KMID : 1143420200130433094
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Public Health Weekly Report 2020 Volume.13 No. 43 p.3094 ~ p.3103
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Pathogen Surveillance of Viral Acute Gastroenteritis in Korea, 2019
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Cho Seung-Rye
Chae Su-Jin Lee Deog-Yong Choi Woo-Young Han Myung-Guk
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Abstract
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Acute diarrheal disease, a water and food-borne disease that causes symptoms such as vomiting, diarrhea and abdominal pain, is mainly caused by ingestion of water and food contaminated with pathogens. In collaboration with 70 hospitals and 17 health and environmental research institutes, the Korea Disease Control and Prevention Agency (KDCA) monitors acute diarrheal disease and characterizes the causative agent(s). This study analyzed the detection rates of five viruses (norovirus, group A rotavirus, enteric adenovirus, astrovirus, sapovirus) in the feces of patients who visited or were hospitalized for diarrhea in 2019: 10,157 cases. Viral pathogens were detected in 1,258 cases (12.8%) of the collected samples. Pathogen detection rates were high in those under 5 years of age (29.1%, 807 cases/2,776 cases) and norovirus was detected (18.9%, 526 cases/2,776 cases). Norovirus was detected monthly from January to May and group A rotavirus was detected between February and March, but enteric adenovirus, astrovirus, and sapovirus had no distinct monthly characteristics. The main genotypes of detected enteric virus were GII.4 for norovirus, F41 type for enteric adenovirus, 1a type for astrovirus, and GI.1 for sapovirus. In recent years, the epidemic of enteric viruses, which has a high detection rate in winter, continues until spring. Based on this study¡¯s detection of various genotypes in addition to major genotypes, continuous pathogen monitoring is required to identify changes in epidemic trends.
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KEYWORD
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Viral acute gastroenteritis, Acute diarrheal disease, Surveillance, Norovirus, Group A rotavirus, Enteric adenovirus, Astrovirus, Sapovirus
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