Control of clonorchiasis in Korea: effectiveness of health education for community leaders and individuals in an endemic area. Issue 9 (26th May 2014)

• Record Type: Journal Article
• Authors: Oh, Jin‐Kyoung; Lim, Min Kyung; Yun, E. Hwa; Cho, Heeyoun; Park, Eun Young; Choi, Min‐Ho; Shin, Hai‐Rim; Hong, Sung‐Tae
• Is Part Of: Tropical medicine & international health. Volume 19:Issue 9(2014:Sep.)
• Page Start: 1096
• Page End: 1104
• Publication Date: 2014-05-26
• Subjects: Tropical medicine -- Periodicals; Public health -- Periodicals; 616.988
• DOI: 10.1111/tmi.12338
• Languages: English
• ISSNs: 1360-2276

Abstract

<abstract abstract-type="main" id="tmi12338-abs-0001"> <title>Abstract</title> <sec id="tmi12338-sec-0001" sec-type="section"> <title>Objectives</title> <p>To develop effective intervention programmes to control <italic>Clonorchis sinensis</italic> infection, three interventions were evaluated in a clonorchiasis‐endemic area of Korea.</p> </sec> <sec id="tmi12338-sec-0002" sec-type="section"> <title>Methods</title> <p>Four thousand two hundred and sixty‐seven voluntary participants in Sancheong county were tested at baseline and two follow‐up surveys after 1 and 3 years. Faecal samples were examined for <italic>C. sinensis</italic> eggs using the Kato‐Katz method. Participants were divided into three intervention groups by areas and year recruited: national prevention programme only (mass health campaign and praziquantel treatment) for Group A; health education for community leaders added for Group B; and individual health education added for Group C.</p> </sec> <sec id="tmi12338-sec-0003" sec-type="section"> <title>Results</title> <p>The prevalence of <italic>C. sinensis</italic> infection fell substantially in all three intervention groups between baseline and 3‐year follow‐up: from 31.1% to 14.9% in Group A, from 29.6% to 6.8% in Group B and from 21.9% to 8.6% in Group C. The control effectiveness was highest in Group B with 76.8%. The new infection rate was 16.3%, 12.8% and 7.6% in Group A, B and C, respectively. The reinfection rate was lower in Group B (3.8%) than Group C (12.2%).</p> </sec> <sec id="tmi12338-sec-0004" sec-type="section"> <title>Conclusions</title> <p>To control <italic>C. sinensis</italic> infection in endemic areas of Korea, health education for community leaders or individuals on prevention of <italic>C. sinensis</italic> infection should be added to national control programmes.</p> </sec> </abstract>