Journal of agricultural medicine and community health (농촌의학ㆍ지역보건)

Korean Society for Rural Medicine and Community Health (한국농촌의학지역보건학회)
권호 표지
DOI QR코드

DOI QR Code

Awareness of Zoonoses among Cattle Slaughterhouse Workers in Korea

소 도축 관련 종사자의 인수공통감염증 인지도 조사

  • Lim, Hyun-Sul (Department of Preventive Medicine, Dongguk University College of Medicine) ;
  • Yoo, Seok-Ju (Department of Preventive Medicine, Dongguk University College of Medicine) ;
  • Lee, Kwan (Department of Preventive Medicine, Dongguk University College of Medicine)
  • 임현술 (동국대학교 의과대학 예방의학교실) ;
  • 유석주 (동국대학교 의과대학 예방의학교실) ;
  • 이관 (동국대학교 의과대학 예방의학교실)
  • Published : 2009.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: Cattle slaughterhouse workers are known as the high risk group for the zoonoses. We surveyed the awareness of zoonoses among cattle slaughterhouse workers to suggest direction of education and public relations. Methods: We evaluated the epidemiological characteristics of zoonoses and the process of cattle slaughtering. We designed different questionnaires for the workers involved in slaughtering, the handlers of residual products, the inspectors and their assistants, and the grading testers and their assistants respectively. We visited 73 cattle slaughterhouses and 62 residual products handle houses across the country and conducted a questionnaire survey of the general characteristics and the awareness of zoonoses. The data collected was evaluated using the SPSS 17.0 statistical package. Results: The awareness rate of brucellosis, Q fever and Enterohemorrhagic Escherichia coli (EHEC) were 83.9%, 18.5%, 62.7% among cattle slaughterhouse workers. The awareness rate of zoonoses among the workers involved in slaughtering and the handlers of residual products was lower than other workers. The awareness rate of zoonoses tended to increase as the school career. In the correct awareness rate of the transmission of zoonoses, 'transmission by tick bite', 'person to person' and 'air transmission' were lower than other transmission items. The most common reason why cattle slaughterhouse workers think that it is difficult to prevent zoonoses was the ignorance of how to prevent. Conclusions: An educational program is needed for the cattle slaughterhouse workers on zoonoses especially Q fever. And publicity activities about prevention of infection are needed for high risk groups.

2007년 11월 현재 운영 중인 전국 73개 도축장 및 62개 부산물처리장에서 근무하고 있는 소 도축 관련 종사자 1,503명(도축작업자 859명, 부산물처리자 358명, 검사관 및 검사보조원 191명, 등급판정사 및 보조원 95명)을 대상으로 3가지 인수공통감염증(브루셀라증, 큐열, 장출혈성대장균감염증)에 대한 인지도 및 전파경로, 예방법 등에 대한 설문조사를 실시하여 각 직종별로 인수공통감염증에 대한 인지도를 성별, 연령대별, 학력별로 분석하였다. 각 인수공통감염증의 인지율은 브루셀라증이 83.9%로 높은데 비해, 장출혈성대장균감염증은 62.1%이었고, 큐열은 18.5%이었다. 큐열의 경우, 도축작업자와 부산물처리자, 등급판정사 및 보조원의 인지율이 각각 6.6%, 10.3%, 18.9%에 불과했다. 직종별로는 도축작업자와 부산물처리자의 인지율이 검사관 및 검사보조원이나 등급판정사 및 보조원에 비하여 낮고, 같은 직종 내에서는 브루셀라증과 장출혈성대장균감염증의 인지율이 학력이 증가함에 따라 유의미하게 높아지는 경향을 보였다. 또한 다항로지스틱 회귀분석 결과 학력이 유의미하게 인지도에 영향을 주는 요인으로 밝혀져 고위험군을 대상으로 인수공통감염증 전반에 대한 기초적인 교육의 중요성이 강조된다. 각 인수공통감염증의 전파경로로 대부분의 종사자들이 경구를 통한 감염에 대해서는 올바르게 인지하고 있었지만, 그 외의 감염경로에 대해서는 모르거나 잘못 알고 있는 경우가 많았다. 인수공통감염증의 예방이 어려운 이유를 묻는 질문에서 도축작업자와 부산물처리자는 ‘예방법을 몰라서’가, 검사관 및 검사보조원과 등급판정사 및 보조원은 ‘보호구는 있는데 착용하면 불편하고 거추장스러워서’가 가장 많은 답변이었다. 이번 연구의 결과를 토대로 큐열에 대한 홍보교육을 강화하여야 할 것이며, 도축작업자와 부산물처리자에 대해서는 인수공통전염병 전반에 대한 기초교육과 함께 예방법에 대한 교육을 실시해야 할 것이다.

