• Title/Summary/Keyword: Endemic diseases

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Ancient Human Parasites in Ethnic Chinese Populations

  • Yeh, Hui-Yuan;Mitchell, Piers D.
    • Parasites, Hosts and Diseases
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    • v.54 no.5
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    • pp.565-572
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    • 2016
  • Whilst archaeological evidence for many aspects of life in ancient China is well studied, there has been much less interest in ancient infectious diseases, such as intestinal parasites in past Chinese populations. Here, we bring together evidence from mummies, ancient latrines, and pelvic soil from burials, dating from the Neolithic Period to the Qing Dynasty, in order to better understand the health of the past inhabitants of China and the diseases endemic in the region. Seven species of intestinal parasite have been identified, namely roundworm, whipworm, Chinese liver fluke, oriental schistosome, pinworm, Taenia sp. tapeworm, and the intestinal fluke Fasciolopsis buski. It was found that in the past, roundworm, whipworm, and Chinese liver fluke appear to have been much more common than the other species. While roundworm and whipworm remained common into the late 20th century, Chinese liver fluke seems to have undergone a marked decline in its prevalence over time. The iconic transport route known as the Silk Road has been shown to have acted as a vector for the transmission of ancient diseases, highlighted by the discovery of Chinese liver fluke in a 2,000 year-old relay station in northwest China, 1,500 km outside its endemic range.

Present Status of E. vermicularis Infestation in Primary Schools and Orphanages (국민학교(國民學校) 및 집단주거시설(集團住居施設) 아동(兒童)의 요충감염현황(蟯蟲感染現況))

  • Kim, Jong-Seong;Lee, Joon-Sang;Joo, Kyoung-Hwan;Rim, Han-Jong
    • Journal of agricultural medicine and community health
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    • v.13 no.1
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    • pp.26-31
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    • 1988
  • An epidemiological study was undertaken to evaluate the prevalence of E. vermicularis infestation among children in primary schools and orphanages. A total of 2,966 children in primary schools and orphanages was examined for F. vermicularis by means of cellotape anal swab technique. The purpose of the present studies is to determine the prevalence of enterobiasis among children and to make a comparison with the rate of infestation by survey areas. The result could be summarized as follows : 1) The egg positive rate of cellotape anal swab method was 16.3% out of 2,966 children. 2) The egg positive rate of urban area was 6.9% out of 1,144 children and the egg positive rate of rural area was significantly higher than that of urban area. 3) The egg positive rate of boys and girls were 15.7% out of 1,528 children and 16.9% out of 1,438 children. 4) The egg positive rate of primary schools, orphanages and mental retardation child group was 11.3% (out of 2,412), 32.7% (out of 416) and 55.1% (out of 138) respectively. There was noted a tendency of decrease in prevalence by increase of the age.

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Determination of Antigenicity and Characterization of Proteinase from Tissue Invading Nematode Larvae (조직기생 선충류 유충에서 분리한 단백 분해 효소의 특성 및 항원성 검토)

