PUBLIC HEALTH WEEKLY REPORT, KCDC www.cdc.go.kr/phwr Revised national tuberculosis control programme in Korea Figure 1. Trend of new tuberculosis case notification rate 1) Case notification rate= Total number of notified new cases / Mid- Year Estimated Population * 10 5 2) Source: Annual Report on the Notified Tuberculosis Patients in Korea(KCDC, Korean Institute of Tuberculosis, 2006), The future estimated population(korea National Statistical Office) Figure 2. Trend of tuberculosis mortality rate 1) TB Mortality rate = Number of death case due to TB(A15.0-A19.9) / Registered Mid-Year Population * 10 5 2) Source: Annual Report on the cause of death statistics(korea National Statistical Office, 2008) 181 184 189 190 Public Health Weekly Report, KCDC 181
Figure 3. Estimation of smear positive case notification rates Source : Tuberculosis Elimination Plan by 2030(based on sputum smear positive case) Table 1. Objective of National Tuberculosis Control in Korea Figure 4. Trend of case notification rates by health care sectors[2] Source : Annual Report on the notified tuberculosis patients in Korea (KCDC, Korean Institute of Tuberculosis, 2007) Year 2010 2020 2030 TB incidence rate of infectious case in 2030 : <10 case/ 10 6 Case detection rate 78 84 96 Goal(%) Treatment success rate 70 92 97 182 Public Health Weekly Report, KCDC
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Change in TB epidemiological indices over time in Korea 184 Public Health Weekly Report, KCDC
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Table 1. Reported new TB cases and rates(/10 5 pop.), Korea, 2001-2007 Year 2001 2002 2003 2004 2005 2006 2007 All form 34,123 (72.1) 32,010 (67.2) 30,687 (64.0) 31,503 (65.4) 35,269 (73.0) 35,361 (73.2) 34,710 (71.6) PTB Active Smearpositive 30,326 (64.1) 11,805 (24.9) 28,039 (58.9) 11,345 (23.8) 26,940 (56.2) 10,976 (22.9) 27,947 (58.0) 11,501 (23.9) 30,098 (62.3) 11,638 (24.1) 30,317 (62.8) 11,513 (23.8) 29,705 (61.3) 10,927 (22.6) EPTB* 3,797 (8.0) 3,971 (8.3) 3,747 (7.8) 3,556 (7.4) 5,171 (10.7) 5,044 (10.4) 5,005 (10.3) Figure 1. Age-specific TB cases and rates, Korea, 2007 *Extra Pulmonary Tuberculosis 186 Public Health Weekly Report, KCDC
Table 2. Primary drug resistance rates in Korea, 1994-2004 Year 1994 1998-9 2003 2004 Isolates (N) 2,486 2,370 1,348 2,636 Pan-sensitive 88.7 % 89.1 % 87.2 % 87.2 % INH resistant 7.7 % 8.6 % 9.9 % 9.9 % Rifampicin resistant 2.2 % 3.0 % 3.2 % 3.7 % MDR 1.6 % 2.2 % 2.4 % 2.7 % Public Health Weekly Report, KCDC 187
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Contact investigation of tuberculosis outbreak at a middle school in Yeongi-Gun, Chungcheongnam-Do Public Health Weekly Report, KCDC 189
Figure 1. The weekly proportion of influenza-like illness visits per 1,000 patients, 2007-2008 season - 2008-2009 season Figure 2. The number of influenza virus isolates, 2008-2009 season Figure 3. Viral hepatitis A status through NNDSS, 2009 Figure 4. Viral hepatitis A status through NNDSS All Causes 243* 10 1 48 101 83 P&I 4 0 0 0 1 3 * Mortality data in this table are voluntarily reported from 20 hospitals, which of total discharged patients in 10 th week, 2009 are 12,850. A causes of death are defined from death certificates. Fetal deaths are not included. Pneumonia and influenza (KCD code J09-J18). 190 Public Health Weekly Report, KCDC