Keywords

References

  1. 대한감염학회. 감염학. 서울, 군자출판사,2007, 쪽8, 596-598
  2. Meslin FX. Global aspects of emerging and potential zoonoses: A WHO perspective. Emerg Infect Dis 1997;3(2):223-228 https://doi.org/10.3201/eid0302.970220
  3. Park SC, Chun BC, Park KD. Introduction of zoonoses in Korea. Korean J Epidemiol 2005;27(1):1-11(Korean)
  4. Park KD. Current status and issues in zoonoses control. J Korean Med Assoc 2005;48(7):679-686(Korean) https://doi.org/10.5124/jkma.2005.48.7.679
  5. National Veterinary Research and Quarantine Service. Animal infectious disease data management system 2004-2008 [cited 2008 Sep 7]. Available from: URL:http://aims.nvrqs.go.kr/ sta/aimsStat.do
  6. Korea Centers for Disease Control and Prevention. Current status of selected infectious diseases. PHWR 2008;1(19):318-323(Korean)
  7. Corbel MJ. Brucellosis: an Overview. Emerg Infect Dis 1997;3(2):213-221 https://doi.org/10.3201/eid0302.970219
  8. Sauret JM, Vilissova N. Human brucellosis. J Am Board Fam Pract 2002;15(5): 401-406
  9. Pradel N, Livrelli V, De Champs C, Palcoux JB, Reynaud A, Scheutz F, Sirot J, Joly B, Forestier C. Prevalence and characterization of Shiga toxin-producing Escherichia coli isolated from cattle, food, and children during a one-year prospective study in France. J Clin Microbiol 2000;38(3):1023-1031
  10. Heo ST, Park MY, Choi YS, Oh WS, Ko KS, Peck KR, Song JH. Q fever as a cause of fever of unknown origin. Korean J Med 2008;74(1):100-105(Korean)
  11. Lee K, Lim HS, Park WW, Kim SH, Lee DY, Park MY, Hur YJ. Seroprevalence of brucellosis among risk population in Gyeongsangbuk-do, 2006. J Prev Med Public Health 2007;40(4):285-290(Korean) https://doi.org/10.3961/jpmph.2007.40.4.285
  12. Kim WJ, Hahn TW, Kim DY, Lee MG, Jung KS, Lee MG, Jung KS, Ogawa M, Kishimoto T, Lee ME, Lee SJ. Seroprevalence of Coxiella burnetii infection in dairy cattle and non-symptomatic people for routine health screening in Korea. J Korean Med Sci 2006;21:823-826 https://doi.org/10.3346/jkms.2006.21.5.823
  13. Lim HS, Min YS. Study on the recognition of brucellosis for rural residents. J Agr Med Community Health 2005;30(1):51-61(Korean)
  14. Bae GR, Lee SW, Yang BG, Lee BK, Park JG, Hwang BH, Lim HS. Cause of enterohemorrhagic Escherichia coli infection in Ulju county, Korea. J Prev Med Public Health 2003;36(1):77-84(Korean)
  15. Maurin M, Raoult D. Q fever. Clinical Microbiology Reviews 1999;12(4):518-553
  16. Arricau-Bouvery N, Rodolakis A. Is Q fever an emerging or re-emerging zoonosis?. Vet. Res 2005;36:327-349 https://doi.org/10.1051/vetres:2005010
  17. Pappas G, Akritidis N, Bosilkovski M, Tsianos E. Brucellosis. N Engl J Med 2005;352:2325-2336 https://doi.org/10.1056/NEJMra050570
  18. 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(6):461-466(Korean)
