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KMID : 0367419770180040052
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Journal of Korean Pediatric Society
1977 Volume.18 No. 4 p.52 ~ p.60
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Some Prevalent Medical Problems of Children in Doctorless Area
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文炯魯/Moon, Hyung Ro
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Abstract
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A survey was carried out on some prevalent medical problems of children living in a doctor-less area during the period of July 26 to July 29, 1973.
Total two-hundred eighty-eight children among four-hundred fourty-two children who attended a mobile medical team organized by the Student Body of College of Medicine, Seoul National University were observed for age, sex, chief complaints, and presence and absence of pyodermas, dental carieses, missing teeth and filled teeth as well as helminthiasis.
The following results were obtained:
There were one-hundred fifty-five boys and one-hundred eighteen girls excluding fifteen children whose sexes were unrecorded.
Distribution of children according to age groups revealed 0~1 year, 22%; 2~6 years, 104%; 7^-12 years, 33% and 13^15 years, 11%.
Children´s illnesses classified symptomatologically based en chief complaints in order of dec. reasing frequency were skin diseases, abdomial pain, otorrhea, otalgia and/or hearing difficulty, cough, diarrhea, headache and/or dizziness, fever, eve diseases, growth and developmental retardations, enuresis and others.
Perleche or angular stomatitis was observed in 26% of total children examined. None of sixty-two infants revealed the lesion. The rates were 17% in 26 years group, 48% in 7~12 years group and 4096 in 13^-´15 years group.
Chronic purulent otorrhea was observed in 10% of total children surveyed (and the most of children who had otorrhea revealed pyoderms as well. The rates of children with chronicotorrhea were 5% in 01 year group, 6% in 26 years group, 15% in 712 years group and´ 1045 in 13^15 years group.
Twenty-three per cent of total children surveyed had various forms of pyodermas such as impetigo contagiosa, ecthyma, folliculitis, furuncle and carbuncle; warts, 12%; wounds including-insect bites, 8%; tinea capitis and tinea corporis, 4%; contact dermatitis, eczema and seborrhea, 4951; intertrigo, 4% and scabies, 1%.
Among two-hundred fourteen children excluding seventy-four young children before completion of primary dentition, the frequencies of decayed teeth, missing teeth and filled teeth were-19%, 13% and 0%, respectively.
The frequency of positive stool among one-hundred fifteen children examined for ova and parasites was 84%. The incidences of various forms of ova revealed were ascaris lumbricoides, fertilized, 60% ;;unfertilized, 22%; Trichocephalus trichiirus, 33%; Trichostrongylus orientalis,. 3% Taenia species, 2% and Enterobius vermicularis.2%
The effectiveness of mobile medical units activities in reducing the prevalent medical problems-of children in doctorless area was discussed in general.
Accessibility of comprehensive health care for all children can cnly be achieved by initation, of universal, compulsory government-sponsored insurance program and organizatioa of national health services so that the former serves to remove economic barriers for medical care and the latter to lessen gaps in the distribution of health services and personnel.
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