• Proceedings of the Korea Contents Association Conference
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• 2014.11a
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• pp.61-62
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• 2014

말라리아는 인체에 감염되는 열원충의 종류에 따라 크게 열대열 원충, 삼일열 원충, 사일열 원충, 난형열 원충으로 구분된다. 말라리아는 감염 후 치료시기를 놓칠 경우 사망에 이를 수 있는 위험한 질병이므로 초기 진단을 위한 Rapid Diagnostic Test(RDT) 키트가 중요하다. 기존의 진단키트의 경우, 열대열 말라리아와 삼일열 말라리아를 동시에 검출하여 치료법이 다름에도 불구하고 구분하여 진단하기가 어렵다. 이러한 이유로 본 연구에서는 열대열 말라리아에 특이적인 RDT키트 개발을 위해, PlasmoDB에서 열대열 말라리아 항원 단백질을 얻고 BLAST를 이용하여 열대열 말라리아에 특이적인 항원 단백질 후보군을 얻었다. 이후 감염단계에 따라 우선순위를 정하고 SPpred에서 제공하는 protein solubility prediction을 통해 실험적으로 단백질 발현 가능 여부를 확인한 결과, 최종적으로 histidine-rich protein II, histidine-rich protein III, glycophorin binding protein를 선정하였다. 이들 단백질을 이용한 열대열 말라리아 진단키트 제작은 열대열 말라리아 특이적 진단을 효과적으로 할 수 있다.

• Journal of the Korean Data and Information Science Society
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• v.21 no.6
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• pp.1237-1242
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• 2010

Based on the detailed travel history of cases from 2006 to 2008 who reside in non-malarious areas, statistical estimates of the incubation periods were obtained. The data suggest that cases fall into two categories with short- and long-term incubation periods, respectively. 72 and 25 cases successfully met our criteria for inferring the durations of short- and long-term incubation periods. The mean short- and long-term incubation periods were estimated to be 25.42 days and 328.6 days weeks, respectively.

• Parasites, Hosts and Diseases
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• v.36 no.2
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• pp.143-146
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• 1998

Resistance of Plcsmodium species to antimalarial agents has become increasingly challenging to the management and prevention of malaria. We experienced an imported case of tertian malaria due to Plasmodum viuax relapsed after a seemingly successful treatment with conventional course of hydroxychloroquine and primaquine. A 35-year-old man developed fever three days after return from India and mainland China. After his illness was diagnosed as tertian malaria, he was managed with hydroxy- chloroquine and then primaquine (primaquine base 15 mg/day for 14 days). Thereafter peripheral blood smears showed no malarial parasites, and there was no relapse of symptom until the 55th post-treatment day, however, six months after the above treatment tertian malaria relapsed. He was managed with the same medications again un malaria did not relapse for 10 months.

• Clinical and Experimental Pediatrics
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• v.53 no.1
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• pp.85-88
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• 2010

Malaria caused by Plasmodium species is characterized by paroxysms of fever, chills, fatigue, anemia, and splenomegaly. Vivax malaria has lately re-emerged as an infectious disease and has exhibited high transmission rate in northern Gyeonggi-do province. We encountered a case of malaria in a child presenting with fever and thrombocytopenia who had recently made a school excursion to Pocheon-gun, Gyeonggi-do. The child was diagnosed with Plasmodium vivax malaria and treated with hydroxychloroquine and primaquine. Here, we present this case with a brief review of the literature.

• Parasites, Hosts and Diseases
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• v.35 no.4
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• pp.291-294
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• 1997

On July and August 1997 two 15-year-old mates of a football team of Tongjin Middle School in northern Kyon99i-do, Korea were consecutively diagnosed as vivax malaria by peripheral blood smear. They had no histories of travelling abroad or drug abuse. Thry witnessed that othev mates in the tram were ill of fever in the same period. A small survey was therefore undertaken to determine whether vivax malaria was outbroken locally. A total of 57 students of the team living together in a dormitory was examined for history of fever. presence of splenomegaly, blood smear and anti-p. uiuax antibody test by immunofluorescent antibody test (IFAT) . Except for the above two patients, only one case rrvraled a marginal tiler of IFAT. No other positive findings of vivax malaria were found. In the results of this local survey. no move cases of vivax malaria were revealed except the two sporadic cases.