  • Rim, Han-Jong;Joo, Kyeong-Hwan;Choi, Sung-A;Lee, Hye-Jeong;Joo, Chong-Yoon;Chung, Myung-Sook
    • Journal of agricultural medicine and community health
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    • v.22 no.1
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    • pp.61-74
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    • 1997
  • In case of tissue invading nematode, proteolytic enzyme was required at their parasitic life. Proteinases obtained from these parasites(Toxocara canis, Ansakis spp. and Trichinella spiralis) were extracted, isolated and further purified. And then the analysis for activity and inhibitory effect of proteinases were performed by appropriate substrate. Determination of protein as a circulating antigen was done in use of infected animal serum with above parasites, respectively. For above experimental objects, following procedures were performed. First, enzymatic activity was measured in use of azocasein and inhibitory effect of porteinase were studied by various inhibitors. Second, partially purified proteins containing enzymatic activity were obtained by ion exchange chromatography, ultrafiltration and electrophoretic elution. Third, role of the partially purified protein as a circulating antigen. The results obtained were as follows : 1. Enzymatic activity of each nematode proteinase was varied according to pH. Optimal pH of Toxocara canis, Ansakis spp. and Trichinella spiralis were pH 6.0, pH 5.5 and pH 6.5, respectively. The optimal molarity of buffer was 0.1M phosphate buffer. Although little difference between these proteinases was observed, temperature stability was at least maintained at $4^{\circ}C$ until 5 days. 2. In case of Ansakis spp. and Toxocara canis, enzymatic activity of these proteinases was considerably inhibited by Leupeptin and EDTA. For maximum enzymatic activity of above proteinases, it was required that cysteine residue of enzyme should be protected. And it was suggested that metallo type was contained in enzyme active site. Proteinase of Trichinella spiralis contained metallo type also. 3. Although partial purification was performed in Ansakis spp. and Toxocara canis, proteins maintaining enzymatic activity were identified as a circulating antigen. From SDS-PAGE and immunoblot, 25 kDa was presented in Ansakis spp.. Specific antigen of Toxocara cains was 110 kDa protein fraction. 55 and 42 kDa proteins were reacted with normal serum. Trichinella spiralis 60 kDa protein fraction was successfully purified from excretory materials in culture. As a result of immune-reaction with Trichinella spiralis infected serum, highly purified 60 kDa protein was maintained antigenicity until final purification step.

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Changes of Serum antibody Levels by Indirect Hemagglutination Test after Treatment in Clonorchiasis (IHA(Indirect hemagglutination test)를 이용한 간흡충증(肝吸虫症)의 면역혈청학적(免疫血淸學的) 진단(診斷)에 관한 연구(硏究) -ELISA법과의 비교(比較) 및 치료(治療) 전후(前後) 의 혈청항체가(血淸抗體價) 변동(變動)에 관하여-)

  • Joo, Kyoung-Hwan;Kim, Jong-Seong;Chung, Myung-Sook;Rim, Han-Jong
    • Journal of agricultural medicine and community health
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    • v.12 no.1
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    • pp.117-123
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    • 1987
  • Detection of IgG antibody in clonorchiasis has been accomplished through various serodiagnostic procedure including complement fixation test, gel diffusion test, indirect fluorescent antibody test, indirect hemagglutination test etc. In this report enzyme immunoassay (ELISA) and indirect hemagglutination test (IHA) were used to determine IgG serum antibody levels before and after therapy with praziquantel. Briefly, sera from 62 cases of confirmed human clonorchiasis were examined before and after treatment with praziquantel. Among 62 cases treated 25 cases were categorized as completely cured groups by formalin-ether and careful examination of 4 cellophane thick smered slides at 18 months after treatment. The sera of 25 cases of cured groups were examined again by ELISA and IHA, and com-pared to the previous data. The results obtained were as follows; 1) Sensitivity of IHA test was 83.6% when cut-off titer of 1:8 was applied. No sera obtained from 10 normal healthy control showed positive reaction. 2) Twenty cases (80.0%) out of 25 cured one showed negative results by IHA at 18 months after treatment. 3) Although 5 cases showed positive titer even 18 months after treatment 3 cases of them showed decreased antibody titer. However 2 cases did not show any response. 4) Even though almost all cases showed de- creased ELISA value, only 11 cases (44.0%) out of 25 patients showed negative results by ELISA at 18 months after treatment. In conclusion, it is suggested that, while IgG ELISA for detecting long persisting antibody was more sensitive than IHA, IHA results more conclusively indicated effective treatment in clonorchiasis by negative conversion than did the results of ELISA.

