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제목 |
An Epidemiological Study on the Higher Endemic(Gyeongsang Nam Do) and Lower Endemic(Chungcheong Nam Do)Areas of Leprosy in Korea |
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저자 |
Oh, S.H., Choi, S. R |
소속 |
Chronic Disease Laboratory,6 Catholic Medical College, Seoul, Korea |
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년도 |
1972 |
권 |
8 |
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호 |
1 |
번호 |
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시작페이지 |
71 |
끝페이지 |
85 |
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첨부 |
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요약 |
The author studied some epiemiological aspects of leprosy in seven counties of
Gyeongsang Nam Do (Gyeongnam) Province and eight counties of Chungrheong foam
Do (Chungnam) Province, and also studied the attitude toward this disease of the
inhabitants of the two provinces. Gyeongnam is located in the sourthern part of Korea
and it is supposed that leprosy is endemic in this region and Chungnam is located to
the north-west of the border of the former and here the disease is known to be much
less endemic
The subjects studied comprised 1,977 cases: 1,566 (Gyenognam) and 411 (Chungnam),
who were treated during the period from May 1967 to October 1969.
1. As for the distribution of native home-patients, Gyeongnam showed on average
prevalence of 1.36 per 1,000. and Chungnam 0.27 per 1,000. The population per 1㎢ in
Gyeongnam is 265.0 and that in Chungnam 331.6, the latter being higher than the
former. Tn 1968 the nlfmber of registered patients in Gyeongnam was 244 and that in
Chungnam 117. These figures show that Gyeougnam was a larger endentic rate for
leprosy than Chungnam.
2. In sex ratio of male to female patients, Gyeongnam showed 2.2 to 1 and Chungnam
2.6 to 1. In incidence with respect to age-group. Gyeongnam revealed the highest rate
with 26.95% in 40-49 age-group and Chungnam 34.06% in 30-39. This indicated that the
prevalence of the disease is higher in patients of 40 and older years of age in
Gyeongnam, and in those of 39 and younger years of age in Chungnam.
3. By age at the onset of the disease both in Gyeongnam and Chungnam, the highest
rate was in the age 20-29, the figures being 35.95% in the former and 38.93% in the
latter. The percentage under 20 years of age was 25.22a in Gyeongnam and 31.87% in
Chungnam. The intial lesion appeared mostly in the exposed skin regions, such as the
forearm, lower leg and face, in both areas: Gyeongnam showed 74.84% and Chungnam
72.02%.
4. As for the rate by type of the disease, Gyeongaam revealed the ratio of the
tuberculoid type to lepromatous type as to be 1 to 0.9 and Chungnain 1 to 1.8 Ivith the
result that Gyeongnam had a slightly higher rate in the tuberculoid type while
Chungnam showed a markedly higher rate in the lepromatous type. However, Chungnam
had more mild cases than Gyeongnam.
5. As for the duration between the onset of the disease and the time of registration,
the rate for 0-4 years accounted for 16.41%, and that for 10 years or more 59.00% in
Gyeongnam, while in Chungnain the figures were 47.69% and 27.74% respectively. This
tells us that the patients in Chungnam were examined in the relatively early stage after
the onset of the disease.
6. In the frequency of haled disability Gyeongnam showed 45.79% and Chungnam
48.17%. There was no significant difference between the two areas. However, in the
disability of feet Gyeongnam sllowed 15.96% and Chungnam 31.14%. The rate of
disfigured faces was 24.39% in Gyeongnam and 52.79% in Chungnam. Chungnam had
more physically disabled patients than Gyeongnam. As to the absence of physical
disability Gyeongnam had 39.85a and Chungnam 22.39%.
7. As for previous treatments in Gyeongnam 60.98% of the patients had taken
sulphone drugs 16.22% herb medicaments and other kinds of remedy, and the remaining
22.80% had taken no drug at all. In Chungnam, 66.67% had taken sulphone drugs, 3.89%
herb medicaments and other kinds of remedy, and the remaining 39.44% had taken no
drug. Those who had used herb medicaments and other types of remedy showed a
larger proportion in Gyeongnam, and those who had used sulphone drugs or no
medicament showed higher rate in Chungnam.
8. The results of bacteriological examination at registration revealed that 14.88% were
positive in Gyeongnam and 33.33% were positive in Chungnam. Interestingly, the latter
revealed a higher bacterial index than the former. Among the bacteriologically positive
cases who received DDS treatment, the highest rate of patients becoming negative was
seen in those who received 3 years of treatmrnt in both areas and 94.97% in
Gyeongnam and 82.46% in Chungnam had become bacteriologicalty negative within 5
years.
9. Of those patients, 19.03% in Gyeongnam and 19.46% in Chungnam had experience
of contact with leprosy before the onset of the disease. The rate of infection from the
family members. Gyeongnam showed 13.41% and Chungnain showed 14.59%. There
appeared no difference between the two areas.
10. As for the patients' educational status, Gyeongnam showed 42.34% educated, and
25.73% illiterate, while Chungnam 63.26% educated and 16.06% illiterate. The educational
level of Chungnam was higher than that of Gyeongnam. By occupation, Gyeongnam
showed 52.42% to be farmers, and 39.21% jobless, and Chungnam 53.28a farmers, anti
39.90% jobless, there was no difference between the two areas in occupation.
11. Regarding the cause, symptom and cure of leprosy, the residents of Gyeongnam
showed more correct understanding of leprosy than those of Chungnam. However, the
former showed more misunderstanding than the latter that leprosy is hereditary and
uncurable. Regarding the possibility of domiciliary treatment of leprosy patients, 45.9% of
the residents of Gyeongnam gave correct answers, and so did only 8.1% in Chungllam.
70 to 80% of the residents of Gyeongnam understood the policy of leprosy control of the
Government, but more than 50% of the residents of Chungnam did not know it. 41.7%
of the residents of Gyeongnam, 29.3% of the residents of Chungnam agreed to
co-education with non-infected children and the rest disagreed or gave no response. |
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내용 |
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