Prevalence study of Metagonimus yokogawai infection, survey of intermediate hosts of Metagonimus yokogawai and food habits of raw sweetfish among inhabitants along Boseong river (120 km), Jeonra Nam Do (province) were carried out. The results are summarized as follows: Among 360 examined, the egg positive case were 128(35.6 percent); male 112(46.7 percent), female 16(13.3 percent). The prevalence rates were different by geographical areas; 42.4 percent in down stream, 49.4 percent in middle stream and 13.3 percent in upper stream. By ages, highest rate, 53.6-59.1 percent was observed among 30-49 group (male 69.6-73.0 percent, female 15.8-35.5 percent). Eggs per gram of feces were 2,084 (200-12,280) in average; down stream 1,708, middle stream 2,590, upper stream l,550. By social strata, the prevalence showed differences; 24.8 percent in primary schoolchildren, 78.4 percent in school teacher and local officers, 30.6 percent in general inhabitants. Clonorchis sinensis infected cases in the areas were 21(5.8 percent) out of 360 examined, and 90.5 percent of them showed mixed infection with Metagonimus yokogawai. Cercariae of Metagonimus yokogawai from the lst intermediate host, Semisulcospira sp., in down and middle streams were detected from 32 snails (5.9 percent) out of 545 examined. All the 22 Plecoglossus altivelis which were caught from the down stream were infected with metacercariae of Metagonimus yokogawai. The number of the metacercariae detected was 22,650 per fish in average, and the number increased from August to October. Experiences of raw sweetfish intake of the inhabitants were found in 208(58.4%) among 356 interviewed by questionaire form (male 76.7 percent, female 20.7 percent). Means of acquisition of the sweetfish were mostly by purchase 68.8 percent, and seasonally in summer. Reason of the raw sweetfish intake was due to the flavor, 83.2 percent. The fish were mixed in soy sause with vinegar before the intake.
parasitology-helminth-trematoda ; Metagonimus yokogawai ; metagonimiasis ; epidemiology

A status survey on Metagonimus yokogawai infection along the Tamjin River basin, South Cholla Do, Korea was conducted from September to November 1977. The snail intermediate host, Semisulcospira sp., the fish host, Plecoglossus altivelis and the inhabitants in three villages in Jangheung and Kangjin Guns were examined for detection of this trematode infection respectively. The results could be summarized as follows: Out of 452 snails, Semisulcospira sp., 105 (23.2%) were found positive for rediae and/or cercariae of M. yokogawai in Jangheung Gun. All of 20 sweetfishes, P. altivelis were infected with metacercariae of M. yokogawai and the mean number per fish was 15,688 and per gram of fish muscle, 234. Out of 606 inhabitants in three villages, 160(26.4%) persons were found infected with M. yokogawai and the mean E.P.G counts per infected cases were 2,078. Sixty cases (9.8%) were positive for ova of Clonorchis sinensis with mean E.P.G., 846, frequently mixed-infected with M. yokogawai. From the above results, it was turned out that the Tamjin River basin is one of the endimic foci of metagonimiasis in Korea. The relatively low infection rate of human host in spite of much higher infection of intermediate hosts were considered to be due to the less population of sweetfishes in the Tamjin River than in the Sumjin River basin.
parasitology-helminth-trematoda ; Metagonimus yokogawai ; epidemiolgy

