Journal List > J Korean Med Assoc > v.50(7) > 1041917

Lim: Contributing Factors of Infectious Waterborne and Foodborne Outbreaks in Korea

Abstract

Infectious waterborne and foodborne diseases pose a considerable threat to human health and the economy of individuals, families, and nations. They are the results of ingestion of contaminated water and food stuffs. They have increased recently in Korea. The reasons include the increase in international travels and trade, microbial adaptation, and changes in the food production system, human demographics and behavior as well as the climate change. The contributing factors of infectious waterborne and foodborne outbreaks in institutional settings and at home were reviewed through the epidemiological investigations of them. The most commonly reported diseases (possibly of waterborne origin) were typhoid fever, shigellosis, and viral hepatitis A. The sources of infection were any drinking water including well, spring, mountain, tap, and sea water. The water was contaminated with raining ground water, leakage from the damaged septic tank or pipes. The most commonly identified agents (possibly of foodborne origin) were norovirus, pathogenic E. coli, S. aureus, Salmonella spp., and V. parahemolyticus. The mechanisms of infection were raw food, secondary contamination of the raw food and unsafe storage, contaminations from food handlers, or contaminated water. While cholera was often due to sea water, raw or under-processed seafood were important epidemiological pathways for cholera transmission. Owing to the globalization, imported cases of infectious waterborne and foodborne diseases have been increasing. We should recognize the outbreak rapidly and strengthen the surveillance. Also epidemiological investigations should start timely and be done thoroughly with repeat the situation, if necessary.

Figures and Tables

Table 1
Reported cases of water/food-borne national notifiable diseases by year
jkma-50-582-i001

