Graduate School of Medicine, Hokkaido University, Kita 15 Jo Nishi 7 Chome, Kita-ku, Sapporo-shi, Hokkaido 060-8638, Japan; CREST, Japan Science and Technology Agency, Honcho 4-1-8, Kawaguchi, Saitama 332-0012, Japan.
Graduate School of Medicine, Hokkaido University, Kita 15 Jo Nishi 7 Chome, Kita-ku, Sapporo-shi, Hokkaido 060-8638, Japan; CREST, Japan Science and Technology Agency, Honcho 4-1-8, Kawaguchi, Saitama 332-0012, Japan.
Int J Infect Dis. 2018 Jan;66:22-25. doi: 10.1016/j.ijid.2017.10.021. Epub 2017 Nov 7.
The characteristics of disease in North Korea, including severe malnutrition and infectious disease risks, have not been openly and widely analyzed. This study was performed to estimate the risks of infectious diseases among refugees from North Korea.
A literature review of clinical studies among North Korean defectors was conducted to statistically estimate the risks of infectious diseases among North Korean subjects.
A total of six groups of data from five publications covering the years 2004 to 2014 were identified. Tuberculosis and viral hepatitis appeared to be the two most common infectious diseases, especially among adult refugees. When comparing the risks of infectious diseases between North Korean and Syrian refugees, it is critical to remember that Plasmodium vivax malaria has been endemic in North Korea, while cutaneous leishmaniasis has frequently been seen among Syrian migrants.
Valuable datasets from health surveys of defectors were reviewed. In addition to tuberculosis and viral hepatitis, which were found to be the two most common infectious diseases, a special characteristic of North Korean defectors was Plasmodium vivax malaria. This needs to be added to the list of differential diagnoses for pyretic patients.
朝鲜的疾病特征，包括严重营养不良和传染病风险，尚未公开和广泛分析。本研究旨在评估来自朝鲜的难民感染传染病的风险。
对朝鲜脱北者的临床研究文献进行了综述，以统计估计朝鲜人群感染传染病的风险。
从 2004 年至 2014 年的五篇出版物中确定了六组数据。结核病和病毒性肝炎似乎是两种最常见的传染病，尤其是成年难民。在比较朝鲜和叙利亚难民感染传染病的风险时，必须记住，间日疟原虫疟疾在朝鲜流行，而皮肤利什曼病在叙利亚移民中经常出现。
对脱北者健康调查的有价值数据集进行了回顾。除了结核病和病毒性肝炎这两种最常见的传染病外，朝鲜脱北者的一个特殊特征是间日疟原虫疟疾。这需要添加到发热患者的鉴别诊断列表中。
