VIVAX MALARIA: A CONTINUING HEALTH THREAT TO THE REPUBLIC OF KOREA

JAE-WON PARK Department of Microbiology, Gachon Medical School, Inchon, Republic of Korea; Preventive Services Directorate, 18th Medical Command, Unit 15281, Seoul, Republic of Korea; Eighth U.S. Army Community Hospital, Seoul, Republic of Korea; Korean Armed Forces Medical Command, Kyonggi-do, Republic of Korea; Laboratory of Medical Zoology, Department of Virology, National Institute of Health, Seoul, Republic of Korea; Department of Parasitology, and Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea; Clinical Research Institute, Seoul National University Hospital, Seoul, Republic of Korea

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TERRY A. KLEIN Department of Microbiology, Gachon Medical School, Inchon, Republic of Korea; Preventive Services Directorate, 18th Medical Command, Unit 15281, Seoul, Republic of Korea; Eighth U.S. Army Community Hospital, Seoul, Republic of Korea; Korean Armed Forces Medical Command, Kyonggi-do, Republic of Korea; Laboratory of Medical Zoology, Department of Virology, National Institute of Health, Seoul, Republic of Korea; Department of Parasitology, and Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea; Clinical Research Institute, Seoul National University Hospital, Seoul, Republic of Korea

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HEE-CHOON LEE Department of Microbiology, Gachon Medical School, Inchon, Republic of Korea; Preventive Services Directorate, 18th Medical Command, Unit 15281, Seoul, Republic of Korea; Eighth U.S. Army Community Hospital, Seoul, Republic of Korea; Korean Armed Forces Medical Command, Kyonggi-do, Republic of Korea; Laboratory of Medical Zoology, Department of Virology, National Institute of Health, Seoul, Republic of Korea; Department of Parasitology, and Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea; Clinical Research Institute, Seoul National University Hospital, Seoul, Republic of Korea

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LAURA A. PACHA Department of Microbiology, Gachon Medical School, Inchon, Republic of Korea; Preventive Services Directorate, 18th Medical Command, Unit 15281, Seoul, Republic of Korea; Eighth U.S. Army Community Hospital, Seoul, Republic of Korea; Korean Armed Forces Medical Command, Kyonggi-do, Republic of Korea; Laboratory of Medical Zoology, Department of Virology, National Institute of Health, Seoul, Republic of Korea; Department of Parasitology, and Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea; Clinical Research Institute, Seoul National University Hospital, Seoul, Republic of Korea

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SEUNG-HO RYU Department of Microbiology, Gachon Medical School, Inchon, Republic of Korea; Preventive Services Directorate, 18th Medical Command, Unit 15281, Seoul, Republic of Korea; Eighth U.S. Army Community Hospital, Seoul, Republic of Korea; Korean Armed Forces Medical Command, Kyonggi-do, Republic of Korea; Laboratory of Medical Zoology, Department of Virology, National Institute of Health, Seoul, Republic of Korea; Department of Parasitology, and Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea; Clinical Research Institute, Seoul National University Hospital, Seoul, Republic of Korea

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JOON-SUP YEOM Department of Microbiology, Gachon Medical School, Inchon, Republic of Korea; Preventive Services Directorate, 18th Medical Command, Unit 15281, Seoul, Republic of Korea; Eighth U.S. Army Community Hospital, Seoul, Republic of Korea; Korean Armed Forces Medical Command, Kyonggi-do, Republic of Korea; Laboratory of Medical Zoology, Department of Virology, National Institute of Health, Seoul, Republic of Korea; Department of Parasitology, and Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea; Clinical Research Institute, Seoul National University Hospital, Seoul, Republic of Korea

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SEUNG-HWAN MOON Department of Microbiology, Gachon Medical School, Inchon, Republic of Korea; Preventive Services Directorate, 18th Medical Command, Unit 15281, Seoul, Republic of Korea; Eighth U.S. Army Community Hospital, Seoul, Republic of Korea; Korean Armed Forces Medical Command, Kyonggi-do, Republic of Korea; Laboratory of Medical Zoology, Department of Virology, National Institute of Health, Seoul, Republic of Korea; Department of Parasitology, and Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea; Clinical Research Institute, Seoul National University Hospital, Seoul, Republic of Korea