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Evaluation of Cellotape Anal Swabs in the Diagnosis of enterobiasis (요충층에 있어서 항문주위 도말법의 검토)

  • Kim, Jong-Seong;Choi, Hyang-Hee;Joo, Kyoung-Hwan;Rim, Han-Jong
    • Journal of agricultural medicine and community health
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    • v.12 no.1
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    • pp.94-101
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    • 1987
  • Enterobiasis is common helminthic infections found in man. But control of this disease is still troublesome because of its difficulty in the d diagnosis and prevention of infection. Considering the difficulty of accurate diagnosis of pinworm infection, which is very common and somewhat pathogenic, reevaluation of cellotape anal swab method for the diagnosis of enterobiasis was performed. A total of 147 children ranging the ages of 1-12 years in 3 orphanages in the suburbs of Seoul, Korea was subjected for this study. Repeated cellotape anal swabs were carried out against 70 children, 7 times for 3 days interval, in the morning 6am. Finally 10 mg/kg body weight pyrantel pamoates were given to all children including egg negative cases and whole stools of 3 following successive days were collected for the confirmation of residual worm ourden at the time of treatment. Cellotape anal swabs were also performed to another 77 children at 6am, 3pm, 9pm, twice for 3 days interval. The resultant findings were summarized as follows; 1) While the each time average detection rate of Enterobius egg was 28.8% in this study group, the accumulative detection rate up to 7th examination was 62.8%. The accumulative detection rate rose continuously up to 6th examination. 2) After administration of pyrantel pamoate 10 mg/kg body weight, final infection rate was increased to 72.9% by adding worm positive cases who didn't show any evidence of infection in the cellotape anal swabs. 3) Although pinworms were detected in 35 among 70 children treated, 7 cases (20%) of them were egg negative cases in 7 consecutive cellotape anal swabs. 4) Pinworms were expelleded in 14 (87.5%) among 16 children whose swab result was positive in the last examination which was done concurrently with drug administration. 5) Estimated infection rate calculated by best asymptotically normal estimate of Neuman from Moriya's modification revealed 71.5% similar to 72.9% of present results. 6) The result of anal swab performed at 6am was higher than that of 3pm or 8pm. In conclusion, cellotape anal swab method for Enterobius vermicularis infection was considered as method having relatively high positive accuracy. However to gain the reliable infection rate, at least 6 examination is required in the group with 25-30% infection rate by single swab. Moriya's modification of Neuman could be used efficiently in the mass control of this diease for the estimation of true infection rate of E. vermicularis in the sampled population.

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Clinical and Histopathological Findings in Mice Heavily infected with Fibricola seoulensis (Fibricolu seoulensis 중감염 마우스의 임상적 및 조직병리학적 소견)

  • Sun Huh;Jong-Yil Chai;Sung-Tae HONG;Soon-Hyung Lee
    • Parasites, Hosts and Diseases
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    • v.26 no.1
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    • pp.45-54
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    • 1988
  • To observe the clinical course and intestinal histopathology in heavy infection of Fibricola seoulensis, an experimental study was performed in mice. Clinical, experimental infection with 1, 000 metacercariae. On the 11th day after infection, the mice began to die and all of the infected mice were dead by the 16th day. The infected mice showed gradual weight loss. Occult blood was detected after the 10th day. Diarrhea accurred after the 9th day and was recognized in all of the infected mice on the 12th day. Hemoglobin and mean corpuscular hemoglobin decreased significantily after the 12th day, and mean corpuscular hemoglobin concentration decreased in all infected mice. The histopathological changes were more marked in the duodenum than in the jejunum or ileum. Major changes were villous atrophy and crypt hyperplasia, with decreased villus/crypt ratio, inflammatory cell infiltration and stromal edema. The present results suggest that the cause of death of mice heavily infected with F. seoulensis should be malnutrition and severe fluid loss due to malabsorption, together with intestinal bleeding.