The in situ posture of anterior body of Metagonimus yokogawai was observed in experimental metagonimiasis of dog. The metacercariae were collected from naturally infected sweetfish by peptic digestion; a total of 8 dogs was orally infected with 10,000 metacercariae respectively. Two dogs were killed on 3 days, 9 days, 4 weeks and 10 weeks after the infection. The postures of worms in histological section of small intestine and of whole worms collected from the fixed intestinal mucosa were examined by light and scanning electron microscope. The results were summarized as follows: The recovery rates of worms were 42.6% on 3 days, 55.0% on 9 days, 33.2% on 4 weeks and 9.8% on 10 weeks after the infection respecively. In histological sections of small intesine, most of worms were found at intervillous spaces as ovoid sections of posterior body. However, many worms, especially in 3 day-old worms, revealed protruded anterior body in glandular lumens of crypt. Some sections of anterior body were bifurcated or sacculated. The worms collected from fixed intestinal mucosa under dissecting microscope exhibited a variety of postures. Many worms showed flat shapes with a concavity or curvatures. However, in many worms, the anterior body made a single or multiple protrusions. By SEM observation of protruded anterior body, a longitudinal groove was found. The frequency of worms with protuded anterior body decreased in 9 days, 4 weeks and 10 weeks than in 3 day-old worms. The above findings indicated that the anterior body of juvenile and adult M. yokogawai protruded to lumens of glandular crypt by folding their lateral protions to make a reversible tubelike structure. Frequent multiple protrusions were considered to be made to adapt the microniche of glandular crypts of dog intestine.
parasitology-helminth-trematoda ; Metagonimus yokogawai ; pathology ; intestine

The present survey was undertaken to observe the geographical distribution of metacercaria among the sweetfish, Plecoglossus altivelis, the most important second intermediate host of Metagonimus yokogawai, which were collected during the period from 1983 to 1984 in south-eastern coastal areas of Korea. The results obtained were summarized as follows: A total of 668 sweetfish collected from 70 chons (=streams) in the above coasta1 areas was examined for the metacercariae, and 432(64.7 percent) among them were infected with metacercariae of M. yokogawai. The mean number of metacercariae in a fish was in the range from 0 to 29,604 and the mean number of the metacercariae in a fish was 640.3. It was observed that the mean infection rate showed 46.4 percent in Gangweon-Do (=province). The infection rates varied from stream to stream showing 100 percent in Namdae stream(Gangnun-city), Obsib-stream(Samchok-gun) and Dongmak, 95.0 percent in Hosan stream, 90.0 percent in Gungchon stream, and Namdae stream (Yangyang-up), 80.0 percent in Hwasang stream, 50.0 percent in Daebong stream, 45.0 percent in Yonghwa stream, 30.0 percent in Sangchon stream and Sachon stream, 20.0 percent in Munam stream and Okgyoe stream, 15.0 percent in Imweon stream, 10.0 percent in Namchon stream. And no metacercarial infections in their fish host were found in the areas of Mulchi stream, Sangun stream, Gosamun stream, Jonchon stream snd Gagok stream. It was observed that the mean infection rate showed 50.9 percent in Kyongsangbuk-Do(=province). The infection rates also varied from stream to stream showing 100 percent in Songchon stream, Osib stream (Yongdok-gun) and Daejong stream, 60.0 percent in Pyonghae stream snd Gunmu stream, 50.0 percent in Buhwung stream, 25.0 percent in Nagok stream, 20.0 percent in Oangbi stream, 10.0 percent in Namhodong stream. And no metacercarial infections in their fish host were found in the areas of Namdae stream (Uljinup) and Choksan stream. It was observed that the mean infection rate showed 67.6 percent in Kyongsangnam-Do(=province). The infection rates varied from stream to stream showing 100 percent in Taehwa river, Hwiya river, Inchon stream, Miryang river, Nam river, Hwagae stream, Koha stream, Sosang stream, and Tongchon stream, 90.9 percent in Yoncho stream, 90.0 percent in Hoihwa stream, 80.0 percent in Chindong stream, 66.7 percent in Chingyo stream, 40.0 percent in Hoyam river. And no metacercarial infections in their fish host were found in the areas of Chinjon stream, Sanchon stream and Jukchon stream. It was observed that the mean infection rate showed 94.6 percent in Chollanam-Do(=province). The infection rates varied from stream to stream showing 100 percent in Dongchon stream, Isachon stream, Somjin river (Goksong-gun), Somjin river (Kurye-gun), Sosi stream, Gokchon stream, Kohung stream, Kwansan stream, Youi stream, Unjon stream and Apnae stream, 92.3 percent in Tamjin river, 90.9 percent in Okkok stream, 84.6 percent in Songgun stream. And no metacercarial infections in their fish host were found in the area of Yongok stream. On the other hand, the infection rate showed 100 percent in Inchon river of Chollabuk-Do (=province) and Kangon stream of Cheju-Do (=province).
parasitology-helminth-trematoda ; Metagonimus yokogawai ; epidemiology ; Plecoglossus altivelis

