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The American Journal of Tropical Medicine and Hygiene
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CLONORCHIS SINENSIS INFECTION AND INCREASING RISK OF CHOLANGIOCARCINOMA IN THE REPUBLIC OF KOREA

MIN KYUNG LIMResearch Institute for National Cancer Control and Evaluation, National Cancer Center, Goyang, Republic of Korea; Infections and Cancer Epidemiology Group, International Agency for Research on Cancer, Lyon, France; Department of Preventive Medicine, Konkuk University College of Medicine, Chungju, Republic of Korea; Seoul National University Graduate School of Public Health and Institute of Health and Environment, Seoul, Republic of Korea; Department of Parasitology and Institute of Health Sciences, Gyengsang National University College of Medicine, Jinju, Republic of Korea; Department of Occupational Medicine, Kangbuk Samsung Hospital and Sungkunkwan University, Suwon, Republic of Korea; Department of Preventive Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea; Department of Parasitology and Tropical Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea

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YOUNG-HEE JUResearch Institute for National Cancer Control and Evaluation, National Cancer Center, Goyang, Republic of Korea; Infections and Cancer Epidemiology Group, International Agency for Research on Cancer, Lyon, France; Department of Preventive Medicine, Konkuk University College of Medicine, Chungju, Republic of Korea; Seoul National University Graduate School of Public Health and Institute of Health and Environment, Seoul, Republic of Korea; Department of Parasitology and Institute of Health Sciences, Gyengsang National University College of Medicine, Jinju, Republic of Korea; Department of Occupational Medicine, Kangbuk Samsung Hospital and Sungkunkwan University, Suwon, Republic of Korea; Department of Preventive Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea; Department of Parasitology and Tropical Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea

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SILVIA FRANCESCHIResearch Institute for National Cancer Control and Evaluation, National Cancer Center, Goyang, Republic of Korea; Infections and Cancer Epidemiology Group, International Agency for Research on Cancer, Lyon, France; Department of Preventive Medicine, Konkuk University College of Medicine, Chungju, Republic of Korea; Seoul National University Graduate School of Public Health and Institute of Health and Environment, Seoul, Republic of Korea; Department of Parasitology and Institute of Health Sciences, Gyengsang National University College of Medicine, Jinju, Republic of Korea; Department of Occupational Medicine, Kangbuk Samsung Hospital and Sungkunkwan University, Suwon, Republic of Korea; Department of Preventive Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea; Department of Parasitology and Tropical Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea

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JIN-KYOUNG OHResearch Institute for National Cancer Control and Evaluation, National Cancer Center, Goyang, Republic of Korea; Infections and Cancer Epidemiology Group, International Agency for Research on Cancer, Lyon, France; Department of Preventive Medicine, Konkuk University College of Medicine, Chungju, Republic of Korea; Seoul National University Graduate School of Public Health and Institute of Health and Environment, Seoul, Republic of Korea; Department of Parasitology and Institute of Health Sciences, Gyengsang National University College of Medicine, Jinju, Republic of Korea; Department of Occupational Medicine, Kangbuk Samsung Hospital and Sungkunkwan University, Suwon, Republic of Korea; Department of Preventive Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea; Department of Parasitology and Tropical Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea

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HYUN-JOO KONGResearch Institute for National Cancer Control and Evaluation, National Cancer Center, Goyang, Republic of Korea; Infections and Cancer Epidemiology Group, International Agency for Research on Cancer, Lyon, France; Department of Preventive Medicine, Konkuk University College of Medicine, Chungju, Republic of Korea; Seoul National University Graduate School of Public Health and Institute of Health and Environment, Seoul, Republic of Korea; Department of Parasitology and Institute of Health Sciences, Gyengsang National University College of Medicine, Jinju, Republic of Korea; Department of Occupational Medicine, Kangbuk Samsung Hospital and Sungkunkwan University, Suwon, Republic of Korea; Department of Preventive Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea; Department of Parasitology and Tropical Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea

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SEUNG-SIK HWANGResearch Institute for National Cancer Control and Evaluation, National Cancer Center, Goyang, Republic of Korea; Infections and Cancer Epidemiology Group, International Agency for Research on Cancer, Lyon, France; Department of Preventive Medicine, Konkuk University College of Medicine, Chungju, Republic of Korea; Seoul National University Graduate School of Public Health and Institute of Health and Environment, Seoul, Republic of Korea; Department of Parasitology and Institute of Health Sciences, Gyengsang National University College of Medicine, Jinju, Republic of Korea; Department of Occupational Medicine, Kangbuk Samsung Hospital and Sungkunkwan University, Suwon, Republic of Korea; Department of Preventive Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea; Department of Parasitology and Tropical Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea

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SUE-KYUNG PARKResearch Institute for National Cancer Control and Evaluation, National Cancer Center, Goyang, Republic of Korea; Infections and Cancer Epidemiology Group, International Agency for Research on Cancer, Lyon, France; Department of Preventive Medicine, Konkuk University College of Medicine, Chungju, Republic of Korea; Seoul National University Graduate School of Public Health and Institute of Health and Environment, Seoul, Republic of Korea; Department of Parasitology and Institute of Health Sciences, Gyengsang National University College of Medicine, Jinju, Republic of Korea; Department of Occupational Medicine, Kangbuk Samsung Hospital and Sungkunkwan University, Suwon, Republic of Korea; Department of Preventive Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea; Department of Parasitology and Tropical Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea

