Paik Y H, Ree H I, Shim J C
Department of Parasitology, College of Medicine, Kyung-Hee University, Seoul, Korea.
Jpn J Exp Med. 1988 Apr;58(2):55-66.
Malaria was steadily decreasing in Korea except in certain counties of the mountainous and hilly areas, in the 1960s. Judging from the present epidemiological, social and economic conditions, it can be said with confidence that malaria with "unstable" characteristic in the Republic of Korea has already been disappeared. No doubt, the causes of the disappearance of malaria are complex. Certainly improved living conditions and life style; better medical and educational facilities in the wake of a rapid economic development could all have some role. On the other hand, the disappearance of malaria without large scale control operations could be ascribed to the two main factors: one is malaria case detection and simultaneous drug therapy available through the nation-wide passive case detection network during the 1960s and the other is rapidly improved farming practices begun in 1970s, which resulted in the use of a huge quantity of pesticides and other chemicals for agriculture, which, in turn, might affect local anopheline vectors which were originally not effective ones any way.
在20世纪60年代,韩国的疟疾发病率除了在某些山区和丘陵地区的县以外,一直在稳步下降。从目前的流行病学、社会和经济状况来看,可以有信心地说,韩国具有“不稳定”特征的疟疾已经消失。毫无疑问,疟疾消失的原因是复杂的。生活条件和生活方式的改善;经济快速发展带来的更好的医疗和教育设施肯定都起到了一定作用。另一方面,在没有大规模防治行动的情况下疟疾的消失可归因于两个主要因素:一是20世纪60年代通过全国性被动病例检测网络进行的疟疾病例检测和同步药物治疗,另一个是20世纪70年代开始迅速改进的耕作方式,这导致在农业中使用了大量农药和其他化学品,这反过来可能影响原本就不是高效传播媒介的当地按蚊。