The Parasitological investigation on the encysted metacercariae in brackish water fish, Tribolodon taczanowskii Steindachner , in the downstream of Hyungsan river which is located in Kyungpook province of Korea, were carried out, and the following results were obtained. Metacercariae of Metagonimus species were found in seventy five fishes (40.5 percent) out of 185 examined. Parasitic frequencies of the encysted matacercaria of Metagonimus species in Tribolodon taczanowskii were 23.2 percent (43 out of 185) in the scale, 7.0 percent (13 out of 185) in the gill, and 10.3 percent (19 out of 185) in the flesh. The number of the metacercaria in the scale, gill and flesh were fewer than that of the others. The worms were identified as Metagonimus yokogawai Katsurada, 1912 by morphological studies on the adults and eggs, and compared with prereported Metagonimus species.
parasitology-helminth-trematoda ; Metagonimus yokogawai ; epidemiology ; Tribolodon taczanowskii

An epidemiological investigation was conducted on Metagonimus yokogawai infection in Hadong Gun (County), Gyeongsang Nam Do, Korea, and following findings were obtained. Overall prevalence rate of Metagonimus yokogawai infection was 29.1 percent from a total of 1,163 inhabitants examined. By area of river and stream, Seomjin-gang R.: 9.5 percent (out of 95 inhabitants examined) in Jeondo Ri in the lower river, 19.9 percent (156) at Dugog Ri near Hadong town, and 90.8 percent (65) in Tab Ri of Hwagae Myeon where Hwagae-cheon Stream joins; Hwagae-Cheon Stream: 42.2 percent (45) in Yonggang Ri of the middle stream and 27.5 percent (72) in Daeseong Ri of the upper stream; Hoengcheon-gang R.: 54.7 percent (161) in Gojeol Ri of the lower river, 40.6 percent (128) in Hoengcheon Ri of the middle stream, and 5.4 percent (93) in Jungi Ri of the upper stream, and 43.8 percent (89) in Uge Ri located along a tributary of the Hoengcheon-gang R. and 4.0 percent (101) in Jangam Ri which is located about 4 km away from the river; Deogcheon-gang R.: 18.5 percent (54) in Munam Ri; Gwangog-cheon Stream: 2.8 percent (107) in Gwangog Ri. The difference in prevalence rate of the infection by area was correlated with the opportunity and amount of raw eating of sweetfish by the inhabitants in the respective areas. By age and sex, the overall prevalence rate increased from young age group and reached a peak at 20-29 age group and then the rate decreased gradually. In high endemic areas, however, a peak level of the rate lasted up to 40-49 age group in male. On the other hand, in low endemic areas, the rate was significantly lower in female, though moderate level of the infection was seen in male. The overall prevalence rate was higher in male than in female and the difference was greater in middle age groups. The most significant mode of infection by the inhabitants was the raw eating of sweetfish which commonly harbour metacercariae of M. yokogawai during summer through autumn. Besides, it was noted that the infection can be acquired through contamination with the metacercariae on food of various side-dish and kitchen utensils as well as on hands of a cook when such fish are prepared or handled. The inhabitants usually begin to acquire infection from early June of a year when fishing of sweetfish opens and acquire infection more frequently in July and August when fish are caught more productively and favored for raw consumption by inhabitants. From September, sweetfish are no more favored for raw consumption and accordingly are dried and cooked in this season. The infection in the sweetfish Plecoglossus altivelis as the second intermediate host was first observed from May with low level of infection and the intensity of infection in a fish rapidly increased until reaching a peak in October when sweetfish season normally ends. The first intermediate host snail of M. yokogawai in this area was Semisulcospira coreana (Martens) which is widely distributed in the streams and rivers in this locality.
parasitology-helminth-trematoda ; Metagonimus yokogawai ; metacercaria ; Plecoglossus altivelis ; epidemiology