Cholera - - - 5 7 5 16 10 Plague - Typhoid fever 2 25 4 188 223 200 190 174 Paratyphoid fever 1 6 1 44 45 50 31 45 Shigellosis 6 25 3 209 131 389 317 487 Cambodia(1), Philippines(3) EHEC - - - 58 41 37 43 118 Diphtheria - Pertussis - 7-9 14 17 11 6 Tetanus - - - 16 8 10 11 11 Measles 1 5-2 194 28 7 11 Mumps 65 528 23 4,542 4,557 2,089 1,863 1,744 Rubella 3 6-30 35 18 12 15 Poliomyelitis - Japanese encephalitis - - - 6 7-6 - Varicella 418 5,139 205 22,849 20,284 11,027 1,934 - Malaria - 3 2 1,052 2,227 2,051 1,369 864 Scarlet fever 1 28 3 151 146 108 87 80 Meningococcal meningitis - - - 1 4 11 7 8 Legionellosis - 5-21 19 20 6 10 Vibrio vulnificus sepsis - - - 49 59 88 57 57 Epidemic typhus - Murine typhus - 1-87 61 73 35 19 Scrub typhus 2 67 1 6,057 6,022 6,480 6,780 4,698 Leptospirosis - 3-100 208 119 83 141 Brucellosis 3 5 1 58 101 215 158 47 Anthrax - Rabies 1 HFRS 1 31 2 375 450 422 421 427 Dengue fever 2 16-51 97 35 34 16 Vietnam(1), Indonesia(1) Leishmaniasis 1 Babesiosis - - - - - - 1 - Cryptosporidiosis - - - - - - 1 - Botulism - - - - - 1-4 Q fever 1 7-19 12 6 - - Tuberculosis 807 6,743 595 34,157 34,710 35,361 35,269 31,503 HIV/AIDS 12 98 13 797 744 750 680 610 -: No reported cases. N : Not notifiable. Cum: Cumulative counts of the year from 1st week to current week. EHEC : Enterohemorrhagic Escherichia coli. HFRS : Hemorrhagic fever with renal syndrome. * Incidence data for reporting years 2008 and 2009 are provisional, whereas data for 2004,2005,2006 and 2007 are finalized. * Reported cases contain all case classifications (Confirmed, Suspected, Asymptomatic carrier) of the disease respectively. Excluding Hansen's disease and diseases reported through the Laboratory Surveillance System and Sentinel Surveillance System(Data for Sentinel Surveillance System are available in Table III) and no case reported since 2003(Yellow fever, Marburg fever, Ebola fever, Lassa fever, African Trypanosomiasis, Schistosomiasis, Yaws, Pinta, Smallpox, Severe Acute Respiratory Syndrome, Avian influenza infection and humans, Tularemia, and Newly everging infectious disease syndrome) Calculated by summing the incidence counts for the current week, the 2 weeks preceding the current week, and the 2 weeks following the current week, for a total of 5 preceding years.(in case of Varicella, used data for 3 years-2006,2007 and 2008, because of being designated as of July 13, 2005) HIV/AIDS is infected cases but not disease cases. Public Health Weekly Report, KCDC 191
Total - - - 2 25 31 1 6 9 6 25 40 - - - - 7 2 - - - 1 5-65 528 241 Seoul - - - - 5 5-1 1 1 4 4 - - - - 2 1 - - - - - - 10 82 38 Busan - - - - 1 4 - - 1-1 3 - - - - - 2 23 8 Daegu - - - - 1 1-1 1 - - 1 - - - - - 2 25 49 Incheon - - - - - 2 - - - - 2 2 - - - - - 22 157 22 Gwangju - - - - - 1-2 1 1 1 2 - - 1 1-2 6 4 Daejeon - - - - - 1 - - - 1 - - - - - - - 1 2 2 Ulsan - - - - - 1 - - - - 1 1 - - - - - - 10 13 Gyonggi - - - - 8 7 1 1 2 4 8 9 - - - - 2 1 - - - - 1-16 150 45 Gangwon - - - - 1 - - - - - 1 1 - - - - - 4 14 13 Chungbuk - - - - 1 2 - - - - - 3 - - - - - 2 18 20 Chungnam - - - - 2 3-1 - - 2 2 - - - - 2 - - - - - - - - 6 5 Jeonbuk - - - 3 1 - - - 1-2 3 3 Jeonnam - - - - - 1 - - 1 - - 3 - - - 1 - - 7 2 Gyeongbuk - - - - 1 1 - - 1-1 5 - - - 1 - - 15 9 Gyeongnam - - - 2 5 2 - - 1-1 2 - - - - - 2 9 5 Jeju - - - - 1 - - - - - - 1 3 -: No reported cases. Cum: Cumulative counts of the year from 1st week to current week. * Incidence data for reporting years 2008 and 2009 are provisional, whereas data for 2004, 2005, 2006, and 2007 are finalized. Reported cases contain all case classifications (Confirmed, Suspected, Asymptomatic carrier) of the disease, respectively. ifications (Confirmed, Suspected, Asymptomatic carrier) of the disease, respectively. Calculated by averaging the cumulative counts from 1st week to current week, for a total of 5 preceding years. Public Health Weekly Report, KCDC 192
