Epidemiological study of clonorchiasis and metagonimiasis along the Geum-gang (River) in Okcheon-gun (county), Korea

Abstract

The endemic status of clonorchiasis and metagonimiasis along the Geum-gang (River) in Okcheon-gun (County) in Korea was examined. From February to December 2000, stools of total 1,081 inhabitants living in 5 villages were examined. Each stool specimen was examined by both the cellophane thick smear method and the formalin-ether sedimentation technique. Egg-positive cases were further analyzed by Stoll's egg-counting technique, and praziquantel was administered to positive cases. The egg-positive rates for Clonorchis sinensis and Metagonimus species were 9.3% and 5.5%, respectively, and the double infection rate was 3.5%. The numbers of eggs per gram (EPG) of feces of C. sinensis and Metagonimus sp. were 918 +/- 1,463 and 711 +/- 947, respectively. The egg-positive rates for C. sinensis and Metagonimus sp. in the riverside area were 14.2% and 8.4%, respectively, which were significantly higher than those of the inland area (3.2% and 1.7%, respectively). The egg-positive rates of C. sinensis and Metagonimus sp. in males (16.7% and 10.0%) were significantly higher than those of females (3.5% and 1.8%). However, there were no significant differences of EPG values between localities and sexes. The prevalence of clonorchiasis and metagonimiasis in this survey was significantly lower than that in the previous reports. However, there is still a high prevalence of infection with C. sinensis and Metagonimus sp. in this region, especially in the riverside area.

Fig. 1

Map of the areas surveyed in Okcheon-gun, Chungcheongbuk-do, Korea. ①, Subug-ri Okcheon-eup; ②, Yegog-ri Cheongsan-myeon; ③, Usan-ri Dongyi-myeon; ④, Okgag-ri Okcheon-eup; ⑤, Eunhaeng-ri Gunseo-myeon.

Fig. 2

Egg positive rates of C. sinensis and Metagonimus sp. based on stool examination according to sex in Okcheon-gun, Chungcheongbuk-do

Fig. 3

EPG counts of egg positive cases of C. sinensis and Metagonimus sp. according to sex in Okcheon-gun, Chungcheongbuk-do. Cs males of C. sienesis egg positive cases; Cs female, females of C. sinensis egg positive cases; Cs total, both sexes of C. sineneis egg positive cases; My male, males of Metagonimus sp. egg positive cases; My female, females of Metagonimus sp. egg positive cases; My total, both sexes of Metagonimus sp. egg positive cases.