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Seroprevalence and Risk Factors of Brucellosis among Slaughterhouse Workers in Korea.
Seok Ju Yoo, Young Sill Choi, Hyun Sul Lim, Kwan Lee, Mi Yeoun Park, Chaeshin Chu, Young A Kang
J Prev Med Public Health. 2009;42(4):237-242.
DOI: https://doi.org/10.3961/jpmph.2009.42.4.237
  • 5,979 View
  • 68 Download
  • 13 Crossref
AbstractAbstract PDF
OBJECTIVES
The incidence of zoonoses in Korea has increased recently. However, the study of high risk groups for zoonoses has not been conducted to date in Korea. Thus, we did this study to obtain data on brucellosis among slaughterhouse workers in Korea. METHODS: We evaluated the structure of slaughterhouses and the process of slaughtering by reviewing the relevant literature and doing field studies. We visited 73 slaughterhouses and 62 residual products handle houses across the country. In addition, we conducted a questionnaire survey of the work activities, and obtained blood samples in order to determine the seroprevalence and risk factors of brucellosis. The titers of brucellosis antibodies were measured using the standard tube agglutination test (SAT). We diagnosed subjects as seropositive for Brucellosis if the titers were more than 1:160. The data collected was evaluated using SPSS ver. 17.0. RESULTS: We included 1,503 subjects and obtained 1,482 blood samples among them: 849 workers involved in slaughtering, 351 handlers of residual products, 190 inspectors and their assistants, and 92 grading testers and their assistants. The seroprevalence of brucellosis among the slaughterhouse workers was 0.8% (95% CI=0.4-1.5). Broken down, the seroprevalence of brucellosis among the workers involved in slaughtering was 0.7% (95% CI=0.3-1.6), the handlers of residual products was 1.7% (95% CI=0.7-3.9) respectively. Risk factors for contracting brucellosis among slaughterhouse workers were being splashed with cattle blood around the mouth, cattle secretions around the body and not putting on protective apron while at work. CONCLUSIONS: An educational program is needed for high risk groups on zoonoses about the prevention of infection. Thus, effective working guidelines for workers who participate in the slaughter of animals must be developed in order to protect them from zoonoses.
Summary

