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제목 |
Epidemiological status of leprosy and economic circumstances of settlement villages in the area north of the Han River in Kyonggi Province. |
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저자 |
Shi Ryong Choi |
소속 |
Chronic Disease Laboratory Catholic Medical College Seoul, Korea |
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년도 |
1986 |
권 |
19 |
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호 |
1 |
번호 |
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시작페이지 |
19 |
끝페이지 |
32 |
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첨부 |
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요약 |
Over a period of approximately 2 years, from Jan. 1984 un1i1 Dec. 1985, an
epidemiological survey was conducted concerning 50 home patients and 475 residents of
seven settlement villages in the area of Kyonggi Province which lies north of Han River
and which comprises two cities and eight countries. The economic circumstances of
those in the settlement villages were also surveyed in the following overall results were
obtained.
1. Regarding place of birth, home patients with origins Kyonggi and Cholla provinces
were highest 28.0%, followed by Chungchong Province with 26.0% and Kyongsang
Province with 16.0%. In the case of settlement villagers, Cholla Province was highest
with 33.9%, followed in order by Kyongsang Province with 30.3%, Chungchong Province
with 18.8%, and Kyonggi Province, including Seoul City, with only City, with only
12.8%.
2. The male-female ratio for both home patients and settlement villagers was 1.6 to 1
and, by age distribution, home patents were highest in the 50-59 and 40-49 year
brackets respectively, while the settlement villagers were highest in the 40-49 and 50-59
year brackets respectively. Among home patients, the 40 and 50 year old groups
constituted 60.0% while settlement villagers in the same age bracket constituted 69.9%,
thus showing a relatively similar age distribution.
3. Regarding the type of the disease, a comparison of multibacillary from and
pauibacillary from shows a ratio of 2.6 to 1 in home patients and 2 to 1 in settlement
villagers, thus emphasizing the higher rate in home patients. The onset age of the
disease in both home patients and settlement villagers was highest in the group of
10-19 year old group, the multibacillary form was exceptionally higher in comparison the
paucibacillary form.
4. At the time of onset, in those with symptoms of nasal obstruction and epistaxis,
there was an exceptionally high degree of multibacillary form in all of both the home
patients and settlement villagers.
5. Within five years of onset, 66.6% of home patients and 77.7% of settlement
villagers started treatment, with more villagers receiving early treatment. In those who
received treatment within one year of onset, paucibacillary form was treated earlier than
multibacillary from.
6. Within two years from the start of combined treatment, 37.5% of home patients and
73.6% of settlement villagers experienced a transition from positive bacteriologically to
negative. With the exception of one case, all positive patients became negative within
five years.
7. 54.0% of home patients and 47.4% of settlement villagers developed physical
disabilities, home patients being slightly more, with all paucibacillary from patients
having a high degree of handicap. Also, those in the 0.1 to 0.9 degree of handicap were
74.1% among home patients and 80.9% among settlement villagers. In the 1.0 to 2.9
degree of handicap, 25.9% belonged to the home patients group and 18.7% to the
settlement villagers group. There was only one instance of more then 3.0 degree
handicap and that was in the case of a multibacillary form resident of a settlement
villages.
8. After onset, change of residence, in the case of home patients, showed a rate of
one time 36.0%, two times 28.0% and three times 26.0%. As regards settlement
villagers, those who moved three times were 39.4%, two times 29.9%, four times 18.7%
and 6.7% moved more than five times.
9. The economic circumstances of those residents of settlement villages revealed that
45.4% were engaged in poultry rearing, 77.4% in pig farming and 16.0% in cattle
breeding, Families with more than 3,000 chickens, 10-19 pigs and 1-2 head of cattle
were highest. The majority also received government-relief grain supplied. 67.3% of
families paid less than 10,000 won per month for electricity and, among 55.6% of homes
with telephones, 38.5% paid less than 10,000 won per month. 66.2% had incurred debt,
mainly for the procurement of animal feed.
Due to the limited arable land small area for livestock within the settlement, it is
difficult to expect the villagers to become economically independent. However, it is
necessary to develop education towards a mentality for self-sufficiency and to combine
the resources of the community for the purpose of searching new methods of economic
independence. |
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