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1 Special Issue Trends of Bacterial Zoonoses in Humans in Korea Chul Soon Choi, D.V.M. Department of Microbiology ChungAng University College of Medicine cschoi@cau.ac.kr Abstract Out of national communicable diseases in Korea, are zoonoses, diseases transmissible from animals to humans. Among the bacterial zoonoses, plague, brucellosis, anthrax, Q fever, tularemia, glanders, and melioidosis are categorized as a highlevel threat of bioterrorism and biowarfare in the world. In this paper, the trends of notifiable bacterial zoonoses recently occurring or recurring in Korea and other potential pathogens for bioterrorism or biowarfare are reviewed. Notifiable bacterial zoonoses recently occurring in Korea are enterohemorrhagic Escherichia coli (EHEC) infection, tetanus, tuberculosis, scrub typhus, leptospirosis, brucellosis, and anthrax. Other bacterial diseases recently emerging are tularemia, ehrlichiosis, and Q fever. However, no human case of plague, glanders, and melioidosis has been reported yet. Keywords : Zoonosis; Bacterial zoonoses; Notifiable communicable disease; Emerging infectious disease

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3 EHEC (998~) () () 7() () () () () () () () () () () 7() (),,, O7 O7,, O (), O (),, O7 () () (), O7 OUT O () OUT () O7 OUT O ( ) outbreaks / OUT ; group untypable (. ~. 7) (%) EHEC ETEC EPEC 8 7 from CDMR July ~August EHEC ; enterohemorrhagic E. coli, ETEC ; enterotoxigenic E. coli, EPEC ; enteropathogenic E. coli 9 7 8(.9) (7.) 7(77.) (%) () 7

4 Special Issue * Cumulative total by July, (98~) ~ ~ * (~) (<) (%)* (%) < <9 >7 ** 7,8 (78.7),97 (7.),89 (7.) 8,8,8 (.9), (.8),97 (.9),8 (.) (.) (.) 97,9 (.) (.8),8 (.7), 8,9 (.8) 7, (9.) 7,7 (9.),7,88 (7.),89 (7.9), (.),8, (7.),9 (9.7), (.7),79,8 (9.) 9,99 (87.),77 (8.7),,97 (8.),87 (.), (.),7,878 (.8),9 (9.),7 (.) 8,89 * (%) rate/, ** Notified tuberculosis cases by July 8

5 (99~) * * Cumulative total by July, 9

6 Special Issue (98~) , , ,8 998,, , ,, ,7 99,99 * * Cumulative total by July, (98~) (%) (%) (%) Several 99 (.9) Several 99 (.) Several (.) * * Cumulative total by July,

7 (9~) ( ) ( ) ,,,,,,,,, () () 7(7) () () () () () () 9() () () 8() () (),, 7(7) () from Choi CS. Anthrax. Zoonoses. st ed. Seoul : Seoheumg Publ., : - 9

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9 ( ) (99~999) Salmonella 7 (.) 8(.) (.) 7(.) (.) (.),8(.) (.) 7(.) 7(.) (.) (.) (.),(.),7(.) (.) (.) 88(.) 9 8,8(.) 9(.),(9.) 7(.) (.),9(8.) (%),7(.) 78,7(.) 9,77(.) 7 7,7(.) from Choi CS. Salmonellosis. Zoonoses. st ed. Seoul : Seoheumg Publ., : -

10 Special Issue Salmonella (99~99) / (%) S. Eteritidis S. Typhi S. Typhimurium S. Paratyphi A S. hadar S. stanley S. infantis S. muenchena S. agona S. heidelberg S. london S. brandenburg S. paratyphi B S. anatum S. derby S. emek S. paratyphi Other Salmonella spp. (.7) 8(.) 7(.) 9(.7) (.8) 8(.7) 8(.7) (.7) (.7) 9(.7) 9(.7) (.7) (.7) (.7) (.7) (.7) (.7) 7(.7) (87. (87.) (.) (.) (87.) (87.) (87.) (87.) (87.) (87.) (87.) (87.) (87.) (87.) (87.) (87.) (87.) (87.) (7.) (9.8) (9.) 9(.) (.) 8(.) 8(.) (.) (.8) (%),8(.7) (87.) 9,8() from Choi CS. Salmonellosis. Zoonoses. st ed. Seoul : Seoheumg Publ., : - Salmonella (~) * (%) (%) S. Typhi S. Paratyphi A S. Enteritidis S. Typhimurium Salmonella spp (.) (.8) (.) 98(.) 7(8.) (.) (.) 8(.7) (.) 7(8.) (%) () 99() * cumulative total by July