Source: Communicable Diseases Monthly Report

*: blank data

: Reported cases by sentinel surveillance

Table 2
Reported cases of food poisoning by year
jkma-50-582-i002

Source: Korea Food & Drug Administration

References

1. Kim SK, Shin RD. Report of an epidemiologic survey on typhoid fever outbreak water borne. Report of NIH Korea. 1979. 16:69–82.
2. Kim JS. An epidemiological investigation to identify source of infection in an epidemic of typhoid fever occurred in Wcity, 1983. Korean J Epidemiol. 1983. 5:140–147.
3. Kim JS, Heo Y, Lee SS, Lee SU, Lee DH, Shon KY. An epidemiological investigation of typhoid fever outbreak in an hot spring resort town and its satellite rural villages. Korean J Epidemiol. 1988. 10:92–101.
4. Park JH, Lee JY, Lee DY. An epidemiologic investigation of typhoid fever outbreak in Ohchun middle and high schools located in Young-il gun Kyungpook province. Korean J Epidemiol. 1995. 17:94–104.
5. Shin HR, Suh BS, Song JB, Lee DH, Lee MB, Park JH, Kim MS, Shin YH, Lee SW, Ohrr HC. An epidemiologic investigation of typhoid fever outbreak in Pusan, 1996. Korean J Epidemiol. 1997. 19:122–130.
6. Lim HS, Min YS, Lee K, Lim SH. Epidemiologic investigation into an outbreak of typhoid fever recognized by electronic data interchange in Gyeongsangbuk-do, 2003. Korean J Epidemiol. 2004. 26:59–68.
7. Lim HS. A survey on two epidemics of diarrheal disease in a rural area of Korea. Korean J Epidemiol. 1980. 2:89–96.
8. Lim HS, Jung C, Bae GR, Hur YJ, Lee SW, Jeong EK. Epidemiologic investigation of an outbreak of shigellosis in Kyongju, Korea. Korean J Prev Med. 2000. 33:1–9.
9. Joo HJ, Chung KH, Kim YM, Kim SG, Park MS, Chang JK, Shin SW. An outbreak of Yersinia pseudotuberculosis infection. J Korean Pediatr Soc. 1990. 33:342–350.
10. Kim NJ, Sung JK, Lee SW, Lee KT, Lee SM, Kim SH, Lee BS, Kim JH, Yu JH, Lee HY. An outbreak of hepatitis A in Taejeon city. Korean J Gastroenterol. 1999. 34:205–212.
11. Jung C, Roh SC, Kim HD, Lim HS. Epidemiologic investigation of hepatitis A outbreak in Kyonggi province, 2000. Proceedings of the 53th Conference of Korean Society for Preventive Medicine. 2001. 288–289.
12. Cho SM, Kim NY, Jeong JH, Kim SK, Lim HS. Clinical features of aseptic meningitis in children during an epidemic in Pohang city in 1997. Dongguk J Med. 1998. 5:63–68.
13. Kim H, Cheong HK, Park SK, Bae GR, Kim OJ. Drinking water turbidity and aseptic meningitis in children in urban communities: bi-directional case-crossover analysis. Proceedings of the 55th Conference of Korean Society for Preventive Medi-cine. 2003. –310.
14. Kim KY, Lee TK, Lee IK, Park Jb, Lee CY. Epidemiological study of diarrhea patients at on Korean Air-base. Korean J Aero Med. 2000. 47:95–107.
15. Lee YJ, Hwang UK, Kim JS, Cho SK, Ha DR, Park SH, Jee YM, Kim SH, Yoon JD. Norovirus outbreak after a school trip among girls' high school students. Korean Acad Fam Med. 2004. 25:610–616.
16. Park S, Kim SH, Kee HY, Seo JJ, Ha DR, Cho SH, Lee BK. Enterotoxigenic Escherichia coli outbreak in a high school. Infect Chemother. 2006. 38:30–38.
17. Kim JS, No BU, Ahn SY, Lee JA, Park BJ, Chang CK, Doo JK. An epidemiologic investigation of 1980 cholera epidemic with special emphasis on source and route of transmission in the area where the first case was notified. Korean J Epidemiol. 1980. 2:26–42.
18. Kim HJ, Suk I, Oh HC, Kim KS, Jee SH, Lee SY, Lee SH. Cholera in Korea, 1991-modes of transmission-. Korean J Epidemiol. 1991. 13:123–139.
19. Lee JH, Lim HS, Lee K, Kim JC, Lee SW, Go UY, Yang BK, Lee JK, Kim MS. Epidemiologic investigation on an outbreak of cholera in Gyeongsangbuk-do, Korea, 2001. Korean J Prev Med. 2002. 35:295–304.
20. Yum YT, Seo DY. An epidemiological study on outbreaks of food posioning in some industries. Korean J Epidemiol. 1988. 10:204–209.
21. Lim HS, Cheong HK, Kim JS, Ohr H, Rhie DM, Kim HH. An epidemiologic investigation on an outbreak of anthrax occurred in Kyongju by eating dead cow's meat. Korean J Prev Med. 1994. 27:693–710.
22. Chung GT, Kang DH, Yoo CK, Choi JH, Seong WK. The first outbreak of botulism in Korea. Korean J Clin Microbiol. 2003. 6:160–163.
23. Lee YJ, Ko KS, Park MY, Oh WS, Kwon KT, Ryu SY, Heo ST, Peck KR, Lee NY, Song JH. Identification of Brucella abortus using the sequencing of omp gene. Korean J Med. 2006. 71:10–16.