Total 3 6 1 - - - 418 5,139 2,758-3 23 1 28 22 - - 1-5 2 - - - - 1 - Seoul - - 1 - - - 35 495 253-2 4-2 3 - - - - 2 1 - - - - - - Busan - - - - - - 49 641 296 - - 1-2 5 - - - - - - - - - - 1 - Daegu - 1 - - - - 40 453 209 - - - - 5 1 - - - - - Incheon - - - - - - 24 418 250 - - 4-1 5 - - - - - Gwangju - - - - - - 6 51 35 - - - 1 5 - - - - - - Daejeon - - - - - - 11 159 25 - - - - 2 - - - - - - Ulsan - - - - - - 14 213 119 - - 1 - - 1 - - - - - Gyonggi 3 3 - - - - 80 1,042 678 - - 8-2 2 - - 1-2 1 - - - - - - Gangwon - - - - - - 55 512 334 - - 1 1 Chungbuk - - - - - - 11 177 67 - - 1 - Chungnam - - - - - - 10 50 24 - - 1-4 - - - - - - Jeonbuk - 1 - - - - 7 94 102 - - - - 1 2 - - - - - Jeonnam - - - - - - 13 112 73 - - - - Gyeongbuk - 1 - - - - 16 275 121 - - 1-3 1 - - - - - Gyeongnam - - - - - - 11 253 55-1 1-1 2 - - - - - Jeju - - - - - - 36 194 117 - - - - unknown - - - - - - - :No reported cases. Cum: Cumulative counts of the year from 1st week to current week. * Incidence data for reporting years 2008 and 2009 are provisional, whereas data for 2004, 2005, 2006, and 2007 are finalized. Reported cases contain all case classifications (Confirmed, Suspected, Asymptomatic carrier) of the disease, respectively. Calculated by averaging the cumulative counts from 1st week to current week, for a total of 5 preceding years. (In case of Varicella, used data for 3 years - 2006, 2007 and 2008, because of being designated as of July 13, 2005) Public Health Weekly Report, KCDC 193
Total 2 67 20-3 1 3 5 14 - - - 1 31 42 2 16 4 1 7-807 6,743 5,931 Seoul - 9 1-1 - 4 5 1 4 1 - - - 215 1,840 1,674 Busan - 2 3 - - - 1 - - - 1 - - - 60 660 635 Daegu - 1 - - - - 1 - - 1 1 - - - 57 496 271 Incheon - 1 - - - - - 3 1 3-1 1-47 318 253 Gwangju - 1 2 - - - - 1 - - - - - - 21 192 144 Daejeon - - 1 - - - - 11 218 131 Ulsan - 1 - - - - - 12 141 105 Gyonggi - 11 2-1 1-2 - - - - 1 11 11-6 1-5 - 156 901 920 Gangwon - 1 1 - - - 1 1 1 - - - - 2 3 - - - - 1-35 294 257 Chungbuk - 1 - - - - - - 2 - - - - 4 3 - - - - - - 14 154 136 Chungnam - 7 3 - - - - - 2 - - - - 3 5-1 - - - - 47 223 209 Jeonbuk - 20 2-1 - 1 1 1 - - - - 4 4 - - - - - - 24 293 278 Jeonnam 1 6 2 - - - 1 1 - - - - - - 2 - - - - - - 33 234 214 Gyeongbuk 1 3 - - - - - - 5 - - - - 1 4 - - - - - - 34 300 270 Gyeongnam - 3 2 - - - - - 2 - - - - - 1-1 - - - - 37 418 377 Jeju - 1 1 - - - - 4 61 57 -: No reported cases. Cum: Cumulative counts of the year from 1st week to current week. * Incidence data for reporting years 2008 and 2009 are provisional, whereas data for 2004, 2005, 2006, and 2007 are finalized. Reported cases contain all case classifications (Confirmed, Suspected, Asymptomatic carrier) of the disease, respectively. Calculated by averaging the cumulative counts from 1st week to current week, for a total of 5 preceding years. Public Health Weekly Report, KCDC 194
2.4 8.3 3.5 2.0 7.2 5.1 1.6 3.0 2.4 1.9 4.2 7.0 2.0 6.3 9.6 2.0 6.3 5.8 -: No reported cases. Cum: Cumulative counts of the year from 1st week to current week. * Incidence data for reporting years 2008 and 2009 are provisional. Reported cases contains all case classifications (Confirmed, Suspected, Asymptomatic carrier) of the disease, respectively. Calculated by averaging the cumulative counts from 1st week to current week, for a total of 5 preceding years. Public Health Weekly Report, KCDC 195
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