- The Evaluation of Policies on 2009 Influenza Pandemic in Korea.
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Won Suk Choi, Woo Joo Kim, Hee Jin Cheong
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J Prev Med Public Health. 2010;43(2):105-108.
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DOI: https://doi.org/10.3961/jpmph.2010.43.2.105
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Abstract
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- OBJECTIVES
To evaluate the policies on 2009 influenza pandemic in Korea at the end of first wave. METHODS: The main policies and the estimation of these were described according to the progress of 2009 influenza pandemic. RESULTS: The public health measures for containment were estimated to be successful in the early stage. The preparedness of antiviral agents and vaccines before the pandemic, risk-communication on pandemic influenza and policies of government including vaccines, and the education of health care worker and support of health care institutions was not enough to respond to the pandemic. CONCLUSIONS: The additional evaluation should be performed at the end of the pandemic in various aspects including health and socioeconomic effects.
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- Overview of Pandemic Influenza.
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Woo Joo Kim
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J Prev Med Public Health. 2005;38(4):373-378.
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Abstract
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- Influenza virus has a unique characteristics of annual epidemics of acute respiratory disease with attack rate of 10%-30% of the population. It is also the classical emerging infectious disease causing global pandemics when new antigenic shift occur. This antigenic shift is the key to its ability to evoke periodic pandemics, and it has caused at least 3 pandemics in 20th century. I reviewed these 3 pandemics in their natural courses and the epidemiology of the recent emerging influenza A viruses, especially the H5 and H7 subtypes. I described the epidemics of these viruses in human population and why we should be prepared to these viruses.
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Summary
- Comparative Epidemiologic Survey of Measles in Two Primary Schools.
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Sue Kyung Park, Jee Hee Kim, Joo Yeon Lee, Byoung Kuk Na, Woo Joo Kim, Hae Kwan Cheong
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Korean J Prev Med. 2001;34(2):131-140.
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Abstract
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- OBJECTIVES
During March-May, 2000, a measles outbreak occurred at Youngduk, Korea. This county is divided into two areas with different historical and socioeconomic background. The outbreak occurred in one of these areas. We conducted a comparative epidemiologic study on the two areas in order to evaluate the factors related to the epidemic. MATERIALS AND METHODS: We selected two groups, grades 3 and 5 in a primary schools in each area. We investigated outbreak-related factors using parent-questionnaires, the vaccination history from the students health record and the records concerning the recent measles-outbreak from the local health center. Serologic test on measles-IgG and -IgM antibody was done. RESULTS: The infection rate was 31.6% for the epidemic area and 3.7% for non-the epidemic area according to clinical or serological criteria (p<0.001). No difference was seen in the measles vaccination rate, residence at the time of vaccination or past measles infection history between the two areas. In the epidemic area, the attack rate for the 4-6 year-old MMR booster group(20.5%) was higher than the non-booster group(32.4%), but was not found significantly. Vaccine efficacy was 29.6% in the epidemic area and 87.0% in the non-epidemic area (p<0.001). The IgG level and positive rate were significantly different between the two areas (median 10727 IU/ml, 98.9% in epidemic area; median 346 IU/ml, 85.9% in the non-epidemic area, p<0.001). However, the IgG level and positive rate between the measles-cases and non-cases were not significantly different. CONCLUSIONS: This outbreak took place in mostly vaccinated children. These results suggest that a reduction of herd immunity for immunity failure after vaccination may be one of the feasible factors related to the outbreak pattern in the two areas. The results of the IgG level and positive rate suggest that re-establishment of a normal value for IgG level and of a qualitative method for IgG are needed.
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