  19. Mantur BG, Amarnath SK, Shinde RS. Review of clinical and laboratory features of human brucellosis. Indian J Med Microbiol 2007;25(3):188-202 https://doi.org/10.4103/0255-0857.34758
  20. Wood EE. Brucellosis as a hazard of blood transfusion. Br Med J 1955;1(4904):27-28 https://doi.org/10.1136/bmj.1.4904.27
  21. Ertem M. Kurekci AE, Aysev D, Unal E, Ikinciogullari A. Brucellosis transmitted by bone marrow transplantation. Bone Marrow Transplant 2000;26:225-226 https://doi.org/10.1038/sj.bmt.1702480
  22. Palanduz A, Palanduz S, Güler K, Güler N. Brucellosis in a mother and her young infant: probable transmission by breast milk. Int J Infect Dis 2000;4(1):55-56 https://doi.org/10.1016/S1201-9712(00)90068-7
  23. Ruben B, Band J.D, Wong P, Colville J. Person-to-person transmission of Brucella melitensis. Lancet 1991;337(8732):14-15 https://doi.org/10.1016/0140-6736(91)93332-4
  24. Fishbein DB, Raoult D. A cluster of Coxiella burnetii infections associated with exposure to vaccinated goats and their unpasteurized dairy products. Am J Trop Med Hyg 1992;47(1):35-40 https://doi.org/10.4269/ajtmh.1992.47.35
  25. Racult D, Stein A. Q fever during pregnancy-a risk for women, fetuses, and obstetricians. N Engl J Med 1994;330(5):371 https://doi.org/10.1056/NEJM199402033300518
  26. Milazzo A, Hall R, Storm PA, Harris RJ, Winslow W, Marmion BP. Sexually transmitted Q fever. Clin Infect Dis 2001;33(3):399-402 https://doi.org/10.1086/321878
  27. Janbon F, Raoult D, Reynes J, Bertrand A. Concomitant human infection due to Rickettsia conorii and Coxiella burnetii. J Infect Dis 1989;160(2):354-355 https://doi.org/10.1093/infdis/160.2.354
  28. Mead PS, Griffin PM. Escherichia coli O157:H7. Lancet 1998;352(9135):1207-1212 https://doi.org/10.1016/S0140-6736(98)01267-7
  29. Keene WE, McAnulty JM, Hoesly FC, Williams LP Jr, Hedberg K, Oxman GL, Barrett TJ, Pfaller MA, Fleming DW. A swimming-associated outbreak of hemorrhagic colitis caused by Escherichia coli O157:H7 and Shigella sonnei. N Engl J Med 1994;331(9):579-584 https://doi.org/10.1056/NEJM199409013310904
  30. Varma JK, Greene KD, Reller ME, DeLong SM, Trottier J, Nowicki SF, DiOrio M, Koch EM, Bannerman TL, York ST, Lambert-Fair MA, Wells JG, Mead PS. An outbreak of Escherichia coli O157 infection following exposure to a contaminated building. JAMA 2003;290(20):2709-2712 https://doi.org/10.1001/jama.290.20.2709

Cited by

  1. Awareness on Zoonoses among Pig Farmers in Korea vol.39, pp.4, 2014, https://doi.org/10.5393/JAMCH.2014.39.4.222
  2. Recognition and Using Status of Carbon Disulfide (CS2) as Fumigant for Controlling Chestnut Weevil, Curculio sikkimensis among Chestnut Farmers vol.41, pp.2, 2016, https://doi.org/10.5393/JAMCH.2016.41.2.063
  3. Comparison of the Awareness and Knowledge of Scrub Typhus between Case and Control Groups vol.37, pp.1, 2012, https://doi.org/10.5393/JAMCH.2012.37.1.001