There are a number of eating-houses in the basin of river Ahnseong that sell rawsweetfish, Plecoglossus altivelis, to local residents and visitors. These facts called attention to the possibility of wide spread of metagonimiasis in that area. In an attempt to determine whether the metacercaria of Metagonimus yokogawai does present in the sweetfish caught in the river Ahnseong, a total of 77 fish were examined in the period from April to September 1978. All the fish were infected with the encysted larvae. The average number of larvae persweetfish was 1,815, of which the metacercaria rate for the fluke in the flesh was 56.9 per cent and in the scale, 30.5 per cent. These results indicate that all the sweetfish in the river Ahnseong harbour the metacercaria of Metagonimus yokogawai.
parasitology-helminth-trematoda ; Metagonimus yokogawai ; metacercaria ; Plecoglossus altivelis ; epidemiology

The metacercariae of Metagonimus yokogawai were isolated from the sweetfish Plecoglossus altivelis, clollected at Hwagae, South Kyongsang Do, one of the newly known endemic foci of metagonimiasis in Korea. The body structure of metacercaria of M.yokogawai was described and the measurements of the excysted metacercaria were also made. In order to know the distribution of metacercariae within the host, the rate of infection and the intensity of infection, a total of 10 sweet fishes was examined and it was found all infected, from which a total of 38,511 metacercariae was isolated. The number of metacercariae in a fish varied from 219 to 14,427. The average number of metacercaria per fish was 3,851. The distribution of metacercariae in the four divided parts of fish was observed in the following order; number of metacercaria in the muscles; 2,417 (62.8%), in the subcutaneous tissues; 1,126.9 (29.3%), and on the scale; 291.9(7.7%). The development of the metacercaria of M. yokogawai in the mouse host was experimentally traced every day for 10 days after infection . In an earlier period of infection, the growth rate of the genital primordia was distinctly high, particularly in the testes. The seminal receptable and seminal vesicle became clearly recognized in measurable size at 4 days after infection. The vitelline follicles and their ducts were also first visible in the living specimens at 6 days after infection. The oral sucker was larger in size than the ventral sucker in an early stage of the worms, however after 7 days after infection it reversed. The posterior part of body began to extend since two days after infection. Fully matured worms were able to collect only after 7 days after infection. At this stage, the body of worm became 0.7 mm long and 0.3 mm wide. The first positive appearance of eggs in the uterine tubule and in feces was on the 6th day and 10th day of infection, respectively. In an earlier stage of infection, the worms were found mostly in the upper portion of small intestine and the recovery rates of the worms were high, however according to the course of infection in later stage they were seen rather in the lower part of the intestine and the recovery rate also decreased.
parasitology-helminth-trematoda ; Metagonimus yokogawai ; development ; metacercaria ; Plecoglossus altivelis

This study was performed to observe the chronological changes in the tegumental structure of M. yokogawai using scanning electron microscope. The subjected worms were excysted metacercariae obtained from sweetfish, and 2-day, 1-week and 4-week old worms experimentally reared in albino rats. The results are as follows: The tegument of excysted metacercariae showed many transverse shallow rugae, which were more remarkable in posterior half body, i.e., posterior to ventral sucker. The whole surface was armed with many scale-like spines; 7-8 pointed ones on anterior body and 2-3 pointed on posterior body. The ciliated knob-like papillae (Type I) were abundant around oral and ventral suckers, which grouped 2, 3 or 4 in number in most cases. A few round swellings of tegument (Type II) were observed only on oral sucker. The tegumental surface of 2-day old worms showed deeper rugae, and the anterior half covered with knob-like processes of distal cytoplasm and the posterior half with cobblestone-like ones. Interspinous space became more wide and 9 pointed spines appeared on anterior dorsal surface. The sensory papillae enlarged but not changed in their distribution. The tegument of 1-week old worms revealed knob-like cytoplasmic processes in posterior half body and velvety ones around oral sucker. The scale-Iike spines of anterior half body changed remarkably to the slender ones of posterior body at the level of ventral sucker. In dorsal surface, the arrangement of the Type I papillae were bilaterally symmetrical. The tegument of 4-week old worms were finely differentiated and the posterior tegument covered with velvety cytoplasmic processes. The spines had remarkably grown in length and width but the density remained nearly unchanged. The papillae also became larger but their morphology and distribution were not different from younger worms. However, the round elevation of cytoplasmic ridges (Type III papilla) appeared bilaterally on inner wall of oral sucker, approximately 8 in number. From the above results, it is considered that the tegument of juvenile M. yokogawai continued to differentiate until 4 weeks after infection.
parasitology-helminth-trematoda ; Metagonimus yokogawai ; electronmicroscopy ; Plecoglossus altivelis ; tegument