• Parasites, Hosts and Diseases
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• v.32 no.3
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• pp.195-200
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• 1994

Malaria is estimated to have a worldwide incidence of more than 100 million clinical cases and approximately 1 miuion deaths per year. Korea, although previously tnlown as an endemic area of tertian malaria (Pzosmonin vivax), has been considered free from malaria as there had been no report on indigenous cases since 1984. Recently, however, we experienced an indigenous case of P. viuax infection in a young man who had never been abroad. The patient was a 23-year-old Korean soldier with 18-day history of recurrent fever and chill lasting 4 to 8 hours on alternative days since mid-July 1993. He had lived in Changwon, Hyongsangnam-do, before entering barracks located in Paiu-gun, Kyonggj-do on Jne 1992, and had never been out of Korea. He had no history of blood transfusion nor parenteral use of drugs. The peripheral blood smears showed typical ring forms, trophozoites, and gametocytes of p. uiuox, in addition to mild anemia and thrombocytopenia. After confirmation of the diagnosis, he was treated with hydroxychloroquine and primaquine. Follow-up blood smears no more revealed malaria parasites. It is not certain whether the present case is due to a resurgence of indigenous malaria or a secondary infection from introduced mnuia. Whichever the source of infection the domestic occurrence of mnuia cycle in Korea should be a warning sign in public health point of view.

• The Korean Journal of Applied Statistics
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• v.21 no.6
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• pp.901-910
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• 2008

Incidence of Plasmodium vivax malaria in South Korea have been reemerged from mid-1990 and infected around 1600 patients annually recent years. The authors calculated the distribution of malaria infection and prevalence in South Korea using incidence (2001-2006) and incubation period distributions by a back-calculation formula and the least squares estimation method. The estimated infection has a normal distribution with a mean 207 and a standard deviation 30.7 days. In addition, the authors found the estimated daily average prevalence is 628.8 patients.

• Journal of Yeungnam Medical Science
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• v.14 no.2
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• pp.467-473
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• 1997

South Korea has been free from endemic malaria by P. vivax since the mid-1980s, but malaria infections, including military outbreak in 1995, have been increasing steadily in the soldiers serving near the western part of Demilitarized Zone(DMZ) since its first resurgence in 1993. We experinced 8 cases of delayed onset P. vivax malaria in young men who had never been abroad and had no history of blood transfusion or parenteral use of drug. All the patients had served near the western part of DMZ during their military life. They were admitted to Yeungnam University hospital due to cyclic fever with chills and the clinical symptoms were developed 2 months to 11months after discharge from military service. Peripheral blood smears showed typical ring forms and trophozoites of P. vivax in red blood cell. Patients were treated with hydroxychloroquine and primaquine showing rapid clinical and hematologic responses in all cases, but 2 cases were relapsed later. We presumed that theses cases were delayed onset of P. vivax infection resulted from the recent outbreak in the western part of DMZ, in 1995. Therefore, we reported theses cases to emphasize the need of active surveillance and prevention.

• Pediatric Infection and Vaccine
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• v.10 no.2
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• pp.200-207
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• 2003