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SUNG-IL CHOResearch Institute for National Cancer Control and Evaluation, National Cancer Center, Goyang, Republic of Korea; Infections and Cancer Epidemiology Group, International Agency for Research on Cancer, Lyon, France; Department of Preventive Medicine, Konkuk University College of Medicine, Chungju, Republic of Korea; Seoul National University Graduate School of Public Health and Institute of Health and Environment, Seoul, Republic of Korea; Department of Parasitology and Institute of Health Sciences, Gyengsang National University College of Medicine, Jinju, Republic of Korea; Department of Occupational Medicine, Kangbuk Samsung Hospital and Sungkunkwan University, Suwon, Republic of Korea; Department of Preventive Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea; Department of Parasitology and Tropical Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea

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WOON-MOK SOHNResearch Institute for National Cancer Control and Evaluation, National Cancer Center, Goyang, Republic of Korea; Infections and Cancer Epidemiology Group, International Agency for Research on Cancer, Lyon, France; Department of Preventive Medicine, Konkuk University College of Medicine, Chungju, Republic of Korea; Seoul National University Graduate School of Public Health and Institute of Health and Environment, Seoul, Republic of Korea; Department of Parasitology and Institute of Health Sciences, Gyengsang National University College of Medicine, Jinju, Republic of Korea; Department of Occupational Medicine, Kangbuk Samsung Hospital and Sungkunkwan University, Suwon, Republic of Korea; Department of Preventive Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea; Department of Parasitology and Tropical Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea

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DONG-IL KIMResearch Institute for National Cancer Control and Evaluation, National Cancer Center, Goyang, Republic of Korea; Infections and Cancer Epidemiology Group, International Agency for Research on Cancer, Lyon, France; Department of Preventive Medicine, Konkuk University College of Medicine, Chungju, Republic of Korea; Seoul National University Graduate School of Public Health and Institute of Health and Environment, Seoul, Republic of Korea; Department of Parasitology and Institute of Health Sciences, Gyengsang National University College of Medicine, Jinju, Republic of Korea; Department of Occupational Medicine, Kangbuk Samsung Hospital and Sungkunkwan University, Suwon, Republic of Korea; Department of Preventive Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea; Department of Parasitology and Tropical Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea

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KEUN-YOUNG YOOResearch Institute for National Cancer Control and Evaluation, National Cancer Center, Goyang, Republic of Korea; Infections and Cancer Epidemiology Group, International Agency for Research on Cancer, Lyon, France; Department of Preventive Medicine, Konkuk University College of Medicine, Chungju, Republic of Korea; Seoul National University Graduate School of Public Health and Institute of Health and Environment, Seoul, Republic of Korea; Department of Parasitology and Institute of Health Sciences, Gyengsang National University College of Medicine, Jinju, Republic of Korea; Department of Occupational Medicine, Kangbuk Samsung Hospital and Sungkunkwan University, Suwon, Republic of Korea; Department of Preventive Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea; Department of Parasitology and Tropical Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea

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SUNG-TAE HONGResearch Institute for National Cancer Control and Evaluation, National Cancer Center, Goyang, Republic of Korea; Infections and Cancer Epidemiology Group, International Agency for Research on Cancer, Lyon, France; Department of Preventive Medicine, Konkuk University College of Medicine, Chungju, Republic of Korea; Seoul National University Graduate School of Public Health and Institute of Health and Environment, Seoul, Republic of Korea; Department of Parasitology and Institute of Health Sciences, Gyengsang National University College of Medicine, Jinju, Republic of Korea; Department of Occupational Medicine, Kangbuk Samsung Hospital and Sungkunkwan University, Suwon, Republic of Korea; Department of Preventive Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea; Department of Parasitology and Tropical Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea

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HAI-RIM SHINResearch Institute for National Cancer Control and Evaluation, National Cancer Center, Goyang, Republic of Korea; Infections and Cancer Epidemiology Group, International Agency for Research on Cancer, Lyon, France; Department of Preventive Medicine, Konkuk University College of Medicine, Chungju, Republic of Korea; Seoul National University Graduate School of Public Health and Institute of Health and Environment, Seoul, Republic of Korea; Department of Parasitology and Institute of Health Sciences, Gyengsang National University College of Medicine, Jinju, Republic of Korea; Department of Occupational Medicine, Kangbuk Samsung Hospital and Sungkunkwan University, Suwon, Republic of Korea; Department of Preventive Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea; Department of Parasitology and Tropical Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea

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DOI:
https://doi.org/10.4269/ajtmh.2006.75.93
Volume/Issue:
Volume 75: Issue 1
Page(s):
93–96
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To evaluate the prevalence and risk factors of Clonorchis sinensis infection, an epidemiologic survey was performed (3,169 residents; age range: 30–87 years; mean age = 59; 1,973 women) in three areas with different mortality rates of cholangiocarcinoma. C. sinensis prevalence was 2.1% in Chuncheon, 7.8% in Chungju, and 31.3% in Haman, where cholangiocarcinoma incidence rate was 0.3, 1.8, and 5.5 per 100,000 persons, respectively. Of the four major risk factors for C. sinensis (male sex, alcohol consumption, raw freshwater fish intake, and area of residence), area was the strongest. Efforts to discourage raw freshwater fish intake, treat egg carriers, and protect water sources from C. sinensis contamination should be strengthened in the Republic of Korea.

Author Notes

Reprint requests: Dr. Hai-Rim Shin, Research Institute for National Cancer Control and Evaluation, National Cancer Center, 809 Madu-dong, Ilsandong-gu, Goyang, Gyeonggi 411-769, Republic of Korea. E-mail: hrshin@ncc.re.kr.
Copyright:
Copyright 2006 The American Society of Tropical Medicine 2006
Received:
02 Jan 2006
|
Accepted:
14 Mar 2006
|
Published Online:
Jul 2006
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