kilgeong-Ri, Yangdo Myun, Kang Hwa Gun (1973)


	Table 6 Paragonimus metacercaria infestation in crayfishes at the same stream of Konneung village, Kilgenog-Ri, Yang-do Myun, Kang Hwa Gun


	Table 7 Comparison of positive rates for Paragonimus intradermal test among school children Kang Hwa Gun

References


1.	Ishizaki T. Jpn J Parasit 1973;22(1):13–33.

2.	Kang SY, Loh IK, Song TY, Lyu TS. [Studies on paragonimiasis in Ko-Hoong County, Korea (Report 1.): An epidemiologic survey for human paragonimiasis by the use of intradermal screening test]. Korean J Parasitol 1964;2(3):189–194.

3.	Kim JS. A Study On The Infection Status On Intermediate Hosts By Paragonimus On Che Ju Island. Korean J Parasitol 1969;7(3):171–177.

4.	Kim JS. Seoul University J Med and Pharm 1969;20:17–32.

5.	Kim JS. A Comparison Of Sensitivity On Stool And Sputum Examination For Diagnosis Of Paragonimasis. Korean J Parasitol 1970;8(1):22–24.

6.	Kim JS, Park SS. [Values of intradermal test and multiple sputum examinations for Diagnosis of paragonimiasis]. Korean J Parasitol 1974;12(2):119–125.

7.	Miller FL, Walker R. The roentgen characteristics of pulmonary paragonimiasis. Radiology 1955;65(2):231–235.

8.	Miyazaki I. Jpn J Trop Med 1969;10(1):8–13.

9.	Miyairi K. Jikken Iho 1917;2(21):22.

*10.*	Park CM. Yonsi Med J 1962;3(1):85–92.

*11.*	Rim HJ. Korea med J 1975;12(3):425–457.

*12.*	Sadun EH, Buck AA, Lee BK, Moon CH, Burke JC. Epidemiologic studies for paragonimiasis and clonorchiasis by the use of intradermal tests. Am J Hyg 1959;69(1):68–77.

*13.*	Sadun EH, Buck AA. Paragonimiasis in South Korea--immunodiagnostic, epidemiologic, clinical, roentgenologic and therapeutic studies. Am J Trop Med Hyg 1960;9:562–599.

*14.*	Seo BS, et al. Seoul J Med 1971;12(1):31–43.

*15.*	Soh CT, et al. Yonsei Med J 1961;2:31–41.

*16.*	Walton BC, et al. Bull Wld Hlth Org 1956;21:721–726.

*17.*	Yokogawa M. J Parasit 1958;44(4) Suppl:18.

*18.*	Yokogawa S, Cort WW, Yokogawa M. Paragonimus and paragonimiasis. Exp Parasitol 1960;10:81–137.

*19.*	Yokogawa M, et al. Jpn J Parasit 1971;20(3):215–221.