Purpose : Malaria is known to have been eradicated for a few decades through persistent national health program in South Korea. However, malaria caused by Plasmodium vivax has started to reappear incidiously among military personnel near to DMZ since 1993. After then, the number of malarial cases have been increased abruptly year by year. We analyzed the children of indigenous malaria who were diagnosed by peripheral blood smear and malarial antibody test with regards to epidemiologic and clinical manifestations. Methods : The study 13 cases below 15 years of age, who were confirmed as vivax malaria during from January 2000 to August 2003. We retrospectively analyzed epidemiologic data, clinical manifestations, laboratory findings and therapeutic responses. Results : All of 13 cases were indigenous and tested positive for Plasmodium vivax. Of 13 patients, 9 were male and 4 were female. Mean age of onset was $9.5{\pm}3.6$ years old. Ilsan(n=9) was the most prevalent area, the most patients(n=11) were presented in summer (from June to August). A characteristic feature of periodic 3 day fever in patients with P.vivax infection was reported in only 2 among 13 cases. Thrombocytopenia was most prominent findings, which was accompanied by 12 of 13 patients and pancytopenia was appeared in 3 patients on this study. The therapeutic responses of hydroxycholoquine were very good in all cases, and abnormal laboratory findings were recovered and no relapse during follow-up period. Conclusion : Vivax malaria is indigenous in Korea near to DMZ, but recently endemic area seemed to be extended southward. Plasmodium vivax is the cause of indigenous malaria of children. As for children with high fever accompanying thrombocytopenia in endemic area of Korea, malaria must be included in differential diagnosis whether the type of fewer is periodic 3 day fever or not. Malaria antibody test is helpful as a screening test for malaria.

• Proceedings of the Korea Water Resources Association Conference
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• 2012.05a
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• pp.457-457
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• 2012

말라리아는 매개체에 의한 전염병으로써 국내에서는 이미 1970년대에 사라진 것으로 알려져 있다. 하지만 1990년대에 재발생하여 2000년대 초반까지 경기도와 강원도 북부지역에서 환자가 증가하는 양상을 보였다. 사람에게서 발병하는 말라리아는 4종으로 알려져 있으나 우리나라의 경우 이 중 오로지 삼일열 원충감염에 의한 것으로 밝혀졌다(질병관리 본부, 2010). 기후변화는 질병의 발생에 영향을 미칠 수 있는 중요한 요인 중 하나로써 매개체에 의한 질병의 경우 기후요소는 매개체의 번식과 활동에 적지않은 영향을 미친다. 특히 말라리아의 경우 병원균을 가진 개체수와 모기에 물리는 횟수, 감염된 모기의 수, 그 모기에 사람이 물리는 횟수와 관계가 있으나 기온과 강수량, 습도의 변화 등 기후 및 수문학적 요소와도 밀접한 관계를 가지는 것으로 밝혀졌다(Lindsay & Birley, 1996; 박윤형 외, 2006; 신호성, 2011 재인용). 본 연구의 목적은 한반도 기후-수문학적 환경특성 및 변화를 파악하고 지역적 말라리아 발생과의 상관관계를 도출하며 이를 기반으로 하여 말라리아 발생의 변동을 예측하는 것이다. 분석에 사용된 데이터는 말라리아 발생자료의 경우, 질병관리 본부에서 제공하는 2001년 1월~2011년 12월 까지의 약 16000건의 발병자료가 포함 되었고 분석의 시간 단위는 2WEEKS 이며 전국 251개의 시군구에서 발생한 전염병을 합산하였다. 기상자료의 경우 기상청 기후자료 관리 시스템에서 제공하는 동일 기간대의 평균기온, 최고(최저)기온, 강수량, 신적설, 평균 해면기압, 평균 이슬점 온도, 평균 상대습도, 평균풍속, 평균운량, 일조시간 자료를 활용하였다. 본 연구에 사용된 AWS(Automatic Weather Station)자료의 경우 기본적으로 point 형태의 관측자료이고, 분석기간 동안의 개수에서도 차이가 있기 때문에 공간 내삽기법인 kriging을 활용하여 행정구역과 zonal하는 방법으로 재가공 하였다. 지역의 수문학적 특성의 경우 10*10 DEM을 기반으로 ESRI ArcGIS 소프트웨어의 ArcHydro 기능을 이용 하여 유역을 생성하는 방법을 채택하였다. 본 연구에서는 통계적 모형을 기본으로 기후 및 수문 특성과 말라리아 발생간의 상관관계를 분석하였으며 시계열 자료의 특성상 포아송 분포의 Generalized Estimation Equation 과 Generalized Linear Model을 이용한다(Baccini 외, 2008; 신호성, 2011). 또한 말라리아 잠복시간의 지연효과 및 전염병의 계절 영향을 반영하기 위하여 Fourier transform 을 적용 하였다.