Epidemiological Studies on Ascaris lumbricoides Reinfection in Rural Communities in Korea 1. The Relationship between Prevalence and Monthly Reinfection Rate

한국 농촌지역의 회충재감염에 대한 역학적 조사연구 I. 현재감염률과 월재감염률의 상관관계

  • 채종일 (서울대학교 의료대학 기생충학교실 및 풍토병연구소)
  • Published : 1983.06.01

Abstract

The epidemiological relationship between the current prevalence and monthly reinfection rate of Ascaris lumbricoides was observed in rural communities in Korea by means of blanket mass chemotherapy and worm collection for measurement of the prevalence and reinfection rates. During the period from 1975 to 1980, a total of 4,466 inhabitants in 10 different localities were treated with 10 mg/kg of pyrantel pamoate and 2 days' whole stools were collected from 2,547 inhabitants. The stools were examined for the presence of expelled adult and/or young worms, which represent the prevalence and reinfection rates for past 2 months respectively. After then, the obtained rates were correlated each other applying the timeprevalence curve proposed by Hayashi. It was observed that the prevalence (overall worm positive rate) and worm burden per individual ranged by areas from 13. 6 to 72. 3% and 1.4~10. 2 respectively. The calculated monthly reinfection rates (X) (from young worm positive rates) according to areas were in the range, 2.6~16.2%, and clearly correlated with the current prevalence (Y) under the equation, $Y=1-(l-X)^{7.2}$ where 7.2 is time in month. The equation means that after one time mass chemotherapy the period needed to attain equilibrium of prevalence again would be about 7~8 months. And it is inferred that the majority of reinfected worms in human host turn over every 7~8 months.

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