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Historical Review of Leptospirosis in the Korea (1945 - 2015)

Authors
Kim, Min Ja
Issue Date
9월-2019
Publisher
KOREAN SOC CHEMOTHERAPY
Keywords
Leptospira; Leptospirosis; Korea; Communicable diseases; History
Citation
INFECTION AND CHEMOTHERAPY, v.51, no.3, pp.315 - 329
Indexed
SCOPUS
KCI
Journal Title
INFECTION AND CHEMOTHERAPY
Volume
51
Number
3
Start Page
315
End Page
329
URI
https://scholar.korea.ac.kr/handle/2021.sw.korea/63069
DOI
10.3947/ic.2019.51.3.315
ISSN
2093-2340
Abstract
Leptospirosis is a widespread worldwide zoonosis. Human leptospirosis was first identified in the Korea in 1984 as the cause of "epidemic pulmonary hemorrhagic fever of unknown etiology" that occurred sporadically or in outbreaks. The major outbreaks, leading to some deaths, mainly involved rice field farmers who worked in wet and muddy rice paddies following floods or heavy rainfalls. Leptospirosis was designated a nationally notifiable disease in 1987. The Korean government introduced a supplementary immunization program to control the disease from 1988 to 1997, which provided people at risk in endemic areas with the inactivated vaccine prepared from a local strain Leptospira interrogans serovar Lai. In addition, the continuous promotion of education and awareness in the media played a role in improving personal hygiene management. Since then, the reported incidence of leptospirosis has been low. Leptospirosis is currently considered in the differential diagnosis of acute febrile illnesses occurring in fall. This study historically reviews clinical and epidemiological publications, scientific reports, and public health policies for recognition, identification, and infection control of human leptospirosis in the Korea.
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