서울시 일부 영세민 지역에서 발생한 설사증 유행에 관한 역학적 조사 : An Epidemiological Investigation on the Outbreak of Diarrheal Illness in an Urban Slum Area in Seoul

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윤종구; 김용익; 유근영; 강희찬; 정해관

Issue Date
서울대학교 의과대학
Seoul J Med, Vol.21 No.4, pp. 371-379
From April 24 to June 4, 1979, an outbreak of
diarrheal illness was observed in an urban slum area
in SeouL For the purpose of elucidation of the
causal mechanism of the causative agent and the
mode of transmission in this outbreak, the authors
tried an epidemiological investigation.
Following conclusions are drawn:
L By questionnaire survey 97 cases with diarrheal
illness were detected. In three among seven diarrheal
cases whose stool specimen could be collected,
Shigella flexneri was confirmed by microbiological examination.
2. This illness was clinically characterized by
dlarrhea, tenesmus, abdominal cramp and fever.
Median duration of illness in the detected cases was
five days.
3. Incidence rate in surveyed population was 6.7
%. Especially, incidence rate of 0~4 year age group
was extremely high as 29.3%. Incidence rate by sex
was not significantly different.
4. Incidence rate was 9.1% in population using
simple piped water supply system. Difference of
incidence rate between these two groups was highly
significant (pConclusively, simple piped water supply system
played an important role as common vehicle in the
outbreak of this diarrheal illness.
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College of Medicine/School of Medicine (의과대학/대학원)Dept. of Medicine (의학과)The Seoul Journal of MedicineThe Seoul Journal of Medicine Vol. 21 No.4 (1980)
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