J Agric Med Community Health.  2019 Mar;44(1):1-10. 10.5393/JAMCH.2019.44.1.001.

A Study on the Febrile Illness in Autumn among Farmers in Gyeongju-si: Scrub typhus, Leptospirosis, HFRS

• Kim DS
• Acharya D
• Yoo SJ
• Park JH
• Lee K

• KMID: 2448015
• DOI: http://doi.org/10.5393/JAMCH.2019.44.1.001

Abstract

OBJECTIVES
This study aimed to assess the status of Scrub typhus, Leptospirosis and HFRS(hemorrhagic fever with renal syndrome) among farmers with febrile illness.
METHODS
We involved a total of 841 farmers who had febrile illness(508 and 333 village residents were, respectively, three and four district of Gyeongju city) selected during autumn of 2014 and 2015. Data were collected by survey questionnaires and blood sample examination.
RESULTS
Serum response rate for Scrub typhus and Leptospirosis was 1.5% each and 1.9% for HFRS. Serum response rate for Scrub typhus was significantly higher for tick-bite cases(38.5%), while Leptospirosis was significantly higher for those who were in fruit-planting work(23.1%). Similarly, serum response rate was significantly higher for HFRS who were working in venyl green house work(25.0%).
CONCLUSIONS
Government authority should develop effective and efficient preventive strategies to create awareness of infectious diseases among farmers. Extending information, education and communication be reached to farmers that could change their perception and help early diagnosis and treatment and reduce the disease burden and its complication.

Keyword

Scrub typhus; Leptospirosis; Hemorrhagic fever with renal syndrome; Risk factor; Seropositivity; Seroreactivity

MeSH Terms

Communicable Diseases
Early Diagnosis
Education
Farmers*
Fever
Gyeongsangbuk-do*
Hemorrhagic Fever with Renal Syndrome*
Leptospirosis*
Risk Factors
Scrub Typhus*