12 Special Issue 7. Tigertt WD. Plague. In : Evans AS, Brachman PS, ed. Bacterial infections of humansepidemiology and control. nd ed. New York and London : Plenum Medical Book Co., 99 : - 8. National Institute of Health. Confirmed test with E. coli O7 : H7 infection. CDMR 998 ; 9 : 9. Orenstein WA, Wassilak SGF. Tetanus. In : Evans AS, Brachman PS, ed. Bacterial infections of humansepidemiology and control. nd ed. New York and London : Plenum Medical Book Co., 99 : KCDC. Recent trends in notifiable diseases occurrence based on the data of. CDMR January : 9-7. Korean Institute of Tuberculosis. Notified new tuberculosis cases. CDMR ; : 7. Kim SJ, Hong YP, Jin BW. Tuberculous and nontuberculous mycobacterial infection in Korea. In : Casal M, ed. Mycobacteria of clinical interest. Elsevier Science Publication, 98 : MRCD ; : :, : 9-7. Choi CS, Shin KS. Zoonotic infections caused by microorganisms originated from animals or their ectoparasites in Korea. J Kor Soc Microbiol 99 ; : ; 8 : Voskuhl GW, Cornea P. Bronze MS, Greenfield RA. Other bacterial diseases as a potential consequence bioterrorism : Q fever, brucellosis, glanders, and melioidosis. J Okla State Med Assoc ; 9 : - 7. Jarrett CO, Deak E, Isherwood KE, Oyston PC, Fischer ER, Kobayashi SD, et al. Transmission of Yersinia pestis from an infectious biofilm in the flea vector. J Infect Dis ; 9 : Murray PR, Kobayashi GS, Pfaller MA, Rosenthal KS. Rickettsial. Medical microbiology. nd ed. MosbyYear Book Co., 99 : - 7. Chung HY. Murine typhus in Korea. J Kor Med Ass 9 ; : 7-8. Murray PR, Kobayashi GS, Pfaller MA, Rosenthal KS. Rickettsia tsutsugamushi. Medical microbiology. nd ed. ST. Louis : MosbyYear Book Co., 99 : :, Sekikuchi I. Distribution of leptospirosis in Kyungsang bukdo. Jap J Bacteeriol 9 ; : - 8. Cho MK, Min CH, Kim YW, Yoon CS. Serological studies on leptospirosis in Kangwondo area, J Kor Soc Microbiol 98 ; : 9. Choi CS. Epidemiology of bovine and human anthrax reported in Korea, Kor J Vet Publ Hlth 989 ; : 7. Tarnvik A, Priebe HS, Grunow R. Tularaemia in Europe : an epidemiological overview. Scand J Infect Dis ; : -

13 . Cronquist SD. Tularemia : the disease and the weapon. Dermatol Clin ; : -. KCDC. First case report of tularemia in Korea. CDMR 997 ; 8 :. Murray PR, Kobayashi GS, Pfaller MA, Rosenthal KS. Ehrlichia. Medical microbiology. nd ed. St. Louis : MosbyYear Book Co, 99 : 8-9. KCDC. Ehrlichia chaffeensis infection in a US soldier stationed in Korea. CDMR ; : 9. Fiset P, Woodward TE. Q fever. In : Evans AS, Brachman PS, ed. Bacterial infections of humans. nd ed. New York and London : Plenum Medical Book Co., 99 : 7 -. Marrie TJ. Q fever pneumonia. Curr Opin Infect Dis ; 7 : 7-7. Barralet JH, Parker NR. Q fever in children : an emerging public health issue in Queensland. Med J Aust ; 8 : Park HS. One case of Q fever with pancytopenia, hepatitis and 9. Pavia AT, Tauxe RV. Salmonellosis : Nontyphoidal. In : Evans AS, Brachman PS, ed. Bacterial infections of humans. nd ed. New York and London : Plenum Medical Book Co., 99 : 7-9. Lopez J. Copps J. Wilheimsen C. Morrre R, Kubay J, Halayko S, et al. Characterization of experimental equine glanders. Microbes Infect ; : -. Pospisil L. Glandersan eradicable disease or a threat? Cas Lek Cesk ; : 7-7. IP M. Pulmonary melioidosis. Chest 99 ; 8 : -. Woods ML. Neurological melioidosis. Seven cases from the Northern Territory of Australia 99 ; : -. Douglas MW, Lum G, Roy J, Fisher DA, Anstey NM, Currie BJ. Epidemiology of communityacquired and nosocomial bloodstream infections in tropical Australia : a month prospective study. Trop Med Int Health ; 9 : Leelarasamee A. Recent development in melioidosis. Curr Opin Infect Dis ; 7 : - myocarditis. Kor J Infect Dis 99 ; : 7

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°Ç°�°úÁúº´6-2È£ K O R E A C E N T E R S F O R D I S E A S E C O N T R O L & P R E V E N T I O N PHWR Vol. 6 No. 2 www.cdc.go.kr 2013 1 11 6 2 ISSN:2005-811X Flavivirus surveillance in mosquitoes collected from the quarantine