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Parasitic Infection Among Inhabitants in Urban Area of Seoul (서울지역(地域)에 있어서 기생충(寄生虫) 감염(感染) 조사성적(調査成績))

  • Lee, Joon-Sang;Joo, Kyung-Hwan;Chung, Young-Suk;Rim, Han-Jong
    • Journal of agricultural medicine and community health
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    • v.10 no.1
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    • pp.36-41
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    • 1985
  • To evaluate the parasitic infection rates among inhabitants in urban area of Seoul, Korea, a total of 5,275 stool and anal swab specimens was obtained from 2,527 male and Z,748 female living in 24 Dongs of 17 Kus. Cases were sampled randomely to represent 1,000 inhabitants refereed to the census in 1980. The methods employed were formalin ether technique to detect helminth ova and protozoan cysts and scotch tape anal swab technique to detect eggs of Enterobius vermicularis. The results obtained are as follows ; 1) Total positive rate of helminthes was 23.5% among 5,275 (male 22.5% and female 24.5%) specimens. Nine kinds of the helminthes were detected and infection rates of each helminth were; Ascaris lumbricoides 4.1%, Hookworm 0.1%, Trichuris trichiura 11.1%, Trichostrongylus orientalis 0.1%. Clonorchis sinensis 1.2%, Metagonimus yokogawai 0.1%, Taenia spp. 0.2%, Hymenolepis nana 0.3 and Enterobius vermicularis 9.6%. 2) Total positive rate of intestinal protozoa was 1.4%. Four kinds of the protozoan cysts were detected and the infection rates of each protozoa were; Entamoeba histolytica 0.15%, E. coli 0.4%, Endolimax nana 0.04% and Giardia lamblia 0.89%. 3) No significant differences in the parasitic infection rate by sex was noticed although male group showed lower infection rate than female group. However the incidence of C. sinensis, M. yokogawai and Taenia spp. was twice as much in female group as in male group. 4) No difference in the infection rate by age was found although E. vermicularis positive rate was highest in "0~9 years group" by 2.1% and C. sinensis infection rate was higher in over "30~39 years group". The parasitic infection rate of the present study was significantly lower than those of previous reports in Seoul area and other provinces.

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Epidemiological change on Paragonimiasis 2nd intermediate host in Kang Hwa Gun (강화군(江華郡)의 폐흡충중간숙주(肺吸虫中間宿主)에 관(関)한 역학적(疫學的) 추이(推移))

  • Lee, J.S.;Kim, J.R.;Kim, S.J.;Rim, H.J.;Song, O.D.;Kim, M.S.
    • Journal of agricultural medicine and community health
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    • v.4 no.1
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    • pp.71-80
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    • 1979
  • Paragonimiasis is a common trematodiasis of medical importance and one of public health problems in many areas of sob thern part of Korea. During the last sixty years, several on the prevalence among the Korean population have been carried out by various investigators, although the general distribution and prevalences of paragonimiasis are now yet clearly determind. This study was undertaken to evaluate the status of human paragonimiasis in Kang Hwa Gun, Kyung gi Province, Korea by the use of intradermal screening test whih Veronal buffered saline antigen. A total number of 208 residents (male 119, female 89) of all age group in Kilgeong-Ri, Yangdo Myun, Kang Hwa Gun were examined by the intradermal test with paragonimus antigen. The infestation rate of crayfish with Paragonimus metacerearia was also examine in Konneung and Jeoungha village, Kilgeong-Ri from March 1973 to October 1978 by the interval of two to five years. 1. In the resnlt of 208 residents, Kilgeong-Ri, the positive rate showed in 29.3% in as a whole(36.1% in male, 20.2% in female). The highest positive rate showed in 10 to 19 age group(41.5%). 2. Among the residents in Kilgeong-Ri, Paragonimus eggs were detected in 11 residents by the sputum and the stool examinations without the intradermal test result. 3. The infestation rate of crayfish with Paragonimus inetacercaria was 90.6%(116 out of 128 crayfishes) in Konneung village, and 61.5%(24 out of 39) crayfishes) in Jeongha village, Kilgeng-Ri. 4. The fluctation of the infestation tate and density of crayfish with Paragonimus metacercaria was decreased by the interval of two to five years in Konneung and Jeongha village in Kilgeong-Ri.