A study was carried out to figure the cases and to observe the endemic status of clonorchiasis and metagonimiasis in endemic areas in Korea. Total 13,373 inhabitants living in 40 villages along 7 main rivers and 9 small streams were subjected to stool examination. They were selected randomly among the riverside population. Their specimens were examined both by cellphane thick smear method and Stoll's egg countung technique. This study was performed during the period from May 1979 to April 1980. The results obtained are as follows: The egg positive rate of any kind of helminths was 58.7% out of 13,373 examned cases, and the egg positive rates by each helminth were; Clonorchis sinensis 21.5%, Metagonimus yokogaqai 4.8%, large type Metagonimus eggs 0.4%, Ascaris lumbricoides 22.9%, Trichuris trichiura 35.2%, hookworm 0.2%, Taenia sp. 0.5%, Hymenolepis nana 0.07%, Paragonimus westermani 2 cases, Fasciola sp. 4 cases, Echinostoma sp. 1 case and Hymenolepis diminuta 1 case respectively. Many endemic foci of clonorchiasis were revealed along the 7 major rivers. The egg positive rates of each river basin differed from each other significantly; Nagdonggang 40.2%, Yeongsangang 30.8%, Seomjingang 17.3%, Hangang 15.7%, Tamjingang 15.9%, Geumgang 12.0% and Mangyeonggang 8.0%. The cases of clonorchiasis were estimated in range 830,000 to 890,000 in riverside areas of the 7 rivers. By grading the infection intensity, 64.7% was in Grade I(EPG 0-900), 28.6% in Grade II (EPG 1000-9,900), 5.5% in Grade III (EPG 10,000-29,900) and 1.3% in Grade IV (EPG over 30,000). The proportion of the cases in Grade III and IV was 6.8% among positive cases. Therefore 60,000 cases at least were regarded to suffer from it clinically. Males of 30-60 years of age showed higher positive rate and heavier burden of infection. This makes clonorchiasis more important socially because the patients lose their social productivity. A few endemic foci of metagonimiasis were detected newly by egg detection; Samcheong 28.5% egg positive rate, Uljin 21.3%, Yeuongdeog 46.3%, Milyang 6.7%, Yeongil 9.2% and Geoje 18.2%. The mean EPG values were in range of 320-7, 120 by the focus. The egg positive rate and proportion of EPG Grade varied greatly by the area, and mean proportion of the positive cases were 69.7% in Grade I, 24.1% in Grade II, 5.0% in Grade III and 1.2% in Grade IV. Males of 30-60 years were infected in higher rate also. The large sized eggs of Metagonimus were found also in upper basin of Hangang and Geumgang mainly. They were regarded as eggs of M. takahashii which is mediated by the cyprinid fishes. Its significance should be studied further. Clonorchiasis and metagonimiasis should be realized as important public health problems in Korea by their wide distribution, high prevalence rate and heavy infection intensity. Comprehensive measures against them are needed urgently.
parasitology-helminth-trematoda ; clonorchiasis ; metagonimiasis ; Clonorchisis sinensis ; Metagonimus yokogawai ; epidemiology