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TONG-SOO KIM Department of Microbiology, Gachon Medical School, Inchon, Republic of Korea; Preventive Services Directorate, 18th Medical Command, Unit 15281, Seoul, Republic of Korea; Eighth U.S. Army Community Hospital, Seoul, Republic of Korea; Korean Armed Forces Medical Command, Kyonggi-do, Republic of Korea; Laboratory of Medical Zoology, Department of Virology, National Institute of Health, Seoul, Republic of Korea; Department of Parasitology, and Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea; Clinical Research Institute, Seoul National University Hospital, Seoul, Republic of Korea

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JONG-YIL CHAI Department of Microbiology, Gachon Medical School, Inchon, Republic of Korea; Preventive Services Directorate, 18th Medical Command, Unit 15281, Seoul, Republic of Korea; Eighth U.S. Army Community Hospital, Seoul, Republic of Korea; Korean Armed Forces Medical Command, Kyonggi-do, Republic of Korea; Laboratory of Medical Zoology, Department of Virology, National Institute of Health, Seoul, Republic of Korea; Department of Parasitology, and Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea; Clinical Research Institute, Seoul National University Hospital, Seoul, Republic of Korea

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MYOUNG-DON OH Department of Microbiology, Gachon Medical School, Inchon, Republic of Korea; Preventive Services Directorate, 18th Medical Command, Unit 15281, Seoul, Republic of Korea; Eighth U.S. Army Community Hospital, Seoul, Republic of Korea; Korean Armed Forces Medical Command, Kyonggi-do, Republic of Korea; Laboratory of Medical Zoology, Department of Virology, National Institute of Health, Seoul, Republic of Korea; Department of Parasitology, and Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea; Clinical Research Institute, Seoul National University Hospital, Seoul, Republic of Korea

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KANG-WON CHOE Department of Microbiology, Gachon Medical School, Inchon, Republic of Korea; Preventive Services Directorate, 18th Medical Command, Unit 15281, Seoul, Republic of Korea; Eighth U.S. Army Community Hospital, Seoul, Republic of Korea; Korean Armed Forces Medical Command, Kyonggi-do, Republic of Korea; Laboratory of Medical Zoology, Department of Virology, National Institute of Health, Seoul, Republic of Korea; Department of Parasitology, and Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea; Clinical Research Institute, Seoul National University Hospital, Seoul, Republic of Korea

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DOI:
https://doi.org/10.4269/ajtmh.2003.69.159
Volume/Issue:
Volume 69: Issue 2
Page(s):
159–167
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Vivax malaria reemerged in the Republic of Korea in 1993. Most of the cases occurred among soldiers in the region adjacent to the Demilitarized Zone (DMZ) until 1995. To determine the rate of dispersion of vivax malaria, we evaluated its epidemiologic characteristics. Of 13,903 cases of vivax malaria reported in 2000, 40.1% (5,577) were reported among Republic of Korea military personnel, 26.2% (3,641) among veterans discharged less than two years from the military, and 33.7% (4,685) among civilians. Cases of vivax malaria have rapidly increased annually among counties bordering the DMZ, and have spread to approximately 40 km south of the DMZ. Chemoprophylaxis administered to military personnel may have been responsible for the decreasing number of cases among the Republic of Korea military population. The first mosquito-transmitted cases appeared in early June. Therefore, chemoprophylaxis should be instituted in early April to reduce the number of infected mosquitoes. Extensive intervention is warranted to reduce the spread of vivax malaria in the Republic of Korea.

Author Notes

Reprint requests: Myoung-Don Oh, Department of Internal Medicine, Seoul National University College of Medicine, 28 Yongon-dong, Chongno-gu, Seoul 110-744, Republic of Korea, Telephone: 82-2-760-2945, Fax: 82-2-762-9662, E-mail: mdohmd@snu.ac.kr
Copyright:
Copyright 2003 The American Society of Tropical Medicine 2003
Received:
30 Oct 2002
|
Accepted:
10 Mar 2003
|
Published Online:
Aug 2003
Cover The American Journal of Tropical Medicine and Hygiene
The American Journal of Tropical Medicine and Hygiene
Print ISSN:
0002-9637
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