24. Hur YJ, Kang Y, Lee SW, Lee DH, Jee YM, Lee D, Oh DK, Choi BY. Outbreak of norovirus infection in the metropolitan area in 2006. Proceedings of the 58th Conference of Korean Society for Preventive Medicine. 2006. 249.
25. Loh IK. Investigation of a staphylococcal food poisoning outbreak among school children. Korean J Prev Med. 1972. 5:111–114.
26. Ahn SY. An epidemiologic investigation an staphylococcal food poisoning outbreak among the people attended to a wedding ceremony in Choonchun, Korea. Korean J Epidemiol. 1981. 3:88–98.
27. Lim HS, Bae GR. Epidemiologic investigation of an outbreak of Shigella sonnei among students in Bonghwa, 1999. Korean J Prev Med. 2000. 33:10–16.
28. Min YS, Lim HS, Lee K, Lim SH, Lee BS. Epidemiologic investigation on an outbreak of shigellosis in Seongju-gun, Korea, 2003. Korean J Prev Med. 2005. 38:189–196.
29. Baik DY, Yeom SH, Lee K, Lim HS. An epidemiologic investigation of enteropathogenic Escherichia coil outbreak in Seongjugun. Korean J of Rural Med. 2005. 30:39–50.
30. Kim MK, Lim HS, Jung C, Ha GY. An epidemiological survey on a Salmonella enteritidis outbreak in Kyongju, Korea. Korean J Epidemiol. 1998. 20:187–201.
31. Lim HS, Min YS, Lee HS. Epidemiologic investigation on an outbreak of salmonellosis in Yeongcheon-si, 2004. Korean J Prev Med. 2005. 38:457–464.
32. Park CH. An epidemiological study for on outbreak of typhoid fever in Busan area. Korean J Prev Med. 1977. 10:86–93.
33. Kim SC, Kim KH, Park HC, Jeon DY. Outbreak of shigellosis in a provincial area. Korean J Epidemiol. 1992. 14:184–190.
34. Chun BY, Kim KY, Park KS, Lee SW, Hur YJ, Park SH, Kim KS, Kim SJ, Hong YS. An epidemiologic investigation of Shigella sonnei outbreak at a primary school in Taegu city. Korean J Epidemiol. 2000. 22:101–107.
35. Park JK, Kim CB, Seok WS, Park K, Wang S. The epidemiological characteristics of a shigellosis outbreak(1998) in Wonju city, Kangwon-do. Korean J Epidemiol. 1999. 21:131–141.
36. Jung SH, Park WS. An epidemiologic investigation of shigellosis outbreak in Gangnung 1998. Korean J Epidemiol. 2000. 22:1–10.
37. Shin HR, Lee DH, Sul HM, Lee SW, Huh YJ. An epidemiological investigation of bacterial dysentery outbreak in Busan(Pusan), 1999. Korean J Epidemiol. 2000. 22:93–100.
38. Choi TY. An outbreak of Salmonella enteritidis infection associated with the seaweed roll. Korean J Infect Dis. 1995. 27:281–286.
39. Eom KS, Lee JM, Lee IS, Moon JS, Kim MY, Kim YR, Park YJ, Jung I, Mun JJ, Kang YH, Kang MW. An outbreak of food poisoning by Salmonella senftenberg. Korean J Infect Dis. 1998. 30:571–574.
40. Kim JR, Lee SW, Kim HB, Cha J, Lee KH, Bae KW. An epidemiologic investigation on the mode of transmission of the lethal salmonellosis outbreak in Hamyang county. Korean J Epidemiol. 1999. 21:185–194.
41. Lim HS, Bae GR, Yong TS. Outbreak of salmonellosis misdiagnosed with amebiasis in Gumi city and Chilgok county, Korea. Korean J Epidemiol. 2002. 24:54–62.
42. Shin SY, Hong JY, Bae JM. An epidemic survey for salmonellosis occurred on a baby's first birthday banquet in Jeju island. Korean J Epidemiol. 2004. 26:27–38.
43. Han SH, Lee SH, Roh BJ, Shim SC, Cho SC, Sohn JH, Lee DH, Kee CS. An outbreak of hepatitis A in south Korean military personnel: a clinical and epidemiologic study. Korean J Hepatol. 2001. 7:392–400.
44. Park S, Kim SH, Seo JJ, Kee HY, Kim MJ, Seo KW, Lee DH, Choi YH, Lim DJ, Hur YJ, Cho SH, Lee BK. An outbreak of inapparent non-O157 enterohemorrhagic Escherichia coli infection. Korean J Med. 2006. 70:495–504.
45. Park JK, Seok W, Choi BJ, Kim HM, Lim BK, Yoon SS, Kim S, Kim Y, Park JY. Salmonella london infections associated with consumption of infant dried milk. Proceedings of the 53th Conference of Korean Society for Preventive Medicine. 2001. 287.
46. Kim KY, Lee HK, Cho SR. Pulsed-Field Gel Electrophoresis analysis of a Salmonella london outbreak in neontes. J Korean Soc Neonatol. 2001. 8:222–228.
47. Park MS, Woo YS, Lee MJ, Shim SK, Lee HK, Choi YS, Lee WH, Kim KH, Park MY. The first case of human brucellosis in Korea. Infect Chemother. 2003. 35:461–466.
48. Kim J, Kim S, Jeon S, Kang Y, Jeon D, Lee B. The first outbreak of shigellosis caused by Shigella dysenteriae type 8 in Korea. Korean J Clin Microbiol. 2005. 8:153–159.
49. Jin SM, Lee TY. An epidemiological survey on the outbreak of cholera of overseas travelers in Daejeon. Korean J Epidemiol. 2006. 28:119–128.
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