1.Successful Control of Lymphatic Filariasis in the Republic of Korea.
Hyeng Il CHEUN ; Yoon KONG ; Shin Hyeong CHO ; Jong Soo LEE ; Jong Yil CHAI ; Joo Shil LEE ; Jong Koo LEE ; Tong Soo KIM
The Korean Journal of Parasitology 2009;47(4):323-335
A successful experience of lymphatic filariasis control in the Republic of Korea is briefly reviewed. Filariasis in the Republic of Korea was exclusively caused by infection with Brugia malayi. Over the past several decades from the 1950s to 2006, many investigators exerted their efforts to detection, treatment, and follow-up of filariasis patients in endemic areas, and to control filariasis. Mass, combined with selective, treatments with diethylcarbamazine to microfilaria positive persons had been made them free from microfilaremia and contributed to significant decrease of the microfilarial density in previously endemic areas. Significant decrease of microfilaria positive cases in an area influenced eventually to the endemicity of filariasis in the relevant locality. Together with remarkable economic growth followed by improvement of environmental and personal hygiene and living standards, the factors stated above have contributed to blocking the transmission cycle of B. malayi and led to disappearance of this mosquito-borne ancient disease in the Republic of Korea.
Animals
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Brugia malayi/isolation & purification
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Diethylcarbamazine/therapeutic use
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Elephantiasis, Filarial/diagnosis/*drug therapy/*epidemiology/parasitology
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Endemic Diseases
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Filaricides/therapeutic use
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Humans
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Republic of Korea/epidemiology
2.Highlights of human toxocariasis.
Jean Francois MAGNAVAL ; Lawrence T GLICKMAN ; Philippe DORCHIES ; Bruno MORASSIN
The Korean Journal of Parasitology 2001;39(1):1-11
Human toxocariasis is a helminthozoonosis due to the migration of Toxocara species larvae through human organism. Humans become infected by ingesting either embryonated eggs from soil (geophagia, pica), dirty hands or raw vegetables, or larvae from undercooked giblets. The diagnosis relies upon sensitive immunological methods (ELISA or western-blot) which use Toxocara excretory-secretory antigens. Seroprevalence is high in developed countries, especially in rural areas, and also in some tropical islands. The clinical spectrum of the disease comprises four syndromes, namely visceral larva migrans, ocular larva migrans, and the more recently recognized "common" (in adults) and "covert" (in children) pictures. Therapy of ocular toxocariasis is primarily based upon corticosteroids use, when visceral larva migrans and few cases of common or covert toxocariasis can be treated by anthelmintics whose the most efficient appeared to be diethylcarbamazine. When diagnosed, all of these syndromes require thorough prevention of recontamination (especially by deworming pets) and sanitary education.
Animals
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Anthelmintics/therapeutic use
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Antibodies, Helminth/blood
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Biological Markers/blood
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Diethylcarbamazine/therapeutic use
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Enzyme-Linked Immunosorbent Assay
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Human
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Immunoglobulin E/blood
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*Larva Migrans, Visceral/diagnosis/epidemiology
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Toxocara/immunology