Citations

Citations to this article as recorded by  
  • Seroepidemiologic evidence of Q fever and associated factors among workers in veterinary service laboratory in South Korea
    Dilaram Acharya, Ji-Hyuk Park, Jeong-Hoon Chun, Mi Yeon Kim, Seok-Ju Yoo, Antoine Lewin, Kwan Lee, José Reck
    PLOS Neglected Tropical Diseases.2022; 16(2): e0010054.     CrossRef
  • Occupational exposure to livestock and risk of tuberculosis and brucellosis: A systematic review and meta-analysis
    M. Mukthar Mia, Mahamudul Hasan, Faija Sadia Pory
    One Health.2022; 15: 100432.     CrossRef
  • The impact of expanded brucellosis surveillance in beef cattle on human brucellosis in Korea: an interrupted time-series analysis
    Sukhyun Ryu, Ricardo J. Soares Magalhães, Byung Chul Chun
    BMC Infectious Diseases.2019;[Epub]     CrossRef
  • Spatial analysis to assess the relationship between human and bovine brucellosis in South Korea, 2005–2010
    Jun-Sik Lim, Kyung-Duk Min, Sukhyun Ryu, Seung-Sik Hwang, Sung-Il Cho
    Scientific Reports.2019;[Epub]     CrossRef
  • Obituary: Dr. Hyun-Sul Lim’s (1952-2018) life as an epidemiologist, occupational and environmental medicine researcher, and family physician
    Sun Huh
    Epidemiology and Health.2018; 40: e2018033.     CrossRef
  • Vaccination of goats with a combinationSalmonellavector expressing fourBrucellaantigens (BLS, PrpA, Omp19, and SOD) confers protection againstBrucella abortusinfection
    Mwense Leya, Won Kyong Kim, Jeong Sang Cho, Eun-Chae Yu, Young-Jee Kim, Yoonhwan Yeo, Kwang-Soo Lyoo, Myeon-Sik Yang, Sang-Seop Han, John Hwa Lee, Dongseob Tark, Jin Hur, Bumseok Kim
    Journal of Veterinary Science.2018; 19(5): 643.     CrossRef
  • Seroreactivity and Risk Factors Associated with Human Brucellosis among Cattle Slaughterhouse Workers in South Korea
    Dilaram Acharya, Seon Do Hwang, Ji-Hyuk Park
    International Journal of Environmental Research and Public Health.2018; 15(11): 2396.     CrossRef
  • Seroprevalence of Brucellosis, Leptospirosis, and Q Fever among Butchers and Slaughterhouse Workers in South-Eastern Iran
    Saber Esmaeili, Saied Reza Naddaf, Behzad Pourhossein, Abdolrazagh Hashemi Shahraki, Fahimeh Bagheri Amiri, Mohammad Mehdi Gouya, Ehsan Mostafavi, Jonas Waldenström
    PLOS ONE.2016; 11(1): e0144953.     CrossRef
  • Epidemiology of brucellosis among cattle in Korea from 2001 to 2011
    Hachung Yoon, Oun-Kyong Moon, Soo-Han Lee, Won-Chang Lee, Moon Her, Wooseog Jeong, Suk-Chan Jung, Do-Soon Kim
    Journal of Veterinary Science.2014; 15(4): 537.     CrossRef
  • Awareness on Zoonoses among Pig Farmers in Korea
    Seok-Ju Yoo, Hyun-Sul Lim, Kwan Lee
    Journal of agricultural medicine and community health.2014; 39(4): 222.     CrossRef
  • Time series analysis of human and bovine brucellosis in South Korea from 2005 to 2010
    Hu Suk Lee, Moon Her, Michael Levine, George E. Moore
    Preventive Veterinary Medicine.2013; 110(2): 190.     CrossRef
  • Biossegurança no trabalho em frigoríficos: da margem do lucro à margem da segurança
    Gabriela Chaves Marra, Luciana Hugue de Souza, Telma Abdalla de Oliveira Cardoso
    Ciência & Saúde Coletiva.2013; 18(11): 3259.     CrossRef
  • Occupational exposure assessment using antibody levels: exposure to avian leukosis/sarcoma viruses in the poultry industry
    Kyung-Mee Choi, Eric S. Johnson
    International Journal of Environmental Health Research.2011; 21(4): 306.     CrossRef
Seroprevalence of Brucellosis among Risk Population in Gyeongsangbuk-do, 2006.
Kwan Lee, Hyun Sul Lim, Woo Won Park, Sung Hwan Kim, Do Young Lee, Mi Yeoun Park, Youngju Hur
J Prev Med Public Health. 2007;40(4):285-290.
DOI: https://doi.org/10.3961/jpmph.2007.40.4.285
  • 4,763 View
  • 34 Download
  • 8 Crossref
AbstractAbstract PDF
OBJECTIVES
Cases of human brucellosis in Korea have recently increased due to the increasing incidence of bovine brucellosis. The authors conducted this study to elucidate the status of brucellosis through seroepidemiologic study. METHODS: We selected our study population from a high risk group. We conducted a questionnaire survey and obtained blood samples to determine the seroprevalence of brucellosis antibodies for 10 days in February, 2005. The titers of brucellosis were measured by the combination of standard tube agglutination test (STA) and enzyme-linked immunosorbent assay (ELISA) test. RESULTS: Our study subjects comprised 1,075 cases: 971 livestock workers, 51 veterinarians, and 53 artificial inseminators. In the STA test, 27 cases (2.5%) had titers of greater than or equal to 1:20. Of 1,068 cases (7 cases were excluded due to previous brucellosis), 7 cases of brucellosis were diagnosed with titers of 1:160, giving a seroprevalence of brucellosis of 0.66%. The seroprevalence in the male group was 0.95%, and that of livestock workers, veterinarians, and artificial inseminators was 0.52%, 4.17%, and 0.00%, respectively. The Spearman's correlation coefficient between the positive rate of bovine brucellosis per capita and household and human brucellosis was 0.806 and 0.744, respectively. The concordance rate between the Korea National Institute of Health and the Gyeongsangbuk-do Institute of Health and Environment by the STA and ELISA tests was 94.7% and 100.0%, respectively. CONCLUSIONS: The study results indicated in higher seroprevalence rate among veterinarians than among livestock workers and artificial inseminators. Because veterinarians may be exposed to this high risk, effective working guidelines for veterinarians to guard against brucellosis must be developed. Moreover, more extensive epidemiologic research for laboratory workers and meat handlers is needed.
Summary

