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KMID : 0378019750180050629
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New Medical Journal
1975 Volume.18 No. 5 p.629 ~ p.635
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Incidence and Control of Typhoid Fever and Its Suspected Cases in a Rural Community(IV)
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Abstract
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It is one of very difficult social problems to do control of typhoid fever in recent of Korea. As much as there are endemically prevalent, most of physicians say generally that the differential diagnosis of typhoid fever and other similar febrile diseases was also difficult due to the symptoms are mutually similar but also the serological reaction is weaken and bacteriological cultivation is very wrong. The trend of its pettern was begun since 1952, when chloramphenicol was firstly introduced and frequently prescripted by most of pharmacists or patients own without Dr. ´s prescriptions according as free-selling at most of dnug-shops for the suspected salmonellosis or some inflammatory diseases not well defined.
On the other hand, most of hygienic facilities for environmental sanitation such as sewer, toilet, water supplying system and the like were under developed except some parts of sevral large cities. Other while, most of rural people can not used to treated drinking water and then they must used to well water, springs or small streams, but from 1971 the popular movement for constructing new village with improvement of the life-environment contained improving environmental sanitation should be give hope preventing, water borne diseases in future, as though that was introducted by Government.
This report is the results of that investigated the status in a rural community, Gyeongsan Gun,
Gyeongbuk, Korea from 1971 to 1974 by health center regarding to. -
The authoriy of health center emphasized reporting through net work with local physicians, chief of Dong and Myun (administrative small units), and a mobile team for prevention of epidemics. It was administered by their own to protect the water borne. diseases. The program was :scheduled. And spreying for contaminated places, vaccination for residents and disinfection of wells. carried out in spreading or suspected villages. But the practice of program was incompleted due to the lake of budget for man-power and others required for these works.
During four years, the simple water supplying system was constructed every one or more in 93 villages (33. 3%) out of 281, but average supplying rate of treated water was only 16.7% of total 29, 514 households and 17. 1 % of total 167, 876 populations. subjected.
Although the simple system was aleady constructed, only about 59% of total households and about 58% of total population were supplyed with treated water.
Only in 16% of villages supplying treated water, 90% or more of total households and population is benefited by civillization.
To be benefite by completed water in future, we must be make efforts more so that it may to be continue the project of construction of simple water supplying system as though the annual increasing rate of construction don´t over about four percent only in average.
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