Lee Soon-Ok, Dai Fuhong, Park Eun Joo, Hong Yun Pyo, Quan Fu-Shi, Song Jin-Ho, Hong Sung-Jong
Department of Medical Sciences, Chung-Ang University College of Medicine, Seoul, Republic of Korea.
Department of Medical Zoology and Medical Research Center for Bioreaction to Reactive Oxygen Species and Biomedical Science Institute, School of Medicine, Graduate School, Kyung Hee University, Seoul, Republic of Korea.
Parasitol Res. 2024 Dec 19;123(12):414. doi: 10.1007/s00436-024-08437-1.
Clonorchiosis, a disease that develops following the consumption of raw freshwater fish that harbors Clonorchis sinensis metacercariae, seriously threatens the health of residents in endemic areas. We aimed to assess the level of awareness of liver fluke infections among infected residents and restaurant workers in liver fluke infection-endemic areas. To identify and provide a more realistic description of C. sinensis infections, we conducted a focused interview and questionnaire survey of local residents in endemic areas in Korea. Most residents knew that freshwater fish are a source of C. sinensis infection. Nevertheless, the consumption of raw freshwater fish was the main risk factor for their infection with C. sinensis. The residents had little knowledge regarding their residential area being endemic to C. sinensis or about the symptoms and complications of C. sinensis infection. Although the participants had no experience with C. sinensis prevention or health education, they preferred on-site education during visits to village halls. The in-depth interviewees had a high level of knowledge about C. sinensis infection but were unaware that eating raw freshwater fish was its cause. Family and social gatherings encourage the habit of eating raw freshwater fish, which is a risk factor for repetitive infections. Based on these findings, to eliminate clonorchiosis, we propose strengthening the capacity of public health care personnel, giving C. sinensis prevention education, and screening educational videos during visits to village halls. Furthermore, intensive education is recommended for reinfected people and community opinion leaders, as well as reservoir host control.
华支睾吸虫病是一种因食用携带华支睾吸虫囊蚴的淡水生鱼而引发的疾病，严重威胁着流行地区居民的健康。我们旨在评估华支睾吸虫感染流行地区受感染居民和餐馆工作人员对华支睾吸虫感染的认知水平。为了识别并更真实地描述华支睾吸虫感染情况，我们对韩国流行地区的当地居民进行了聚焦访谈和问卷调查。大多数居民知道淡水鱼是华支睾吸虫感染的一个来源。然而，食用淡水生鱼是他们感染华支睾吸虫的主要风险因素。居民对其居住地区是华支睾吸虫病流行区以及对华支睾吸虫感染的症状和并发症了解甚少。尽管参与者没有接受过华支睾吸虫病预防或健康教育的经历，但他们更喜欢在访问村公所时接受现场教育。深度访谈对象对华支睾吸虫感染有较高的认知水平，但并未意识到食用淡水生鱼是其病因。家庭和社交聚会助长了食用淡水生鱼的习惯，这是反复感染的一个风险因素。基于这些发现，为了消除华支睾吸虫病，我们建议加强公共卫生保健人员的能力，在访问村公所时进行华支睾吸虫病预防教育并播放筛查教育视频。此外，建议对再次感染者和社区意见领袖进行强化教育，以及控制保虫宿主。