Citations

Citations to this article as recorded by  
  • Awareness on Zoonoses among Pig Farmers in Korea
    Seok-Ju Yoo, Hyun-Sul Lim, Kwan Lee
    Journal of agricultural medicine and community health.2014; 39(4): 222.     CrossRef
  • Evaluation and Selection of Multilocus Variable-Number Tandem-Repeat Analysis Primers for Genotyping Brucella abortus Biovar 1 Isolated from Human Patients
    Subok Lee, Kyu-Jam Hwang, Mi-Yeoun Park, Seon-Do Hwang, Hee-Youl Chai, Hyuk Chu, Sang-Hee Park
    Osong Public Health and Research Perspectives.2013; 4(5): 265.     CrossRef
  • Application of the Microagglutination Test for Serologic Diagnosis of Human Brucellosis
    Sang-Hee Park, Yoo-Hoon Lee, Hyuk Chu, Seon-Do Hwang, Kyu-Jam Hwang, Hee-Yeol Choi, Mi-Yeoun Park
    Osong Public Health and Research Perspectives.2012; 3(1): 19.     CrossRef
  • Awareness of Major Zoonoses among Dairy Farmers in Gyeonggi Province
    Kum-Bal Choi, Hyun-Sul Lim, Kwan Lee, Young-Sun Min
    Journal of agricultural medicine and community health.2010; 35(4): 339.     CrossRef
  • Seroprevalence and Risk Factors of Brucellosis among Slaughterhouse Workers in Korea
    Seok-Ju Yoo, Young-Sill Choi, Hyun-Sul Lim, Kwan Lee, Mi Yeoun Park, Chaeshin Chu, Young-A Kang
    Journal of Preventive Medicine and Public Health.2009; 42(4): 237.     CrossRef
  • The Relationship between Cerebrovascular Mortality and Community Health Indicators in Gangwon-do
    Jeoung-Ha Sim, Mi-A Son
    Journal of agricultural medicine and community health.2009; 34(1): 1.     CrossRef
  • Awareness of Zoonoses among Cattle Slaughterhouse Workers in Korea
    Hyun-Sul Lim, Seok-Ju Yoo, Kwan Lee
    Journal of agricultural medicine and community health.2009; 34(1): 101.     CrossRef
  • A review of published reports regarding zoonotic pathogen infection in veterinarians
    Whitney S. Baker, Gregory C. Gray
    Journal of the American Veterinary Medical Association.2009; 234(10): 1271.     CrossRef
Investigation of a Series of Brucellosis Cases in Gyeongsangbuk-do during 2003-2004.
Hyun Sul Lim, Young Sun Min, Hwan Seok Lee
J Prev Med Public Health. 2005;38(4):482-488.
  • 2,193 View
  • 41 Download
AbstractAbstract PDF
OBJECTIVES
We conducted an investigation on 14 cases of brucellosis in Gyeongsangbuk-do during 2003-2004 to understand the source of infection and the transmission routes of brucellosis. METHODS: The authors visited the each of the health centers and we examined the patients, their written epidemiologic questionnaire and the occurrence of bovine brucellosis. We visited the patients' living and work areas, and we examined their occupations, the date they developed symptoms, the progress of their symptoms, whether or not they were treated, their current status, whether or not they consumed raw milk and raw meat, and if their work was related to cattle breeding and the related details. We reviewed the results of the blood tests and medical records and we examined the cattle's barn. RESULTS: There were 3 patients in 2003 and 11 patients in 2004. All of their brucella antibody titer exceeded 1: 160. The patients' symptoms were fever, myalgia, malaise, chills and an influenza-like illness, but the clinical signs were absent on the medical records. Brucella abortus were cultured from 3 of the patients' blood samples. CONCLUSIONS: When the authors discovered the transmission routes, they were divided into 4 different sorts. The first route was related to cattle birth such that patients touched the calves or placentas that were infected with the Brucella species. The second route was related to performing artificial insemination on the cattle and the semen that was used for artificial insemination. The third route was due to the ingestion of raw meat and milk. The last route was due to sexual intercourse between the patients.
Summary

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