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KMID : 0360919650080100939
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Journal of the Korean Medical Association
1965 Volume.8 No. 10 p.939 ~ p.954
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EPIDEMIOLOGIAL STUDY OF PARAGONIMIASIS IN AHNSUNG-GOON AND PYUNGTAEK-GOON, KYUNGGI-DO
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尹德鎭/Yun, Duk Jin
李琦寧/金永複/尹麟在/Lee, Kee Young/Kim, Yung Bok/Yun, In Jae
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Abstract
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Ahnsung-Goon is located in the southern part of Kyunggi-Do, borders with Ihchun-Goon on the east, with Choongchungbook-Do and Choongchungnam-Doon the south, with Pyungtaek-Goon on the west, with Yongin·Goon on the north and is mountainousin the eastern half of the Goon. This Goon containstwelve Myuns of Ihljook, Ihjook, Samjook, Keumkwang, Bokae, Kosam, Yangsung, Daeduk, Suhwoon,Miyang, Wonkok and Kongdo.
Pyungtaek-Goon is located in south-western part of Kyunggi-Do and borders with Ahnsung-Goon on the east, with choongchungnam-Do on the south, with fellow Sea on the west and with Hwasung-Goonon the north and consists of plain fields and lowmountains. This Coon contains nine Myuns of Song-tan, Jinwee, Suhtan, Koduk, Paengbook, Choongbook, Ohsung, Hyunduk, and Poseung. Each Myunhas about 10,000-l5,000 population and has 5 to10 Ris.
This study was directed to these Goons as a part of the program of studying dirertly making a trip to each Myun in every Goon in Kyunggi-Do as finding out the districts which have the crayfish and crabs having Paragonimus metacercaria is urgent because many children in rural areas eat raw and slightly roasted crayfish and crabs and soysauce soaked crabs and there is a traditional custom of taking raw crayfish juice for the treatment of measles producing many public health problems. One primary school from each Myun was selected and pupils in olderage groups were tested for this study being asked about their custom of eating raw and poorly roasted crayfish and crabs and their environmental situation sregarding drinking water and testing them with Paragonimus and Clonorchis antigen. The crayfish caught from the Myun showing over 5% of positive rate in Paragonimus skin test were examined for Paragonimus metacercaria.
The children who ate raw crayfish in Ahnsung-Goon ranged from nil in Daeduk-Myun and Wonkok-Myun to 31.6% in Keumkwang-Myun. The children
who ate poorly roasted crayfish in Ahnsung-Goonranged from 6.4% in Wonkok-Myun to 88.0% in Yangsung-Myun. Many male children and few female children in most of the Myuns in the Goon ate raw crayfish. The children who ate crabs were rare in Ahnsung-Goon except a few Myuns such as Miyang-Myun and Kongdo-Myun. The children who drank the water of streams were rare, who drank the water from shallow wells were rere in the western part of Ahnsung-Goon but many in the mountainous areas of the Goon.
The children who ate crayfish in Pyungtaek-Goonwere rare except Songtan-Myun and Jinwee-Myunand crabs seemed to be abundant in most Myun of the Goon except for Songtan-Myun ans Jinwee-Myun. The children who drank the water of streams and from shallow wells were rare in Pyungtaek-Goon. The positive rate with Paragonimus skin test was low in both Ahnsug-Goon and Pyungtaek-Goonranging from 0% to 3.33% in Suhwoon-Myun, Ahn-sung·Goon from where 100 crayfish were caught and showed negative for Paragonimus metacercarla .
The custom of taking raw crayfish juice for the treatment of mealsles is also prevale in these Goons which may give many harmful effects to growing children. I wish the public health authorities and educational authorities in these Goons would strive to eradicate this bad custom.
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KEYWORD
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