Department of Parasitology and Tropical Medicine, Institute of Health Sciences, Gyeongsang National University College of Medicine, Jinju 52727, Korea.
Department of Convergence Medical Science, Gyeongsang National University, Jinju 52727, Korea.
Parasitology. 2022 Sep;149(10):1296-1305. doi: 10.1017/S0031182022000798. Epub 2022 Jun 14.
is a carcinogenic liver fluke that causes clonorchiasis in humans. Clonorchiasis is prevalent in East Asian countries, and approximately 15–20 million individuals are estimated to be infected with this fluke globally. This review highlights the current status of and clonorchiasis in Korea from the epidemiological perspective involving the analysis of humans and intermediate hosts. Despite the recent decline in infection rate in Korea, infections remain endemic in 5 major river basins (Han-gang, Geum-gang, Seomjin-gang, Yeongsan-gang and Nakdong-gang; gang means river) with a high incidence of cholangiocarcinoma. A noticeable pattern involves increasing mild infections among patients diagnosed positive for eggs. The infection rate of metacercariae in the second intermediate host, freshwater fish, is also maintained at a substantial level. Thus, the One Health approach integrating different sectors and disciplines is recommended to accelerate and sustain control of , thereby leading to successful eradication. Health promotion information dissemination and health education should be extended to prevent the consumption of raw freshwater fish by residents living in high-risk areas.
华支睾吸虫是一种致癌的肝吸虫，可导致人类感染肝吸虫病。肝吸虫病在东亚国家流行，估计全球有 1500 万至 2000 万人感染这种吸虫。本综述从涉及人类和中间宿主的流行病学角度，重点介绍了韩国华支睾吸虫和肝吸虫病的现状。尽管韩国华支睾吸虫感染率最近有所下降，但在五大河流流域（汉江、锦江、蟾津江、永川江和洛东江；江指河流）仍存在感染，这些地区胆管癌的发病率很高。一个显著的模式是，被诊断出华支睾吸虫卵阳性的患者中轻度感染的比例有所增加。第二中间宿主淡水鱼类中华支睾吸虫囊蚴的感染率也维持在较高水平。因此，建议采用整合不同部门和学科的“同一健康”方法来加速和持续控制华支睾吸虫，从而实现成功消除。应向居住在高风险地区的居民传播健康促进信息和开展健康教育，以防止食用生淡水鱼。