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Quantitative Analysis of Cystic Fluid Components in Cysticercus cellulosae (유구낭미충(有鉤囊尾蟲) 낭액(囊液)의 아미노산(酸) 및 유리지방산(遊離脂肪酸)의 정량분석(定量分析))

  • Moon, Joon;Chung, Myung-Sook;Joo, Kyoung-Hwan;Rim, Han-Jong
    • Journal of agricultural medicine and community health
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    • v.16 no.2
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    • pp.141-153
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    • 1991
  • Free amino acid(FAA), free fatty acid(FFA), and amino acid obtained by hydrolysis of protein components of cystic fluid(CF) of Cysticercus cellulosae in pig and man were analyzed. FFA was analyzed by gas chromatography using Varian model 2700, and flame ionization detector with 6 feet${\times}$1/4inch glass column. Flow rate of $N_2$ was 30 ml/min, $H_2$ was 30 ml/min, air was 350 ml/min respectively and chart speed was 1 cm/min. Amino acid was analyzed by high performance liquid chromatography using Waters model 441, and fluorescence detector at 338nm/425nm with column of amino acid analyzer. Buffer A of mobile phase was pH 3.05 and pH of buffer B was 9.6 respectively. The results obtained were as follows : Seven FFAs containing 12~18 carbons were detected : Saturated fatty acids were lauric acid ($C_{12}$), myristic acid($C_{14}$), palmitic acid($C_{16}$), Stearic acid($C_{18}$). Unsaturated fatty acids were oleic acid($C_{12}^{=1}$), linoleic acid($C_{12}^{=2}$), and one unidentified fatty acid was detected. Generally much more quantity of FFA was determined in CF obtained from pig than that from man. FFA of the largest quantity was palmitic acid; 0.078 mg/ml. Eighteen FAAs were detected and the largest quantity was alanine. Ouantity of alanine was 386 ug/ml in CF from pig 108 ug/ml in CF from man respectively. while histidine in CF from pig was 273 ug/ml, that from man was only 4.3 ug/ml. Eighteen amino acids were identified by hydrolysis of protein in CF from man. But, histidine was not identified in CF from pig. Amino from pig and ug/ml from man.

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Electron Microscopic Study on the Effect of Albendazole Against Paragonimus Westermani (Albendazole의 폐흡충에 미치는 영향에 관한 전자현미경적 연구)

  • Hwang, Eui-Jung;Kim, Soo-Jin;Joo, Kyoung-Hwan;Rim, Han-Jong
    • Journal of agricultural medicine and community health
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    • v.16 no.2
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    • pp.154-164
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    • 1991
  • Albendazole is a broad spectrum anthelmintics with high activity against intestinal nematodes as well as tremtodes and cestodes infections. But so far wormicidal effect of albendazole against Paragonimus westermani is uncertain. The present study undertaken to observe the morphological changes of Paragonimus westermani which was obtained from experimentally infected with metacercariae isolated from Cambaroides similis and 9 of them were given albendazole 2 doses of 25mg/kg daily for the 2 days and 4 days from the day of 20 weeks after infection. The Paragonimus werms were collected from the lung of the cats which were autopsied at 24 hours after treatment. The fine structures of the collected worms were studied by means of scanning and transmission electron microscopy. The findings of the observations were compared with those of untreated worms. The results are as follows : 1) In the scanning electron microscopic(SEM) observations, the worms obtained from 2 days treated group showed many blebs which were formed on the surface of damaged tegument in between two suckers. Protrusion of oral sucker typically observed and surrounding tegumental ridges were damaged. 2) The worms obtained from 4 days treated group showed marked contraction revealing half size of normal worms. 3) The transmission electronmicroscopic(TEM) observations indicated that large blebs of irregular shapes were formed by the destruction of tegumental ridge of tegumental syncytium and also showed degeneration of mitochondriae. 4) Destruction of tegumental syncytium formation of blebs were usually observed in the ventral side of the worms. 5) Differentiation of tegumental layer and basement layer muscular layer and parenchymal layer around two suckers of worms obtained at 4 days treated group was difficult. 6) Many host cells invaded and destroyed the degenerated tegument by the occurrence of blebs or the exposed muscular layer of the worm after exfoliation of the tegument.

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